Information Collection

[Medicaid] GenIC #37 (Revised): Medicaid Managed Care Rate Development Guide

IC 275989 under ICR 202409-0938-028 · OMB 0938-1148.

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-2024-2025 Rate Guide Yes Yes Printable Only
Other-2024-2025 Rate Guide Addendum Yes Yes Printable Only
Other-2025-2026 Rate Guide Yes Yes Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2 0 2 0 0 0
Annual IC Time Burden (Hours) 1 0 1 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Generic Supporting Statement 07/31/2025
Response to Public Comments 07/31/2025
Public Comment (AHIP) 07/31/2025
Public Comment (MHPA) 07/31/2025
Public Comment (MLTSS Association) 07/31/2025
2025-2026 Rate Guide: Crosswalk (Summary of Changes) 07/31/2025
REDLINE: 2025-2026 Rate Guide 07/31/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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