The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs) (CMS-R-262)

ICR 201901-0938-009

OMB: 0938-0763

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2019-04-03
Supplementary Document
2019-02-21
Supplementary Document
2019-02-12
Supplementary Document
2019-02-12
Supporting Statement A
2019-02-12
IC Document Collections
ICR Details
0938-0763 201901-0938-009
Historical Active 201801-0938-001
HHS/CMS CM-CPC
The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs) (CMS-R-262)
Revision of a currently approved collection   No
Regular
Approved with change 04/05/2019
Retrieve Notice of Action (NOA) 02/13/2019
Previous terms continue: As this ICR is associated with the issuance of annual guidance, this ICR must be revised accordingly each year.
  Inventory as of this Action Requested Previously Approved
04/30/2022 36 Months From Approved 04/30/2019
6,763 0 5,675
65,354 0 56,450
0 0 0

CMS requires that MA and PDP organizations submit a completed formulary and PBP as part of the annual bidding process. During this process, organizations prepare their proposed plan benefit packages for the upcoming contract year and submit them to CMS for review and approval.

PL: Pub.L. 108 - 173 101 Name of Law: Prescription Drug, Improvement, and Modernization Act of2003 (MMA)
  
None

Not associated with rulemaking

  83 FR 49389 10/01/2018
84 FR 734 01/31/2019
Yes

  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 6,763 5,675 0 1,088 0 0
Annual Time Burden (Hours) 65,354 56,450 0 8,904 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The increase to burden is attributable to an increase in the number of actual plans submitting/PBPs per organization from 10 plans/PBP to 11 plans/PBP, along with an increase in the number of reporting organizations from 520 to 570, as well as an increase in the number of Page 11 formulary submissions from 475 formularies submitted to 493. The number of reporting organizations increased from 520 contracts to 570 contracts based on the most recent numbers extracted from HPMS for organizations planning to provide Medicare to beneficiaries. This number represents the total number of organizations that will submit at least one (1) PBP. Because an organization can submit a formulary that covers multiple contract numbers, only a subset of the 570 organizations will submit distinct formularies

$1,207,520
No
    No
    No
Yes
No
No
Uncollected
Stephan McKenzie 410 786-1943 stephan.mckenzie@cms.hhs.gov

  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:
 
 
 
 
 
 
 
    (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.
02/13/2019


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