Collection of Managed Care Data Using the Uniform Institutional Providers Form and Supporting Statute -- 1853(a)(3) of BBA

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
8354	Collection of Managed Care Data Using the Uniform Institutional Providers Form and Supporting Statute -- 1853(a)(3) of BBA Form	Migrated

ICR Details

OMB Control No: 0938-0711	ICR Reference No: 199712-0938-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Collection of Managed Care Data Using the Uniform Institutional Providers Form and Supporting Statute -- 1853(a)(3) of BBA
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 12/31/1997
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/15/1998
	Date Received in OIRA: 12/23/1997
Terms of Clearance: Approved for use through 7/98 under the following conditions: 1) Until OMB approves the second OPL pursuant to emergency PRA clearance procedures, HCFA must accept either the transmission of the UB-92 or notification by a plan that it is waiting to evaluate the alternative method. HCFA will clarify this policy in a letter to the plans within the next two weeks; 2) the next PRA submission will include a detailed description and assessment of the practical utility of the proposed alternative method and other options under consideration, an evaluation of the desirability of extending acceptance of the alternative method to plan transmissions starting July 1st, more detailed descriptions of the data and calculations supporting various risk adjustment methodologies under consideration, an assessment of universal reporting versus sampling, and any milestones for ensuring that plans have the capability to transmit data directly to F.I.s by July 1998. OMB is concerned that HCFA released this OPL before receiving OMB approval. OMB recognizes the challenges faced by HCFA in meeting its BBA deadlines but emphasizes that HCFA must comply with the Paperwork Reduction Act and offer the public reasonable opportunity to evaluate and comment on policies. OMB applauds HCFA's efforts to coordinate with the Data Council; the next PRA submission must explicitly reflect this coordination and Data Council recommendations. Finally, as discussed with HCFA, OMB's approval remarks dated 6/30/95 on the HCFA-1500 (0938-0008) also apply to this collection, as well as the UB-92 clearance package that will be submitted to OMB in the near future.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/1998	07/31/1998
Responses	1,900,000	0	0
Time Burden (Hours)	32,833	0	0
Cost Burden (Dollars)	43,000,000,000	0	0

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Abstract: Section 1853(a)(3) of the Balanced Budget Act (BBA) requires Medicare+Choice organizations, as well as eligible organizations with risk-sharing contracts under section 1876, to submit encounter data. Data regarding inpatient hospital services are required for periods beginning on or after July 1, 1997. This data collection package describes submission of data from health plans to HCFA.

Emergency Justfication:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Collection of Managed Care Data Using the Uniform Institutional Providers Form and Supporting Statute -- 1853(a)(3) of BBA	HCFA-R-224

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,900,000	0	0	1,900,000	0	0
Annual Time Burden (Hours)	32,833	0	0	32,833	0	0
Annual Cost Burden (Dollars)	43,000,000,000	0	0	43,000,000,000	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/23/1997

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