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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:
202412-0938-008
Status:
Active
Previous ICR Reference No:
202409-0938-018
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:
Approved without change
Conclusion Date:
06/17/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/24/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2027
36 Months From Approved
02/28/2027
Responses
135,984
0
191,225
Time Burden (Hours)
649,371
0
728,142
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-AV33
Final or interim final rulemaking
89 FR 97710
12/09/2024
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
89 FR 61596
07/31/2024
30-day Notice:
Federal Register Citation:
Citation Date:
89 FR 97710
12/09/2024
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 2024 Performance Period/2026 MIPS Payment Year Burden Summary
Appendix G1, Appendix I1, Appendix H1, Appendix K1, Appendix L, Appendix C1, Appendix J1, Appendix A1, Appendix B1, Appendix D1, Appendix E, Appendix F
2024 MIPS QCDR and Registry Self-nomination User Guide
,
2024 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form)
,
2024 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
,
2024 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
,
Improvement Activities Performance Category, 2024 Call for Activities Submission Form
,
2023 MIPS Promoting Interoperability Hardship Exception Application Guide
,
2023 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide
,
2024 MVP Candidates: Instructions and Template
,
2023 Partial QP Election Form
,
2023 MVP Registration Form
CY 2025 Performance Period/2027 MIPS Payment Year
Appendix G, Appendix K, Appendix E, Appendix A, Appendix B, Appendix C, Appendix D, Appendix F, Appendix H, Appendix I, Appendix J, Appendix L
2025 MIPS QCDR and Registry Self-nomination User Guide
,
2025 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form)
,
2025 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
,
2025 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
,
Measures under Consideration 2024 Data Template for Candidate Measures
,
2024 Peer Reviewed Journal Article Requirement Template
,
Improvement Activities Performance Category, 2025 Call for Activities Submission Form
,
2024 MIPS Promoting Interoperability Hardship Exception Application Guide
,
2024 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide
,
2025 MVP Candidates: Instructions and Template
,
2024 Partial QP Election Form (for submission in CY 2025)
,
2024 MVP Registration Form
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
135,984
191,225
2,506
0
-57,747
0
Annual Time Burden (Hours)
649,371
728,142
-7,570
0
-71,201
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:
This iteration's changes are associated with our December 9, 2024 (89 FR 97710) CY 2025 PFS final rule (CMS-1807-F; RIN 0938-AV33) and adjustments to the currently approved burden as a result of updated data sources and assumptions. Overall, this iteration proposes to decrease the current estimates by minus 55,241 responses (from 191,225 to 135,984 responses) and minus 78,771 hours (from 728,142 to 649,371 hr). We have also revised Appendices A through K and replaced active Appendix L (2023 MVP Registration Form) with a new Appendix L entitled, “2024 MVP Registration Form.” The MVP registration collection changed from submitting an Excel file via email in 2023 to an online registration form for 2024.
Annual Cost to Federal Government:
$384
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:
01/24/2025
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