Information Collection Request
Medicaid Managed Care and Supporting Regulations (CMS-10855)
ICR 202305-0938-020 · OMB 0938-1445 · Historical Inactive
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1445 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CMS-10855 - Supporting Statement A (CMS-2434-P version 5).docx |
Supporting Statement A | Uploaded 2023-05-30 | Available |
| CMS-10855 - Supporting Statement A (CMS-2434-P version 5).docx |
Supporting Statement A | Uploaded 2023-05-30 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 260421 |  Managed Care Plans' and their Subcontractors: Identify Costs and Report |
New | ||
| 260419 | States: Require plans to Structure their Subcontracts |
New |
ICR Details
| Status | Historical Inactive |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1445 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | CMCS |
| Date Submitted to OIRA | 2023-05-31 |
| Requested Expiration Date | 1969-12-31 |