Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a) (CMS-10261)

ICR 202410-0938-019

OMB: 0938-1054

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2024-10-16
Justification for No Material/Nonsubstantive Change
2024-10-16
Supplementary Document
2024-10-16
Supplementary Document
2024-10-16
Supplementary Document
2023-11-28
Supplementary Document
2023-11-28
Supporting Statement A
2023-11-28
Supporting Statement A
2023-11-28
Supplementary Document
2023-09-25
Supplementary Document
2023-09-25
Supplementary Document
2023-09-25
Supplementary Document
2023-09-25
Supplementary Document
2023-09-25
Supplementary Document
2023-09-25
IC Document Collections
IC ID
Document
Title
Status
186859 Modified
ICR Details
0938-1054 202410-0938-019
Active 202309-0938-012
HHS/CMS CM-CPC
Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a) (CMS-10261)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/27/2024
Retrieve Notice of Action (NOA) 10/16/2024
  Inventory as of this Action Requested Previously Approved
12/31/2025 12/31/2025 12/31/2025
6,687 0 6,687
187,979 0 187,979
0 0 0
CMS' regulatory authority to establish reporting requirements for Part C Medicare Advantage (MA) organizations is described in 42 CFR 422.516 (a). It is noted that each MA organization must have an effective procedure to develop, compile, evaluate, and report to CMS, to its enrollees, and to the general public, at the times and in the manner that CMS requires, and while safeguarding the confidentiality of the doctor-patient relationship, statistics and other information with respect to the following: (1) The cost of its operations. (2) The patterns of utilization of its services. (3) The availability, accessibility, and acceptability of its services. (4) To the extent practical, developments in the health status of its enrollees. (5) Other matters that CMS may require.
PL: Pub.L. 110 - 275 164 Name of Law: MIPPA
  
None
Not associated with rulemaking
  88 FR 15726 03/14/2023
88 FR 65689 09/25/2023
Yes
1
IC Title Form No. Form Name
Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a)
  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 6,687 6,687 0 0 0 0
Annual Time Burden (Hours) 187,979 187,979 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$300,000
No
    No
    No
No
No
No
No
Stephan McKenzie 410 786-1943 [email protected]
  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.
10/16/2024
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