Information Collection

GenIc #37 (Revised): Medicaid Managed Care Rate Development Guide (CMS-10398)

IC 247285 under ICR 202401-0938-016 · OMB 0938-1148.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1148 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	135	135
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.