Medicaid Managed Care Regulations (States) 42 CFR 438.6, 438.10, 438.50, 438.202, 438.722, 438.724, and 438.810

Medicaid Managed Care and Supporting Regulations (CMS-10108)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0920 can be found here:

Documents and Forms

Document Name Document Type
CMS-10108 Managed Care Program Annual Report (MCPAR) MCPAR (2021 version 3).xlsm Form

Information Collection (IC) Details

IC Title:	Medicaid Managed Care Regulations (States) 42 CFR 438.6, 438.10, 438.50, 438.202, 438.722, 438.724, and 438.810	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 438.10 42 CFR 438.50 42 CFR 438.6 42 CFR 438.202 42 CFR 438.722 42 CFR 438.724 42 CFR 438.810

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CMS-10108	Managed Care Program Annual Report (MCPAR)	MCPAR (2021 version 3).xlsm		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 41	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,169,558	174,086	3,995,472
Annual IC Time Burden (Hours)	92,708	-561	93,269
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.