HEDIS Information Collection Request

HEDIS Data Collection for Medicare Advantage (CMS-10219)

OMB: 0938-1028

IC ID: 181326

Information Collection (IC) Details

View Information Collection (IC)

HEDIS Information Collection Request
 
No Modified
 
Mandatory
 
42 CFR 422.152

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-HEDIS 2013 Volume 3: Specifications for Survey Measures HEDIS 2013 Volume 3.09.21.12.zip Yes Yes Printable Only

Health Health Care Services

 

515 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 515 0 0 -58 0 573
Annual IC Time Burden (Hours) 164,800 0 0 -19,520 0 184,320
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo - Updated Requirements for Reporting of 2013 Measures Updated hedis hos cahps 2013_20120801.pdf 08/27/2013
HEDIS 2013 Volume 5, Compliance Audit -- Standards, Policies and Procedures HEDIS 2013 Volume 5.10.31.12.zip 08/27/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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