Federal Register #CMS416 and CMS10628

CMS Requests Public Comment on Revisions to Medicaid Information Collection Forms

This opportunity involves a request from the Centers for Medicare & Medicaid Services (CMS), under the Department of Health and Human Services, for public comment on proposed revisions to two information collection forms: - Government Buyer: - Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services - Information Collections Requested: - Annual Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Participation Report (Form CMS416) - Used to assess state EPSDT program effectiveness for eligible children - Collects data on health screenings, referrals, and dental, hearing, and vision services - Supports evaluation of participation goals - 56 respondents (states/territories) - Initial Request for State Implemented Moratorium Form (CMS10628) - Standardizes state requests for Medicaid or CHIP moratoria - Used to track and evaluate moratorium requests - 5 respondents (states/territories) - No OEMs or commercial vendors are involved, as this is an information collection activity, not a procurement of products or services - Unique Requirements: - Public comments are invited on the necessity, utility, burden estimate, and suggestions for improving the information collection process, including automation - The collections are required for federal program oversight and compliance - Period of Performance: - Annual for the EPSDT Participation Report - Occasional/as needed for the Moratorium Request Form

Description

The Centers for Medicare & Medicaid Services (CMS) is seeking public comments on its intention to collect information under the Paperwork Reduction Act of 1995. The collections include revisions to the Annual Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Participation Report and the Initial Request for State Implemented Moratorium Form. These collections aim to assess program effectiveness and standardize moratorium requests from states. Comments on burden estimates, necessity, and ways to improve the information collection process are invited by May 6, 2026.

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