Medicare and Medicaid Program; Program Integrity Enhancements to the Provider Enrollment Process (CMS-10576)

Forms and Documents

Document	Type	Status	Availability
CMS-10576 Supporting Statement Part A (6058).docx	Supporting Statement A	Uploaded 2016-03-02	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
220374	Medicaid and CHIP - Revalidating Providers		New
220373	Medicaid and CHIP - Initially Enrolling Providers		New
220372	Medicaid and CHIP - Revalidating Providers and Suppliers		New
220365	Part A/B Ordering/Certifying		New
220364	]Medicare - Initial Enrolling Providers and Suppliers		New

ICR Details

OMB Control No: 0938-1304	ICR Reference No: 201603-0938-004
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare and Medicaid Program; Program Integrity Enhancements to the Provider Enrollment Process (CMS-10576)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 04/07/2016
	Date Received in OIRA: 03/02/2016
Terms of Clearance: OMB is withholding approval at this time. Prior to publication of the final rule, the agency should provide a summary of any comments related to the information collection and their response, including any changes made to the ICR as a result of comments. In addition, the agency must enter the correct burden estimates.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The proposed additions of 42 CFR 424.519 and 42 CFR 455.107 would require Medicare, Medicaid and CHIP providers and suppliers to disclose information about present and past affiliations with certain currently or formerly enrolled Medicare, Medicaid, and CHIP providers and suppliers. Under proposed revision to 42 CFR 424.507, a physician or eligible professional would have to be enrolled in Medicare or validly opted-out in order to furnish, order, certify, refer, or prescribe any Part A or Part B service, item, or drug.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 6401(a)(3) Name of Law: Increased disclosure requirements
   PL: Pub.L. 111 - 148 6405(c) Name of Law: Application to other items and services
  

Citations for New Statutory Requirements: US Code: 42 USC 424.519(b) Name of Law: Disclosure of Affiliations
US Code: 42 USC 455.107(b) Name of Law: Initially Enrolling Providers and Suppliers/Revalidating Providers and Suppliers
US Code: 42 USC 424.516 Name of Law: ICRs Related to Part A/B Ordering, Certifying, Referring, and Prescribing

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AS84	Proposed rulemaking	81 FR 10719	03/01/2016

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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: 5

IC Title	Form No.	Form Name
Part A/B Ordering/Certifying
Medicaid and CHIP - Revalidating Providers and Suppliers
Medicaid and CHIP - Initially Enrolling Providers
Medicaid and CHIP - Revalidating Providers
]Medicare - Initial Enrolling Providers and Suppliers

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection.

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Annual Cost to Federal Government: $77,176,830

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? Yes

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: 03/02/2016

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