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Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of Practice Models for Dual Eligibles and Medicare Beneficiaries with Serious Chronic Conditions

ICR 201011-0938-014 · OMB 0938-1120 · Historical Active

Forms and Documents
Document
Name
Status
Form and Instruction
 New
Form and Instruction
 New
Supplementary Document
2011-01-24
Supporting Statement B
2011-01-24
Supplementary Document
2010-11-26
Supplementary Document
2010-11-26
Supplementary Document
2010-11-26
Supplementary Document
2010-11-26
Supporting Statement A
2011-01-24
IC Document Collections
IC ID
Document
Title
Status
195445 New
195444 New
ICR Details
0938-1120 201011-0938-014
Historical Active
HHS/CMS
Evaluation of Practice Models for Dual Eligibles and Medicare Beneficiaries with Serious Chronic Conditions
New collection (Request for a new OMB Control Number)   No
Emergency 12/29/2010
Approved with change 01/24/2011
Retrieve Notice of Action (NOA) 11/26/2010
  Inventory as of this Action Requested Previously Approved
07/31/2011 6 Months From Approved
368 0 0
494 0 0
0 0 0
The Affordable Care Act (ACA) established the Federal Coordinated Health Care Office (FCHCO) to more effectively integrate benefits under Medicare and Medicaid and improve federal and state coordination for dual-eligible beneficiaries (duals). Duals are among the most vulnerable beneficiaries - most face multiple and severe chronic conditions that require complex and intense care - and because they receive both Medicare and Medicaid coverage, they must navigate two separate health care programs, often leading to fragmented, inefficient, and costly care. The Centers for Medicare & Medicaid Services (CMS) Office of Policy (OP) has contracted L&M Policy Research and its partner Thomson Reuters to explore variations in patterns of care and best practices for duals and other Medicare beneficiaries with complex health needs. This project comprises qualitative information-gathering through open-ended, in-person discussions with providers, local health care and community leaders, patient advocates, and professionals involved in implementing care coordination initiatives. To determine factors associated with high quality and cost effective care as well as better understand the barriers to delivering it, the research team will hold in-person discussions during visits to 16 hospital referral regions (HRRs). In two of these HRRs, there will be a particular focus on the role of the Program for All-Inclusive Care for the Elderly (PACE). Many different organizations and types of programs will be explored during this field work, varying in their approach to health care delivery and the extent to which they are directly involved in the coordination of care for vulnerable populations. Lessons learned, to include critical challenges and success factors, will be used to inform the pressing work of the FCHCO to support initiatives and policies that improve care coordination for duals, as well as other priorities outlined in the ACA.
Please see the attached emergency justification.
PL: Pub.L. 111 - 148 2602 Name of Law: Providing Federal coverage and payment coordination for dual eligible beneficiaries
  
PL: Pub.L. 111 - 148 2602 Name of Law: Providing Federal coverage and payment coordination for dual eligible beneficiaries
Not associated with rulemaking
  75 FR 70928 11/19/2010
75 FR 70928 11/19/2010
No
2
IC Title Form No. Form Name
Pre-site Discussions CMS-10356 Pre-site Protocol
In-person Discussions CMS-10356 Discussion Guide
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 368 0 368 0 0 0
Annual Time Burden (Hours) 494 0 494 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a new information collection request.
$0
No
No
Yes
No
No
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.
11/26/2010