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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:
201810-0938-007
Status:
Historical Inactive
Previous ICR Reference No:
201808-0938-005
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CCSQ
Title:
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Comment filed on proposed rule and continue
Conclusion Date:
10/31/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/18/2018
Terms of Clearance:
Terms of the previous clearance remain in effect. OMB files this comment in accordance with 5 CFR 1320.11( c ). This OMB action is not an approval to conduct or sponsor an information collection under the Paperwork Reduction Act of 1995. This action has no effect on any current approvals. If OMB has assigned this ICR a new OMB Control Number, the OMB Control Number will not appear in the active inventory. For future submissions of this information collection, reference the OMB Control Number provided. OMB is withholding approval at this time. Prior to publication of the final rule, the agency should provide a summary of any comments related to the information collection and their response, including any changes made to the ICR as a result of comments. In addition, the agency must enter the correct burden estimates.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2020
36 Months From Approved
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-AT31
Proposed rulemaking
83 FR 35704
07/27/2018
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
83 FR 35704
07/27/2018
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
18
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, CMS-10621
ACI Call for Measures Submission Form
,
Promoting Interoperability Performance Category (Call for Measures Submission Form)
414.1445 Other Payer Advanced APM Determininations: Medicaid Specific Clinician Initiated Process
§414.1325 and 414.1335 CMS Quality Payment Program Identity Management Application 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
CMS-10621
Improvement Activities Performance Category (Call for Activities Submission Form)
§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
§414.1440 Submission of Data for All-Payer QP Determinations under the All-Payer Combination Option
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:
In the proposed rule, we estimate a total of 5,566,944 hours with a total cost of $526,034,969. Table 27 of Supporting Statement A reflects a total of 998,735 responses with an associated hours burden of 5,566,944, this is a reduction of 29,305 hours. As shown in Table 28, we estimate a total burden of approximately $526 million, a reduction of $2.6 million. The reduction in burden for the 2019 MIPS performance period is reflective of several finalized policies, including reduction in the number of measures for which clinicians are required to submit quality data via the CMS Web Interface and a reduction in the number of measures for which clinicians are required to submit data for the Promoting Interoperability performance category. Our burden estimates also reflect the first year of data collection associated with our previously finalized policy to require APM Entities or eligible clinicians to submit all of the required information about the Other Payer Advanced APMs in which they participate. Table 28 summarizes the ICRs for the Quality Payment Program for which we are proposing changes to the burden estimates. For each ICR we have noted the total burden adjustment due to changes in policy and the total burden adjustment due to changes assumptions.
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:
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:
10/18/2018
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