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Inventory as of this Action
Requested
Previously Approved
12/31/2019
36 Months From Approved
03/31/2011
5,650
0
244,234
2,825
0
179,341
0
0
0
In 2012, the Disabled & Elderly Health Programs Group (DEHPG), within the Center for Medicaid and Children’s Health Insurance Program Services (CMCS) of the Centers for Medicare & Medicaid Services (CMS), funded a project entitled, Technical Assistance to States for Testing Experience and Functional Tools (TEFT) Grants. One component of this demonstration is to amend and test the reliability of a setting-agnostic, interoperable set of data elements, called “items,” that can support standardized assessment of individuals across the continuum of care. Items that were created for use in post-acute care settings using the Continuity Assessment Record and Evaluation (CARE) tool have been adopted, modified, or supplemented for use in community-based long-term services and supports (CB-LTSS) programs. This project will test the reliability and validity of the function-related assessment items, now referred to as Functional Assessment Standardized Items (FASI), when applied in community settings, and in various populations: elders (65 years and older); younger adults (18-64) with physical disabilities; and adults of any age with intellectual or developmental disabilities, with severe mental illness, or with traumatic brain injury. Data will be collected through interviews with individuals, conducted in their homes or another setting of their choosing. Assessment interviews will be conducted by trained assessors who already work with these clients to conduct assessments for the Medicaid Home and Community-Based Services (HCBS) coverage. Data will be collected using a modification of their current form in an electronic PDF format and uploaded to Truven Health Analytics through a secure electronic transfer file (ETF) application.
This is a request to use the reinstated CARE tool authorization. The PAC CARE was established in 2007 for use in the Post-Acute Care Payment Reform Demonstration. Some of the items have since been incorporated into the Federal assessment tools required in the nursing facilities (e.g., the Minimum Data Set (MDS), and other related assessment tools used in Medicare payment and quality reporting requirements related to post-acute care services. The TEFT demonstration would like to use the reinstated authorization so that the adapted CARE items in the FASI can be tested for reliability and validity in the community-based long term services and supports (CB-LTSS) populations. The data burden for the FASI items is much smaller than the earlier CARE item set as the average time to complete each section is five minutes and the total burden estimate for the complete set of FASI items is 28 minutes. The title of the package is also being changed to reflect that the FASI item set is only a subset of the original CARE items. The new title reflects this while also referring back to the source items in the CARE tool.
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.
Form CMS-10243 Functional Assessment Standardized Items (FASI): Round 2
Response to AHCA Questions 081806.docx
Functional Assessment Standardized Items (FASI): Round 2