[Medicaid] Administrative Requirements for Section 6071 of the Deficit Reduction Act of 2005 (CMS-10249)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10249 Work Plan	Form	Modified	Available
Form CMS-10249 Maintenance of Effort (MOE) Form	Form and Instruction	Modified	Available
Form CMS-10249 MFP_Budget_Workbook	Form and Instruction	Modified	Available
Form CMS-64.9i, -64.9pi Quarterly Expenditures	Form	Modified	Available
Form CMS-10249 MFP Financial Reporting Forms ABCD	Form	Modified	Available
Form CMS-10249 Semi-Annual Progress Report	Form	Modified	Available
Form CMS-10249 Administrative Requirements for Section 6071 of the DRA	Form	Modified	Repair queued
CMS-10249 - Supporting Statement A (2023 version 8).docx	Supporting Statement A	Uploaded 2024-02-23	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	Work Plan
186838	Administrative Requirements for Section 6071 of the DRA	Form and Instruction	Modified	Maintenance of Effort (MOE) Form
186838	Administrative Requirements for Section 6071 of the DRA	Form and Instruction	Modified	MFP_Budget_Workbook
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	Quarterly Expenditures
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	MFP Financial Reporting Forms ABCD
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified	Semi-Annual Progress Report
186838	Administrative Requirements for Section 6071 of the DRA	Form	Modified
186838	Administrative Requirements for Section 6071 of the DRA	Instruction	Modified

ICR Details

OMB Control No: 0938-1053	ICR Reference No: 202402-0938-007
Status: Historical Active	Previous ICR Reference No: 202107-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: [Medicaid] Administrative Requirements for Section 6071 of the Deficit Reduction Act of 2005 (CMS-10249)
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: 04/26/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/23/2024
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2027	36 Months From Approved	08/31/2024
Responses	410	0	336
Time Burden (Hours)	5,003	0	2,604
Cost Burden (Dollars)	0	0	0

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Abstract: The Centers for Medicare & Medicaid Services (CMS) awarded 31 grants to States to participate in the Money Follows the Person Rebalancing Demonstration (MFP) from January 1, 2007 through September 30, 2011. This demonstration, created by section 6071 of the Deficit Reduction Act of 2005 (P.L. 109-171), supports State efforts to "rebalance" their long-term support systems by offering $1.75 billion over 5 years in competitive grants to States. Specifically, the demonstration will support State efforts to: a) Rebalance their long-term support system so that individuals have a choice of where they live and receive services; b) Transition individuals from institutions who want to live in the community; and c) Promote a strategic approach to implement a system that provides person centered, appropriate, needs based, quality of care and quality of life services and a quality management strategy that ensures the provision of, and improvement of such services in both home and community-based settings and institutions. The demonstration provides enhanced federal medical assistance percentage (FMAP) for 12 months for qualified home and community-based services for each person transitioned from an institution to the community during the demonstration period.

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Authorizing Statute(s): PL: Pub.L. 109 - 171 6071 Name of Law: Money Follows the Person
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 86905	12/15/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 13086	02/21/2024
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Administrative Requirements for Section 6071 of the DRA	CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-64.9i, -64.9pi, -64.10i, and -64.910pi,	Semi-Annual Progress Report ,   MFP Financial Reporting Forms ABCD ,   Quarterly Expenditures ,   MFP_Budget_Workbook ,   Maintenance of Effort (MOE) Form ,   Work Plan

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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	410	336	0	74	0	0
Annual Time Burden (Hours)	5,003	2,604	0	2,399	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: Burden Adjustments Our active burden estimates account for 41 states and the District of Columbia (42 respondents). As of April 2023, 38 states, the District of Columbia and 2 territories are actively participating in the MFP Demonstration (41 respondents). Program Changes This 2024 collection of information request aims to reduce (minus 47 total hours) the reporting burden on states by presenting a substantially revised and shorted version of the MFP Semi-Annual Progress Report. The MFP Semi Annual Progress Report Benchmark Addendum has been removed as it is no longer be needed. States will be able to add measures and track progress in the state specific initiative section of the newly developed Money Follows the Person portal. This will reduce burden of the grantee. It also includes a new Work Plan template (plus 103 total hours), which is required by the CAA, 2021; the Semi-Annual Progress report also includes reporting requirements on the Work Plan as required in the CAA, 2021. This iteration also aims to standardize and improve the consistency of information presented in the Operational Protocol through a new template (plus 2,378 total hours). We are not proposing any changes to the MOE form, the ABCD forms, the 64i forms, and the Budget Workbook.

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Annual Cost to Federal Government: $76,522

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]? Yes

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)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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: 02/23/2024

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