Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment (CMS-10401)

OMB 0938-1155

Latest Forms, Documents, and Supporting Material

Document Name
CMS-10401 Supporting Statement_2024 UpdateNPRM.docx Supporting Statement A
Claim In-Network or Out-of-Network Indicator
Respond to the final distributed data report Other-Data Elements
Supplemental Diagnosis Other-Data Elements
Risk adjustment distributed data collection Other-Data Elements
Upload of Risk Adjustment and Reinsurance Data for Masked Enrollee Identification Number Other-Data Elements