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:
0938-1327
ICR Reference No:
202205-0938-008
Status:
Active
Previous ICR Reference No:
201911-0938-013
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CM-CPC
Title:
The PACE Organization (PO) Monitoring and Audit Process in Part 460 of 42 CFR (CMS-10630)
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:
11/02/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/10/2022
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2025
36 Months From Approved
02/28/2023
Responses
40
0
35
Time Burden (Hours)
31,200
0
21,000
Cost Burden (Dollars)
0
0
0
Abstract:
42 CFR 460.190 and 460.192 described CMS’s regulatory authority to monitor, through audit or other means, the Programs for All-Inclusive Care of the Elderly (PACE). This monitoring includes review of books, contracts, medical records, patient care documentation and any other records that pertain to any aspect of services performed, reconciliation of benefit liabilities, and determination of amounts payable. CMS developed a strategy to address our oversight and audit responsibilities. We have combined both the trial year and ongoing audit protocols into one universal audit protocol that is streamlined and outcomes based to reduce the financial and administrative burdens for both CMS and PACE organizations.
Authorizing Statute(s):
US Code:
42 USC 1395eee
Name of Law: Social Security Act
US Code:
42 USC 1396u–4
Name of Law: Social Security Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
86 FR 72244
12/21/2021
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 28014
05/10/2022
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Trial Year and Routine Audits
CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630, CMS-10630
Clinical Appropriateness and Care Planning Impact Analysis Template
,
Appeals Impact Analysis Template
,
Clinical Appropriateness and Care Planning Impact Analysis Template
,
Summary of any pre-audit issues
,
PACE Supplemental Questionnaire
,
PACE Audit Process and Data Request Protocol
,
Corrective Action Plan (CAP) Process
,
Audit Survey
,
Service Delivery Request and Appeals Impact Analysis Template
,
Clinical Appropriateness and Care Planning Impact Analysis Template
,
Grievances Impact Analysis Template
,
Clinical Appropriateness and Care Planning Impact Analysis Template
,
Clinical Appropriateness and Care Planning Impact Analysis Template
,
Personnel Impact Analysis Template
,
Clinical Appropriateness and Care Planning Impact Analysis Template
,
Clinical Appropriateness and Care Planning Impact Analysis Template
,
Root Cause Analysis Template
,
Service Delivery Request Impact Analysis Template
,
Service Delivery Request Impact Analysis Template
,
Clinical Appropriateness and Care Planning Impact Analysis Template
,
Clinical Appropriateness and Care Planning Impact Analysis Template
,
Coordination of Care
,
Required Services
,
Special Recommendations
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
40
35
0
5
0
0
Annual Time Burden (Hours)
31,200
21,000
0
10,200
0
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:
No
Burden Reduction Due to:
Short Statement:
Burden has increased to due to an increase in participation POs (35 to 40), data collection instruments increased from 22 to 24 documents and increase regarding the timeframe for administration of the audit. As a result, the total number of hours spent on audit from 2020 to 2023 will increase from 600 hours total to 780 hours total per PO.
Annual Cost to Federal Government:
$9,950,090
Does this IC contain surveys, censuses, or employ statistical methods?
No
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.
No
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.
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?
No
Agency Contact:
Stephan McKenzie 410 786-1943 stephan.mckenzie@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:
05/10/2022
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