D-SNP Enrollee Advisory Committee and SNP Standardized Questions on Health Risk Assessments (CMS-10799)

ICR 202201-0938-008

OMB:

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2022-01-12
ICR Details
202201-0938-008
Received in OIRA
HHS/CMS CM-CPC
D-SNP Enrollee Advisory Committee and SNP Standardized Questions on Health Risk Assessments (CMS-10799)
New collection (Request for a new OMB Control Number)   No
Regular 01/13/2022
  Requested Previously Approved
36 Months From Approved
383 0
10,769 0
0 0

Section 1859(f)(5)(A)(ii)(I) of the Act requires each SNP to conduct an initial assessment and an annual reassessment of the individual’s physical, psychosocial, and functional needs. We previously codified this requirement at § 422.101(f)(1)(i) as a required component of the D-SNP’s model of care. In current practice, we allow each SNP to develop its own HRA, as long as it meets the statutory and regulatory requirements. We propose to amend § 422.101(f)(1)(i) to require that all SNPs (chronic condition special needs plans, D-SNPs, and institutional special needs plans) include one or more standardized questions on the topics of housing stability, food security, and access to transportation as part of their HRAs.

US Code: 42 USC 1856(b)(1), 1857(e), 1859(f)(5 Name of Law: Social Security Act
  
None

0938-AU30 Proposed rulemaking 87 FR 1842 01/12/2022

  87 FR 1842 01/12/2022
No

1
IC Title Form No. Form Name
D-SNP Enrollee Advisory Committee and SNP Standardized Questions on Health Risk Assessments

  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 383 0 0 383 0 0
Annual Time Burden (Hours) 10,769 0 0 10,769 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Our Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs rule (January 12, 2022; 87 FR 1842) (CMS-4192-P, RIN 0938-AU30) proposes to revise regulations related to dual eligible special needs plans (D-SNPs) and other special needs plans. This information collection request is for the proposed requirement at § 422.107(f) that any Medicare Advantage (MA) organization offering a D-SNP must establish one or more enrollee advisory committees in each State to solicit direct input on enrollee experiences. This information collection request also covers the proposed requirement at § 422.101(f)(1)(i) for all SNPs to include standardized questions on housing stability, food security, and access to transportation as part of their health risk assessments (HRAs). Overall, we estimate 383 respondents, 383 responses, and 10,769 hours.

$15,000
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.
01/13/2022


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