[Federal Register Volume 86, Number 90 (Wednesday, May 12, 2021)]
[Notices]
[Pages 26042-26043]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-10050]


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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 \1\ 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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    \1\ https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/assets/inforeg/PRA_Gen_ICRs_5-28-2010.pdf.

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DATES: Comments must be received by May 26, 2021.

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 
http://www.regulations.gov. 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 (#37)/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, you may 
access CMS' website at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.

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 Managed Care Rate 
Development Guide; Type of Information Collection Request: Revision of 
a currently approved collection; Use: States are required to submit 
rate certifications for all Medicaid managed care capitation rates per 
42 CFR 438.7. Our collection of information request specifies our 
requirements for the rate certification and details what types of 
documentation we expect to be included. Elements include descriptions 
of data used, projected benefit and non-benefit costs, rate range 
development, risk and contract provisions, and other considerations in 
all rate setting packages. We also detail our expectations for states 
when they submit rate certifications.

[[Page 26043]]

    Section 1903(m) of the Social Security Act requires capitation 
rates paid to Medicaid managed care organizations (MCOs) to be 
actuarially sound. Regulations at Sec.  438.4 require all capitation 
rates paid to an MCO, Prepaid Inpatient Health Plan (PIHP), or Prepaid 
Ambulatory Health Plans (PAHP) to be actuarially sound and require that 
each state submit a rate certification for each set of capitation rates 
developed. Regulations at Sec.  438.7(e) also require that CMS annually 
publish this guidance; Form Number: CMS-10398 (#37) (OMB control 
number: 0938-1148); Frequency: Occasionally; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 46; Total Annual 
Responses: 135; Total Annual Hours: 608. (For policy questions 
regarding this collection contact Amy Gentile at 410-786-3499.)

    Dated: May 7, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-10050 Filed 5-11-21; 8:45 am]
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