OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Skilled Nursing Facility (SNF) Minimum Data Set (MDS) 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) Item Sets (NP, NO/SO, NS, NOD, NSD)

ICR 201603-0938-003 · OMB 0938-1140 · Historical Active

Forms and Documents
Document
Name
Status
Form and Instruction
 Modified
Supporting Statement A
2017-01-06
Supplementary Document
2016-03-16
IC Document Collections
IC ID
Document
Title
Status
197759 Modified
ICR Details
0938-1140 201603-0938-003
Historical Active 201310-0938-013
HHS/CMS CMS-10387
Skilled Nursing Facility (SNF) Minimum Data Set (MDS) 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) Item Sets (NP, NO/SO, NS, NOD, NSD)
Reinstatement with change of a previously approved collection   No
Regular
Approved with change 02/06/2017
Retrieve Notice of Action (NOA) 03/22/2016
  Inventory as of this Action Requested Previously Approved
02/29/2020 36 Months From Approved
678,524 0 0
701,119 0 0
0 0 0
Skilled Nursing Facilities (SNFs) will be required to submit a Change of Therapy (COT) Other Medicare Required Assessment (OMRA) to administer the payment rate methodology. This additional assessment is subject to the Paperwork Reduction Act. The burden associated with this is the SNF staff time required to complete the COT OMRA for the Minimum Data Set (MDS), SNF staff time to encode, and SNF staff time spent in transmitting the data.
PL: Pub.L. 105 - 33 4432(a) Name of Law: Prospective Payment for Skilled Nursing Facilities
   US Code: 42 USC 1395yy(e) Name of Law: Payment to Skilled Nursing Facilities for Routine Costs
  
None
Not associated with rulemaking
  80 FR 53516 09/04/2015
81 FR 11569 03/04/2016
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 678,524 0 0 0 -5,717,892 6,396,416
Annual Time Burden (Hours) 701,119 0 0 0 -5,907,852 6,608,971
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
When the COT was introduced, we increased the MDS burden on SNFs by requiring the completion of the COT OMRA when a SNF resident was receiving a sufficient level of rehabilitation therapy to qualify for an Ultra High, Very High, High, Medium, or Low Rehabilitation category and when the intensity of therapy (as indicated by the total reimbursable therapy minutes (RTM) delivered, and other therapy qualifiers such as number of therapy days and disciplines providing therapy) changes to such a degree that it would no longer reflect the RUG-IV classification and payment assigned for a given SNF resident based on the most recent assessment used for Medicare payment. However, with this current reinstatement of the COT OMRA and updated data for the current reporting period, we have decreased the burden estimates to complete this assessment.
$0
No
No
No
No
No
Uncollected
Kayla Williams 410 786-5887 Kayla.Williams@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.
03/22/2016