Agency Information Collection Activities: Proposed Collection; Comment Request, 44366-44368 [E9-20845]
Download as PDF
44366
Federal Register / Vol. 74, No. 166 / Friday, August 28, 2009 / Notices
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.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, e-mail your request,
including your address, phone number,
OMB number, and OS document
identifier, to
Sherette.funncoleman@hhs.gov, or call
the Reports Clearance Office on (202)
690–5683. Send written comments and
standardization across the AFL grantees,
allowing for more complete data
collection by OAPP for program
assessment.
OAPP is also proposing to consolidate
0990–0300—AFL Prevention Project
End of Year Report Template ICR and
0990–0299—AFL Care and Prevention
End of Year Report Templates ICR. After
the approval by OMB on 0990–0299
ICR, OAPP will eliminate 0990–0300.
This action will reduce the redundancy
across ICRs and lessen the number of
burden hours reported by including
both templates under one ICR (0990–
0299).
The original title will be changed to
Adolescent Family Life End of the Year
Report Template.
recommendations for the proposed
information collections within 30 days
of this notice directly to the OS OMB
Desk Officer; faxed to OMB at 202–395–
5806.
Proposed Project: Adolescent Family
Life Care and Prevention End of Year
Report Templates (Revision) OMB No.
0990–0299, Office of Adolescent
Pregnancy Programs (OAPP).
Abstract: OAPP is proposing to revise
the current OMB approved Adolescent
Family Life Care and Prevention End of
Year Report Templates. The current
OMB approval is applicable through
May 31, 2009. All AFL grantees are
required by their Notice of Grant
Awards to submit an end of year report
once per year. The current End of Year
Report templates provide a degree of
ESTIMATED ANNUALIZED BURDEN TABLE
Number of
respondents
Type of respondent
Form name
Care demonstration
projects.
Prevention demonstration
projects.
Adolescent Family Life Care and Prevention Template.
Adolescent Family Life Care and Prevention Template.
Seleda Perryman,
Office of the Secretary, Paperwork Reduction
Act Reports Clearance Officer.
[FR Doc. E9–20795 Filed 8–27–09; 8:45 am]
BILLING CODE 4150–30–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–1515/1572,
CMS–301, CMS–317, CMS–319, CMS–1957
and CMS–10296]
hsrobinson on DSK69SOYB1PROD with NOTICES
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
VerDate Nov<24>2008
21:38 Aug 27, 2009
Jkt 217001
Frm 00022
Fmt 4703
Sfmt 4703
Total
burden
(hours)
31
1
65
2,015
35
1
65
2,275
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 without change of a
currently approved collection; Title of
Information Collection: Home Health
Agency Survey and Deficiencies Report,
Home Health Functional Assessment
Instrument and Supporting Regulations
in 42 CFR 488.26 and 442.30. Use: In
order to participate in the Medicare
Program as a Home Home Agency
(HHA) provider, the HHA must meet
Federal Standards. These forms are used
to record information and patients’
health and provider compliance with
requirements and to report the
information to the Federal Government.
Form Number: CMS–1515/1572 (OMB#:
0938–0355); Frequency: Reporting—
Yearly; Affected Public: Health Care
Services; Number of Respondents:
10,078; Total Annual Responses: 5,614;
Total Annual Hours: 9,821. (For policy
questions regarding this collection
contact Patricia Sevast at 410–786–8135.
For all other issues call 410–786–1326.)
2. Type of Information Collection
Request: Revision of a currently
PO 00000
Average
burden/
response
(hours)
Number of
responses/
respondent
approved collection; Title of
Information Collection: Certification of
Medicaid Eligibility Quality Control
Payment Error Rates and Supporting
Regulations Contained in 42 CFR
431.816. Use: Under the MEQC
program, States can operate the
traditional MEQC sample-and-review
program or States can elect to study
targeted areas of eligibility or program
administration that are error-prone or
that will help to prevent or reduce
erroneous or misspent funds. These
alternative MEQC programs are called
MEQC pilots. Some States operate
alternative MEQC programs as part of
their research and demonstration
waivers under Section 1115 of the
Social Security Act. The majority of
States operate some form of alternative
MEQC program. However, since the
number of States that conduct
traditional MEQC programs and
alternative MEQC programs can
fluctuate at any time, we have assessed
the burden and costs associated with
submitting the Payment Error Rate form
as if all States were reporting this
information.
State agencies are required to submit
the Payment Error Rate form to their
respective CMS Regional Offices.
Regional Office staff will review these
forms for completeness and will forward
these forms to the Central Office for
compilation of error rate charts for
E:\FR\FM\28AUN1.SGM
28AUN1
hsrobinson on DSK69SOYB1PROD with NOTICES
Federal Register / Vol. 74, No. 166 / Friday, August 28, 2009 / Notices
projected quarterly withholdings and/or
fiscal disallowances. The collection of
information is also necessary to
implement provisions from the
Children’s Health Insurance Program
Reauthorization Act of 2009 (CHIPRA)
(Pub. L. 111–3) with regard to the
Medicaid Eligibility Quality Control
(MEQC) and Payment Error Rate
Measurement (PERM) programs. Form
Number: CMS–301 (OMB#: 0938–0246);
Frequency: Reporting and
Recordkeeping—Yearly; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
51; Total Annual Responses: 102; Total
Annual Hours: 16,446. (For policy
questions regarding this collection
contact Jessica Woodard at 410–786–
9249. For all other issues call 410–786–
1326.)
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: The
Medicaid Eligibility Quality Control
(MEQC) System 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. (For policy
questions regarding this collection
contact Jessica Woodard at 410–786–
9249. For all other issues call 410–786–
1326.)
4. Type of Information Collection
Request: Revision of the 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
VerDate Nov<24>2008
21:38 Aug 27, 2009
Jkt 217001
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. (For policy
questions regarding this collection
contact Jessica Woodard at 410–786–
9249. For all other issues call 410–786–
1326.)
5. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection: SSO
Report of State Buy-in Problem and
Supporting Regulations in 42 CFR
407.40; Use: Under the State Buy-In
program, States enroll certain groups of
needy people under the Part B
Supplementary Medical Insurance (SMI)
Program and pay their premiums. The
purpose of the ‘‘buy-in’’ is to allow the
States to provide SMI protection to
certain groups of needy individuals as
part of its total assistance plan.
Generally, States ‘‘buy-in’’ for
individuals who are categorically needy
under Medicaid and meet the eligibility
requirements for Medicare Part B. States
can also include in their buy-in
agreement those eligible for medical
assistance only. The CMS–1957 is used
in the resolution of beneficiary
complaints regarding State buy-in. This
form facilitates the coordination of
PO 00000
Frm 00023
Fmt 4703
Sfmt 4703
44367
efforts between the SSO, State Medicaid
Agencies, and CMS in the resolution of
a beneficiary’s State buy-in problem.
Form Number: CMS–1957 (OMB#:
0938–0035); Frequency: Reporting—On
occasion; Affected Public: Federal
government, Individuals or Households,
and State, Local, and Tribal
governments; Number of Respondents:
5,600; Total Annual Responses: 5,600;
Total Annual Hours: 1,816. (For policy
questions regarding this collection
contact Lucia Diaz-Robinson at 410–
786–0598. For all other issues call 410–
786–1326.)
6. Type of Information Collection
Request: New collection; Title of
Information Collection: Electronic
Health Records (EHR) Testing; Use: The
Centers for Medicare and Medicaid
Services (CMS) has indicated through
statements in proposed and final
rulemaking for the Reporting Hospital
Quality Data for Annual Payment
Update (RHQDAPU) program that it is
actively seeking to pursue quality
measurement based on alternative
sources of data that do not require
manual chart abstraction or that utilize
data already being reported by many
hospitals for other programs, as doing so
would potentially reduce the burden
associated with the collection and
reporting of measures for the program.
Over the years, we have encouraged
hospitals to take steps toward the
adoption of electronic health records
(EHRs) that would allow for reporting of
clinical quality data from the EHRs
directly to a CMS data repository
beginning with the FY 2006 Inpatient
Prospective Payment System (IPPS)
Rule (70 FR 47420 through 47421). We
have also encouraged hospitals that are
implementing, upgrading, or developing
EHR systems to ensure that the
technology obtained, upgraded, or
developed conforms to standards
adopted by the Department of Health
and Human Services (HHS).
In the IPPS 2010 proposed rule (74 FR
24182), we described our intent to begin
a voluntary testing program for the
submission to CMS of standardized data
elements needed to calculate inpatient
hospital quality measures on the topics
of Stroke, Venous thromboembolism,
and Emergency department throughput.
These measures have not been adopted
for the Reporting Hospital Quality for
Annual Payment Update (RHQDAPU)
program, and participation in this
voluntary EHR-testing program will not
substitute for submission of data
elements required under the RHQDAPU
program in a time, form and manner
specified by the Secretary. Similarly,
non-participation in this voluntary
program will not incur any penalties.
E:\FR\FM\28AUN1.SGM
28AUN1
44368
Federal Register / Vol. 74, No. 166 / Friday, August 28, 2009 / Notices
hsrobinson on DSK69SOYB1PROD with NOTICES
The results of this voluntary testing
process will enable CMS to assess the
feasibility of collecting data elements
via electronic health records as a future
alternative to submission of manually
abstracted chart data elements by
hospitals, thereby potentially reducing
the administrative burden associated
with submission of quality measures for
the RHQDAPU program. Form Number:
CMS–10296 (OMB#: 0938–New);
Frequency: Reporting—Once; Affected
Public: Private Sector—Business or
other for-profits and Not-for-profit
institutions; Number of Respondents:
55; Total Annual Responses: 55; Total
Annual Hours: 28,655. (For policy
questions regarding this collection
contact Shaheen Halim at 410–786–
0641. 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 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 October 27, 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, Room C4–26–05, 7500
Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: August 21, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–20845 Filed 8–27–09; 8:45 am]
BILLING CODE 4120–01–P
VerDate Nov<24>2008
21:38 Aug 27, 2009
Jkt 217001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10080, CMS–R–
70, CMS–R–38 and CMS–846–849, 854,
10125, 10126, 10269]
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
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 a currently
approved collection; Title of
Information Collection: Publication
Usage Survey; Use: The Publication
Usage survey was developed to gather
information from people who request or
access Medicare publications, to ensure
comprehension, usability, and use of the
publications. CMS is seeking
understanding about whether
publications have been effective in
informing members of the Medicare
audience regarding policy and benefits.
Included in the survey are questions
regarding the satisfaction of publication
users with specific publications and
whether the information they received
informed them about the Medicare
program. Information gathered in this
survey will be used only for purposes of
targeting and improving
communications with Medicare
beneficiaries, caregivers, partners, and
community organizations. Form
Number: CMS–10080 (OMB#: 0938–
0892); Frequency: Reporting—On
occasion; Affected Public: Individuals or
Households; Number of Respondents:
3,800; Total Annual Responses: 3,800;
PO 00000
Frm 00024
Fmt 4703
Sfmt 4703
Total Annual Hours: 950. (For policy
questions regarding this collection
contact Renee Clarke at 410–786–0006.
For all other issues call 410–786–1326.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Information
Collection Requirements in HSQ–110,
Acquisition, Protection and Disclosure
of Peer review Organization Information
and Supporting Regulations in 42 CFR,
Sections 480.104, 480.105, 480.116, and
480.134; Use: The Peer Review
Improvement Act of 1982 authorizes
quality improvement organizations
(QIOs), formally known as peer review
organizations (PROs), to acquire
information necessary to fulfill their
duties and functions and places limits
on disclosure of the information. The
QIOs are required to provide notices to
the affected parties when disclosing
information about them. These
requirements serve to protect the rights
of the affected parties. The information
provided in these notices is used by the
patients, practitioners and providers to:
obtain access to the data maintained and
collected on them by the QIOs; add
additional data or make changes to
existing QIO data; and reflect in the
QIO’s record the reasons for the QIO’s
disagreeing with an individual’s or
provider’s request for amendment.:
Form Number: CMS–R–70 (OMB#:
0938–0426); Frequency: Reporting—On
occasion; Affected Public: Business or
other for-profits; Number of
Respondents: 362; Total Annual
Responses: 3729; Total Annual Hours:
60,919. (For policy questions regarding
this collection contact Tom Kessler at
410–786–1991. For all other issues call
410–786–1326.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Conditions of
Certification for Rural Health Clinics
and Supporting Regulations in 42 CFR
491.9, 491.10, 491.11; Use: The Rural
Health Clinic (RHC) conditions of
certification are based on criteria
prescribed in law and are designed to
ensure that each facility has a properly
trained staff to provide appropriate care
and to assure a safe physical
environment for patients. The Centers
for Medicare and Medicaid Services
(CMS) uses these conditions of
participation to certify RHCs wishing to
participate in the Medicare program.
These requirements are similar in intent
to standards developed by industry
organizations such as the Joint
Commission on Accreditation of
Hospitals, and the National League of
Nursing/American Public Association
E:\FR\FM\28AUN1.SGM
28AUN1
Agencies
[Federal Register Volume 74, Number 166 (Friday, August 28, 2009)]
[Notices]
[Pages 44366-44368]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-20845]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-1515/1572, CMS-301, CMS-317, CMS-319, CMS-
1957 and CMS-10296]
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 without change
of a currently approved collection; Title of Information Collection:
Home Health Agency Survey and Deficiencies Report, Home Health
Functional Assessment Instrument and Supporting Regulations in 42 CFR
488.26 and 442.30. Use: In order to participate in the Medicare Program
as a Home Home Agency (HHA) provider, the HHA must meet Federal
Standards. These forms are used to record information and patients'
health and provider compliance with requirements and to report the
information to the Federal Government. Form Number: CMS-1515/1572
(OMB: 0938-0355); Frequency: Reporting--Yearly; Affected
Public: Health Care Services; Number of Respondents: 10,078; Total
Annual Responses: 5,614; Total Annual Hours: 9,821. (For policy
questions regarding this collection contact Patricia Sevast at 410-786-
8135. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Certification of
Medicaid Eligibility Quality Control Payment Error Rates and Supporting
Regulations Contained in 42 CFR 431.816. Use: Under the MEQC program,
States can operate the traditional MEQC sample-and-review program or
States can elect to study targeted areas of eligibility or program
administration that are error-prone or that will help to prevent or
reduce erroneous or misspent funds. These alternative MEQC programs are
called MEQC pilots. Some States operate alternative MEQC programs as
part of their research and demonstration waivers under Section 1115 of
the Social Security Act. The majority of States operate some form of
alternative MEQC program. However, since the number of States that
conduct traditional MEQC programs and alternative MEQC programs can
fluctuate at any time, we have assessed the burden and costs associated
with submitting the Payment Error Rate form as if all States were
reporting this information.
State agencies are required to submit the Payment Error Rate form
to their respective CMS Regional Offices. Regional Office staff will
review these forms for completeness and will forward these forms to the
Central Office for compilation of error rate charts for
[[Page 44367]]
projected quarterly withholdings and/or fiscal disallowances. The
collection of information is also necessary to implement provisions
from the Children's Health Insurance Program Reauthorization Act of
2009 (CHIPRA) (Pub. L. 111-3) with regard to the Medicaid Eligibility
Quality Control (MEQC) and Payment Error Rate Measurement (PERM)
programs. Form Number: CMS-301 (OMB: 0938-0246); Frequency:
Reporting and Recordkeeping--Yearly; Affected Public: State, Local, or
Tribal Governments; Number of Respondents: 51; Total Annual Responses:
102; Total Annual Hours: 16,446. (For policy questions regarding this
collection contact Jessica Woodard at 410-786-9249. For all other
issues call 410-786-1326.)
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: The Medicaid Eligibility Quality Control
(MEQC) System 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. (For policy questions regarding
this collection contact Jessica Woodard at 410-786-9249. For all other
issues call 410-786-1326.)
4. Type of Information Collection Request: Revision of the
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. (For policy questions regarding this
collection contact Jessica Woodard at 410-786-9249. For all other
issues call 410-786-1326.)
5. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: SSO Report of State Buy-in Problem and Supporting
Regulations in 42 CFR 407.40; Use: Under the State Buy-In program,
States enroll certain groups of needy people under the Part B
Supplementary Medical Insurance (SMI) Program and pay their premiums.
The purpose of the ``buy-in'' is to allow the States to provide SMI
protection to certain groups of needy individuals as part of its total
assistance plan. Generally, States ``buy-in'' for individuals who are
categorically needy under Medicaid and meet the eligibility
requirements for Medicare Part B. States can also include in their buy-
in agreement those eligible for medical assistance only. The CMS-1957
is used in the resolution of beneficiary complaints regarding State
buy-in. This form facilitates the coordination of efforts between the
SSO, State Medicaid Agencies, and CMS in the resolution of a
beneficiary's State buy-in problem. Form Number: CMS-1957
(OMB: 0938-0035); Frequency: Reporting--On occasion; Affected
Public: Federal government, Individuals or Households, and State,
Local, and Tribal governments; Number of Respondents: 5,600; Total
Annual Responses: 5,600; Total Annual Hours: 1,816. (For policy
questions regarding this collection contact Lucia Diaz-Robinson at 410-
786-0598. For all other issues call 410-786-1326.)
6. Type of Information Collection Request: New collection; Title of
Information Collection: Electronic Health Records (EHR) Testing; Use:
The Centers for Medicare and Medicaid Services (CMS) has indicated
through statements in proposed and final rulemaking for the Reporting
Hospital Quality Data for Annual Payment Update (RHQDAPU) program that
it is actively seeking to pursue quality measurement based on
alternative sources of data that do not require manual chart
abstraction or that utilize data already being reported by many
hospitals for other programs, as doing so would potentially reduce the
burden associated with the collection and reporting of measures for the
program. Over the years, we have encouraged hospitals to take steps
toward the adoption of electronic health records (EHRs) that would
allow for reporting of clinical quality data from the EHRs directly to
a CMS data repository beginning with the FY 2006 Inpatient Prospective
Payment System (IPPS) Rule (70 FR 47420 through 47421). We have also
encouraged hospitals that are implementing, upgrading, or developing
EHR systems to ensure that the technology obtained, upgraded, or
developed conforms to standards adopted by the Department of Health and
Human Services (HHS).
In the IPPS 2010 proposed rule (74 FR 24182), we described our
intent to begin a voluntary testing program for the submission to CMS
of standardized data elements needed to calculate inpatient hospital
quality measures on the topics of Stroke, Venous thromboembolism, and
Emergency department throughput. These measures have not been adopted
for the Reporting Hospital Quality for Annual Payment Update (RHQDAPU)
program, and participation in this voluntary EHR-testing program will
not substitute for submission of data elements required under the
RHQDAPU program in a time, form and manner specified by the Secretary.
Similarly, non-participation in this voluntary program will not incur
any penalties.
[[Page 44368]]
The results of this voluntary testing process will enable CMS to assess
the feasibility of collecting data elements via electronic health
records as a future alternative to submission of manually abstracted
chart data elements by hospitals, thereby potentially reducing the
administrative burden associated with submission of quality measures
for the RHQDAPU program. Form Number: CMS-10296 (OMB: 0938-
New); Frequency: Reporting--Once; Affected Public: Private Sector--
Business or other for-profits and Not-for-profit institutions; Number
of Respondents: 55; Total Annual Responses: 55; Total Annual Hours:
28,655. (For policy questions regarding this collection contact Shaheen
Halim at 410-786-0641. 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 October 27, 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, Room C4-26-05, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
Dated: August 21, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-20845 Filed 8-27-09; 8:45 am]
BILLING CODE 4120-01-P