Medicaid Managed Care Regulations (CMS-10108)

Medicaid Managed Care and Supporting Regulations in 42 CFR 438.6, 438.8, 438.10, 438.12, 138.50, 438.56, 438.102, 438.114, 438.202, 438.206, 438.207, 438.240, 438.242, 438.402, 438.404, 438.406...

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0920 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Medicaid Managed Care Regulations (CMS-10108)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 438.406 42 CFR 438.408 42 CFR 438.410 42 CFR 438.414 42 CFR 438.416 42 CFR 438.724 42 CFR 438.810 42 CFR 438.6 42 CFR 438.8 42 CFR 438.10 42 CFR 438.12 42 CFR 438.50 42 CFR 438.56 42 CFR 438.102 42 CFR 438.114 42 CFR 438.202 42 CFR 438.204 42 CFR 438.206 42 CFR 438.207 42 CFR 438.240 42 CFR 438.242 42 CFR 438.402 42 CFR 438.404 42 CFR 438.604 42 CFR 438.710 42 CFR 438.722

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 326	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,549,991	0	2,549,991
Annual IC Time Burden (Hours)	3,555,927	0	3,555,927
Annual IC Cost Burden (Dollars)	0	-23,357,918	23,357,918

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.