Payments for Services Furnished by Certain Primary Care Providers and Supporting Regulations in 42 CFR 438.6, 438.804, 447.400, and 447.410 (CMS-10422)
Payments for Services
Furnished by Certain Primary Care Providers and Supporting
Regulations in 42 CFR 438.6, 438.804, 447.400, and 447.410
(CMS-10422)
States must submit information to
document any expenditure eligible for 100 percent Federal matching
funds. The collection of information required under this rule would
conform to the new requirements in sections 1902(a)(13), 1902(jj),
1932(f), and 1905(dd) of the Social Security Act, as amended by the
Patient Protection and Affordable Care Act of 2010 (Pub. L.
111-148; the Affordable Care Act).
PL: Pub.L. 111 - 152 1932(f) Name of Law:
Health Care and Education Reconciliation Act
PL: Pub.L. 111 - 152 1902(a)(13) and (jj) Name of Law: Health Care
and Education Reconciliation Act
PL: Pub.L. 111 - 152 1905(dd) Name of Law: Health Care and
Education Reconciliation Act
438.804(a)(1) and (2) –
Reduction in burden in CYs 2015 and 2016 Since the publication of
the final rule, all states have submitted the required managed care
methodologies and we assure that those methodologies will remain in
use during CYs 2015 and 2016. Therefore, there is no burden
associated with this requirement for the revised collection period.
This is a reduction over the estimated burden for this provision
for FY 2013 of 4,180 total annual hours at a total cost of
$223,473. 447.410 – Reduction in burden in CYs 2015 and 2016 Since
the publication of the final rule, all states have submitted SPAs
providing for implementation of the regulatory requirements during
CYs 2013 and 2014. Therefore, while states will need to submit an
updated preprint to provide for continuation of the higher payments
during CYs 2015 and 2016, the burden will be smaller. Specifically,
the estimated burden for this provision for FY 2013 was 1,020
annual hours at a total cost of $38, 468. The estimated burden for
CY 2015 is 255 hours at a total cost of $11,150.
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-10422 State Plan Requirements - Amending FFS Rate
Responses to Comments Received.docx
CMS-10422 - Supporting Statement part A [rev 11-18-2014 by OSORA PRA].doc
Primary Care Provider Payment Increases