This ICR was
submitted one month after publication of the NPRM. Please submit
ICRs simultaneously (within a day or two) of publication of the
related rulemaking in the Federal Register.
Inventory as of this Action
Requested
Previously Approved
02/28/2019
36 Months From Approved
04/30/2019
212
0
212
30,501
0
30,501
0
0
0
The information will be used by states
to document that access to care is provided in compliance with
section 1902(a)(30)(A) of the Act, to identify issues with access
within a state’s Medicaid program, and to inform any necessary
programmatic changes to address issues with access to care. CMS
will use the information to make informed approval decisions on
State plan amendments that propose to make Medicaid rate reductions
or restructure payment rates and to provide the necessary
information for CMS to monitor ongoing compliance with section
1902(a)(30)(A). Beneficiaries, providers and other affected
stakeholders will use the information to raise access issues to
state Medicaid agencies and work with agencies to address those
issues.
Statute at
Large: 42
Stat. 1902 Name of Statute: null
The NPRM provides an exemption
to the regulatory requirements in §§ 447.203(b)(1) – (6) and
447.204(a) – (c) for states with comprehensive, risk-based Medicaid
managed care enrollment rates above 85% of the total covered
population under a state’s Medicaid program. It also provides an
exemption to the regulatory requirements in §§ 447.203(b)(6) and
447.204(a) – (c) for states that submit SPAs to reduce or
restructure payments where the overall reduction is 4% or less of
overall spending within the affected state plan service category
for a single state fiscal year and 6% or less over two consecutive
state fiscal years. It also modifies the requirements in §
447.204(b)(2) so that, for SPAs that reduce or restructure Medicaid
payment rates, states would be required to submit to CMS an
assurance that data indicates current access is consistent with the
requirements of the Social Security Act instead of an analysis
anticipating the effects of a proposed change in payment rates or
structure.
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.