Agency Information Collection Activities: Submission for OMB Review; Comment Request, 35446-35447 [2011-15071]
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35446
Federal Register / Vol. 76, No. 117 / Friday, June 17, 2011 / Notices
technical amendments to better align
the proposed quarterly reporting form to
the reporting forms that issuers submit
to the National Association of Insurance
Commissioners (NAIC). We have also
amended the form to create two
separate, but practically identical, forms
with corresponding instructions, so as
to allow issuers to nationally aggregate
the experience of expatriate plans and to
allow issuers to separately report the
experience of mini-med plans and
expatriate plans. We have also supplied
the instructions in a separate document
rather than at the bottom of each
reporting form. Form Number: CMS–
10373 (OCN: 0938–1132); Frequency:
Quarterly; Affected Public: Private
Sector: Business or other for-profits and
Not-for-profit institutions; Number of
Respondents: 75; Number of Responses:
825; Total Annual Hours: 51,480. (For
policy questions regarding this
collection, contact Carol Jimenez at
(301) 492–4109. 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.gov/
PaperworkReductionActof1995/PRAL/
list.asp#TopOfPage 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 at 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 16, 2011:
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.
VerDate Mar<15>2010
17:39 Jun 16, 2011
Jkt 223001
Dated: June 14, 2011.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2011–15072 Filed 6–16–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–1856 and CMS–
1893, CMS–10381 and CMS–10342]
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: Extension of a currently
approved collection; Title of
Information Collection: (CMS–1856)
Request for Certification in the Medicare
and/or Medicaid Program to Provide
Outpatient Physical Therapy and/or
Speech Pathology Services, and (CMS–
1893) Outpatient Physical Therapy—
Speech Pathology Survey Report; Use:
CMS–1856 is used as an application to
be completed by providers of outpatient
physical therapy and/or speechlanguage pathology services requesting
participation in the Medicare and
Medicaid programs. This form initiates
the process for obtaining a decision as
to whether the conditions of
participation are met as a provider of
outpatient physical therapy and/or
speech-language pathology services. It is
used by the State agencies to enter new
AGENCY:
PO 00000
Frm 00051
Fmt 4703
Sfmt 4703
provider into the Automated Survey
Process Environment (ASPEN). CMS–
1893 is used by the State survey agency
to record data collected during an onsite survey of a provider of outpatient
physical therapy and/or speechlanguage pathology services, to
determine compliance with the
applicable conditions of participation,
and to report this information to the
Federal government. The form is
primarily a coding worksheet designed
to facilitate data reduction and retrieval
into the ASPEN system. The
information needed to make
certification decisions is available to
CMS only through the use of
information abstracted from the form;
Form Numbers: CMS–1856 and CMS–
1893 (OMB#: 0938–0065); Frequency:
Annually, occasionally; Affected Public:
Private Sector; Business or other forprofit and not-for-profit institutions;
Number of Respondents: 2,968; Total
Annual Responses: 495; Total Annual
Hours: 866. (For policy questions
regarding this collection contact Georgia
Johnson at 410–786–6859. For all other
issues call 410–786–1326.)
2. Type of Information Collection
Request: New collection; Title of
Information Collection: Version 5010/
ICD–10 Industry Readiness Assessment,
Use: The Health Insurance Portability
and Accountability Act of 1996 (HIPAA)
requires the Secretary of HHS to adopt
transaction standards that covered
entities are required to use when
electronically conducting certain health
care administrative transactions, such as
claims, remittance, eligibility and
claims status requests and responses.
Accordingly, on January 16, 2009, HHS
published final rules adopting by
regulation two sets of standards for
HIPAA transactions: Version 5010
standards for eight types of electronic
health care transactions (claims,
eligibility inquiries, remittance advices,
etc.) and ICD–10 code set standards. The
final rules set compliance dates of
January 1, 2012 for Version 5010
standards and October 1, 2013 for ICD–
10 standards. HIPAA transactions not
meeting the standards by those dates
will be rejected. The final rules also
outlined interim milestones that
organizations should meet in order to
achieve compliance by the required
dates. For Version 5010, these interim
milestones include completing internal
testing and being able to send and
receive compliant transactions by
December 2010, commencing external
testing with trading partners by January
2011, and completing that testing and
moving into production by the
compliance date of January 1, 2012.
E:\FR\FM\17JNN1.SGM
17JNN1
emcdonald on DSK2BSOYB1PROD with NOTICES
Federal Register / Vol. 76, No. 117 / Friday, June 17, 2011 / Notices
Entities cannot implement ICD–10
standards until they are in compliance
with Version 5010; the interim
milestone for ICD–10 is to begin
compliance activities (gap analysis,
design, development, internal testing)
by January 2011.
CMS has developed an education and
communication campaign to support the
adoption of and transition to Version
5010 and ICD–10. The education and
communication activities will be
targeted towards the millions of
professionals across the health care
industry who must take steps to prepare
for the implementation of the new codes
and transaction standards. CMS is
requesting Office of Management and
Budget (OMB) approval to conduct
survey research to monitor the health
care industry’s awareness of, and
preparation for, the transition to Version
5010 and ICD–10. The aggregated data
obtained through the survey will help
inform CMS outreach and education
efforts to help affected entities (health
care providers, health plans,
clearinghouses, and then vendors who
service them) meet interim milestones
and achieve timely compliance so that
they can continue to process HIPAA
transactions without interruption.
CMS has contracted to conduct a
tracking survey of populations charged
with implementing Version 5010 and
ICD–10 electronic transaction
processing, specifically payers (health
insurance plans and managed care
organizations), providers (hospitals and
primary care providers), and vendors
(software providers, third-party billers
and clearinghouses). A selfadministered web-based survey will be
the data collection. The data collection
field period is expected to be four weeks
in Summer 2011. Form Number: CMS–
10381 (OMB#: 0938–NEW); Frequency:
Once; Affected Public: Business or other
for-profits and Not-for-profit
institutions; Number of Respondents:
600; Total Annual Responses: 600; Total
Annual Hours: 150. (For policy
questions regarding this collection
contact Rosali Topper at 410–786–7260.
For all other issues call 410–786–1326.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Annual Limits
Waiver Online Application Form; Use:
Under section 2711(a)(2) of the Public
Health Service Act, as amended by the
Affordable Care Act section 1302(b),
The Secretary of Health and Human
Services is required to impose
restrictions on the dollar value of
essential benefits provided by new or
existing group health plans or
individual policies in the market
VerDate Mar<15>2010
17:39 Jun 16, 2011
Jkt 223001
between September 23, 2010 and
January 1, 2014. The interim final
regulations published June 28, 2010 (45
CFR 147.126) give the Secretary the
authority to waive these restricted
annual limits if compliance would
result in a significant increase in
premium or significant decrease in
access to benefits for those already
covered. CMS is in the process of
evaluating applications for waivers of
annual limits and seeks to publish an
updated Microsoft Excel spreadsheet to
standardize and simplify the data
collection process. Applicants must fill
out (1) spreadsheet per application. The
spreadsheet is a mandatory component
of each waiver application necessary to
fulfill the statutory requirements under
section 2711(a)(2) of the Public Health
Service Act. The information collected
includes applicant contact information;
information about the annual limit(s) on
the overall plan or policy and on
essential health benefits (as defined by
the Affordable Care Act section
1302(b)); information about plan design
such as copayment, coinsurance, and
deductibles; financial projections by
enrollee tier; and a description of how
a significant decrease in access to
benefits would result from compliance
with section 2711(a)(2) of the Affordable
Care Act. This information is required to
accurately and objectively assess
whether compliance with the restricted
annual limits would result in the
aforementioned significant increase in
premium or significant decrease in
access to benefits, on which the grant of
a waiver is conditioned in the interim
final regulations. The updated
spreadsheet contains a more detailed
description of what values should be
entered into each cell. This description
should save applicants time when
completing the spreadsheet initially,
and it should lessen the need for
applicants to go back and correct
mistakes after submission. Form
Number: CMS–10342 (OCN: 0938–
1105); Frequency: Annually; Affected
Public: Private Sector; Number of
Respondents: 4,872; Number of
Responses: 4,608,372; Total Annual
Hours: 178,183. (For policy questions
regarding this collection, contact Erika
Kottenmeier at (301) 492–4170. 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
address at https://www.cms.hhs.gov/
PaperworkReductionActof1995, or Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
PO 00000
Frm 00052
Fmt 4703
Sfmt 4703
35447
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 July 18, 2011.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov.
Dated: June 14, 2011.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2011–15071 Filed 6–16–11; 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: Child and Family Services Plan
(CFSP), Annual Progress and Servicers
Review (ASPR), and Annual Budget
Expenses Request and Estimated
Expenditures (CFS–101).
OMB No.: 0980–0047.
Description
Under title IV–B, subparts 1 and 2, of
the Social Security Act (the Act), States,
Territories, and Tribes are required to
submit a Child and Family Services
Plan (CFSP). The CFSP lays the
groundwork for a system of coordinated,
integrated, and culturally relevant
family services for the subsequent five
years (45 CFR 1357.15(a)(1)). The CFSP
outlines initiatives and activities the
State, Tribe or territory will carry out in
administering programs and services to
promote the safety, permanency, and
well-being of children and families. By
June 30 of each year, States, Territories,
and Tribes are also required to submit
an Annual Progress and Services Report
(APSR) and a financial report called the
CFS–101. The APSR is a Yearly report
that discusses progress made by a State,
Territory or Tribe in accomplishing the
goals and objectives cited in its CFSP
(45 CFR 1357.16(a)). The APSR contains
new and updated information about
service needs and organizational
capacities throughout the five-year plan
period. The CFS–101 has three parts.
Part I is an annual budget request for the
upcoming fiscal year. Part II includes a
summary of planned expenditures by
E:\FR\FM\17JNN1.SGM
17JNN1
]]>Agencies
[Federal Register Volume 76, Number 117 (Friday, June 17, 2011)]
[Notices]
[Pages 35446-35447]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-15071]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-1856 and CMS-1893, CMS-10381 and CMS-10342]
Agency Information Collection Activities: Submission for OMB
Review; 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), 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: Extension of a currently
approved collection; Title of Information Collection: (CMS-1856)
Request for Certification in the Medicare and/or Medicaid Program to
Provide Outpatient Physical Therapy and/or Speech Pathology Services,
and (CMS-1893) Outpatient Physical Therapy--Speech Pathology Survey
Report; Use: CMS-1856 is used as an application to be completed by
providers of outpatient physical therapy and/or speech-language
pathology services requesting participation in the Medicare and
Medicaid programs. This form initiates the process for obtaining a
decision as to whether the conditions of participation are met as a
provider of outpatient physical therapy and/or speech-language
pathology services. It is used by the State agencies to enter new
provider into the Automated Survey Process Environment (ASPEN). CMS-
1893 is used by the State survey agency to record data collected during
an on-site survey of a provider of outpatient physical therapy and/or
speech-language pathology services, to determine compliance with the
applicable conditions of participation, and to report this information
to the Federal government. The form is primarily a coding worksheet
designed to facilitate data reduction and retrieval into the ASPEN
system. The information needed to make certification decisions is
available to CMS only through the use of information abstracted from
the form; Form Numbers: CMS-1856 and CMS-1893 (OMB: 0938-
0065); Frequency: Annually, occasionally; Affected Public: Private
Sector; Business or other for-profit and not-for-profit institutions;
Number of Respondents: 2,968; Total Annual Responses: 495; Total Annual
Hours: 866. (For policy questions regarding this collection contact
Georgia Johnson at 410-786-6859. For all other issues call 410-786-
1326.)
2. Type of Information Collection Request: New collection; Title of
Information Collection: Version 5010/ICD-10 Industry Readiness
Assessment, Use: The Health Insurance Portability and Accountability
Act of 1996 (HIPAA) requires the Secretary of HHS to adopt transaction
standards that covered entities are required to use when electronically
conducting certain health care administrative transactions, such as
claims, remittance, eligibility and claims status requests and
responses. Accordingly, on January 16, 2009, HHS published final rules
adopting by regulation two sets of standards for HIPAA transactions:
Version 5010 standards for eight types of electronic health care
transactions (claims, eligibility inquiries, remittance advices, etc.)
and ICD-10 code set standards. The final rules set compliance dates of
January 1, 2012 for Version 5010 standards and October 1, 2013 for ICD-
10 standards. HIPAA transactions not meeting the standards by those
dates will be rejected. The final rules also outlined interim
milestones that organizations should meet in order to achieve
compliance by the required dates. For Version 5010, these interim
milestones include completing internal testing and being able to send
and receive compliant transactions by December 2010, commencing
external testing with trading partners by January 2011, and completing
that testing and moving into production by the compliance date of
January 1, 2012.
[[Page 35447]]
Entities cannot implement ICD-10 standards until they are in compliance
with Version 5010; the interim milestone for ICD-10 is to begin
compliance activities (gap analysis, design, development, internal
testing) by January 2011.
CMS has developed an education and communication campaign to
support the adoption of and transition to Version 5010 and ICD-10. The
education and communication activities will be targeted towards the
millions of professionals across the health care industry who must take
steps to prepare for the implementation of the new codes and
transaction standards. CMS is requesting Office of Management and
Budget (OMB) approval to conduct survey research to monitor the health
care industry's awareness of, and preparation for, the transition to
Version 5010 and ICD-10. The aggregated data obtained through the
survey will help inform CMS outreach and education efforts to help
affected entities (health care providers, health plans, clearinghouses,
and then vendors who service them) meet interim milestones and achieve
timely compliance so that they can continue to process HIPAA
transactions without interruption.
CMS has contracted to conduct a tracking survey of populations
charged with implementing Version 5010 and ICD-10 electronic
transaction processing, specifically payers (health insurance plans and
managed care organizations), providers (hospitals and primary care
providers), and vendors (software providers, third-party billers and
clearinghouses). A self-administered web-based survey will be the data
collection. The data collection field period is expected to be four
weeks in Summer 2011. Form Number: CMS-10381 (OMB: 0938-NEW);
Frequency: Once; Affected Public: Business or other for-profits and
Not-for-profit institutions; Number of Respondents: 600; Total Annual
Responses: 600; Total Annual Hours: 150. (For policy questions
regarding this collection contact Rosali Topper at 410-786-7260. For
all other issues call 410-786-1326.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Annual Limits
Waiver Online Application Form; Use: Under section 2711(a)(2) of the
Public Health Service Act, as amended by the Affordable Care Act
section 1302(b), The Secretary of Health and Human Services is required
to impose restrictions on the dollar value of essential benefits
provided by new or existing group health plans or individual policies
in the market between September 23, 2010 and January 1, 2014. The
interim final regulations published June 28, 2010 (45 CFR 147.126) give
the Secretary the authority to waive these restricted annual limits if
compliance would result in a significant increase in premium or
significant decrease in access to benefits for those already covered.
CMS is in the process of evaluating applications for waivers of annual
limits and seeks to publish an updated Microsoft Excel spreadsheet to
standardize and simplify the data collection process. Applicants must
fill out (1) spreadsheet per application. The spreadsheet is a
mandatory component of each waiver application necessary to fulfill the
statutory requirements under section 2711(a)(2) of the Public Health
Service Act. The information collected includes applicant contact
information; information about the annual limit(s) on the overall plan
or policy and on essential health benefits (as defined by the
Affordable Care Act section 1302(b)); information about plan design
such as copayment, coinsurance, and deductibles; financial projections
by enrollee tier; and a description of how a significant decrease in
access to benefits would result from compliance with section 2711(a)(2)
of the Affordable Care Act. This information is required to accurately
and objectively assess whether compliance with the restricted annual
limits would result in the aforementioned significant increase in
premium or significant decrease in access to benefits, on which the
grant of a waiver is conditioned in the interim final regulations. The
updated spreadsheet contains a more detailed description of what values
should be entered into each cell. This description should save
applicants time when completing the spreadsheet initially, and it
should lessen the need for applicants to go back and correct mistakes
after submission. Form Number: CMS-10342 (OCN: 0938-1105); Frequency:
Annually; Affected Public: Private Sector; Number of Respondents:
4,872; Number of Responses: 4,608,372; Total Annual Hours: 178,183.
(For policy questions regarding this collection, contact Erika
Kottenmeier at (301) 492-4170. 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 address at https://www.cms.hhs.gov/PaperworkReductionActof1995, or
E-mail your request, including your address, phone number, OMB number,
and CMS document identifier, to Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786-1326.
To be assured consideration, comments and recommendations for the
proposed information collections must be received by the OMB desk
officer at the address below, no later than 5 p.m. on July 18, 2011.
OMB, Office of Information and Regulatory Affairs, Attention: CMS
Desk Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.
Dated: June 14, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-15071 Filed 6-16-11; 8:45 am]
BILLING CODE 4120-01-P
