Notice2026-19707
Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request
Primary source
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Published
September 25, 2026
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. 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.
Full Text
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<title>Federal Register, Volume 91 Issue 185 (Friday, September 25, 2026)</title>
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[Federal Register Volume 91, Number 185 (Friday, September 25, 2026)]
[Notices]
[Pages 60959-60961]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-19707]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10398 #34, #37, #97, #98, and #102]
Medicaid and Children's Health Insurance Program (CHIP) Generic
Information Collection Activities: Proposed Collection; Comment Request
AGENCY: Centers for Medicare & Medicaid Services (CMS), 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
[[Page 60960]]
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 October 9, 2026.
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/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 Collections
1. Title of Information Collection: Model Application Template and
Instructions for State Child Health Plan Under Title XXI of the Social
Security Act, State Children's Health Insurance Program; Type of
Information Collection Request: Revision of an active collection of
information request; Use: The collected information is used by CMS to
review State compliance with Federal statutory and regulatory
requirements, approve State plan submissions and SPAs, document
required assurances and descriptions, and support oversight of State
administration of CHIP. The revised SPA template adds an assurance to
the CHIP state plan indicating that the state Medicaid agency does not
make payment under the plan for sex-rejecting procedures for children
under the age of 19; Form Number: CMS-10398 #34 (OMB control number:
0938-1148); Frequency: Once and occasionally; Affected Public: State,
Local, or Tribal Governments; Number of Respondents: 41; Total Annual
Responses: 112; Total Annual Hours: 448. (For policy questions
regarding this collection contact Abagail Walsh at 410-786-0746.)
2. Title of Information Collection: Medicaid Managed Care Rate
Development Guide; Type of Information Collection Request: Revision of
an active collection of information request; Use: The 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 must be included within the rate
certification in adequate detail to allow CMS to determine compliance
with applicable provisions of 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. CMS is required to annually publish the Medicaid Managed Care
Rate Development Guide; Form Number: CMS-10398 #37 (OMB control number:
0938-1148); Frequency: Annually and occasionally; Affected Public:
State, Local, or Tribal Governments; Number of Respondents: 47; Total
Annual Responses: 137; Total Annual Hours: 1,233. (For policy questions
regarding this collection contact Rebecca Burch Mack at 303-844-7355.)
3. Title of Information Collection: Sex-Rejecting Procedures
Medicaid State Plan Amendment Template; Type of Information Collection
Request: New collection of information request; Use: The provisions are
associated with our August 13, 2026, final rule (CMS-2451-F) which
provides the authority for State plan amendments (SPAs) to collect
assurances from states regarding the operation of state Medicaid
programs. The template has been developed to simplify state SPA
submissions to add an assurance to their state plan indicating that the
Medicaid agency does not claim Federal financial participation (FFP)
under the plan for sex-rejecting procedures for children under the age
of 18; Form Number: CMS-10398 #97 (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: 168. (For policy questions regarding this
collection contact Marlana Thieler at 410-786-6274.)
4. Title of Information Collection: Medicaid Emergency Response
Templates; Type of Information Collection Request: New collection of
information request; Use: In March 2020, CMS created a Medicaid
Disaster Relief SPA template that combined multiple, time-limited State
Plan options into a single document and included flexibilities specific
to the COVID-19 PHE passed in the Families First Coronavirus Response
Act and the Coronavirus Aid, Relief, and Economic Security Act which
are no longer in effect. This iteration's 2026 templates do not include
any flexibilities related to a specific PHE, thereby making them usable
for all future PHEs; Form Number: CMS-10398 #98 (OMB control number:
0938-1148); Frequency: Once
[[Page 60961]]
and occasionally; Affected Public: State, Local, or Tribal Governments;
Number of Respondents: 33; Total Annual Responses: 33; Total Annual
Hours: 62. (For policy questions regarding this collection contact
Michala Walker at 816-426-6503.)
5. Title of Information Collection: Medicaid Prior Authorization
Assurances State Plan Amendment Template; Type of Information
Collection Request: New collection of information request; Use: On
January 17, 2024, CMS published its Interoperability and Prior
Authorization final rule (CMS-0057-F) to improve health information
exchange and streamline prior authorization processes that involve
state Medicaid fee-for-service (FFS) programs. The rule introduced
decision timeframes for prior authorization requests and how State
Medicaid agencies must notify providers of those decisions. This 2026
iteration's template has been developed to simplify the SPA submission
to add these assurances to their state plan; Form Number: CMS-10398
#102 (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: 280.
(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. 2026-19707 Filed 9-24-26; 8:45 am]
BILLING CODE 4169-69-P
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</html>Indexed from Federal Register on September 25, 2026.
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