Marketplace Quality Standards (CMS-10520)

ICR 202206-0938-015

OMB: 0938-1249

Federal Form Document

Forms and Documents
ICR Details
0938-1249 202206-0938-015
Received in OIRA 202005-0938-012
HHS/CMS CCIIO
Marketplace Quality Standards (CMS-10520)
Revision of a currently approved collection   No
Regular 06/15/2022
  Requested Previously Approved
36 Months From Approved 08/31/2022
914 764
384,014 317,014
0 0

Section 1311(c)(3) of the Affordable Care Act directs the Secretary to develop a system to rate QHPs on the basis of quality and price and requires Exchanges to display this quality rating information on their respective websites. Section 1311(c)(4) of the Affordable Care Act requires the Secretary to develop an enrollee satisfaction survey (ESS) system to assess enrollee experience with each QHP (with more than 500 enrollees in the previous year) offered through an Exchange. Section 1311(h) requires QHPs to contract with certain hospitals that meet specific patient safety and health care quality standards beginning January 1, 2015. CMS is requesting approval for information collection associated with these related Marketplace quality standards.

PL: Pub.L. 111 - 148 1311(h) Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1311(c)(3)-(4) Name of Law: Affordable Care Act
   US Code: 45 USC 156.1110 Name of Law: HEALTH INSURANCE ISSUER STANDARDS UNDER THE AFFORDABLE CARE ACT, INCLUDING STANDARDS RELATED TO EXCH
  
US Code: 45 USC 156.1110 Name of Law: Establishment of patient safety standards for QHP issuers.

Not associated with rulemaking

  87 FR 7457 02/09/2022
87 FR 35786 06/13/2022
No

  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 914 764 0 0 150 0
Annual Time Burden (Hours) 384,014 317,014 0 0 67,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The modifications to the QRS and QHP Enrollee Survey and patient safety portions of this document, based on the past three years of implementation of the programs, would result in an annual estimate increase in burden hours of 67,000 hours. The burden change is also impacted by the increase in the number of respondents from 250 to 300. • QRS implementation and reporting increased by 64,100 hours [304,000-368,100 hours]; • QHP Enrollee Survey implementation and reporting increased by 2,500 hours [12,500 to 15,000 hours]; • Monitoring and appeals process for survey vendors remained the same [14 hours] • Patient safety collection and reporting increased by 400 burden hours for [500-900].

$653,779
No
    No
    No
Yes
No
No
Yes
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.
06/15/2022


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