In accordance
with 5 CFR 1320, the information collection is not approved at this
time. Prior to publication of the final rule, the agency should
provide to OMB a summary of all comments received on the proposed
information collection and identify any changes made in response to
these comments.
Inventory as of this Action
Requested
Previously Approved
36 Months From Approved
0
0
0
0
0
0
0
0
0
To request a hardship exemption for
any of the categories proposed, we are proposing that an eligible
professional or group practice participating in the 2011 eRx
provide to CMS the following: identifying information such as the
TIN, NPI, name, mailing address, and e mail address of all affected
eligible professionals; the significant hardship exemption
category(ies) that apply; a justification statement describing how
compliance with the requirement for being a successful electronic
prescriber for the 2012 eRx payment adjustment during the reporting
period would result in a significant hardship to the eligible
professional or group practice; and an attestation of the accuracy
of the information provided. The justification statement should be
specific to the category under which the eligible professional or
group practice is submitting its request and must explain how the
exemption applies to the professional or group practice. CMS will
review the information submitted by each eligible professional and
group practice on a case-by-case basis. In addition, we are
proposing that an eligible professional or group practice must,
upon request, provide additional supporting documentation if there
is insufficient information (such as, but not limited to, a TIN or
NPI that we cannot match to the Medicare claims, a certification
number for the certified EHR technology that does not appear on the
list of certified EHR technology, or an incomplete justification
for the significant hardship exemption request) to justify the
request or make the determination of whether a significant hardship
exists. We also are proposing that eligible professionals or group
practices would be able to submit significant hardship exemption
requests using a web-based tool or interface. In the event that
such a website is not available, an eligible professional or group
practice would be required to send us an application for a hardship
exemption with such information by mail.
PL:
Pub.L. 110 - 275 132 Name of Law: MEDICARE IMPROVEMENTS FOR
PATIENTS AND PROVIDERS ACT OF 2008
PL:
Pub.L. 111 - 5 Division B Name of Law: MEDICARE AND MEDICAID
HEALTH INFORMATION TECHNOLOGY;MISCELLANEOUS MEDICARE PROVISIONS
PL: Pub.L. 110 - 275 132 Name of Law:
MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT OF
2008
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.
CMS-10397.eRx Hardship - Supportingn Statement Part A.docx
Submission of Significant Hardship Exemption to Avoid the eRx Payment Adjustment