Information Collection

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

IC 259813 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⚠️ Notice: This information collection may be referencing outdated material.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
2022-2023 Medicaid Managed Care Rate Development Guide 1.10.2022.pdf	Other-2022-2023 Managed Care Rate Gu
2022-2023 Medicaid Managed Care Rate Development Guide 1.10.2022.pdf	Other-2022-2023 Managed Care Rate Gu
GenIC #37 - 2023-2024 Medicaid Managed Care Rate Development Guide - 05.01.2023.docx	Other-2023-2024 Managed Care Rate Gu
GenIC #37 - 2023-2024 Medicaid Managed Care Rate Development Guide - 05.01.2023.docx	Other-2023-2024 Managed Care Rate Gu
Crosswalk 1 - 2023 - 2024 Rate Guide 5.1.2023.xlsx Crosswalk #1 - 2023-2024 Rate Guide	IC Document
Crosswalk 1 - 2023 - 2024 Rate Guide 5.1.2023.xlsx Crosswalk #1 - 2023-2024 Rate Guide	IC Document
Crosswalk 2 (Based On Public Comments) - 2023 - 2024 Rate Guide 5.1.2023.docx Crosswalk #2 - 2023-2024 Rate Guide	IC Document
Crosswalk 2 (Based On Public Comments) - 2023 - 2024 Rate Guide 5.1.2023.docx Crosswalk #2 - 2023-2024 Rate Guide	IC Document
Track Change - 2023-2024 Rate Guide 05.01.2023.docx Track Change - 2023-2024 Rate Guide	IC Document
Track Change - 2023-2024 Rate Guide 05.01.2023.docx Track Change - 2023-2024 Rate Guide	IC Document
GenIC #37 - Generic Supporting Statement (2023 version 5).docx Generic Supporting Statement	IC Document
GenIC #37 - Generic Supporting Statement (2023 version 5).docx Generic Supporting Statement	IC Document
lgv-a2sv-pn2d - Comment.pdf Public Comment - Medicaid Advocacy for America’s Health Insurance Plans (AHIP)	IC Document
lgv-a2sv-pn2d - Comment.pdf Public Comment - Medicaid Advocacy for America’s Health Insurance Plans (AHIP)	IC Document
lgv-648t-n10q - Comment.pdf Public Comment - Medicaid Health Plans of America (MHPA)	IC Document
lgv-648t-n10q - Comment.pdf Public Comment - Medicaid Health Plans of America (MHPA)	IC Document
Response To Public Comments - 2023-2024 Rate Guide 5.1.2023.docx Response to Public Comments	IC Document
Response To Public Comments - 2023-2024 Rate Guide 5.1.2023.docx Response to Public Comments	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
Other-2022-2023 Managed Care Rate Guidance			2022-2023 Medicaid Managed Care Rate Development Guide 1.10.2022.pdf		Yes	Yes	Printable Only
Other-2023-2024 Managed Care Rate Guidance			GenIC #37 - 2023-2024 Medicaid Managed Care Rate Development Guide - 05.01.2023.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 %

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

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Crosswalk #1 - 2023-2024 Rate Guide	Crosswalk 1 - 2023 - 2024 Rate Guide 5.1.2023.xlsx	05/01/2023
Crosswalk #2 - 2023-2024 Rate Guide	Crosswalk 2 (Based On Public Comments) - 2023 - 2024 Rate Guide 5.1.2023.docx	05/01/2023
Track Change - 2023-2024 Rate Guide	Track Change - 2023-2024 Rate Guide 05.01.2023.docx	05/01/2023
Generic Supporting Statement	GenIC #37 - Generic Supporting Statement (2023 version 5).docx	05/01/2023
Public Comment - Medicaid Advocacy for Americaâs Health Insurance Plans (AHIP)	lgv-a2sv-pn2d - Comment.pdf	05/01/2023
Public Comment - Medicaid Health Plans of America (MHPA)	lgv-648t-n10q - Comment.pdf	05/01/2023
Response to Public Comments	Response To Public Comments - 2023-2024 Rate Guide 5.1.2023.docx	05/01/2023

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