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Federal forms, ICRs, and supporting documents

Information Collection Request

HEDIS Data Collection for Medicare Advantage (CMS-10219)

ICR 201702-0938-017 · OMB 0938-1028 · Active

Forms and Documents
Document
Name
Status
Supporting Statement A
2017-11-27
Supporting Statement B
2017-11-27
Supplementary Document
2017-02-27
IC Document Collections
IC ID
Document
Title
Status
181326 Modified
ICR Details
0938-1028 201702-0938-017
Active 201309-0938-001
HHS/CMS CM-CPC
HEDIS Data Collection for Medicare Advantage (CMS-10219)
Extension without change of a currently approved collection   No
Regular
Approved with change 11/28/2017
Retrieve Notice of Action (NOA) 02/27/2017
  Inventory as of this Action Requested Previously Approved
11/30/2020 36 Months From Approved 11/30/2017
515 0 573
164,800 0 184,320
0 0 0
CMS has a responsibility to its Medicare beneficiaries to ensure that care provided by Medicare Advantage (MA) contracts to CMS is of high quality and conforms to currently acceptable standards of medical care. CMS accomplishes this through the collection, analysis and dissemination of HEDIS data, the most widely used standardized clinical performance measurement set in managed care. Since January 1997, Medicare managed care contracts have been required to annually report quality of care performance measures from HEDIS. In April 1997, CMS began working with NCQA to implement HEDIS data collection directly into the Medicare managed care program. It is critical to the agency's mission that CMS continues to collect and disseminate information that will help beneficiaries choose among health plans; information that contributes to better health care through the identification of quality improvement opportunities; and provides for proper oversight and management of the Medicare program. These data are used in external CMS information products issued to beneficiaries, and are published on the CMS public website. These data are also made publicly available through public use files (PUFs) posted on the CMS website. CMS relies heavily on HEDIS data for contractor surveillance and assessment activities. It is critical to the agency's mission that CMS continues to collect and disseminate information that will help beneficiaries choose among health plans; information that contributes to better health care through the identification of quality improvement opportunities; and provides for proper oversight and management of the Medicare program.
PL: Pub.L. 108 - 173 722 (a)(3)(A)(i) Name of Law: MMA
   US Code: 42 USC Sec. 1395w-22(e)(3)(A) Name of Law: Benefits and beneficiary protections
   Statute at Large: 18 Stat. 1852 Name of Statute: null
  
None
Not associated with rulemaking
  81 FR 89104 12/09/2016
82 FR 11037 02/17/2017
Yes
1
IC Title Form No. Form Name
HEDIS Information Collection Request
  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 515 573 0 0 -58 0
Annual Time Burden (Hours) 164,800 184,320 0 0 -19,520 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
We are correcting and adjusting our burden estimates as follows: The currently approved information collection request inadvertently set out 573 contracts in the ROCIS burden table while the Supporting Statement set out 576 contracts. In this regard, the ROCIS burden was off by 3 respondents. The number of ROCIS hours was correct. We are adjusting our hour estimate by -19,520 based on a decrease in the number of contracts (from 573 contracts to 515 contracts). The time per response (320 hr) is unchanged. Consequently, we are adjusting our burden from 184,320 hr (573 contracts x 320 hr) to 164,800 hr (515 contracts x 320 hr).
$426,138
Yes Part B of Supporting Statement
    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.
02/27/2017