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

ICR 202410-0938-024

OMB: 0938-1054

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2024-10-29
Supplementary Document
2024-10-29
ICR Details
0938-1054 202410-0938-024
Received in OIRA 202410-0938-019
HHS/CMS CM-CPC
Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a) (CMS-10261)
Revision of a currently approved collection   No
Regular 10/30/2024
  Requested Previously Approved
36 Months From Approved 12/31/2025
7,830 6,687
222,575 187,979
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

  89 FR 56754 07/09/2024
89 FR 85539 10/28/2024
No

1
IC Title Form No. Form Name
Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a)

  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 7,830 6,687 0 1,143 0 0
Annual Time Burden (Hours) 222,575 187,979 0 34,596 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The increase in burden hours is due to an increase in contracts from 743 to 783 and the addition of 2 new reporting sections in the technical specifications. We estimate a 20% increase in burden hours to account for 2 new reporting sections, from 8 to 10, for contracts to complete (187,979 *.2 = 37,596; 37,596 + 187,979 = 225,575). This results in a net increase of 37,596 burden hours (225,575 – 187,979) and cost increase of $5,558,185 (24,032 – 18,875,576).

$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.
10/30/2024


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