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GenIc #37 (Revised): Medicaid Managed Care Rate Development Guide (CMS-10398)
[Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)
OMB: 0938-1148
IC ID: 247285
OMB.report
HHS/CMS
OMB 0938-1148
ICR 202401-0938-016
IC 247285
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1148 can be found here:
2024-09-27 - Reinstatement with change of a previously approved collection
2024-07-11 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
37 - 2020-2021 Medicaid Managed Care Rate Development Guide 06.23.2020docx.pdf
Instruction
37 - 2020-2021 Medicaid Managed Care Rate Development Guide 06.23.2020docx.pdf
Instruction
2021-2022 Medicaid Managed Care Rate Development Guide 05.10.2021.docx
Instruction
2021-2022 Medicaid Managed Care Rate Development Guide 05.10.2021.docx
Instruction
kp5-vxq0-rq47 - Comment (MHPA).pdf
Public Comment: MHPA
IC Document
kp5-vxq0-rq47 - Comment (MHPA).pdf
Public Comment: MHPA
IC Document
kp5-wkay-aq3k - Comment (AHIP).pdf
Public Comment: AHIP
IC Document
kp5-wkay-aq3k - Comment (AHIP).pdf
Public Comment: AHIP
IC Document
Rate Guide_response to comments_final.docx
Response to Comments
IC Document
Rate Guide_response to comments_final.docx
Response to Comments
IC Document
37 - Crosswalk for 2021-2022 Rate Development Guide 4.13.2021 - 508.pdf
Crosswalk: 2021-2022 Managed Care Rate Guidance
IC Document
37 - Crosswalk for 2021-2022 Rate Development Guide 4.13.2021 - 508.pdf
Crosswalk: 2021-2022 Managed Care Rate Guidance
IC Document
37 - Generic Supporting Statement (2021 Version 4).docx
Generic Supporting Statement
IC Document
37 - Generic Supporting Statement (2021 Version 4).docx
Generic Supporting Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
GenIc #37 (Revised): Medicaid Managed Care Rate Development Guide (CMS-10398)
Agency IC Tracking Number:
CMCS
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
37 - 2020-2021 Medicaid Managed Care Rate Development Guide 06.23.2020docx.pdf
Yes
Yes
Printable Only
Instruction
2021-2022 Medicaid Managed Care Rate Development Guide 05.10.2021.docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
46
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
135
0
0
0
0
135
Annual IC Time Burden (Hours)
5
0
0
0
0
5
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Public Comment: MHPA
kp5-vxq0-rq47 - Comment (MHPA).pdf
06/07/2021
Public Comment: AHIP
kp5-wkay-aq3k - Comment (AHIP).pdf
06/07/2021
Response to Comments
Rate Guide_response to comments_final.docx
06/07/2021
Crosswalk: 2021-2022 Managed Care Rate Guidance
37 - Crosswalk for 2021-2022 Rate Development Guide 4.13.2021 - 508.pdf
06/07/2021
Generic Supporting Statement
37 - Generic Supporting Statement (2021 Version 4).docx
06/07/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.