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.
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).
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.