Collection of Encounter Data from Medicare Advantage Organizations (CMS-10340)

ICR 201508-0938-001

OMB: 0938-1152

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2015-08-03
IC Document Collections
ICR Details
0938-1152 201508-0938-001
Historical Active 201410-0938-009
HHS/CMS
Collection of Encounter Data from Medicare Advantage Organizations (CMS-10340)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/28/2016
Retrieve Notice of Action (NOA) 08/03/2015
  Inventory as of this Action Requested Previously Approved
11/30/2017 11/30/2017 11/30/2017
516,493,635 0 516,493,635
34,433 0 34,433
0 0 0

Given the increased importance of the accuracy of our Medicare Advantage risk adjustment methodology, we amended ? 422.310 in August of 2008 to announce that CMS would collect data from MA organizations regarding each item and service provided to an MA plan enrollee. This would allow CMS to incorporate the Medicare Advantage utilization in the development of risk adjustment models for the Medicare Advantage program.

US Code: 42 USC 1395w-23 Name of Law: Data Collection
   US Code: 42 USC 1395w-23 Name of Law: Risk Adjusted Part D Payment
   US Code: 42 USC 1395w-23 Name of Law: Risk Adjusted Part C Payment
  
None

Not associated with rulemaking

  79 FR 31336 06/02/2014
79 FR 53067 09/05/2014
No

1
IC Title Form No. Form Name
Collection of Encounter Data from Medicare Advantage Organizations CMS-10340 Electronic Data Interchange (EDI) Agreement

  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 516,493,635 516,493,635 0 0 0 0
Annual Time Burden (Hours) 34,433 34,433 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$25,010,000
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.
08/03/2015


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