Letter Requesting Waiver of Medicare/Medicaid Enrollment Application Fee; Submission of Fingerprints; Submission of Medicaid Identifying Information; Medicaid Site Visit and Rescreening (CMS-10357)
Letter Requesting Waiver of
Medicare/Medicaid Enrollment Application Fee; Submission of
Fingerprints; Submission of Medicaid Identifying Information;
Medicaid Site Visit and Rescreening (CMS-10357)
Reinstatement without change of a previously approved
collection
On March 23, 2010, the President
signed into law H.R. 3590, the Patient Protection and Affordable
Care Act (Affordable Care Act), Public Law 111-148. Section 6401 of
the law establishes a number of important payment safeguard
provisions, several of which have been incorporated into CMS
Proposed Rule 6028, entitled "Medicare, Medicaid, and Children's
Health Insurance Programs (CHIP); Additional Screening
Requirements, Application Fees, Temporary Enrollment Moratoria,
Payment Suspensions and Compliance Plans for Providers and
Suppliers," and published in the Federal Register on September 23,
2010. The provisions are designed to improve the integrity of the
Medicare, Medicaid, and CHIP programs so as to reduce fraud, waste
and abuse.
PL:
Pub.L. 111 - 148 6401 Name of Law: Provider Screening and Other
Enrollment Requirements Under Medicare, Medicaid & CHIP
PL: Pub.L. 111 - 148 6401 Name of Law:
Provider Screening and Other Enrollment Requirements Under
Medicare, Medicaid & CHIP
We are seeking a reinstatement
without change. The burden has been adjusted downward based on a
decrease in the number of respondents related to the IC for the
Medicare Enrollment Application Fee Waiver Request. The number of
respondents has decreased from 12,000 to 100.
$12,357,321
No
No
Yes
No
No
Uncollected
William Parham
4107864669
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.
CMS-10357.Transmittal 371.pdf
CMS-10357_Supporting_Statement_Part_A (11-25-14).docx
State Medicaid Agency Processing of Rescreening Application