OMB control number
Good Cause Processes (CMS-10544)
OMB 0938-1271 ยท HHS/CMS.
OMB 0938-1271
Beneficiaries are provided a protection outlined in regulation at 42 CFR 417.460, 422.74, and 423.44 that provides CMS with the ability to reinstate an individual's enrollment into a Medicare Advantage, Part D or cost plan in certain circumstances where the individual's non-payment of plan premiums was due to circumstances that the individual could not reasonably foresee or could not control, such as an unexpected hospitalization. This submission calculates the administrative cost by Medicare Advantage, Part D and cost plans to process such requests on behalf of CMS.
The latest form for Good Cause Processes (CMS-10544) expires 2021-12-31 and is listed under ICR 201806-0938-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 CMS-10544 Supporting Statement A_.docx | Supporting Statement A |
 CMS-2026-1090-DRAFT-0003.html.pdf | Public Comments |
| centene.pdf | Public Comments |
| Nakul Karkare.pdf | Public Comments |
| MSF CRAE HHS CMS Comments Good Cause Processes ICR FINAL 051826.pdf | Public Comments |
| CMS-10544 - Response to Public Comments.docx | Supplementary Document |
 Good Cause Processes (Sec. 417.460, 422.74, and 423.44) |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202607-0938-004 | Reinstatement without change of a previously approved collection | 2026-07-17 | ||
| 202205-0938-002 | Reinstatement without change of a previously approved collection | 2022-05-05 | Approved with change | |
| 201806-0938-003 | Reinstatement without change of a previously approved collection | 2018-06-14 | Approved without change | |
| 201502-0938-009 | New collection (Request for a new OMB Control Number) | 2015-03-03 | Approved without change |