Agency Information Collection Activities: Submission for OMB Review; Comment Request, 27040-27042 [E9-13151]
Download as PDF
27040
Federal Register / Vol. 74, No. 107 / Friday, June 5, 2009 / Notices
Attn: OMB Desk Officer for ACF, Office
of Management and Budget, Paperwork
Reduction Project, 725 17th Street NW.,
Washington, DC 20503, (202) 395–4718.
Dated: May 28, 2009.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. E9–12970 Filed 6–4–09; 8:45 am]
BILLING CODE 4184–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10050 and CMS–
10174]
erowe on PROD1PC63 with NOTICES
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 the currently
approved collection; Title of
Information Collection: New Enrollee
Survey; Use: The New Enrollee survey
was developed to gather information
from newly enrolled Medicare
beneficiaries about their Medicare
knowledge and needs. CMS is seeking
understanding about what types of
information new enrollees need and
what they know about Medicare.
Included in the survey are questions
regarding how well informed new
enrollees are about Medicare and what
information they have received about
the Medicare program. Information
gathered in this survey will be used
only for purposes of targeting and
improving communications with newly
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Jkt 217001
eligible Medicare beneficiaries. Form
Number: CMS–10050 (OMB#: 0938–
0869); Frequency: Reporting—Quarterly;
Affected Public: Individuals or
Households; Number of Respondents:
1200; Total Annual Responses: 1200;
Total Annual Hours: 300. (For policy
questions regarding this collection
contact Renee Clark at 410–786–0006.
For all other issues call 410–786–1326.)
2. Type of Information Collection
Request: Revision of the currently
approved collection; Title of
Information Collection: Collection of
Drug Event Data From Contracted Part D
Providers For Payment; Use: In
December 2003, Congress enacted the
Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 referred to as the Medicare
Modernization Act (MMA). The
Medicare Prescription Drug Benefit
program (Part D) was established by
section 101 of the MMA and is codified
in section 1860D–1 through 1860 D–41
of the Social Security Act. Effective
January 1, 2006, the Part D program
establishes an optional prescription
drug benefit for individuals who are
entitled to Medicare Part A and/or
enrolled in Part B. Part D plans have
flexibility in terms of benefit design.
This flexibility includes, but is not
limited to, authority to establish a
formulary that limits coverage to
specific drugs within each therapeutic
class of drugs, and the ability to have a
cost-sharing structure other than the
statutorily defined structure (subject to
certain actuarial tests). Coverage under
the new prescription drug benefit is
provided predominately through private
at-risk prescription drug plans that offer
drug-only coverage (PDPs), Medicare
Advantage (MA) plans that offer
integrated prescription drug and health
care coverage (MA–PD plans) or Cost
Plans that offer prescription drug
benefits.
The transmission of the data will be
in an electronic format. The information
users will be Pharmacy Benefit
Managers (PBM), third party
administrators and pharmacies and the
PDPs, MA–PDs, Fallbacks and other
plans that offer coverage of outpatient
prescription drugs under the Medicare
Part D benefit to Medicare beneficiaries.
The data is used primarily for payment,
and is used for claim validation as well
as for other legislated functions such as
quality monitoring, program integrity
and oversight. Form Number: CMS–
10174 (OMB#: 0938–0982); Frequency:
Reporting—Monthly; Affected Public:
Business or other for-profits and Notfor-profit institutions; Number of
Respondents: 747; Total Annual
Responses: 947,881,770; Total Annual
PO 00000
Frm 00035
Fmt 4703
Sfmt 4703
Hours: 1896. (For policy questions
regarding this collection contact Bobbie
Knickman at 410–786–4161. For all
other issues call 410–786–1326.)
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 August 4, 2009:
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 (CMS–10078), Room
C4–26–05, 7500 Security Boulevard,
Baltimore, Maryland 21244–1850.
Dated: May 28, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–13150 Filed 6–4–09; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10133, CMS–
10279, CMS–250–254, CMS–10277, CMS–
10157 and CMS–10273]
Agency Information Collection
Activities: Submission for OMB
Review; 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), Department of Health
E:\FR\FM\05JNN1.SGM
05JNN1
erowe on PROD1PC63 with NOTICES
Federal Register / Vol. 74, No. 107 / Friday, June 5, 2009 / Notices
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: Competitive
Acquisition Program (CAP) for Medicare
Part B Drugs: Vendor Application and
Bid Form; Use: Section 303(d) of the
Medicare Modernization Act (MMA)
requires the implementation of a
competitive acquisition program for
Medicare Part B drugs and biologicals
not paid on a cost or prospective
payment system basis. The CAP is an
alternative to the Average Sales Price
(ASP or ‘‘buy and bill’’) method of
acquiring many Part B drugs and
biologicals administered incident to a
physician’s services. The CAP Vendor
Application and Bid Form, is used by
bidders to provide a response to CMS’
solicitation for approved CAP vendor
bids and to submit their bid prices for
CAP drugs. Though the program is
currently on hold and a timeline for the
resumption of the CAP has not been
established, the CAP Vendor
Application and Bid Form will be
required to conduct the next round of
vendor bidding. Form Number: CMS–
10133 (OMB#: 0938–0955); Frequency:
Reporting—Occasionally; Affected
Public: Private Sector; Business or other
for-profits; Number of Respondents: 10;
Total Annual Responses: 10; Total
Annual Hours: 1. (For policy questions
regarding this collection contact Bonny
Dahm at 410–786–4006. For all other
issues call 410–786–1326.)
2. Type of Information Collection
Request: New collection; Title of
Information Collection: Ambulatory
Surgical Center Conditions for Coverage;
Form Number: CMS–10279 (OMB#:
0938–New); Use: The Ambulatory
Surgical Center (ASC) Conditions for
Coverage (CfCs) focus on a patientcentered, outcome-oriented, and
transparent processes that promote,
quality patient care. The CfCs are
designed to ensure that each facility has
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14:06 Jun 04, 2009
Jkt 217001
properly trained staff to provide the
appropriate type and level of care for
that facility and provide a safe physical
environment for patients. The CfCs are
used by Federal or State surveyors as a
basis for determining whether an ASC
qualifies for approval or re-approval
under Medicare. CMS and the
healthcare industry believe that the
availability to the facility of the type of
records and general content of records,
which this regulation specifies, is
standard medical practice and is
necessary in order to ensure the wellbeing and safety of patients and
professional treatment accountability.
Frequency: Recordkeeping and
Reporting—One time; Affected Public:
Business or other for-profit, Not-forprofit institutions; Number of
Respondents: 5,100; Total Annual
Responses: 5,100; Total Annual Hours:
193,800. (For policy questions regarding
this collection contact Jacqueline
Morgan at 410–786–4282. For all other
issues call 410–786–1326.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicare
Secondary Payer Information Collection
and Supporting Regulations in 42 CFR
411.25, 489.2, and 489.20; Form
Number: CMS 250–254 (OMB#: 0938–
0214); Use: Medicare Secondary Payer
Information (MSP) is essentially the
same concept known in the private
insurance industry as coordination of
benefits, and refers to those situations
where Medicare does not have primary
responsibility for paying the medical
expenses of a Medicare beneficiary.
Medicare Fiscal Intermediaries, Carriers,
and now Part D plans, need information
about primary payers in order to
perform various tasks to detect and
process MSP cases and make recoveries.
MSP information is collected at various
times and from numerous parties during
a beneficiary’s membership in the
Medicare Program. Collecting MSP
information in a timely manner means
that claims are processed correctly the
first time, decreasing the costs
associated with adjusting claims and
recovering mistaken payments.
Frequency: Reporting—On occasion;
Affected Public: Individuals or
Households, Business or other for-profit,
Not-for-profit institutions; Number of
Respondents: 143,070,217; Total
Annual Responses: 143,070,217; Total
Annual Hours: 1,788,057. (For policy
questions regarding this collection
contact John Albert at 410–786–7457.
For all other issues call 410–786–1326.)
4. Type of Information Collection
Request: New collection; Title of
Information Collection: Hospice
PO 00000
Frm 00036
Fmt 4703
Sfmt 4703
27041
Conditions of Participation and
Supporting Regulations in 42 CFR
418.52, 418.54, 418.56, 418.58, 418.60,
418.64, 418.66, 418.70, 418.72, 418.74,
418.76, 418.78, 418.100, 418.106,
4118.108, 418.110, 418.112, and
418.114; Use: The Conditions of
Participation and accompanying
requirements are used by Federal or
State surveyors as a basis for
determining whether a hospice qualifies
for approval or re-approval under
Medicare. The healthcare industry and
CMS believe that the availability to the
hospice of the type of records and
general content of records, which the
final rule (72 FR 32088) specifies, is
standard medical practice, and is
necessary in order to ensure the wellbeing and safety of patients and
professional treatment accountability.
Form Number: CMS–10277 (OMB#:
0938–New); Frequency: Reporting and
Recordkeeping—Yearly; Affected
Public: Business or other for-profit and
Not-for-profit institutions; Number of
Respondents: 2,872; Total Annual
Responses: 1,808,345; Total Annual
Hours: 2,152,396. (For policy questions
regarding this collection contact
Danielle Shearer at 410–786–6617. For
all other issues call 410–786–1326.)
5. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: CMS Real-time
Eligibility Agreement and Access
Request; Form Number: CMS–10157
(OMB#: 0938–0960); Use: Federal law
requires that CMS take precautions to
minimize the security risk to Federal
information systems. Accordingly, CMS
is requiring that trading partners who
wish to conduct the eligibility
transaction on a real-time basis to access
Medicare beneficiary information
provide certain assurances as a
condition of receiving access to the
Medicare database for the purpose of
conducting eligibility verification.
Health care providers, clearinghouses,
and health plans that wish access to the
Medicare database are required to
complete this form. The information
will be used to assure that those entities
that access the Medicare database are
aware of applicable provisions and
penalties. Frequency: Recordkeeping
and Reporting—One time; Affected
Public: Business or other for-profit, Notfor-profit institutions; Number of
Respondents: 2,000; Total Annual
Responses: 500; Total Annual Hours:
500. (For policy questions regarding this
collection contact Vivian Rogers at 410–
786–8142. For all other issues call 410–
786–1326.)
6. Type of Information Collection
Request: New collection; Title of
E:\FR\FM\05JNN1.SGM
05JNN1
27042
Federal Register / Vol. 74, No. 107 / Friday, June 5, 2009 / Notices
Information Collection: Evaluation of
the Medicare Care Management
Performance Demonstration (MCMP)
and the Electronic Health Records
Demonstration (EHRD); Use: The MCMP
demonstration was authorized under
Section 649 of the Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003. This is a
three year pay for performance
demonstration with physicians to
promote the adoption and use of health
information technology (HIT) to
improve the quality of care for eligible
chronically ill Medicare beneficiaries.
MCMP targets small to medium sized
primary care practices with up to 10
physicians. Practices must provide care
to at least 50 Medicare beneficiaries.
Physicians will receive payments for
meeting or exceeding performance
standards for quality of care. They will
also receive an additional incentive
payment for electronic submission of
performance measures via their
electronic health record (EHR) system.
These payments are in addition to their
normal payments for providing service
to Medicare beneficiaries. The Office
System Survey (OSS) will be used to
assess progress of physician practices in
implementation and use of EHRs and
related HIT functionalities.
The EHR demonstration is authorized
under Section 402 of the Medicare
Waiver Authority. The goal of this five
year pay for performance demonstration
is to foster the implementation and
adoption of EHRs and HIT in order to
improve the quality of care provided by
physician practices. The EHRD expands
upon the MCMP Demonstration and
will test whether performance-based
financial incentives (1) increase
physician practices’ adoption and use of
electronic health records (EHRs), and (2)
improve the quality of care that
practices deliver to chronically ill
patients. The EHRD targets small to
medium sized primary care practices
with up to 20 physicians. Practices must
provide care to at least 50 Medicare
beneficiaries. Approximately 800
practices will be enrolled in the
demonstration across four sites.
Practices will be randomly assigned to
a treatment and a control group. The
OSS will be used to assess progress of
physician practices in implementation
and use of EHRs and related HIT
functionalities, and to determine
incentive payments for treatment
practices. In-person and telephone
discussions with community partners
and physician practices will be used to
learn about practices’ experiences and
strategies in adopting and using EHRs,
as well as the factors that help or hinder
their efforts. Refer to the supporting
document ‘‘High-Level Summary of
Changes’’ for a list of changes. Form
Number: CMS–10273 (OMB# 0938–
New); Frequency: Annually, Biennially
and Once; Affected Public: Business or
other for-profit; Number of
Respondents: 4,123; Total Annual
Responses: 1,659; Total Annual Hours:
934. (For policy questions regarding this
collection contact Lorraine Johnson at
410–786–9457. For all other issues call
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 July 6, 2009. OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974, E-mail:
OIRA_submission@omb.eop.gov.
Dated: May 28, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–13151 Filed 6–4–09; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Supporting Healthy Marriage
(SHM) Demonstration and Evaluation
Project—Wave 2 Survey
OMB No.: 0970–0339.
Description: The Administration for
Children and Families (ACF), U.S.
Department of Health and Human
Services, is conducting a demonstration
and evaluation called the Supporting
Healthy Marriage (SHM) Project. SHM is
a test of marriage education
demonstration programs in eight sites
that will enroll about 800 couples per
site, with half assigned to participate in
the SHM program and the other half
assigned to the control group.
SHM is designed to inform program
operators and policymakers of the
effectiveness of programs designed to
help low-income married couples
strengthen and maintain healthy
marriages and improve outcomes for
adults and children.
This notice of information collection
is for two activities. One is a second
adult survey and new instruments to
obtain information from children and
youth about 30 months after study
entry. The other is for an extension of
the period of approval for the first
survey and observation instruments
used to obtain information from
research participants about 12 months
after study entry.
The proposed second wave of
information collection will involve:
• An adult survey instrument to
assess study participants’ longer term
marital status and stability, quality of
relationships, and a range of other
measures.
• A survey of focal children of study
participants in both the program and
control groups who are over 8 years of
age (the youth survey).
• A direct child assessment of focal
children of study participants in both
the program and control groups who are
8 years of age or younger.
Respondents: Low-income married
couples and their children in the SHM
evaluation research sample.
ANNUAL BURDEN ESTIMATE
Number of
respondents
erowe on PROD1PC63 with NOTICES
Instrument
Number of
responses per
respondent
Average
burden hours
per
respondent
Estimated
annual burden
hours
Adult Survey Wave 1 .......................................................................................
Adult-Child Observation Study Wave 1 ...........................................................
4,267
2,448
1
1
.83
.55
3,542
1,346
Total Wave 1 Burden ...............................................................................
........................
........................
........................
4,888
Adult Survey Wave 2 .......................................................................................
4,267
1
.83
3,542
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E:\FR\FM\05JNN1.SGM
05JNN1
Agencies
[Federal Register Volume 74, Number 107 (Friday, June 5, 2009)]
[Notices]
[Pages 27040-27042]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-13151]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10133, CMS-10279, CMS-250-254, CMS-10277,
CMS-10157 and CMS-10273]
Agency Information Collection Activities: Submission for OMB
Review; 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), Department of Health
[[Page 27041]]
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: Competitive
Acquisition Program (CAP) for Medicare Part B Drugs: Vendor Application
and Bid Form; Use: Section 303(d) of the Medicare Modernization Act
(MMA) requires the implementation of a competitive acquisition program
for Medicare Part B drugs and biologicals not paid on a cost or
prospective payment system basis. The CAP is an alternative to the
Average Sales Price (ASP or ``buy and bill'') method of acquiring many
Part B drugs and biologicals administered incident to a physician's
services. The CAP Vendor Application and Bid Form, is used by bidders
to provide a response to CMS' solicitation for approved CAP vendor bids
and to submit their bid prices for CAP drugs. Though the program is
currently on hold and a timeline for the resumption of the CAP has not
been established, the CAP Vendor Application and Bid Form will be
required to conduct the next round of vendor bidding. Form Number: CMS-
10133 (OMB: 0938-0955); Frequency: Reporting--Occasionally;
Affected Public: Private Sector; Business or other for-profits; Number
of Respondents: 10; Total Annual Responses: 10; Total Annual Hours: 1.
(For policy questions regarding this collection contact Bonny Dahm at
410-786-4006. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: New collection; Title of
Information Collection: Ambulatory Surgical Center Conditions for
Coverage; Form Number: CMS-10279 (OMB: 0938-New); Use: The
Ambulatory Surgical Center (ASC) Conditions for Coverage (CfCs) focus
on a patient-centered, outcome-oriented, and transparent processes that
promote, quality patient care. The CfCs are designed to ensure that
each facility has properly trained staff to provide the appropriate
type and level of care for that facility and provide a safe physical
environment for patients. The CfCs are used by Federal or State
surveyors as a basis for determining whether an ASC qualifies for
approval or re-approval under Medicare. CMS and the healthcare industry
believe that the availability to the facility of the type of records
and general content of records, which this regulation specifies, is
standard medical practice and is necessary in order to ensure the well-
being and safety of patients and professional treatment accountability.
Frequency: Recordkeeping and Reporting--One time; Affected Public:
Business or other for-profit, Not-for-profit institutions; Number of
Respondents: 5,100; Total Annual Responses: 5,100; Total Annual Hours:
193,800. (For policy questions regarding this collection contact
Jacqueline Morgan at 410-786-4282. For all other issues call 410-786-
1326.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare
Secondary Payer Information Collection and Supporting Regulations in 42
CFR 411.25, 489.2, and 489.20; Form Number: CMS 250-254 (OMB:
0938-0214); Use: Medicare Secondary Payer Information (MSP) is
essentially the same concept known in the private insurance industry as
coordination of benefits, and refers to those situations where Medicare
does not have primary responsibility for paying the medical expenses of
a Medicare beneficiary. Medicare Fiscal Intermediaries, Carriers, and
now Part D plans, need information about primary payers in order to
perform various tasks to detect and process MSP cases and make
recoveries. MSP information is collected at various times and from
numerous parties during a beneficiary's membership in the Medicare
Program. Collecting MSP information in a timely manner means that
claims are processed correctly the first time, decreasing the costs
associated with adjusting claims and recovering mistaken payments.
Frequency: Reporting--On occasion; Affected Public: Individuals or
Households, Business or other for-profit, Not-for-profit institutions;
Number of Respondents: 143,070,217; Total Annual Responses:
143,070,217; Total Annual Hours: 1,788,057. (For policy questions
regarding this collection contact John Albert at 410-786-7457. For all
other issues call 410-786-1326.)
4. Type of Information Collection Request: New collection; Title of
Information Collection: Hospice Conditions of Participation and
Supporting Regulations in 42 CFR 418.52, 418.54, 418.56, 418.58,
418.60, 418.64, 418.66, 418.70, 418.72, 418.74, 418.76, 418.78,
418.100, 418.106, 4118.108, 418.110, 418.112, and 418.114; Use: The
Conditions of Participation and accompanying requirements are used by
Federal or State surveyors as a basis for determining whether a hospice
qualifies for approval or re-approval under Medicare. The healthcare
industry and CMS believe that the availability to the hospice of the
type of records and general content of records, which the final rule
(72 FR 32088) specifies, is standard medical practice, and is necessary
in order to ensure the well-being and safety of patients and
professional treatment accountability. Form Number: CMS-10277
(OMB: 0938-New); Frequency: Reporting and Recordkeeping--
Yearly; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 2,872; Total Annual
Responses: 1,808,345; Total Annual Hours: 2,152,396. (For policy
questions regarding this collection contact Danielle Shearer at 410-
786-6617. For all other issues call 410-786-1326.)
5. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: CMS Real-time
Eligibility Agreement and Access Request; Form Number: CMS-10157
(OMB: 0938-0960); Use: Federal law requires that CMS take
precautions to minimize the security risk to Federal information
systems. Accordingly, CMS is requiring that trading partners who wish
to conduct the eligibility transaction on a real-time basis to access
Medicare beneficiary information provide certain assurances as a
condition of receiving access to the Medicare database for the purpose
of conducting eligibility verification. Health care providers,
clearinghouses, and health plans that wish access to the Medicare
database are required to complete this form. The information will be
used to assure that those entities that access the Medicare database
are aware of applicable provisions and penalties. Frequency:
Recordkeeping and Reporting--One time; Affected Public: Business or
other for-profit, Not-for-profit institutions; Number of Respondents:
2,000; Total Annual Responses: 500; Total Annual Hours: 500. (For
policy questions regarding this collection contact Vivian Rogers at
410-786-8142. For all other issues call 410-786-1326.)
6. Type of Information Collection Request: New collection; Title of
[[Page 27042]]
Information Collection: Evaluation of the Medicare Care Management
Performance Demonstration (MCMP) and the Electronic Health Records
Demonstration (EHRD); Use: The MCMP demonstration was authorized under
Section 649 of the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003. This is a three year pay for performance
demonstration with physicians to promote the adoption and use of health
information technology (HIT) to improve the quality of care for
eligible chronically ill Medicare beneficiaries. MCMP targets small to
medium sized primary care practices with up to 10 physicians. Practices
must provide care to at least 50 Medicare beneficiaries. Physicians
will receive payments for meeting or exceeding performance standards
for quality of care. They will also receive an additional incentive
payment for electronic submission of performance measures via their
electronic health record (EHR) system. These payments are in addition
to their normal payments for providing service to Medicare
beneficiaries. The Office System Survey (OSS) will be used to assess
progress of physician practices in implementation and use of EHRs and
related HIT functionalities.
The EHR demonstration is authorized under Section 402 of the
Medicare Waiver Authority. The goal of this five year pay for
performance demonstration is to foster the implementation and adoption
of EHRs and HIT in order to improve the quality of care provided by
physician practices. The EHRD expands upon the MCMP Demonstration and
will test whether performance-based financial incentives (1) increase
physician practices' adoption and use of electronic health records
(EHRs), and (2) improve the quality of care that practices deliver to
chronically ill patients. The EHRD targets small to medium sized
primary care practices with up to 20 physicians. Practices must provide
care to at least 50 Medicare beneficiaries. Approximately 800 practices
will be enrolled in the demonstration across four sites. Practices will
be randomly assigned to a treatment and a control group. The OSS will
be used to assess progress of physician practices in implementation and
use of EHRs and related HIT functionalities, and to determine incentive
payments for treatment practices. In-person and telephone discussions
with community partners and physician practices will be used to learn
about practices' experiences and strategies in adopting and using EHRs,
as well as the factors that help or hinder their efforts. Refer to the
supporting document ``High-Level Summary of Changes'' for a list of
changes. Form Number: CMS-10273 (OMB 0938-New); Frequency:
Annually, Biennially and Once; Affected Public: Business or other for-
profit; Number of Respondents: 4,123; Total Annual Responses: 1,659;
Total Annual Hours: 934. (For policy questions regarding this
collection contact Lorraine Johnson at 410-786-9457. For all other
issues call 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 July 6, 2009.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.
Dated: May 28, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-13151 Filed 6-4-09; 8:45 am]
BILLING CODE 4120-01-P