Agency Information Collection Activities: Proposed Collection; Comment Request, 35445-35446 [2011-15072]
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Federal Register / Vol. 76, No. 117 / Friday, June 17, 2011 / Notices
emcdonald on DSK2BSOYB1PROD with NOTICES
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 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.)
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS Web Site
address at https://www.cms.hhs.gov/
PaperworkReductionActof1995, or Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786–
1326.
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received by the OMB desk officer at
the address below, no later than 5 p.m.
on 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.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2011–15057 Filed 6–16–11; 8:45 am]
BILLING CODE 4120–01–P
VerDate Mar<15>2010
17:39 Jun 16, 2011
Jkt 223001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10334 and CMS–
10373]
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: Revision of a currently
approved collection; Title of
Information Collection: Application for
Coverage in the Pre-Existing Condition
Insurance Plan; Use: The Department of
Health and Human Services (HHS)
Centers for Medicare & Medicaid
Services, Center for Consumer
Information and Insurance Oversight is
requesting clearance by the Office of
Management and Budget for
modifications to this previously
approved collection package. These
changes are being requested to (1)
provide a mechanism for a PCIP
enrollee who has moved from a stateadministered PCIP to quickly and
efficiently enroll into the federallyadministered PCIP (2) provide a
mechanism for a PCIP applicant to
identify a third party entity will pay
their premium to ensure appropriate
premium billing (3) provide a
mechanism whereby a licensed
insurance agent or broker may identify
their referral of an applicant (4) request
employer information to expand ways to
identify and prevent instances of insurer
dumping and (5) make clarifications to
existing application language. Form
Number: CMS–10334 (OCN: 0938–1095)
AGENCY:
PO 00000
Frm 00050
Fmt 4703
Sfmt 4703
35445
Frequency: Once; Affected Public:
Individuals or households; Number of
Respondents: 83,333; Number of
Responses: 83,333; Total Annual Hours:
179,499. (For policy questions regarding
this collection, contact Laura Dash at
410–786–8623. For all other issues call
(410) 786–1326.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Medical Loss
Ratio Quarterly Reporting; Use: Under
Section 2718 of the Affordable Care Act
and implementing regulations at 45 CFR
Part 158 (75 FR 74865, December 1,
2010) as modified by technical
corrections on December 30, 2010 (75
FR 82277), a health insurance issuer
(issuer) offering group or individual
health insurance coverage must submit
a report to the Secretary concerning the
amount the issuer spends each year on
claims, quality improvement expenses,
non-claims costs, Federal and State
taxes and licensing or regulatory fees,
and the amount of earned premium. An
issuer must provide an annual rebate to
enrollees if the amount it spends on
certain costs compared to its premium
revenue (excluding Federal and States
taxes and licensing or regulatory fees)
does not meet a certain ratio, referred to
as the medical loss ratio (MLR). An
interim final rule (IFR) implementing
the MLR was published on December 1,
2010 (75 FR 74865) and modified by
technical corrections on December 30,
2010 (75 FR 82277), which added Part
158 to Title 45 of the Code of Federal
Regulations. The IFR is effective January
1, 2011. Issuers are required to submit
annual MLR reporting data for each
large group market, small group market,
and individual market within each State
in which the issuer conducts business.
For policies that have a total annual
limit of $250,000 or less (sometimes
referred to as ‘‘mini-med plans’’) and for
group policies that primarily cover
employees working outside the United
States (referred to as ‘‘expatriate plans’’),
the IFR applies a special circumstance
adjustment to the MLR data for the 2011
MLR reporting year. In order to evaluate
the appropriateness of this special
circumstance adjustment for years 2012
and beyond, issuers that provide such
policies are required to submit quarterly
MLR data to the Secretary for the 2011
MLR reporting year. We received several
comments in response to the emergency
30-day comment period that was
associated with CMS–10373. We have
taken into consideration all of the
revisions that were proposed and have
amended the quarterly reporting form to
include issuer contact information and
E:\FR\FM\17JNN1.SGM
17JNN1
emcdonald on DSK2BSOYB1PROD with NOTICES
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
]]>Agencies
[Federal Register Volume 76, Number 117 (Friday, June 17, 2011)]
[Notices]
[Pages 35445-35446]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-15072]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10334 and CMS-10373]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS) is publishing the following summary of proposed
collections for public comment. Interested persons are invited to send
comments regarding this burden estimate or any other aspect of this
collection of information, including any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (2) the accuracy of
the estimated burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of
automated collection techniques or other forms of information
technology to minimize the information collection burden.
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Application for
Coverage in the Pre-Existing Condition Insurance Plan; Use: The
Department of Health and Human Services (HHS) Centers for Medicare &
Medicaid Services, Center for Consumer Information and Insurance
Oversight is requesting clearance by the Office of Management and
Budget for modifications to this previously approved collection
package. These changes are being requested to (1) provide a mechanism
for a PCIP enrollee who has moved from a state-administered PCIP to
quickly and efficiently enroll into the federally-administered PCIP (2)
provide a mechanism for a PCIP applicant to identify a third party
entity will pay their premium to ensure appropriate premium billing (3)
provide a mechanism whereby a licensed insurance agent or broker may
identify their referral of an applicant (4) request employer
information to expand ways to identify and prevent instances of insurer
dumping and (5) make clarifications to existing application language.
Form Number: CMS-10334 (OCN: 0938-1095) Frequency: Once; Affected
Public: Individuals or households; Number of Respondents: 83,333;
Number of Responses: 83,333; Total Annual Hours: 179,499. (For policy
questions regarding this collection, contact Laura Dash at 410-786-
8623. For all other issues call (410) 786-1326.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medical Loss
Ratio Quarterly Reporting; Use: Under Section 2718 of the Affordable
Care Act and implementing regulations at 45 CFR Part 158 (75 FR 74865,
December 1, 2010) as modified by technical corrections on December 30,
2010 (75 FR 82277), a health insurance issuer (issuer) offering group
or individual health insurance coverage must submit a report to the
Secretary concerning the amount the issuer spends each year on claims,
quality improvement expenses, non-claims costs, Federal and State taxes
and licensing or regulatory fees, and the amount of earned premium. An
issuer must provide an annual rebate to enrollees if the amount it
spends on certain costs compared to its premium revenue (excluding
Federal and States taxes and licensing or regulatory fees) does not
meet a certain ratio, referred to as the medical loss ratio (MLR). An
interim final rule (IFR) implementing the MLR was published on December
1, 2010 (75 FR 74865) and modified by technical corrections on December
30, 2010 (75 FR 82277), which added Part 158 to Title 45 of the Code of
Federal Regulations. The IFR is effective January 1, 2011. Issuers are
required to submit annual MLR reporting data for each large group
market, small group market, and individual market within each State in
which the issuer conducts business. For policies that have a total
annual limit of $250,000 or less (sometimes referred to as ``mini-med
plans'') and for group policies that primarily cover employees working
outside the United States (referred to as ``expatriate plans''), the
IFR applies a special circumstance adjustment to the MLR data for the
2011 MLR reporting year. In order to evaluate the appropriateness of
this special circumstance adjustment for years 2012 and beyond, issuers
that provide such policies are required to submit quarterly MLR data to
the Secretary for the 2011 MLR reporting year. We received several
comments in response to the emergency 30-day comment period that was
associated with CMS-10373. We have taken into consideration all of the
revisions that were proposed and have amended the quarterly reporting
form to include issuer contact information and
[[Page 35446]]
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.
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
