Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

ICR 202307-0938-005

OMB: 0938-1314

Federal Form Document

ICR Details
0938-1314 202307-0938-005
Received in OIRA 202301-0938-017
HHS/CMS CCSQ
Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Revision of a currently approved collection   No
Regular 08/24/2023
  Requested Previously Approved
36 Months From Approved 01/31/2025
184,564 159,528
715,450 713,860
0 0

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.

US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
  
US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014

0938-AV07 Proposed rulemaking 88 FR 52262 08/07/2023

  88 FR 52262 08/07/2023
No

1
IC Title Form No. Form Name
CY 2023 Performance Period/2025 MIPS Payment Year Burden Summary Appendix J, Appendix I, Appendix A, Appendix B1, Appendix D1, Appendix E1, Appendix F1, Appendix G1, Appendix H1, Appendix K1, Appendix L1, Appendix C1 Self-Nomination User Guide for Qualified Clinical Data Registries (QCDRs) and Qualified Registries ,   2023 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form) ,   2023 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form) ,   2023 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option ,   Measures under Consideration 2022 (for the 2024 performance period), Data Template for Candidate Measures ,   2023 Peer Reviewed Journal Article Requirement Template ,   Promoting Interoperability Performance Category, 2023 Call for Measures Submission Form ,   Improvement Activities Performance Category, 2023 Call for Activities Submission Form ,   2022 MIPS Promoting Interoperability Hardship Exception Application Guide (for submission in CY 2023) ,   2022 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide (for submission in CY2023 ,   2023 MVP Candidates: Instructions and Template ,   2022 Partial QP Election Form (for submission in CY 2023)
CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Appendix A, Appendix B, Appendix C, Appendix D, Appendix E1, Appendix F1, Appendix G, Appendix H, Appendix I, Appendix J, Appendix K, Appendix L 2023 QCDR and Registry Self-nomination User Guide ,   2023 MVP Registration Form (New) ,   2022 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide (for submission in CY 2023) (previously Appendix J) ,   2023 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form) ,   Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form) ,   2023 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 ,   2023 MVP Candidates: Instructions and Template (previously Appendix K) ,   2022 Partial QP Election Form (for submission in CY 2023) (previously Appendix L) ,   Improvement Activities Performance Category, 2023 Call for Activities Submission Form (previously Appendix H) ,   2022 MIPS Promoting Interoperability Hardship Exception Application Guide (for submission in CY 2023) (previously Appendix I)

  Total Request 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 184,564 159,528 1,284 0 23,752 0
Annual Time Burden (Hours) 715,450 713,860 -4,002 0 5,592 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The changes in this CY 2024 collection of information request are associated with our August 7, 2023 (88 FR 52262) proposed rule (CMS-1784-P, RIN 0939-AV07). Overall, this iteration proposes to add 25,036 responses (from 159,528 to 184,564 responses) and 1,590 hours (from 713,860 to 715,450 hours). Please see sections 12 and 15 of this Supporting Statement for details. With respect to this information collection’s instruments, we are not proposing any changes to Appendices, A, B, C, and D. We have revised Appendices E1 and F1. We are removing Appendix G As a result of removing Appendix G, we have redesignated the remaining appendices. Additionally, we have added a new form under Appendix L, MVPs registration form, related to the ICR for MVP and subgroup registration. Please see Information Collection Instruments/Instructions under section 12 of this Supporting Statement for details.

$182
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
No
Mitch Bryman 410 786-5258 Mitch.Bryman@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.
08/24/2023


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