Medicare Part B Drug and Biological Competitive Acquisition Program and Supporting Regulations in 42 CFR Sections 414.906, 414.908, 414.910, 414.914, 414.916, and 414.917
ICR 200805-0938-004 · OMB 0938-0954 · Historical Active
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Medicare Part B Drug and Biological Competitive Acquisition Program and Supporting Regulations in 42 CFR Sections 414.906, 414.908, 414.910, 414.914, 414.916, and 414.917
Section 303(d) of the MMA provides an alternative payment methodology for Part B covered drugs that are not paid on a cost or prospective payment basis. In particular, Section 303(d) of the MMA amends Title XVIII of the Social Security Act (the Act) by adding a new section 1847B, which establishes a competitive acquisition program for the acquisition of and payment for Part B covered drugs and biologicals furnished on or after January 1, 2006.
The MIEA-TRHCA of 2006 required the implementation of a post pay review process. Operationally, this translates to the requirement that CAP vendors submit drug administration verification information to CMS or its agent, though this information collection requirement is exempt from the PRA. Additionally, 42 CFR 414.906 allows a CAP vendor to voluntarily submit requests to add or substitute drugs onto their CAP drug list as needed. This was not reflected in the original PRA package and has now been added. It is also exempt from the PRA. 42 CFR 414.908 requires data to be submitted to facilitate programmatic operations. This was mentioned in the original PRA package, but the language has been updated. 414.917 was added to reflect language that requires information collection but is exempt from the PRA. Please see the supporting statement for additional information.
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Bonnie Harkless 4107865666
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.