The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs) (CMS-R-262)
Revision of a currently approved collection
No
Regular
Approved with change
04/07/2016
12/22/2015
As this ICR is associated with the issuance of annual guidance, this ICR must be revised
accordingly each year.
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
04/30/2017
36 Months From Approved
02/28/2018
5,448
0
5,872
52,902
0
56,411
0
0
0
CMS requires that MA and PDP organizations submit a completed formulary and PBP as part of the annual bidding process. During this process, organizations prepare their proposed plan benefit packages for the upcoming contract year and submit them to CMS for review and approval.
PL:
Pub.L. 108 - 173 101
Name of Law: Prescription Drug, Improvement, and Modernization Act of2003 (MMA)
The change to burden is attributable to a decrease in the number of formulary submissions as well as a decrease in the number of reporting organizations. Additionally, the cost to the Government increased due to changes to federal staff salaries and the costs of maintaining the functionality of the modules increasing slightly. This results in a net decrease of overall burden to industry, but an increase to burden to the individual entities.
The number of reporting organizations decreased from 598 contracts to 552 contracts based on the most recent numbers extracted from HPMS. This number represents the total number of organizations that will submit at least one (1) PBP. Because an organization can submit a formulary that covers multiple contract numbers, only a subset of the 552 organizations will submit distinct formularies.
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.
CY2017 Plan Benefit Package (PBP) Software and Formulary Submission (CMS-R-262)