Responses_OMBsummary_122007

Responses_OMBsummary_122007.doc

Medicare Part D Reporting Requirements under 42 CFR section 423.505

Responses_OMBsummary_122007

OMB: 0938-0992

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Memo

To: Carolyn Leavitt, Office of Management and Budget

From: Alice Lee-Martin, Division of Clinical and Economic Performance,

MDBG, CBC

CC: Bonnie Harkless, OSORA

Date: February 5, 2021

Re: Responses to public comments on CMS-10185, 2007 Part D Reporting Requirements

In response to the Federal Register posting of document CMS-10185 2007 Part D Reporting Requirements on October 12, 2007, we received 16 sets of public comments by the November 13, 2007 deadline. Each set of comments may have addressed multiple reporting sections. The comments may be tabulated as follows:

  • 21 comments to Retail, Home Infusion and Long-term Care Pharmacy Access

  • 18 comments to Vaccines

  • 16 comments to Medication Therapy Management Programs

  • 14 comments to Home Infusion

  • 9 comments to Drug Benefit Analyses

  • 6 comments to Access to Extended Day Supplies at Retail Pharmacies

  • 5 comments to Grievances

  • 3 comments to P&T Committees/Provision of Part D Functions

  • 3 comments to Long-term Care Rebates

  • 3 General comments

  • 2 comments to Pharmaceutical Manufacturer Rebates, Discounts, and Other Price Concessions

  • 1 comment each to Transition, Exceptions, Appeals, Overpayment, and Reversals


Please see the attached document, Responses_2008 Part D Reporting Requirements_122007, which provides a summary of comments and our responses. Additionally, please see the attached document, CY2008_Part D reporting requirements, which reflects the changes made as a result of these comments. The net impact of these changes is a decrease in reporting burden associated with CY2008 reporting requirements.


Reporting section

Change

Effect to Reporting Burden

Retail, Home Infusion, and Long-Term Care Pharmacy Access

Reporting level changed from Plan (PBP) to Contract.

Decrease

Access to Extended Day Supplies at Retail Pharmacies

Reporting changed from biannual reporting of 6 mo data to annual reporting of 3 mo data. Reporting level changed from Plan (PBP) to Contract.

Decrease

Vaccines

Data elements clarified.

None

Reversals

Section deleted

Decrease

Home Infusion Utilization

Proposed section deleted

Decrease

Medication Therapy Management Programs

Some data elements in the MTM beneficiary file revised from required to optional.

Decrease

Long-term Care Rebates

Exemption of collecting rebates from LTC pharmacies serving less than 5% of LTC beds in the area is clarified that the term pharmacy represents a pharmacy organization at its highest level rather than the discrete NCPDP number or location.

None


Please contact me at [email protected] or 410 786-1103 if you have any questions. Thank you for your assistance.

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File TitleMemo
AuthorCMS
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File Modified2007-12-13
File Created2007-12-13

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