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:
202307-0938-005
Status:
Historical Inactive
Previous ICR Reference No:
202301-0938-017
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CCSQ
Title:
Quality Payment Program (QPP)/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:
10/12/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/24/2023
Terms of Clearance:
In accordance with 5 CFR 1320, the information collection is not approved at this time. Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2025
36 Months From Approved
01/31/2025
Responses
159,528
0
159,528
Time Burden (Hours)
713,860
0
713,860
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-AV07
Proposed rulemaking
88 FR 52262
08/07/2023
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
88 FR 52262
08/07/2023
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
CY 2023 Performance Period/2025 MIPS Payment Year Burden Summary
Appendix D1, Appendix A, Appendix B1, Appendix E1, Appendix F1, Appendix G1, Appendix H1, Appendix K1, Appendix L1, Appendix C1, Appendix I, Appendix J
Self-Nomination User Guide for Qualified Clinical Data Registries (QCDRs) and Qualified Registries
,
2023 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form)
,
2023 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
,
2023 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
,
Measures under Consideration 2022 (for the 2024 performance period), Data Template for Candidate Measures
,
2023 Peer Reviewed Journal Article Requirement Template
,
Promoting Interoperability Performance Category, 2023 Call for Measures Submission Form
,
Improvement Activities Performance Category, 2023 Call for Activities Submission Form
,
2022 MIPS Promoting Interoperability Hardship Exception Application Guide (for submission in CY 2023)
,
2022 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide (for submission in CY2023
,
2023 MVP Candidates: Instructions and Template
,
2022 Partial QP Election Form (for submission in CY 2023)
CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary
Appendix A, Appendix B, Appendix C, Appendix D, Appendix E1, Appendix F1, Appendix G, Appendix H, Appendix I, Appendix J, Appendix K, Appendix L
2023 QCDR and Registry Self-nomination User Guide
,
2023 MVP Registration Form (New)
,
2022 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide (for submission in CY 2023) (previously Appendix J)
,
2023 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form)
,
Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
,
2023 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
,
Measures under Consideration 2023 Data Template for Candidate Measures
,
2023 Peer Reviewed Journal Article Requirement Template
,
2023 MVP Candidates: Instructions and Template (previously Appendix K)
,
2022 Partial QP Election Form (for submission in CY 2023) (previously Appendix L)
,
Improvement Activities Performance Category, 2023 Call for Activities Submission Form (previously Appendix H)
,
2022 MIPS Promoting Interoperability Hardship Exception Application Guide (for submission in CY 2023) (previously Appendix I)
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 2024 collection of information request are associated with our August 7, 2023 (88 FR 52262) proposed rule (CMS-1784-P, RIN 0939-AV07). Overall, this iteration proposes to add 25,036 responses (from 159,528 to 184,564 responses) and 1,590 hours (from 713,860 to 715,450 hours). Please see sections 12 and 15 of this Supporting Statement for details. With respect to this information collection’s instruments, we are not proposing any changes to Appendices, A, B, C, and D. We have revised Appendices E1 and F1. We are removing Appendix G As a result of removing Appendix G, we have redesignated the remaining appendices. Additionally, we have added a new form under Appendix L, MVPs registration form, related to the ICR for MVP and subgroup registration. Please see Information Collection Instruments/Instructions under section 12 of this Supporting Statement for details.
Annual Cost to Federal Government:
$182
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:
08/24/2023
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