In accordance with 5 CFR 1320, the information collection is not approved at this time. Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.
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36 Months From Approved
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To request a hardship exemption for any of the categories proposed, we are proposing that an eligible professional or group practice participating in the 2011 eRx provide to CMS the following: identifying information such as the TIN, NPI, name, mailing address, and e mail address of all affected eligible professionals; the significant hardship exemption category(ies) that apply; a justification statement describing how compliance with the requirement for being a successful electronic prescriber for the 2012 eRx payment adjustment during the reporting period would result in a significant hardship to the eligible professional or group practice; and an attestation of the accuracy of the information provided. The justification statement should be specific to the category under which the eligible professional or group practice is submitting its request and must explain how the exemption applies to the professional or group practice. CMS will review the information submitted by each eligible professional and group practice on a case-by-case basis. In addition, we are proposing that an eligible professional or group practice must, upon request, provide additional supporting documentation if there is insufficient information (such as, but not limited to, a TIN or NPI that we cannot match to the Medicare claims, a certification number for the certified EHR technology that does not appear on the list of certified EHR technology, or an incomplete justification for the significant hardship exemption request) to justify the request or make the determination of whether a significant hardship exists.
We also are proposing that eligible professionals or group practices would be able to submit significant hardship exemption requests using a web-based tool or interface. In the event that such a website is not available, an eligible professional or group practice would be required to send us an application for a hardship exemption with such information by mail.
PL:
Pub.L. 110 - 275 132
Name of Law: MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT OF 2008
PL:
Pub.L. 111 - 5 Division B
Name of Law: MEDICARE AND MEDICAID HEALTH INFORMATION TECHNOLOGY;MISCELLANEOUS MEDICARE PROVISIONS
PL: Pub.L. 110 - 275 132 Name of Law: MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT OF 2008
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-10397.eRx Hardship - Supportingn Statement Part A.docx
Submission of Significant Hardship Exemption to Avoid the eRx Payment Adjustment