Medicare Advantage Program
and Supporting Regulations (CMS-R-267)
Revision of a currently approved collection
No
Regular
12/10/2020
Requested
Previously Approved
36 Months From Approved
12/31/2021
12,138,998
35,597,180
2,677,853
9,466,233
0
0
Medicare Advantage (MA) organizations
(formerly M+C organizations) and potential MA organizations
(applicants) use the information collected based on the regulations
at 42 CFR 422 to comply with the application requirements and the
MA contract requirements. CMS uses the information collected based
on the regulations at 42 CFR 422 to approve contract applications,
monitor compliance with contract requirements, make proper payment
to MA organizations, determine compliance with the new prescription
drug benefit requirements established by the MMA, and to ensure
that correct information is disclosed to Medicare beneficiaries,
both potential enrollees and enrollees.
Statute at
Large: 18
Stat. 1859 Name of Statute: null
Statute at Large: 18
Stat. 1851 Name of Statute: null
Statute at Large: 18 Stat. 1851 Name of
Statute: null
Statute at Large: 18 Stat. 1859 Name of Statute: null
In this 2020 collection of
information request the standard (“long”) model enrollment form to
elect an MA plan established at 42 CFR 422.50 and 422.60 has been
extracted into its own stand-alone information collection request
(CMS-10718; OMB control number: 0938-1378). This iteration also
requests approval of our new minimum criteria for dual eligible
special needs plans (D-SNPs) to integrate Medicare and Medicaid
benefits detailed in Section 50311(b) of the Bipartisan Budget Act
of 2018 and set forth in our April 16, 2019 (84 FR 15680) final
rule CMS-4185-F (RIN 0938-AT59) for CY2020 and 2021. The
integration requirements improve care coordination, quality of
care, and beneficiary satisfaction while reducing administrative
burden. Lastly, this collection request subsumes revisions that are
set out under our June 2, 2020 (85 FR 33796) final rule
(CMS-4190-F; RIN 0938-AT97). Overall, the revisions reduce our
burden estimates by minus 6,788,380 hours.
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-R-267 (2020 CMS-4190-F version 9).docx
Medicare Advantage Program and Supporting Regulations (MAOs)