OMB approves
this collection for a period of three years. To request approval of
information collections under this generic approval, the agency
must do the following: 1) Unless an agency is using multiple modes
of collection (e.g., paper forms and electronic submissions),
provide a Generic Clearance Submission Template for each
Instrument; 2) If the agency is using multiple modes of collection
(e.g., paper forms and electronic submissions), the same Generic
Clearance Submission Template may be used for both instruments; 3)
each Generic Clearance Submission Template must be uploaded as a
Supplementary document using a naming convention that allows the
public to identify the associated instrument.
Inventory as of this Action
Requested
Previously Approved
09/30/2017
36 Months From Approved
75
0
0
180,000
0
0
0
0
0
Section 1128C(a)(2) of the Social
Security Act (42 U.S.C. 1320a-7c(a)(2)) authorizes the Secretary
and the Attorney General to consult with, and arrange for the
sharing of data with representatives of health plans to establish a
Fraud and Abuse Control Program as specified in Section
1128(C)(a)(1) of the Social Security Act. This is known as the
Healthcare Fraud Prevention Partnership (HFPP). It was officially
established by a Charter in fall 2012 and signed by HHS Secretary
Sibelius and US Attorney General Holder. The HFPP is a joint
initiative established by the Department of Health and Human
Services and Department of Justice to detect and prevent the
prevalence of healthcare fraud through data and information-sharing
and applying analytic capabilities by the public and private
sectors. The HFPP collaboration provides a unique opportunity to
transition from traditional "pay and chase" approaches for fraud
detection and recovery towards a data-driven model for identifying
and predicting aberrant activity. A central goal of the HFPP is to
identify the optimal way to coordinate nationwide sharing of health
care claims information, including aggregating claims and payment
information from large public healthcare programs and private
insurance payers. In addition to sharing data and information, the
HFPP is focused on advancing analytics, training, outreach,
education to support anti-fraud efforts and achieving its
objectives, primarily through goal-oriented, well-designed fraud
studies. The HFPP's organizational structure is made up of an
Executive Board, the Data Analysis and Review Committee, and the
Information Sharing Committee. The HFPP will also include a Trusted
Third Party that CMS will engage to provide the technical and
operational platform to support the partnerships' data sharing,
collaboration and study outreach activities. Enabling data sharing
and providing analytical computing capabilities of the TTP is
central to the success of the HFPP.
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:
(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;
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.
Form CMS-10501 Generalized Claims Data Call Submission
Supporting Statement Part B.docx
HFPP 60_day PRA comment and response.pdf
Generalized Claims Data Call Submission