[Medicaid] Medicaid Managed Care Quality including Supporting Regulations in §§438.310, 438.330, 438.332, 438.334, and 438.340 (CMS-10553)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Appendix A Appendix A: Additional State Managed Care Plan Landscape Tables	Form and Instruction	Modified	Available
Form CMS-10553 Implementation Extension Request Template A: Methodology	Form and Instruction	Modified	Available
Form CMS-10553 Alternative MAC QRS Methodology Request Template	Form and Instruction	Modified	Available
CMS-10553 - Supporting Statement A_(2026 version 12).docx	Supporting Statement A	Uploaded 2026-09-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
282419	Beneficiaries		New
267540	Private Sector		Modified
216793	State Governments	Form and Instruction	Modified	Appendix A: Additional State Managed Care Plan Landscape Tables
216793	State Governments	Form and Instruction	Modified	Implementation Extension Request Template A: Methodology
216793	State Governments	Form and Instruction	Modified	Alternative MAC QRS Methodology Request Template

ICR Details

OMB Control No: 0938-1281	ICR Reference No: 202609-0938-004
Status: Received in OIRA	Previous ICR Reference No: 202405-0938-013
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: [Medicaid] Medicaid Managed Care Quality including Supporting Regulations in §§438.310, 438.330, 438.332, 438.334, and 438.340 (CMS-10553)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/15/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2027
Responses	522,513	6,105
Time Burden (Hours)	1,439,789	1,437,735
Cost Burden (Dollars)	0	0

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Abstract: Section 1932(c)(1) requires states to develop and implement quality assessment and improvement strategies for their managed care arrangements. Section 1902(a)(4) requires such methods of administration as are found by the Secretary to be necessary for the proper and efficient operation of the plan. Section 1902(a)(6) requires that the State agency will make such reports (e.g. state quality strategy effectiveness evaluation), in such form and containing such information, as the Secretary may from time to time require, and comply with such provisions as the Secretary may from time to time find necessary to assure the correctness and verification of such reports. Section 1902(a)(19) requires safeguards as may be necessary to assure that eligibility for care and services under the plan will be determined, and such care and services will be provided, in a manner consistent with simplicity of administration and the best interests of the recipients.

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Authorizing Statute(s): PL: Pub.L. 105 - 33 4507 Name of Law: BBA of 1997
  

Citations for New Statutory Requirements: PL: Pub.L. 105 - 33 4705 Name of Law: BBA of 1997

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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? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Beneficiaries
Private Sector
State Governments	CMS-10553, Appendix A, CMS-10553	Alternative MAC QRS Methodology Request Template ,   Implementation Extension Request Template A: Methodology ,   Appendix A: Additional State Managed Care Plan Landscape Tables

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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	522,513	6,105	0	-1	516,409	0
Annual Time Burden (Hours)	1,439,789	1,437,735	0	2,054	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: For the states, our currently approved response figure has decreased by (one) while our annualized time estimate has increased by 2,053 hours and our cost estimate has increased by $200,868. The increased cost estimate is associated with the added time and BLS’ updated wages. For the private sector, our currently approved burden estimates are corrected by removing the burden associated with Equation 12.33(PS) and reassigning the burden to beneficiaries in Equation 12.33(B). We have also adjusted the cost in association with BLS’ updated wages. Overall, this iteration increases our active burden estimates by 516,408 responses, 2,053 hours, and $1,751,646.

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Annual Cost to Federal Government: $80,401,782

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]? No

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: 09/15/2026

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