CMS-R-153 DUR Survey Tool

MDP System
DUR SURVEY TOOL

 

Landing Page

PRA Disclosure Statement This mandatory information collection (section 4401 of the Omnibus Budget Reconciliation Act of 1990 and section 1927(g) of the Social Security Act) is necessary to establish patient profiles in pharmacies, identify problems in prescribing and/or dispensing, determine each program’s ability to meet minimum standards required for Federal financial participation, and ensure quality pharmaceutical care for Medicaid patients. State Medicaid agencies that have prescription drug programs are required to perform prospective and retrospective DUR in order to identify aberrations in prescribing, dispensing and/or patient behavior. Under the Privacy Act of 1974 any personally identifying information obtained will be kept private to the extent of the law. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid Office of Management and Budget (OMB) control number. The control number for this information collection request is 0938-0659 (Expires: TBD). Public burden for all of the collection of information requirements under this control number is estimated at 64 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to CMS, 7500 Security Boulevard, Attn: Paperwork Reduction Act Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.

 

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Assign DUR State Role

 

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Assign State DUR Designee Survey Sections

 

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Assign DUR State Designee

 

MDP System – DUR FFS

The reporting period covers the period October 1, 2017 to September 30,2018 and is due for submission to CMS by no later than June 30, 2019.

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Survey Disclamer

 

Demographic Information

 

Section

 

E-prescribing

 

Innovative Practices

 

Executive Summary

 

MDP System – DUR (FFS)

 

MDP System - Dashboard

 

MDP System – DUR MCO

 

MDP System – DUR MCO (Con't)

 

MDP System – DUR MCO
Completed Survey