[Medicaid] Children's Health Insurance Program Managed Care and Supporting Regulations (CMS-10554)

OMB 0938-1282

CHIP enrollees use the information collected and reported as a result of this regulation to make informed choices regarding health care, including how to access health care services and the grievance and appeal system. States use the information collected and reported as part of contracting processes with managed care entities, as well as its compliance oversight role. CMS uses the information collected and reported in an oversight role of State CHIP managed care programs and CHIP state agencies.

The latest form for [Medicaid] Children's Health Insurance Program Managed Care and Supporting Regulations (CMS-10554) expires 2022-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Response to Public Comments (CMS-2439-F version 2).docx Supplementary Document
CMS-10554 - Supporting Statement A (CMS-2439-F version 13 OMB).docx Supporting Statement A
State Requirements and Burden
Private Sector Requirements and Burden

All Historical Document Collections

202405-0938-012	Revision of a currently approved collection	2024-06-25
202308-0938-005 Comment filed on proposed rule and continue	Revision of a currently approved collection	2023-09-12
202203-0938-014 Approved without change	Extension without change of a currently approved collection	2022-03-31
201904-0938-007 Comment filed on proposed rule and continue	Revision of a currently approved collection	2019-07-02
201811-0938-004 Approved without change	New collection (Request for a new OMB Control Number)	2018-11-19
201505-0938-015 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2015-06-01

OMB Details

Private Sector Requirements and Burden

Federal Enterprise Architecture: Health - Health Care Services