Document

Justification of Non-substantive change

ICR 202610-0938-003 · OMB 0938-1384 · Object 173843001.

Document Viewer [docx]

Status: Original and derived artifacts are available for this document.

Download: docx | pdf | html

Primary: docxSource: application/vnd.openxmlformats-officedocument.wordprocessingml.document
Loading document viewer…

Document Metadata

Record metadata
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Justification of Non-substantive change
Ben Walker
Writer
2026-10-13
2026-10-15
complete

Extracted Text


This is a non-substantive change request to the CMS 1135 Waiver/Flexibility Request from the ‘Submission of 1135 Waiver Request Automated Process’ that was approved as OMB number 0938-1384. CMS must be able to apply waivers and flexibilities to assist health care providers/suppliers in providing timely healthcare and services as well as ensure beneficiaries have continued access to care during a disaster or emergency.  Accordingly, CMS developed a publicly accessible web-based form to create a standardized, user-friendly submission that’s a more efficient processing of 1135 waiver requests.

Hurricane Isaias has been impacting the states of Florida and Alabama.  As a result, the Secretary of Health and Human Services declared a “Public Health Emergency” (PHE) for this event.  Consequently, CMS is requesting approval of the following update (if applicable) to allow the agency to quickly provide necessary assistance to those impacted by this event (effective October 6, 2026, for Florida, and October 7, 2026, for Alabama):

CMS 1135 Waiver/Flexibility Request, CMS 1135 Inquiry and CMS 1135 Waiver/Flexibility Request (MEDICAID PORTION) web pages

    • Update the Public Health Emergency (PHE) portion, such that “2026 Hurricane Isaias” is added in the drop-down values for the “Select a Public Health Emergency” section of the web form


These changes have no impact on the previously stated burden associated with this collection.