Chronic Care Improvement Program and Medicare Advantage Quality Improvement Project (CMS-10209)

Forms and Documents

Document Name	Status
Form CMS-10209 Attestations Form	Modified
CMS-10209- Supporting Statement A - Passback_8_20_18.docx Supporting Statement A	2018-11-09

IC Document Collections

IC ID	Document Title	Status
229160	Attestations Form	Modified
179877	Chronic Care Improvement Program and Medicare Advantage Quality Improvement Project Instruction	Removed

ICR Details

OMB Control No: 0938-1023	ICR Reference No: 201804-0938-016
Status: Active	Previous ICR Reference No: 201711-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: Chronic Care Improvement Program and Medicare Advantage Quality Improvement Project (CMS-10209)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/06/2018
	Date Received in OIRA: 04/18/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2021	36 Months From Approved	07/31/2017
Responses	750	0	1,904
Time Burden (Hours)	188	0	28,560
Cost Burden (Dollars)	0	0	0

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Abstract: Section 1852(e) of the Social Security Act requires that MA organizations (MAOs) have an ongoing quality improvement program. CMS regulations at 42 CFR §422.152 outline the quality improvement program (QI Program) requirements for MA plans, which includes the development and implementation of both a Quality Improvement Project (QIP) and a Chronic Care Improvement Program (CCIP). The 2014 approved packaged reflected a process that required plans to report QIP and CCIP projects’ progress reports annually. This reinstatement package outlines the burden for the attestation process that reduces burden by requiring plans to attest annually that they have an ongoing CCIP that meets the requirements outlined at 42 CFR §422.152, rather than report annual progress reports. MA plans will only have to attest to having a CCIP once the proposed rule (CMS-4182-F; RIN 0938-AT08) that removes the QIP is final.

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Authorizing Statute(s): Statute at Large: 18 Stat. 1852 Name of Statute: null
  

Citations for New Statutory Requirements: Statute at Large: 18 Stat. 1852 Name of Statute: null

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AT08	Final or interim final rulemaking	83 FR 16440	04/16/2018

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 56336	11/28/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 16440	04/16/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Attestations	CMS-10209, CMS-10209, CMS-10209	QIP Attestation ,   CCIP Attestation ,   CCIP Attestation
Chronic Care Improvement Program and Medicare Advantage Quality Improvement Project	CMS-10209, CMS-10209, CMS-10209, CMS-10209, CMS-10209, CMS-10209, CMS-10209, CMS-10209, CMS-10209, CMS-10209, CMS-10209, CMS-10209	CCIP Screen Shots - Act Section Annual Update.jpg ,   CCIP Screen Shots - Contract Selection Screen Annual Update ,   CCIP Screen Shots -- Do Section Annual Update ,   CCIP Screen Shots -- Do Study Act Sections Annual Update ,   CCIP Screen Shots - Study Section Annual Update ,   CCIP Screen Shots - Submission Selection Screen Annual Update ,   QIP Screen Shots - Act Section Annual Update ,   QIP Screen Shots - Contract Selection Screen Annual Update ,   QIP Screen Shots - Do Section Annual Update ,   QIP Screen Shots - Do Study Act Sections Annual Update ,   QIP Screen Shots - Study Section Annual Update ,   QIP Screen Shots - Submission Screen Annual Update

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ICR Summary of Burden

	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	750	1,904	750	-1,904	0	0
Annual Time Burden (Hours)	188	28,560	188	-28,560	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: In this information collection request, MAOs would no longer be required to submit CCIP and QIP progress reports to CMS annually. In its place, we have transitioned to an annual attestation requirement. MAOs are now required to annually attest that they have ongoing CCIPs and QIPs electronically via the Health Plan Management System (HPMS). The attestation involves no reporting of information or data. Consequently, the attestation requirements and burden are not subject to OMB approval under the PRA. Unlike the non-rule related attestation which is exempt from the PRA, the final rule (CMS-4182-F, RIN 0938-AT08) attestation will require that MA organizations identify what conditions their CCIP projects are focusing on thereby making it subject to the requirements under the PRA.

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Annual Cost to Federal Government: $19,305

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/18/2018

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