Agency Information Collection Activities: Proposed Collection; Comment Request, 59116 [E6-16598]
Download as PDF
<![CDATA[
59116
Federal Register / Vol. 71, No. 194 / Friday, October 6, 2006 / Notices
Dated: October 2, 2006.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. E6–16501 Filed 10–5–06; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–684A–I]
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
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: Extension of a currently
approved collection; Title of
Information Collection: End-Stage Renal
Disease (ESRD) Network Business
Proposal Forms and Supporting
Regulations in 42 CFR 405.2110 and 42
CFR 405.2112; Use: Section 1881(c) of
the Social Security Act establishes
ESRD Network contracts. The
regulations designated at 42 CFR
405.2110 and 405.2112 designated 18
End Stage Renal Disease (ESRD)
Networks which are funded by
renewable contracts. These contracts are
on 3-year cycles. To better administer
the program, CMS requires the
contractors to submit a standardized
business proposal package of forms so
that cost proposing and pricing among
the ESRD Networks will be uniform and
easily tracked by CMS. Form Number:
CMS–684A–I (OMB#: 0938–0658);
Frequency: Reporting—Other, every
three years; Affected Public: Not-for-
cprice-sewell on PROD1PC66 with NOTICES
AGENCY:
VerDate Aug<31>2005
14:52 Oct 05, 2006
Jkt 211001
profit institutions; Number of
Respondents: 18; Total Annual
Responses: 36; Total Annual Hours:
1,080.
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 December 5, 2006.
CMS, Office of Strategic Operations and
Regulatory Affairs, Division of
Regulations Development—C,
Attention: Bonnie L Harkless, Room
C4–26–05, 7500 Security Boulevard,
Baltimore, Maryland 21244–1850.
Dated: September 29, 2006.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E6–16598 Filed 10–5–06; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Centers for Medicare & Medicaid
Services
Notice of Hearing: Reconsideration of
Disapproval of Oregon State Plan
Amendment 05–003
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice of hearing.
AGENCY:
SUMMARY: This notice announces an
administrative hearing to be held on
December 8, 2006, at 2201 6th Street,
Suite 1101, Seattle, Washington 98121,
to reconsider CMS’ decision to
disapprove Oregon State plan
amendment 05–003.
Closing Date: Requests to participate
in the hearing as a party must be
received by the presiding officer by
October 23, 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
PO 00000
Frm 00047
Fmt 4703
Sfmt 4703
hearing to reconsider CMS’ decision to
disapprove Oregon State plan
amendment (SPA) 05–003 which was
resubmitted on April 11, 2006. This
SPA was disapproved on July 10, 2006.
Under SPA 05–003, Oregon proposed to
modify the State’s methodology for
calculating supplemental payments that
are tied to the regulatory upper payment
limit (UPL) for inpatient hospital
services.
This amendment was disapproved
because it did not comport with the
general requirements of section 1902(a)
and the specific requirements of
1902(a)(30)(A) of the Social Security Act
(the Act).
At issue in this reconsideration is
whether the State has demonstrated that
the proposed supplemental payments,
in conjunction with regular payments,
would result in rates that are consistent
with the regulatory UPL established at
42 CFR 447.272 under the authority of
section 1902(a)(30)(A) of the Act, which
requires that provider payment rates be
‘‘consistent with efficiency, economy,
and quality of care.’’ Under that
regulatory UPL, rates must be based on
a reasonable estimate of what would be
paid under Medicare payment
principles for the same services. Also at
issue is whether, in the absence of such
a showing, the State plan can be a sound
basis for Federal financial participation
(FFP).
In a formal request for additional
information and several subsequent
discussions, CMS requested that the
State demonstrate that its calculation of
the UPL for inpatient hospital services
would be a reasonable estimate of what
would be paid under Medicare payment
principles for the same services, which
is the standard set forth in the Federal
regulations at 42 CFR 447.272(b)(1).
Oregon currently uses a case-mix index
model to determine the UPL as specified
in the approved Medicaid State plan,
but proposed in SPA 05–003 to change
to a length of stay (LOS) model. Case
mix acuity appears to be a more
accurate adjuster for Medicaid acuity
than the LOS model because it reflects
increases in services furnished, as
opposed to just being based on the
amount of time that patients spend in
the hospital. Applying a case-mix index
model to services furnished by the
Oregon Health and Science University
to adjust for Medicaid acuity reduced
the UPL for inpatient hospital services
for all non-State governmentally owned
or operated hospitals by about 25
percent compared to the LOS model.
(The difference between the two
adjustments is an indication that, while
Medicaid patients may have longer
lengths of stay, the length of stay does
E:\FR\FM\06OCN1.SGM
06OCN1
]]>Agencies
[Federal Register Volume 71, Number 194 (Friday, October 6, 2006)]
[Notices]
[Page 59116]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-16598]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-684A-I]
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
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: Extension of a currently
approved collection; Title of Information Collection: End-Stage Renal
Disease (ESRD) Network Business Proposal Forms and Supporting
Regulations in 42 CFR 405.2110 and 42 CFR 405.2112; Use: Section
1881(c) of the Social Security Act establishes ESRD Network contracts.
The regulations designated at 42 CFR 405.2110 and 405.2112 designated
18 End Stage Renal Disease (ESRD) Networks which are funded by
renewable contracts. These contracts are on 3-year cycles. To better
administer the program, CMS requires the contractors to submit a
standardized business proposal package of forms so that cost proposing
and pricing among the ESRD Networks will be uniform and easily tracked
by CMS. Form Number: CMS-684A-I (OMB: 0938-0658); Frequency:
Reporting--Other, every three years; Affected Public: Not-for-profit
institutions; Number of Respondents: 18; Total Annual Responses: 36;
Total Annual Hours: 1,080.
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.
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 December 5, 2006.
CMS, Office of Strategic Operations and Regulatory Affairs, Division of
Regulations Development--C, Attention: Bonnie L Harkless, Room C4-26-
05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: September 29, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E6-16598 Filed 10-5-06; 8:45 am]
BILLING CODE 4120-01-P
