Supporting Statement – Part A
Supporting Statement For Paperwork Reduction Act Submissions
A. Background
This provision will eliminate Part D cost-sharing for full benefit dual-eligible beneficiaries who are receiving home and community based services. To implement this provision, States will be required to identify, in their monthly MMA Phase Down reports, the affected beneficiaries.
B. Justification
1 . Need and Legal Basis
This provision is mandated by section 3309 of the Affordable Care Act. In order to comply with the law, CMS must set the Part D copayment level to zero for the affected beneficiaries. States are the only source of data identifying full benefit dual-eligible beneficiaries who are receiving home and community-based services.
2. Information Users
States submit an MMA Phase Down report to CMS at least monthly. The newly required data identifying the affected individuals will be included in the state reports.
3. Use of Information Technology
State MMA Phase Down reports are submitted to CMS electronically.
4. Duplication of Efforts
This information collection does not duplicate any other effort and the information cannot be obtained from any other source.
5. Small Businesses
Not applicable.
6. Less Frequent Collection
States are required to submit the MMA Phase Down reports to CMS at least monthly.
7. Special Circumstances
Not applicable.
8. Federal Register/Outside Consultation
The final regulation published on April 15, 2011 (76 FR 21432).
9. Payments/Gifts to Respondents
Not applicable.
10. Confidentiality
Not applicable.
11. Sensitive Questions
Not applicable.
12. Burden Estimates (Hours & Wages)
We estimate that the cost to States to comply with this provision to include a one-time start-up cost of $34, 782 in FY 2011. This amount is based on an assumed hourly salary of $34.10 for computer programmers and 20 hours of effort per State, for a total of 1,020 hours.
Once implemented, the information collection burden per State is estimated to be 1 hour per month or 612 hours in each fiscal year for 51 State Medicaid agencies (50 States and the District of Columbia). Assuming an hourly salary of $34.10 for computer programmers, we estimate an ongoing cost of $20,862 per fiscal year.
13. Capital Costs
Not applicable.
14. Cost to Federal Government
None.
15. Changes to Burden
See # 12.
16. Publication/Tabulation Dates
Not applicable.
17. Expiration Date
Not applicable.
18. Certification Statement
Not applicable.
| File Type | application/msword |
| Author | CMS |
| Last Modified By | CMS |
| File Modified | 2011-04-18 |
| File Created | 2011-04-18 |