Withholding Medicare Payments to Recover Medicaid Overpayments and Supporting Regulations in 42 CFR 447.31 (CMS-R-21)

ICR 201408-0938-007

OMB: 0938-0287

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2014-08-26
ICR Details
0938-0287 201408-0938-007
Historical Active 201105-0938-001
HHS/CMS
Withholding Medicare Payments to Recover Medicaid Overpayments and Supporting Regulations in 42 CFR 447.31 (CMS-R-21)
Extension without change of a currently approved collection   No
Regular
Approved without change 09/30/2014
Retrieve Notice of Action (NOA) 08/28/2014
  Inventory as of this Action Requested Previously Approved
09/30/2017 36 Months From Approved 09/30/2014
27 0 27
81 0 81
0 0 0

Overpayments may occur in either the Medicare and Medicaid program, at times resulting in a situation where an institution or person that provides services owes a repayment to one program while still receiving reimbursement from the other. Certain Medicaid providers which are subject to offsets for the collection of Medicaid overpayments may terminate or substantially reduce their participation in Medicaid, leaving the State Medicaid Agency unable to recover the amounts due. These information collection requirements give CMS the authority to recover Medicaid overpayments by offsetting payments due to a provider under the program.

PL: Pub.L. 97 - 35 2104 Name of Law: Omnibus Reconciliation Act of 1981
   US Code: 42 USC 447.31 Name of Law: Recovery of Medicaid Overpayments
  
None

Not associated with rulemaking

  79 FR 35354 06/20/2014
79 FR 50913 08/26/2014
No

1
IC Title Form No. Form Name
Withholding Medicare Payments to Recover Medicaid Overpayments and Supporting Regulations in 42 CFR 447.31

  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 27 27 0 0 0 0
Annual Time Burden (Hours) 81 81 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$3,915
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.
08/28/2014


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