Agency Information Collection Activities: Submission for OMB Review; Comment Request, 41447-41448 [E6-11576]
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Federal Register / Vol. 71, No. 140 / Friday, July 21, 2006 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10180, CMS–
319, CMS–317, CMS–R–199, and CMS–588]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
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), 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 function;
(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: Extension of a currently
approved collection; Title of
Information Collection: State Children’s
Health Insurance Program (SCHIP)
Report on Payables and Receivables;
Use: Collection of SCHIP data and the
calculation of the SCHIP Incurred But
Not Reported (IBNR) estimate are
pertinent to CMS’ financial audit. The
CFO auditors have reported the lack of
an estimate for SCHIP IBNR payables
and receivables as a reportable
condition in the FY 2005 audit of CMS’s
financial statements. It is essential that
CMS collect the necessary data from
State agencies in FY 2006, so that CMS
continues to receive an unqualified
audit opinion on its financial
statements. Program expenditures for
the SCHIP have increased since its
inception; as such, SCHIP receivables
and payables may materially impact the
financial statements. The SCHIP Report
on Payables and Receivables will
provide the information needed to
calculate the SCHIP IBNR.; Form
Number: CMS–10180 (OMB #: 0938–
0988); Frequency: Reporting—Annually;
Affected Public: State, local or tribal
governments; Number of Respondents:
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56; Total Annual Responses: 56; Total
Annual Hours: 336.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: State Medicaid
Eligibility Quality Control (MEQC)
Sample Selection Lists and Supporting
Regulations in 42 CFR 431.800–431.865;
Use: State Medicaid Eligibility Quality
Control (MEQC) is operated by the State
Title XIX agency to monitor and
improve the administration of its
Medicaid system. The MEQC system is
based on State reviews of Medicaid
beneficiaries identified through
statistically reliable statewide samples
of cases selected from the eligibility
files. These reviews are conducted to
determine whether or not the sampled
cases meet applicable State Title XIX
eligibility requirements by States
performing the traditional sample
process. The reviews are also used to
assess beneficiary liability, if any, and to
determine the amounts paid to provide
Medicaid services for these cases. At the
beginning of each month, State agencies
still performing the traditional sample
are required to submit sample selection
lists which identify all of the cases
selected for review in the States’
samples. The sample selection lists
contain identifying information on
Medicaid beneficiaries such as: State
agency review number; beneficiary’s
name and address; the name of the
county where beneficiary resides;
Medicaid case number, etc. The
submittal of the sample selection lists is
necessary for regional office (RO)
validation of State reviews. Without
these lists, the integrity of the sampling
results would be suspect and the ROs
would have no data on the adequacy of
the States’ monthly sample draw or
review completion status.; Form
Number: CMS–319 (OMB #: 0938–
0147); Frequency: Reporting—Monthly;
Affected Public: State, local or tribal
governments; Number of Respondents:
10; Total Annual Responses: 120; Total
Annual Hours: 960.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: State Medicaid
Eligibility Quality Control Sampling
Plan and Supporting Regulations in 42
CFR 431.800–431.865; Use: MEQC is
operated by the State Title XIX agency
to monitor and improve the
administration of its Medicaid system.
The MEQC system is based on monthly
State reviews of Medicaid cases by
States performing the traditional
sampling process identified through
statistically reliable statewide samples
of cases selected from the eligibility
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41447
files. These reviews are conducted to
determine whether or not the sampled
cases meet applicable State Title XIX
eligibility requirements. The reviews are
also used to assess beneficiary liability,
if any, and to determine the amounts
paid to provide Medicaid services for
these cases.; Form Number: CMS–317
(OMB #: 0938–0146); Frequency:
Recordkeeping and Reporting—Semiannually; Affected Public: State, local or
tribal governments; Number of
Respondents: 10; Total Annual
Responses: 20; Total Annual Hours:
480.
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicaid Report
on Payables and Receivables; Use: The
Chief Financial Officers (CFO) Act of
1990, as amended by the Government
Management Reform Act (GMRA) of
1994, requires government agencies to
produce auditable financial statements.
Because the Centers for Medicare &
Medicaid Services (CMS) fulfills its
mission through its contractors and the
States, these entities are the primary
source of information for the financial
statements. There are three basic
categories of data: Expenses, payables,
and receivables. The CMS–64 is used to
collect data on Medicaid expenses. The
CMS–R–199 collects Medicaid payable
and receivable accounting data from the
States.; Form Number: CMS–R–199
(OMB #: 0938–0697); Frequency:
Reporting—Annually; Affected Public:
State, local or tribal governments;
Number of Respondents: 57; Total
Annual Responses: 57; Total Annual
Hours: 342.
5. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Electronic
Funds Transfer Authorization
Agreement; Use: Section 1815(a) of the
Social Security Act provides the
authority for the Secretary of Health and
Human Services to pay providers/
suppliers of Medicare services at such
time or times as the Secretary
determines appropriate (but no less
frequently than monthly). Under
Medicare, CMS, acting for the Secretary,
contracts with Fiscal Intermediaries and
Carriers to pay claims submitted by
providers/suppliers who furnish
services to Medicare beneficiaries.
Under CMS’ payment policy, Medicare
providers/suppliers have the option of
receiving payments electronically. Form
number CMS–588 authorizes the use of
electronic fund transfers (EFTs).; Form
Number: CMS–588 (OMB #: 0938–
0626); Frequency: Recordkeeping and
Reporting—On occasion; Affected
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41448
Federal Register / Vol. 71, No. 140 / Friday, July 21, 2006 / Notices
Public: Business or other for-profit, Notfor-profit institutions, and State, local or
tribal governments; Number of
Respondents: 100,000; Total Annual
Responses: 100,000; Total Annual
Hours: 100,000.
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/
PaperworkReductionActof1995, 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.
Written comments and
recommendations for the proposed
information collections must be mailed
or faxed within 30 days of this notice
directly to the OMB desk officer: OMB
Human Resources and Housing Branch,
Attention: Carolyn Lovett, New
Executive Office Building, Room 10235,
Washington, DC 20503. Fax Number:
(202) 395–6974.
Dated: July 14, 2006.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E6–11576 Filed 7–20–06; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10179]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
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
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
rwilkins on PROD1PC63 with NOTICES_1
AGENCY:
VerDate Aug<31>2005
17:59 Jul 20, 2006
Jkt 208001
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: Requests by
Hospitals for an Alternative Cost-toCharge Ration Instead of the Statewide
Average Cost-to-Charge Ratio; Use:
Because of the extensive gaming of
outlier payments, CMS implemented
new regulations in 42 CFR 412.84(i)(2)
for inpatient hospitals and 42 CFR
412.525(a)(4)(ii) and 412.529(c)(5)(ii) for
Long Term Care Hospitals (LTCH) to
allow a hospital to contact its fiscal
intermediaries to request that its cost-tocharge ratio (CCR) (operating and/or
capital CCR for inpatient hospitals or
the total (combined operating and
capital) CCR for LTCHs), otherwise
applicable, be changed if the hospital
presents substantial evidence that the
ratios are inaccurate for inpatient
hospitals. Any such requests would
have to be approved by the CMS
Regional Office with jurisdiction over
that FI. Form Number: CMS–10179
(OMB#: 0938–NEW); Frequency:
Reporting—On occasion; Affected
Public: Individuals or Households and
Federal Government; Number of
Respondents: 18; Total Annual
Responses: 18; Total Annual Hours:
144.
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/
PaperworkReductionActof1995, or email 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 September 19, 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: July 14, 2006.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E6–11582 Filed 7–20–06; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
Notice of Hearing: Reconsideration of
Disapproval of Alaska State Plan
Amendment 05–06
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice of hearing.
AGENCY:
SUMMARY: This notice announces an
administrative hearing to be held on
August 29, 2006, at the Blanchard Plaza
Building, 2201 Sixth Avenue, 11th Floor
Conference Room, Seattle, WA 98121, to
reconsider CMS’ decision to disapprove
Alaska State plan amendment 05–06.
Closing Date: Requests to participate
in the hearing as a party must be
received by the presiding officer by
August 7, 2006.
FOR FURTHER INFORMATION CONTACT:
Kathleen Scully-Hayes, Presiding
Officer, CMS, Lord Baltimore Drive,
Mail Stop LB–23–20, Baltimore,
Maryland 21244. Telephone: (410) 786–
2055.
SUPPLEMENTARY INFORMATION: This
notice announces an administrative
hearing to reconsider CMS’ decision to
disapprove Alaska State plan
amendment (SPA) 05–06, which was
submitted on August 1, 2005. This SPA
was disapproved on April 21, 2006.
Under SPA 05–06, Alaska proposed to
add certain school-based behavioral
health services under the rehabilitation
services benefit.
This amendment was disapproved
because it did not comport with the
requirements of section 1902(a) of the
Social Security Act (the Act) and
implementing regulations. Specifically,
the following issues will be considered
on reconsideration: (1) Whether the
State demonstrated that the proposed
services would be within the scope of
‘‘medical assistance’’ under the State
plan pursuant to section 1902(a)(10) of
the Act, as defined at section 1905(a) of
the Act; (2) whether the State has
assured that there is non-Federal
funding as required under section
1902(a)(2) to support expenditures that
would be claimed under the State plan
as the basis for Federal matching
funding in light of financial
arrangements that do not appear to
result in net expenditures; (3) whether
the proposed payment rates meet the
requirements of section 1902(a)(30)(A)
of the Act to be consistent with
efficiency, economy, and quality of care,
in light of financial arrangements under
which the providers do not retain
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]]>Agencies
[Federal Register Volume 71, Number 140 (Friday, July 21, 2006)]
[Notices]
[Pages 41447-41448]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-11576]
[[Page 41447]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10180, CMS-319, CMS-317, CMS-R-199, and CMS-
588]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
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), 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 function; (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: Extension of a currently
approved collection; Title of Information Collection: State Children's
Health Insurance Program (SCHIP) Report on Payables and Receivables;
Use: Collection of SCHIP data and the calculation of the SCHIP Incurred
But Not Reported (IBNR) estimate are pertinent to CMS' financial audit.
The CFO auditors have reported the lack of an estimate for SCHIP IBNR
payables and receivables as a reportable condition in the FY 2005 audit
of CMS's financial statements. It is essential that CMS collect the
necessary data from State agencies in FY 2006, so that CMS continues to
receive an unqualified audit opinion on its financial statements.
Program expenditures for the SCHIP have increased since its inception;
as such, SCHIP receivables and payables may materially impact the
financial statements. The SCHIP Report on Payables and Receivables will
provide the information needed to calculate the SCHIP IBNR.; Form
Number: CMS-10180 (OMB : 0938-0988); Frequency: Reporting--
Annually; Affected Public: State, local or tribal governments; Number
of Respondents: 56; Total Annual Responses: 56; Total Annual Hours:
336.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: State Medicaid
Eligibility Quality Control (MEQC) Sample Selection Lists and
Supporting Regulations in 42 CFR 431.800-431.865; Use: State Medicaid
Eligibility Quality Control (MEQC) is operated by the State Title XIX
agency to monitor and improve the administration of its Medicaid
system. The MEQC system is based on State reviews of Medicaid
beneficiaries identified through statistically reliable statewide
samples of cases selected from the eligibility files. These reviews are
conducted to determine whether or not the sampled cases meet applicable
State Title XIX eligibility requirements by States performing the
traditional sample process. The reviews are also used to assess
beneficiary liability, if any, and to determine the amounts paid to
provide Medicaid services for these cases. At the beginning of each
month, State agencies still performing the traditional sample are
required to submit sample selection lists which identify all of the
cases selected for review in the States' samples. The sample selection
lists contain identifying information on Medicaid beneficiaries such
as: State agency review number; beneficiary's name and address; the
name of the county where beneficiary resides; Medicaid case number,
etc. The submittal of the sample selection lists is necessary for
regional office (RO) validation of State reviews. Without these lists,
the integrity of the sampling results would be suspect and the ROs
would have no data on the adequacy of the States' monthly sample draw
or review completion status.; Form Number: CMS-319 (OMB :
0938-0147); Frequency: Reporting--Monthly; Affected Public: State,
local or tribal governments; Number of Respondents: 10; Total Annual
Responses: 120; Total Annual Hours: 960.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: State Medicaid
Eligibility Quality Control Sampling Plan and Supporting Regulations in
42 CFR 431.800-431.865; Use: MEQC is operated by the State Title XIX
agency to monitor and improve the administration of its Medicaid
system. The MEQC system is based on monthly State reviews of Medicaid
cases by States performing the traditional sampling process identified
through statistically reliable statewide samples of cases selected from
the eligibility files. These reviews are conducted to determine whether
or not the sampled cases meet applicable State Title XIX eligibility
requirements. The reviews are also used to assess beneficiary
liability, if any, and to determine the amounts paid to provide
Medicaid services for these cases.; Form Number: CMS-317 (OMB
: 0938-0146); Frequency: Recordkeeping and Reporting--Semi-
annually; Affected Public: State, local or tribal governments; Number
of Respondents: 10; Total Annual Responses: 20; Total Annual Hours:
480.
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicaid Report
on Payables and Receivables; Use: The Chief Financial Officers (CFO)
Act of 1990, as amended by the Government Management Reform Act (GMRA)
of 1994, requires government agencies to produce auditable financial
statements.
Because the Centers for Medicare & Medicaid Services (CMS) fulfills
its mission through its contractors and the States, these entities are
the primary source of information for the financial statements. There
are three basic categories of data: Expenses, payables, and
receivables. The CMS-64 is used to collect data on Medicaid expenses.
The CMS-R-199 collects Medicaid payable and receivable accounting data
from the States.; Form Number: CMS-R-199 (OMB : 0938-0697);
Frequency: Reporting--Annually; Affected Public: State, local or tribal
governments; Number of Respondents: 57; Total Annual Responses: 57;
Total Annual Hours: 342.
5. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Electronic Funds
Transfer Authorization Agreement; Use: Section 1815(a) of the Social
Security Act provides the authority for the Secretary of Health and
Human Services to pay providers/suppliers of Medicare services at such
time or times as the Secretary determines appropriate (but no less
frequently than monthly). Under Medicare, CMS, acting for the
Secretary, contracts with Fiscal Intermediaries and Carriers to pay
claims submitted by providers/suppliers who furnish services to
Medicare beneficiaries. Under CMS' payment policy, Medicare providers/
suppliers have the option of receiving payments electronically. Form
number CMS-588 authorizes the use of electronic fund transfers (EFTs).;
Form Number: CMS-588 (OMB : 0938-0626); Frequency:
Recordkeeping and Reporting--On occasion; Affected
[[Page 41448]]
Public: Business or other for-profit, Not-for-profit institutions, and
State, local or tribal governments; Number of Respondents: 100,000;
Total Annual Responses: 100,000; Total Annual Hours: 100,000.
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/PaperworkReductionActof1995, 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.
Written comments and recommendations for the proposed information
collections must be mailed or faxed within 30 days of this notice
directly to the OMB desk officer: OMB Human Resources and Housing
Branch, Attention: Carolyn Lovett, New Executive Office Building, Room
10235, Washington, DC 20503. Fax Number: (202) 395-6974.
Dated: July 14, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E6-11576 Filed 7-20-06; 8:45 am]
BILLING CODE 4120-01-P
