These information collections
requirements implement regulations that allow states greater
flexibility to implement mandatory managed care programs, implement
new beneficiary protections, and eliminate certain requirements
viewed by state agencies as impediments to the growth of managed
care programs. Information collected includes information about
managed care programs, grievances and appeals, enrollment broker
contracts, and managed care organizations capacity to provide
health care services.
US Code:
42
USC 438.56 Name of Law: Disenrollment: Requirements and
limitations
US Code: 42
USC 438.102 Name of Law: Provider-enrollee communications
US Code: 42
USC 438.114 Name of Law: Emergency and post-stabilization
services
US Code: 42
USC 438.202 Name of Law: State responsibilities
US Code: 42
USC 438.204 Name of Law: Elements of State quality
strategies
US Code: 42
USC 438.206 Name of Law: Availablity of services
US Code: 42
USC 438.207 Name of Law: Assurances of adequate capacity and
services
US Code: 42
USC 438.240 Name of Law: Quality assessment and performance
improvement program
US Code: 42
USC 438.242 Name of Law: Health information systems
US Code: 42
USC 438.402 Name of Law: General requirements
US Code: 42
USC 438.404 Name of Law: Notice of Action
US Code: 42
USC 438.406 Name of Law: Handling of grievances and appeals
US Code: 42
USC 438.408 Name of Law: Resolution and notification:
Grievances and appeals
US Code: 42
USC 438.410 Name of Law: Expedited resolution of appeals
US Code: 42
USC 438.414 Name of Law: Information about the grievance system
to providers
US Code: 42
USC 438.10 Name of Law: Information Requirements
US Code: 42
USC 438.6 Name of Law: Contract Requirements
US Code: 42
USC 438.12 Name of Law: Provider Discrimination prohibited
US Code: 42
USC 438.50 Name of Law: State Plan Requirements
US Code: 42
USC 438.416 Name of Law: Record keeping and reporting
requirements
US Code: 42
USC 438.604 Name of Law: Data that must be certified
US Code: 42
USC 438.710 Name of Law: Due process: Notice of sanction and
pre-determination hearing
US Code: 42
USC 438.722 Name of Law: Disenrollment during termination
hearing process
US Code: 42
USC 438.724 Name of Law: Notice to CMS
US Code: 42
USC 438.810 Name of Law: Expenditures for enrollment broker
services
US Code: 42
USC 438.8 Name of Law: Provisions that apply to PIHPs and
PAHPs
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
CMS-10108 Supporting Statement.DOC
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...