Agency Information Collection Activities: Submission for OMB Review; Comment Request, 26034-26035 [2013-10530]
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Federal Register / Vol. 78, No. 86 / Friday, May 3, 2013 / Notices
performance. Such data uses require
more rigorous designs that address: the
target population to which
generalizations will be made, the
sampling frame, the sample design
(including stratification and clustering),
the precision requirements or power
calculations that justify the proposed
sample size, the expected response rate,
methods for assessing potential nonresponse bias, the protocols for data
collection, and any testing procedures
that were or will be undertaken prior
fielding the study. Depending on the
degree of influence the results are likely
to have, such collections may still be
eligible for submission for other generic
mechanisms that are designed to yield
quantitative results.
The Agency received no comments in
response to the 60-day notice published
in the Federal Register on December 22,
2010 (75 FR 80542, pages 80542–80543).
Number of
respondents
Type of collection
Online surveys .................................................................................................
In person interviews .........................................................................................
Focus groups ...................................................................................................
Ron A. Otten,
Director, Office of Scientific Integrity, Office
of the Associate Director for Science, Office
of the Director, Centers for Disease Control
and Prevention.
[FR Doc. 2013–10435 Filed 5–2–13; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–276, CMS–339,
and CMS–R–282]
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.
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Annual
frequency
per response
20,000
120
120
1. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title:
Prepaid Health Plan Cost Report; Use:
Health Maintenance Organizations and
Competitive Medical Plans contracting
with the Secretary under section 1876 of
the Social Security Act are required to
submit a budget and enrollment
forecast, semi-annual interim report,
interim final cost report, and a final
certified cost report in accordance with
42 CFR 417.572 through 417.576. Health
Care Prepayment Plans contracting with
the Secretary under section 1833 of the
Social Security Act are required to
submit a budget and enrollment
forecast, semi-annual interim report,
and final cost report in accordance with
42 CFR 417.808 and 417.810. CMS is
requesting approval for the
reinstatement with change of form
CMS–276. The Cost Report outlines the
provisions for implementing sections
1876(h) and 1833(a)(1)(A) of the Act.
The purposes of the revisions are to
implement certain changes associated
with the Affordable Care Act, clarify
instructions, and update outdated issues
within the Cost Report and the Budget
Report. Form Number: CMS–276 (OCN
0938–0165); Frequency: Yearly; Affected
Public: Private Sector—Business or
other for-profits and not-for-profit
institutions; Number of Respondents:
77; Total Annual Responses: 106; Total
Annual Hours: 4,372. (For policy
questions regarding this collection
contact Temeshia Johnson at 410–786–
8692. For all other issues call 410–786–
1326.)
2. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Medicare
Provider Cost Report Reimbursement
Questionnaire; Use: The purpose of
PO 00000
This is a new collection of
information. Respondents will be
screened and selected from Individuals
and Households, Businesses,
Organizations, and/or State, Local or
Tribal Government. Below we provide
CDC’s projected annualized estimate for
the next three years. There is no cost to
respondents other than their time. The
estimated annualized burden hours for
this data collection activity are 13,933.
1
1
1
Average
number of
activities
Hours per
response
2
2
2
20/60
60/60
90/60
form CMS–339 is to assist the provider
in preparing an acceptable cost report
and to minimize subsequent contact
between the provider and its Medicare
Administrative Contractor (MAC). The
form provides the basic data necessary
to support the information in the cost
report.
Exhibit 1 of form CMS–339 contains
a series of reimbursement-oriented
questions which serve to update
information on the operations of the
provider. It is arranged topically
regarding financial activities such as
independent audits, provider
organization and operation, etc. The
MAC is responsible for the settlement of
the Medicare cost report and must
determine the reasonableness and the
accuracy of the reimbursement claimed.
This process includes performing both a
desk review of the cost report and an
analysis leading to a decision to settle
the cost report with or without further
audit. The form provides essential
information to enable the MAC to make
the audit or no audit decision, scope of
the audit if one is necessary, and to
update the provider documentation (i.e.,
documentation to support the financial
profile of the provider). If the
information is not collected, the MAC
will have to go onsite to each provider
to get this information. Consequently, it
is far less burdensome and extremely
cost effective to capture this information
through the form CMS–339.
Exhibit 2 of form CMS–339 is a listing
of bad debts pertaining to uncollectible
Medicare deductible and coinsurance
amounts. Preparation of the listing is a
convenient way for providers to supply
the MAC with information needed to
determine the allowability of the bad
debts for reimbursement. Some items
required to determine allowability that
are included on this exhibit are patient’s
E:\FR\FM\03MYN1.SGM
03MYN1
erowe on DSK2VPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 86 / Friday, May 3, 2013 / Notices
name, dates of service, date first bill
sent to beneficiary, and date the
collection effort ceased. Supplying the
MAC with this information may be all
that is required for the MAC to
determine whether or not the bad debt
is allowable. This too may eliminate a
visit to the provider to gather this
needed data. Form Number: CMS–339
(OCN 0938–0301); Frequency: Yearly;
Affected Public: Private Sector—
Business or other for-profits and not-forprofit institutions; Number of
Respondents: 23,391; Total Annual
Responses: 23,391; Total Annual Hours:
75,625. (For policy questions regarding
this collection contact Christine
Dobrzycki at 410–786–3389. For all
other issues call 410–786–1326.)
3. Type of Information Collection
Request: Extension. Title of Information
Collection: Medicare Advantage
Appeals and Grievance Data Disclosure
Requirements (42 CFR 422.111). Use:
Section 1852(c)(2)(C) of the Social
Security Act and 42 CFR 422.111(c)(3)
require that Medicare Advantage (MA)
organizations and demonstrations
disclose information pertaining to the
number of disputes, and their
disposition in the aggregate, with the
categories of grievances and appeals to
any individual eligible to elect an MA
organization who requests this
information. MA organizations and
demonstrations remain under a
requirement to collect and provide this
information to individuals eligible to
elect an MA organization, we continue
to need the same format and form for
reporting. Form Number: CMS–R–282
(OCN 0938–0778). Frequency: Annually
and semi-annually. Affected Public:
Private Sector (business or other forprofit and not-for-profit institutions).
Number of Respondents: 51,370. Total
Annual Responses: 52,260. Total
Annual Hours: 5,414. (For policy
questions regarding this collection
contact Stephanie Simons at 206–615–
2420. 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.
VerDate Mar<15>2010
14:52 May 02, 2013
Jkt 229001
on June 3, 2013. OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974, Email:
OIRA_submission@omb.eop.gov.
Dated: April 30, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–10530 Filed 5–2–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10146, CMS–
10286, CMS–10308, and CMS–10339]
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: Notice of Denial
of Medicare Prescription Drug Coverage.
Use: Section 1860D–4(g)(1) of the Social
Security Act, requires that Part D plan
sponsors who deny prescription drug
coverage must provide a written notice
of the denial to the enrollee. The written
notice must include a statement, in
understandable language, of the reasons
for the denial and a description of the
appeals process. The Part D denial
notice has been revised for clarity and
includes new optional language for Part
D plan sponsors to use when explaining
their denial rationale. Specifically, CMS
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26035
has added optional language in the
denial rationale section of the notice to
allow plans to populate text explaining
that a drug denied under Part D may be
(or is) covered under a different benefit,
such as Part B. The instructions have
also been changed to guide plans on
when to use this optional text. CMS
solicits feedback on this new addition as
well as other situations where another
benefit may cover a drug (i.e. employer
group benefits) and what changes to the
denial notice may be helpful in
addressing those situations. CMS also
seeks comment regarding the potential
viability and usefulness of developing a
combined notice for Part C and Part D,
which would allow MA–PD plans that
deny a drug under Part D to
simultaneously issue an approval letter
under Part B. Form Number: CMS–
10146 (OCN 0938–0976). Frequency:
Occasionally. Affected Public: Private
sector (business or other for-profits).
Number of Respondents: 596. Total
Annual Responses: 1,497,929. Total
Annual Hours: 374,482. (For policy
questions regarding this collection
contact Caroline L Baker at 410–786–
0116. For all other issues call 410–786–
1326.)
2. Type of Information Collection
Request: Reinstatement with change of a
previously approved information
collection; Title of Information
Collection: Notice of Research Exception
under the Genetic Information
Nondiscrimination Act; Use: Under the
Genetic Information Nondiscrimination
Act of 2008 (GINA), a plan or issuer may
request (but not require) a genetic test in
connection with certain research
activities so long as such activities
comply with specific requirements,
including: (i) The research complies
with 45 CFR part 46 or equivalent
federal regulations and applicable state
or local law or regulations for the
protection of human subjects in
research; (ii) the request for the
participant or beneficiary (or in the case
of a minor child, the legal guardian of
such beneficiary) is made in writing and
clearly indicates that compliance with
the request is voluntary and that noncompliance will have no effect on
eligibility for benefits or premium or
contribution amounts; and (iii) no
genetic information collected or
acquired will be used for underwriting
purposes. The Secretary of Labor or the
Secretary of Health and Human Services
is required to be notified if a group
health plan or health insurance issuer
intends to claim the research exception
permitted under Title I of GINA.
Nonfederal governmental group health
plans and issuers solely in the
E:\FR\FM\03MYN1.SGM
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]]>Agencies
[Federal Register Volume 78, Number 86 (Friday, May 3, 2013)]
[Notices]
[Pages 26034-26035]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-10530]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-276, CMS-339, and CMS-R-282]
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: Reinstatement with
change of a previously approved collection; Title: Prepaid Health Plan
Cost Report; Use: Health Maintenance Organizations and Competitive
Medical Plans contracting with the Secretary under section 1876 of the
Social Security Act are required to submit a budget and enrollment
forecast, semi-annual interim report, interim final cost report, and a
final certified cost report in accordance with 42 CFR 417.572 through
417.576. Health Care Prepayment Plans contracting with the Secretary
under section 1833 of the Social Security Act are required to submit a
budget and enrollment forecast, semi-annual interim report, and final
cost report in accordance with 42 CFR 417.808 and 417.810. CMS is
requesting approval for the reinstatement with change of form CMS-276.
The Cost Report outlines the provisions for implementing sections
1876(h) and 1833(a)(1)(A) of the Act. The purposes of the revisions are
to implement certain changes associated with the Affordable Care Act,
clarify instructions, and update outdated issues within the Cost Report
and the Budget Report. Form Number: CMS-276 (OCN 0938-0165); Frequency:
Yearly; Affected Public: Private Sector--Business or other for-profits
and not-for-profit institutions; Number of Respondents: 77; Total
Annual Responses: 106; Total Annual Hours: 4,372. (For policy questions
regarding this collection contact Temeshia Johnson at 410-786-8692. For
all other issues call 410-786-1326.)
2. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Medicare Provider Cost Report Reimbursement Questionnaire;
Use: The purpose of form CMS-339 is to assist the provider in preparing
an acceptable cost report and to minimize subsequent contact between
the provider and its Medicare Administrative Contractor (MAC). The form
provides the basic data necessary to support the information in the
cost report.
Exhibit 1 of form CMS-339 contains a series of reimbursement-
oriented questions which serve to update information on the operations
of the provider. It is arranged topically regarding financial
activities such as independent audits, provider organization and
operation, etc. The MAC is responsible for the settlement of the
Medicare cost report and must determine the reasonableness and the
accuracy of the reimbursement claimed. This process includes performing
both a desk review of the cost report and an analysis leading to a
decision to settle the cost report with or without further audit. The
form provides essential information to enable the MAC to make the audit
or no audit decision, scope of the audit if one is necessary, and to
update the provider documentation (i.e., documentation to support the
financial profile of the provider). If the information is not
collected, the MAC will have to go onsite to each provider to get this
information. Consequently, it is far less burdensome and extremely cost
effective to capture this information through the form CMS-339.
Exhibit 2 of form CMS-339 is a listing of bad debts pertaining to
uncollectible Medicare deductible and coinsurance amounts. Preparation
of the listing is a convenient way for providers to supply the MAC with
information needed to determine the allowability of the bad debts for
reimbursement. Some items required to determine allowability that are
included on this exhibit are patient's
[[Page 26035]]
name, dates of service, date first bill sent to beneficiary, and date
the collection effort ceased. Supplying the MAC with this information
may be all that is required for the MAC to determine whether or not the
bad debt is allowable. This too may eliminate a visit to the provider
to gather this needed data. Form Number: CMS-339 (OCN 0938-0301);
Frequency: Yearly; Affected Public: Private Sector--Business or other
for-profits and not-for-profit institutions; Number of Respondents:
23,391; Total Annual Responses: 23,391; Total Annual Hours: 75,625.
(For policy questions regarding this collection contact Christine
Dobrzycki at 410-786-3389. For all other issues call 410-786-1326.)
3. Type of Information Collection Request: Extension. Title of
Information Collection: Medicare Advantage Appeals and Grievance Data
Disclosure Requirements (42 CFR 422.111). Use: Section 1852(c)(2)(C) of
the Social Security Act and 42 CFR 422.111(c)(3) require that Medicare
Advantage (MA) organizations and demonstrations disclose information
pertaining to the number of disputes, and their disposition in the
aggregate, with the categories of grievances and appeals to any
individual eligible to elect an MA organization who requests this
information. MA organizations and demonstrations remain under a
requirement to collect and provide this information to individuals
eligible to elect an MA organization, we continue to need the same
format and form for reporting. Form Number: CMS-R-282 (OCN 0938-0778).
Frequency: Annually and semi-annually. Affected Public: Private Sector
(business or other for-profit and not-for-profit institutions). Number
of Respondents: 51,370. Total Annual Responses: 52,260. Total Annual
Hours: 5,414. (For policy questions regarding this collection contact
Stephanie Simons at 206-615-2420. 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 June 3, 2013.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, Email: OIRA_submission@omb.eop.gov.
Dated: April 30, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-10530 Filed 5-2-13; 8:45 am]
BILLING CODE 4120-01-P
