Form Misc (see spreadsh Misc (see spreadsh Misc (see spreadsheet)

Reinstatement of Previously Approved GenICs

CMS-10398, OMB 0938-1148

With the exception of GenIC #72 (Expressions of Interest in the Infant Well-Child Visit Affinity Group) and GenIC #75 (ARP 1135 State Plan Amendment) we are proposing to reinstate the following GenICs that had been active prior to the April 30, 2024, expiration.

GenIC #	Title	Discontinue	Reinstate w/Change	Reinstate w/o Change	Transfer from MACPro (0938-1188)	Time (hours)
5	Medicaid Payment Suspensions	N	N	Y		1,120
7	Connecting Kids to Coverage Outreach and Enrollment	N	N	Y		14,964
9	Application for Section 1915(b)(4) Waiver - Fee For Service Selective Contracting Program	N	N	Y		2,240
10	Section 1115 Demonstration and Waiver Application	N	N	Y		1,600
11	MAGI-Based Eligibility Verification Plan	N	N	Y		2,278
13	Medicaid Accountability – Nursing Facility, Outpatient Hospital and Inpatient Hospital Upper Payment Limits	N	N	Y		2,240
16	Federally-Facilitated Marketplace (FFM) Integration Data Collection Tool	N	N	Y		1,120
17	CHIP State Plan Eligibility	N	N	Y		2,800
18	Alternative Benefit Plans	N	N	Y		448
21	FMAP Claiming State Plan Amendment	N	N	Y		160
24	Medicaid Accountability – UPL ICF/IID, Clinic Services, Medicaid Qualified Practitioner Services and Other Inpatient & Outpatient Facility Providers	N	N	Y		2,240
27	MAGI Conversion Plan Part 2	N	N	Y		1,120
29	Medicaid Cost Sharing	N	N	Y		50
30	State Reporting Medicaid Payment Suspension	N	N	Y		1,040
32	Provider-Preventable Conditions under 42 CFR 438.6 and 447.26 and Title 2702 Non-Payment Preprint (Attachment 4.19)	N	N	Y		78
34	Model Application Template and Instructions for State Child Health Plan Under Title XXI of the Social Security Act, State Children's Health Insurance Program	N	N	Y		160
35	Eligibility and Enrollment Performance Indicators	N	N	Y		765
37	Managed Care Rate Setting Guidance	N	N	Y		754
43	Section 223 Demonstration Programs to Improve Community Mental Health Services	N	N	Y		7,490
45	Certified Community Behavioral Health Clinic (CCBHC) 2024 State Proposal Demonstration Application	N	N	Y		1,790
46	1915(i) State Plan Home and Community Based Services	N	N	Y		1,026
48	Section 223 Demonstration Programs to Improve Community Mental Health Services	N	N	Y		1,387
50	Community First Choice State Plan	N	N	Y		560
51	Fast Track Federal Review Process for Section 1115 Medicaid and CHIP Demonstration Extensions	N	N	Y		450
52	Delivery System and Provider Payment Initiatives Under Medicaid Managed Care Products	N	N	Y		264
53	Section 1115 Substance Use Disorder (SUD) Demonstration: Guide for Developing Implementation Plan Protocols	N	N	Y		784
55	Limit on Federal Financial Participation for Durable Medical Equipment in Medicaid	N	N	Y		448
56	Section 1115 Demonstration: Budget Neutrality Workbook	N	N	Y		1,897
57	Section 1115 Substance Use Disorder (SUD) Demonstration: Monitoring Reports Documents and Templates	N	N	Y		10,080
58	Medicaid Section 1115 Eligibility and Coverage Demonstration Implementation Plan and Monitoring Reports Documents and Templates	N	N	Y		3,080
59	Medicaid Section 1115 Serious Mental Illness and Serious Emotional Disturbance Demonstrations	N	N	Y		5,022
62	Data Collection for Section 1003 of the SUPPORT Act	N	N	Y		840
63	1932(a) State Plan Amendment Template	N	N	Y		70
64	Federal Meta-Analysis Support: Section 1115 Substance Use Disorder Demonstrations	N	N	Y		162
66	Eligibility Processing Data Report and Renewal Compliance Template	N	N	n/a	Y	See Revised IC #66)
68	Section 1006(b) of the SUPPORT Act: Medicaid Assisted Treatment (MAT)	N	N	Y		4,485
69	Reporting Requirements for Additional Funding for Medicaid HCBS During the COVID-19 Emergency	N	N	Y		1,344
71	Reporting Requirements for State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services During the COVID–19 Emergency	N	N	Y		640
72	Expressions of Interest in the Infant Well-Child Visit Affinity Group	Y	N	Y		(140)
73	Supplemental Payment Reporting under the Consolidated Appropriations Act, 2021	N	N	Y		3,240
74	Coverage of Routine Patient Cost for Items & Services in Qualifying Clinical Trials	N	N	Y		61
75	ARP 1135 State Plan Amendment	Y	N	Y		(168)
76	Expressions of Interest in the Improving Maternal Health by Reducing Low-Risk Cesarean Delivery Affinity Group	N	N	Y		140
79	COVID-19 Risk Corridor Reconciliation Reporting Template	N	N	Y		90
81	Improving Quality of Care and Outcomes Data for Pregnant Medicaid Beneficiaries and Newborn Infants through Linkage and Evaluation of VR, BC, DC, and TAF	N	N	Y		104
82	Quality Improvement Affinity Group Expression of Interest Form	N	N	n/a	Y	(See New IC #82)
TOTAL						80,232

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