OMB control number
Fee-for-Service Improper Payment Rate Measurement in Medicaid and the Children’s Health Insurance Program (CMS-10166)
OMB 0938-0974 · HHS/CMS.
OMB 0938-0974
Improper Payments Information Act (IPIA) of 2002 requires CMS to produce national error rates for Medicaid and SCHIP. To comply with the IPIA, CMS needs the information to be collected from States and providers in order to sample and review adjudicated claims in a randomly selected number of States. Based on the reviews, State-specific error rates will be calculated which will be calculated which will serve as the basis for calculating national error rates for Medicaid and SCHIP.
The latest form for Fee-for-Service Improper Payment Rate Measurement in Medicaid and the Children’s Health Insurance Program (CMS-10166) expires 2027-11-30 and is listed under ICR 202408-0938-025.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 CMS - 10166 - Supporting Statement - Part A - Fee-for-Service _PERM 080224.docx | Supporting Statement A |
| CMS - 10166 - Supporting Statement - Part B - Fee-for-Service 5-16-24.docx | Supporting Statement B |
 Payment Error Rate Measurement in Medicaid and the State Children Health Insurance Program |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202408-0938-025 | Reinstatement with change of a previously approved collection | 2024-08-28 | ||
| 202405-0938-017 | Reinstatement with change of a previously approved collection | 2024-05-28 | Comment filed on proposed rule | |
| 201609-0938-020 | Extension without change of a currently approved collection | 2016-09-29 | Approved without change | |
| 201309-0938-009 | Reinstatement with change of a previously approved collection | 2013-09-12 | Approved without change | |
| 200810-0938-012 | Revision of a currently approved collection | 2008-10-24 | Approved with change | |
| 200711-0938-006 | No material or nonsubstantive change to a currently approved collection | 2007-11-19 | Approved without change | |
| 200509-0938-014 | New collection (Request for a new OMB Control Number) | 2005-09-23 | Approved without change |