Agency Information Collection Activities: Proposed Collection; Comment Request, 29137-29139 [2013-11812]
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Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices
Of those nine comments, three were
related to the information collection
request and six were out of scope.
Specifically, one commenter requested a
process that would allow web-brokers to
enroll people without reporting
individual issuer appointments, and
CMS made this revision to the
registration process. We also received
some questions about how the training
process will work. We confirmed that
agents and brokers will only need to
register for the FFE once and that CMS
will host the training program, as
opposed to individual issuers. As a
result of the comments, we modified
both the registration process and
simplified how agents and brokers
would participate in the Exchanges to
make it align more closely with how
issuers, agents, and web-brokers
currently do business. Form Number:
CMS–10464 (OCN: 0938–NEW);
Frequency: Annually; Affected Public:
Private Sector—Business or Other ForProfit, Non-For-Profit Institutions, or
Farms; Number of Respondents:
350,000; Total Annual Responses:
350,000; Total Annual Hours: 175,000
hours. (For policy questions regarding
this collection contact Leigha Basini at
301–492–4307. For all other issues call
410–786–1326.)
6. Type of Information Collection
Request: Revision of a currently
approved collection. Title of
Information Collection: Electronic
Funds Transfers Authorization
Agreement; Use: The primary function
of the Electronic Funds Transfer
Authorization Agreement (CMS 588) is
to gather information from a provider/
supplier to establish an electronic
payment process.
The legal authority to collect this
information is found in Section 1815(a)
of the Social Security Act. This section
provides authority for the Secretary of
Health and Human Services to pay
providers/suppliers of Medicare
services. Under 31 U.S.C. 3332(f)(1), all
federal payments, including Medicare
payments to providers and suppliers,
shall be made by electronic funds
transfer. 31 U.S.C. 7701 (c) requires that
any person or entity doing business
with the federal government must
provide their Tax Identification Number
(TIN).
The goal of this submission is to
renew the data collection. Only two
minor revisions for systems
requirements will be made at this time,
specifically adding a street address line
for the location of the financial
institution and adding an additional
National Provider Identification (NPI)
number collection field for those
providers/suppliers who have more
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than one NPI. Form Number: CMS–588
(OCN: 0938–0626); Frequency:
Occasionally; Affected Public: Private
Sector—Business or other for-profits
and not-for-profit institutions; Number
of Respondents: 94,000; Total Annual
Responses: 94,000; Total Annual Hours:
23,500. (For policy questions regarding
this collection contact Kim McPhillips
at 410–786–5374. 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 17, 2013.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395–6974,
Email: OIRA_submission@omb.eop.gov.
Dated: May 14, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–11811 Filed 5–16–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10088, CMS–
10265, CMS–10477 and CMS–R–13]
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
AGENCY:
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29137
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: Notification of
Fiscal Intermediaries (FIs) and CMS of
Co-located Medicare Providers and
Supporting Regulations in 42 CFR
412.22 and 412.532; Use: Many longterm care hospitals (LTCHs) are colocated with other Medicare providers
(acute care hospitals, inpatient
rehabilitation facilities (IRFs), skilled
nursing facilities (SNFs), and
psychiatric facilities), which leads to
potential gaming of the Medicare system
based on patient shifting. We are
requiring LTCHs to notify fiscal
intermediaries (FIs), Medicare
administrative contractors (MACs), and
CMS of co-located providers and
establish policies to limit payment
abuse that will be based on FIs and
MACs tracking patient movement
among these co-located providers 42
CFR 412.22(e)(6) and (h)(5).
Based upon being able to identify colocated providers, FIs, MACs, and CMS
will be able to track patient shifting
between LTCHs and other in-patient
providers which will lead to appropriate
payments under § 412.532. That section
limits payments to LTCHs where over 5
percent of admissions represent patients
who had been sequentially discharged
by the LTCH, admitted to an on-site
provider, and subsequently readmitted
to the LTCH. Since each discharge
triggers a Medicare payment, we
implemented this policy to discourage
payment abuse.
Form Number: CMS–10088 (OCN:
0938–0897); Frequency: Occasionally;
Affected Public: Private Sector—
Business or other for-profit and not-forprofit institutions; Number of
Respondents: 25; Total Annual
Responses: 25; Total Annual Hours: 6.
(For policy questions regarding this
collection contact Judy Richter at 410–
786–2590. For all other issues call 410–
786–1326.)
2. Type of Information Collection
Request: Reinstatement with a change of
a previously approved collection; Title
of Information Collection: Mandatory
Insurer Reporting Requirements of
Section 111 of the Medicare, Medicaid
and SCHIP Act of 2007; Use: Section
E:\FR\FM\17MYN1.SGM
17MYN1
wreier-aviles on DSK5TPTVN1PROD with NOTICES
29138
Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices
111 of the Medicare, Medicaid and
SCHIP Extension Act of 2007 (Pub. L.
110–173) (MMSEA) amends the
Medicare Secondary Payer (MSP)
provisions of the Social Security Act (42
U.S.C. 1395y(b)) to provide for
mandatory reporting by group health
plan arrangements and by liability
insurance (including self-insurance), nofault insurance, and workers’
compensation laws and plans. The law
provides that, notwithstanding any
other provision of law, the Secretary of
Health and Human Services may
implement this provision by program
instruction or otherwise. The Secretary
has elected not to implement the
provision through rulemaking and will
implement by publishing instructions
on a publicly available Web site and
submitting an information collection
request to OMB for review and approval
of the associated information collection
requirements.
Effective January 1, 2009, as required
by the MMSEA, an entity serving as an
insurer or third party administrator for
a group health plan and, in the case of
a group health plan that is self-insured
and self-administered, a plan
administrator or fiduciary must: (1)
Secure from the plan sponsor and plan
participants such information as the
Secretary may specify to identify
situations where the group health plan
is a primary plan to Medicare; and (2)
report such information to the Secretary
in the form and manner (including
frequency) specified by the Secretary.
Effective July 1, 2009, as required by
the MMSEA, ‘‘applicable plans,’’ must:
(1) Determine whether a claimant is
entitled to Medicare benefits; and, if so,
(2) report the identity of such claimant
and provide such other information as
the Secretary may require to properly
coordinate Medicare benefits with
respect to such insurance arrangements
in the form and manner (including
frequency) as the Secretary may specify
after the claim is resolved through a
settlement, judgment, award or other
payment (regardless of whether or not
there is a determination or admission of
liability). Applicable plan refers to the
following laws, plans or other
arrangements, including the fiduciary or
administrator for such law, plan or
arrangement: (1) Liability insurance
(including self-insurance); (2) No-fault
insurance; and (3) Workers’
compensation laws or plans. As
indicated, the Secretary has elected to
implement this provision by publishing
instructions at a Web site established for
such purpose. The Web site is (https://
www.cms.hhs.gov/MandatoryInsRep/).
CMS shall use this Web site to publish
preliminary guidance as well as the
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Jkt 229001
final instructions. The Web site also
advises interested parties how to
comment on the preliminary guidance.
Form Number: CMS–10265 (OCN:
0938–1074); Frequency: Yearly; Affected
Public: Private Sector—Business or
other for-profits and not-for-profit
institutions, State, Local or Tribal
Governments; Number of Respondents:
22,647; Total Annual Responses:
22,647; Total Annual Hours: 333,130.
(For policy questions regarding this
collection contact Cynthia Ginsburg at
410–786–2579. For all other issues call
410–786–1326.)
3. Type of Information Collection
Request: New Collection (Request for a
new control number); Title of
Information Collection: Medicaid
Incentives for Prevention of Chronic
Disease (MIPCD) Demonstration; Use:
Under section 4108(d)(1) of the
Affordable Care Act, the Centers for
Medicare & Medicaid Services (CMS) is
required to contract with an
independent entity or organization to
conduct an evaluation of the Medicaid
Incentives for Prevention of Chronic
Disease (MIPCD) demonstration. The
contractor will conduct state site visits,
two rounds of focus group discussions,
interviews with key program
stakeholders, and field a beneficiary
satisfaction survey. Both the state site
visits and interviews with key program
stakeholders will entail one-on-one
interviews; however each set will have
a unique data collection form. Thus,
each evaluation task listed above has a
separate data collection form and this
proposed information collection
encompasses four data collection forms.
The purpose of the evaluation and
assessment includes determining the
following:
• The effect of such initiatives on the
use of health care services by Medicaid
beneficiaries participating in the
program;
• The extent to which special
populations (including adults with
disabilities, adults with chronic
illnesses, and children with special
health care needs) are able to participate
in the program;
• The level of satisfaction of
Medicaid beneficiaries with respect to
the accessibility and quality of health
care services provided through the
program; and
• The administrative costs incurred
by state agencies that are responsible for
administration of the program.
Form Number: CMS–10477 (OCN:
0938–NEW); Frequency: Annually;
Affected Public: Individuals and
households, business and not-forprofits, State, Local or Tribal
Governments; Number of Respondents:
PO 00000
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4,524; Total Annual Responses: 4,524;
Total Annual Hours: 1,795. (For policy
questions regarding this collection
contact Jean Scott at 410–786–6327. For
all other issues call 410–786–1326.)
4. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Conditions of
Coverage for Organ Procurement
Organizations and Supporting
Regulations in 42 CFR, Sections
486.301–.348; Use: Section 1138(b) of
the Social Security Act, as added by
section 9318 of the Omnibus Budget
Reconciliation Act of 1986 (Pub. L. 99–
509), sets forth the statutory
qualifications and requirements that
organ procurement organizations
(OPOs) must meet in order for the costs
of their services in procuring organs for
transplant centers to be reimbursable
under the Medicare and Medicaid
programs. An OPO must be certified and
designated by the Secretary as an OPO
and must meet performance-related
standards prescribed by the Secretary.
The corresponding regulations are
found at 42 CFR Part 486 (Conditions
for Coverage of Specialized Services
Furnished by Suppliers) under subpart
G (Requirements for Certification and
Designation and Conditions for
Coverage: Organ Procurement
Organizations).
Since each OPO has a monopoly on
organ procurement within its designated
service area (DSA), CMS must hold
OPOs to high standards. Collection of
this information is necessary for CMS to
assess the effectiveness of each OPO and
determine whether it should continue to
be certified as an OPO and designated
for a particular donation service area by
the Secretary or replaced by an OPO
that can more effectively procure organs
within that DSA. Form Number: CMS–
R–13 (OCN: 0938–0688); Frequency:
Occasionally; Affected Public: Not-forprofit institutions; Number of
Respondents: 58; Total Annual
Responses: 58; Total Annual Hours:
14,453. (For policy questions regarding
this collection contact Diane Corning at
410–786–8486. 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.
E:\FR\FM\17MYN1.SGM
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Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices
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 July 16, 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: May 14, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–11812 Filed 5–16–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–5504–N3]
Medicare Program; Bundled Payments
for Care Improvement Model 1 Open
Period
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This notice announces an
open period for additional organizations
to be considered for participation in
Model 1 of the Bundled Payments for
Care Improvement initiative.
DATES: Model 1 of the Bundled
Payments for Care Improvement
Deadline: Interested organizations must
submit a Model 1 Open Period
Information Intake form by July 31,
2013.
SUMMARY:
wreier-aviles on DSK5TPTVN1PROD with NOTICES
FOR FURTHER INFORMATION CONTACT:
BPModel1@cms.hhs.gov for questions
regarding Model 1 of the Bundled
Payments for Care Improvement
initiative. For additional information on
this initiative go to the CMS Center for
Medicare and Medicaid Innovation Web
site at https://innovation.cms.gov/
initiatives/BPCI-Model-1/.
SUPPLEMENTARY INFORMATION:
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Jkt 229001
I. Background
We are committed to achieving better
health, better care, and lower costs
through continuous improvement for
Medicare, Medicaid and Children’s
Health Insurance Program (CHIP)
beneficiaries. Beneficiaries can
experience improved health outcomes
and encounters in the health care
system when providers work in a
coordinated and person-centered
manner. To this end, we are interested
in partnering with providers that are
working to redesign care to meet these
goals. Payment approaches that reward
providers that assume payment
accountability at the individual level for
a particular ‘‘episode’’ of care are
potential mechanisms for developing
these partnerships.
The CMS Center for Medicare and
Medicaid Innovation (Innovation
Center) is testing four episode payment
models. Testing of the first model,
Model 1 of the Bundled Payments for
Care Improvement initiative, began in
April 2013 following a review of
applications submitted in response to a
Request for Application released by the
Innovation Center in August 2011. For
additional information about Model 1 of
the Bundled Payments for Care
Improvement initiative that began in
April 2013, please visit the Innovation
Center Web site as specified in the FOR
FURTHER INFORMATION CONTACT section of
this notice.
The Innovation Center is announcing
an open period for additional
organizations to be considered for
participation in Model 1 of the Bundled
Payments for Care Improvement
initiative. Interested organizations can
find information about the intake
process, eligible organizations, and
model requirements on the Web site as
specified in the FOR FURTHER
INFORMATION CONTACT section of this
notice.
II. Provisions of the Notice
We seek to achieve the following
goals through implementation,
consistent with the authority under
section 1115A of the Social Security Act
(the Act), as added by section 3021 of
the Affordable Care Act, to test
innovative payment and service
delivery models that reduce spending
under Medicare, Medicaid, or CHIP,
while preserving or enhancing the
quality of care:
• Improve care coordination,
beneficiary experience, and
accountability in a person-centered
manner.
• Support and encourage providers
that are interested in continuously
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29139
reengineering care to deliver better care
and better health at lower costs through
continuous improvement.
• Create a cycle that leads to
continually decreasing the cost of an
acute or chronic episode of care while
fostering quality improvement.
• Develop and test payment models
that create extended accountability for
better care, better health at lower costs
for the full range of health care services.
• Shorten the cycle time for adoption
of evidence-based care.
• Create environments that stimulate
rapid development of new evidencebased knowledge.
We are announcing an open period for
additional organizations to be
considered for participation in Model 1
of the Bundled Payments for Care
Improvement initiative. Acute care
hospitals paid under the inpatient
prospective payment systems (IPPS) and
organizations that wish to convene
acute care hospitals in a facilitator
convener role are eligible to be
considered for participation in Model 1.
Interested organizations must submit a
Model 1 Open Period Information Intake
form for a copy of the form go to the
CMS Web site as specified in the FOR
FURTHER INFORMATION CONTACT section of
this notice. Once organizations submit
the intake form to
BPModel1@cms.hhs.gov, we will review
the information provided and screen
organizations for suitability for
participation in Model 1. For
information on the screening process go
to the CMS Center for Medicare and
Medicaid Innovation Web site as
specified in the FOR FURTHER
INFORMATION CONTACT section. We
expect to offer Model 1 participation
agreements to those organizations that
demonstrate their fitness for
participation in Model 1. More
information about the participation
process and model requirements can be
found on the Web site as specified in
the FOR FURTHER INFORMATION CONTACT
section of this notice.
III. Collection of Information
Requirements
Section 1115A(d) of the Act waives
the requirements of the Paperwork
Reduction Act of 1995 for purposes of
testing and evaluation of new models or
expansion of such models under section
1115A under this section.
Authority: Section 1115A of the Social
Security Act (42 U.S.C. 1315a)
(Catalog of Federal Domestic Assistance No.
93.773 Medicare—Hospital Insurance
Program; and No. 93.774, Medicare—
Supplementary Medical Insurance Program)
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]]>Agencies
[Federal Register Volume 78, Number 96 (Friday, May 17, 2013)]
[Notices]
[Pages 29137-29139]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-11812]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10088, CMS-10265, CMS-10477 and CMS-R-13]
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 without change
of a currently approved collection; Title of Information Collection:
Notification of Fiscal Intermediaries (FIs) and CMS of Co-located
Medicare Providers and Supporting Regulations in 42 CFR 412.22 and
412.532; Use: Many long-term care hospitals (LTCHs) are co-located with
other Medicare providers (acute care hospitals, inpatient
rehabilitation facilities (IRFs), skilled nursing facilities (SNFs),
and psychiatric facilities), which leads to potential gaming of the
Medicare system based on patient shifting. We are requiring LTCHs to
notify fiscal intermediaries (FIs), Medicare administrative contractors
(MACs), and CMS of co-located providers and establish policies to limit
payment abuse that will be based on FIs and MACs tracking patient
movement among these co-located providers 42 CFR 412.22(e)(6) and
(h)(5).
Based upon being able to identify co-located providers, FIs, MACs,
and CMS will be able to track patient shifting between LTCHs and other
in-patient providers which will lead to appropriate payments under
Sec. 412.532. That section limits payments to LTCHs where over 5
percent of admissions represent patients who had been sequentially
discharged by the LTCH, admitted to an on-site provider, and
subsequently readmitted to the LTCH. Since each discharge triggers a
Medicare payment, we implemented this policy to discourage payment
abuse.
Form Number: CMS-10088 (OCN: 0938-0897); Frequency: Occasionally;
Affected Public: Private Sector--Business or other for-profit and not-
for-profit institutions; Number of Respondents: 25; Total Annual
Responses: 25; Total Annual Hours: 6. (For policy questions regarding
this collection contact Judy Richter at 410-786-2590. For all other
issues call 410-786-1326.)
2. Type of Information Collection Request: Reinstatement with a
change of a previously approved collection; Title of Information
Collection: Mandatory Insurer Reporting Requirements of Section 111 of
the Medicare, Medicaid and SCHIP Act of 2007; Use: Section
[[Page 29138]]
111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (Pub. L.
110-173) (MMSEA) amends the Medicare Secondary Payer (MSP) provisions
of the Social Security Act (42 U.S.C. 1395y(b)) to provide for
mandatory reporting by group health plan arrangements and by liability
insurance (including self-insurance), no-fault insurance, and workers'
compensation laws and plans. The law provides that, notwithstanding any
other provision of law, the Secretary of Health and Human Services may
implement this provision by program instruction or otherwise. The
Secretary has elected not to implement the provision through rulemaking
and will implement by publishing instructions on a publicly available
Web site and submitting an information collection request to OMB for
review and approval of the associated information collection
requirements.
Effective January 1, 2009, as required by the MMSEA, an entity
serving as an insurer or third party administrator for a group health
plan and, in the case of a group health plan that is self-insured and
self-administered, a plan administrator or fiduciary must: (1) Secure
from the plan sponsor and plan participants such information as the
Secretary may specify to identify situations where the group health
plan is a primary plan to Medicare; and (2) report such information to
the Secretary in the form and manner (including frequency) specified by
the Secretary.
Effective July 1, 2009, as required by the MMSEA, ``applicable
plans,'' must: (1) Determine whether a claimant is entitled to Medicare
benefits; and, if so, (2) report the identity of such claimant and
provide such other information as the Secretary may require to properly
coordinate Medicare benefits with respect to such insurance
arrangements in the form and manner (including frequency) as the
Secretary may specify after the claim is resolved through a settlement,
judgment, award or other payment (regardless of whether or not there is
a determination or admission of liability). Applicable plan refers to
the following laws, plans or other arrangements, including the
fiduciary or administrator for such law, plan or arrangement: (1)
Liability insurance (including self-insurance); (2) No-fault insurance;
and (3) Workers' compensation laws or plans. As indicated, the
Secretary has elected to implement this provision by publishing
instructions at a Web site established for such purpose. The Web site
is (https://www.cms.hhs.gov/MandatoryInsRep/). CMS shall use this Web
site to publish preliminary guidance as well as the final instructions.
The Web site also advises interested parties how to comment on the
preliminary guidance. Form Number: CMS-10265 (OCN: 0938-1074);
Frequency: Yearly; Affected Public: Private Sector--Business or other
for-profits and not-for-profit institutions, State, Local or Tribal
Governments; Number of Respondents: 22,647; Total Annual Responses:
22,647; Total Annual Hours: 333,130. (For policy questions regarding
this collection contact Cynthia Ginsburg at 410-786-2579. For all other
issues call 410-786-1326.)
3. Type of Information Collection Request: New Collection (Request
for a new control number); Title of Information Collection: Medicaid
Incentives for Prevention of Chronic Disease (MIPCD) Demonstration;
Use: Under section 4108(d)(1) of the Affordable Care Act, the Centers
for Medicare & Medicaid Services (CMS) is required to contract with an
independent entity or organization to conduct an evaluation of the
Medicaid Incentives for Prevention of Chronic Disease (MIPCD)
demonstration. The contractor will conduct state site visits, two
rounds of focus group discussions, interviews with key program
stakeholders, and field a beneficiary satisfaction survey. Both the
state site visits and interviews with key program stakeholders will
entail one-on-one interviews; however each set will have a unique data
collection form. Thus, each evaluation task listed above has a separate
data collection form and this proposed information collection
encompasses four data collection forms. The purpose of the evaluation
and assessment includes determining the following:
The effect of such initiatives on the use of health care
services by Medicaid beneficiaries participating in the program;
The extent to which special populations (including adults
with disabilities, adults with chronic illnesses, and children with
special health care needs) are able to participate in the program;
The level of satisfaction of Medicaid beneficiaries with
respect to the accessibility and quality of health care services
provided through the program; and
The administrative costs incurred by state agencies that
are responsible for administration of the program.
Form Number: CMS-10477 (OCN: 0938-NEW); Frequency: Annually;
Affected Public: Individuals and households, business and not-for-
profits, State, Local or Tribal Governments; Number of Respondents:
4,524; Total Annual Responses: 4,524; Total Annual Hours: 1,795. (For
policy questions regarding this collection contact Jean Scott at 410-
786-6327. For all other issues call 410-786-1326.)
4. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Conditions of Coverage for Organ Procurement Organizations
and Supporting Regulations in 42 CFR, Sections 486.301-.348; Use:
Section 1138(b) of the Social Security Act, as added by section 9318 of
the Omnibus Budget Reconciliation Act of 1986 (Pub. L. 99-509), sets
forth the statutory qualifications and requirements that organ
procurement organizations (OPOs) must meet in order for the costs of
their services in procuring organs for transplant centers to be
reimbursable under the Medicare and Medicaid programs. An OPO must be
certified and designated by the Secretary as an OPO and must meet
performance-related standards prescribed by the Secretary. The
corresponding regulations are found at 42 CFR Part 486 (Conditions for
Coverage of Specialized Services Furnished by Suppliers) under subpart
G (Requirements for Certification and Designation and Conditions for
Coverage: Organ Procurement Organizations).
Since each OPO has a monopoly on organ procurement within its
designated service area (DSA), CMS must hold OPOs to high standards.
Collection of this information is necessary for CMS to assess the
effectiveness of each OPO and determine whether it should continue to
be certified as an OPO and designated for a particular donation service
area by the Secretary or replaced by an OPO that can more effectively
procure organs within that DSA. Form Number: CMS-R-13 (OCN: 0938-0688);
Frequency: Occasionally; Affected Public: Not-for-profit institutions;
Number of Respondents: 58; Total Annual Responses: 58; Total Annual
Hours: 14,453. (For policy questions regarding this collection contact
Diane Corning at 410-786-8486. 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.
[[Page 29139]]
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 July 16, 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: May 14, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-11812 Filed 5-16-13; 8:45 am]
BILLING CODE 4120-01-P
