View Information Collection Request (ICR) Package
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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 ICR - OIRA Conclusion
OMB Control No:
0938-1314
ICR Reference No:
201808-0938-005
Status:
Historical Active
Previous ICR Reference No:
201711-0938-004
Agency/Subagency:
HHS/CMS
Agency Tracking No:
Title:
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
09/27/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/03/2018
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2020
03/31/2020
03/31/2020
Responses
1,161,681
0
1,161,681
Time Burden (Hours)
7,559,375
0
7,559,375
Cost Burden (Dollars)
0
0
0
Abstract:
Section 1848(q) of the Social Security Act, as amended by section 101 of the Medicare Access and CHIP Reauthorization Act of 2015, authorizes the establishment of a Merit-based Incentive Payment System (MIPS) for eligible clinicians. Beginning in CY 2017, eligible clinicians are required to collect and submit data on four performance categories to CMS (quality, cost, advancing care information and improvement activities). This program replaces and consolidates portions of the PQRS, Value-based Modifier, and the Medicare EHR Incentive Program. The Act also establishes a second track, Advanced Alternative Payment Models (APMs) for clinicians to participate in instead of MIPS.
Authorizing Statute(s):
US Code:
42 USC 1395w-4
Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
Citations for New Statutory Requirements:
US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AT13
Not associated with rulemaking
82 FR 53568
11/16/2017
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
16
IC Title
Form No.
Form Name
$414.1430 (Partial Qualifying APM Participant (QP) election)
414.1330 (Quality Performance Category) Call for Measures
CMS-10621
Data Template for Candidate Measures
414.1375 Advancing Care Information Performance Category - Call for Measures
CMS-10621
ACI Call for Measures Submission Form
414.1445 Other Payer Advanced APM Determininations: Medicaid Specific Clinician Initiated Process
§414.1330 and §414.1335 CMS Web Interface Submission Mechanism
§414.1330 and §414.1335 Claims Submission Mechanism
§414.1330 and §414.1335 EHR Submission Mechanism
§414.1330 and §414.1335 Qualified Registry or QCDR Submission Mechanism
§414.1330 and §414.1335 Quality Performance Category) Registration and Enrollment for CMS Web Interface
§414.1360 (Improvement Activities Performance Category) Call for Activities
§414.1360 (Improvement Activities)
§414.1375 (Advancing Care Information Performance Category)
§414.1375 (Advancing Care Information Performance Category) Significant Hardships, including for small practices and decertification of EHRs
§414.1395 (Physician Compare) Opt Out for Voluntary Participants
§414.1400 QCDR and qualified registry self nomination
§414.1440 Other Payer Advanced APM Identification: Other Payer Initiated Process
CMS-10621, CMS-10621
Clinician Initiated Submission Form
,
Payer Initiated Submission Form
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
1,161,681
1,161,681
0
0
0
0
Annual Time Burden (Hours)
7,559,375
7,559,375
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:
The total estimated burden associated with the information collections submitted for approval as a revision of OMB control number 0938-1314 is 7,559,375 hours with a total labor cost of $693,172,985, shown in Table 22. In the proposed rule, we estimated a total of 9,361,065 hours with a total cost of $856,214,758 for the information collections submitted for approval as a revision of OMB control number 0938-1314. In the final rule with comment period, we have revised our estimate to 7,559,375 hours with a total cost of $693,172,985. The final rule is a decrease in burden of 1,801,690 hours and a decrease of $163 million in the labor cost.
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
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.
Yes
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.
Yes
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:
Denise King 410 786-1013 Denise.King@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:
08/03/2018
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