Agency Information Collection Activities: Proposed Collection; Comment Request, 73250-73251 [E5-7134]
Download as PDF
73250
Federal Register / Vol. 70, No. 236 / Friday, December 9, 2005 / Notices
minimize the information collection
burden.
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicare
Integrity Program Organizational
Conflict of Interest Disclosure Certificate
and Supporting Regulations at 42 CFR
421.300—421.316; Form Number: CMS–
R–232 (OMB#: 0938–0723); Use: Section
1893(d)(1) of the Social Security Act
requires CMS to establish a process for
identifying, evaluating, and resolving
conflicts of interest. CMS proposed a
process under § 421.310 to mandate
submission of pertinent information
regarding conflicts of interest. The
entities providing the information will
be organizations that have been
awarded, or seek award of, a Medicare
Integrity Program contract. CMS needs
this information to assess whether
contractors who perform, or who seek to
perform, Medicare Integrity Program
functions, such as medical review, fraud
review or cost audits, have
organizational conflicts of interest and
whether any conflicts have been
resolved. Frequency: Reporting—On
occasion; Affected Public: Business or
other for-profit; Number of
Respondents: 11; Total Annual
Responses: 11; Total Annual Hours:
2,200.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Request for
Accelerated Payments and Supporting
Regulations in 42 CFR, sections 412.116,
412.632, 413.64, 413.350, and 484.245;
Form Number: CMS–9042 (OMB#:
0938–0269); Use: Section 1815(a) of the
Social Security Act describes payment
to providers of services. 42 CFR
412.116, 42 CFR 412.632, 42 CFR
413.64, 42 CFR 413.350, and 42 CFR
484.245 define the conditions under
which accelerated payments may be
requested. Sections 2412.2 and 2412.3
of the Provider Reimbursement Manual
identify the information that providers
must supply to their intermediary to
request an accelerated payment. A
request for an accelerated payment can
be made by a hospital, skilled nursing
facility, home health agency, inpatient
rehabilitation facility, critical access
hospital, or hospice that is not receiving
periodic interim payments. Accelerated
payment request forms are used by
fiscal intermediaries to assess a
provider’s eligibility for accelerated
payments. Frequency: Reporting—On
occasion; Affected Public: Business or
other for-profit, Not-for-profit
institutions; Number of Respondents:
VerDate Aug<31>2005
14:22 Dec 08, 2005
Jkt 208001
822; Total Annual Responses: 822; Total
Annual Hours: 411.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicare and
Medicaid: Programs of All-Inclusive
Care for the Elderly (PACE) contained in
42 CFR 460.12—460.210 / Medicare and
Medicaid: Programs of All-Inclusive
Care for the Elderly (PACE; Program
Revisions) contained in 42 CFR
460.10—460.210; Form Number: CMS–
R–244 (OMB#: 0938–0790); Use: PACE
is a pre-paid, capitated plan that
provides comprehensive health care
services to frail, older adults in the
community, who are eligible for nursing
home care according to State standards.
The Balanced Budget Act (BBA) of 1997
authorized coverage of PACE under the
Medicare program and as a State option
under Medicaid. The Medicare,
Medicaid, and SCHIP Benefits
Improvement Act of 2000 (BIPA)
amended section 1894 and 1943 of
Social Security Act to provide authority
for CMS to modify or waive PACE
regulatory provisions. Organizations
that seek participation under PACE
must apply for approval and are
evaluated in terms of specific criteria.
The information collection requirement
is necessary to ensure that only
appropriate organizations are selected to
become PACE organizations. CMS and
the State Administering Agencies will
use the information to select PACE
organizations and monitor their
performance. Frequency:
Recordkeeping, Reporting—Quarterly
and Annually; Affected Public: Not-forprofit institutions, Federal Government
and State, Local, or Tribal Government;
Number of Respondents: 54; Total
Annual Responses: 54; Total Annual
Hours: 44,378.
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: 1–800–
MEDICARE Customer Experience
Questionnaire; Form Number: CMS–
10163 (OMB#: 0938–0963); Use: Section
923(d) of the Medicare Prescription
Drug, Improvement and Modernization
Act of 2003 established 1–800
MEDICARE as the primary source of
general Medicare information and
assistance. As part of the Medicare
Modernization Act (MMA), CMS must
provide Part D eligibles and their
representatives with the information
they need to make informed decisions
among the available choices for Part D
coverage. Part D sponsors can start
marketing their programs on October 1,
2005. The initial enrollment period for
the general population will occur from
PO 00000
Frm 00057
Fmt 4703
Sfmt 4703
November 15, 2005 to May 15, 2006.
The information collected from this
survey will allow CMS to monitor
callers’ satisfaction with various aspects
of both the Interactive Voice
Recognition (IVR) component and live
Customer Service Representative (CSR)
component of the 1–800 MEDICARE
line. Timely feedback from customers
on key satisfaction indicators will be
used for continuous quality
enhancement. Frequency: Reporting—
Weekly, Quarterly and Monthly;
Affected Public: Individuals and
Households; Number of Respondents:
31,200; Total Annual Responses:
31,200; Total Annual Hours: 4940.
To obtain copies of the supporting
statement and any related forms for
these paperwork collections referenced
above, access CMS Web site address at
https://www.cms.hhs.gov/regulations/
pra/, or E-mail your request, including
your address, phone number, OMB
number, and CMS document identifier,
to Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786–
1326.
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received by the OMB Desk Officer at
the address below, no later than 5 p.m.
on January 9, 2006. OMB Human
Resources and Housing Branch,
Attention: Carolyn Lovett, CMS Desk
Officer, New Executive Office Building,
Room 10235, Washington, DC 20503.
Dated: December 1, 2005.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 05–23789 Filed 12–8–05; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10177 and CMS–
10044]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS) is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
AGENCY:
E:\FR\FM\09DEN1.SGM
09DEN1
Federal Register / Vol. 70, No. 236 / Friday, December 9, 2005 / Notices
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
1. Type of Information Collection
Request: New collection; Title of
Information Collection: Survey of
Contract Labor in Selected Health
Industries; Form Number: CMS–10177
(OMB#: 0938–NEW); Use: CMS
Medicare reimbursement to hospitals
and skilled nursing facilities is based, in
part, on the portion of costs which are
related to, are influenced by, or vary
with the local labor markets. This
portion is known as the labor-related
share. Currently, contract labor costs for
accounting and auditing services,
engineering services, legal services, and
management consulting services are
included in the labor-related share.
These costs are calculated based on data
published in the Medicare cost reports
and the Input-Output tables published
by the Bureau of Economic Analysis
(BEA). At this time, the labor-related
share is not used to reimburse end-stage
renal disease centers (ESRDs) for
providing Medicare services. However,
there is a possibility that this
circumstance may change; therefore
CMS will include ESRDs in the survey.
It is assumed that these professional
services contract labor costs are
purchased in the local labor market and
thus should be included in the laborrelated share. A search of the literature
reveals no existing work on this subject.
Therefore, CMS will survey hospitals,
skilled nursing facilities, and kidney
dialysis centers to determine if their
professional service contract labor is
hired from local or national labor
markets.; Frequency: Reporting—Onetime; Affected Public: Not-for-profit
institutions, Business or other for-profit,
Federal Government, State, Local, or
Tribal Government; Number of
Respondents: 4,000; Total Annual
Responses: 4,000; Total Annual Hours:
4,000.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicare
Lifestyle Modification Program
Demonstration; Form Number: CMS–
10044 (OMB#: 0938–0871); Use: The
VerDate Aug<31>2005
14:22 Dec 08, 2005
Jkt 208001
Medicare Lifestyle Modification
Program Demonstration will focus on
two Medicare-sponsored, lifestyle
modification programs designed to
reverse, reduce, or ameliorate the
progression of coronary artery disease
(CAD) at risk for significant morbidity
and mortality. Lifestyle modification
programs are an increasingly important
approach to the secondary prevention of
coronary morbidity. Research has
provided evidence that lifestyle changes
decrease cardiovascular risk factors,
resulting in lower morbidity and
mortality associated with coronary
artery disease (CAD). Such programs
may reduce the incidence of
hospitalizations and invasive
procedures among patients with
substantial coronary occlusion.
Consequently, lifestyle modification
may also reduce the need for
revascularization procedures (coronary
artery bypass graft (CABG) and
percutaneous coronary angioplasty
(PTCA)) as well as the use of ambulatory
and inpatient services for this disease.
This demonstration will test the cost
effectiveness and feasibility of providing
payment for cardiovascular lifestyle
modification program services to
Medicare beneficiaries.; Frequency:
Reporting—Monthly; Affected Public:
Individuals or Households; Number of
Respondents: 2,240; Total Annual
Responses: 1,680; Total Annual Hours:
1106.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS’ Web site
address at https://www.cms.hhs.gov/
regulations/pra/, or E-mail your request,
including your address, phone number,
OMB number, and CMS document
identifier, to Paperwork@cms.hhs.gov,
or call the Reports Clearance Office on
(410) 786–1326.
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received at the address below, no
later than 5 p.m. on February 7, 2006.
CMS, Office of Strategic Operations and
Regulatory Affairs, Division of
Regulations Development—B,
Attention: William N. Parham, III,
Room C4–26–05, 7500 Security
Boulevard, Baltimore, Maryland
21244–1850.
Dated: December 2, 2005.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E5–7134 Filed 12–8–05; 8:45 am]
BILLING CODE 4120–01–P
PO 00000
Frm 00058
Fmt 4703
Sfmt 4703
73251
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare and Medicaid
Services
[Document Identifier: CMS–10175]
Emergency Clearance: Public
Information Collection Requirements
Submitted to the Office of Management
and Budget (OMB)
Center for Medicare and
Medicaid Services.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare and Medicaid
Services (CMS), Department of Health
and Human Services, is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
We are, however, requesting an
emergency review of the information
collection referenced below. In
compliance with the requirement of
section 3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, we have
submitted to the Office of Management
and Budget (OMB) the following
requirements for emergency review. We
are requesting an emergency review
because the collection of this
information is needed before the
expiration of the normal time limits
under OMB’s regulations at 5 CFR part
1320. This is necessary to ensure
compliance with an initiative of the
Administration. We cannot reasonably
comply with the normal clearance
procedures because public harm will
ensue from the continued denial of
access from providers obtaining
National Provider Identifiers (NPI) en
masse.
Currently, providers can obtain a NPI
via a paper application or over the
Internet through the National Plan and
Provider Enumeration System (NPPES).
These applications must be submitted
individually, on a per-provider basis.
We are seeking OMB approval for the
electronic file interchange (EFI) process.
AGENCY:
E:\FR\FM\09DEN1.SGM
09DEN1
Agencies
[Federal Register Volume 70, Number 236 (Friday, December 9, 2005)]
[Notices]
[Pages 73250-73251]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E5-7134]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10177 and CMS-10044]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS) is publishing the following summary of proposed
collections for public comment. Interested persons are invited to send
[[Page 73251]]
comments regarding this burden estimate or any other aspect of this
collection of information, including any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (2) the accuracy of
the estimated burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of
automated collection techniques or other forms of information
technology to minimize the information collection burden.
1. Type of Information Collection Request: New collection; Title of
Information Collection: Survey of Contract Labor in Selected Health
Industries; Form Number: CMS-10177 (OMB: 0938-NEW); Use: CMS
Medicare reimbursement to hospitals and skilled nursing facilities is
based, in part, on the portion of costs which are related to, are
influenced by, or vary with the local labor markets. This portion is
known as the labor-related share. Currently, contract labor costs for
accounting and auditing services, engineering services, legal services,
and management consulting services are included in the labor-related
share. These costs are calculated based on data published in the
Medicare cost reports and the Input-Output tables published by the
Bureau of Economic Analysis (BEA). At this time, the labor-related
share is not used to reimburse end-stage renal disease centers (ESRDs)
for providing Medicare services. However, there is a possibility that
this circumstance may change; therefore CMS will include ESRDs in the
survey. It is assumed that these professional services contract labor
costs are purchased in the local labor market and thus should be
included in the labor-related share. A search of the literature reveals
no existing work on this subject. Therefore, CMS will survey hospitals,
skilled nursing facilities, and kidney dialysis centers to determine if
their professional service contract labor is hired from local or
national labor markets.; Frequency: Reporting--One-time; Affected
Public: Not-for-profit institutions, Business or other for-profit,
Federal Government, State, Local, or Tribal Government; Number of
Respondents: 4,000; Total Annual Responses: 4,000; Total Annual Hours:
4,000.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare
Lifestyle Modification Program Demonstration; Form Number: CMS-10044
(OMB: 0938-0871); Use: The Medicare Lifestyle Modification
Program Demonstration will focus on two Medicare-sponsored, lifestyle
modification programs designed to reverse, reduce, or ameliorate the
progression of coronary artery disease (CAD) at risk for significant
morbidity and mortality. Lifestyle modification programs are an
increasingly important approach to the secondary prevention of coronary
morbidity. Research has provided evidence that lifestyle changes
decrease cardiovascular risk factors, resulting in lower morbidity and
mortality associated with coronary artery disease (CAD). Such programs
may reduce the incidence of hospitalizations and invasive procedures
among patients with substantial coronary occlusion. Consequently,
lifestyle modification may also reduce the need for revascularization
procedures (coronary artery bypass graft (CABG) and percutaneous
coronary angioplasty (PTCA)) as well as the use of ambulatory and
inpatient services for this disease. This demonstration will test the
cost effectiveness and feasibility of providing payment for
cardiovascular lifestyle modification program services to Medicare
beneficiaries.; Frequency: Reporting--Monthly; Affected Public:
Individuals or Households; Number of Respondents: 2,240; Total Annual
Responses: 1,680; Total Annual Hours: 1106.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'
Web site address at https://www.cms.hhs.gov/regulations/pra/, or E-mail
your request, including your address, phone number, OMB number, and CMS
document identifier, to Paperwork@cms.hhs.gov, or call the Reports
Clearance Office on (410) 786-1326.
To be assured consideration, comments and recommendations for the
proposed information collections must be received at the address below,
no later than 5 p.m. on February 7, 2006.
CMS, Office of Strategic Operations and Regulatory Affairs, Division of
Regulations Development--B, Attention: William N. Parham, III, Room C4-
26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: December 2, 2005.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E5-7134 Filed 12-8-05; 8:45 am]
BILLING CODE 4120-01-P