Skilled Nursing Facility (SNF) Minimum Data Set (MDS) 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) Item Sets (NP, NO/SO, NS, NOD, NSD)
ICR 201310-0938-013
OMB: 0938-1140
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1140 can be found here:
Skilled Nursing Facility
(SNF) Minimum Data Set (MDS) 3.0 Nursing Home and Swing Bed
Prospective Payment System (PPS) Item Sets (NP, NO/SO, NS, NOD,
NSD)
Skilled Nursing Facilities (SNFs) will
be required to submit a Change of Therapy (COT) Other Medicare
Required Assessment (OMRA) to administer the payment rate
methodology. This additional assessment is subject to the Paperwork
Reduction Act. The burden associated with this is the SNF staff
time required to complete the COT OMRA for the Minimum Data Set
(MDS), SNF staff time to encode, and SNF staff time spent in
transmitting the data.
US Code:
42 USC 1395yy(e) Name of Law: Payment to Skilled Nursing
Facilities for Routine Costs
PL:
Pub.L. 105 - 33 4432(a) Name of Law: Prospective Payment for
Skilled Nursing Facilities
This package incorporates all
PPS assessment item sets. When we presented NO/SO for PRA
consideration for FY 2011, the form was used as a proxy for the NP,
NS, NOD and NSD Item sets inasmuch as it included all MDS payment
items which were required to be considered under the PRA. According
to CASPER, there were 15,376 skilled nursing facilities certified
to participate in the Medicare program during FY 2012. We had
previously estimated 14,266 facilities. We are also adjusting the
number of responses per respondent from 62 to 416. Additionally, we
are adding Item O0420 to the MDS 3.0 form as discussed in RIN
0938-AR65 (CMS-1446-F). We do not believe this action will cause
any measurable adjustments to our burden estimates. Consequently,
we are not revising the associated estimates.
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.