Information Collection

GenIC #37 (Revised): Managed Care Rate Setting Guidance

IC 242079 under ICR 201712-0938-019 · OMB 0938-1148.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1148 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	61	61
Annual IC Time Burden (Hours)	307	307
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.