The Children's Hospitals Graduate Medical Education (CHGME) Payment Program was enacted by Public Law 106-129 to provide federal support for graduate medical education (GME) to freestanding children's hospitals. This legislation attempts to provide support for GME comparable to the level of Medicare GME support received by other, non-children's hospitals. The legislation requires that eligible children's hospitals receive payments for both direct and indirect medical education expenses. Payments for direct expenses offset the expenses associated with operating approved graduate medical residency training programs, and payments for indirect expenses compensate hospitals for expenses associated with the treatment of more severely ill patients and the additional costs relating to teaching residents in such programs.
The Centers for Medicare and Medicaid Services (CMS) issued a final rule in the Federal Register regarding Sections 5503, 5504, 5505 and 5506 of the Affordable Care Act of 2010, Public Law 111-148, on Wednesday, November 24, 2010. This final rule included policy changes on counting resident time in non-provider settings, counting resident time for didactic training and the redistribution of resident caps, which required modification of the data collection forms within the CHGME Payment Program application. The necessary modifications were made and received OMB clearance on June 30, 2012. In addition, on September 30, 2013, CMS published revised cost report forms on their Web site, specifically form CMS 2552-10, Worksheet E-4, requiring modification of the data collection forms in the CHGME Payment Program application. Furthermore, the inclusion of forms and documentation requests used to collect data from the fiscal intermediaries that audit the children's hospitals as part of a contract with the CHGME program. These changes require OMB approval.
In the previous information collection request there was an estimated total of 3,729.6 burden hours. We are now requesting a total of 5,903.4 hours, which is an increase of 2173.8 burden hours.
The increase in total burden hours results from minor revisions made to the CHGME Payment Program application forms to accommodate changes required by the Affordable Care Act, in particular revisions implemented related to the CMS Form 2552-10, which is used as part of the CHGME Payment Program application.
In addition, increase in total burden hours results from the addition of the forms and documentation used to collect data from the fiscal intermediaries that audit the children's hospitals as part of a contract the CHGME program currently has to assess the FTE resident counts reported by the children's hospitals and used to calculate payment. The information requested in not a new requirement for the fiscal intermediaries and has been a part of the CHGME application process, particularly with reconciliation requirements, for over ten years. However the CHGME program now understands although the data is a deliverable within the contract approval is needed to collect the data.
Furthermore, the CHGME application is integrated with HRSA's EHB system which requires adjustments to certain data fields to comply with system requirements and HRSA's standards for all grant programs functioning within the EHB.
$8,566
No
No
Yes
No
No
Uncollected
Jodi Duckhorn 301 443-1984
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.
Children's Hospital Graduate Medical Eduction Payment Program