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 ?495.24(e) Objectives/Measures (hospitals/CAHs)	Form and Instruction	Modified	Missing upstream
CMS-10552 FY 2025 Supporting Statement A (06-20-2024).docx	Supporting Statement A	Uploaded 2024-06-24	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

ICR Details

OMB Control No: 0938-1278	ICR Reference No: 202406-0938-012
Status: Received in OIRA	Previous ICR Reference No: 202402-0938-001
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	Date Submitted to OIRA: 07/01/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2027
Responses	4,550	4,500
Time Burden (Hours)	30,151	29,625
Cost Burden (Dollars)	0	0

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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. Abstract (2000 characters maximum) 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, eligible hospitals and critical access hospitals (CAHs), 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”. In 2019, the EHR Incentives Program for eligible hospitals and CAHs was subsequently renamed the Medicare Promoting Interoperability Program. We are collecting information from participants in this program 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, advanced quality measurement, and maximizing clinical effectiveness and efficiency. In the FY 2025 IPPS/LTCH PPS proposed rule, we are proposing to separate the previously finalized Antimicrobial Use and Antimicrobial Resistance (AUR) Surveillance measure into two separate measures, beginning with the EHR reporting period in CY 2025: (1) the Antimicrobial Use (AU) Surveillance measure and (2) the Antimicrobial Resistance (AR) Surveillance Measure. We are also proposing to increase the total number of electronic clinical quality measures (eCQMs) eligible hospitals and CAHs report from six to nine for the CY 2026 reporting period, and then from nine to eleven beginning with the CY 2027 reporting period. We note that the information collection burden associated with reporting of eCQMs by eligible hospitals and CAHs is accounted for under OMB control number 0938-1022.

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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

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AV34	Proposed rulemaking	89 FR 35934	05/02/2024

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Federal Register Notices & Comments

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
§495.24(e) Objectives/Measures (hospitals/CAHs)	CMS-10552	Attestation screen shots

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ICR Summary of Burden

table that charts list of burden

	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	4,550	4,500	0	50	0	0
Annual Time Burden (Hours)	30,151	29,625	0	526	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: We previously requested and received approval for total annual burden estimates under this OMB control number for the EHR reporting period in CY 2025 of 29,625 hours at a total cost of $1,328,978 as a result of policies finalized in the FY 2024 IPPS/LTCH PPS final rule. Accounting for updated wage rates, the total cost of $1,328,978 increases to $1,544,055. For the EHR reporting period in CY 2025, based on the policy proposals in the FY 2025 IPPS/LTCH PPS proposed rule and addition of burden associated with previously finalized measures, we estimate a total burden of 30,151 hours and $1,571,474 (an increase of 526 hours and $27,419 from our currently approved estimate). This burden estimate also represents an increase of 526 hours and $242,496 from the approved burden estimate of 29,625 hours and $1,328,978 for the EHR reporting period in CY 2024.

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Annual Cost to Federal Government: $10,571,400

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)? Yes

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: 07/01/2024

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