Programs of All-Inclusive Care for the Elderly (PACE) PACE Quality Data Monitoring and Reporting (10525)

Forms and Documents

Document Name	Status
Form CMS-10525 Quality Measure(s) Data Entry Form and Instruction	Removed
PACE Quality Data CMS-10525 - Supporting Statement.docx Supporting Statement A	2020-09-28
Appendix A-CMS 10525 Response to Public Comments 60 day.pdf Supplementary Document	2020-09-24
PACE Quality Data CMS 10525 final Crosswalk.pdf Supplementary Document	2020-09-24

IC Document Collections

IC ID	Document Title	Status
224797	Quality Measure(s) Data Entry Form and Instruction	Removed
214270	PACE Quality Data With RCA Instruction	Modified
213217	PACE Quality Data Without RCA Instruction	Modified

ICR Details

OMB Control No: 0938-1264	ICR Reference No: 202009-0938-014
Status: Active	Previous ICR Reference No: 201612-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: Programs of All-Inclusive Care for the Elderly (PACE) PACE Quality Data Monitoring and Reporting (10525)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/23/2020
	Date Received in OIRA: 09/29/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2023	36 Months From Approved
Responses	1,143	0	0
Time Burden (Hours)	173,664	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The PACE program is a unique model of managed care service delivery for the frail elderly, most of whom are dually-eligible for Medicare and Medicaid benefits. To be eligible to enroll in PACE, an individual must: be 55 or older, live in the service area of a PACE organization (PO), need a nursing home-level of care, and be able to live safely in the community with assistance from PACE. POs are responsible for providing all required Medicare and Medicaid covered services, and any other service that the interdisciplinary team (IDT) determines necessary to improve and maintain a participant’s overall health condition. The IDT is responsible for providing as well as coordinating the care and services for each participant enrolled in the program based on his or her individual needs with the goal of enabling older individuals to remain in their community. Because PACE organizations are both an insurer and health care provider, it is vital that CMS have a mechanism to monitor POs performance and identify areas for quality improvement and the need for technical assistance. Therefore, POs must comply with the quality monitoring and reporting requirements outlined in the regulatory citations listed on this form. POs are also required to report certain unusual incidents to other Federal and State agencies. POs have been collecting and reporting PACE Quality data to CMS and State administering agencies (SAA) since 1999.

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Authorizing Statute(s): US Code: 42 USC 1934(e)(3)(A) Name of Law: Social Security Act
   US Code: 42 USC 1894(b)(2)(A) Name of Law: Social Security Act
  

Citations for New Statutory Requirements: US Code: 42 USC 1894(b)(2)(A) Name of Law: Social Security Act
US Code: 42 USC 1934(e)(3)(A) Name of Law: Social Security Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 36590	06/17/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 60798	09/28/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Quality Measure(s) Data Entry	CMS-10525	PACE Quality Data Entry (Screen Shots)
PACE Quality Data With RCA
PACE Quality Data Without RCA

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ICR Summary of Burden

	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	1,143	0	0	0	-297	1,440
Annual Time Burden (Hours)	173,664	0	0	0	-156,936	330,600
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: CMS removed the PACE quality measures, which include Falls, Falls with Injury and Pressure Ulcer Prevalence, and the estimated burden included in the current PRA package. To align with CMS’ 16 strategic initiatives, including “Patients Over Paperwork” and reducing unnecessary burden, we are not implementing these measures at this time, which is a cost savings of $972,000 and a reduction in 27,000 annual burden hours.

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Annual Cost to Federal Government: $896,439

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/29/2020

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