# 2026-19707: CMS Seeks Comments on Medicaid Paperwork Drudgery

2026-19707, Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request, is a Federal Register notice from Health and Human Services Department, Centers for Medicare & Medicaid Services published 2026-09-25, effective Comments must be received by October 9, 2026.; PRIA reads it as touching household money (as of 2026-10-02).

- Canonical: https://policyrisk.com/federal-register/2026-19707
- As of: 2026-10-02
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Document number: 2026-19707
- Title: Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request
- Type: Notice
- Agencies: Health and Human Services Department; Centers for Medicare & Medicaid Services
- Citation: 91 FR 60959
- Published: 2026-09-25
- Effective: Comments must be received by October 9, 2026.
- Comments close: 2026-10-09
- Significant: no
- Touches household money: yes
- Regulation identifier numbers: none
- Last updated: 2026-10-02

## In one line

CMS Seeks Comments on Medicaid Paperwork Drudgery

## Summary

The Centers for Medicare & Medicaid Services (CMS) wants your thoughts on their plan to keep collecting simple, low-burden info about Medicaid and CHIP programs. This helps them improve how they manage state plans, waivers, and reports without causing extra hassle. If you have ideas or concerns, speak up by October 9, 2026—your input can shape smoother healthcare paperwork!

## Abstract

On May 28, 2010, the Office of Management and Budget (OMB) issued Paperwork Reduction Act (PRA) guidance related to the "generic" clearance process. Generally, this is an expedited process by which agencies may obtain OMB's approval of collection of information requests that are "usually voluntary, low- burden, and uncontroversial collections," do not raise any substantive or policy issues, and do not require policy or methodological review. The process requires the submission of an overarching plan that defines the scope of the individual collections that would fall under its umbrella. On October 23, 2011, OMB approved our initial request to use the generic clearance process under control number 0938-1148 (CMS- 10398). It was last approved on April 26, 2021, via the standard PRA process which included the publication of 60- and 30-day Federal Register notices. The scope of the April 2021 umbrella accounts for Medicaid and CHIP State plan amendments, waivers, demonstrations, and reporting. This Federal Register notice seeks public comment on one or more of our collection of information requests that we believe are generic and fall within the scope of the umbrella. Interested persons are invited to submit comments regarding our burden estimates or any other aspect of this collection of information, including: the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.

## Effects PRIA read

- CHIP plan adds non‑payment assurance: cost, high. CMS revised the CHIP State Plan Application template (Form CMS-10398 #34, OMB 0938-1148) to add an assurance that the State Medicaid agency does not make payment under the CHIP plan for sex-rejecting procedures for children under the age of 19. This revision is part of the generic information colle…
- Medicaid SPA collects FFP non‑claim assurance for minors: cost, high. CMS created a new Medicaid State Plan Amendment (SPA) template (Form CMS-10398 #97, OMB 0938-1148) tied to the August 13, 2026 final rule (CMS-2451-F) to collect an assurance that the Medicaid agency does not claim Federal financial participation (FFP) under the plan for sex-rejecting procedures fo…
- Medicaid prior‑authorization timeframes required: benefit, medium. CMS issued a new Medicaid SPA template (Form CMS-10398 #102, OMB 0938-1148) to simplify state submissions that add assurances required by the January 17, 2024 Interoperability and Prior Authorization final rule (CMS-0057-F). That rule introduced decision timeframes for prior authorization requests…

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## Sources
- [2026-19707 on federalregister.gov](https://www.federalregister.gov/documents/2026/09/25/2026-19707/medicaid-and-childrens-health-insurance-program-chip-generic-information-collection-activities)
- [2026-19707 as published (PDF)](https://www.govinfo.gov/content/pkg/FR-2026-09-25/pdf/2026-19707.pdf)

## Related
- [Previous: 2026-19706, Draft NIH Policy on Sharing Summary Level Study Results With Clinical Research…](https://policyrisk.com/federal-register/2026-19706)
- [Next: 2026-19715, Sunshine Act Meetings](https://policyrisk.com/federal-register/2026-19715)
- [All Federal Register documents](https://policyrisk.com/federal-register)

Source: PRIA, https://policyrisk.com/federal-register/2026-19707 (as of 2026-10-02).