OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Coordination of Benefits between Part D Plans and Other Prescription Coverage Providers

ICR 201311-0938-015 · OMB 0938-0978 · Historical Active

Forms and Documents
Document
Name
Status
Supplementary Document
2013-11-14
Supplementary Document
2013-11-14
Supporting Statement A
2013-11-14
IC Document Collections
IC ID
Document
Title
Status
8840 Modified
ICR Details
0938-0978 201311-0938-015
Historical Active 201008-0938-009
HHS/CMS 20954
Coordination of Benefits between Part D Plans and Other Prescription Coverage Providers
Revision of a currently approved collection   No
Regular
Approved without change 02/14/2014
Retrieve Notice of Action (NOA) 11/14/2013
  Inventory as of this Action Requested Previously Approved
02/28/2017 36 Months From Approved 02/28/2014
2,402,582 0 248,018
5,205,128 0 754,788
0 0 0
This information is necessary to assist with coordination of prescription drug benefits provided to the Medicare beneficary at the pharmacy.
PL: Pub.L. 108 - 173 101 Name of Law: Part D- Voluntary Prescription Drug Benefit Program
  
None
Not associated with rulemaking
  78 FR 40482 07/05/2013
78 FR 67150 11/08/2013
No
  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 2,402,582 248,018 0 0 2,154,564 0
Annual Time Burden (Hours) 5,205,128 754,788 0 0 4,450,340 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The previous package included a separate guidance document concerning TrOOP balance transfers. That document can be found in the Medicare Prescription Drug Benefit Manual section 50.8.1 which is included in this PRA package. This is a revision of an approved collection. Differences in the burden estimates (57,116 respondents (2013) vs 57,227 respondents (2010), 2,492,582 responses (2013) vs 248,018 responses (2010), and 5,205,128 hr (2013) vs 754,788 hr (2010)) are due to a number of factors. CMS implemented several improvements in the processes used to identify claims supplemental to Part D and, thus, significantly increased the number of N transactions created to report these claims payments to Part D plan sponsors. Therefore, plan sponsors receive and process a higher number of these transactions than were previously estimated. Additionally, CMS, in conjunction with the industry and NCPDP, made a number of improvements to the ATBT process, including revising the scheduling of the transactions to increase the number of transactions occurring in the month immediately following the enrollment change and to incorporate three series of end-of-year transactions for all beneficiaries who changed plans during the contract year. This resulted in an increase in the overall volume of ATBT transactions from our previous estimates. The implementation of enhancements to the eligibility query, including the addition of several new fields in the query response has improved the utility of the transaction for pharmacies and created an increase in the overall number of queries. Therefore, based on our current experience, the previous burden estimates associated with these queries was understated.
$9,000,000
No
No
No
No
No
Uncollected
Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov
  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.
11/14/2013