Change Requests

What is an ICR?

An Information Collection Request (ICR) is a federal agency's request for approval from the Office of Management and Budget (OMB) to collect information from the public. Under the Paperwork Reduction Act (PRA), agencies must justify why the information is needed and how it will be used.

When are they submitted?

Federal agencies are required to submit an ICR whenever they create, renew, modify an information collection. Each ICR includes a description of the collection, supporting materials and documentation (such as forms, surveys, or scripts), and proof that the agency has met the requirements of the PRA.

The ICR is submitted to the The Office of Information and Regulatory Affairs (OIRA) within OMB for review and approval. OIRA grants approval for a maximum of three years, after which the collection must be renewed through a new ICR submission.

Where to find an ICR

ICRs are publicly available on RegInfo.gov, and additional guidance can be found in the FAQs.

Note: Presidential Action influences are notated for ICRs received between January 20, 2025 and September 22, 2026.

Showing 25 of 577 results

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Title
Reference Number
OMB Control Number
Agency
Received
Concluded
Action
Status
Request Type
Presidential Action

Title:

Energy and Performance Information Center (EPIC)

Reference Number:

Omb Control Number:

2577-0274

Agency:

HUD/PIH

Received:

2022-07-19

Concluded:

2023-10-23

Action:

Approved without change

Status:

Active

Request Type:

Reinstatement with change of a previously approved collection
Energy and Performance Information Center (EPIC)

Key Information

Abstract

HUD created the Energy and Performance Information Center (“EPIC”) data system to track the amount and types of Energy Efficiency Measures (EEMs) being implemented within Public Housing units.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

44 USC Chapter 35, as amended

Presidential Action:

-

Title:

Continuum of Care Homeless Assistance Grant Application-Technical Submission

Reference Number:

Omb Control Number:

2506-0183

Agency:

HUD/CPD

Received:

2023-04-07

Concluded:

2023-10-05

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
Continuum of Care Homeless Assistance Grant Application-Technical Submission

Key Information

Abstract

Technical submission for applicants awarded conditional funding for new projects during the Continuum of Care Program Homeless Assistance Competition to ensure that technical requirements are met prior to execution of grant agreement. This revision accounts for the forms conversion to an electronic format.

Federal Register Notices

60-Day FRN
30-Day FRN

Presidential Action:

-

Title:

Dairy Donation Program

Reference Number:

Omb Control Number:

0581-0327

Agency:

USDA/AMS

Received:

2022-03-29

Concluded:

2023-10-24

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
Dairy Donation Program

Key Information

Abstract

To encourage the efficient distribution of dairy products to families and individuals, while reducing food waste.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 116 - 260 762

Presidential Action:

-

Title:

Vessel Operation Reporting

Reference Number:

Omb Control Number:

0710-0006

Agency:

DOW/COE

Received:

2023-03-27

Concluded:

2023-05-31

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
Vessel Operation Reporting

Key Information

Abstract

The Corps of Engineers uses ENG Forms 3925, 3925B, 3925C, and 3925P as the basic instruments to collect waterborne commerce statistics. These dta, collected from vessel opeating companies, constitute the sole source for domestic vessel movements to freight and passengers on U.S. navigable waterways and harbors; are essential to plans for maintaining U.S. navigable waterways; and are critical to enforcing the "Harbor Maintenance Tax" authorized under Section 1402 of PL 99-662.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

33 USC 555

Presidential Action:

-

Title:

Employer Verification of Earnings After Death

Reference Number:

Omb Control Number:

0960-0472

Agency:

SSA

Received:

2022-09-01

Concluded:

2023-10-31

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
Employer Verification of Earnings After Death

Key Information

Abstract

When SSA records show a wage earner is deceased and we receive wage reports from an employer for the wage earner for a year subsequent to the year of death, SSA mails the employer Form SSA-L4112 (Employer Verification of Earnings After Death). SSA uses the information Form SSA-L4112 provides to verify wage information previously received from the employer is correct is correct for the employee and the year in question. The respondents are employers who report wages for employees who have died.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 405
42 USC 432
42 USC 409

Presidential Action:

-

Title:

Microbial Rules (Renewal)

Reference Number:

Omb Control Number:

2040-0205

Agency:

EPA/OW

Received:

2022-07-21

Concluded:

2023-10-02

Action:

Approved without change

Status:

Active

Request Type:

Extension without change of a currently approved collection
Microbial Rules (Renewal)

Key Information

Abstract

Microbial Rules Renewal ICR examines public water system and primacy agency burden and costs for recordkeeping and reporting requirements in support of the microbial drinking water regulations. These recordkeeping and reporting requirements are mandatory for compliance with 40 CFR parts 141 and 142. The following microbial regulations are included: The Surface Water Treatment Rule (SWTR), the Total Coliform Rule (TCR), the Revised Total Coliform Rule (RTCR), the Interim Enhanced Surface Water Treatment Rule (IESWTR), the Filter Backwash Recycling Rule (FBRR), the Long Term 1 Enhanced Surface Water Treatment Rule (LT1ESWTR), the Long Term 2 Enhanced Surface Water Treatment Rule (LT2ESWTR), the Ground The Water Rule (GWR) and the Aircraft Drinking Water Rule (ADWR). Future microbial-related rulemakings will be added to this consolidated ICR after the regulations are promulgated and the initial, rule-specific, ICRs are due to expire.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 93 - 523 1412-1445

Presidential Action:

-

Title:

International Agricultural Education Fellowship Program (IAEFP)

Reference Number:

Omb Control Number:

0551-0056

Agency:

USDA/FAS

Received:

2023-09-21

Concluded:

2023-10-24

Action:

Approved without change

Status:

Active

Request Type:

Existing collection in use without an OMB Control Number
International Agricultural Education Fellowship Program (IAEFP)

Key Information

Abstract

IAEFP provides fellowships to eligible U.S. citizens to assist developing countries in establishing school-based agricultural education and youth extension programs. The intention of the IAEFP is to develop globally minded United States agriculturalists with experience living abroad, focus on meeting the food and fiber needs of the domestic population of eligible countries, and strengthen and enhance trade linkages between eligible countries and the United States agricultural industry.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

7 USC 3295
7 USC 3291 and 3319a

Presidential Action:

-

Title:

Biographical Sketch Form for Use with Applications to the Maternal and Child Health Bureau Research Grants

Reference Number:

Omb Control Number:

0906-0048

Agency:

HHS/HRSA

Received:

2023-08-18

Concluded:

2023-10-12

Action:

Approved with change

Status:

Active

Request Type:

Reinstatement without change of a previously approved collection
Biographical Sketch Form for Use with Applications to the Maternal and Child Health Bureau Research Grants

Key Information

Abstract

HRSA proposes to collect information in that describes the qualifications of proposed researchers and the description of research participants. This is an important component of ensuring demographic diversity (race, ethnicity, and gender) among research study participants. This allows MCHB to determine to what extent individuals of different backgrounds are participating. Likely respondents are potential applicants to HRSA’s MCHB research and training programs.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 97 - 35 0
Pub.L. 0 - 0 3506 (c)(2)(A)
Pub.L. 101 - 239 501(a)(2) and (3)

Presidential Action:

-

Title:

Scientific Cooperation Research Program (SCRP)

Reference Number:

Omb Control Number:

0551-0055

Agency:

USDA/FAS

Received:

2023-09-21

Concluded:

2023-10-24

Action:

Approved without change

Status:

Active

Request Type:

Existing collection in use without an OMB Control Number
Scientific Cooperation Research Program (SCRP)

Key Information

Abstract

SCRP supports fellows and scientific corporations in joint research, extension, and education projects between U.S. researchers and researchers from selected emerging market economies.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

7 USC 3103
7 USC 3291 and 3319a

Presidential Action:

-

Title:

Wage Reports and Pension Information

Reference Number:

Omb Control Number:

0960-0547

Agency:

SSA

Received:

2022-06-03

Concluded:

2023-10-20

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
Wage Reports and Pension Information

Key Information

Abstract

SSA organizes and maintains pension plan information we receive from the IRS to which pension plan participants and administrations are entitled under the Social Security Act, Section 1131(a). Under 20 CFR 422.122(b), SSA may only disseminate this information if the requester submits a written request with identifying information to SSA. We use the identifying information the requester submits to verify the individual is to whom the pension information pertains. Respondents are requesters of pension plan information.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 1320b-1

Presidential Action:

-

Title:

Pandemic Response and Safety Program (PRS)

Reference Number:

Omb Control Number:

0581-0326

Agency:

USDA/AMS

Received:

2021-12-14

Concluded:

2023-10-24

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
Pandemic Response and Safety Program (PRS)

Key Information

Abstract

PRS is authorized pursuant to the authority of section 751 of the Consolidated Appropriations Act, 2021 (CAA) (Pub. L. 116-260) in response to the ongoing COVID-19 pandemic and worker protections in food processing, distribution, farmers markets, and agricultural production.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 116 - 260 751

Presidential Action:

-

Title:

Warehouse Regulations Under the United States Warehouse Act

Reference Number:

Omb Control Number:

0581-0305

Agency:

USDA/AMS

Received:

2022-06-21

Concluded:

2023-10-24

Action:

Approved without change

Status:

Active

Request Type:

Reinstatement with change of a previously approved collection
Warehouse Regulations Under the United States Warehouse Act

Key Information

Abstract

The information collection is required for licensing as required by the United State Warehouse Act (USWA)and provides information for issuance of licenses or approval to determine if warehouse operator meets required standards and continues to meet once licensed or approved.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

7 USC 241-256

Presidential Action:

-

Title:

30 CFR 822 - Special permanent program performance standards - operations in alluvial valley floors

Reference Number:

Omb Control Number:

1029-0049

Agency:

DOI/OSMRE

Received:

2022-11-01

Concluded:

2023-10-27

Action:

Approved without change

Status:

Active

Request Type:

Extension without change of a currently approved collection
30 CFR 822 - Special permanent program performance standards - operations in alluvial valley floors

Key Information

Abstract

Sections 510(b)(5) and 515(b)(10)(F) of the Surface Mining Control and Reclamation Act of 1977 (the Act) protect alluvial valley floors (AVF’s) from the adverse effects of surface coal mining operations west of the 100th meridian. Section 822.13 requires the permittee to install, maintain, and operate a monitoring system in order to provide specific protection for alluvial valley floors. This information is necessary to determine whether the unique hydrologic conditions of AVF’s are protected according to the Act.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

30 USC 1201 et. seq.

Presidential Action:

-

Title:

Environmental Justice Thriving Communities Grantmaking Program: Applications for Subawards November Launch

Reference Number:

Omb Control Number:

2035-0002

Agency:

EPA/OEJECR

Received:

2024-10-22

Concluded:

2024-11-13

Action:

Approved with change

Status:

Active

Request Type:

New collection (Request for a new OMB Control Number)
Environmental Justice Thriving Communities Grantmaking Program: Applications for Subawards November Launch

Key Information

Abstract

To meet the goals and objectives that demonstrate the U.S. Environmental Protection Agency (EPAs) and the Administrations commitment to achieving environmental justice and embedding environmental justice into Agency programs, the Environmental Justice Thriving Communities Grantmaking Program provides about $600 million in 11 cooperative agreements funding to Grantmakers who will function as pass-through entities for the Environmental Justice Thriving Communities Subgrants (2 CFR Parts 200 and 1500). Each Grantmaker will collaborate with EPA to design and build their own processes to receive and evaluate applications to fund the initial development of community-led environmental justice projects.Emergency Justfication:With this Information Collection Request (ICR), EPA seeks emergency clearance by October 31, 2024 for six Grantmakers to solicit applications for their first round of subgrants to be launched in October 2024. EPA cannot reasonably comply with the normal clearance procedures because the time between the Grantmakers receipt of their funding awards and the launch of their subaward programs (3 months) does not allow sufficient time to obtain PRA clearance using the standard ICR process (which typically takes 6-9 months). Collection of the information requested under this emergency clearance (i.e., applications) is essential for the Grantmakers to have a mechanism for selecting and distributing subaward grants to fund environmental justice projects in underserved communities, thus fulfilling the central objective of the program. The six-month emergency clearance period will cover the first round of subaward applications that will be solicited by six Grantmakers in October 2024. Subsequent rounds of applications for these six Grantmakers will be authorized via a Standard ICR package for the Grantmaking Program that will be submitted for review via the standard ICR approval process.

Authorizing Statutes

Presidential Action:

-

Title:

Application, Reports, and Recordkeeping for the Direct Component and the Centers of Excellence Research Grants Program under the RESTORE Act

Reference Number:

Omb Control Number:

1505-0250

Agency:

TREAS/DO

Received:

2023-07-24

Concluded:

2023-10-06

Action:

Approved without change

Status:

Active

Request Type:

Extension without change of a currently approved collection
Application, Reports, and Recordkeeping for the Direct Component and the Centers of Excellence Research Grants Program under the RESTORE Act

Key Information

Abstract

Authorized under the Resources and Ecosystems Sustainability, Tourist Opportunities, and Revived Economies of the Gulf Coast States Act (RESTORE Act) (P.L. 112-141), the Department of the Treasury implements several provisions of the Act, more specifically the Direct Component and the Centers of Excellence Research Grants Program. These programs require Treasury to award grants from the Gulf Coast Restoration Trust Fund (Trust Fund) equally to the five Gulf Coast States impacted by the Deepwater Horizon Oil Spill. The Direct Component recipients include Alabama, 23 Florida counties, Louisiana, 20 Louisiana parishes, Mississippi, and Texas. Alabama, Florida, Louisiana, Mississippi, and Texas equally share the Centers of Excellence Research Grants Program allocations from Trust Fund deposits.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 112 - 141 Title I, subtitle F
33 USC 1251
Pub.L. 117 - 58 70914(a)

Presidential Action:

-

Title:

Acquisition Regulation Clause Patent Rights and Rights in Data

Reference Number:

Omb Control Number:

0990-0419

Agency:

HHS/HHSDM

Received:

2023-06-28

Concluded:

2023-10-24

Action:

Approved without change

Status:

Active

Request Type:

Extension without change of a currently approved collection
Acquisition Regulation Clause Patent Rights and Rights in Data

Key Information

Abstract

HHS found that systematically, over a period of several years, when Determination of Exceptional Circumstances (DEC) were executed, additional legal protection for the patent and data rights of third parties beyond those covered by FAR 27.306 were necessary A DEC is executed consistent with the policy and objectives of the Bayh-Dole Act, 35 U.S.C. 200, et seq., to ensure that subject inventions made under contracts and subcontracts (at all tiers) are used in a manner to promote free competition and enterprise without unduly encumbering future research and discovery; to encourage maximum participation of small business firms in federally supported research and development efforts; to promote collaboration between commercial concerns and nonprofit organizations including universities; to ensure that the Government obtains sufficient rights in federally supported inventions to meet its needs; to protect the public against nonuse or unreasonable use of inventions; and in the case of fulfilling the mission of the U.S. Department of Health and Human Services, to ultimately to benefit the public health.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

35 USC 200-212
Pub.L. 96 - 517 401

Presidential Action:

-

Title:

National Implementation Study of Student Support and Academic Enrichment Grants (Title IV, Part A)

Reference Number:

Omb Control Number:

1850-0968

Agency:

ED/IES

Received:

2023-09-29

Concluded:

2023-12-05

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
National Implementation Study of Student Support and Academic Enrichment Grants (Title IV, Part A)

Key Information

Abstract

This study will collect information about policy and program implementation of the grants administered under Title IV, Part A of the Elementary and Secondary Education Act of 1965, as amended by the Every Student Succeeds Act (ESSA), to describe and report on districts’ decision-making process for use of Title IV, Part A funds, how states help inform districts’ decisions, and what topic areas and activities are funded with Title IV, Part A funds. The revision will amend the study to eliminate an optional survey planned for 2024 and add a new information collection. The new collection will obtain information about a new grant administered through Title IV-A, the Bipartisan Safer Communities Act (BSCA) Stronger Connections (SC) grant program, which awards funds to states and districts to promote safer, more inclusive learning environments and support the social, emotional, physical, and mental health of students.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 117 - 159 21002
Pub.L. 114 - 95 4101

Presidential Action:

-

Title:

Export Inspection and Weighing Waiver for High Quality Specialty Grains Transported in Containers

Reference Number:

Omb Control Number:

0581-0306

Agency:

USDA/AMS

Received:

2021-08-17

Concluded:

2023-10-24

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
Export Inspection and Weighing Waiver for High Quality Specialty Grains Transported in Containers

Key Information

Abstract

Information is used to determine compliance with waiver of the mandatory inspection and weighing requirements of the USGSA for high quality specialty grains exported in containers.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

7 USC Part 800-899

Presidential Action:

-

Title:

Regulations Governing the Inspection and Grading of Manufactured or Processed Dairy Products

Reference Number:

Omb Control Number:

0581-0110

Agency:

USDA/AMS

Received:

2022-03-01

Concluded:

2023-10-24

Action:

Approved without change

Status:

Active

Request Type:

Reinstatement with change of a previously approved collection
Regulations Governing the Inspection and Grading of Manufactured or Processed Dairy Products

Key Information

Abstract

The recordkeeping requested is to ensure that dairy products are produced under sanitary conditions and buyers are purchasing quality products.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

7 USC 1621 et seq.

Presidential Action:

-

Title:

Aviation Research Grants Program

Reference Number:

Omb Control Number:

2120-0559

Agency:

DOT/FAA

Received:

2020-08-31

Concluded:

2023-10-05

Action:

Approved with change

Status:

Active

Request Type:

Extension without change of a currently approved collection
Aviation Research Grants Program

Key Information

Abstract

The Aviation Research Grants Program utilizes grant awards to support advanced research in areas of potential benefit to the long-term growth of civil aviation, and in areas related to the prevention of catastrophic failure of an aircraft. The objective of this program is to encourage and support innovative, advanced, and applied research and development in areas of potential benefit to the long-term growth of civil aviation. This program implements 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; Federal Aviation Administration Research, Engineering and Development Authorization Act of 1990, Public Law 101-508; 49 USC 44511: Aviation research grants. Submission requirements, instructions, and a list of documentation required for applying for a grant is outlined in the Aviation Research Grant Program Notice of Funding Opportunity (NOFO) number FAA-12-01, posted on www.grants.gov. Eligible benefactors include colleges, universities, and non-profit research institutions.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 101 - 508 9205, 9208

Presidential Action:

-

Title:

7 CFR 1951-R, Rural Development Loan Servicing

Reference Number:

Omb Control Number:

0570-0015

Agency:

USDA/RBS

Received:

2021-11-15

Concluded:

2023-10-19

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
7 CFR 1951-R, Rural Development Loan Servicing

Key Information

Abstract

Regulation promulgates the policies and procedures for servicing or liquidating loans made by Rural Development under the Intermediary Relending Program to eligible intermediaries and applies to ultimate recipients and other involved partied.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 99 - 198 1323

Presidential Action:

-

Title:

Seafood Processors Pandemic Response and Safety Block Grant Program (SPRS)

Reference Number:

Omb Control Number:

0581-0329

Agency:

USDA/AMS

Received:

2022-03-29

Concluded:

2023-10-24

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
Seafood Processors Pandemic Response and Safety Block Grant Program (SPRS)

Key Information

Abstract

Seafood Pandemic Response and Safety Grant Program directs the Secretary of Agriculture to provide “grants and loans to small or midsized food processors or distributors, seafood processing facilities and processing vessels, farmers markets, producers, or other organizations to respond to coronavirus, including for measures to protect workers against the Coronavirus Disease 2019 (COVID-19).

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 116 - 260 751

Presidential Action:

-

Title:

Marital Relationship Questionnaire

Reference Number:

Omb Control Number:

0960-0460

Agency:

SSA

Received:

2020-08-28

Concluded:

2023-10-13

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Marital Relationship Questionnaire

Key Information

Abstract

SSA uses Form SSA-4178 to collect information necessary to determine if two unrelated individuals who live together hold themselves out as a married couple to the community in which they live. If SSA determines that two individuals hold themselves out as married, SSA considers them married for the purposes of determining SSI eligibility and payment amount. SSA either mails or gives the individual Form SSA-4178 if the applicant or recipient allege a holding-out as married relationship; or if the SSI applicant or recipient denies holding out, but there is evidence to the contrary. The respondents are applicants for, and recipients of, SSI payments.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 1383

Presidential Action:

-

Title:

Current Good Manufacturing Practices for Blood and Related Regulations for and Blood Components; and Requirements for Donor Testing, Donor Notification, and "Lookback"

Reference Number:

Omb Control Number:

0910-0116

Agency:

HHS/FDA

Received:

2023-08-30

Concluded:

2023-10-04

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
Current Good Manufacturing Practices for Blood and Related Regulations for and Blood Components; and Requirements for Donor Testing, Donor Notification, and "Lookback"

Key Information

Abstract

This information collection supports implementation of statutory and regulatory requirements that govern blood and blood components. All blood and blood components introduced or delivered for introduction into interstate commerce are subject to section 351(a) of the Public Health Service Act (PHS Act) (42 U.S.C. 262(a)). FDA administers the information collection to prevent the introduction, transmission, or spread of communicable diseases through blood or blood components.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 262
21 USC 301 et seq.

Presidential Action:

-

Title:

[Medicaid] Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204 (CMS-10391)

Reference Number:

Omb Control Number:

0938-1134

Agency:

HHS/CMS

Received:

2026-01-29

Concluded:

2026-07-29

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
[Medicaid] Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204 (CMS-10391)

Key Information

Abstract

CMS-2328-FC requires a transparent, data-driven process for states to document that Medicaid beneficiaries have access to services covered under the Medicaid State plan to the extent that services are available to the general population in a geographic area. To meet the requirements of the final rule, states must conduct access review monitoring plans that measure: the extent that enrollee needs are met, the availability of care and qualified providers, service utilization and payment rate comparisons. The reviews will be conducted every three years for: primary care, physician specialists, behavorial health, and pre and post natal obstetric services (including labor and delivery). As states reduce or restructure provider payment rates or receive significant numbers of complaints from providers and beneficiaires about access to care, additional services must be included in the review plan and monitored for at least 3 years. We are soliciting comments on the services required for ongoing access reviews and the timelines associated with review and monitoring activities. The final rule also requires states have mechanisms for obtaining beneficiary and provider feedback on access to care, such as hotlines, surveys, ombudsman or other equivalent mechanisms and institute corrective action procedures should access issues be discovered through the access review and monitoring processes. Finally, when considering reductions to Medicaid payment rates the final rule requires states to undertake a process that gathers input from stakesholds and relies upon the information analyzed through the data reveiws on the proposed reduction or restructuring of Medicaid service payment rates.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 Stat. 1902

Presidential Action:

-
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