Information Collection Request
Medical Necessity and Contract Amendments Under Mental Health Parity (CMS-10556)
ICR 202211-0938-009 · OMB 0938-1280 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1280 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CMS-10556 - Supporting Statement A (2022 version 7).docx |
Supporting Statement A | Uploaded 2022-11-22 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 220885 |  State Analysis and Transparency Responsibilities (sec. 438.920) |
Modified | ||
| 220884 | Submitting Requests for Medical Necessity Disclosures (Potential Participants, Beneficiaries, and Contracting Providers) |
Modified | ||
| 216060 | State Contract Requirements (§ 438.3(n)) |
Modified | ||
| 216059 | Availability of Information and the Criteria for Medical Necessity Determinations (Regulated Entities) |
Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1280 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 201909-0938-005 |
| Agency Tracking No | CMCS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |