Medicaid Managed Care Regulations (States)

Medicaid Managed Care and Supporting Regulations (CMS-10108)

OMB: 0938-0920

IC ID: 8764

Information Collection (IC) Details

View Information Collection (IC)

Medicaid Managed Care Regulations (States)
 
No Modified
 
Mandatory
 
42 CFR 438.202 42 CFR 438.722 42 CFR 438.10 42 CFR 438.50 42 CFR 438.6 42 CFR 438.724 42 CFR 438.207 42 CFR 438.74 42 CFR 438.810

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) macpar-reporting-template.pdf https://www.medicaid.gov/medicaid/managed-care/downloads/amcpr-reporting-template.xlsx Yes Yes Fillable Fileable
Form CMS-10108 MLR Reporting Tool MLR Reporting Tool_version 12 508ed _11152021_Locked.pdf https://www.medicaid.gov/medicaid/managed-care/downloads/mlr-reporting-template.xlsx Yes Yes Fillable Fileable
Form and Instruction CMS-10108 Network Adequacy and Access Assurances Tool Network Adequacy and Access Assurances Tool_508 version.pdf https://www.medicaid.gov/medicaid/managed-care/downloads/network-assurances-template.xlsx Yes Yes Fillable Fileable
Other-Contract Portal Contract Portal Screenshots.docx Yes Yes Fillable Fileable

Health Health Care Services

 

41 0
   
State, Local, and Tribal Governments
 
   95 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,170,090 0 450 0 0 4,169,640
Annual IC Time Burden (Hours) 93,261 0 225 0 0 93,036
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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