Information Collection Request

Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment

ICR 201405-0938-006 · OMB 0938-1155 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
CMS-10401 - 3Rs Supporting_Statement 2015 PN Oct 17.pdf Supporting Statement A Uploaded 2014-10-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
211711 Confirmation of Interim Reports (153.710) New
211710 Initial Validation Audit Identification and Inter-rater Reliability Report (153.630(b)(1) and (b)(8) New
211709 Risk Adjustment Data Validation (153.630) New
211708 Supplemental Diagnosis (153.700(a)) New
211707 Risk adjustment and reinsurance distributed data collection (153.700(a)) New
211675 Administrative Burden Related to Audits of the Risk Adjustment Covered Issuers (§153.410(d); §153.620(c)) New
211674 Risk Corridors Data Validation (153.530 and 153.540) New
211663 Adminstative Appeals for Premium Stabilization Program, Federal Exchange User Fees, Premium Tax Credits and Costs Sharing Reductions (156.1220) New
208839 Data Validation Requirements When HHS Operates Risk Adjustment Removed
208838 Calculation of Reinsurance Contributions Modified
208837 Upload of Risk Adjustment and Reinsurance Data for Masked Enrollee Identification Number (153.700(a)) Modified
198556 Health Insurance Issuer Standards for the Risk Adjustment Program (153.610-153.620) Removed
198554 Health Insurance Issuer Standards Related to the Transitional Reinsurance Program (153.400-153.410) Modified
198553 State Standards for the Risk Adjustment Program (153.310, 153.330) - Request and Update for Alternative Methodology Removed
198550 State Standards for the Transitional Reinsurance Program in the Individual Market (153.210-153.220, 153.240) - Recordkeeping Removed
198548 State Notice of Insurance Benefits and Payment Parameters (153.100-153.110) Removed
ICR Details
0938-1155 201405-0938-006
Historical Active 201309-0938-028
HHS/CMS 19687
Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment
Revision of a currently approved collection   No
Regular
Approved with change 10/17/2014
Retrieve Notice of Action (NOA) 05/29/2014
  Inventory as of this Action Requested Previously Approved
10/31/2017 36 Months From Approved 12/31/2016
6,495,970 0 568,485
19,650,586 0 1,075,514
0 0 0

The reinsurance program, risk corridors program, and risk adjustment program support the effective functioning of the American Health Benefit Exchanges ("Exchanges"), which will become operational by January 1, 2014. The program also mitigate the negative impacts of adverse selection and market uncertainty.

PL: Pub.L. 111 - 148 1321; 1341; 1342; 1343 Name of Law: Affordable Care Act
  
None

0938-AR89 Final or interim final rulemaking 79 FR 13744 03/11/2014

  77 FR 73118 12/07/2012
77 FR 73118 12/07/2012
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 6,495,970 568,485 0 6,467,485 -540,000 0
Annual Time Burden (Hours) 19,650,586 1,075,514 0 19,536,272 -961,200 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Changing Regulations
Yes
Changing Regulations
As detailed above, certain burden estimates for information collection requirements associated with the reinsurance, risk adjustment, risk corridors, premium tax credit, cost-sharing reduction, and user fee programs would change from what was previously estimated in the Premium Stabilization Rule and 2014 Payment Notice due to the proposed policy changes in the proposed HHS notice of benefit and payment parameters for 2015. We have also updated burden to reflect our most current estimates of program operations, including increasing our estimate of the number of risk adjustment covered issuers in the individual and small group insurance market.

No
No
Yes
No
No
Uncollected
Jamaa Hill 301 492-4190

  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.
05/29/2014