Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

ICR 201812-0938-013

OMB: 0938-1314

Federal Form Document

IC Document Collections
IC ID
Document
Title
Status
233582 Modified
233581
Modified
229086 Modified
229075 Modified
229074 Modified
227511
Modified
227509 Modified
227507 Modified
227506
Modified
227505 Modified
221786
Modified
221785
Modified
221784
Modified
221782 Modified
221781
Modified
221780
Modified
221779
Modified
221777
Modified
ICR Details
0938-1314 201812-0938-013
Historical Active 201810-0938-007
HHS/CMS CCSQ
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Revision of a currently approved collection   No
Regular
Approved without change 01/29/2019
Retrieve Notice of Action (NOA) 12/21/2018
  Inventory as of this Action Requested Previously Approved
01/31/2022 36 Months From Approved 03/31/2020
644,144 0 1,161,681
5,109,042 0 7,559,375
0 0 0

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 a Merit-based Incentive Payment System (MIPS) for eligible clinicians. Beginning in CY 2017, eligible clinicians are required to collect and submit data on four performance categories to CMS (quality, cost, advancing care information and improvement activities). This program replaces and consolidates portions of the PQRS, Value-based Modifier, and the Medicare EHR Incentive Program. The Act also establishes a second track, Advanced Alternative Payment Models (APMs) for clinicians to participate in instead of MIPS.

US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
  
US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014

0938-AT31 Final or interim final rulemaking 83 FR 59452 11/23/2018

  83 FR 35704 07/27/2018
83 FR 59452 11/23/2018
Yes

18
IC Title Form No. Form Name
(PI Performance Category) Data Submission (see SS-A Table 18)
(Improvement Activities Performance Category) Data Submission (see SS-A Table 21)
Partial Qualifying APM Participant (QP) Election (see SS-A Table 23)
(PI Performance Category) Reweighting Applications for Promoting Interoperability and Other Performance Categories (see SS-A Table 16)
(Physician Compare) Opt Out for Voluntary Participants (see SS-A Table 27)
(Quality Performance Category) Call for Quality Measures (see SS-A Table 15) CMS-10621 Data Template for Candidate Measures
Other Payer Advanced APM Identification: Clinician Initiated Process (see SS-A Table 25) CMS-10621 Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
Other Payer Advanced APM Identification: Payer Initiated Process (see SS-A Table 24) CMS-10621 Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form)
(Quality Performance Category) QCDR/MIPS CQM Collection Type (see SS-A Table 11)
(Quality Performance Category) Claims Collection Type (see Table SS-A 10)
(Quality Performance Category) eCQM Collection Type (see SS-A Table 12)
(Quality Performance Category) CMS Web Interface Submission Type (see SS-A Table 13)
(Quality Performance Category) Group Registration for CMS Web Interface (see SS-A Table 14)
(Improvement Activities Performance Category) Nomination of Improvement Activities (see SS-A Table 22) CMS-10621 Improvement Activities Performance Category: Call for Activities Submission Form
QPP Identity Management Application Process (see SS-A Table 9)
Submission of Data for All-Payer QP Determinations under the All-Payer Combination Option (see SS-A Table 26) CMS-10621 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
(PI Performance Category) Call for Promoting Interoperability Measures (see SS-A Table 19) CMS-10621 Promoting Interoperability Performance Category: Call for Measures Submission Form
Self-nomination: QCDR and Qualified Registry (see SS-A Tables 3 and 4)

  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 644,144 1,161,681 0 -26,017 -491,520 0
Annual Time Burden (Hours) 5,109,042 7,559,375 0 -35,968 -2,414,365 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
In Supporting Statement A, Table 29 provides the reasons for changes in the estimated burden for information collections in the CY 2019 PFS final rule. We have divided the reasons for our change in burden into those related to new policies and those related to changes in the baseline burden of continued Quality Payment Program Year 2 policies that reflect updated data and methods.

$0
Yes Part B of Supporting Statement
    Yes
    Yes
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.
12/21/2018


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