CHIPRA 2009, Dental Provider and Benefit Information Posted on Insure Kids Now! Website (CMS-10291)

ICR 201411-0938-011

OMB: 0938-1065

Federal Form Document

IC Document Collections
ICR Details
0938-1065 201411-0938-011
Historical Active 201111-0938-006
HHS/CMS
CHIPRA 2009, Dental Provider and Benefit Information Posted on Insure Kids Now! Website (CMS-10291)
Revision of a currently approved collection   No
Regular
Approved with change 02/03/2015
Retrieve Notice of Action (NOA) 12/03/2014
  Inventory as of this Action Requested Previously Approved
02/28/2018 36 Months From Approved 02/28/2015
255 0 255
10,838 0 9,690
0 0 0

Secretary shall work with States, pediatric dentists, and other dental providers to include on the Insure Kids Now (IKN) website (http://www.insurekidsnow.gov/) and hotline (1-877-KIDS-NOW), a current and accurate list of all such dentists and providers within each State that provide dental services to children enrolled in the State plan (or waiver) under Medicaid or the State child health plan (or waiver) under CHIP. Section 501 also requires the Secretary shall ensure that such a list is updated at least quarterly and includes a description of the dental services provided under Medicaid or CHIP, whether the services are provided through a state plan or a waiver. The Secretary shall also post on the IKN website State specific information on available dental benefits. CMS works closely with the Health Resources Services Administration (HRSA), which administers the IKN website, to implement this provision of CHIPRA. The collection commenced in 2009.

PL: Pub.L. 111 - 3 501 Name of Law: Children's Health Insurance Program Reauthorization Act of 2009
  
PL: Pub.L. 111 - 3 501 Name of Law: Children's Health Insurance Program Reauthorization Act of 2009

Not associated with rulemaking

  79 FR 54725 09/12/2014
79 FR 69480 11/21/2014
No

  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 255 255 0 0 0 0
Annual Time Burden (Hours) 10,838 9,690 0 1,148 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Changing Forms
***Dental Provider Data Collection*** Concerning the dental provider data collection, we estimated a total increased burden to states of 36 hours per year (9 hours per quarter) to populate the five new fields in the provider record, to populate the Program Name field which is no longer optional, and to interface with the Program Name/Plan Name validation function, including correcting any errors. We also estimated a one-time increased burden of 0.5 hours to place column headers on all fields and a one-time increased burden of 0.5 hours to reconfigure the IKN Client Tool (only for states that have an out-dated version of the Tool). This is a total increased burden of 37 hours per year from these changes. We also estimated a reduction in burden of 2.25 hours per quarter (or 9 hours annually) due to new features that assist with efficiently managing data and accounts. The net increased burden to states for the dental provider data collection is 28 hours annually (7 hours per quarter) or 1,428 hours (aggregate). The adjusted burden is 9,588 hr (8,160 hr in 2011 + 1,428 hr in 2014). ***Dental Benefit Information Data Collection*** Concerning the dental benefit information data collection, we estimated a 5.5 hour reduction (-280.5 hr aggregate) in the annual burden due to the new electronic forms and submission. The adjusted burden is 1,249.5 hr (1,530 hr in 2011 - 280.5 hr in 2014).

$431,000
Yes Part B of Supporting Statement
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.
12/03/2014


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