Health Plan Monitoring System Level I and Level II Data Entry for the Program of all-Inclusive Care for the Elderly (CMS-10525)

ICR 201412-0938-005

OMB: 0938-1264

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0938-1264 201412-0938-005
Historical Active 201412-0938-004
HHS/CMS
Health Plan Monitoring System Level I and Level II Data Entry for the Program of all-Inclusive Care for the Elderly (CMS-10525)
Revision of a currently approved collection   No
Regular
Approved without change 12/17/2014
Retrieve Notice of Action (NOA) 12/16/2014
  Inventory as of this Action Requested Previously Approved
12/31/2017 36 Months From Approved 12/31/2017
64,000 0 24,000
46,000 0 6,000
0 0 0

Quality improvement is a major initiative for the Centers for Medicare and Medicaid Services (CMS). With the passing of the Affordable Care Act in March 2010, there is an increased interest in providing quality healthcare for Medicare and Medicaid beneficiaries. Thus, it is imperative that CMS collect data for measuring and evaluating the quality of care provided to PACE participants and to establish PACE quality strategies and benchmarks for PACE organizations. This request is for requiring PACE organizations to enter Level I and Level II data into the CMS's Health Plan Monitoring System (HPMS) (an electronic data entry system) for purpose of analyzing quality of care. Once PACE organizations are entering Level I and Level II data into HPMS, CMS will be able to analyze results for each organization and the PACE program as a whole. We can then use that analysis to develop a quality improvement strategy for PACE.

US Code: 42 USC 1894(b)(2)(A) Name of Law: Social Security Act
   US Code: 42 USC 1934(e)(3)(A) Name of Law: Social Security Act
  
US Code: 42 USC 1894(b)(2)(A) Name of Law: Social Security Act
US Code: 42 USC 1934(e)(3)(A) Name of Law: Social Security Act

Not associated with rulemaking

  79 FR 29776 05/23/2014
79 FR 54725 09/12/2014
Yes

2
IC Title Form No. Form Name
Level I Monitoring Data Entry CMS-10525 Level I Monitoring Data Entry
Level II Monitoring Data Entry CMS-10525, CMS-10525 Level II Conference Call Worksheet ,   Level II Incident Intake Summary

  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 64,000 24,000 40,000 0 0 0
Annual Time Burden (Hours) 46,000 6,000 40,000 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Adds Level II monitoring data entry. No changes to Level I data entry.

$19,623
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.
12/16/2014


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