Information Collection

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

IC 263802 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⚠️ Notice: This information collection may be referencing outdated material.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
2023-2024 Medicaid Managed Care Rate Development Guide - 05.09.2023.pdf	Other-2023-2024 Managed Care Rate Gu
2023-2024 Medicaid Managed Care Rate Development Guide - 05.09.2023.pdf	Other-2023-2024 Managed Care Rate Gu
2024-2025 Medicaid Managed Care Rate Development Guide _10.12.2023.pdf	Other-2024-2025 Managed Care Rate Gu
2024-2025 Medicaid Managed Care Rate Development Guide _10.12.2023.pdf	Other-2024-2025 Managed Care Rate Gu
GenIC #37 - Generic Supporting Statement (2023 version 8).docx Generic Supporting Statement	IC Document
GenIC #37 - Generic Supporting Statement (2023 version 8).docx Generic Supporting Statement	IC Document
2024-2025 Rate Guide (Compared to the 2023-2024 Approved Rate Guide) Redline 10.12.2023.docx Track Change: 2024-2025 Managed Care Rate Guidance	IC Document
2024-2025 Rate Guide (Compared to the 2023-2024 Approved Rate Guide) Redline 10.12.2023.docx Track Change: 2024-2025 Managed Care Rate Guidance	IC Document
2024-2025 Rate Development Guide Crosswalk 10.12.2023.pdf Crosswalk: 2024-2025 Managed Care Rate Guidance	IC Document
2024-2025 Rate Development Guide Crosswalk 10.12.2023.pdf Crosswalk: 2024-2025 Managed Care Rate Guidance	IC Document

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-2023-2024 Managed Care Rate Guidance					Yes	Yes	Printable Only
Other-2024-2025 Managed Care Rate Guidance					Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

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	2	2
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Supporting Statement		12/05/2023
Track Change: 2024-2025 Managed Care Rate Guidance		12/05/2023
Crosswalk: 2024-2025 Managed Care Rate Guidance		12/05/2023

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

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