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GenIC #37 (Revised): Managed Care Rate Setting Guidance
Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)
OMB: 0938-1148
IC ID: 242079
OMB.report
HHS/CMS
OMB 0938-1148
ICR 201712-0938-019
IC 242079
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1148 can be found here:
2024-09-27 - Reinstatement with change of a previously approved collection
2024-07-11 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
2019-2020 Medicaid Managed Care Rate Development Guide (06-03-2020).docx
Instruction
2020-2021 Medicaid Managed Care Rate Development Guide (06-03-2020).docx
Instruction
2020-2021 Medicaid Managed Care Rate Development Guide (06-03-2020) - track change to 2019-2020.docx
Crosswalk - 2020 - 2021 Guide
IC Document
2020-2021 Medicaid Managed Care Rate Development Guide (06-03-2020) - track change to 2019-2020.docx
Track Change - 2020 - 2021 Guide
IC Document
37 - Generic Supporting Statement (version 4b).docx
Generic Supporting Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
GenIC #37 (Revised): Managed Care Rate Setting Guidance
Agency IC Tracking Number:
CMCS
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
2020-2021 Medicaid Managed Care Rate Development Guide (06-03-2020).docx
Yes
Yes
Printable Only
Instruction
2019-2020 Medicaid Managed Care Rate Development Guide (06-03-2020).docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
46
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
61
0
61
0
0
0
Annual IC Time Burden (Hours)
307
0
307
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Crosswalk - 2020 - 2021 Guide
2020-2021 Medicaid Managed Care Rate Development Guide (06-03-2020) - track change to 2019-2020.docx
06/04/2020
Track Change - 2020 - 2021 Guide
2020-2021 Medicaid Managed Care Rate Development Guide (06-03-2020) - track change to 2019-2020.docx
06/04/2020
Generic Supporting Statement
37 - Generic Supporting Statement (version 4b).docx
06/04/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.