Add-On Payments for New Medical Services and Technologies Paid Under the Inpatient Prospective Payment System (IPPS) (CMS-10638)

ICR 202204-0938-009

OMB: 0938-1347

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2022-04-28
Supporting Statement A
2022-04-29
Justification for No Material/Nonsubstantive Change
2022-04-28
IC Document Collections
IC ID
Document
Title
Status
227314 Modified
ICR Details
0938-1347 202204-0938-009
Received in OIRA 201912-0938-014
HHS/CMS CM-FFS
Add-On Payments for New Medical Services and Technologies Paid Under the Inpatient Prospective Payment System (IPPS) (CMS-10638)
No material or nonsubstantive change to a currently approved collection   No
Regular 05/02/2022
  Requested Previously Approved
11/30/2023 11/30/2023
62 62
1,655 1,655
0 0

Sections 1886(d) (5) (K) and (L) of the Act establish a process of identifying and ensuring adequate payment for new medical services and technologies (sometimes collectively referred to in this section as ‘‘new technologies’’) under the IPPS. Section1886(d)(5)(K)(vi) of the Act specifies that a medical service or technology will be considered new if it meets criteria established by the Secretary after notice and opportunity for public comment. Section 1886(d)(5)(K)(ii)(I) of the Act specifies that a new medical service or technology may be considered for new technology add-on payment if, ‘‘based on the estimated costs incurred with respect to discharges involving such service or technology, the DRG prospective payment rate otherwise applicable to such discharges under this subsection is inadequate.’’ The regulations at 42 CFR 412.87 implement these provisions and specify three criteria for a new medical service or technology to receive the additional payment: (1) The medical service or technology must be new; (2) the medical service or technology must be costly such that the DRG rate otherwise applicable to discharges involving the medical service or technology is determined to be inadequate; and (3) the service or technology must demonstrate a substantial clinical improvement over existing services or technologies.

None
None

Not associated with rulemaking

  84 FR 41723 08/15/2019
84 FR 68936 12/17/2019
No

1
IC Title Form No. Form Name
NTAP Application in MEARIS CMS-10638 New Technology Application

  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 62 62 0 0 0 0
Annual Time Burden (Hours) 1,655 1,655 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$175,696
No
    No
    No
No
No
No
No
Stephan McKenzie 410 786-1943 [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.
05/02/2022


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