OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

QECP Annual Report Workbook Submission Requirement for Qualified Entities under ACA Section 10332 (CMS-10589)

ICR 201608-0938-004 · OMB 0938-1309 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form CMS-10589 Reporting Form and Instruction Modified Available
CMS-10589.Supporting Statement Part A - FINAL (1-9-17).doc Supporting Statement A Uploaded 2017-01-09 Available
IC Document Collections
IC IDCollectionTypeStatusForm
220190 Reporting Form and Instruction Modified
220188 Processing and Maintenance Unchanged
220186 Legal Review Unchanged
220185 DUA and non-public analyses agreement Development Modified
ICR Details
0938-1309 201608-0938-004
Historical Active 201602-0938-009
HHS/CMS
QECP Annual Report Workbook Submission Requirement for Qualified Entities under ACA Section 10332 (CMS-10589)
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 01/23/2017
Retrieve Notice of Action (NOA) 08/09/2016
  Inventory as of this Action Requested Previously Approved
01/31/2020 36 Months From Approved
1,095 0 0
3,450 0 0
0 0 0
Section 10332 of the Patient Protection and Affordable Care Act (ACA) requires the Secretary to make standardized extracts of Medicare claims data under Parts A, B, and D available to “qualified entities” for the evaluation of the performance of providers of services and suppliers. The statute provides the Secretary with discretion to establish criteria to determine whether an entity is qualified to use claims data to evaluate the performance of providers of services and suppliers. After consideration of comments from a wide variety of stakeholders during the public comment period, CMS established “Medicare Program; Availability of Medicare Data for Performance Measurement” (hereinafter called the Final Rule and referred to as the Medicare Data Sharing Program). It was published in the Federal Register on December 7, 2011 (42 CFR, Part 401, Subpart G). To implement the requirements outlined in the legislation, the Centers for Medicare and Medicaid Services (CMS) established the Qualified Entity Certification Program (QECP). The Qualified Entity Certification Program (QECP) was established to implement the Final Rule. One of the requirements in the Final Rule is that QEs must submit annual reports to CMS containing specific data elements. Section 105 of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) provides for additional annual reporting requirements if a qualified entity chooses to provide or sell analyses and/or data to authorized users. This form is the official annual report workbook that QEs must complete to comply with this requirement.
PL: Pub.L. 111 - 148 10332 Name of Law: Affordable Care Act
   PL: Pub.L. 114 - 110 105 Name of Law: Medicare Access and CHIP Reauthorization Act of 2015
  
PL: Pub.L. 111 - 148 10332 Name of Law: Affordable Care Act
PL: Pub.L. 114 - 110 105 Name of Law: Medicare Access and CHIP Reauthorization Act of 2015
0938-AS66 Final or interim final rulemaking 81 FR 44456 07/07/2016
Yes
4
IC Title Form No. Form Name
DUA and non-public analyses agreement Development
Legal Review
Processing and Maintenance
Reporting CMS-10589, CMS-10589 QECP Annual Report Workbook
  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 1,095 0 1,095 0 0 0
Annual Time Burden (Hours) 3,450 0 3,450 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a new information collection request.
$206,488
No
No
Yes
No
No
Uncollected
William Parham 410 786-4669 [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.
08/09/2016