Medicare and Medicaid Programs OASIS Collection Requirements as Part of the CoPs for HHAs and Supp. Regs. in 42 CFR 48.55, 484.205, 484.245, 484.250

Forms and Documents

Document Name	Status
Form CMS-R-245 Medicare and Medicaid Programs OASIS Collection Requirements (Data collection) Form and Instruction	Modified
Form CMS-R-245 Medicare and Medicaid Programs OASIS Collection Requirements (Training) Form and Instruction	Modified
CMS-R-245 OASIS-C Public Comments and Responses 2-25-2009.pdf Supplementary Document	2009-03-17
CMS-R-245 OASIS-C PRA - Attachment A - Comparison of OASIS-C to current OASIS-B1 2-26-2009.pdf Supplementary Document	2009-03-17
CMS-R-245 OASIS-C PRA Revised Supporting Statement 2-25-2009.pdf Supporting Statement A	2009-03-17

IC Document Collections

IC ID	Document Title	Status
43666	Medicare and Medicaid Programs OASIS Collection Requirements (Data collection) Form and Instruction	Modified
180130	Medicare and Medicaid Programs OASIS Collection Requirements (Training) Form and Instruction	Modified

ICR Details

OMB Control No: 0938-0760	ICR Reference No: 200904-0938-014
Status: Historical Active	Previous ICR Reference No: 200705-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare and Medicaid Programs OASIS Collection Requirements as Part of the CoPs for HHAs and Supp. Regs. in 42 CFR 48.55, 484.205, 484.245, 484.250
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/27/2009
	Date Received in OIRA: 04/27/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2012	36 Months From Approved	09/30/2010
Responses	14,960,070	0	11,986,053
Time Burden (Hours)	15,590,610	0	9,050,817
Cost Burden (Dollars)	0	0	0

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Abstract: This request is for OMB approval to modify the Outcome and Assessment Information Set (OASIS) data set that home health agencies (HHAs) are required to collect in order to participate in the Medicare program. Proposed revisions to the OASIS data set include: 1) issues raised by stakeholders, including removing items that are not currently used by CMS for payment or quality, adding items to address clinical domains not currently covered, and modifying item wording or response categories for selected items; and 2) the addition of process items that support measurement of evidence-based practices for both internal agency quality improvement efforts and public quality reporting purposes. Under Contract Number HHSM 500-2005-00018I T.O.#2, Home Health Quality Measures and Data Analysis, awarded September 2006, Abt Associates and their subcontractors University of Colorado Health Sciences Center and Case Western University assisted CMS with development and testing of the proposed OASIS refinements. Data collection activities were conducted from May to September 2008. HHA clinicians conducted assessments using the entire revised OASIS instrument to assess burden, and pairs of assessors assessed inter-rater reliability. Process items were compared with data in the patient record and with patient OASIS data for verification. Quality Measures utilizing the new items have been submitted to the National Quality Forum for endorsement. Analysis of the data has indicated that the proposed modifications to the data set will have minimal impact on time required to collect and report OASIS.

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Authorizing Statute(s): PL: Pub.L. 109 - 171 5201(c)(2) Name of Law: Deficit Reduction Act of 2005: Home health - pay for reporting of quality information
   PL: Pub.L. 105 - 33 4601(e) Name of Law: Balanced Budget Act of 1997 (authority for collecting data required for casemix system)
   US Code: 42 USC 1395x Name of Law: DEFINITIONS OF SERVICES, INSTITUTIONS, ETC; Home Health Agency
   US Code: 42 USC 1395bbb Name of Law: Conditions of participation for home health agencies; home health quality
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 67518	11/14/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 10050	03/09/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Medicare and Medicaid Programs OASIS Collection Requirements (Data collection)	CMS-R-245	CMS-R-245.OASIS Instrument
Medicare and Medicaid Programs OASIS Collection Requirements (Training)	CMS-R-245	Outcome and Assessment Information Set (OASIS-B1)

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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	14,960,070	11,986,053	0	0	2,974,017	0
Annual Time Burden (Hours)	15,590,610	9,050,817	0	0	6,539,793	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

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: $2,075,000

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)? No

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: 04/27/2009

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