Information Collection Request

Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

ICR 202007-0938-007 · OMB 0938-1314 · Historical Inactive

IC Document Collections
IC IDCollectionTypeStatusForm
243257 Nomination of MVPs (SS-A Table 21) Form and Instruction New
243256 Open Authorization Credentialing and Token Request Process (SS-A Table 5) New
233582 Submission of Data for All-Payer QP Determinations under the All-Payer Combination Option (see SS-A Table 25) Form Modified
233581 QPP Identity Management Application Process (see SS-A Table 9) Unchanged
229086 (Quality Performance Category) Call for Quality Measures (see SS-A Table 13) Form and Instruction Modified
229075 Other Payer Advanced APM Identification: Clinician Initiated Process (see SS-A Table 24) Form Modified
229074 (PI Performance Category) Call for Promoting Interoperability Measures (see SS-A Table 17) Form and Instruction Modified
227511 (Physician Compare) Opt Out for Voluntary Participants (see SS-A Table 26) Modified
227509 Other Payer Advanced APM Identification: Payer Initiated Process (see SS-A Table 23) Form and Instruction Modified
227507 (Improvement Activities Performance Category) Nomination of Improvement Activities (see SS-A Table 20) Form Modified
227506 (PI Performance Category) Reweighting Applications for Promoting Interoperability and Other Performance Categories (see SS-A Table 14) Form Modified
227505 (Quality Performance Category) Group Registration for CMS Web Interface (see SS-A Table 14) Instruction Removed
221786 Partial Qualifying APM Participant (QP) Election (see SS-A Table 22) Modified
221785 (Improvement Activities Performance Category) Data Submission (see SS-A Table 19) Modified
221784 (PI Performance Category) Data Submission (see SS-A Table 16) Modified
221782 Self-nomination: QCDR and Qualified Registry (see SS-A Tables 3 and 4) Instruction Modified
221781 (Quality Performance Category) CMS Web Interface Submission Type (see SS-A Table 13) Removed
221780 (Quality Performance Category) eCQM Collection Type (see SS-A Table 12) Modified
221779 (Quality Performance Category) QCDR/MIPS CQM Collection Type (see SS-A Table 11) Modified
221777 (Quality Performance Category) Claims Collection Type (see SS-A Table 10) Modified
ICR Details
0938-1314 202007-0938-007
Historical Inactive 201911-0938-009
HHS/CMS CCSQ
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Revision of a currently approved collection   No
Regular
Comment filed on proposed rule and continue 01/05/2021
Retrieve Notice of Action (NOA) 08/24/2020
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
01/31/2022 36 Months From Approved 01/31/2022
475,198 0 475,198
2,937,891 0 2,937,891
0 0 0

Section 1848(q) of the Social Security Act, as amended by section 101 of the Medicare Access and CHIP Reauthorization Act of 2015, authorizes the establishment of a Merit-based Incentive Payment System (MIPS) for eligible clinicians. Beginning in CY 2017, eligible clinicians are required to collect and submit data on four performance categories to CMS (quality, cost, advancing care information and improvement activities). This program replaces and consolidates portions of the PQRS, Value-based Modifier, and the Medicare EHR Incentive Program. The Act also establishes a second track, Advanced Alternative Payment Models (APMs) for clinicians to participate in instead of MIPS.

US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
  
US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014

0938-AU10 Proposed rulemaking 85 FR 50074 08/17/2020

  85 FR 50074 08/17/2020
No

18
IC Title Form No. Form Name
(PI Performance Category) Data Submission (see SS-A Table 16)
Other Payer Advanced APM Identification: Clinician Initiated Process (see SS-A Table 24) CMS-10621 Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
Submission of Data for All-Payer QP Determinations under the All-Payer Combination Option (see SS-A Table 25) CMS-10621 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
(PI Performance Category) Call for Promoting Interoperability Measures (see SS-A Table 17) CMS-10621 Promoting Interoperability Performance Category: Call for Measures Submission Form
QPP Identity Management Application Process (see SS-A Table 9)
(Improvement Activities Performance Category) Nomination of Improvement Activities (see SS-A Table 20) CMS-10621 Improvement Activities Performance Category: Call for Activities Submission Form
Other Payer Advanced APM Identification: Payer Initiated Process (see SS-A Table 23) CMS-10621 Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form)
(Quality Performance Category) QCDR/MIPS CQM Collection Type (see SS-A Table 11)
(Quality Performance Category) Claims Collection Type (see SS-A Table 10)
(Quality Performance Category) eCQM Collection Type (see SS-A Table 12)
Self-nomination: QCDR and Qualified Registry (see SS-A Tables 3 and 4) CMS-10621 2020 Qualified Clinical Data Registry (QCDR) Measure Submission Template
(Improvement Activities Performance Category) Data Submission (see SS-A Table 19)
Partial Qualifying APM Participant (QP) Election (see SS-A Table 22)
(PI Performance Category) Reweighting Applications for Promoting Interoperability and Other Performance Categories (see SS-A Table 14) CMS-10621, CMS-10621 Hardship Exception Application Form ,   Extreme and Uncontrollable Circumstances Application Form
(Physician Compare) Opt Out for Voluntary Participants (see SS-A Table 26)
(Quality Performance Category) Call for Quality Measures (see SS-A Table 13) CMS-10621, CMS-10621 Data Template for Candidate Measures ,   Measures under Consideration 2019, Data Template for Candidate Measures
(Quality Performance Category) CMS Web Interface Submission Type (see SS-A Table 13)
(Quality Performance Category) Group Registration for CMS Web Interface (see SS-A Table 14)
Open Authorization Credentialing and Token Request Process (SS-A Table 5)
Nomination of MVPs (SS-A Table 21) CMS-10621 MVP Candidates: Instructions and Template

Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The proposed changes in this 2020 collection of information request is associated with our August 17, 2020 (85 FR 50074) proposed rule (CMS-1734-P, RIN 0938-AU10). We are removing two of our currently approved ICRs [(1) quality performance category data submission by CMS Web Interface collection type and (2) group registration for the CMS Web Interface] as a result of the proposal to sunset the CMS Web Interface. Four ICRs [(1) quality performance category data submission by QCDR and MIPS CQM collection type, (2) quality performance category data submission by eCQM collection type, (3) nomination of improvement activities, and (4) reweighting applications for Promoting Interoperability and other performance categories] reflect changes in burden due to proposed policies in the CY 2021 proposed rule. In total, we estimate an increase in burden of 66,876 hours and $6,604,565 due to updated data and assumptions as well as proposed policies.

$0
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
No
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.
08/24/2020