Notice2025-06400
Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request
Primary source
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Published
April 16, 2025
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
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. 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.
Full Text
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<title>Federal Register, Volume 90 Issue 72 (Wednesday, April 16, 2025)</title>
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[Federal Register Volume 90, Number 72 (Wednesday, April 16, 2025)]
[Notices]
[Pages 15987-15988]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-06400]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10398 #68]
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
[[Page 15988]]
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. 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 30, 2025.
ADDRESSES: When commenting, please reference the applicable form number
(CMS-10398 #68) 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 #68/OMB
control number: 0938-1148, Room C4-26-05, 7500 Security Boulevard,
Baltimore, MD 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/medicare/regulations-guidance/legislation/paperwork-reduction-act-1995/pra-listing">https://www.cms.gov/medicare/regulations-guidance/legislation/paperwork-reduction-act-1995/pra-listing</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).
Generic Information Collection
1. Title of Information Collection: State Plan Amendment (SPA)
Template for Section 1905(a)(29) of the Social Security Act Medication
Assisted Treatment (MAT); Type of Information Collection Request:
Revision of a currently approved collection; Use: Under section
1902(a)(10) of the Social Security Act (the Act), States may offer
certain Medicaid benefits, at State option, to categorically needy and
medically needy Medicaid beneficiaries. In 2018, section 1006(b) of the
Substance Use-Disorder Prevention that Promotes Opioid Recovery and
Treatment (SUPPORT) for Patients and Communities Act (herein referred
to as the SUPPORT Act) established mandatory coverage of medication-
assisted treatment (MAT) as a new Medicaid state plan benefit by adding
section 1905(a)(29) of the Act for October 1, 2020 through September
30, 2025.
On December 30, 2020, CMS issued State Health Official Letter (SHO)
#20-005 entitled, ``Mandatory Medicaid State Plan Coverage of
Medication-Assisted Treatment'' which describes the requirements of the
mandatory MAT benefit and opportunities for increasing treatment
options for substance use disorders as described at section 1905(a)(29)
of the Act and the process for an exemption from the mandatory coverage
requirement if there was a documented shortage of qualified providers
or facilities providing such treatment in either fee-for-service or
managed care arrangements in accordance with section 1905(ee)(2) of the
Act.
On March 9, 2024, section 201 of the Consolidated Appropriations
Act, 2024 (CAA, 2024) made the mandatory MAT benefit permanent. Section
201 also amended section 1905(ee)(2) of the Act to allow states to
request an exemption from the mandatory coverage requirement due to a
documented provider shortage if the state re-certifies not less than
every five years and to the satisfaction of the Secretary that the
provider shortage continues. The process to request an exemption will
be conducted every five years and is the same as described in SHO #20-
005 except for and, as noted, the reference to the limited timeframe of
this provision which has been removed.
On November 19, 2024, CMS issued State Medicaid Director Letter
(SMD) #24-004 entitled ``Extension of Medicaid Coverage of Substance
Use Disorder Treatment and Managed Care Medical Loss Ratio Provisions
in the Consolidated Appropriations Act, 2024'', providing subregulatory
guidance to states regarding these requirements.
The amendments to the Act as a result of the passage of the SUPPORT
Act and section 201 of the CAA, 2024, as well as the subregulatory
guidance provided in SMD #24-004 provides the authority for States to
add this mandatory Medicaid coverage for MAT. In this April 2025
iteration, we propose to update an active SPA template to comport with
the statutory updates as described above now that the benefit is
permanent.
Form Number: CMS-10398 #68 (OMB control number: 0938-1148);
Frequency: Once and Occasionally; Affected Public: State, Local, or
Tribal Governments; Number of Respondents: 56; Total Annual Responses:
56; Total Annual Hours: 1,400. (For policy questions regarding this
collection contact: Marlana Thieler at 410-786-6274.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2025-06400 Filed 4-15-25; 8:45 am]
BILLING CODE 4120-01-P
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</html>Indexed from Federal Register on April 16, 2025.
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