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View ICR - OIRA Conclusion

OMB Control No: 0938-0798	ICR Reference No: 201009-0938-013
Status: Historical Active	Previous ICR Reference No: 200701-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: (CMS-R-240) Prospective Payments for Hospital Outpatient Services and Supporting Regulations in 42 CFR 413.65
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: 10/29/2010
	Date Received in OIRA: 09/28/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	36 Months From Approved	10/31/2010
Responses	500,405	0	500,355
Time Burden (Hours)	26,563	0	26,063
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	500,405	500,355	50
Annual Time Burden (Hours)	26,563	26,063	500
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The previous version of CMS-R-240 referenced regulations at sections 413.65(b)(3) and (c) for facilities seeking provider-based status. These application requirements referenced criteria at 42 CFR 413.65(a)(1)(ii) that describes types of facilities excluded by CMS from provider-based determinations, and by extension are not required to comply with any provider-based regulations. CAHs previously did not have to meet the provider-based rules in order to be paid under reasonable costs for clinical diagnostic laboratory services. 413.65(a)(1)(ii)(G) has been amended to require clinical diagnostic laboratories operating as parts of critical access hospitals (CAHs) to comply with provider-based rules for the CAH to be paid under reasonable costs for clinical diagnostic laboratory tests. CAH may seek a provider-based determination under 413.65(a)(1)(ii)(G) beginning after October 1, 2010.

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