c. T-MSIS Data

For one-time system and process changes, CMS estimates 44 jurisdictions will spend 250 to 500 hours to implement the T-MSIS reporting changes for a total of 11,000 and 22,000 hours (250-500 hr × 44 respondents). CMS estimates it will take a Medical and Health Services Manager 250 to 500 hours at $132.44/hr. to implement the changes. The corresponding total annual cost is between $1,456,840 and $2,913,680 (11,000−22,000 hr × $132.44/hr). Assuming a Federal administrative match of 75 percent, the State share is between $364,210 and $728,420. To avoid underestimating our burden analysis, we use the high end of our burden estimate to score the PRA-related impact related to the one-time system and process changes required to implement these T-MSIS reporting changes.

Annual operational costs are not expected to increase above current T-MSIS reporting burden once the one-time T-MSIS file changes are implemented due to the automated nature of T-MSIS file submissions. The one-time implementation costs will allow the States to automate and integrate community engagement data collection into their ongoing T-MSIS file submissions.