Information Collection Request

HEDIS Data Collection for Medicare Advantage (CMS-10219)

ICR 202402-0938-002 · OMB 0938-1028 · Received in OIRA

Forms and Documents

Document Name	Status
CMS-10219 - HEDIS Supporting Statement A .docx Supporting Statement A	2024-02-20
HEDIS 2023 Crosswalk OMB Number 0938-1028.pdf Supplementary Document	2024-02-08
CMS-10219 - HEDIS Supporting Statement B.docx Supporting Statement B	2024-02-08

IC Document Collections

IC ID	Document Title	Status
181326	HEDIS Information Collection Request Other-HEDIS® 2023 Measures and Descriptions for Medicare	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CMS
OMB Control No	0938-1028
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202006-0938-017
Agency Tracking No	CM-CPC
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31