View Information Collection (IC)

View Information Collection (IC)

IC Title:	GenIc #37 (Revised): Medicaid Managed Care Rate Development Guide (CMS-10398)	Agency IC Tracking Number:	CMCS

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			37 - 2020-2021 Medicaid Managed Care Rate Development Guide 06.23.2020docx.pdf		Yes	Yes	Printable Only
Instruction			2021-2022 Medicaid Managed Care Rate Development Guide 05.10.2021.docx		Yes	Yes	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 46	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	135	0	0	0	0	135
Annual IC Time Burden (Hours)	5	0	0	0	0	5
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Public Comment: MHPA	kp5-vxq0-rq47 - Comment (MHPA).pdf	06/07/2021
Public Comment: AHIP	kp5-wkay-aq3k - Comment (AHIP).pdf	06/07/2021
Response to Comments	Rate Guide_response to comments_final.docx	06/07/2021
Crosswalk: 2021-2022 Managed Care Rate Guidance	37 - Crosswalk for 2021-2022 Rate Development Guide 4.13.2021 - 508.pdf	06/07/2021
Generic Supporting Statement	37 - Generic Supporting Statement (2021 Version 4).docx	06/07/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.