Supporting Statement B - HCPCS

Survey of State Medicare and Medicaid Agencies about Adoption of New Healthcare Common Procedure Coding System Codes:
H0049 and H0050

Supporting Statement B

Request for Office of Management and Budget Review and Approval for Federally Sponsored Data Collection

June 2008

Meredith DeFraites, Esq.
Office of National Drug Control Policy
Office of Performance and Budget
750 17^th Street, NW; 5^th Floor
Washington, DC 20503
mdefraites@ondcp.eop.gov
(202) 395-5276
(202) 395-5571 (fax)

Table of Contents

A Brief Explanation of the Survey in Question 3

Respondent Universe and the Sampling Methods 3

Procedures for Collection of Information 3

Methods to Maximize Response Rates and Deal with Non-response 3

Tests of Procedures and Methods to be Undertaken 4

Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data 4

Table A. State Medicaid Directors 5

A Brief Explanation of the Survey in Question

ONDCP is charged with the execution of the President’s National Drug Control Strategy, with special emphasis on the areas denoted therein as “priorities.” Screening, Brief Intervention, Referral and Treatment—or SBIRT—is a vital part of the federal government’s demand reduction efforts. ONDCP wishes to conduct this survey focusing on whether State Medicare/Medicaid agencies have adopted two new Healthcare Common Procedure Coding System (HCPCS) codes and the factors leading to the decision to adopt or not adopt these codes. The codes in question are H0049 and H0050: codes for alcohol and drug screening and brief intervention (SBI).

The survey consists of 8 questions—each question broken into subparts—mostly answerable by checking “yes” or “no” in the appropriate box next to the question.

Because of the nature of the survey, there will be no statistical analysis involved. Additionally, ONDCP intends to survey all 50 State Medicare/Medicaid Agencies and that of the District of Columbia. These potential respondents represent the whole of the respondent universe, so there is no need for sampling or extrapolation of data.

Respondent Universe and the Sampling Methods

The recipients of the survey instrument will be State Medicare and Medicaid Agencies in the fifty states and the District of Columbia. The survey is a one-time collection of information readily available to State Medicare/Medicaid Agencies, regarding state actions with respect to two new HCPCS codes.

At the end of the document is a list of State Medicaid Directors, gleaned from the National Association of State Medicaid Directors website: www.nasmd.org.

Procedures for Collection of Information

Initial contact with the State Medicare/Medicaid Agencies will be in the form of a hard copy of the cover letter, instructions, and survey mailed to their respective addresses currently on file with the Department of Health and Human Services. The State agencies have the option of responding by mail, by fax, or by e-mail. There is no requirement that the survey be completed in hard copy and mailed back to ONDCP. We would like to make responding to the survey as simple as possible, with as little cost to the respondents as possible. Respondents are free to choose their method of communication. The survey instrument will contain the contact information for the ONDCP analyst in charge of data collection, including mailing and e-mail addresses, phone number, and fax number.

Methods to Maximize Response Rates and Deal with Non-response

Once a reasonable amount of time has elapsed from the mailing of the survey packets, ONDCP analysts will make follow-up phone calls to the State Medicare/Medicaid Agencies. Because it is the decision of the State Medicare/Medicaid Agencies whether to adopt the codes, the respondents will have firsthand knowledge and the ability to answer the questions easily.

Tests of Procedures and Methods to be Undertaken

ONDCP has previously surveyed State agencies for the “Major Cities” Federal, State, and Local Drug Control Funding database and has found their responses to be timely and thorough. The response rate for State agencies that were polled was above 90%.

The survey instrument was subjected to interagency review. Within ONDCP, the survey was reviewed by a number of individuals, many of whom have previous experience with surveying methods and analysis.

Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data

This survey was created by a collaborative effort on behalf of analysts within ONDCP. Because there are no statistics involved in this survey, there has been no consultation with professional statisticians in developing the survey.

The interview data will be collected by Meredith DeFraites, Policy Analyst, who can be reached at:

750 17^th St., NW; 5^th Floor

Washington, DC 20503

Phone: (202) 395-5276

Fax: (202) 395-5571

E-mail: mdefraites@ondcp.eop.gov

Results of the survey will be interpreted by analysts within the Office of Performance and Budget of ONDCP. The point of contact for result analysis is Meredith DeFraites (contact information above).

Table A. State Medicaid Directors

Alabama Carol Hermann-Steckel, Commissioner Alabama Medicaid Agency	Kentucky Elizabeth A. Johnson, Commissioner Department for Medicaid Services	North Dakota Maggie D. Anderson, Director Division of Medical Services
Alaska Jerry Fuller, Medicaid Director Dept. of Health and Social Services	Louisiana Jerry Phillips, Medicaid Director Dept. of Health and Hospitals	Ohio Cristal Thomas, Executive Director Executive Medicaid Management Administration
Arizona Anthony D. Rodgers, Director Arizona Health Care Cost Containment System	Maine Tony Marple, Director Office of MaineCare Services	Oklahoma Mike Fogarty, CEO Oklahoma Health Care Authority
Arkansas Roy Jeffus, Director Division of Medical Services	Maryland John G. Folkemer, Deputy Secretary Health Care Financing	Oregon Jim Edge, Interim State Medicaid Director Office of Medical Assistance Progs.
California Stan Rosenstein, Chief Deputy Director Health Care Programs	Massachusetts Tom Dehner, Medicaid Director Office of Medicaid	Pennsylvania Michael Nardone, Acting Deputy Secretary Medical Assistance Programs
Colorado Sandeep Wadhwa, Medicaid Director Medical Assistance Office	Michigan Paul Reinhart, Medicaid Director Medical Services Administration	Rhode Island John Young, Deputy Director Division of Health Care Quality
Connecticut David Parrella, Director Medical Care Administration	Minnesota Christine Bronson, Medicaid Director Dept. of Human Services	South Carolina Emma Forkner, Director Dept. of Health and Human Services
Delaware Harry Hill, Director Div. of Medicaid & Medical Assistance	Mississippi Robert Robinson, Executive Director Division of Medicaid	South Dakota Larry Iverson, Medicaid Director Medical Services
District of Columbia Robert T. Maruca, Senior Deputy Director Medical Assistance Administration	Missouri Ian McCaslin, Director Division of Medical Services	Tennessee Darin Gordon, Director/Deputy Commissioner Bureau of TennCare
Florida Carlton D. Snipes, Acting Deputy Secretary Agency for Health Care Admin.	Montana John Chappuis, Deputy Director Dept. of Public Health & Human Services	Texas Chris Traylor, State Medicaid Director TX Health and Human Services Commission
Georgia Mark Trail, Chief Medical Assistance Plans	Nebraska Vivianne Chaumont, Medicaid Dir. NE Health and Human Services	Utah David Sundwall, Executive Director Dept. of Health
Hawai’i Lois Lee, Acting Administrator Med-Quest Division	Nevada Chuck Duarte, Administrator Division of Health Care Financing and Policy	Vermont Joshua Slen, Director Office of Health Access
Idaho Leslie Clement, Administrator Dept. of Health and Welfare	New Hampshire Nicholas Toumpas, Commissioner NH Dept. of Health and Human Services	Virginia Patrick Finnerty, Director Dept. of Medical Assistance Services
Illinois Theresa Eagleson, Medicaid Director Medical Programs	New Jersey Ann Clemency Kohler, Deputy Commissioner Dept. of Human Services	Washington Doug Porter, Assistant Secretary Health and Recovery Services Administration

Indiana E. Mitchell Roob, Jr., Director Medicaid Policy and Planning	New Mexico Carolyn Ingram, Director Medical Assistance Division	West Virginia Marsha Morris, Commissioner Bureau of Medical Services
Iowa Eugene Gessow, Medicaid Director Iowa Medicaid Enterprise	New York Deborah Bachrach, Dep. Commissioner Office of Health Insurance Programs	Wisconsin Jason Helgerson, State Medicaid Director Division of Health Care Financing
Kansas Andrew Allison, PhD, Medicaid Director Kansas Health Policy Authority	North Carolina William Lawrence, Acting Director Division of Medical Assistance	Wyoming Teri Green, State Medicaid Administrator Office of Health Care Financing

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