(CMS-10391) Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement - Part B 2328-P [rev 05-10-11].doc	Supporting Statement B	Uploaded 2011-05-10	Available
Supporting Statement - Part A CMS 2328-P [rev 05-10-11].doc	Supporting Statement A	Uploaded 2011-05-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
197692	Public Process to Engage Stakeholders (sec. 447.204(a)(1) and (2)		New
197691	Corrective Action Plan (sec. 447.203(b)(5))		New
197690	Beneficiary Feedback (sec. 447.203(b)(4))		New
197689	Monitoring Access (sec. 447.203(b)(3)(ii))		New
197688	Documentation of Access to Care and Service Payment Rates (sec. 447.203(b)(1) - (3))		New

ICR Details

OMB Control No: 0938-1134	ICR Reference No: 201105-0938-005
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: (CMS-10391) Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 06/13/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/13/2011
Terms of Clearance: Approval will be contingent on the content of the collection as it relates to the provisions of the final rule.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: CMS 2328-P proposes a standardized process for States to follow to demonstrate that Medicaid beneficiaries have access to services covered under the Medicaid State plan to the extent that services are available to the general population in a geographic area. To meet the requirements of the proposal, States will need to measure a three-part framework of: enrollee needs, the availability of care and providers, and service utilization. The review would be conducted for a subset of covered services each year over five-year intervals and, specifically, for services for which a State intends to reduce or restructure payment rates within 12 months of reducing or restructuring the rates. The proposal also requires that States develop ongoing monitoring procedures after reducing or restructuring payments through which they periodically review measures of sustained access to care for the affected service(s). The periodic reviews are intended to help a State fulfill its ongoing responsibility to assure access to covered services consistent with the Act and form a solid, informed basis by which a State and CMS can consider how any proposed changes might affect access. In addition, States would need to have a mechanism for obtaining beneficiary feedback on access to care, such as hotlines, surveys, ombudsman or other equivalent mechanisms and institute a corrective action procedure should access issues be discovered through the access review and monitoring processes. Finally, when considering reductions to Medicaid payment rates the NPRM requires States undertake a public process that solicits input on the potential impact of the proposed reduction or restructuring of Medicaid service payment rates on beneficiary access to care.

---

Authorizing Statute(s): Statute at Large: 42 Stat. 1902
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AQ54	Proposed rulemaking	76 FR 26342	05/06/2011

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Beneficiary Feedback (sec. 447.203(b)(4))
Corrective Action Plan (sec. 447.203(b)(5))
Documentation of Access to Care and Service Payment Rates (sec. 447.203(b)(1) - (3))
Monitoring Access (sec. 447.203(b)(3)(ii))
Public Process to Engage Stakeholders (sec. 447.204(a)(1) and (2)

---

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:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 05/13/2011

---