2025-09138NoticeWallet

CMS Asks the Public About Collecting More Information

Published Date: 5/21/2025

Notice

Summary

CMS wants your thoughts on their plan to collect info from the public and is asking for comments by July 21, 2025. This affects anyone who might provide data to CMS, aiming to make the process clearer and less of a hassle. They’re looking to improve how they gather info without costing extra time or money.

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Exchange Eligibility & Enrollment Data

If you apply for coverage through an Exchange, CMS-10468 information will be collected by Exchanges, Medicaid, or CHIP agencies to determine eligibility for Medicaid, CHIP, and advance payments of the premium tax credit, and to help enroll you in a Qualified Health Plan (QHP). CMS reports 20 respondents, 20 total annual responses, and 25,614 total annual hours for this collection; it is listed as annually.

Federal External Review Information Collection

When a health benefit claim is denied, HHS collects information under CMS-10338 to support the federal external review process and provide an independent review of denied claims. CMS lists 91,355 respondents, 375,202 total annual responses, and 861,785 total annual hours for this occasional collection.

Form to Appoint Medicare Representatives

You or someone acting for you must complete form CMS-1696 when you appoint a representative to act on your behalf for Medicare claims and appeals under 42 CFR 405.910. CMS estimates 208,173 respondents and 52,043 total annual hours for this form, and it is filed occasionally.

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Key Dates

Published Date
Effective Date
5/21/2025
7/21/2025

Department and Agencies

Department
Independent Agency
Agency
Health and Human Services Department
Centers for Medicare & Medicaid Services
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