External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364 (CMS-R-305)

Forms and Documents

Document	Type	Status	Availability
2015.04.03 CMS-R-305 Rev Supporting Statement B.docx	Supporting Statement B	Uploaded 2015-06-01	Available
CMS-R-305 - Supporting Statement A [rev 6-01-2015 by OSORA PRA].docx	Supporting Statement A	Uploaded 2015-06-01	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
8551	(State Gov't) External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364	Instruction	Modified
216824	(Private Sector) External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364	Instruction	New

ICR Details

OMB Control No: 0938-0786	ICR Reference No: 201506-0938-001
Status: Historical Inactive	Previous ICR Reference No: 201504-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364 (CMS-R-305)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule and continue	Conclusion Date: 07/07/2015
	Date Received in OIRA: 06/01/2015
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is not approved at this time. Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2018	36 Months From Approved	05/31/2018
Responses	76	0	76
Time Burden (Hours)	451,288	0	451,288
Cost Burden (Dollars)	0	0	0

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Abstract: The results of Medicare reviews, Medicare accreditation surveys, and Medicaid external quality reviews will be used by States in assessing the quality of care provided to Medicaid beneficiaries provided by managed care organizations and to provide information on the quality of the care provided to the general public upon request.

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Authorizing Statute(s): PL: Pub.L. 105 - 33 4705 Name of Law: BBA of 1997
   US Code: 42 USC 1396 Name of Law: External Independent Review of Managed Care Activities
   Statute at Large: 19 Stat. 1932 Name of Statute: null
   PL: Pub.L. 111 - 3 403 Name of Law: CHIPRA of 2009
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 3 403 Name of Law: CHIPRA of 2009

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AS25	Proposed rulemaking	80 FR 31098	06/01/2015

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
(State Gov't) External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364
(Private Sector) External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There are no changes to the EQR protocols. Adjustments have been made to CMS-R-305 to account for: (1) changes to the regulations per CMS-2390-P (see detailed description in Section 12), (2) mathematical errors and estimate revisions in regards to the number of respondents, the type of respondents, annual responses, and annual hour burden, and (3) updated BLS job titles and wages. We have removed the CHIP EQR burden from CMS-R-305 as under CMS-2390-P we propose the creation of a PRA package (CMS-10554, OMB 0938-New) which contains all of the CHIP managed care burden, including EQR. This proposed iteration seperates state and private sector burden. Previos iteration combined the burden estimates.

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Annual Cost to Federal Government: $12,401,369

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/01/2015

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