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Federal forms, ICRs, and supporting documents

OMB control number

Medicare Advantage Appeals and Grievance Data Form (CMS-R-282)

OMB 0938-0778 · HHS/CMS.

OMB 0938-0778

Medicare Advantage organizations (including MA plans and demonstrations) will collect information on appeals and grievance timeliness measures as well as dispositions. MA organizations will provide appeals and grievance information to individuals eligible to elect an MA organization, when requested, to help them make informed decisions about health plan performance.

The latest form for Medicare Advantage Appeals and Grievance Data Form (CMS-R-282) expires 2026-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Supporting Statement A
All Historical Document Collections
 Extension without change of a currently approved collection 2026-05-13
Approved without change
 Revision of a currently approved collection 2023-02-22
Approved without change
 Revision of a currently approved collection 2019-11-25
Approved with change
 Revision of a currently approved collection 2016-07-25
Approved without change
 Extension without change of a currently approved collection 2013-05-22
Approved without change
 Extension without change of a currently approved collection 2010-02-05
Approved without change
 Extension without change of a currently approved collection 2007-01-12
Approved with change
 Extension without change of a currently approved collection 2003-11-12
Approved without change
 Reinstatement without change of a previously approved collection 2000-10-20
Approved without change
 New collection (Request for a new OMB Control Number) 1999-07-29
OMB Details

Collecting Appeals and Grievance Data

Federal Enterprise Architecture: Health - Health Care Services