OMB control number
Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment (CMS-10401)
OMB 0938-1155 · HHS/CMS.
OMB 0938-1155
The reinsurance program, risk corridors program, and risk adjustment program support the effective functioning of the American Health Benefit Exchanges ("Exchanges"), which will become operational by January 1, 2014. The program also mitigate the negative impacts of adverse selection and market uncertainty.
The latest form for Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment (CMS-10401) expires 2028-06-30 and is listed under ICR 202412-0938-011.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 CMS-10401 - Supporting Statement.docx | Supporting Statement A |
 CMS-10401 Supporting Statement_2024 UpdateNPRM.docx | Supporting Statement A |
 Claim In-Network or Out-of-Network Indicator |
Information collection |
| 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 |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202412-0938-011 | Revision of a currently approved collection | 2025-01-15 | ||
| 202308-0938-015 | Revision of a currently approved collection | 2023-09-01 | Approved with change | |
| 202209-0938-002 | No material or nonsubstantive change to a currently approved collection | 2022-09-07 | Approved without change | |
| 202207-0938-001 | Reinstatement without change of a previously approved collection | 2022-07-11 | Approved without change | |
| 201712-0938-015 | Reinstatement without change of a previously approved collection | 2017-12-28 | Improperly submitted | |
| 201405-0938-006 | Revision of a currently approved collection | 2014-05-29 | Approved with change | |
| 201309-0938-028 | Revision of a currently approved collection | 2013-09-26 | Approved without change | |
| 201205-0938-009 | New collection (Request for a new OMB Control Number) | 2012-05-30 | Approved with change | |
| 201107-0938-008 | New collection (Request for a new OMB Control Number) | 2011-07-20 | Comment filed on proposed rule |
OMB Details
Upload of Risk Adjustment and Reinsurance Data for Masked Enrollee Identification Number
Federal Enterprise Architecture: Health - Health Care Services