Crosswalk

Form CMS- R199 Electronic System Overhaul
The overall burden to states remain the same as no changes have been made to the form itself.
Changes
Form#

OMB Form
#
CMS-R199 OMB #09380697

Old System
Incurred But
Not Reported
Survey
(IBNRS)

Old System Web
New System
Address
https://ibnrs.medicaid.gov/ Medicaid and
CHIP
Financial
(MACFin)

New System Web
Rationale
Address
https://portal.cms.gov/ Integration of
all Medicaid
and CHIP
financial
applications
into one
system.