Improper Payment Pre-Testing
and Assessment (IPPTA) (CMS-10829)
Extension without change of a currently approved collection
No
Regular
11/22/2024
Requested
Previously Approved
36 Months From Approved
06/30/2026
11
18
5,830
9,540
0
1,025,748
To comply with the Payment Integrity
Information Act of 2019 (PIIA), HHS is proposing the IPPTA to
prepare State Exchanges for the measurement of improper payments of
advance payments of the premium tax credit (APTC), to test
processes and procedures that support HHS’s review of
determinations of APTC made by State Exchanges, and to provide a
mechanism for HHS and State Exchanges to share information that
would aid in developing an efficient measurement process. The PIIA
requires executive agencies to report on Federal programs
susceptible to significant improper payments. The APTC program was
identified as a Federal program susceptible to significant improper
payments Currently in operation are 18 State Exchanges, which do
not use the Federal platform to perform eligibility and enrollment
determinations. Each State Exchange will be selected to participate
in the IPPTA data collection for a period of 1 calendar year, which
would occur either in 2024 or 2025. To facilitate collection of the
required data and data documentation, HHS created a pre-testing and
assessment data request form with instructions. This collection of
data and data documentation is intended to allow HHS to test the
data elements as specified in the scenarios provided to each State
Exchange in the pre-testing and assessment data request form to
enable HHS to comply with the requirements of the Payment Integrity
Information Act of 2019 (PIIA) and implementing guidance.
US Code:
31
USC 3301 Name of Law: Payment Integrity Information Act of
2019
US Code: 42
USC 18033 Name of Law: Patient Protection and Affordable Care
Act of 2010
US Code: 45
USC 155.1510 Name of Law: Public Welfare
US Code: 31 USC 3301 Name of Law: Payment
Integrity Information Act of 2019
US Code: 42 USC 18033 Name of Law: Patient Protection and
Affordable Care Act of 2010
Burden hours have decreased
(from 9540 to 5,830) as a result of a fewer number of respondents
(State Exchanges) being required to submit IPPTA. The number of
State Exchanges has decreased from 18 to 11 respondents.
$1,391,477
No
No
No
Yes
No
No
No
Jamaa Hill 301 492-4190
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.
Form CMS-10829 Improper Payment and Pre-Testing Assessment
CMS-10829 - IPPTA_Supporting Statement Final 112124.docx
Improper Payment and Pre-Testing Assessment