View Information Collection Request (ICR) Package

OMB Control No: 0938-0897	ICR Reference No: 201006-0938-007
Status: Historical Active	Previous ICR Reference No: 200612-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Notification of FIs and CMS of co-located Medicare providers and Supporting Regulations in 42 CFR 412.22 and 412.533
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 without change	Conclusion Date: 08/03/2010
	Date Received in OIRA: 06/15/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2013	36 Months From Approved
Responses	25	0	0
Time Burden (Hours)	6	0	0
Cost Burden (Dollars)	0	0	0

Abstract: Many long-term care hospitals (LTCHs) are co-located with other Medicare providers (acute care hospitals, IRFs, SNFs, psychiatric facilities), which leads to potential gaming of the Medicare system based on patient shifting. CMS is requiring LTCHs to notify fiscal intermediaries K (FIs), Medicare Administrative Contractors (MACs) and CMS of co-located providers in order to establish policies to limit payment abuse that will be based on FIs tracking patient movement among these co-located providers.

Authorizing Statute(s): PL: Pub.L. 90 - 603 307(b) Name of Law: Balanced Budget Refinement Act

Citations for New Statutory Requirements: None

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:
	74 FR 67227	12/18/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 27785	05/15/2010
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	25	-169	194
Annual Time Burden (Hours)	6	-43	49
Annual Cost Burden (Dollars)	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: The 5-year phase in of the LTCH PPS are no longer relevant since the policy, governed by our regulations at 42 CFR 412.533, is no longer in effect. Specifically, when we implemented the LTCH PPS for cost reporting periods beginning on or after October 1, 2003, under the authority of section 307(b) of the Balanced Budget Refinement Act, we provided a 5-year phase in to full payments under the Federal payment rates calculated under the LTCH PPS. For each of those 5 years, as we lowered the percentage of payments based upon the Tax Equity and Fiscal Responsibility Act system 20 percent, we increased the payments based upon the PPS Federal payment rate by 20 percent so that for cost reporting periods beginning on or after October 1, 2006, 100 percent of payments under the LTCH PPS were based on the Federal payment rate. Since there is no longer any transition policy, we can retire the information collection requirement section of CMS-10088 regarding this policy. Therefore, the number of responses decreased by 94, which is the number of LTCHs that were expected to respond under the previous policy. A further decrease of 75 responses is expected due to policies developed since the last collection in 2007 discouraging the development of large numbers of co-located LTCHs. As a result of these changes, the total number of respondents has decreased from 194 to 25.

Annual Cost to Federal Government: $0

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

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

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Bonnie Harkless 4107865666

View ICR - OIRA Conclusion