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:
0938-1468
ICR Reference No:
202404-0938-007
Status:
Active
Previous ICR Reference No:
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CM-CPC
Title:
The Medicare Advantage and Prescription Drug Programs: Part C and Part DMedicare Advantage Prescription Drug (MARx) System Updates for the Medicare Prescription Payment Plan Program (CMS-10887 - IRA
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
05/10/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/08/2024
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2027
36 Months From Approved
Responses
3,200,856
0
0
Time Burden (Hours)
59,958
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The purpose of this data submission request is to support oversight and program integrity for Part D enrollees who participate in the Medicare Prescription Payment Plan program, which was established under Section 11202 of the Inflation Reduction Act of 2022, Public L. 117-169 (IRA). Under this program, MA Organizations offering Part D coverage and Part D sponsors are required to offer enrollees the option to pay their Part D cost sharing in monthly amounts spread out over the plan year based on the formula described in section 1860D-2(b)(2)(E)(iv) of the Act. To effectively monitor the program, Part D plans will be required to report data elements related to the program at the beneficiary, contract, and Plan Benefit Package (PBP) levels beginning in Contract Year (CY) 2025. CMS proposes to require Part D plans to submit beneficiary-level data elements into the MARx system via a program-specific transaction. Our fundamental goal is to have the least burdensome data submission requirements necessary to acquire the data needed for accurate Medicare Prescription Payment Plan program oversight. CMS believes that collecting beneficiary-level data through MARx is the most effective way for us to oversee implementation of this program. Beneficiary-level data will enable CMS to better understand participation patterns across different populations, address enrollee concerns related to the program in near real-time and inform CMS of changes to potential guidance and program requirements in the future.
Authorizing Statute(s):
PL:
Pub.L. 117 - 169 11202
Name of Law: Inflation Reduction Act 2022
Citations for New Statutory Requirements:
PL: Pub.L. 117 - 169 11202 Name of Law: Inflation Reduction Act 2022
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:
89 FR 5239
01/26/2024
30-day Notice:
Federal Register Citation:
Citation Date:
89 FR 24480
04/08/2024
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
Beneficiary-Level Program Data Submission:
CMS-10887
Medicare Prescription Payment Plan example data layout
New MARx File and Addition of Program-Specific Fields (One-time burden)
CMS-10887
Medicare Prescription Payment Plan example data layout
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
3,200,856
0
3,200,856
0
0
0
Annual Time Burden (Hours)
59,958
0
59,958
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:
Annual Cost to Federal Government:
$166,723
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:
04/08/2024
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