Prior to
publication of the final rule, the agency should provide to OMB a
summary of all comments received on the proposed information
collection and identify any changes made in response to these
comments.
Inventory as of this Action
Requested
Previously Approved
36 Months From Approved
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Plan sponsors are required have
procedures to voluntarily self-report potential fraud or misconduct
related to the MA and Part D programs, respectively, to CMS or its
designee. Section 6063 of the SUPPORT Act requires the Secretary of
HHS to establish a secure web-based program integrity portal (or
other successor technology) that would allow secure communication
among the Secretary, MA and Part D plan sponsors, as well as
eligible entities with a contract under section 1893, such as
Medicare program integrity contractors. The purpose is to enable,
through the portal: the referral by such plans of substantiated or
suspicious activities (as defined by the Secretary) of a provider
of services (including a prescriber) or supplier related to fraud,
waste, and abuse for the purpose of initiating or assisting
investigations conducted by the eligible entity; and data sharing
among such MA plans, prescription drug plans, and the Secretary.
CMS plans to utilize a module within the Health Plan Management
System (HPMS) as the program integrity portal for information
collection and dissemination. Such data and the regular submission
and dissemination of this important information would, in our view,
strengthen CMS’ ability to oversee plan sponsors’ efforts to
maintain an effective fraud, waste, and abuse program. Section 6063
also requires MA plans and Medicare prescription drug plans to
report any information related to the inappropriate prescribing of
opioids and concerning investigations, credible evidence of
suspicious activities of a provider of services (including a
prescriber) or supplier, and other actions taken by the
plan.
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.
CMS-10724 - Supporting Statement A (2020 CMS-4190-P version 5).docx
Subsequent Years