[Medicaid] Administrative Requirements for Section 6071 of the Deficit Reduction Act of 2005 (CMS-10249)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10249 MFP Financial Reporting Form (FRF) Supplemental Services	Form	Modified	Available
Form CMS-10398 MFP Financial Reporting Forms (FRFs) Qualified HCBS	Form	Modified	Available
Form CMS-10249 MFP Financial Reporting Forms (FRFs) General Information	Form	Modified	Available
Form CMS-10249 MFP Financial Reporting Forms (FRFs) FMAP Error	Form	Modified	Available
Form CMS-10249 MFP Financial Reporting Forms (FRFs) FMAP Default	Form	Modified	Available
Form CMS-10249 MFP Financial Reporting Forms (FRFs) Demonstration Services	Form	Modified	Available
Form CMS-10249 MFP Financial Reporting Form (FRFs) Administrative Costs: Error	Form	Modified	Available
Form CMS-10249 MFP Financial Reporting Forms (FRFs) Administrative Costs: Add Sub Recipient	Form	Modified	Available
Form CMS-10249 Work Plan	Form	Modified	Available
Form CMS-10249 Maintenance of Effort (MOE) Form	Form and Instruction	Modified	Available
Form CMS-10249 MFP_Budget_Workbook	Form and Instruction	Modified	Available
Form CMS-10249 MFP Financial Reporting Forms (FRFs) ABCD	Form	Modified	Available
Form CMS-10249 Semi-Annual Progress Report	Form	Modified	Available
CMS-10249 - Supporting Statement Part A (2026 version 8).docx	Supporting Statement A	Uploaded 2026-09-09	Available
CMS_Response_to_Public_Comments_on_CMS-10249_20260723.docx	Supplementary Document	Uploaded 2026-09-09	Available
Comment - mrt-hsw0-djpn.pdf	Public Comments	Uploaded 2026-07-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	MFP Financial Reporting Form (FRF) Supplemental Services
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	MFP Financial Reporting Forms (FRFs) Qualified HCBS
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	MFP Financial Reporting Forms (FRFs) General Information
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	MFP Financial Reporting Forms (FRFs) FMAP Error
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	MFP Financial Reporting Forms (FRFs) FMAP Default
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	MFP Financial Reporting Forms (FRFs) Demonstration Services
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	MFP Financial Reporting Form (FRFs) Administrative Costs: Error
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	MFP Financial Reporting Forms (FRFs) Administrative Costs: Add Sub Recipient
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	Work Plan
186838	Administrative Requirements for Section 6071 of the DRA	Form and Instruction	Modified	Maintenance of Effort (MOE) Form
186838	Administrative Requirements for Section 6071 of the DRA	Form and Instruction	Modified	MFP_Budget_Workbook
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	MFP Financial Reporting Forms (FRFs) ABCD
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	Semi-Annual Progress Report
186838	Administrative Requirements for Section 6071 of the DRA	Other-Operational Protocol	Modified

ICR Details

OMB Control No: 0938-1053	ICR Reference No: 202609-0938-002
Status: Received in OIRA	Previous ICR Reference No: 202402-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: [Medicaid] Administrative Requirements for Section 6071 of the Deficit Reduction Act of 2005 (CMS-10249)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/09/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2027
Responses	451	410
Time Burden (Hours)	4,633	5,003
Cost Burden (Dollars)	0	0

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Abstract: The Centers for Medicare & Medicaid Services (CMS) awarded 31 grants to States to participate in the Money Follows the Person Rebalancing Demonstration (MFP) from January 1, 2007 through September 30, 2011. This demonstration, created by section 6071 of the Deficit Reduction Act of 2005 (P.L. 109-171), supports State efforts to "rebalance" their long-term support systems by offering $1.75 billion over 5 years in competitive grants to States. Specifically, the demonstration will support State efforts to: a) Rebalance their long-term support system so that individuals have a choice of where they live and receive services; b) Transition individuals from institutions who want to live in the community; and c) Promote a strategic approach to implement a system that provides person centered, appropriate, needs based, quality of care and quality of life services and a quality management strategy that ensures the provision of, and improvement of such services in both home and community-based settings and institutions. The demonstration provides enhanced federal medical assistance percentage (FMAP) for 12 months for qualified home and community-based services for each person transitioned from an institution to the community during the demonstration period.

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Authorizing Statute(s): PL: Pub.L. 109 - 171 6071 Name of Law: Money Follows the Person
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 29497	05/20/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 56447	09/02/2026
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Administrative Requirements for Section 6071 of the DRA	CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-10398, CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-10249	Semi-Annual Progress Report ,   MFP Financial Reporting Forms (FRFs) ABCD ,   MFP_Budget_Workbook ,   Maintenance of Effort (MOE) Form ,   Work Plan ,   MFP Financial Reporting Forms (FRFs) Administrative Costs: Add Sub Recipient ,   MFP Financial Reporting Form (FRFs) Administrative Costs: Error ,   MFP Financial Reporting Forms (FRFs) Demonstration Services ,   MFP Financial Reporting Forms (FRFs) FMAP Default ,   MFP Financial Reporting Forms (FRFs) FMAP Error ,   MFP Financial Reporting Forms (FRFs) General Information ,   MFP Financial Reporting Forms (FRFs) Qualified HCBS ,   MFP Financial Reporting Form (FRF) Supplemental Services

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	451	410	0	41	0	0
Annual Time Burden (Hours)	4,633	5,003	0	-370	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This 2026 iteration proposes to reduce reporting burden and improve reporting consistency by introducing a revised and streamlined Semi-Annual Progress Report template. Overall, this iteration would reduce our active time estimate by 370 hours.

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Annual Cost to Federal Government: $27,512

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/09/2026

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