Implementation of Medicare Programs; - Medicare Promoting Interoperability Program (CMS-10552)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10552 Attestation screen shots	Form and Instruction	Modified	Repair queued
Form CMS-10552 ?495.24(e) Objectives/Measures (hospitals/CAHs)	Form and Instruction	Modified	Repair queued
CMS-10552 response to public comments_02-02-2024.docx	Supplementary Document	Uploaded 2024-02-05	Repair queued
CMS-10552 - FY 2024 PI Supporting Statement A_CLEAN_(02-07-2024).docx	Supporting Statement A	Uploaded 2024-02-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
216082	§495.24(e) Objectives/Measures (hospitals/CAHs)	Form and Instruction	Modified	Attestation screen shots
216082	?495.24(e) Objectives/Measures (hospitals/CAHs)	Form and Instruction	Modified
216082	§495.24(e) Objectives/Measures (hospitals/CAHs)	Instruction	Modified

ICR Details

OMB Control No: 0938-1278	ICR Reference No: 202402-0938-001
Status: Historical Active	Previous ICR Reference No: 202208-0938-013
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Implementation of Medicare Programs; - Medicare Promoting Interoperability Program (CMS-10552)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/21/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/08/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2027	36 Months From Approved	12/31/2025
Responses	4,500	0	4,500
Time Burden (Hours)	29,625	0	29,588
Cost Burden (Dollars)	0	0	0

---

Abstract: The American Recovery and Reinvestment Act of 2009 (Recovery Act) (Pub. L. 111-5) was enacted on February 17, 2009, and includes measures to modernize our nation's infrastructure and improve affordable health care. Expanded use of health information technology (HIT) and certified electronic health record (EHR) technology will improve the quality and value of America's health care. Title IV of Division B of the Recovery Act amends Titles XVIII and XIX of the Social Security Act (the Act) by establishing incentive payments to eligible professionals (EPs), eligible hospitals and critical access hospitals, and Medicare Advantage organizations participating in the Medicare and Medicaid programs that adopt and successfully demonstrate meaningful use of certified EHR technology (CEHRT). These Recovery Act provisions, together with Title XIII of Division A of the Recovery Act, may be cited as the “Health Information Technology for Economic and Clinical Health Act” or the “HITECH Act.”. Beginning in 2018, the names of the Medicare and Medicaid EHR Incentive Programs were changed to the Medicare and Medicaid Promoting Interoperability Programs. We are collecting information from participants in these programs on objectives and measures focused on the meaningful use of CEHRT in order to incentivize the advanced use of CEHRT to support health information exchange, interoperability, quality measurement, and maximizing clinical effectiveness and efficiencies. In the FY 2023 IPPS/LTCH PPS final rule, we are finalizing the following changes for eligible hospitals and CAHs that attest to CMS under the Medicare Promoting Interoperability Program that we expect to affect our collection of information burden estimates: (1) requiring the Electronic Prescribing Objective’s Query of Prescription Drug Monitoring Program (PDMP) measure beginning in the CY 2023 EHR reporting period while maintaining its associated points at 10 points with three exclusions; (2) adopting a new Antimicrobial Use and Resistance (AUR) Surveillance measure that would be required for eligible hospitals and CAHs under the Medicare Promoting Interoperability Program’s Public Health and Clinical Data Exchange Objective with associated exclusions beginning with the CY 2024 EHR reporting period; and (3) requiring eligible hospitals and CAHs to submit their level of active engagement in addition to submitting responses for the Public Health and Clinical Data Exchange Objective required measures and the optional measures beginning with the CY 2023 EHR reporting period. We are also modifying our eCQM reporting and submission requirements whereby we are increasing the total number of eCQMs to be reported from four to six eCQMs beginning with the CY 2024 reporting period.

---

Authorizing Statute(s): PL: Pub.L. 111 - 5 Title IV of Division B Name of Law: The American Recovery and Reinvestment Act of 2009
   PL: Pub.L. 111 - 5 Title XIII of Division A Name of Law: The American Recovery and Reinvestment Act of 2009
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 5 Title IV of Division B Name of Law: The American Recovery and Reinvestment Act of 2009
PL: Pub.L. 111 - 5 Title XIII of Division A Name of Law: The American Recovery and Reinvestment Act of 2009

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 78049	11/14/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 8202	02/06/2024
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
§495.24(e) Objectives/Measures (hospitals/CAHs)	CMS-10552	Attestation screen shots

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	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	4,500	4,500	0	0	0	0
Annual Time Burden (Hours)	29,625	29,588	0	37	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Due to revisions to burden estimates associated with optional reporting of bonus measures under Public Health and Clinical Data Exchange Objective, we are estimating an increase of 37 hours and $1,682 across all eligible hospitals and CAHs.

---

Annual Cost to Federal Government: $10,386,045

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/08/2024

---