Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request
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Abstract
On May 28, 2010, the Office of Management and Budget (OMB) issued Paperwork Reduction Act (PRA) guidance related to the "generic" clearance process. Generally, this is an expedited process by which agencies may obtain OMB's approval of collection of information requests that are "usually voluntary, low-burden, and uncontroversial collections," do not raise any substantive or policy issues, and do not require policy or methodological review. The process requires the submission of an overarching plan that defines the scope of the individual collections that would fall under its umbrella. On October 23, 2011, OMB approved our initial request to use the generic clearance process under control number 0938-1148 (CMS-10398). It was last approved on April 26, 2021, via the standard PRA process which included the publication of 60- and 30-day Federal Register notices. The scope of the April 2021 umbrella accounts for Medicaid and CHIP State plan amendments, waivers, demonstrations, and reporting. This Federal Register notice seeks public comment on one or more of our collection of information requests that we believe are generic and fall within the scope of the umbrella. Interested persons are invited to submit comments regarding our burden estimates or any other aspect of this collection of information, including: the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.
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<title>Federal Register, Volume 88 Issue 68 (Monday, April 10, 2023)</title>
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[Federal Register Volume 88, Number 68 (Monday, April 10, 2023)]
[Notices]
[Pages 21191-21192]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-07473]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10398 #37]
Medicaid and Children's Health Insurance Program (CHIP) Generic
Information Collection Activities: Proposed Collection; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
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SUMMARY: On May 28, 2010, the Office of Management and Budget (OMB)
issued Paperwork Reduction Act (PRA) guidance related to the
``generic'' clearance process. Generally, this is an expedited process
by which agencies may obtain OMB's approval of collection of
information requests that are ``usually voluntary, low-burden, and
uncontroversial collections,'' do not raise any substantive or policy
issues, and do not require policy or methodological review. The process
requires the submission of an overarching plan that defines the scope
of the individual collections that would fall under its umbrella. On
October 23, 2011, OMB approved our initial request to use the generic
clearance process under control number 0938-1148 (CMS-10398). It was
last approved on April 26, 2021, via the standard PRA process which
included the publication of 60- and 30-day Federal Register notices.
The scope of the April 2021 umbrella accounts for Medicaid and CHIP
State plan amendments, waivers, demonstrations, and reporting. This
Federal Register notice seeks public comment on one or more of our
collection of information requests that we believe are generic and fall
within the scope of the umbrella. Interested persons are invited to
submit comments regarding our burden estimates or any other aspect of
this collection of information, including: the necessity and utility of
the proposed information collection for the proper performance of the
agency's functions, the accuracy of the estimated burden, ways to
enhance the quality, utility and clarity of the information to be
collected, and the use of automated collection techniques or other
forms of information technology to minimize the information collection
burden.
DATES: Comments must be received by April 24, 2023.
ADDRESSES: When commenting, please reference the applicable form number
(see below) and the OMB control number (0938-1148). To be assured
consideration, comments and recommendations must be submitted in any
one of the following ways:
1. Electronically. You may send your comments electronically to
<a href="http://www.regulations.gov">http://www.regulations.gov</a>. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) that are accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: CMS-10398 (#7)/OMB
control number: 0938-1148, Room C4-26-05, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, please access
the CMS PRA website by copying and pasting the following web address
into your web browser: <a href="https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRAListing">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRAListing</a>.
FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION: Following is a summary of the use and burden
associated with the subject information collection(s). More detailed
information can be found in the collection's supporting statement and
associated materials (see ADDRESSES).
[[Page 21192]]
Generic Information Collections
1. Title of Information Collection: Managed Care Rate Setting
Guidance; Type of Information Collection Request: Revision of an
existing generic information collection request; Use: In accordance
with 42 CFR 438.7, states must submit to CMS for review and approval
all rate certifications for managed care organizations (MCOs), prepaid
inpatient health plans (PIHPs), and prepaid ambulatory health plans
(PAHPs). The rate certification itself is prepared by a state's actuary
who certifies the managed care program's capitation rates as
actuarially sound for a specific time period, and documents the rate
development process and final certified capitation rates.
Our Medicaid Managed Care Rate Development Guide (otherwise
referred to as the ``rate guide'') outlines the rate development
standards and CMS' expectations for documentation included in rate
certifications such as descriptions of base data used, trend factors to
base data, projected benefit and non-benefit costs, and any other
considerations or adjustments used when setting capitation rates. The
information outlined in the rate guide must be included within the rate
certification in adequate detail to allow CMS to determine compliance
with applicable provisions of 42 CFR part 438, including that the data,
assumptions, and methodologies used for rate development are consistent
with generally accepted actuarial principles and practices and that the
capitation rates are appropriate for the populations and services to be
covered. There is no required template that states' actuaries must
utilize for the rate certification, but the guidance outlined in the
rate guide serves as a resource for states and their actuaries.
Adherence by states and their actuaries to the rate development
standards and documentation expectations outlined in the rate guide,
will aid in ensuring compliance with the regulations and support CMS's
review and approval of actuarially sound capitation rates and
associated federal financial participation. Form Number: CMS-10398
(#37) (OMB control number: 0938-1148); Frequency: Annual; Affected
Public: State, Local, or Tribal Governments; Number of Respondents: 46;
Total Annual Responses: 135; Total Annual Hours: 743. For policy
questions regarding this collection contact Rebecca Burch-Mack at 303-
844-7355.
Dated: April 5, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-07473 Filed 4-7-23; 8:45 am]
BILLING CODE 4120-01-P
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