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

ICR 202107-0938-013

OMB: 0938-1314

Federal Form Document

Forms and Documents
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Status
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Supporting Statement B
2021-09-30
Supporting Statement A
2021-09-30
IC Document Collections
IC ID
Document
Title
Status
249143
New
249142 New
248666
New
248665
New
248664
New
245893
Modified
245892 Modified
245891 Modified
245886
Unchanged
245885 Modified
245884 Modified
245883 Modified
245882
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245881 Modified
245880 Modified
245879 Modified
245877 Modified
245875
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245874
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245873 Modified
245870
Modified
245869
Modified
245867
Modified
245240
Modified
245229 Modified
233582 Modified
233581
Modified
229086 Modified
229075 Modified
229074 Modified
227511
Modified
227509 Modified
227507 Modified
227506 Modified
227505 Removed
221786
Modified
221785
Modified
221784
Modified
221782 Modified
221781
Removed
221780
Modified
221779
Modified
221777
Modified
ICR Details
0938-1314 202107-0938-013
Received in OIRA 202101-0938-003
HHS/CMS CCSQ
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Revision of a currently approved collection   No
Regular 10/04/2021
  Requested Previously Approved
36 Months From Approved 01/31/2022
633,160 654,162
2,826,178 2,957,004
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-AU42 Proposed rulemaking 86 FR 39104 07/23/2021

  86 FR 39104 07/23/2021
No

41
IC Title Form No. Form Name
2021 > (Quality Performance Category) CMS Web Interface Submission Type (see SS-A Table 13)
2021 > (Quality Performance Category) Registration and Enrollment for CMS Web Interface (see SS-A Table 14)
2022 >> (Improvement Activities Performance Category) Data Submission (see SS-A Table 25)
2022 >> (Improvement Activities Performance Category) Nomination of Improvement Activities (see SS-A Table 27) CMS-10621 Improvement Activities Performance Category, 2021 Call for Activities Submission Form
2022 >> (PI Performance Category) Call for Promoting Interoperability Measures (see SS-A Table 23) CMS-10621 Promoting Interoperability Performance Category, 2022 Call for Measures Submission Form
2022 >> (PI Performance Category) Data Submission (see SS-A Table 21)
2022 >> (PI Performance Category) Reweighting Applications for Promoting Interoperability and Other Performance Categories (see SS-A Table 19) CMS-10621, CMS-10621 Hardship Exception Application Form ,   Extreme and Uncontrollable Circumstances Application Form
2022 >> (Physician Compare) Opt Out for Voluntary Participants (see SS-A Table 33)
2022 >> (Quality Performance Category) Call for Quality Measures (see SS-A Table 18) CMS-10621, CMS-10621 Peer Reviewed Journal Article Requirement Template ,   Measures under Consideration 2021, Data Template for Candidate Measures
2022 >> (Quality Performance Category) Claims Collection Type (see Table SS-A 10)
2022 >> (Quality Performance Category) QCDR/MIPS CQM Collection Type (see SS-A Table 11)
2022 >> (Quality Performance Category) eCQM Collection Type (see SS-A Table 12)
2022 >> Group Registration for CMS Web Interface (SS-A Table 17)
2022 >> Nomination of MVPs (SS-A Table 28) CMS-10621 Stakeholder Submissions of MIPS Value Pathways (MVP) Candidates: Instructions and Template
2022 >> Open Authorization Credentialing and Token Request Process (SS-A Table 5)
2022 >> Other Payer Advanced APM Identification: Clinician Initiated Process (see SS-A Table 31) CMS-10621 Appendix E1 2022 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Fo
2022 >> Other Payer Advanced APM Identification: Payer Initiated Process (see SS-A Table 30) CMS-10621 2022 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form)
2022 >> Partial Qualifying APM Participant (QP) Election (see SS-A Table 29) CMS-10621 Partial QP Election Form
2022 >> QPP Identity Management Application Process (see SS-A Table 9)
2022 >> Quality Data Submission via the CMS Web Interface (SS-A Table 16) CMS-10621 2021 CMS Web Interface and CAHPS for MIPS Registration Guide
2022 >> Self-nomination: QCDR and Qualified Registry (see SS-A Tables 3 and 4) CMS-10621 2021 Qualified Clinical Data Registry (QCDR) Measure Submission Template
2022 >> Submission of Data for All-Payer QP Determinations under the All-Payer Combination Option (see SS-A Table 32) CMS-10621 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
2023 > (Improvement Activities Performance Category) Data Submission (see SS-A Table 26)
2023 > (Improvement Activities Performance Category) Nomination of Improvement Activities (see SS-A Table 27) CMS-10621 Improvement Activities Performance Category, 2021 Call for Activities Submission Form
2023 > (PI Performance Category) Call for Promoting Interoperability Measures (see SS-A Table 23) CMS-10621 Promoting Interoperability Performance Category, 2021 Call for Measures Submission Form
2023 > (PI Performance Category) Data Submission (see SS-A Table 22)
2023 > (PI Performance Category) Reweighting Applications for Promoting Interoperability and Other Performance Categories (see SS-A Table 19) CMS-10621, CMS-10621 Hardship Exception Application Form ,   Extreme and Uncontrollable Circumstances Application Form
2023 > (Physician Compare) Opt Out for Voluntary Participants (see SS-A Table 33)
2023 > (Quality Performance Category) Call for Quality Measures (see SS-A Table 18) CMS-10621, CMS-10621 Peer Reviewed Journal Article Requirement Template ,   Measures under Consideration 2019, Data Template for Candidate Measures
2023 > (Quality Performance Category) Claims Collection Type (see Table SS-A 10)
2023 > (Quality Performance Category) QCDR/MIPS CQM Collection Type (see SS-A Table 11)
2023 > (Quality Performance Category) eCQM Collection Type (see SS-A Table 12)
2023 > MVP Quality Submission: 2023 Performance Period (SS-A Table 15)
2023 > MVP Registration: 2023 Performance Period (SS-A Table 13)
2023 > Nomination of MVPs (SS-A Table 28) CMS-10621 Stakeholder Submissions of MIPS Value Pathways (MVP) Candidates: Instructions and Template
2023 > Open Authorization Credentialing and Token Request Process (SS-A Table 5)
2023 > Other Payer Advanced APM Identification: Clinician Initiated Process (see SS-A Table 31) CMS-10621 Eligible Clinician Initiated Submission Form
2023 > Other Payer Advanced APM Identification: Payer Initiated Process (see SS-A Table 30) CMS-10621 Payer Initiated Submission Form
2023 > Partial Qualifying APM Participant (QP) Election (see SS-A Table 29)
2023 > QPP Identity Management Application Process (see SS-A Table 9)
2023 > Self-nomination: QCDR and Qualified Registry (see SS-A Tables 3 and 4) CMS-10621 2021 Qualified Clinical Data Registry (QCDR) Measure Submission Template
2023 > Subgroup Registration: 2023 Performance Period (SS-A Table 14)
2023 > Submission of Data for All-Payer QP Determinations under the All-Payer Combination Option (see SS-A Table 32) CMS-10621 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option

  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 633,160 654,162 0 -21,002 0 0
Annual Time Burden (Hours) 2,826,178 2,957,004 0 -130,826 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The proposed changes in this CY 2022 collection of information request are associated with our July 23, 2021 (86 FR 39104) proposed rule (CMS-1734-F, RIN 0938-AU42). The proposed policies impact the burden estimates for the CY 2022 and CY 2023 MIPS performance periods. Overall, we anticipate a reduction of 21,002 responses, 130,826 hours, and $4,864,776 (labor).

$176
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.
10/04/2021


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