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Routine Notice Amended Final

Annual EPSDT Participation Report Information Collection

Favicon for www.regulations.gov Regs.gov: Centers for Medicare and Medicaid Services
Published May 6th, 2026
Detected April 7th, 2026
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Summary

CMS published a 30-day notice under the Paperwork Reduction Act announcing revisions to Form CMS-416, the Annual Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Participation Report. The collection assesses state effectiveness in providing early health screening, diagnostic, and treatment services to eligible Medicaid children. Public comments on the burden estimate are due May 6, 2026.

What changed

CMS published a Federal Register notice announcing a revision to the currently approved collection for Form CMS-416 (Annual EPSDT Participation Report), under OMB Control Number 0938-xxxx. The collection gathers baseline data from states on early and periodic screening services provided to eligible children, including dental, hearing, and vision services, as well as referrals for corrective treatment. The information is used by federal and state managers to evaluate EPSDT program effectiveness against state participation goals.

Interested persons should submit comments on burden estimates or any aspect of this information collection to the OMB desk officer by May 6, 2026 via www.reginfo.gov. State Medicaid agencies and healthcare providers participating in EPSDT programs should review the proposed revisions to assess any impact on reporting obligations. Copies of the supporting statement and forms are available on the CMS PRA website.

What to do next

  1. Submit comments to OMB desk officer by May 6, 2026 regarding the EPSDT reporting burden estimate
  2. Review proposed information collection revisions on the CMS PRA website
  3. Assess impact on state Medicaid EPSDT reporting obligations

Source document (simplified)

Content

ACTION:

Notice.

SUMMARY:

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to
publish notice in the
Federal Register
concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection
of information, and to allow a second opportunity for public comment on the notice. Interested persons are invited to send
comments regarding the burden estimate 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.

DATES:

Comments on the collection(s) of information must be received by the OMB desk officer by May 6, 2026.

ADDRESSES:

Written comments and recommendations for the proposed information collection should be sent within 30 days of publication
of this notice to www.reginfo.gov/public/do/PRAMain. Find this particular information collection by selecting “Currently under 30-day Review—Open for Public Comments” or by using
the search function.

To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice,
please access the CMS PRA website by copying and pasting the following web address into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

FOR FURTHER INFORMATION CONTACT:

William Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION:

Under the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from the Office
of Management and Budget (OMB) for each collection of information they conduct or sponsor. The term “collection of information”
is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and includes agency requests or requirements that members of the public
submit reports, keep records, or provide information to a third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A))
requires federal agencies to publish a 30-day notice in the
Federal Register
concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection
of information, before submitting the collection to OMB for approval. To comply with this requirement, CMS is publishing this
notice that summarizes the following proposed collection(s) of information for public comment.

  1. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Annual Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Participation Report; Use: The collected baseline data is used to assess the effectiveness of state early and periodic screening, diagnostic and treatment
    (EPSDT) programs in reaching eligible children (by age group and basis of Medicaid eligibility) who are provided initial and
    periodic child health screening services, referred for corrective treatment, and receiving dental, hearing, and vision services.
    This assessment is coupled with the state's results in attaining the participation goals set for the state. The information
    gathered from this report permits federal and state managers to evaluate the effectiveness of the EPSDT law on the basic aspects
    of the program. Form Number: CMS-416 (OMB control number 0938-0354); Frequency: Yearly; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 56; Total Annual Responses: 56; Total Annual Hours: 1,128. (For policy questions regarding this collection

    contact Deirdra Stockmann at 410-786-2433.)

  2. Type of Information Collection Request: Revision of a previously approved collection; Title of Information Collection: Initial Request for State Implemented Moratorium Form; Use: Congress has enacted section 1866 (j)(7) of the Social Security Act, which allows for the imposition of temporary moratorium.
    CMS promulgated 42 CFR 424.570 in order to comply with that statute, which requires that prior to implementing state Medicaid
    moratoria the state Medicaid agency must notify the Secretary in writing, including all of the details of the moratoria, and
    obtain the Secretary's concurrence with the imposition of the moratoria.

The Initial Request for State Medicaid Implemented Moratorium, named the “Initial Request for State Medicaid Implemented Moratorium”
has been created to collect that data, in a uniform manner, which the states report to CMS when they request a moratorium.
Currently, CMS is collecting this data on an ad-hoc basis, however this process needs to be standardized so that moratoria
decisions are being made based on the same criteria each time. The form may be used by states and territories who wish to
impose a Medicaid or Children's Health Insurance Program moratorium. CMS will use this information as a standardized method
to collect and track state-imposed moratoria requests. Form number: CMS-10628 (OMB control number: 0938-1328); Frequency: Occasionally; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 5; Number of Responses: 5; Total Burden Hours: 25. (For questions regarding this collection contact Alisha Sanders at 410-786-0671).

William N. Parham, III, Director, Division of Information Collections and Regulatory Impacts, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2026-06570 Filed 4-3-26; 8:45 am] BILLING CODE 4120-01-P

Download File

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Named provisions

Annual Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Participation Report Form CMS-416

Classification

Agency
CMS
Published
May 6th, 2026
Comment period closes
May 6th, 2026 (29 days)
Instrument
Notice
Legal weight
Non-binding
Stage
Final
Change scope
Minor
Document ID
CMS-2026-0166-0002
Docket
CMS-2026-0166

Who this affects

Applies to
Government agencies Healthcare providers
Industry sector
6211 Healthcare Providers 9211 Government & Public Administration
Activity scope
Healthcare Data Collection Medicaid Reporting
Geographic scope
United States US

Taxonomy

Primary area
Healthcare
Operational domain
Compliance
Compliance frameworks
HIPAA
Topics
Medicaid Public Health Administrative Law

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