Medicare Health Plan Appeals and Grievance Data Collection and Reporting Requirements, Data Disclosure Requirements under section 422.111 (CMS-R-282)

ICR 202302-0938-004

OMB: 0938-0778

Federal Form Document

Forms and Documents

Document Name	Status
CMS-R-0282 - Supporting Statement_2024_30dayv508.docx Supporting Statement A	2023-02-22
CMS Response to Comments - CMS-R-0282.docx Supplementary Document	2023-02-02
CMS-R-0282 Crosswalk_v508.pdf Supplementary Document	2023-02-02

IC Document Collections

IC ID	Document Title	Status
8532	Collecting Appeals and Grievance Data Instruction	Modified
46763	Reporting Appeals and Grievance Data Other-Sample Report	Modified