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Federal forms, ICRs, and supporting documents

Information Collection Request

Medicare Advantage Program and Supporting Regulations (CMS-R-267)

ICR 201905-0938-018 · OMB 0938-0753 · Active

Forms and Documents
Document
Name
Status
Supporting Statement A
2020-02-07
IC Document Collections
IC ID
Document
Title
Status
8462
Modified
236235
New
185236
Unchanged
ICR Details
0938-0753 201905-0938-018
Active 201903-0938-007
HHS/CMS CM-CPC
Medicare Advantage Program and Supporting Regulations (CMS-R-267)
Revision of a currently approved collection   No
Regular
Approved with change 02/11/2020
Retrieve Notice of Action (NOA) 07/05/2019
  Inventory as of this Action Requested Previously Approved
12/31/2021 36 Months From Approved 12/31/2021
35,597,180 0 35,596,762
9,466,233 0 9,451,489
0 0 0
Medicare Advantage (MA) organizations (formerly M+C organizations) and potential MA organizations (applicants) use the information collected based on the regulations at 42 CFR 422 to comply with the application requirements and the MA contract requirements. CMS uses the information collected based on the regulations at 42 CFR 422 to approve contract applications, monitor compliance with contract requirements, make proper payment to MA organizations, determine compliance with the new prescription drug benefit requirements established by the MMA, and to ensure that correct information is disclosed to Medicare beneficiaries, both potential enrollees and enrollees.
Statute at Large: 18 Stat. 1859 Name of Statute: null
   Statute at Large: 18 Stat. 1851 Name of Statute: null
  
Statute at Large: 18 Stat. 1851 Name of Statute: null
Statute at Large: 18 Stat. 1859 Name of Statute: null
0938-AT59 Final or interim final rulemaking 84 FR 15680 04/16/2019
  83 FR 54982 11/01/2018
84 FR 15680 04/16/2019
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 35,597,180 35,596,762 0 418 0 0
Annual Time Burden (Hours) 9,466,233 9,451,489 0 14,744 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This information collection request incorporates the new minimum criteria for dual eligible special needs plans (D-SNPs) to integrate Medicare and Medicaid benefits detailed in of Section 50311(b) of the Bipartisan Budget Act of 2018 and set forth in Medicare and Medicaid Programs; Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Programs of All-Inclusive Care for the Elderly (PACE), Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021 Final rule (CMS-4185-F, RIN 0938-AT59). These integrations requirements improve care coordination, quality of care, and beneficiary satisfaction while reducing administrative burden.
$10,000,000
No
    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.
07/05/2019