Information Collection Request

Medicare and Medicaid Programs; Electronic Health Record Incentive Program

ICR 201504-0938-017 · OMB 0938-1158 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
CMS-10336.Supporting Statement Part A (2015).docx Supporting Statement A Uploaded 2015-04-30 Available
IC Document Collections
IC IDCollectionTypeStatusForm
208653 495.342 - Frequency of Health Information Technology (HIT) Implementation Advanced Planning Document (IAPD) Updates Unchanged
208652 495.210 - Total cost of attestation for Stage 2 (MA-affiliated hospitals) Unchanged
208651 495.210 - Attesting on behalf of MA-affiliated hospitals Unchanged
208650 495.210 - Gather information for attestation (MA-affiliated hospitals) Unchanged
208649 495.210 - Total Cost of Attestation for Stage 2 (MA EPs) Unchanged
208648 495.210 - Attesting on behalf of MA EPs Unchanged
208647 495.210 - Gather information for attestation (MA EPs) Unchanged
208646 495.8 - CQMs for hospitals/CAHS Unchanged
208645 495.6 - Menu Set Objectives/Measures (Hospitals/CAHs) Unchanged
208644 495.6 - EHR Technology Used, Core Set Objectives/Measures (Hospitals/CAHS) Unchanged
208643 495.8 - CQMs for hospitals/CAHs Unchanged
208642 495.6 - Menu Set Objectives/Measures (EPs) average Unchanged
208641 495.6 EHR Technology Used, Core Set Objectives/Measures (EPs) Unchanged
195516 42 CFR 495.366 -- average Unchanged
195515 42 CFR 495.352 -- average Unchanged
195514 42 CFR 495.350--average Unchanged
195513 42 CFR 495.348(f) Unchanged
195512 42 CFR 495.348(e) Unchanged
195511 42 CFR 495.348(c) Unchanged
195510 42 CFR 495.330(a) - average Unchanged
195509 42 CFR 495.316 Unchanged
195508 42 CFR 495.306(a)(2) Unchanged
195507 42 CFR 495.306(a)(1)(ii)(B) Unchanged
195506 42 CFR 495.306(a)(1)(ii)(A) Unchanged
195505 42 CFR 495.306(a)(1)(i) Unchanged
195504 42 CFR 495.210(b) (2012) EPs-attestation Unchanged
195503 42 CFR 495.204(b)(5) or (b)(6)(2012) EPs-salary Unchanged
195502 42 CFR 495.204(b)(4) (2012) EPs-method Unchanged
195501 42 CFR 495.204(b)(2) (2012) Revenue reporting Unchanged
195500 42 CFR 495.202(b)(2) (2012) MA-affiliated hospitals-final ID Unchanged
195499 42 CFR 495.202(b)(2) (2012) EPs-final ID Unchanged
195498 42 CFR 495.202(b)(2) (2012) MA-affiliated hospitals-preliminary ID Unchanged
195497 42 CFR 495.202(b)(2) (2012) EPs-preliminary ID Unchanged
195496 42 CFR 495.10(d) - (hospital) (2012) Unchanged
195495 42 CFR 495.10(a) (b) (hospital) (2011) Unchanged
195494 42 CFR 495.10(e)(2) - (EPs) (2012) average Unchanged
195493 42 CFR 495.10(e)(1) - (EPs) (2011) average Unchanged
195492 42 CFR 495.10(d) - (EPs) (2012) average Unchanged
195491 42 CFR 495.10(a)-(c) -- (EPs) (2011) average Unchanged
195490 42 CFR 495.8 (b)(2)- Hospital Quality Measures (hospitals/CAHs) (2012) Unchanged
195489 42 CFR 495.8 (b)(2)- Menu Set Objectives/ Measures average (hospitals/CAHs) (2012) Unchanged
195488 42 CFR 495.8 (b)(2)-- EHR Technology Used & Core Set Objectives/Measures (hospitals/CAHs) (2012) Unchanged
195487 42 CFR 495.8(b)(1) - Menu Set Objectives/ Measures average (hospitals/CAHs) (2011) Unchanged
195486 42 CFR 495.8 (b)(1)-- EHR Technology Used, Core Set Objectives/Measures & Quality Measures (hospitals/CAHs) (2011) Unchanged
195485 42 CFR 495.8 (a)(2)- Ambulatory Quality Measures (EPs) (2012) Unchanged
195484 42 CFR 495.8 (a)(2)- Menu Set Objectives/ Measures average (EPs) (2012) Unchanged
195483 42 CFR 495.8(a)(2) - EHR Technology Used & Core Set Objectives/Measures (EPs) (2012) Unchanged
195482 42 CFR 495.8 (a)(1)- Menu Set Objectives/Measures average (EPs) (2011) Unchanged
195481 42 CFR 495.8 (a)(1)- EHR Technology Used, Core Set Objectives/Measures & Quality Measures (EPs) (2011) Unchanged
ICR Details
0938-1158 201504-0938-017
Historical Active 201309-0938-017
HHS/CMS 20520
Medicare and Medicaid Programs; Electronic Health Record Incentive Program
Extension without change of a currently approved collection   No
Regular
Approved without change 06/02/2015
Retrieve Notice of Action (NOA) 04/30/2015
  Inventory as of this Action Requested Previously Approved
06/30/2018 36 Months From Approved 06/30/2015
4,495,264 0 4,495,264
4,792,112 0 4,792,112
0 0 0

The Recovery Act expands the use of health information technology (HIT) and certified electronic health records (EHRs) to improve the quality and value of health care. The Recovery Act establishes incentive payments to Medicare, Medicaid, and Medicare Advantage Organization (MAO)-affiliated eligible professionals (EPs) and eligible hospitals and critical access hospitals (CAHs) to promote the adoption and meaningful use (MU) of interoperable HIT and EHRs. These provisions, together with Title XIII of Division A of the Recovery Act, may be cited as the "Health Information Technology for Economic and Clinical Health Act" or "HITECH Act" which authorizes CMS to develop the incentive programs, key to enticing providers to use HIT. All proposed information collection requirements are necessary to implement the HITECH Act. With this submission, we are creating a new PRA package for Medicare and Medicaid eligible professionals (EPs), eligible hospitals and CAHs. The functionality of certified EHR technology facilitates the implementation of meaningful use.

PL: Pub.L. 111 - 5 Title XIII:130001-13424 Name of Law: The American Recovery and Reinvestment Act of 2009
   PL: Pub.L. 111 - 5 Subtitle A - Section 3006 Name of Law: Health Information Technology for Economic and Clinical Health Act
   PL: Pub.L. 111 - 5 4101 Name of Law: Incentives for Eligible Professionals
   PL: Pub.L. 111 - 5 4103 Name of Law: Treatment of payments and savings; impelmentation funding
   PL: Pub.L. 111 - 5 4201 Name of Law: Medicaid Provider HIT adoption and operation payemtns; implementation funding
   PL: Pub.L. 111 - 5 4102 Name of Law: Incentives for Hospitals
  
PL: Pub.L. 111 - 5 Title XIII:130001-13424 Name of Law: The American Recovery and Reinvestment Act of 2009
PL: Pub.L. 111 - 5 Subtitle A - Section 3006 Name of Law: Health Information Technology for Economic and Clinical Health Act
PL: Pub.L. 111 - 5 4101 Name of Law: Incentives for Eligible Professionals
PL: Pub.L. 111 - 5 4103 Name of Law: Treatment of payments and savings; impelmentation funding
PL: Pub.L. 111 - 5 4201 Name of Law: Medicaid Provider HIT adoption and operation payemtns; implementation funding
PL: Pub.L. 111 - 5 4102 Name of Law: Incentives for Hospitals

Not associated with rulemaking

  78 FR 34387 06/07/2013
80 FR 24255 04/30/2015
No

49
IC Title Form No. Form Name
42 CFR 495.8 (a)(1)- EHR Technology Used, Core Set Objectives/Measures & Quality Measures (EPs) (2011)
42 CFR 495.8 (a)(1)- Menu Set Objectives/Measures average (EPs) (2011)
42 CFR 495.8(a)(2) - EHR Technology Used & Core Set Objectives/Measures (EPs) (2012)
42 CFR 495.8 (a)(2)- Menu Set Objectives/ Measures average (EPs) (2012)
42 CFR 495.8 (a)(2)- Ambulatory Quality Measures (EPs) (2012)
42 CFR 495.8 (b)(1)-- EHR Technology Used, Core Set Objectives/Measures & Quality Measures (hospitals/CAHs) (2011)
42 CFR 495.8(b)(1) - Menu Set Objectives/ Measures average (hospitals/CAHs) (2011)
42 CFR 495.8 (b)(2)-- EHR Technology Used & Core Set Objectives/Measures (hospitals/CAHs) (2012)
42 CFR 495.8 (b)(2)- Menu Set Objectives/ Measures average (hospitals/CAHs) (2012)
42 CFR 495.8 (b)(2)- Hospital Quality Measures (hospitals/CAHs) (2012)
42 CFR 495.10(a)-(c) -- (EPs) (2011) average
42 CFR 495.10(d) - (EPs) (2012) average
42 CFR 495.10(e)(1) - (EPs) (2011) average
42 CFR 495.10(e)(2) - (EPs) (2012) average
42 CFR 495.10(a) (b) (hospital) (2011)
42 CFR 495.10(d) - (hospital) (2012)
42 CFR 495.202(b)(2) (2012) EPs-preliminary ID
42 CFR 495.202(b)(2) (2012) MA-affiliated hospitals-preliminary ID
42 CFR 495.202(b)(2) (2012) EPs-final ID
42 CFR 495.202(b)(2) (2012) MA-affiliated hospitals-final ID
42 CFR 495.204(b)(2) (2012) Revenue reporting
42 CFR 495.204(b)(4) (2012) EPs-method
42 CFR 495.204(b)(5) or (b)(6)(2012) EPs-salary
42 CFR 495.210(b) (2012) EPs-attestation
42 CFR 495.306(a)(1)(i)
42 CFR 495.306(a)(1)(ii)(A)
42 CFR 495.306(a)(1)(ii)(B)
42 CFR 495.306(a)(2)
42 CFR 495.316
42 CFR 495.330(a) - average
42 CFR 495.348(c)
42 CFR 495.348(e)
42 CFR 495.348(f)
42 CFR 495.350--average
42 CFR 495.352 -- average
42 CFR 495.366 -- average
495.6 EHR Technology Used, Core Set Objectives/Measures (EPs)
495.6 - Menu Set Objectives/Measures (EPs) average
495.8 - CQMs for hospitals/CAHs
495.6 - EHR Technology Used, Core Set Objectives/Measures (Hospitals/CAHS)
495.6 - Menu Set Objectives/Measures (Hospitals/CAHs)
495.8 - CQMs for hospitals/CAHS
495.210 - Gather information for attestation (MA EPs)
495.210 - Attesting on behalf of MA EPs
495.210 - Total Cost of Attestation for Stage 2 (MA EPs)
495.210 - Gather information for attestation (MA-affiliated hospitals)
495.210 - Attesting on behalf of MA-affiliated hospitals
495.210 - Total cost of attestation for Stage 2 (MA-affiliated hospitals)
495.342 - Frequency of Health Information Technology (HIT) Implementation Advanced Planning Document (IAPD) Updates

  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 4,495,264 4,495,264 0 0 0 0
Annual Time Burden (Hours) 4,792,112 4,792,112 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$21,666,666
No
No
No
No
Yes
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.
04/30/2015