OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Fee-for-Service Improper Payment Rate Measurement in Medicaid and the Children’s Health Insurance Program (CMS-10166)

ICR 202408-0938-025 · OMB 0938-0974 · Received in OIRA

Forms and Documents
Document
Name
Status
Supporting Statement A
2024-08-28
Supporting Statement B
2024-08-23
IC Document Collections
IC ID
Document
Title
Status
8834
Unchanged
ICR Details
0938-0974 202408-0938-025
Received in OIRA 202405-0938-017
HHS/CMS OFM - IPPS
Fee-for-Service Improper Payment Rate Measurement in Medicaid and the Children’s Health Insurance Program (CMS-10166)
Reinstatement with change of a previously approved collection   No
Regular 08/28/2024
  Requested Previously Approved
36 Months From Approved
36 0
59,400 0
0 0
Improper Payments Information Act (IPIA) of 2002 requires CMS to produce national error rates for Medicaid and SCHIP. To comply with the IPIA, CMS needs the information to be collected from States and providers in order to sample and review adjudicated claims in a randomly selected number of States. Based on the reviews, State-specific error rates will be calculated which will be calculated which will serve as the basis for calculating national error rates for Medicaid and SCHIP.
US Code: 42 USC 1302a Name of Law: Rules and Regulations
   US Code: 42 USC 1396(a) Name of Law: State Plans for Medical Assistance
   US Code: 42 USC 1397gg Name of Law: Records, Reports, Audits, and Evaluation
   US Code: 42 USC 1302(a)(27) Name of Law: Rules and Regulations
  
None
0938-AV34 Final or interim final rulemaking 89 FR 68986 08/28/2024
No
1
IC Title Form No. Form Name
Payment Error Rate Measurement in Medicaid and the State Children Health Insurance Program
  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 36 0 0 2 0 34
Annual Time Burden (Hours) 59,400 0 0 3,300 0 56,100
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a reinstatement of a previously approved collection with minor adjusted information in the federal contracting costs, as well as, state burden estimates to reflect current practices in meeting PERM requirements, consisting of increased labor cost estimates. Hour estimates for state participation has not changed. Includes additional burden estimate for inclusion of Puerto Rico of 3,300 hours. The total maximum annual burden hours have increased from 56,100 to 59,400 which equates to the 3,300 hours anticipated for Puerto Rico inclusion. The maximum cost has increased from $3,339,072 to $3,820,608 which equates to $481,536.
$46,000,000
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
William Parham 4107864669
  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.
08/28/2024