Notice2025-16343
Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
August 26, 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
<html>
<head>
<title>Federal Register, Volume 90 Issue 163 (Tuesday, August 26, 2025)</title>
</head>
<body><pre>
[Federal Register Volume 90, Number 163 (Tuesday, August 26, 2025)]
[Notices]
[Pages 41566-41567]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-16343]
[[Page 41566]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10398 #59, #64, and #94]
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.
-----------------------------------------------------------------------
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. 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 September 9, 2025.
ADDRESSES: When commenting, please reference the applicable form number
(CMS-10398 #__) 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 #__/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: Medicaid Section 1115 Severe
Mental Illness (SMI) and Children with Serious Emotional Disturbance
(SED) Demonstrations; Type of Information Collection Request: Revision
of an existing generic information collection request; Use: In November
2018, CMS announced the opportunity for section 1115(a) demonstration
projects, mandated under section 1203 of the 21st Century Cures Act,
aimed at improving care for adult Medicaid beneficiaries with serious
mental illness (SMI) and children with a serious emotional disturbance
(SED). Participating states are eligible to receive federal financial
participation for institutions of mental disease (IMD) stays subject to
requirements that include ensuring quality of care in IMDs, improving
connections to community-based care following stays in acute care
settings, ensuring a continuum of care is available to address more
chronic mental health care needs of beneficiaries with SMI/SED,
providing a full array of crisis stabilization services, and engaging
beneficiaries with SMI or SED treatment as soon as possible.
Primary data collection includes virtual interviews with (1) the
state Medicaid Agency and/or the single state agency for behavioral
health and (2) providers in the states that have approved section 1115
SMI/SED demonstrations. We will conduct three rounds of interviews:
Initial Implementation Interviews will be conducted with state Medicaid
directors and directors of the single state agency for mental health,
or their designees; Provider Interviews will expand our understanding
of SMI/SED demonstration implementation experience; and Follow-up
Implementation Interviews.
As of April 2025, 15 states and the District of Columbia have an
approved SMI/SED demonstration, and 3 states have a pending
application. Since it is possible that all 50 states and the District
of Columbia could submit SMI/SED demonstration applications, this 2025
revision proposes to: (1) increase the number of possible initial
implementation interviews with state officials from 20 states to 50
states and the District of Columbia (N=51); (2) increase the number of
provider interviews from 80 (in 20 states) to 100 (in 25 states) or up
to 4 interviewees per state; and (3) add follow-up implementation
interviews for up to 50 states and the District of Columbia. No follow-
up interviews are planned with providers because that data collection
was intended to learn providers' experiences and organizational changes
after the demonstration was implemented.
Form Number: CMS-10398 #59 (OMB control number: 0938-1148);
Frequency: Once; Affected Public: Private Sector and State, Local, or
Tribal Governments; Number of Respondents: 151; Total Annual Responses:
329; Total Annual Hours: 481. (For policy questions regarding this
collection contact Raven Smith at 410-786-3731.)
2. Title of Information Collection: Section 1115 Federal Meta
Analysis Substance Use Disorder (SUD) Demonstrations; Type of
Information Collection Request: Revision of an existing generic
information collection request; Use: Starting in 2015, in response to
the opioid epidemic, CMS offered states the flexibility to test
Medicaid coverage of a full SUD treatment service array in the context
of overall SUD service delivery transformation through the authority of
section 1115 demonstrations, provided states met specific requirements.
A key component of the section 1115 demonstration is that states could
apply to receive federal financial participation (FFP) for the
continuum of services to treat addiction to opioids or other
substances, including institutions for mental diseases (IMDs), which
are normally ineligible for FFP if the facility has more than 16 beds.
[[Page 41567]]
This 2025 revision increases the ``MCO and Behavioral Health
Provider Stakeholder Interviews'' from 80 interviews (in 10 states) to
160 interviews (in 20 states) and seeks approval for a follow-up round
of interviews (referred to as Follow-up Implementation Interviews) with
SUD state Medicaid directors, single state agency representatives, or
other state officials who are involved in SUD demonstration
implementation. These interviews will occur only with state officials;
no providers will be included in the ``Follow-up Implementation
Interviews.'' This revision also adds a thank you letter template for
the initial Demonstration Characteristics and Implementation Interviews
as well as templates for the email correspondence and interview
protocol for the Follow-up Implementation Interviews.
Form Number: CMS-10398 #64 (OMB control number: 0938-1148);
Frequency: Once; Affected Public: Private Sector and State, Local, or
Tribal Governments; Number of Respondents: 211; Total Annual Responses:
384; Total Annual Hours: 668. (For policy questions regarding this
collection contact Raven Smith at 410-786-3731.)
3. Title of Information Collection: Streamlining Medicaid
Enterprise Systems (MES) Advance Planning Documents (APD) Templates;
Type of Information Collection Request: New generic information
collection request; Use: This collection of information request
proposes to move an active collection (CMS-10536, OMB 0938-1268)
entitled, ``Medicaid Eligibility and Enrollment (E&E) Implementation
Advance Planning Document (IAPD) Template'' under OMB control number
0938-1148 (CMS-10398 #94). We also propose to revise the collection's
title as indicated above. The revised title better encapsulates the
efforts to streamline and create efficiencies across MES instead of
limiting it only to E&E implementations.
While the MES APD Template is currently approved by OMB under 0938-
1268, we also propose to revise that template and add six new templates
that have not been approved by OMB under any control number. The
templates aim to streamline the process and ensure consistency across
state submissions. We intend to discontinue 0938-1268 sometime after
this new collection of information request (CMS-10398 #94) is approved
by OMB under 0938-1148.
Form Number: CMS-10398 #94 (OMB control number: 0938-1148);
Frequency: Monthly, once, and occasionally; Affected Public: State,
Local, or Tribal Governments; Number of Respondents: 56; Total Annual
Responses: 3,314; Total Annual Hours: 86,096. (For policy questions
regarding this collection contact: Loren Palestino at 410-786-8842.)
Evell Barco Holland,
Senior Technical Advisor, Regulations Development Group, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2025-16343 Filed 8-25-25; 8:45 am]
BILLING CODE 4120-01-P
</pre></body>
</html>Indexed from Federal Register on August 26, 2025.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.