View Information Collection Request (ICR) Package
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View Information Collection (IC) List
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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:
0938-1012
ICR Reference No:
202408-0938-027
Status:
Active
Previous ICR Reference No:
202405-0938-026
Agency/Subagency:
HHS/CMS
Agency Tracking No:
OFM -- IPPS
Title:
Payment Error Rate Measurement - State Medicaid and CHIP Eligibility (CMS-10184)
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
11/25/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/28/2024
Terms of Clearance:
OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise this collection. Any burden revisions should be considered and reflected between three connected CMCS PERM collections (OMB 0938-0994, 0938-0974, and 0938-1012)
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2027
36 Months From Approved
Responses
108
0
0
Time Burden (Hours)
36,000
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The Improper Payments Information Act (IPIA) of 2002 requires CMS to produce national error rates for Medicaid and SCHIP. To comply with the IPIA, CMS needs the information to be collected in order to provide some Federal overview of state eligibility determinations to ensure correctness and consistency among states and to use the State-specific error rates as the basis for calculating national eligibility error rates for Medicaid and SCHIP.
Authorizing Statute(s):
PL:
Pub.L. 107 - 300 2
Name of Law: The Improper Payments Information Act of 2002
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AV34
Final or interim final rulemaking
89 FR 68986
08/28/2024
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
3
IC Title
Form No.
Form Name
Communications and Review Support
Corrective Action Report
Monthly Sampling Lists
CMS-10184
Monthly Sample Selection List
Payment Error Rate Measurement - State Medicaid and CHIP Eligibility (MEQC Substitution)
CMS-10184, CMS-10184
MEQC Substitution
,
MEQC substitution Detailed Case Review Findings
Pre-cycle Report
Reinstatement of Prior Burden Estimates for CMS-10184E
CMS-10184
MEQC substitution Summary of Findings
Reporting Individual Payment Findings
CMS-10184
Detailed Payment Review Findings
Reporting Individual Review Findings
CMS-10184, CMS-10184
Detailed Active Case Review Findings
,
Review Findings
Summary of Eligibility and Payment Review Findings
CMS-10184
Monthly Sample Selection List
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
108
0
0
-1,475
0
1,583
Annual Time Burden (Hours)
36,000
0
0
-910,164
0
946,164
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
The July 5, 2017, Final Rule (82 FR 31158) shifted costs and a significant hourly burden for conducting eligibility reviews from states (MEQC) to the Federal Government and its contractors (PERM). However, these changes would be largely offset by Federal government savings in reduced payments to states in matching funds. Hourly burden for states was significantly reduced due to the removal of the MEQC collection from the submission, which was estimated at 912,164 hours (946,164 total hours in most recent approved package, less PERM estimate of 34,000 Hours). MEQC has created a separate burden estimate for activities within CMS-319 OMB Control # - 0938-0147. Current burden estimate includes additional burden for inclusion of Puerto Rico in the amount of 2,000 hours for a total burden estimate of 36,000 hours. Prior approved cost of $26,044,672 has been reduced to $2,315,520 for a total of $23,729,152 reduction due to labor rate changes and reduction of hours mentioned.
Annual Cost to Federal Government:
$46,000,000
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.
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:
Denise King 410 786-1013 Denise.King@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:
08/28/2024