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 90 Issue 233 (Monday, December 8, 2025)</title>
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[Federal Register Volume 90, Number 233 (Monday, December 8, 2025)]
[Notices]
[Pages 56765-56766]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-22184]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10398 Nos. 17, 37, and 96]
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 December 22, 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, 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 56766]]
Generic Information Collections
1. Title of Information Collection: CHIP State Plan Eligibility;
Type of Information Collection Request: Revision of a currently
approved collection; Use: The revised template (General Eligibility--
Incarcerated CHIP Beneficiaries) and an associated implementation guide
are intended to conform with Division G, Title I, Section 205 of the
Consolidated Appropriations Act of 2024 which expands the prohibition
of terminating an individual's CHIP eligibility because they are an
inmate of a public institution to targeted low-income pregnant women.
Effective January 1, 2026, states must cease terminating CHIP
eligibility for targeted low-income pregnant women but may instead
suspend their coverage during the enrollee's incarceration. States that
elect to suspend coverage may implement either a benefits or
eligibility suspension. Form Number: CMS-10398 #17 (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: 2,800. (For policy questions
regarding this collection contact: Mary Beth Hance at 443-934-2613.)
2. Title of Information Collection: Medicaid Managed Care Rate
Development Guide; Type of Information Collection Request: Revision of
a currently approved collection; Use: States must submit to CMS for
review and approval all rate certifications for managed care plans. The
state's actuary is responsible for certifying that the managed care
program's capitation rates are actuarially sound for a specific time
period and documents the rate development process and the final
certified capitation rates in a rate certification. The Medicaid
Managed Care Rate Development Guides outline 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. CMS
is required to update the rate guide at least annually. To meet this
requirement the 2026-2027 rate guide revises the 2025-2026 rate guide.
Form Number: CMS-10398 #37 (OMB control number: 0938-1148); Frequency:
Once and Occasionally; Affected Public: State, Local, or Tribal
Governments; Number of Respondents: 47; Total Annual Responses: 137;
Total Annual Hours: 754. (For policy questions regarding this
collection contact: Rebecca Burch Mack at 303-844-7355.)
3. Title of Information Collection: Medicaid and the Children's
Health Insurance Program (CHIP) Parity Tools; Type of Information
Collection Request: New; Use: CMS has created a set of tools in the
form of Excel workbook templates with accompanying instructions, both
to assist states in complying with Mental Health Parity and Addiction
Equity Act requirements and to simplify and standardize collecting
information for state and CMS review. The tools will be made available
for optional state use. CMS encourages states to use the tools and
provide feedback to CMS. CMS will require that states use these tools
as applicable to the state's program(s), and submit them to CMS, at a
future date, which will be communicated through notice and comment
rulemaking. Form Number: CMS-10398 #96 (OMB control number: 0938-1148);
Frequency: Once and on occasion; Affected Public: Private Sector and
State, Local, or Tribal Governments; Number of Respondents: 525; Total
Annual Responses: 83; Total Annual Hours: 1,925. (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. 2025-22184 Filed 12-5-25; 8:45 am]
BILLING CODE 4120-01-P
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