OMB control number
List of Screening Instruments for Housing Stability, Food Security, and Transportation Questions on Health Risk Assessments (HRAs) and Requirements for Integrated HRAs (CMS-10825)
OMB 0938-1446 · HHS/CMS.
This information collection request is for the new regulation at 42 CFR 422.101(f)(1)(i) requiring that all MA SNP health risk assessments (HRAs) include at least one question from a list of screening instruments specified by CMS in sub-regulatory guidance on each of three domains (housing stability, food security, and access to transportation) beginning in CY 2024. This new requirement will help better identify the risk factors that may inhibit enrollees from accessing care and achieving optimal health outcomes and independence and enable MA SNPs to take these risk factors into account in enrollee individualized care plans. This information collection request provides the list of CMS-specified social determinants of health (SDOH) screening instruments available for SNPs to meet the new requirement.
The latest form for List of Screening Instruments for Housing Stability, Food Security, and Transportation Questions on Health Risk Assessments (HRAs) and Requirements for Integrated HRAs (CMS-10825) expires 2026-06-30 and can be found here.
CMS-10825 - Supporting Statement_A (CMS-4208-P version 7).docx
Integrated HRAs (Work to integrate HRAs) | Revision of a currently approved collection | 2025-01-27 | ||
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Approved without change |
New collection (Request for a new OMB Control Number) | 2023-02-07 |
§ 422.101 - Update HRA System
Federal Enterprise Architecture: Health - Health Care Services