Information Collection

GenIC #37 (revision): Managed Care Rate Setting Guidance

IC 251810 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⚠️ Notice: This information collection may be referencing outdated material.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
Form CMS-10398 #37 GenIC #37 (revision): Managed Care Rate Setting Guidance	Form and Instruction
Form CMS-10398 #37 GenIC #37 (revision): Managed Care Rate Setting Guidance	Form and Instruction
CMS-10398 #37 2021-2022 Medicaid Managed Care Rate Development Guide 2021-2022 Medicaid Managed Care Rate Development Guide 05.10.2021.docx	Form and Instruction
CMS-10398 #37 2021-2022 Medicaid Managed Care Rate Development Guide 2021-2022 Medicaid Managed Care Rate Development Guide 05.10.2021.docx	Form and Instruction
CMS-10398 #37 2022-2023 Medicaid Managed Care Rate Development Guide 2022-2023 Medicaid Managed Care Rate Development Guide 1.10.2022.pdf	Form and Instruction
CMS-10398 #37 2022-2023 Medicaid Managed Care Rate Development Guide 2022-2023 Medicaid Managed Care Rate Development Guide 1.10.2022.pdf	Form and Instruction
37 - Generic Supporting Statement (2022 version 6).docx Generic Supporting Statement	IC Document
37 - Generic Supporting Statement (2022 version 6).docx Generic Supporting Statement	IC Document
kzy-huzl-kj83 - Comment.pdf Public Comment #1	IC Document
kzy-huzl-kj83 - Comment.pdf Public Comment #1	IC Document
kzy-rjch-4ixy - Comment.pdf Public Comment #2	IC Document
kzy-rjch-4ixy - Comment.pdf Public Comment #2	IC Document
Rate Guide_response to comments 2.28.2022.docx Response to Public Comments	IC Document
Rate Guide_response to comments 2.28.2022.docx Response to Public Comments	IC Document
Crosswalk - 2022-2023 Rate Development Guide (2022 version 1).xlsx Crosswalk	IC Document
Crosswalk - 2022-2023 Rate Development Guide (2022 version 1).xlsx Crosswalk	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

GenIC #37 (revision): Managed Care Rate Setting Guidance

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
Form and Instruction	CMS-10398 #37	2021-2022 Medicaid Managed Care Rate Development Guide	2021-2022 Medicaid Managed Care Rate Development Guide 05.10.2021.docx		Yes	Yes	Fillable Fileable
Form and Instruction	CMS-10398 #37	2022-2023 Medicaid Managed Care Rate Development Guide	2022-2023 Medicaid Managed Care Rate Development Guide 1.10.2022.pdf		Yes	Yes	Fillable Fileable

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 %

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
Generic Supporting Statement	37 - Generic Supporting Statement (2022 version 6).docx	02/28/2022
Public Comment #1	kzy-huzl-kj83 - Comment.pdf	02/28/2022
Public Comment #2	kzy-rjch-4ixy - Comment.pdf	02/28/2022
Response to Public Comments	Rate Guide_response to comments 2.28.2022.docx	02/28/2022
Crosswalk	Crosswalk - 2022-2023 Rate Development Guide (2022 version 1).xlsx	02/28/2022

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