CAHPS Survey for the Merit-Based Incentive Payment System (MIPS) (CMS-10450)

ICR 201611-0938-001

OMB: 0938-1222

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2017-04-21
Supporting Statement B
2017-04-21
Supporting Statement A
2017-04-21
IC Document Collections
IC ID
Document
Title
Status
206234 Modified
ICR Details
0938-1222 201611-0938-001
Historical Active 201606-0938-002
HHS/CMS 19180
CAHPS Survey for the Merit-Based Incentive Payment System (MIPS) (CMS-10450)
Revision of a currently approved collection   No
Regular
Approved with change 04/21/2017
Retrieve Notice of Action (NOA) 11/02/2016
  Inventory as of this Action Requested Previously Approved
04/30/2020 36 Months From Approved 04/30/2017
132,307 0 117,300
43,661 0 39,530
0 0 0

CMS is requesting clearance to implement the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for the Merit-based Incentive Payment System (MIPS). Section 1848(q) of the Social Security Act, as amended by section 101 of the Medicare Access and CHIP Reauthorization Act of 2015, authorizes the establishment of the MIPS for eligible clinicians. In the MIPS Notice of Proposed Rule Making (NPRM), we propose to allow registered groups of two or more MIPS eligible clinicians to voluntarily elect to participate in the CAHPS for MIPS survey. The CAHPS for MIPS survey would count as one cross-cutting and/or a patient experience measure, and the group would be required to submit at least five other measures through one other data submission mechanisms. We propose the data collected on the CAHPS for MIPS survey measures would be transmitted to CMS via a CMS-approved survey vendor.

PL: Pub.L. 111 - 148 10331 Name of Law: Affordable Care Act
   US Code: 42 USC 1395w-4 Name of Law: MACRA of 2015
  
PL: Pub.L. 111 - 148 10331 Name of Law: Affordable Care Act
US Code: 42 USC 1395w-4 Name of Law: MACRA of 2015

0938-AS69 Final or interim final rulemaking 81 FR 77008 11/04/2016

No

1
IC Title Form No. Form Name
CAHPS for MIPS Survey CMS-10450, CMS-10450, CMS-10450 CAHPS for MIPS Survey Script ,   CAHPS for MIPS Survey ,   CAHPS for MIPS Attestation

  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 132,307 117,300 0 15,007 0 0
Annual Time Burden (Hours) 43,661 39,530 0 4,131 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The changes in the estimated annual burden for CAHPS for MIPS is 4,131 hours higher than the previously approved the burden estimate for the CAHPS for PQRS burden. The change in the burden is the result of an increase in the number of groups reporting CAHPS patient experience measures over time.

$2,120,324
Yes Part B of Supporting Statement
No
Yes
No
No
Uncollected
Denise King 410 786-1013 [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.
11/02/2016


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