Affordable Care Act Internal Claims and Appeals and External Review Procedures for Non-grandfathered Group Health Plans and Issuers and Individual Market Issuers (CMS-10338)

ICR 202504-0938-011

OMB: 0938-1099

Federal Form Document

Forms and Documents

Document Name	Status
CMS-10338 - Non-sub Change Request Memo Appeals.docx Justification for No Material/Nonsubstantive Change	2025-04-10
CMS-10338 - Crosswalk of changes to Appeals - .docx Supplementary Document	2025-04-10
Non-sub Change Request Memo (CMS-10338_Appeals PRA)_clean.docx Justification for No Material/Nonsubstantive Change	2024-12-12
CMS-10338- 60-day Comments Response Summary_FINAL.pdf Supplementary Document	2022-05-09
CMS-10338 - Supporting_Statement_2022_Final.pdf Supporting Statement A	2022-05-09

IC Document Collections

IC ID	Document Title	Status
249636	Internal Claims and Appeals and External Review Procedures	Unchanged
193861	Burden Estimates - Appeals Other-Model - Notice of Internal Adverse Benefit Determination	Modified