Repetitive, Scheduled
Non-Emergent Ambulance Transport (RSNAT) Prior Authorization Model
Process and Requirements (CMS-10708)
Revision of a currently approved collection
No
Regular
07/14/2023
Requested
Previously Approved
36 Months From Approved
08/31/2023
83,374
216,380
46,427
113,706
0
0
The Centers for Medicare &
Medicaid Services (CMS) is currently testing the Repetitive,
Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior
Authorization Model, in limited states, under the authority of
section 1115A of the Social Security Act (the Act). Section 515(b)
of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
added paragraph (16) to section 1834(l) of the Act, which requires
that, beginning January 1, 2017, the Secretary expand the model to
all states if the model expansion meets certain statutory
requirements for expanding models that are tested by the Center for
Medicare and Medicaid Innovation (Innovation Center) under the
authority of section 1115A of the Act. The expansion criteria,
described in paragraphs (1) through (3) of section 1115A(c) of the
Act, require that; (1) the Secretary determines that such expansion
is expected to—(A) reduce spending under applicable title without
reducing the quality of care; or (B) improve the quality of patient
care without increasing spending; and (2) the Chief Actuary of the
Centers for Medicare & Medicaid Services certifies that such
expansion would reduce (or would not result in any increase in) net
program spending under applicable titles; and (3) the Secretary
determines that such expansion would not deny or limit the coverage
or provision of benefits under the applicable title for applicable
individuals. Because section 1834(l)(16) of the Act requires the
Secretary to expand the RSNAT Prior Authorization Model to all
States if it meets the statutory expansion criterial in 1115A(c)(1
through 3) of the Act, the exemption from Paperwork Reduction Act
(PRA) process in 1115A(d)(3) is not applicable for the purposes of
the nationwide expansion of this model. Therefore, in order to move
forward with potential nationwide expansion, contingent on the
Secretary’s determination that the expansion criteria are met, CMS
must complete the PRA approval process, as required by chapter 35
of title 44, United States Code. As part of the process for working
towards potential expansion of the RSNAT Prior Authorization Model
under section 1834(1)(16) of the Act, CMS is seeking approval for
the collection of information under PRA.
None
PL: Pub.L. 114 - 20 515(a) Name of Law:
Medicare Access and CHIP Reauthorization Act of 2015
(MACRA)
With the implementation of the
nationwide expansion, model data from calendar year 2022 was used
to better estimate the number of responses per year. Based on this
updated data, the number of responses per year decreased from our
previous estimate of 216,941 to 83,374, which decreased the burden
hours per year from 113,706 to 46,427.
$23,200,000
No
No
No
Yes
No
No
No
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.
Form CMS-10708 Ambulance Prior Authorization
CMS-10708 - Supporting Statement .pdf
Ambulance Prior Authorization