Implementation of Medicare and Medicaid Programs; - Promoting Interoperability Programs Stage 3 (CMS-10552)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CMS-10552_Supporting_Statement_Part_A 12 13 2018.docx	Supporting Statement A	Uploaded 2018-12-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
231472	?495.24(d) Objectives/Measures Medicaid (eligible hospitals/CAHs)		Unchanged
216085	?495.316 – Quarterly Reporting		Modified
216084	?495.210 –Attestation on behalf of MA EPs		Removed
216083	?495.210 - Gather information for attestation (MA EPs)		Removed
216082	?495.24(e) Objectives/Measures (hospitals/CAHs)		Unchanged
216075	? 495.24(d)-Objectives/Measures (EPs)		Unchanged

ICR Details

OMB Control No: 0938-1278	ICR Reference No: 201812-0938-010
Status: Historical Active	Previous ICR Reference No: 201805-0938-010
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Implementation of Medicare and Medicaid Programs; - Promoting Interoperability Programs Stage 3 (CMS-10552)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/20/2018
	Date Received in OIRA: 12/13/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2021	36 Months From Approved	12/31/2019
Responses	83,657	0	641,494
Time Burden (Hours)	623,562	0	4,230,155
Cost Burden (Dollars)	0	0	0

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Abstract: The American Recovery and Reinvestment Act of 2009 (Recovery Act) (Pub. L. 111-5) was enacted on February 17, 2009. The Recovery Act includes many measures to modernize our nation's infrastructure and improve affordable health care. Expanded use of health information technology (HIT) and certified electronic health record (EHR) technology will improve the quality and value of America's health care. Title IV of Division B of the Recovery Act amends Titles XVIII and XIX of the Social Security Act (the Act) by establishing incentive payments to eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs), and Medicare Advantage (MA) organizations participating in the Medicare and Medicaid programs that adopt and successfully demonstrate meaningful use of certified EHR technology. These Recovery Act provisions, together with Title XIII of Division A of the Recovery Act, may be cited as the “Health Information Technology for Economic and Clinical Health Act” or the “HITECH Act.”. We are collecting information from participants in the Medicare and Medicaid EHR Incentive Programs in order to collect data regarding the objectives and measures reported on by eligible entities. We are proposing a new scoring system in the 2019 inpatient prospective payment system (IPPS) proposed rule. We are proposing a new scoring system for Stage 3 of meaningful use for Medicare eligible hospitals and CAH with new measures that can be optionally reported. We believe this new scoring system will reduce burden on providers as we are moving from an approach where they need to report on all measures to one where they choose which measures are more applicable to their particular service.

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Authorizing Statute(s): PL: Pub.L. 111 - 5 Title XIII of Division A Name of Law: The American Recovery and Reinvestment Act of 2009
   PL: Pub.L. 111 - 5 Title IV of Division B Name of Law: The American Recovery and Reinvestment Act of 2009
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 5 Title IV of Division B Name of Law: The American Recovery and Reinvestment Act of 2009
PL: Pub.L. 111 - 5 Title XIII of Division A Name of Law: The American Recovery and Reinvestment Act of 2009

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AT27	Final or interim final rulemaking	83 FR 41144	08/17/2018

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
§495.210 - Gather information for attestation (MA EPs)
§495.24(e) Objectives/Measures (hospitals/CAHs)
§495.210 –Attestation on behalf of MA EPs
§495.316 – Quarterly Reporting
§ 495.24(d)-Objectives/Measures (EPs)
§495.24(d) Objectives/Measures Medicaid (eligible hospitals/CAHs)

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ICR Summary of Burden

table that charts list of burden

	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	83,657	641,494	0	-26,969	-530,868	0
Annual Time Burden (Hours)	623,562	4,230,155	0	-12,647	-3,593,946	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: We note that the number of respondents in the approved burden is 641,494. As a result of program changes, we note that this will be reduced to 83,489 respondents. The burden hours have decreased from 4,230,155 to 623,562.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/13/2018

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