OMB control number
D-SNP Enrollee Advisory Committee (CMS-10799)
OMB 0938-1422 · HHS/CMS.
OMB 0938-1422
This information collection request is for the requirement at § 422.107(f) that any Medicare Advantage (MA) organization offering a D-SNP must establish one or more enrollee advisory committees in each State to solicit direct input on enrollee experiences. The establishment and maintenance of an enrollee advisory committee is a valuable beneficiary protection to ensure that enrollee feedback is heard by managed care plans and to help identify and address barriers to high-quality, coordinated care for dually eligible individuals.
The latest form for D-SNP Enrollee Advisory Committee (CMS-10799) expires 2028-01-31 and can be found here.
Latest Forms, Documents, and Supporting Material
Document Name |
|---|
Supporting Statement A |
Supplementary Document |
Justification for No Material/Nonsubstantive Change |
CMS-10799 - Supporting Statement A.docx
D-SNP Enrollee Advisory Committee (Soliciting Committee Members) (422.107) All Historical Document Collections
| Revision of a currently approved collection | 2025-06-17 | ||
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2022-09-06 | |
|
Approved with change |
New collection (Request for a new OMB Control Number) | 2022-06-01 | |
|
Comment filed on proposed rule |
New collection (Request for a new OMB Control Number) | 2022-01-13 |