| Subpart | Original # Respondents | 2006 Estimate - Burden Hours | # Respondents (CY 2009 - 209) | # of Responses | Time per response (in hours) | 2008 Revised BurdenEstimate | Exempt/Separate PRA | Division |
| J—Coordination of Part D Plans with Other Prescription Drug Coverage | ||||||||
| 423.464 Coordination of Benefits | ||||||||
| Part D sponsors | ||||||||
| Revise payer systems to receive N transactions from Troop Facilitator | 370 | 22200 | 10 | 1 | 60 | 600 | ||
| Processing claims through TrOOP facilitator (Receiving Ns) | 370 | 592000 | 209 | 154738 | 0.000138889 | 4492 | ||
| Entering OHI into PDP sponsor systems | 370 | 246790 | 209 | 1 | 0.0166 | 3 | ||
| Submission of Lump Sum | 370 | 22200 | 209 | 1 | 60 | 12540 | ||
| Programming for Automatic Troop Balance Transfer (ATBT) (New CY 2009) | n/a | n/a | 209 | 1 | 40 | 8360 | ||
| ATBT exchanges and updates transactions (New CY 2009) | n/a | n/a | 209 | 52,632 | 0.000138889 | 1528 | ||
| Pharmacies | ||||||||
| Eligibility Queries | 55413 | 132753 | 55855 | 1182 | 0.011574074074074 | 764127 | ||
| States/Secondary Payers | ||||||||
| Submission of VDSAs | 636 | 318 | n/a | n/a | n/a | Already collected for MSP purposes - Separate PRA 0938-214 | OFM | |
| Submission of Enrollment Files | 636 | 382 | n/a | n/a | n/a | Already collected for MSP purposes - Separate PRA 0938-215 | OFM | |
| State Attestations | 21 | 10.5 | 39 | 1 | 2 | 78 | ||
| Lump Sum Negotiations | 21 | 1260 | 39 | 1 | 60 | 2340 | ||
| 1017913.5 | 56988 | 208558 | 222.028451852074 | 794068 | ||||
| 3.65968274022601 | 14 | responses per respondent/ yr | ||||||
| 0.011574074074074 |
| Source | ||
| 2008 Sponsors | HPMS | |
| 209 | Parent Organizations | HPMS |
| 87 | PDPs | HPMS |
| 605 | MA-PDs | HPMS |
| Ave. monthly enrollment | 25.4 | HPMS |
| % enrollees w/ OHI | 23% | See OHI tab |
| # enrollees w/OHI | 5.842 | |
| 38,934 chain pharmacies & 16,921 independents. Total – 55,314 * Source – NACDS 2007 data. |
| Subpart | # Respondents | # of Responses | Time per response (in hours) | 2008 Revised Burden Estimate | GS-11/6 Hourly Rate (2008) | Estimated Cost | Exempt/Separate PRA |
| J—Coordination of Part D Plans with Other Prescription Drug Coverage | |||||||
| 423.464 Coordination of Benefits | |||||||
| Part D sponsors | |||||||
| Revise payer systems to receive N transactions from Troop Facilitator | 10 | 1 | 60 | 600 | $26.92 | $16,152.00 | |
| Processing claims through TrOOP facilitator (Receiving Ns) | 209 | 154738 | 0.000138889 | 4492 | $26.92 | $120,916.67 | |
| Entering OHI into PDP sponsor systems | 209 | 1 | 0.0166 | 3 | $26.92 | $93.40 | |
| Submission of Lump Sum | 209 | 1 | 60 | 12540 | $26.92 | $337,576.80 | |
| Programming for Automatic Troop Balance Transfer (ATBT) (New CY 2009) | 209 | 1 | 40 | 8360 | $26.92 | $225,051.20 | |
| ATBT exchanges and updates transactions (New CY 2009) | 209 | 52632 | 0.000138889 | 1528 | $26.92 | $41,128.14 | |
| Pharmacies | |||||||
| Eligibility Queries | 55855 | 1182 | 0.0166 | 1095942 | $26.92 | $29,502,762.03 | |
| States/Secondary Payers | |||||||
| Submission of VDSAs | n/a | n/a | n/a | ||||
| Submission of Enrollment Files | n/a | n/a | n/a | ||||
| State Attestations | 39 | 1 | 2 | 78 | $26.92 | $2,099.76 | |
| Lump Sum Negotiations | 39 | 1 | 60 | 2340 | $26.92 | $62,992.80 | |
| 56988 | 208558 | 222.033477778 | 1125883 | $26.92 | $30,308,772.80 | ||
| $30,308,772.80 | |||||||
| 20 | 0.00106461261509 |
| Total # Responses | # Respondents | # per Respondent | ||||
| Total N transactions for all sponsors (9/2007 - 10/2008) | 32340162 | 209 | 154737.61722488 | |||
| Total estimated ATBT transactions | 11,000,000 | 209 | 52631.5789473684 | |||
| Total Eligibility Queries | 66067290 | 55855 | 1182.83573538627 | |||
| Source: TrOOP Facilitation Contractor/Deborah Larwood |
| File Type | application/vnd.ms-excel |
| Author | CMS |
| Last Modified By | CMS |
| File Modified | 2009-05-27 |
| File Created | 2008-01-10 |