Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204 (CMS-10391)

ICR 201812-0938-020

OMB: 0938-1134

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2019-01-15
ICR Details
0938-1134 201812-0938-020
Active 201604-0938-008
HHS/CMS CMCS
Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204 (CMS-10391)
Revision of a currently approved collection   No
Regular
Approved without change 04/09/2019
Retrieve Notice of Action (NOA) 01/29/2019
  Inventory as of this Action Requested Previously Approved
04/30/2022 36 Months From Approved 04/30/2019
202 0 212
23,898 0 30,501
0 0 0

CMS-2328-FC requires a transparent, data-driven process for states to document that Medicaid beneficiaries have access to services covered under the Medicaid State plan to the extent that services are available to the general population in a geographic area. To meet the requirements of the final rule, states must conduct access review monitoring plans that measure: the extent that enrollee needs are met, the availability of care and qualified providers, service utilization and payment rate comparisons. The reviews will be conducted every three years for: primary care, physician specialists, behavorial health, and pre and post natal obstetric services (including labor and delivery). As states reduce or restructure provider payment rates or receive significant numbers of complaints from providers and beneficiaires about access to care, additional services must be included in the review plan and monitored for at least 3 years. We are soliciting comments on the services required for ongoing access reviews and the timelines associated with review and monitoring activities. The final rule also requires states have mechanisms for obtaining beneficiary and provider feedback on access to care, such as hotlines, surveys, ombudsman or other equivalent mechanisms and institute corrective action procedures should access issues be discovered through the access review and monitoring processes. Finally, when considering reductions to Medicaid payment rates the final rule requires states to undertake a process that gathers input from stakesholds and relies upon the information analyzed through the data reveiws on the proposed reduction or restructuring of Medicaid service payment rates.

Statute at Large: 42 Stat. 1902 Name of Statute: null
  
None

Not associated with rulemaking

  83 FR 50099 10/04/2018
83 FR 64344 12/14/2018
No

  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 202 212 0 0 -10 0
Annual Time Burden (Hours) 23,898 30,501 0 0 -6,603 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
As indicated in Supporting Statement section 15, this 2018/2019 information collection request makes a number of burden adjustments which remove completed one-time requirements (see Change #1) and changes several estimates based on current data (see Change #2, 3, and 4). Altogether, we propose to reduce our currently approved burden estimates by minus 6,603 hours.

$0
No
    Yes
    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.
01/29/2019


© 2024 OMB.report | Privacy Policy