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OMB Control No: 0938-1134	ICR Reference No: 201105-0938-005
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: (CMS-10391) Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 06/13/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/13/2011
Terms of Clearance: Approval will be contingent on the content of the collection as it relates to the provisions of the final rule.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

Abstract: CMS 2328-P proposes a standardized process for States to follow to demonstrate that Medicaid beneficiaries have access to services covered under the Medicaid State plan to the extent that services are available to the general population in a geographic area. To meet the requirements of the proposal, States will need to measure a three-part framework of: enrollee needs, the availability of care and providers, and service utilization. The review would be conducted for a subset of covered services each year over five-year intervals and, specifically, for services for which a State intends to reduce or restructure payment rates within 12 months of reducing or restructuring the rates. The proposal also requires that States develop ongoing monitoring procedures after reducing or restructuring payments through which they periodically review measures of sustained access to care for the affected service(s). The periodic reviews are intended to help a State fulfill its ongoing responsibility to assure access to covered services consistent with the Act and form a solid, informed basis by which a State and CMS can consider how any proposed changes might affect access. In addition, States would need to have a mechanism for obtaining beneficiary feedback on access to care, such as hotlines, surveys, ombudsman or other equivalent mechanisms and institute a corrective action procedure should access issues be discovered through the access review and monitoring processes. Finally, when considering reductions to Medicaid payment rates the NPRM requires States undertake a public process that solicits input on the potential impact of the proposed reduction or restructuring of Medicaid service payment rates on beneficiary access to care.

Authorizing Statute(s): Statute at Large: 42 Stat. 1902

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AQ54	Proposed rulemaking	76 FR 26342	05/06/2011

Federal Register Notices & Comments
Did the Agency receive public comments on this ICR? No

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: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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]? No

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: Jeremy Silanskis 410 786-1592 jeremy.silanskis@cms.hhs.gov

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