Burden Estimate Table

MDBGpraestimate_COB_06_17_2013.xls

Coordination of Benefits between Part D Plans and Other Prescription Coverage Providers

Burden Estimate Table

OMB: 0938-0978

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Overview

Estimates Table
2013Contracts&Pharmacies
Beneficiary Information


Sheet 1: Estimates Table

Subpart # Respondents (CY 2010 - 196 sponsors, 39 states, 56,000 pharmacies) 2010 Approved Estimate - Burden hours # Respondents (CY 2013 - 211 sponsors, 39 states, 56,000 pharmacies) # of Responses Time per response (in hours) 2013 Revised Estimate - Burden hours Exempt/Separate PRA




J—Coordination of Part D Plans with Other Prescription Drug Coverage











423.464 Coordination of Benefits











Part D sponsors











Revise payer systems to receive N transactions from Troop Facilitator 10 600 10 1 60.0000 600





Processing claims through TrOOP facilitator (Receiving Ns) 196 5,210 211 2,172,000 0.000139 63,652





Entering OHI into PDP sponsor systems 196 3 211 1 0.0166 4





Submission of Lump Sum 196 11,760 211 1 60.0000 12,660





Programming for Automatic Troop Balance Transfer (ATBT) (New CY 2009) 196 7,840 211 1 40.0000 8,440





ATBT exchanges and updates transactions 196 1,520 211 225,075 0.0001 6,596





ATBT additional programming. 196 3,499 10 1 17.8500 179





Pharmacies











Eligibility Queries 56,000 724,158 56,000 5,500 0.0166 5,112,800





States/Secondary Payers











Submission of VDSAs n/a
n/a n/a n/a
Already collected for MSP purposes - Separate PRA 0938-0214




Submission of Enrollment Files n/a
n/a n/a n/a
Already collected for MSP purposes - Separate PRA 0938-0214




State Attestations 39 78 39 1 2.0000 #N/A





Lump Sum Negotiations 2 120 2 1 60.0000 #N/A






57,227 754,788 57,116 2,402,582 240 #N/A


































# respondents

57,116








Ave time per response

#N/A








Ave # responses per respondent

42








Annual # responses

2,402,582



#N/A



Annual hour burden

#N/A






Sheet 2: 2013Contracts&Pharmacies

Below are the results for 2013 Part D as of today.


# of Parent Organizations** 211









39,000 chain + 17000 independent

Sheet 3: Beneficiary Information





Total # Responses # Respondents Responses per respondent
Total N transactions for all sponsors (4/2012-3/2013) 


458,277,000 211 2171929
Total  estimated ATBT transactions


47,490,800 211 225075
Total Eligibility Queries


308,000,000 56000 5500





















Source:  Transaction Facilitation Contractor


























% enrollees w/ other health insurance OHI 23%




# enrollees w/OHI 0




File Typeapplication/vnd.ms-excel
AuthorCMS
Last Modified ByDeborah Larwood
File Modified2013-06-18
File Created2008-01-10

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