Medicaid Drug Utilization Review (DUR) Program (CMS-R-153)

ICR 201909-0938-011

OMB: 0938-0659

Federal Form Document

ICR Details
0938-0659 201909-0938-011
Historical Active 201809-0938-001
HHS/CMS CMCS
Medicaid Drug Utilization Review (DUR) Program (CMS-R-153)
Revision of a currently approved collection   No
Regular
Approved without change 11/07/2019
Retrieve Notice of Action (NOA) 09/27/2019
  Inventory as of this Action Requested Previously Approved
11/30/2022 36 Months From Approved 10/31/2021
663 0 663
41,004 0 41,004
0 0 0

Section 4401 of the Omnibus Budget Reconciliation Act of 1990 and section 1927(d) of the Social Security Act requires States to provide for a Medicaid Drug Utilization Review (DUR) program for covered outpatient drugs. The DUR program is required to assure that prescriptions are appropriate, medically necessary and are not likely to result in adverse medical results. Each State DUR program must consist of prospective drug use review, retrospective drug use review, data assessment of drug use against predetermined standards, and ongoing educational outreach activities. In addition, States are required to submit an annual DUR program report that includes a description of the nature and scope of State DUR activities as outlined in the statute and regulations. The Centers for Medicare and Medicaid Services, Center for Medicaid, CHIP and Survey and Certification, is requesting a 3-year approval of the State data collection requirements, the CMS forms CMS-R-153, CMS-R-153a, CMS-R-153b, and CMS-R-153c data collection instruments with instructions and the annual reporting contained in the Medicaid Drug Utilization Review regulation.

PL: Pub.L. 101 - 508 4401 Name of Law: Reimbursement for prescribed drugs
   US Code: 42 USC 1396r-8 Name of Law: Payment for Covered Outpatient Drugs
  
None

Not associated with rulemaking

  84 FR 30123 06/26/2019
84 FR 48622 09/16/2019
Yes

  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 663 663 0 0 0 0
Annual Time Burden (Hours) 41,004 41,004 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$2,016,020
No
    No
    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.
09/27/2019


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