Supporting Statement Part A
Elimination of Cost-Sharing for Full Benefit Dual-Eligible Individuals Receiving Home and Community-Based Services
CMS-10344, OCN 0938-1127
Background
This provision eliminates Part D cost-sharing for full benefit dual-eligible beneficiaries who are receiving home and community based services. To implement this provision, States are required to identify, in their monthly MMA Phase Down reports, the affected beneficiaries.
A. Justification
1 . Need and Legal Basis
This provision is mandated by section 3309 of the Affordable Care Act. In order to comply with the law, CMS must set the Part D copayment level to zero for the affected beneficiaries. States are the only source of data identifying full benefit dual-eligible beneficiaries who are receiving home and community-based services.
2. Information Users
States submit an MMA Phase Down report to CMS at least monthly. The data identifying the affected individuals are included in the state reports.
3. Use of Information Technology
State MMA Phase Down reports are submitted to CMS electronically.
4. Duplication of Efforts
This information collection does not duplicate any other effort and the information cannot be obtained from any other source.
5. Small Businesses
Not applicable.
6. Less Frequent Collection
States are required to submit the MMA Phase Down reports to CMS at least monthly.
7. Special Circumstances
Not applicable.
8. Federal Register/Outside Consultation
The 60-day Federal Register notice published on October 4, 2013 (78 FR 61848). No comments were received.
9. Payments/Gifts to Respondents
Not applicable.
10. Confidentiality
Not applicable.
11. Sensitive Questions
Not applicable.
12. Burden Estimates (Hours & Wages)
The information collection burden per State is estimated to be 1 hour per month or 612 hours in each fiscal year for 51 State Medicaid agencies (50 States and the District of Columbia). Assuming an hourly salary of $34.10 for computer programmers, we estimate an ongoing cost of $20,862 per fiscal year.
13. Capital Costs
Not applicable.
14. Cost to Federal Government
None.
15. Changes to Burden
While there are no program changes, we are adjusting our burden estimates by removing start-up costs that have already been met. The start-up costs were $34,782, which represented 20 hours of effort per State (51 jurisdictions), for a total of 1,020 hours.
16. Publication/Tabulation Dates
Not applicable.
17. Expiration Date
Not applicable.
18. Certification Statement
There are no exceptions to the certification statement.
Collections of Information Employing Statistical Methods
Not applicable. Statistical methods are not associated with this collection.
| File Type | application/msword |
| Author | CMS |
| Last Modified By | Mitch Bryman |
| File Modified | 2013-12-24 |
| File Created | 2013-12-24 |