CMS-10307 - Change Justification

Non-Substantive Change Request to CMS-10307 (OMB Control No. 0938-1080)

This is a non-substantive change request to CMS-10307 (Medical Necessity and Claims Denial Disclosures under MHPAEA) to allow CMS to provide an updated disclosure request form to consumers.

We are proposing nonsubstantive changes in this information collection. The changes are limited to making clarifying edits to the disclosure request form (see crosswalk of changes). We are proposing these changes to address comments received by the Department of Labor (DOL) in response to the Federal Register notice published on May 2, 2018 (83 FR 19299). We believe that these changes will not affect the burden on issuers or consumers.