OMB control number
[Medicaid] Children's Health Insurance Program Managed Care and Supporting Regulations (CMS-10554)
OMB 0938-1282 · HHS/CMS.
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 2028-01-31 and is listed under ICR 202405-0938-012.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 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 |
Information collection |
| Private Sector Requirements and Burden |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202405-0938-012 | Revision of a currently approved collection | 2024-06-25 | ||
| 202308-0938-005 | Revision of a currently approved collection | 2023-09-12 | Comment filed on proposed rule and continue | |
| 202203-0938-014 | Extension without change of a currently approved collection | 2022-03-31 | Approved without change | |
| 201904-0938-007 | Revision of a currently approved collection | 2019-07-02 | Comment filed on proposed rule and continue | |
| 201811-0938-004 | New collection (Request for a new OMB Control Number) | 2018-11-19 | Approved without change | |
| 201505-0938-015 | New collection (Request for a new OMB Control Number) | 2015-06-01 | Comment filed on proposed rule |
OMB Details
Private Sector Requirements and Burden
Federal Enterprise Architecture: Health - Health Care Services