Identifying Medicaid Payment for Physician Administered Drugs (CMS-10215)

ICR 202107-0938-005

OMB: 0938-1026

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2021-07-14
Supplementary Document
2018-07-06
IC Document Collections
ICR Details
0938-1026 202107-0938-005
Received in OIRA 201802-0938-008
HHS/CMS CMCS
Identifying Medicaid Payment for Physician Administered Drugs (CMS-10215)
Extension without change of a currently approved collection   No
Regular 07/14/2021
  Requested Previously Approved
36 Months From Approved 07/31/2021
84,589,433 3,910,000
351,046 16,227
0 0

Section 6002 of the Deficit Reduction Act (DRA) of 2005 added provisions under section 1927 of the Social Security Act to require physicians in their offices and hospital outpatient settings or other entities (e.g., non-profit facilities) to collect and submit the drug National Drug Code (NDC) numbers on Medicaid claims to their State in order for Federal Financial Participation to be available for these drugs. We estimate that there are 20,000 physicians in their offices, hospital outpatient settings or other entities (e.g., non-profit facilities) concentrating in the specialties of oncology, rheumatology and urology will be required by their State Medicaid Programs to collect and submit Healthcare Common Procedure Coding System (HCPC) J drug code data match with NDC numbers. CMS released a letter to State Medicaid Directors on July 11, 2006 to explain the requirements of the State collection and submission of the drug NDC numbers on Medicaid claims. This collection is also associated with CMS-2238-FC Medicaid Program: Prescription Drugs published under Volume 72, Number 136, Tuesday, July 17, 2007, Rules and Regulations (RIN 0938-AO20). The requirements for this collection are codified under 42 Code of Federal Regulations section 447.520 Federal Financial Participation: Conditions relating to physician administered drugs.

PL: Pub.L. 109 - 171 6002 Name of Law: Deficit Reduction Act of 2005
  
None

Not associated with rulemaking

  86 FR 23729 05/04/2021
86 FR 36281 07/09/2021
No

1
IC Title Form No. Form Name
Identifying Medicaid Payment for Physician Administered Drugs

  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 84,589,433 3,910,000 0 80,679,433 0 0
Annual Time Burden (Hours) 351,046 16,227 0 334,819 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
In this 2021 iteration we are not proposing changes to any of our requirements. As indicated in Supporting Statement section 12, there are no reporting instruments. We have, however, revised the title of this collection of information request from, “Physicians and Hospital Outpatient Departments Collecting and Submitting Drug Identifying Information to State Medicaid Programs” to “Identifying Medicaid Payment for Physician Administered Drugs.” The change has no impact on the substance of this collection of information request. As indicated in Supporting Statement section 15, we are also adjusting our total response, total time, and total cost estimates based on FFY 2020 claims data.

$0
No
    No
    No
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.
07/14/2021


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