Agency Information Collection Activities: Proposed Collection; Comment Request, 17347-17348 [E8-6510]
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Federal Register / Vol. 73, No. 63 / Tuesday, April 1, 2008 / Notices
Dated: March 21, 2008.
Elaine L. Baker,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. E8–6596 Filed 3–31–08; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10115]
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: Revision of currently approved
collection; Title of Information
Collection: Federal Reimbursement of
Emergency Health Services Furnished to
Undocumented Aliens (Sections 1011)
Provider Enrollment Application; Use:
Section 1011 of the Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003, provides
that the Secretary will establish a
process (i.e., enrollment and claims
payment) for eligible providers to
request payment. The Secretary must
directly pay hospitals, physicians and
ambulance providers (including Indian
Health Service, Indian tribe and tribal
organizations) for their otherwise unreimbursed costs of providing services
required by the Emergency Medical
Treatment and Active Labor Act
(EMTALA), which is found under
section 1867 of the Social Security Act,
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AGENCY:
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and related hospital inpatient,
outpatient and ambulance services.
CMS will use the application
information to administer this health
services program and establish an audit
process. The Federal Reimbursement of
Emergency Health Services Furnished to
Undocumented Aliens (Sections 1011)
Provider Enrollment Application has
been revised. For a list of these
revisions, refer to the summary of
changes document. Form Number:
CMS–10115 (OMB# 0938–0929);
Frequency: On occasion; Affected
Public: Private sector—Business or other
for-profit and Not-for-profit institutions;
Number of Respondents: 10,000; Total
Annual Responses: 10,000; Total
Annual Hours: 4,998.
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 by the OMB desk officer at
the address below, no later than 5 p.m.
on May 1, 2008:
OMB Human Resources and Housing
Branch, Attention: Carolyn Raffaelli,
New Executive Office Building, Room
10235, Washington, DC 20503, Fax
Number: (202) 395–6974.
Dated: March 21, 2008.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E8–6507 Filed 3–31–08; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–1696, CMS–
10167, CMS–R–306, CMS–10262 and CMS–
10143]
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
AGENCY:
PO 00000
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17347
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: Revision of a currently
approved collection; Title of
Information Collection: Appointment of
Representative; Use: This form will be
completed by beneficiaries, providers
and suppliers who wish to appoint
representatives to assist them with
obtaining initial determinations and
filing appeals. The appointment of
representative form must be signed by
the party making the appointment and
the individual agreeing to accept the
appointment. Form Number: CMS–1696
(OMB# 0938–0950); Frequency:
Occasionally; Affected Public:
Individuals or households and
businesses or other for-profits; Number
of Respondents: 268,268; Total Annual
Responses: 268,268; Total Annual
Hours: 67,067.
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Competitive
Acquisition Program for Medicare Part B
Drugs: CAP Physician Election
Agreement; Use: The Competitive
Acquisition Program (CAP) is required
by Section 303(d) of the Medicare
Modernization Act (MMA) which
amended Title XVIII of the Social
Security Act (the Act) by adding a new
section 1847(B), which establishes a
competitive acquisition program for the
payment for Part B covered drugs and
biologicals furnished on or after January
1, 2006. Physicians are given a choice
between buying and billing these drugs
under the average sales price (ASP)
system, or obtaining these drugs from
vendors selected in a competitive
bidding process. Section 108 of the
Medicare Improvements and Extension
Act under Division B, Title I of the Tax
Relief Health Care Act of 2006 amended
Section 1847(b)(a)(3) of the Act and
requires that CAP implement a post
payment review process.
E:\FR\FM\01APN1.SGM
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17348
Federal Register / Vol. 73, No. 63 / Tuesday, April 1, 2008 / Notices
The CAP Physician Election
Agreement is used annually by
physicians to elect to participate in the
CAP or to make changes to the previous
year’s selections. The information
collected by these documents is used by
CMS, its Medicare contractor, and the
approved CAP vendor to meet
programmatic requirements pertaining
to physician election as established by
the MMA. Form Number: CMS–10167
(OMB# 0938–0955); Frequency: Yearly;
Affected Public: Business or other forprofits; Number of Respondents: 3,800;
Total Annual Responses: 3,800; Total
Annual Hours: 7,600.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Use of Restraint
and Seclusion in Psychiatric Residential
Treatment Facilities (PRTFs) for
Individuals Under Age 21; Use: PRTFs
are required to report deaths, serious
injuries and attempted suicides to the
State Medicaid Agency and the
Protection and Advocacy Organization.
They are also required to provide
residents the restraint and seclusion
policy in writing, and to document in
the residents’ records all activities
involving the use of restraint and
seclusion. Form Number: CMS–R–306
(OMB# 0938–0833); Frequency:
Annually; Affected Public: Private
Sector: Business or other for-profits;
Number of Respondents: 500; Total
Annual Responses: 329,500; Total
Annual Hours: 501,750.
4. Type of Information Collection
Request: New Collection; Title of
Information Collection: Health
Insurance Flexibility and Accountability
(HIFA) Evaluation; Use: The HIFA
initiative sought to increase health
coverage of uninsured populations
through a flexible waiver process
emphasizing public subsidy of
Employer-Sponsored Insurance (ESI).
Testing whether that approach reduces
the rate/number of uninsured is
critically important to CMS. The
proposed survey of HIFA enrollees in
New Mexico and Oregon would provide
the only data available to test certain
fundamental HIFA effects, especially
with reference to reduction of the
uninsured population, the effectiveness
of premium assistance for ESI and the
possibility of crowd-out of private
coverage. Form Number: CMS–10262
(OMB# 0938–NEW); Frequency: Once;
Affected Public: Individuals or
households; Number of Respondents:
800; Total Annual Responses: 800; Total
Annual Hours: 400.
5. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
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Information Collection: Monthly State
File of Medicaid/Medicare Dual Eligible
Enrollees; Use: The monthly file of dual
eligible enrollees will be used to
determine those duals with drug
benefits for the phased down State
contribution process required by the
Medicare Modernization Act of 203.
These data are also used to support Part
D subsidy determinations and autoassignment of individuals to Part D
plans. Form Number: CMS–10143
(OMB# 0938–0958); Frequency:
Monthly; Affected Public: State, Local or
Tribal Governments; Number of
Respondents: 51; Total Annual
Responses: 612; Total Annual Hours:
6,120.
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.
In commenting on the proposed
information collections please reference
the document identifier or OMB control
number. To be assured consideration,
comments and recommendations must
be submitted in one of the following
ways by June 2, 2008.
1. Electronically. You may submit
your comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) accepting comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Room C4–26–05, 7500 Security
Boulevard, Baltimore, Maryland 21244–
1850.
Dated: March 21, 2008.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E8–6510 Filed 3–31–08; 8:45 am]
BILLING CODE 4120–01–P
PO 00000
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–2231–N]
RIN 0938–AP23
Medicaid Program; Final State
Allotments for Payment of Medicare
Part B Premiums for Qualifying
Individuals for Federal Fiscal Year
2007
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
SUMMARY: This Notice sets forth the
methodology and process used to
compute and issue each State’s final
allotment for fiscal year (FY) 2007 that
is available to pay Medicare Part B
premiums for qualifying individuals.
DATES: Effective date: Final allotments
for payment of Medicare Part B
premiums for FY 2007 are effective
October 1, 2006, through September 30,
2007.
FOR FURTHER INFORMATION CONTACT:
Deborah Abshire, (410) 786–9291.
SUPPLEMENTARY INFORMATION:
I. Background
A. Allotments Prior to FY 2005
Section 1902 of the Social Security
Act (the Act) sets forth the requirements
for State plans for medical assistance.
Before August 5, 1997, section
1902(a)(10)(E) of the Act specified that
the State Medicaid plan must provide
for some or all types of Medicare cost
sharing for three eligibility groups of
low-income Medicare beneficiaries.
These three groups included qualified
Medicare beneficiaries (QMBs),
specified low-income Medicare
beneficiaries (SLMBs), and qualified
disabled and working individuals
(QDWIs).
A QMB is an individual entitled to
Medicare Part A with income at or
below the Federal poverty line (FPL)
and resources below $4,000 for an
individual and $6,000 for a couple. A
SLMB is an individual who meets the
QMB criteria, except that his or her
income is above 100 percent of the FPL
and does not exceed 120 percent of the
FPL. A QDWI is a disabled individual
who is entitled to enroll in Medicare
Part A under section 1818A of the Act,
whose income does not exceed 200
percent of the FPL for a family of the
size involved, whose resources do not
exceed twice the amount allowed under
the Supplementary Security Income
E:\FR\FM\01APN1.SGM
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]]>Agencies
[Federal Register Volume 73, Number 63 (Tuesday, April 1, 2008)]
[Notices]
[Pages 17347-17348]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-1696, CMS-10167, CMS-R-306, CMS-10262 and
CMS-10143]
Agency Information Collection Activities: Proposed Collection;
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) 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: Revision of a currently
approved collection; Title of Information Collection: Appointment of
Representative; Use: This form will be completed by beneficiaries,
providers and suppliers who wish to appoint representatives to assist
them with obtaining initial determinations and filing appeals. The
appointment of representative form must be signed by the party making
the appointment and the individual agreeing to accept the appointment.
Form Number: CMS-1696 (OMB 0938-0950); Frequency:
Occasionally; Affected Public: Individuals or households and businesses
or other for-profits; Number of Respondents: 268,268; Total Annual
Responses: 268,268; Total Annual Hours: 67,067.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Competitive
Acquisition Program for Medicare Part B Drugs: CAP Physician Election
Agreement; Use: The Competitive Acquisition Program (CAP) is required
by Section 303(d) of the Medicare Modernization Act (MMA) which amended
Title XVIII of the Social Security Act (the Act) by adding a new
section 1847(B), which establishes a competitive acquisition program
for the payment for Part B covered drugs and biologicals furnished on
or after January 1, 2006. Physicians are given a choice between buying
and billing these drugs under the average sales price (ASP) system, or
obtaining these drugs from vendors selected in a competitive bidding
process. Section 108 of the Medicare Improvements and Extension Act
under Division B, Title I of the Tax Relief Health Care Act of 2006
amended Section 1847(b)(a)(3) of the Act and requires that CAP
implement a post payment review process.
[[Page 17348]]
The CAP Physician Election Agreement is used annually by physicians
to elect to participate in the CAP or to make changes to the previous
year's selections. The information collected by these documents is used
by CMS, its Medicare contractor, and the approved CAP vendor to meet
programmatic requirements pertaining to physician election as
established by the MMA. Form Number: CMS-10167 (OMB 0938-
0955); Frequency: Yearly; Affected Public: Business or other for-
profits; Number of Respondents: 3,800; Total Annual Responses: 3,800;
Total Annual Hours: 7,600.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Use of Restraint
and Seclusion in Psychiatric Residential Treatment Facilities (PRTFs)
for Individuals Under Age 21; Use: PRTFs are required to report deaths,
serious injuries and attempted suicides to the State Medicaid Agency
and the Protection and Advocacy Organization. They are also required to
provide residents the restraint and seclusion policy in writing, and to
document in the residents' records all activities involving the use of
restraint and seclusion. Form Number: CMS-R-306 (OMB 0938-
0833); Frequency: Annually; Affected Public: Private Sector: Business
or other for-profits; Number of Respondents: 500; Total Annual
Responses: 329,500; Total Annual Hours: 501,750.
4. Type of Information Collection Request: New Collection; Title of
Information Collection: Health Insurance Flexibility and Accountability
(HIFA) Evaluation; Use: The HIFA initiative sought to increase health
coverage of uninsured populations through a flexible waiver process
emphasizing public subsidy of Employer-Sponsored Insurance (ESI).
Testing whether that approach reduces the rate/number of uninsured is
critically important to CMS. The proposed survey of HIFA enrollees in
New Mexico and Oregon would provide the only data available to test
certain fundamental HIFA effects, especially with reference to
reduction of the uninsured population, the effectiveness of premium
assistance for ESI and the possibility of crowd-out of private
coverage. Form Number: CMS-10262 (OMB 0938-NEW); Frequency:
Once; Affected Public: Individuals or households; Number of
Respondents: 800; Total Annual Responses: 800; Total Annual Hours: 400.
5. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Monthly State
File of Medicaid/Medicare Dual Eligible Enrollees; Use: The monthly
file of dual eligible enrollees will be used to determine those duals
with drug benefits for the phased down State contribution process
required by the Medicare Modernization Act of 203. These data are also
used to support Part D subsidy determinations and auto-assignment of
individuals to Part D plans. Form Number: CMS-10143 (OMB 0938-
0958); Frequency: Monthly; Affected Public: State, Local or Tribal
Governments; Number of Respondents: 51; Total Annual Responses: 612;
Total Annual Hours: 6,120.
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.
In commenting on the proposed information collections please
reference the document identifier or OMB control number. To be assured
consideration, comments and recommendations must be submitted in one of
the following ways by June 2, 2008.
1. Electronically. You may submit your comments electronically to
https://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Room C4-26-05, 7500 Security
Boulevard, Baltimore, Maryland 21244-1850.
Dated: March 21, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-6510 Filed 3-31-08; 8:45 am]
BILLING CODE 4120-01-P
