2026-05743NoticeWallet

Medicare Agency Asks for Input on Streamlining Public Data Requests

Published Date: 3/25/2026

Notice

Summary

The Centers for Medicare & Medicaid Services (CMS) wants your feedback on their plan to keep collecting important info from the public. This helps them do their job better while making sure the paperwork isn’t too much of a hassle. If you have thoughts, you’ve got until April 24, 2026, to share them—no cost, just your voice!

Analyzed Economic Effects

2 provisions identified: 1 benefits, 1 costs, 0 mixed.

Exchanges Collect Applicant Eligibility Information

State and federal Exchanges, and Medicaid/CHIP agencies will collect information from applicants to determine eligibility for coverage through the Exchanges and insurance affordability programs (Medicaid, CHIP, and advance premium tax credits), to help enroll people in a Qualified Health Plan (QHP), and to verify ongoing eligibility, process appeals, and combat fraud. This reinstated collection (CMS-10468) is annual and lists 20 respondents and a total of 25,614 annual burden hours.

Medicare Plans Must Submit PBP and Formulary

Medicare Advantage (MA) and Prescription Drug Plan (PDP) organizations must submit a completed Plan Benefit Package (PBP) and formulary each year as part of the annual bid for the upcoming contract year (CMS Plan Benefit Package (PBP) and Formulary CY 2027). CMS uses the PBP and formulary to review and approve plan benefit packages and to populate the Medicare Plan Finder so beneficiaries can compare plans. This collection lists 764 respondents, 8,068 responses, and totals 44,178 annual burden hours.

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Key Dates

Published Date
Comments Due
3/25/2026
4/24/2026

Department and Agencies

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