Part C and Part D Medicare
Prescription Payment Plan Model Documents (CMS-10882) - IRA
Revision of a currently approved collection
No
Regular
07/29/2025
Requested
Previously Approved
36 Months From Approved
07/31/2025
39,514,987
1,065
135,080
21,300
43,841,218
8,686,462
The purpose of this information
collection request for the approval of model documents for the
Medicare Prescription Drug Program (Part D) is to meet the
requirements of Section 11202 of the Inflation Reduction Act of
2022, Public L. 117-169 (IRA), which established the Medicare
Prescription Payment Plan Program. Under this program, MA
Organizations offering Part D coverage and Part D sponsors are
required to offer enrollees the option to pay their Part D cost
sharing in monthly amounts spread out over the plan year based on
the formula described in section 1860D-2(b)(2)(E)(iv) of the Act.
There are several education and outreach requirements for plan
sponsors related to implementation of this program. The proposed
documents in this information collection are designed to assist
Part D plan sponsors and MA organizations in complying with
Sections 1860D-2(b)(2)(E)(v)(II) – (IV) of the Social Security Act
(the Act), which set forth the education and outreach
responsibilities for Part D sponsors and MA organizations for this
program. CMS has developed the six materials in the attached
package as model notices to provide standardized and consistent
language for potential and active program participants, regardless
of which Part D plan they may be enrolled in. CMS will require Part
D plans to disseminate these notices, as appropriate, to Part D
enrollees to fulfill the requirements of the Sections
1860D-2(b)(2)(E)(v)(II) – (IV) of the Act. The six model notices
and their related burden are accounted for in this PRA package. By
providing these model notices, CMS is providing standardized
messaging for all Part D beneficiaries and reducing administrative
burden on Part D sponsors and MA organizations.
Burden has increased due to
added burden and revised burden associated with the Medicare
Prescription Payment Plan that was not accounted for in previous
PRA packages, including annual burden for Part D plan sponsors to
comply with requirements to mail billing statements, annual burden
for Part D plan sponsors to report their program-specific PCN
starting with “MPPP” to CMS, one-time burden for Part D plan
sponsors to set up systems for participation renewal, one-time
burden for Part D plan sponsors to develop the Notice of
Participation Renewal, and annual burden for Part D plan sponsors
to update their systems to reflect changes to the likely to benefit
criteria. We also added one-time beneficiary burden to complete the
opt-out process and annual burden for pharmacies to provide the
Likely to Benefit Notice.
$2,826
No
No
No
No
No
No
No
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.