Agency Information Collection Activities: Proposed Collection; Comment Request, 69847-69848 [2012-28381]
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Federal Register / Vol. 77, No. 225 / Wednesday, November 21, 2012 / Notices
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. Title of Information Collection:
Initial Plan Data Collection to Support
Qualified Health Plan (QHP)
Certification and Other Financial
Management and Exchange Operations;
Type of Information Collection Request:
New information collection; Use: As
required by the CMS–9989–F (77 CFR
18310, March 27, 2012): Establishment
of Exchanges and Qualified Health
Plans; Exchange Standards for
Employers (Exchange rule), each
Exchange must assume responsibilities
related to the certification and offering
of Qualified Health Plans (QHPs). To
offer insurance through an Exchange, a
health insurance issuer must have its
health plans certified as QHPs by the
Exchange. A QHP must meet certain
minimum certification standards, such
as essential community providers,
essential health benefits, and actuarial
value. In order to meet those standards,
the Exchange is responsible for
collecting data and validating that QHPs
meet these minimum requirements as
described in the Exchange rule under 45
CFR 155 and 156, based on the
Affordable Care Act, as well as other
requirements determined by the
Exchange. In addition to data collection
for the certification of QHPs, the
reinsurance and risk adjustment
programs outlined by the Affordable
Care Act, detailed in 45 CFR 153, CMS–
9975–F(77 FR 17220, March 23, 2012):
Standards for Reinsurance, Risk
Corridors, and Risk Adjustment, have
general information reporting
requirements that apply to non-QHPs
outside of the Exchanges.
The original 60-day comment period
began on July 6, 2012 (77 FR 40061). We
received a number of public comments
which addressed multiple issues. Some
of the commenters were concerned with
duplicate data collection. CMS is
working with States to minimize any
required document submission to
streamline and reduce duplication,
especially in future years. CMS has
oversight and enforcement
responsibilities unique to Exchanges
that may require more than verification
from a state. CMS has also aligned the
data collection for SBCs, healthcare.gov,
VerDate Mar<15>2010
16:56 Nov 20, 2012
Jkt 229001
and EHB. Other commenters asked for
more clarification on the data elements
we are collection. We have included
those data elements in this data
collection. Furthermore, CMS will
provide greater clarification on its
process associated with QHP
certification, essential community
providers, and network adequacy among
other QHP certification requirements.
We have taken into consideration all of
the proposed suggestions and have
made changes to this collection of
information. In addition, CMS is
increasing the estimated burden by 21
hours.
Form Number: CMS–10433;
Frequency: Annually; Affected Public:
States and Private Sector: Business or
other for-profits and not-for-profit
institutions; Number of Respondents:
3490; Number of Responses: 3490; Total
Annual Hours: 242,190 hours in year
one and 184,110 hours in years two and
three. (For policy questions regarding
the QHP Certification data collection,
contact Gina Zdanowicz at (301) 492–
4451. For policy questions regarding
risk adjustment and reinsurance data
collection, contact Milan Shah at (301)
492–4427. 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 December 21, 2012. OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974, Email: OIRA_
submission@omb.eop.gov.
Dated: November 16, 2012.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2012–28379 Filed 11–20–12; 8:45 am]
BILLING CODE 4120–01–P
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69847
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10451 and CMS–
10455]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS) is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicare
Uniform Institutional Provider Bill and
Supporting Regulations in 42 CFR
424.5; Use: Section 42 CFR 424.5(a)(5)
requires providers of services to submit
a claim for payment prior to any
Medicare reimbursement. Charges billed
are coded by revenue codes. The bill
specifies diagnoses according to the
International Classification of Diseases,
Ninth Edition (ICD–9–CM) code.
Inpatient procedures are identified by
ICD–9–CM codes, and outpatient
procedures are described using the CMS
Common Procedure Coding System
(HCPCS). These are standard systems of
identification for all major health
insurance claims payers. Submission of
information on the CMS–1450 permits
Medicare intermediaries to receive
consistent data for proper payment.
Form Numbers: CMS–1450 (UB–04)
(OMB#: 0938–0997); Frequency:
Reporting—On occasion; Affected
Public: Not-for-profit institutions,
business or other for-profit; Number of
Respondents: 53,111; Total Annual
Responses: 181,909,654; Total Annual
Hours: 1,567,455. (For policy questions
AGENCY:
E:\FR\FM\21NON1.SGM
21NON1
srobinson on DSK4SPTVN1PROD with
69848
Federal Register / Vol. 77, No. 225 / Wednesday, November 21, 2012 / Notices
regarding this collection contact Matt
Klischer at 410–786–7488. For all other
issues call 410–786–1326.)
2. Type of Information Collection
Request: New collection; Title of
Information Collection: Report of a
Hospital Death Associated with
Restraint or Seclusion; Use: Executive
Order 13563, Improving Regulation and
Regulatory Review, was signed on
January 18, 2011. The order recognized
the importance of a streamlined,
effective, and efficient regulatory
framework designed to promote
economic growth, innovation, job
creation, and competitiveness. Each
agency was directed to establish an
ongoing plan to reduce or eliminate
burdensome, obsolete, or unnecessary
regulations to create a more efficient
and flexible structure.
The regulation that was published on
May, 16, 2012 (77 FR 29034) included
a reduction in the reporting requirement
related to hospital deaths associated
with the use of restraint or seclusion,
§ 482.13(g). Hospitals are no longer
required to report to CMS those deaths
where there was no use of seclusion and
the only restraint was 2-point soft wrist
restraints. It is estimated that this will
reduce the volume of reports that must
be submitted by 90 percent for
hospitals. In addition, the final rule
replaced the previous requirement for
reporting via telephone to CMS, which
proved to be cumbersome for both CMS
and hospitals, with a requirement that
allows submission of reports via
telephone, facsimile or electronically, as
determined by CMS. Finally, the
amount of information that CMS needs
for each death report in order for CMS
to determine whether further on-site
investigation is needed has been
reduced.
The Child Health Act (CHA) of 2000
established in Title V, Part H, Section
591 of the Public Health Service Act
(PHSA) minimum requirements
concerning the use of restraints and
seclusion in facilities that receive
support with funds appropriated to any
Federal department or agency. In
addition, the CHA enacted Section 592
of the PHSA, which establishes
minimum mandatory reporting
requirements for deaths in such
facilities associated with use of restraint
or seclusion. Provisions implementing
this statutory reporting requirement for
hospitals participating in Medicare are
found at 42 CFR 482.13(g), as revised in
the final rule that published on May 16,
2012 (77 FR 29034). Form Number:
CMS–10455 (OCN: 0938–New);
Frequency: Occasionally; Affected
Public: Private Sector. Number of
Respondents: 4,900. Number of
VerDate Mar<15>2010
16:56 Nov 20, 2012
Jkt 229001
Responses: 24,500. Total Annual Hours:
8,085. (For policy questions regarding
this collection contact Danielle Miller at
410–786–8818. 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.
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 January 22, 2013:
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 llll, Room C4–26–
05, 7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: November 16, 2012.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2012–28381 Filed 11–20–12; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–8046–N]
RIN 0938–AR14
Medicare Program; Inpatient Hospital
Deductible and Hospital and Extended
Care Services Coinsurance Amounts
for CY 2013
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This notice announces the
inpatient hospital deductible and the
SUMMARY:
PO 00000
Frm 00060
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hospital and extended care services
coinsurance amounts for services
furnished in calendar year (CY) 2013
under Medicare’s Hospital Insurance
Program (Medicare Part A). The
Medicare statute specifies the formulae
used to determine these amounts. For
CY 2013, the inpatient hospital
deductible will be $1,184. The daily
coinsurance amounts for CY 2013 will
be: $296 for the 61st through 90th day
of hospitalization in a benefit period;
$592 for lifetime reserve days; and $148
for the 21st through 100th day of
extended care services in a skilled
nursing facility in a benefit period.
DATES: This notice is effective on
January 1, 2013.
FOR FURTHER INFORMATION CONTACT:
Clare McFarland, (410) 786–6390 for
general information.
Gregory J. Savord, (410) 786–1521 for
case-mix analysis.
SUPPLEMENTARY INFORMATION:
I. Background
Section 1813 of the Social Security
Act (the Act) provides for an inpatient
hospital deductible to be subtracted
from the amount payable by Medicare
for inpatient hospital services furnished
to a beneficiary. It also provides for
certain coinsurance amounts to be
subtracted from the amounts payable by
Medicare for inpatient hospital and
extended care services. Section
1813(b)(2) of the Act requires us to
determine and publish each year the
amount of the inpatient hospital
deductible and the hospital and
extended care services coinsurance
amounts applicable for services
furnished in the following calendar year
(CY).
II. Computing the Inpatient Hospital
Deductible for CY 2013
Section 1813(b) of the Act prescribes
the method for computing the amount of
the inpatient hospital deductible. The
inpatient hospital deductible is an
amount equal to the inpatient hospital
deductible for the preceding CY,
adjusted by our best estimate of the
payment-weighted average of the
applicable percentage increases (as
defined in section 1886(b)(3)(B) of the
Act) used for updating the payment
rates to hospitals for discharges in the
fiscal year (FY) that begins on October
1 of the same preceding CY, and
adjusted to reflect changes in real casemix. The adjustment to reflect real casemix is determined on the basis of the
most recent case-mix data available. The
amount determined under this formula
is rounded to the nearest multiple of $4
E:\FR\FM\21NON1.SGM
21NON1
]]>Agencies
[Federal Register Volume 77, Number 225 (Wednesday, November 21, 2012)]
[Notices]
[Pages 69847-69848]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-28381]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10451 and CMS-10455]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS) is publishing the following summary of proposed
collections for public comment. Interested persons are invited to send
comments regarding this burden estimate or any other aspect of this
collection of information, including any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (2) the accuracy of
the estimated burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of
automated collection techniques or other forms of information
technology to minimize the information collection burden.
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare Uniform
Institutional Provider Bill and Supporting Regulations in 42 CFR 424.5;
Use: Section 42 CFR 424.5(a)(5) requires providers of services to
submit a claim for payment prior to any Medicare reimbursement. Charges
billed are coded by revenue codes. The bill specifies diagnoses
according to the International Classification of Diseases, Ninth
Edition (ICD-9-CM) code. Inpatient procedures are identified by ICD-9-
CM codes, and outpatient procedures are described using the CMS Common
Procedure Coding System (HCPCS). These are standard systems of
identification for all major health insurance claims payers. Submission
of information on the CMS-1450 permits Medicare intermediaries to
receive consistent data for proper payment. Form Numbers: CMS-1450 (UB-
04) (OMB: 0938-0997); Frequency: Reporting--On occasion;
Affected Public: Not-for-profit institutions, business or other for-
profit; Number of Respondents: 53,111; Total Annual Responses:
181,909,654; Total Annual Hours: 1,567,455. (For policy questions
[[Page 69848]]
regarding this collection contact Matt Klischer at 410-786-7488. For
all other issues call 410-786-1326.)
2. Type of Information Collection Request: New collection; Title of
Information Collection: Report of a Hospital Death Associated with
Restraint or Seclusion; Use: Executive Order 13563, Improving
Regulation and Regulatory Review, was signed on January 18, 2011. The
order recognized the importance of a streamlined, effective, and
efficient regulatory framework designed to promote economic growth,
innovation, job creation, and competitiveness. Each agency was directed
to establish an ongoing plan to reduce or eliminate burdensome,
obsolete, or unnecessary regulations to create a more efficient and
flexible structure.
The regulation that was published on May, 16, 2012 (77 FR 29034)
included a reduction in the reporting requirement related to hospital
deaths associated with the use of restraint or seclusion, Sec.
482.13(g). Hospitals are no longer required to report to CMS those
deaths where there was no use of seclusion and the only restraint was
2-point soft wrist restraints. It is estimated that this will reduce
the volume of reports that must be submitted by 90 percent for
hospitals. In addition, the final rule replaced the previous
requirement for reporting via telephone to CMS, which proved to be
cumbersome for both CMS and hospitals, with a requirement that allows
submission of reports via telephone, facsimile or electronically, as
determined by CMS. Finally, the amount of information that CMS needs
for each death report in order for CMS to determine whether further on-
site investigation is needed has been reduced.
The Child Health Act (CHA) of 2000 established in Title V, Part H,
Section 591 of the Public Health Service Act (PHSA) minimum
requirements concerning the use of restraints and seclusion in
facilities that receive support with funds appropriated to any Federal
department or agency. In addition, the CHA enacted Section 592 of the
PHSA, which establishes minimum mandatory reporting requirements for
deaths in such facilities associated with use of restraint or
seclusion. Provisions implementing this statutory reporting requirement
for hospitals participating in Medicare are found at 42 CFR 482.13(g),
as revised in the final rule that published on May 16, 2012 (77 FR
29034). Form Number: CMS-10455 (OCN: 0938-New); Frequency:
Occasionally; Affected Public: Private Sector. Number of Respondents:
4,900. Number of Responses: 24,500. Total Annual Hours: 8,085. (For
policy questions regarding this collection contact Danielle Miller at
410-786-8818. 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.
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 January 22, 2013:
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: November 16, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-28381 Filed 11-20-12; 8:45 am]
BILLING CODE 4120-01-P
