Appropriate Use Criteria for Advanced Diagnostic Imaging Services (CMS-10570)

ICR 201701-0938-002

OMB: 0938-1288

Federal Form Document

Forms and Documents
ICR Details
0938-1288 201701-0938-002
Historical Active 201511-0938-007
HHS/CMS CCSQ
Appropriate Use Criteria for Advanced Diagnostic Imaging Services (CMS-10570)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 03/03/2017
Retrieve Notice of Action (NOA) 01/09/2017
  Inventory as of this Action Requested Previously Approved
06/30/2019 06/30/2019 06/30/2019
60 0 60
1,350 0 1,350
0 0 0

To encourage evidence-based use of advanced imaging services, CMS has required the development of appropriate use criteria (AUC) that can be recognized under 414.94 as part of the Medicare program. Organizations that use processes meeting these requirements and want to be recognized as qualified provider-led entities (PLEs) may apply to CMS. Expected respondents include national medical professional specialty societies, health systems and any other entity that meets the definition. Applications must be submitted electronically and demonstrate how the organization’s process meets the requirements in 414.94(c)(1) which include: a systematic literature review of the clinical topic and relevant imaging studies; AUC development led by at least one multidisciplinary team with autonomous governance; a process for identifying team members’ conflicts of interest; publication of individual AUC on each organizations website; identification of AUC that are relevant to priority clinical areas; identification of key decision points for individual criterion as evidence-based or consensus-based and strength of evidence grading per a formal, published, and widely recognized methodology; a transparent process for the timely and continual updating of each criterion; and a process for developing, modifying or endorsing AUC publicly posted on the entity’s website; disclosure of external parties involved in the AUC development process. To be identified as a qualified PLE by CMS, organizations must demonstrate adherence to the requirements in their application and use the application process identified in 414.94(c)(2) which includes: only entities meeting the definition of PLE are eligible to submit applications documenting adherence to each AUC development requirement; applications will be accepted annually by January 1; all approved PLEs from each year of submissions will be posted to the CMS website by June 30; and all qualified PLEs must re-apply every 5 years and applications must be submitted by January 1 during the 5th year of after the PLE’s most recent approval date.

PL: Pub.L. 113 - 93 218(b) Name of Law: Protecting Access to Medicare Act of 2014
  
PL: Pub.L. 113 - 93 218(b) Name of Law: Protecting Access to Medicare Act of 2014

0938-AS40 Final or interim final rulemaking 80 FR 41685 07/15/2015

  80 FR 41685 07/15/2015
80 FR 70886 11/16/2015
Yes

  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 60 60 0 0 0 0
Annual Time Burden (Hours) 1,350 1,350 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Not applicable. This is a new collection.

$69,479
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.
01/09/2017


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