Agency Information Collection Activities; Proposals, Submissions, and Approvals: Medicaid and Children's Health Insurance Program

Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request

DATES:

Comments must be received by October 9, 2026.

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 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.)