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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
0938-1188
ICR Reference No:
201908-0938-015
Status:
Historical Active
Previous ICR Reference No:
201708-0938-004
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CMCS
Title:
Medicaid and CHIP Program (MACPro) (CMS-10434)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
07/14/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/31/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2023
36 Months From Approved
07/31/2020
Responses
280
0
280
Time Burden (Hours)
96,844
0
96,844
Cost Burden (Dollars)
0
0
0
Abstract:
CMS is in the process of evaluating Medicaid systems currently operating, in order to build an enterprise architecture platform and data repository. Ideally, CMS would allow for a single point of entry to access various program and operational data applications. This effort will be implemented in phases over several years. Phase 1 will provide for a Medicaid and CHIP Program data system (MACPro) accessed through a web portal/portlet that will automate the input and retrieval of data from the states related to CHIP eligibility and Alternative Benchmark Plans (ABP). This system will also support an efficient workflow for the review and approval of the CHIP and ABP process. States will access this system and submit program information into structured data templates. CMS staff will review the templates for compliance with federal statute, regulation and policy, provide feedback to the states and track/monitor the review and approval process. Future project phasing will provide for the design, delivery and implementation of financial management programs and performance and quality metrics. CMS must meet a hard deadline for the implementation of the Affordable Care Act. This system will be operational in phases with the CHIP eligibility and benchmark plans portions/modules to be implemented in January 2013.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 1103
Name of Law: Patient Protection and Affordable Care Act
Citations for New Statutory Requirements:
PL: Pub.L. 111 - 148 1103 Name of Law: Patient Protection and Affordable Care Act
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
84 FR 27636
06/13/2019
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 41722
08/15/2019
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
10
IC Title
Form No.
Form Name
GenIC # 45 (Extension) - Maternal and Infant Health Quality
CMS-10434 #45
Maternal and Infant Health
GenIC #1 (Extension) - Initial Application
CMS-10434 #1, CMS-10434 #1, CMS-10434 #1
Initial Application Combined
,
Initial Application SPA Admin
,
Initial Application
GenIC #15 (Extension) - Medicaid State Plan Eligibility
CMS-10434 #15
Medicaid State Plan Eligibility
GenIC #2 (Extension) - CHIP State Plan Eligibility
CMS-10434 #2
CHIP State Plan Eligibility
GenIC #22 (Extension) - Health Home State Plan Amendment (SPA)
CMS-10434 #22
Health Homes
GenIC #26 (Extension) - Medicaid Adult and Child Core Set Measures
390-CQM 2018-CCW-CH-PRA-D, 385-CQM 2018-ADD-CH-PRA-D, 245-QSSI-MACPro-PRA-AdditionalNotes-D, 385-CQM 2018-ADD-CH-PRA-D, 429-AQM 2018 ABA-AD PRA-D
Contraceptive Care – All Women Ages 15-20 (CCW-CH)
,
CQM 2018 - Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (ADD-CH) Core Measure PRA Document
,
CQM 2018 - Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (ADD-CH) Core Measure PRA Document
,
AQM 2018 – Adult Body Mass Index Assessment (ABA) Core Measure PRA document
,
AQM, CQM & MIH - Additional Notes PRA document
GenIC #3 (Extension) - Alternative Benefit Plans (ABPs)
CMS-10434 #3
ABP
GenIC #47 (Extension) - Health Home Core Sets
CMS-10434 #47
Health Home Core Set
GenIC #77 (New): Medicaid Extended Postpartum Coverage and Continuous Eligibility for Children
CMS-10434 #77, CMS-10434 #77, CMS-10434 #77
Continuous Eligibility for Children (reviewable unit screenshots)
,
Continuous Eligibility for Pregnant Women and Extended Postpartum Coverage (reviewable unit screenshots)
,
Home Page and Initial Application Forms
GenIC 22 (Revision): Health Home State Plan Amendment (SPA)
HH4A, HH1A, HH2A, HH3A, HH5A, HH6A, HH7A, HH8A, HH9A, I3aA, I4A, I5A, I2A, I3A, A1 - A5, HH1 - HH9, I1 - I5, and S (misc.)
1945 Health Home SPA Templates
,
1945A Health Homes Introduction
,
1945A Population and Enrollment
,
1945A Geographic Limitations
,
1945A Health Homes Services
,
1945A Health Homes Providers
,
1945A Health Homes Delivery Systems
,
1945A Health Homes Payment Methodologies
,
1945A Health Homes Monitoring, Quality Measurement, and Evaluation
,
1945A Health Homes Program Termination
,
1945A Submission Summary
,
1945A Public Comment
,
1945A Public Notice-Process
,
1945A Tribal Input
,
1945A Other Comment
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
280
280
0
0
0
0
Annual Time Burden (Hours)
96,844
96,844
0
0
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:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$10,433,876
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?
No
Agency Contact:
Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov
Common Form ICR:
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:
(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:
08/31/2019