Information Collection Request
HEDIS Data Collection for Medicare Advantage (CMS-10219)
ICR 202402-0938-002 · OMB 0938-1028 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CMS-10219 - HEDIS Supporting Statement A .docx |
Supporting Statement A | Uploaded 2024-02-20 | Repair queued |
 HEDIS 2023 Crosswalk OMB Number 0938-1028.pdf |
Supplementary Document | Uploaded 2024-02-08 | Repair queued |
| CMS-10219 - HEDIS Supporting Statement B.docx |
Supporting Statement B | Uploaded 2024-02-08 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 181326 |  HEDIS Information Collection Request |
Other-HEDIS® 2023 Measures and Descriptions for Medicare | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1028 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202006-0938-017 |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |