The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)

ICR 201401-0938-012

OMB: 0938-0763

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0938-0763 201401-0938-012
Historical Active 201301-0938-007
HHS/CMS 21328
The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)
Revision of a currently approved collection   No
Regular
Approved without change 05/08/2014
Retrieve Notice of Action (NOA) 01/24/2014
As this ICR is associated with the issuance of annual guidance, this ICR is approved for one year.
  Inventory as of this Action Requested Previously Approved
05/31/2015 36 Months From Approved 05/31/2014
6,169 0 6,070
57,477 0 56,710
0 0 4,366,651

CMS requires that MA and PDP organizations submit a completed formulary and PBP as part of the annual bidding process. During this process, organizations prepare their proposed plan benefit packages for the upcoming contract year and submit them to CMS for review and approval.

PL: Pub.L. 108 - 173 101 Name of Law: Prescription Drug, Improvement, and Modernization Act of2003 (MMA)
  
None

Not associated with rulemaking

  78 FR 65656 11/01/2013
79 FR 3208 01/17/2014
Yes

  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 6,169 6,070 0 0 99 0
Annual Time Burden (Hours) 57,477 56,710 0 0 767 0
Annual Cost Burden (Dollars) 0 4,366,651 0 0 -4,366,651 0
No
No
The minimal change to burden is attributable to an increase in the number of formulary submissions. This change is a direct result of plan business decisions. The number of reporting organizations increased from 641 contracts to 652 contracts based on the most recent numbers extracted from HPMS. This number represents the total number of organizations that will submit at least one (1) PBP. Because an organization can submit a formulary that covers multiple contract numbers, only a subset of the 652 organizations will submit distinct formularies. While PBP changes resulting from the new Medicare-Medicaid Plan (MMP) program are listed in this package, they are exempt from the PRA process and have been excluded from the burden estimate.

$944,996
No
No
No
No
No
Uncollected
Mitch Bryman 410 786-5258 [email protected]

  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.
01/24/2014


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