Medicare Part B Drug and Biological Competitive Acquisition Program and Supporting Regulations in 42 CFR Sections 414.906, 414.908, 414.910, 414.914, 414.916, and 414.917
ICR 200805-0938-004
OMB: 0938-0954
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0954 can be found here:
Medicare Part B Drug and
Biological Competitive Acquisition Program and Supporting
Regulations in 42 CFR Sections 414.906, 414.908, 414.910, 414.914,
414.916, and 414.917
Section 303(d) of the MMA provides an
alternative payment methodology for Part B covered drugs that are
not paid on a cost or prospective payment basis. In particular,
Section 303(d) of the MMA amends Title XVIII of the Social Security
Act (the Act) by adding a new section 1847B, which establishes a
competitive acquisition program for the acquisition of and payment
for Part B covered drugs and biologicals furnished on or after
January 1, 2006.
PL:
Pub.L. 108 - 173 303(d)(1) Name of Law: Medicare Prescription
Drug, Improvement, and Modernization Act of 2003
PL:
Pub.L. 109 - 432 108 Name of Law: MIEA-TRHCA 2006
US Code: 42
USC 1395w-3b Name of Law: Competitive acquisition of outpatient
drugs and biologicals
The MIEA-TRHCA of 2006 required
the implementation of a post pay review process. Operationally,
this translates to the requirement that CAP vendors submit drug
administration verification information to CMS or its agent, though
this information collection requirement is exempt from the PRA.
Additionally, 42 CFR 414.906 allows a CAP vendor to voluntarily
submit requests to add or substitute drugs onto their CAP drug list
as needed. This was not reflected in the original PRA package and
has now been added. It is also exempt from the PRA. 42 CFR 414.908
requires data to be submitted to facilitate programmatic
operations. This was mentioned in the original PRA package, but the
language has been updated. 414.917 was added to reflect language
that requires information collection but is exempt from the PRA.
Please see the supporting statement for additional
information.
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Bonnie Harkless
4107865666
No
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:
(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;
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.