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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:
202111-0938-001
Status:
Historical Active
Previous ICR Reference No:
202101-0938-003
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:
Approved without change
Conclusion Date:
01/10/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/06/2021
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2025
36 Months From Approved
01/31/2022
Responses
633,021
0
654,162
Time Burden (Hours)
2,825,380
0
2,957,004
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-AU42
Final or interim final rulemaking
86 FR 64996
11/19/2021
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
86 FR 39104
07/23/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 64996
11/19/2021
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
2021 > (Improvement Activities Performance Category) Data Submission (see SS-A Table 21)
2021 > (Improvement Activities Performance Category) Nomination of Improvement Activities (see SS-A Table 22)
CMS-10621
Improvement Activities Performance Category, 2021 Call for Activities Submission Form
2021 > (PI Performance Category) Call for Promoting Interoperability Measures (see SS-A Table 19)
CMS-10621
Promoting Interoperability Performance Category, 2021 Call for Measures Submission Form
2021 > (PI Performance Category) Data Submission (see SS-A Table 18)
2021 > (PI Performance Category) Reweighting Applications for Promoting Interoperability and Other Performance Categories (see SS-A Table 16)
CMS-10621, CMS-10621
Hardship Exception Application Form
,
Extreme and Uncontrollable Circumstances Application Form
2021 > (Physician Compare) Opt Out for Voluntary Participants (see SS-A Table 28)
2021 > (Quality Performance Category) CMS Web Interface Submission Type (see SS-A Table 13)
2021 > (Quality Performance Category) Call for Quality Measures (see SS-A Table 15)
CMS-10621, CMS-10621
Peer Reviewed Journal Article Requirement Template
,
Measures under Consideration 2019, Data Template for Candidate Measures
2021 > (Quality Performance Category) Claims Collection Type (see Table SS-A 10)
2021 > (Quality Performance Category) QCDR/MIPS CQM Collection Type (see SS-A Table 11)
2021 > (Quality Performance Category) Registration and Enrollment for CMS Web Interface (see SS-A Table 14)
2021 > (Quality Performance Category) eCQM Collection Type (see SS-A Table 12)
2021 > Nomination of MVPs (SS-A Table 23)
CMS-10621
Stakeholder Submissions of MIPS Value Pathways (MVP) Candidates: Instructions and Template
2021 > Open Authorization Credentialing and Token Request Process (SS-A Table 5)
2021 > Other Payer Advanced APM Identification: Clinician Initiated Process (see SS-A Table 26)
CMS-10621
Eligible Clinician Initiated Submission Form
2021 > Other Payer Advanced APM Identification: Payer Initiated Process (see SS-A Table 25)
CMS-10621
Payer Initiated Submission Form
2021 > Partial Qualifying APM Participant (QP) Election (see SS-A Table 24)
2021 > QPP Identity Management Application Process (see SS-A Table 9)
2021 > Self-nomination: QCDR and Qualified Registry (see SS-A Tables 3 and 4)
CMS-10621
2021 Qualified Clinical Data Registry (QCDR) Measure Submission Template
2021 > Submission of Data for All-Payer QP Determinations under the All-Payer Combination Option (see SS-A Table 27)
CMS-10621
Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
2022 >> (Improvement Activities Performance Category) Data Submission (see SS-A Table 21)
2022 >> (Improvement Activities Performance Category) Nomination of Improvement Activities (see SS-A Table 22)
CMS-10621
Improvement Activities Performance Category, 2021 Call for Activities Submission Form
2022 >> (PI Performance Category) Call for Promoting Interoperability Measures (see SS-A Table 19)
CMS-10621
Promoting Interoperability Performance Category, 2021 Call for Measures Submission Form
2022 >> (PI Performance Category) Data Submission (see SS-A Table 18)
2022 >> (PI Performance Category) Reweighting Applications for Promoting Interoperability and Other Performance Categories (see SS-A Table 16)
CMS-10621, CMS-10621
Hardship Exception Application Form
,
Extreme and Uncontrollable Circumstances Application Form
2022 >> (Physician Compare) Opt Out for Voluntary Participants (see SS-A Table 28)
2022 >> (Quality Performance Category) Call for Quality Measures (see SS-A Table 15)
CMS-10621, CMS-10621
Peer Reviewed Journal Article Requirement Template
,
Measures under Consideration 2019, Data Template for Candidate Measures
2022 >> (Quality Performance Category) Claims Collection Type (see Table SS-A 10)
2022 >> (Quality Performance Category) QCDR/MIPS CQM Collection Type (see SS-A Table 11)
2022 >> (Quality Performance Category) eCQM Collection Type (see SS-A Table 12)
2022 >> Nomination of MVPs (SS-A Table 23)
CMS-10621
Stakeholder Submissions of MIPS Value Pathways (MVP) Candidates: Instructions and Template
2022 >> Open Authorization Credentialing and Token Request Process (SS-A Table 5)
2022 >> Other Payer Advanced APM Identification: Clinician Initiated Process (see SS-A Table 26)
CMS-10621
Eligible Clinician Initiated Submission Form
2022 >> Other Payer Advanced APM Identification: Payer Initiated Process (see SS-A Table 25)
CMS-10621
Payer Initiated Submission Form
2022 >> Partial Qualifying APM Participant (QP) Election (see SS-A Table 24)
2022 >> QPP Identity Management Application Process (see SS-A Table 9)
2022 >> Self-nomination: QCDR and Qualified Registry (see SS-A Tables 3 and 4)
CMS-10621
2021 Qualified Clinical Data Registry (QCDR) Measure Submission Template
2022 >> Submission of Data for All-Payer QP Determinations under the All-Payer Combination Option (see SS-A Table 27)
CMS-10621
Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
CY 2022 Performance Period/2024 MIPS Payment Year Burden Summary
cms-10621, cms-10621, cms-10621, CMS-10621, CMS-10621, CMS-10621, CMS-10621, CMS-10621, CMS-10621, CMS-10621, CMS-10621, CMS-10621, CMS-10621
Appendix D1 (See Table 27): 2022 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form) (Revised)
,
Appendix E1 (See Table 28): 2022 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submissi
,
Appendix F1 (See Table 29): 2022 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option (Revised)
,
Appendix G1 (See Table 15): Measures under Consideration 2021 (for the 2023 performance period), Data Template for Candidate Measures (Revised)
,
Appendix H1 (See Table 15): 2022 Peer Reviewed Journal Article Requirement Template (Revised)
,
Appendix I1 (See Table 20): Promoting Interoperability Performance Category, 2022 Call for Measures Submission Form (Revised)
,
Appendix J1 (See Table 24): Improvement Activities Performance Category, 2022 Call for Activities Submission Form (Revised)
,
Appendix M1 (See Table 25): 2022 MVP Candidates: Instructions and Template (Revised)
,
Appendix O1 (See Table 26): 2020 Partial QP Election Form (for the 2022 MIPS payment year) (New)
,
Appendix C1 (Table 4): 2022 Qualified Clinical Data Registry (QCDR) Measure Submission Template (Revised, Conversion to Webform)
,
Appendix K1 (See Table 16): 2021 Hardship Exception Application Form (for the 2023 MIPS payment year) (No change)
,
Appendix L1 (See Table 16): 2021 Extreme and Uncontrollable Circumstances Application Form for the 2023 MIPS payment year (No change)
,
Appendix N1 (See Table 13): 2021 CMS Web Interface and CAHPS for MIPS Registration Guide (for the 2023 MIPS payment year) (Revised)
CY 2023 Performance Period/2025 MIPS Payment Year Burden Summary
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
633,021
654,162
336,742
-361,096
3,213
0
Annual Time Burden (Hours)
2,825,380
2,957,004
1,393,824
-1,569,428
43,980
0
Annual Cost Burden (Dollars)
0
0
0
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 changes in this CY 2022 collection of information request are associated with our November 19, 2021 final rule (CMS-1751-F, RIN 0938-AU42). Overall, we estimate a decrease of 21,141 responses, 131,624 hours, and $9,066,223.
Annual Cost to Federal Government:
$176
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?
No
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:
12/06/2021
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