Medicare and Medicaid Programs; Electronic Health Record Incentive Program

ICR 201309-0938-017

OMB: 0938-1158

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2013-09-10
IC Document Collections
IC ID
Document
Title
Status
208653
New
208652
New
208651
New
208650
New
208649
New
208648
New
208647
New
208646
New
208645
New
208644
New
208643
New
208642
New
208641
New
195516
Modified
195515
Modified
195514
Modified
195513
Modified
195512
Modified
195511
Modified
195510
Modified
195509
Modified
195508
Modified
195507
Modified
195506
Modified
195505
Modified
195504
Modified
195503
Modified
195502
Modified
195501
Modified
195500
Modified
195499
Modified
195498
Modified
195497
Modified
195496
Modified
195495
Modified
195494
Modified
195493
Modified
195492
Modified
195491
Modified
195490
Modified
195489
Modified
195488
Modified
195487
Modified
195486
Modified
195485
Modified
195484
Modified
195483
Modified
195482
Modified
195481
Modified
ICR Details
0938-1158 201309-0938-017
Historical Active 201108-0938-001
HHS/CMS 20520
Medicare and Medicaid Programs; Electronic Health Record Incentive Program
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/21/2014
Retrieve Notice of Action (NOA) 09/13/2013
  Inventory as of this Action Requested Previously Approved
04/30/2015 6 Months From Approved
4,495,264 0 0
4,792,112 0 0
0 0 0

The Recovery Act expands the use of health information technology (HIT) and certified electronic health records (EHRs) to improve the quality and value of health care. The Recovery Act establishes incentive payments to Medicare, Medicaid, and Medicare Advantage Organization (MAO)-affiliated eligible professionals (EPs) and eligible hospitals and critical access hospitals (CAHs) to promote the adoption and meaningful use (MU) of interoperable HIT and EHRs. These provisions, together with Title XIII of Division A of the Recovery Act, may be cited as the "Health Information Technology for Economic and Clinical Health Act" or "HITECH Act" which authorizes CMS to develop the incentive programs, key to enticing providers to use HIT. All proposed information collection requirements are necessary to implement the HITECH Act. With this submission, we are creating a new PRA package for Medicare and Medicaid eligible professionals (EPs), eligible hospitals and CAHs. The functionality of certified EHR technology facilitates the implementation of meaningful use.

PL: Pub.L. 111 - 5 Title XIII:130001-13424 Name of Law: The American Recovery and Reinvestment Act of 2009
   PL: Pub.L. 111 - 5 Subtitle A - Section 3006 Name of Law: Health Information Technology for Economic and Clinical Health Act
   PL: Pub.L. 111 - 5 4101 Name of Law: Incentives for Eligible Professionals
   PL: Pub.L. 111 - 5 4103 Name of Law: Treatment of payments and savings; impelmentation funding
   PL: Pub.L. 111 - 5 4201 Name of Law: Medicaid Provider HIT adoption and operation payemtns; implementation funding
   PL: Pub.L. 111 - 5 4102 Name of Law: Incentives for Hospitals
  
PL: Pub.L. 111 - 5 Title XIII:130001-13424 Name of Law: The American Recovery and Reinvestment Act of 2009
PL: Pub.L. 111 - 5 Subtitle A - Section 3006 Name of Law: Health Information Technology for Economic and Clinical Health Act
PL: Pub.L. 111 - 5 4101 Name of Law: Incentives for Eligible Professionals
PL: Pub.L. 111 - 5 4103 Name of Law: Treatment of payments and savings; impelmentation funding
PL: Pub.L. 111 - 5 4201 Name of Law: Medicaid Provider HIT adoption and operation payemtns; implementation funding
PL: Pub.L. 111 - 5 4102 Name of Law: Incentives for Hospitals

Not associated with rulemaking

  78 FR 34387 06/07/2013
78 FR 53766 08/30/2013
No

49
IC Title Form No. Form Name
42 CFR 495.204(b)(2) (2012) Revenue reporting
42 CFR 495.204(b)(4) (2012) EPs-method
42 CFR 495.204(b)(5) or (b)(6)(2012) EPs-salary
42 CFR 495.210(b) (2012) EPs-attestation
42 CFR 495.306(a)(1)(i)
42 CFR 495.306(a)(1)(ii)(A)
42 CFR 495.306(a)(1)(ii)(B)
42 CFR 495.306(a)(2)
42 CFR 495.316
42 CFR 495.330(a) - average
42 CFR 495.348(c)
42 CFR 495.348(e)
42 CFR 495.348(f)
42 CFR 495.350--average
42 CFR 495.352 -- average
42 CFR 495.366 -- average
495.6 EHR Technology Used, Core Set Objectives/Measures (EPs)
495.6 - Menu Set Objectives/Measures (EPs) average
495.8 - CQMs for hospitals/CAHs
495.6 - EHR Technology Used, Core Set Objectives/Measures (Hospitals/CAHS)
495.6 - Menu Set Objectives/Measures (Hospitals/CAHs)
495.8 - CQMs for hospitals/CAHS
495.210 - Gather information for attestation (MA EPs)
42 CFR 495.8 (a)(1)- EHR Technology Used, Core Set Objectives/Measures & Quality Measures (EPs) (2011)
42 CFR 495.8 (a)(1)- Menu Set Objectives/Measures average (EPs) (2011)
42 CFR 495.8(a)(2) - EHR Technology Used & Core Set Objectives/Measures (EPs) (2012)
42 CFR 495.8 (a)(2)- Menu Set Objectives/ Measures average (EPs) (2012)
42 CFR 495.8 (a)(2)- Ambulatory Quality Measures (EPs) (2012)
42 CFR 495.8 (b)(1)-- EHR Technology Used, Core Set Objectives/Measures & Quality Measures (hospitals/CAHs) (2011)
42 CFR 495.8(b)(1) - Menu Set Objectives/ Measures average (hospitals/CAHs) (2011)
42 CFR 495.8 (b)(2)-- EHR Technology Used & Core Set Objectives/Measures (hospitals/CAHs) (2012)
42 CFR 495.8 (b)(2)- Menu Set Objectives/ Measures average (hospitals/CAHs) (2012)
42 CFR 495.8 (b)(2)- Hospital Quality Measures (hospitals/CAHs) (2012)
42 CFR 495.10(a)-(c) -- (EPs) (2011) average
42 CFR 495.10(d) - (EPs) (2012) average
42 CFR 495.10(e)(1) - (EPs) (2011) average
42 CFR 495.10(e)(2) - (EPs) (2012) average
42 CFR 495.10(a) (b) (hospital) (2011)
42 CFR 495.10(d) - (hospital) (2012)
42 CFR 495.202(b)(2) (2012) EPs-preliminary ID
42 CFR 495.202(b)(2) (2012) MA-affiliated hospitals-preliminary ID
42 CFR 495.202(b)(2) (2012) EPs-final ID
42 CFR 495.202(b)(2) (2012) MA-affiliated hospitals-final ID
495.210 - Attesting on behalf of MA EPs
495.210 - Total Cost of Attestation for Stage 2 (MA EPs)
495.210 - Gather information for attestation (MA-affiliated hospitals)
495.210 - Attesting on behalf of MA-affiliated hospitals
495.210 - Total cost of attestation for Stage 2 (MA-affiliated hospitals)
495.342 - Frequency of Health Information Technology (HIT) Implementation Advanced Planning Document (IAPD) Updates

  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 4,495,264 0 643,970 0 0 3,851,294
Annual Time Burden (Hours) 4,792,112 0 682,665 0 0 4,109,447
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The information collection has been revised to include the burden associated with Phase II of the program.

$21,666,666
No
No
No
No
Yes
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.
09/13/2013


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