Applications for Medicare Part D plans: PDP Plans, MA-PD Plans, Cost Plans, PACE organizations, SAE and EPOG

ICR 200611-0938-011

OMB: 0938-0936

Federal Form Document

Forms and Documents
ICR Details
0938-0936 200611-0938-011
Historical Active 200606-0938-014
HHS/CMS
Applications for Medicare Part D plans: PDP Plans, MA-PD Plans, Cost Plans, PACE organizations, SAE and EPOG
Revision of a currently approved collection   No
Emergency 12/15/2006
Approved with change 01/05/2007
Retrieve Notice of Action (NOA) 11/22/2006
Approved consistent with memo dated 1/3/2007. CMS will update, when appropriate, changes to the burden and number of responses for Medicare Part D record keeping requirements.
  Inventory as of this Action Requested Previously Approved
07/31/2007 6 Months From Approved 11/30/2009
216 0 101
5,316 0 3,828
0 0 0

The Applications for Part D sponsors to offer qualified prescription drug coverage are completed by entities seeking approval to offer Part D benefits under the Medicare Prescription Drug Benefit program established by section 101 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and is codified in section 1860D of the Social Security Act (the Act).
For the 2008 contract year, CMS is taking several steps to reduce the person-hours necessary to complete the Part D solicitations. These steps include automating the majority of the Part D and Employer Group Waiver Plan solicitations within CMS Health Plan Management System (HPMS), incorporating the Pharmacy Access Submission document into the underlying Part D solicitation, and streamlining key information that was previously requested by attachments into attestations. As a result of these steps, CMS must have the final language for the solicitation completed by early December. This will provide CMS with the opportunity to ensure the appropriate systems testing has been completed and applicants are educated and trained to completing the solicitations within HPMS.

None
PL: Pub.L. 108 - 173 1860D Name of Law: null

Not associated with rulemaking

  71 FR 66954 11/17/2006
No

1
IC Title Form No. Form Name
Applications for Medicare Part D Plans; PDP Plans, MA-PD Plans, Cost Plans, PACE Organizations, SAE and EPOG CMS-10137, CMS-10137, CMS-10137, CMS-10137 EPOG, CMS-10137, CMS-10137, CMS-10137 EPOG, CMS-10137 EPOG, CMS-10137 EPOG, CMS-10137, CMS-10137, CMS-10137, CMS-10137 Application for EPOG Cost Plans ,   Application for New Cost Plan ,   Application for New PDP ,   Application for New MA-PD ,   SAE Application ,   Application for New PDP ,   SAE Application ,   Application for New Cost Plan ,   Application for EPOG ,   Application for New Employer ,   Application for New MA-PD ,   Application for New EPOG PDP ,   Application for Existing PDP

  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 216 101 115 0 0 0
Annual Time Burden (Hours) 5,316 3,828 1,488 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The Part D Applications are being automated through CMS Health Plan Management System (HPMS), which will reduce the hour burden for each applicant. However, CMS expects the number of applicants to increase from what was expected last year because the statute allows local preferred provider organizations to apply to participate in the Part D benefit program for the first time in 2008. The increase in the number of applicants is the reason that the annual hour burden actually increased from last year.

$100,800
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Saleda Perryman

  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.
11/16/2006


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