OMB control number
[Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)
OMB 0938-1148 · HHS/CMS.
The Center for Medicaid, CHIP, and Survey & Certification in CMS works in partnership with States to implement Medicaid and the Children's Health Insurance Program (CHIP), and the Social Security Act requires written plans between CMS and the State to implement these programs. The Affordable Care Act enacted comprehensive reform that requires modification of existing programs. In addition to the Medicaid and CHIP State plans, CMS also continues to work with States through other methods to further the goals of health reform, including program waivers and demonstrations and other technical assistance initiatives and reporting. This collection will provide streamlined submission forms for States to implement health reform initiatives in Medicaid and CHIP state plans, demonstrations, and waivers, including legislative requirements enacted by the Affordable Care Act.
The latest form for [Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398) expires 2027-10-31 and can be found here.
Document Name |
|---|
Form and Instruction |
Form and Instruction |
Supplementary Document |
Supporting Statement A |
|
Approved without change |
Reinstatement with change of a previously approved collection | 2024-09-27 | |
|
Improperly submitted |
Reinstatement without change of a previously approved collection | 2024-07-11 | |
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2024-01-30 | |
|
Approved with change |
Revision of a currently approved collection | 2021-03-23 | |
|
Approved with change |
Revision of a currently approved collection | 2017-12-29 | |
|
Approved with change |
Revision of a currently approved collection | 2014-10-30 | |
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2011-11-22 | |
|
Approved without change |
New collection (Request for a new OMB Control Number) | 2011-09-19 |
Reinstatement of Previously Approved GenICs
Federal Enterprise Architecture: Health - Health Care Services
| Form Misc (see spreadsheet) | Misc (see spreadsheet) | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.