Medicaid and Children's Health Insurance Plan (CHIP) Managed Care

ICR 200909-0938-007

OMB: 0938-0994

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement B
2009-09-25
Supporting Statement A
2009-09-25
IC Document Collections
ICR Details
0938-0994 200909-0938-007
Historical Active 200711-0938-005
HHS/CMS
Medicaid and Children's Health Insurance Plan (CHIP) Managed Care
Revision of a currently approved collection   No
Regular
Approved without change 11/06/2009
Retrieve Notice of Action (NOA) 09/29/2009
  Inventory as of this Action Requested Previously Approved
11/30/2012 36 Months From Approved 11/30/2009
28,050 0 23,400
28,050 0 23,400
0 0 0

Payment Error Rate Measurement (PERM) is established to comply with Improper Payment Information Act (IPIA) of 2002. The program measures improper payments in both Medicaid and State Children's Health Insurance Program (SCHIP). Each PERM cycle will measure payment errors in 17 randomly selected states, so that each state will be measured once every three years. PERM measure three components in each program: fee-for-service, managed care, and eligibility. The payment error in the three components will be combined to calculate an annual payment error rate in Medicaid and CHIP.

PL: Pub.L. 107 - 300 1902 Name of Law: Improper Payment Information Act (IPIA) of 2002
  
None

Not associated with rulemaking

  74 FR 36717 07/24/2009
74 FR 48792 09/25/2009
No

1
IC Title Form No. Form Name
Medicaid and Children's Health Insurance Plan (CHIP) Managed Care

  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 28,050 23,400 0 4,650 0 0
Annual Time Burden (Hours) 28,050 23,400 0 4,650 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a revision of a current approved collection with minor adjusted information requirement collection. There is a 10-hour increase in burden per State per program as part of a new process. Based on the past experience in PERM operation, the adjustment is made to ensure the quality of the data will comply with the data requirement during the measurement.

$5,275,571
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
No
Uncollected
William Parham 4107864669

  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.
09/29/2009


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