Medicare Part C and D Reporting Requirements (CMS-10185)
Revision of a currently approved collection
No
Regular
07/06/2026
Requested
Previously Approved
36 Months From Approved
08/31/2027
35,196
14,325
96,938
23,094
0
0
Section 1857(e)(1) and Section 1860Dâ12(b)(3)(D) of the Social Security Act (the Act) authorizes the Secretary to include contract terms requiring Medicare Advantage Organizations (MAOs) and Part D sponsors to provide information deemed necessary and appropriate. Pursuant to this authority, CMS codified these information collection requirements at 42 CFR § 422.516 for MAOs and § 423.514 for Part D sponsors. Compliance with these disclosure and reporting requirements is enforced under 42 CFR §§ 422.504 and 423.505.
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For CY 2027, CMS is consolidating Part C and Part D reporting requirements and merging both PRAs, which requires standardizing the burden calculation methodology. Previously, Part C calculated the number of responses by multiplying the number of contract-level respondents by the number of Part C reporting sections, whereas Part D used the actual number of respondents per section, considering the reporting frequency. The annualized hours per response were also calculated differently. To ensure consistency, for CY 2027, CMS adopts a unified approach that calculates responses based on actual respondents per section (contract or plan level), hours per section, and reporting frequency, with annualized hours per response calculated as total burden hours divided by the median number of contract-level respondents. While this methodological change increases the reported annualized hours per respondent from 52 hours to 128 hours, the total burden hours for these reporting requirements have actually decreased. The observed increase in the per respondent metric represents a statistical artifact of methodological alignment rather than a substantive change in respondent burden.
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.