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Federal forms, ICRs, and supporting documents

Information Collection Request

Collection of Prescription Drug Data from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D Payments (CMS-10174)

ICR 202205-0938-017 · OMB 0938-0982 · Received in OIRA

Forms and Documents
Document
Name
Status
Supporting Statement A
2022-05-18
IC Document Collections
IC ID
Document
Title
Status
43675 Modified
253715
New
ICR Details
0938-0982 202205-0938-017
Received in OIRA 202108-0938-009
HHS/CMS CM-CPC
Collection of Prescription Drug Data from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D Payments (CMS-10174)
Revision of a currently approved collection   No
Regular 05/18/2022
  Requested Previously Approved
36 Months From Approved 02/28/2025
1,499,966,801 1,499,238,090
14,920 2,998
0 0
CMS requires contracted Part D providers to submit prescription drug event (PDE) records as required by the Medicare Prescription Drug Improvement, and Modernization Act of 2003. The PDE data is then used in the Payment Reconciliation System to perform the annual Part D payment reconciliation, any PDE data within the Coverage Gap Phase of the Part D benefit is used for invoicing in the CGDP, and the data are part of the report provided to the Secretary of the Treasury for Section 9008. CMS has used PDE data to create summarized dashboards and tools, including the Medicare Part D Drug Spending Dashboard & Data, the Part D Manufacturer Rebate Summary Report, and the Medicare Part D Opioid Prescribing Mapping Tool. The data are also used in the Medicare Trustees Report. Due to the market sensitive nature of PDE data, external uses of the data are subject to significant limitations. However, CMS does analyze the data on a regular basis to determine drug cost and utilization patterns in order to inform programmatic patterns and to develop informed policy in the Part D program.
Statute at Large: 18 Stat. 1860
   PL: Pub.L. 108 - 173 101 Name of Law: Medicare Prescription Drug, Improvement, and Modernization Act of 2003
  
None
0938-AU30 Proposed rulemaking 87 FR 1842 01/12/2022
No
  Total Request 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 1,499,966,801 1,499,238,090 0 0 728,711 0
Annual Time Burden (Hours) 14,920 2,998 0 0 11,922 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The burden has increased due to proposed requirements at 42 CFR 423.100, a one time burden of 11,920 hours.
$13,000,000
No
    Yes
    No
No
No
No
No
Stephan McKenzie 410 786-1943 stephan.mckenzie@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.
05/18/2022