Agency Information Collection Activities: Proposed Collection; Comment Request, 63479-63480 [E8-25206]
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Federal Register / Vol. 73, No. 207 / Friday, October 24, 2008 / Notices
Information Collection: Request for
Enrollment in Supplementary Medical
Insurance; Use: Section 1836 of the
Social Security Act and 42 CFR 407.10
provide the eligibility requirements for
enrollment in Supplementary Medical
Insurance (Part B) for individuals age 65
and older who are not entitled to
premium-free Hospital Insurance (Part
A). The form CMS–4040 is used to
establish entitlement to Part B by
individuals ineligible for Part A under
Title XVIII of the Social Security Act.
Form Number: CMS–4040 and 4040SP
(OMB# 0938–0245); Frequency: Once;
Affected Public: Individuals and
households; Number of Respondents:
10,000; Total Annual Responses:
10,000; Total Annual Hours: 2,500.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Federal
Reimbursement of Emergency Health
Services Furnished to Undocumented
Aliens, section 1011 of the Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA):
‘‘Section 1011 Provider Payment
Determination’’ and ‘‘Request for
section 1011 Hospital On-Call Payments
to Physicians’’ Forms; Use: Section 1011
of the MMA requires that the Secretary
establish a process under which eligible
providers (certain hospitals, physicians
and ambulance providers) may request
payment for (claim) their otherwise unreimbursed costs of providing eligible
services. The Secretary must make
quarterly payments directly to such
providers. The Secretary must also
implement measures to ensure that
inappropriate, excessive, or fraudulent
payments are not made under section
1011, including certification by
providers of the accuracy of their
requests for payment. The Section 1011
Provider Payment Determination and
the Request for section 1011 Hospital
On-Call Payments to Physicians forms
have been established to address the
statutory requirements. Form Number:
CMS–10130A and 10130B (OMB# 0938–
0952); Frequency: Daily, Weekly,
Monthly, Quarterly and Yearly; Affected
Public: Business or Other For-Profits
and Not-for-Profit Institutions; Number
of Respondents: 12,037; Total Annual
Responses: 300,148; Total Annual
Hours: 75,007.
4. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Medicare
Advantage & Part D Disenrollment
Requests Collected Through 1–800MEDICARE; Use: Section 4001 of the
Balanced Budget Act of 1997 amended
the Social Security Act to add section
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16:48 Oct 23, 2008
Jkt 217001
1851(c)(1), through which Medicare
Advantage elections are made and
changed. Section 101 of the Medicare
Prescription Drug, Improvement, and
Modernization Act amended the Social
Security Act to include section 1860D–
1(b)(1), through which Medicare
Prescription Drug Plan enrollments are
made and changed. The disenrollment
process offered at 1–800–MEDICARE
provides beneficiaries with the option of
submitting a disenrollment request to a
neutral third party, who then processes
the disenrollment action as a change of
enrollment.
The collection updates: 1. Continue to
allow Medicare beneficiaries to
disenroll from Medicare Advantage
plans by calling CMS’ toll-free call
center; 2. Continue to allow Medicare
beneficiaries enrolled in Medicare
Prescription Drug (Part D) Plans to
request disenrollment from Medicare
Prescription Drug Plans, and 3. Retire
the CMS–R–257 Medicare Advantage
Disenrollment Form given limited (zero)
requests for the paper form since 2005.
The information collected in the
disenrollment process will be used to
update the Medicare beneficiary’s
Health Insurance Master Record System
in order to disenroll the beneficiary
from a Medicare Advantage managed
care plan or a Medicare prescription
drug plan on a timely basis. Form
Number: CMS–R–257 (OMB# 0938–
0741); Frequency: Occasionally;
Affected Public: Individuals or
households; Number of Respondents:
117,000; Total Annual Responses:
117,000; Total Annual Hours: 19,539.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access the 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 November 24, 2008:
OMB, Office of Information and
Regulatory Affairs, Attention: CMS Desk
Officer, New Executive Office Building,
Room 10235, Washington, DC 20503,
Fax Number: (202) 395–6974.
PO 00000
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63479
Dated: October 16, 2008.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E8–25204 Filed 10–23–08; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10036, CMS–
10161 and CMS–1880/1882]
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
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: Inpatient
Rehabilitation Facility Patient
Assessment Instrument (IRF–PAI) data
and Supporting Regulations in 42 CFR
412 Subpart P; Use: This instrument
with its supporting manual is needed to
permit the Secretary of Health and
Human Services, and CMS, to
implement section 1886(j) of the Social
Security Act. The statute requires the
Secretary to develop a prospective
payment system for inpatient
rehabilitation facility services for the
Medicare program. This payment
system is to cover both operating and
capital costs for inpatient rehabilitation
facility services. It applies to inpatient
rehabilitation hospitals as well as
rehabilitation units of acute care
hospitals. CMS implemented the
AGENCY:
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jlentini on PROD1PC65 with NOTICES
63480
Federal Register / Vol. 73, No. 207 / Friday, October 24, 2008 / Notices
inpatient rehabilitation facility
prospective payment system for cost
reporting periods beginning on or after
January 1, 2002. Form Number: CMS–
10036 (OMB# 0938–0842); Frequency:
Annually; Affected Public: Business or
other for-profit, Not-for-profit
institutions, State, Local or Tribal
Governments and Federal Government;
Number of Respondents: 1202; Total
Annual Responses: 396,660; Total
Annual Hours: 337,161.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: New Freedom
Initiative—Web-based Reporting System
for Grantees; Use: CMS currently awards
competitive grants to States and other
eligible entities for the purpose of
designing and implementing effective
and enduring improvements in
community-based long-term services
and support systems. CMS currently
requires grantees to report on a
quarterly, semi-annual, and or annual
basis depending upon the grant type.
CMS requires the information obtained
through web-based grantee reporting for
two reasons: (1) In order to effectively
monitor the grants; and, (2) To report to
Congress and other interested
stakeholders the progress and obstacles
experienced by the grantees. The
grantees are the respondents to the webbased reporting system. Form Number:
CMS–10161 (OMB# 0938–0979);
Frequency: annually, semi-annually,
and quarterly; Affected Public: State,
Local or Tribal Governments; Number of
Respondents: 171; Total Annual
Responses: 428; Total Annual Hours:
3,764.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Request for
Certification as a Supplier of Portable Xray Services and Portable X-ray Survey
Report Form under the Medicare/
Medicaid Program and Supporting
Regulations in 42 CFR 486.100–486.110;
Use: The Medicare program requires
portable X-ray suppliers to be surveyed
for health and safety standards. The
CMS–1882 is the survey form that
records survey results. The CMS–1880
is used by the surveyor to determine if
a portable X-ray applicant meets the
eligibility requirements. Form Numbers:
CMS–1880/1882 (OMB# 0938–0027);
Frequency: Occasionally; Affected
Public: State, Local or Tribal
Governments; Number of Respondents:
544; Total Annual Responses: 68; Total
Annual Hours: 4,760.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
VerDate Aug<31>2005
16:48 Oct 23, 2008
Jkt 217001
referenced above, access CMS’ Web site
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.
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 December 23, 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, Attention:
Document Identifier/OMB Control
Numberlll, Room C4–26–05, 7500
Security Boulevard, Baltimore,
Maryland 21244–1850.
21, 2008 through November 21, 2011,
with a 180-day probationary period
through May 20, 2009.
FOR FURTHER INFORMATION CONTACT:
Cindy Melanson, (410) 786–0310,
Patricia Chmielewski (410) 786–6899.
SUPPLEMENTARY INFORMATION:
Dated: October 16, 2008.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E8–25206 Filed 10–23–08; 8:45 am]
A. Verifying Medicare Conditions of
Participation
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–2896–FN]
Medicare and Medicaid Programs;
Conditional Approval of the Joint
Commission’s Continued Deeming
Authority for Critical Access Hospitals
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Conditional Notice of Approval.
AGENCY:
SUMMARY: This notice announces our
decision to conditionally approve, with
a probationary period, the Joint
Commission’s request for continued
recognition as a national accreditation
program for critical access hospitals
(CAHs) seeking to participate in the
Medicare or Medicaid programs.
DATES: Effective Date: This conditional
notice of approval is effective November
PO 00000
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Sfmt 4703
I. Background
Under the Medicare program, eligible
beneficiaries may receive covered
services in a CAH provided certain
requirements are met. Sections
1820(c)(2)(B) and 1861(mm) of the
Social Security Act (the Act) establish
distinct criteria for facilities seeking
designation as a CAH. Under this
authority, the minimum requirements
that a CAH must meet to participate in
Medicare are set forth in regulations at
42 CFR part 485, subpart F (Conditions
of Participation: Critical Access
Hospitals (CAHs)) which determine the
basis and scope of CAH covered
services. Conditions for Medicare
payment for CAHs can be found at 42
CFR 413.70. Applicable regulations
concerning provider agreements are at
42 CFR part 489 (Provider Agreements
and Supplier Approval) and those
pertaining to facility survey and
certification are at part 488, subparts A
and B.
In general, we approve a CAH for
participation in the Medicare program if
it is participating as a hospital at the
time it applies for CAH designation, and
it is in compliance with parts 482
(Conditions of Participation for
Hospitals) and 485, subpart F
(Conditions of Participation: Critical
Access Hospital (CAHs)).
For a CAH to enter into a provider
agreement, a State survey agency must
certify that the CAH is in compliance
with the conditions or standards set
forth in section 1820 of the Social
Security Act and part 485 of our
regulations. Thereafter, the CAH is
subject to ongoing review by a State
survey agency to determine whether it
continues to meet the Medicare
requirements. There is, however, an
alternative to State compliance surveys.
Accreditation by a nationallyrecognized accreditation program can
substitute for ongoing State review.
Section 1865(b)(1) of the Act provides
that, if a provider entity demonstrates
through accreditation by an approved
national accreditation organization that
all applicable Medicare conditions are
met or exceeded, we may ‘‘deem’’ those
provider entities as having met the
requirements. Accreditation by an
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]]>Agencies
[Federal Register Volume 73, Number 207 (Friday, October 24, 2008)]
[Notices]
[Pages 63479-63480]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-25206]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10036, CMS-10161 and CMS-1880/1882]
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: Extension of a currently
approved collection; Title of Information Collection: Inpatient
Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) data
and Supporting Regulations in 42 CFR 412 Subpart P; Use: This
instrument with its supporting manual is needed to permit the Secretary
of Health and Human Services, and CMS, to implement section 1886(j) of
the Social Security Act. The statute requires the Secretary to develop
a prospective payment system for inpatient rehabilitation facility
services for the Medicare program. This payment system is to cover both
operating and capital costs for inpatient rehabilitation facility
services. It applies to inpatient rehabilitation hospitals as well as
rehabilitation units of acute care hospitals. CMS implemented the
[[Page 63480]]
inpatient rehabilitation facility prospective payment system for cost
reporting periods beginning on or after January 1, 2002. Form Number:
CMS-10036 (OMB 0938-0842); Frequency: Annually; Affected
Public: Business or other for-profit, Not-for-profit institutions,
State, Local or Tribal Governments and Federal Government; Number of
Respondents: 1202; Total Annual Responses: 396,660; Total Annual Hours:
337,161.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: New Freedom
Initiative--Web-based Reporting System for Grantees; Use: CMS currently
awards competitive grants to States and other eligible entities for the
purpose of designing and implementing effective and enduring
improvements in community-based long-term services and support systems.
CMS currently requires grantees to report on a quarterly, semi-annual,
and or annual basis depending upon the grant type. CMS requires the
information obtained through web-based grantee reporting for two
reasons: (1) In order to effectively monitor the grants; and, (2) To
report to Congress and other interested stakeholders the progress and
obstacles experienced by the grantees. The grantees are the respondents
to the web-based reporting system. Form Number: CMS-10161 (OMB
0938-0979); Frequency: annually, semi-annually, and quarterly; Affected
Public: State, Local or Tribal Governments; Number of Respondents: 171;
Total Annual Responses: 428; Total Annual Hours: 3,764.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Request for
Certification as a Supplier of Portable X-ray Services and Portable X-
ray Survey Report Form under the Medicare/Medicaid Program and
Supporting Regulations in 42 CFR 486.100-486.110; Use: The Medicare
program requires portable X-ray suppliers to be surveyed for health and
safety standards. The CMS-1882 is the survey form that records survey
results. The CMS-1880 is used by the surveyor to determine if a
portable X-ray applicant meets the eligibility requirements. Form
Numbers: CMS-1880/1882 (OMB 0938-0027); Frequency:
Occasionally; Affected Public: State, Local or Tribal Governments;
Number of Respondents: 544; Total Annual Responses: 68; Total Annual
Hours: 4,760.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'
Web site 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 December 23, 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, Attention: Document Identifier/OMB
Control Number------, Room C4-26-05, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
Dated: October 16, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-25206 Filed 10-23-08; 8:45 am]
BILLING CODE 4120-01-P
