Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a) (CMS-10261)

ICR 201609-0938-028

OMB: 0938-1054

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2017-01-19
Supporting Statement A
2017-01-19
Supplementary Document
2016-09-23
ICR Details
0938-1054 201609-0938-028
Historical Active 201609-0938-009
HHS/CMS CM-CPC
Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a) (CMS-10261)
Revision of a currently approved collection   No
Regular
Approved with change 01/23/2017
Retrieve Notice of Action (NOA) 09/30/2016
  Inventory as of this Action Requested Previously Approved
01/31/2020 36 Months From Approved 02/28/2019
3,508 0 3,072
169,077 0 182,023
0 0 0

CMS' regulatory authority to establish reporting requirements for Part C Medicare Advantage (MA) organizations is described in 42CFR ?422.516 (a). It is noted that each MA organization must have an effective procedure to develop, compile, evaluate, and report to CMS, to its enrollees, and to the general public, at the times and in the manner that CMS requires, and while safeguarding the confidentiality of the doctor-patient relationship, statistics and other information with respect to the following: (1) The cost of its operations. (2) The patterns of utilization of its services. (3) The availability, accessibility, and acceptability of its services. (4) To the extent practical, developments in the health status of its enrollees. (5) Other matters that CMS may require. With both growth in the number of participating organizations and the types of plan "packages" available to Medicare beneficiaries, the need for more extensive, in depth, and effective monitoring has increased. Therefore, CMS is requesting a 3 year OMB approval of additional Part C data reporting.

PL: Pub.L. 110 - 275 164 Name of Law: MIPPA
  
None

Not associated with rulemaking

  81 FR 29268 05/11/2016
81 FR 62741 09/12/2016
Yes

1
IC Title Form No. Form Name
Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a)

  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 3,508 3,072 0 436 0 0
Annual Time Burden (Hours) 169,077 182,023 0 -12,946 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
As demonstrated and explained in Supporting Statement section 15, the total time change is estimated at minus 12,946 hours.

$300,000
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.
09/30/2016


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