OMB control number
D-SNP Enrollee Advisory Committee (CMS-10799)
OMB 0938-1422 · HHS/CMS.
OMB 0938-1422
This information collection request is for the requirement at § 422.107(f) that any Medicare Advantage (MA) organization offering a D-SNP must establish one or more enrollee advisory committees in each State to solicit direct input on enrollee experiences. The establishment and maintenance of an enrollee advisory committee is a valuable beneficiary protection to ensure that enrollee feedback is heard by managed care plans and to help identify and address barriers to high-quality, coordinated care for dually eligible individuals.
The latest form for D-SNP Enrollee Advisory Committee (CMS-10799) expires 2028-01-31 and is listed under ICR 202506-0938-004.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 CMS-10799 - Supporting Statement A.docx | Supporting Statement A |
 UCare_.pdf (document unavailable) | Public Comments |
| CMS-10799 60-Day Comment Responses.docx | Supplementary Document |
| CMS-10799 60-Day Comment Responses.docx | Supplementary Document |
| CMS-10799 - Justification for a Non-substantive Change (09-01-2022).docx | Justification for No Material/Nonsubstantive Change |
 D-SNP Enrollee Advisory Committee (Soliciting Committee Members) (422.107) |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202506-0938-004 | Revision of a currently approved collection | 2025-06-17 | ||
| 202209-0938-001 | No material or nonsubstantive change to a currently approved collection | 2022-09-06 | Approved without change | |
| 202206-0938-001 | New collection (Request for a new OMB Control Number) | 2022-06-01 | Approved with change | |
| 202201-0938-008 | New collection (Request for a new OMB Control Number) | 2022-01-13 | Comment filed on proposed rule |