Hospice Conditions of Participation (CMS-10277)

ICR 202103-0938-005

OMB: 0938-1067

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2021-03-01
IC Document Collections
IC ID
Document
Title
Status
241790
Unchanged
241789
Unchanged
230612
Unchanged
230608
Unchanged
211892
Unchanged
211891
Unchanged
211890
Unchanged
211889
Unchanged
211888
Unchanged
211887
Unchanged
211886
Unchanged
211885
Unchanged
211884
Unchanged
211883
Unchanged
211882
Unchanged
211881
Unchanged
211880
Unchanged
195470
Unchanged
195469
Unchanged
195468
Unchanged
189585
Unchanged
189584
Unchanged
189583
Unchanged
189582
Unchanged
189581
Unchanged
189580
Unchanged
189579
Unchanged
189578
Unchanged
189577
Unchanged
189576
Unchanged
ICR Details
0938-1067 202103-0938-005
Received in OIRA 202005-0938-006
HHS/CMS
Hospice Conditions of Participation (CMS-10277)
Revision of a currently approved collection   No
Regular 03/01/2021
  Requested Previously Approved
36 Months From Approved 11/30/2022
18,725,653 17,807,870
3,639,215 3,484,763
0 0

The CoPs and accompanying requirements specified in the regulations are used by Federal or State surveyors as a basis for determining whether a hospice qualifies for approval or re-approval under Medicare. CMS and the healthcare industry believe that the availability to the hospice of the type of records and general content of records, which this regulation specifies, is standard medical practice, and is necessary in order to ensure the well-being and safety of patients and professional treatment accountability.

PL: Pub.L. 97 - 248 122 Name of Law: Tax Equity & Fiscal Responsibility Act
   PL: Pub.L. 101 - 239 6005(b) Name of Law: Omnibus Reconciliation Act of 1989
   US Code: 42 USC 1395x Name of Law: Hospice Care; Hospice Program
   PL: Pub.L. 105 - 33 Title IV, Chapter 4 Name of Law: BBA of 1997
   PL: Pub.L. 108 - 173 946 Name of Law: Medicare Prescription Drug, Improvement, & Modernization Act of 2003
  
US Code: 42 USC 418.24(b) Name of Law: Election of hospice care
US Code: 42 USC 418.24(c) Name of Law: Election of hospice care

0938-AU09 Final or interim final rulemaking 85 FR 47070 08/04/2020

No

30
IC Title Form No. Form Name
Hospice Conditions of Participation 418.110(m)
Hospice Conditions of Participation 418.100(e)
Hospice Condition of Participation 418.58 Phase 2 data entry
Hospice Conditions of Participation (418.52(a)(3)
Hospice Conditions of Participation 418.56(b) and (c)
Hospice Conditions of Participation 418.76(c) and (d)
Hospice Conditions of Participation 418.78(a)(c)(d) and (e)
Hospice Conditions of Participation 418.106 (e)
Hospice Conditions of Participation 418.110(n) training
Hospice Conditions of Participation (418.110 (n) new hospice training program
Hospice Conditions of Participation 418.112(e)(3)
Hospice Conditions of Participation 418.114 (d)
Hospice Conditions of Participation 418.114 (b)
Hospice Conditions of Participation 418.58 Phase 1
Hospice Conditions of Participation 418.22(b)(3)
Hospice Condition of Participation (418.22(b)(4) and (b)(5)
Hospice Conditions of Participation 418.22(b)
Hospice Condtions of Participation 418.52(a)
Hospice Conditons of Participation 418.24 develop election form
Hospice Conditions of Participation 418.108(c)
Hospice Conditions of Participation 418.58 Phase 2 aggregate/data analysis
Hospice Conditions of Participation 418.58 Phase 3
Hospice Conditions of Participation 418.110(n) documentation
Hospice Conditions of Participation 418.108(c)(3)
Hospice Conditions of Participation 418.28 explain revocation form
Hospice Conditions of Participation 418.24 explain election form
Hospice Conditions of Participation 418.28 develop revocation form
Hospice Conditions of Participation 418.52(b)
§418.24(b) Modification
§418.24(c) Addendum

  Total Request 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 18,725,653 17,807,870 917,783 0 0 0
Annual Time Burden (Hours) 3,639,215 3,484,763 154,452 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Due to several regulatory provisions that were ultimately not finalized in 84 FR 51732 (specifically §§ 418.106(e) and 418.112(c)), the annual hourly burden for the information collection requirements for hospice CoPs has increased by 154,452 hours (from 3,484,763 hours to 3,639,215 hours).

$0
No
    No
    No
Yes
No
No
No
Jamaa Hill 301 492-4190

  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.
03/01/2021


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