OMB control number
Medicaid Managed Care and Supporting Regulations (CMS-10108)
OMB 0938-0920 · HHS/CMS.
OMB 0938-0920
These information collections requirements implement regulations that allow states greater flexibility to implement mandatory managed care programs, implement new beneficiary protections, and eliminate certain requirements viewed by state agencies as impediments to the growth of managed care programs. Information collected includes information about managed care programs, grievances and appeals, enrollment broker contracts, and managed care organizations capacity to provide health care services.
The latest form for Medicaid Managed Care and Supporting Regulations (CMS-10108) expires 2029-08-31 and is listed under ICR 202601-0938-007.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
| Form and Instruction | |
| Form | |
| Form | |
| Public Comments | |
| Public Comments | |
| Supplementary Document | |
| Supporting Statement A | |
| Form and Instruction | |
| Form | |
| Form | |
| Other-Contract Portal | |
| Information collection |
All Historical Document Collections
OMB Details
Medicaid Managed Care Regulations (States)
Federal Enterprise Architecture: Health - Health Care Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form CMS-10108 | MLR Reporting Tool | www.medicaid.gov/medicaid/managed-care/downloads/mlr-reporting-template.xlsx | Form |
| Form CMS-10108 | Network Adequacy and Access Assurances Tool | www.medicaid.gov/medicaid/managed-care/downloads/network-assurances-template.xlsx | Form and instruction |
| Form CMS-10108 | Managed Care Program Annual Report (MCPAR) | www.medicaid.gov/medicaid/managed-care/downloads/amcpr-reporting-template.xlsx | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.