With this submission, we are creating a new PRA package for critical access hospitals (CAHs). While seeking OMB approval independently, the burden is currently approved. The information collection requirements, as discussed in the supporting statement, are needed to implement the Medicare and Medicaid CoPs for 1,189 CAHs. Currently, the information collection requirements associated with the critical access hospital conditions of participation (CoPs) are included with the hospital CoPs reported under CMS-R-48 (0938-0328. Because the CAH program has grown in scope of services and the number of providers, we have taken the CAH burden from the CMS-R-48 with the exception of the burden associated with the 101 CAHs that have distinct part units (DPUs). Section 1820(c)(2)(E)(i) of the Act states that if a CAH operates a distinct part psychiatric or rehabilitation unit it must have 10 beds or less in the DPU and it must comply with the hospital requirements specified in Subpart A, B, C, and D of part 482 on those units. Based on 2007 data from HRSA, 81 CAHs have psychiatric distinct part units (DPUs) and 20 CAHs have rehabilitation DPU. The burden associated with the 101 CAH with DPUs is reported in CMS-R- 48.
US Code:
42 USC 1395hh
Name of Law: Regulations
US Code:
42 USC 1395aa
Name of Law: Use of State Agencies to determine compliance by providers of services with CoPs
US Code:
42 USC 1395x(e) and (mm)
Name of Law: Part E - Miscellaneous Provisions
US Code:
42 USC 1395(a)(8)
Name of Law: Conditions of and Limitations on Payment for Services
US Code:
42 USC 1320b-8
Name of Law: Hospital Protocols for Organ Procurement and Standards for Organ Procurement Agencies
US Code:
42 USC 1302
Name of Law: Rules and Regulations
US Code:
42 USC 1395i-4(a-f)
Name of Law: Medicare Rural Hospital Flexibility Program
This information collection request (ICR), CMS-10239, is a new ICR. The burden estimates associated with the current CAH conditions of participation (CoPs) are currently approved under CMS-R-48 (0938-0328). While seeking approval for CMS-10239, we will simultaneously be submitting a revised ICR for CMS -R-48 to remove the burden associated with CAHs.
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
William Parham 4107864669
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.
CMS-10239.Supporting Statement Part A-10-1-07.doc
Conditions of Participation for Critical Access Hospitals and Supporting Regulations in 42 CFR 485.23, 485.618, 485.618, 485.631, 485.635, 485.641, 485.643, 485.645