Agency Information Collection Activities; Submission for OMB Review; Comment Request, 34390-34392 [2013-13577]
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34390
Federal Register / Vol. 78, No. 110 / Friday, June 7, 2013 / Notices
changes to the CMS EHR Incentive
Programs and the 2014 Edition
Certification Criteria for EHR
technology.
The information collection
requirements contained in this
information collection request are
needed to implement the HITECH Act.
In order to avoid duplicate payments,
all EPs are enumerated through their
National Provider Identifier (NPI), while
all eligible hospitals and CAHs are
enumerated through their CMS
Certification Number (CCN). State
Medicaid agencies and CMS use the
provider’s tax identification number and
NPI or CCN combination in order to
make payment, validate payment
eligibility and detect and prevent
duplicate payments for EPs, eligible
hospitals and CAHs. Form Number:
CMS–10336 (OCN: 0938–1158).
Frequency: Occasionally; Affected
Public: Private sector. Number of
Respondents: 214, 694; Total Annual
Responses: 214,694. Total Annual
Hours: 2,034,740.16. (For policy
questions regarding this collection
contact Travis Broome at 214–767–4450.
For all other issues call 410–786–1326.)
9. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Security
Consent and Surrogate Authorization
Form; Use: The primary function of the
Medicare enrollment application is to
obtain information about the Provider or
supplier and whether they meet the
Federal and/or State qualifications to
participate in the Medicare program. In
addition, the Medicare enrollment
application gathers information
regarding the provider or supplier’s
practice location, the identity of the
owners of the enrolling organization,
and information necessary to establish
the correct claims payment.
Enrollees have the option of
submitting either a CMS 855 form, or
submitting information via a web based
process. In establishing a web based
application process, we allow providers
and suppliers the ability to enroll in the
Medicare program, revalidate their
enrollment and make changes to their
enrollment information via Internetbased Provider Enrollment, Chain and
Ownership System (PECOS). Individual
providers/suppliers (hereinafter referred
to as ‘‘Individual Providers’’) log into
Internet-based PECOS using their User
IDs and passwords established when
they applied on-line to the National
Plan and Provider Enumeration System
(NPPES) for their National Provider
Identifiers (NPIs). Authorized Officials
(AOs) of the provider or supplier
organizations (hereinafter referred to as
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‘‘Organizational Providers’’) must
register for a user account and
authenticate their identity and
connection to the organization they
represent before being able to log into
Internet-based PECOS. Once
authenticated, AOs for Organizational
Providers, receive complete access to
their enrollment information via
Internet-based PECOS. Individuals and
AOs of Organizational Providers are not
required to submit a Security Consent
and Surrogate Authorization Form to
enroll, revalidate or make changes to
their Medicare enrollment information.
Individual and Organizational
Providers may complete their Medicare
enrollment responsibilities on their own
or elect to delegate this task to a
Surrogate. A Surrogate is an individual
or organization identified by an
Individual or Organizational Provider as
someone authorized to access CMS
computer systems, such as Internetbased PECOS, National Provider Plan
and Enumeration System (NPPES) and
the Medicare and Medicaid Electronic
Health Records (EHR) Incentive Program
Registration and Attestation System
(HITECH), on their behalf and to modify
or view any information contained
therein that the Individual or
Organizational Provider may have
permission or right to access in
accordance with Medicare statutes,
regulations, policies, and usage
guidelines for any CMS system.
Surrogates may consist of administrative
staff, independent contractors, 3rd party
consulting companies or credentialing
departments. In order for an Individual
or Organizational Provider to delegate
the Medicare credentialing process to a
Surrogate to access and update their
enrollment information in the above
mentioned CMS systems on their behalf,
it is required that a Security Consent
and Surrogate Authorization Form be
completed, or Individual and
Organizational Providers use an
equivalent online process via the
PECOS Identity and Access
Management (I&A) system. The Security
Consent and Surrogate Authorization
form replicates business service
agreements between Medicare
providers, suppliers or both and
Surrogates providing enrollment
services.
We are proposing one version of the
Security Consent and Surrogate
Authorization Form. The form, once
signed, mailed and approved, grants a
Surrogate access to all current and
future enrollment data for the
Individual or Organization Provider.
Form Number: CMS–10220 (OCN:
0938–1035). Frequency: Occasionlly.
Affected Public: Individuals and Private
PO 00000
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Sector; Number of Respondents: 88,650;
Total Annual Responses: 88,650; Total
Annual Hours: 22,162. (For policy
questions regarding this collection
contact Alisha Banks at 410–786–0671.
For all other issues call 410–786–1326.)
10. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Certification
Statement for Electronic File
Interchange Organizations; Use: Health
care providers can currently obtain a
National Provider Identifier (NPI) via a
paper application or over the Internet
through the National Plan and Provider
Enumeration System (NPPES). These
applications must be submitted
individually, on a per-provider basis.
The Electronic File Interchange (EFI)
process allows provider-designated
organizations (EFIOs) to capture
multiple providers’ NPI application
information on a single electronic file
for submission to NPPES. This process
is also referred to as bulk enumeration.
To ensure that the EFIO has the
authority to act on behalf of each
provider and complies with other
federal requirements, an authorized
official of the EFIO must sign a
certification statement and mail it to us.
Form Number: CMS–10175 (OCN:
0938–0984). Frequency: Occasionally.
Affected Public: Private Sector; Number
of Respondents: 25; Total Annual
Responses: 25; Total Annual Hours: 75.
(For policy questions regarding this
collection contact Leslie Jones at 410–
786–6599. For all other issues call 410–
786–1326.)
Dated: June 4, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–13578 Filed 6–6–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10309, CMS–
10475, CMS–R–5 and CMS–R–234]
Agency Information Collection
Activities; Submission for OMB
Review; Comment Request
ACTION:
Notice.
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
SUMMARY:
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Federal Register / Vol. 78, No. 110 / Friday, June 7, 2013 / Notices
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the 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.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by July 8, 2013.
ADDRESSES: When commenting on the
proposed information collections,
please reference the document identifier
or OMB control number. To be assured
consideration, comments and
recommendations must be received by
the OMB desk officer via one of the
following transmissions:
OMB, Office of Information and
Regulatory Affairs,
Attention: CMS Desk Officer,
Fax Number: (202) 395–6974 OR
Email: OIRA_submission@omb.eop.gov.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326
Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), federal Agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. The term ‘‘collection of
information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and
includes agency requests or
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SUPPLEMENTARY INFORMATION:
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16:38 Jun 06, 2013
Jkt 229001
requirements that members of the public
submit reports, keep records, or provide
information to a third party. Section
3506(c)(2)(A) of the PRA (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval. To
comply with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection. Title of
Information Collection: Grandfathering
Provisions of the Medicare DMEPOS
Competitive Bidding Program. Use:
Section 1847(a)(4) of the Social Security
Act (the Act) requires (in the case of
covered durable medical equipment
(DME) items for which payment is made
on a rental basis under section 1834(a)
of the Act and in the case of oxygen for
which payment is made under section
1834(a)(5) of the Act) that the Secretary
will establish a grandfathering process
by which covered items and supplies
that were rented by suppliers before the
implementation of a competitive
bidding program may be continued.
We established the grandfathering
process in the April 10, 2007 final rule
for competitive bidding (72 FR 17992)
for rented DME and oxygen and oxygen
equipment when these items are
included under the Medicare DMEPOS
Competitive Bidding Program. This
process only applies to suppliers that
rented DME and oxygen and oxygen
equipment to beneficiaries who
maintain a permanent residence in a
competitive bidding area (CBA) before
the implementation of the competitive
bidding program.
The competitive bidding program will
require some beneficiaries to change
their suppliers. To avoid a beneficiary
being without medically necessary
equipment we believe it is necessary to
establish this notification process. The
notification to the beneficiaries is a
beneficiary protection that will keep
them informed of whether or not they
can continue to rent an item from their
current supplier or go to a contract
supplier. The notification will also
provide information to the beneficiary
as to how to find a contract supplier in
their CBA. In the event that the
beneficiary must go to a contract
supplier, the notification will identify
the procedure for the pick-up of their
current equipment and delivery of new
equipment. Form Number: CMS–10309
PO 00000
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34391
(OCN: 0938–1079). Frequency: Once;
Affected Public: Private sector (business
or other for-profits); Number of
Respondents: 2,697; Total Annual
Responses: 536,667; Total Annual
Hours: 65. (For policy questions
regarding this collection contact
Michael Keane at 410–786–4495. For all
other issues call 410–786–1326.)
2. Type of Information Collection
Request: New collection (request for a
new OMB control number). Title of
Information Collection: Hospice
Experience of Care Survey; Use: This
survey supports the National Quality
Strategy that was called for under the
Affordable Care Act to create national
aims and priorities to guide local, state,
and national efforts to improve the
quality of health care. This strategy has
established six priorities that support a
three-part aim focusing on better care,
better health, and lower costs through
improvement. Because the hospice
survey focuses on experiences of care,
implementation of the survey supports
the following national priorities for
improving care: Engaging patients and
families in care and promoting effective
communication and coordination. In
addition, upon national implementation
and public reporting of hospice survey
results, the survey will provide data on
experiences with hospice care that
enable consumers to make meaningful
comparisons between hospices across
the nation. Form Number: CMS–10475
(OCN: 0938–New); Frequency: Once;
Affected Public: Individuals and
households; Number of Respondents:
730; Total Annual Responses: 730. Total
Annual Hours: 185. (For policy
questions regarding this collection
contact Lori Teichman at 410–786–
6684. For all other issues call 410–786–
1326.)
3. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection.
Title of Information Collection:
Physician Certification/Recertification
in Skilled Nursing Facilities (SNFs)
Manual Instructions and Supporting
Regulation in 42 CFR 424.20; Use: The
Medicare program requires, as a
condition for Medicare Part A payment
for post-hospital SNF services that a
physician must certify and periodically
recertify that a beneficiary requires a
SNF level of care. The physician
certification and recertification is
intended to ensure that the beneficiary’s
need for services has been established
and then reviewed and updated at
appropriate intervals. The
documentation is a condition for
Medicare Part A payment for posthospital SNF care. Form Number: CMS–
R–5 (OCN: 0938–0454). Frequency:
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34392
Federal Register / Vol. 78, No. 110 / Friday, June 7, 2013 / Notices
Occasionally; Affected Public: Private
sector (business or other for-profit and
not-for-profit institutions); Number of
Respondents: 1,796,502; Total Annual
Responses: 1,796,502; Total Annual
Hours: 559,713. (For policy questions
regarding this collection contact Kia
Sidbury at 410–786–7816. For all other
issues call 410–786–1326.)
4. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Subpart D—
Private Contracts and Supporting
Regulations Contained in 42 CFR
405.410, 405.430, 405.435, 405.440,
405.445, and 405.455. Use: Section 4507
of Balancing Budget Act (BBA) 1997
amended section 1802 of the Social
Security Act to permit certain
physicians and practitioners to opt-out
of Medicare and to provide (through
private contracts) services that would
otherwise be covered by Medicare.
Under such contracts the mandatory
claims submission and limiting charge
rules of section 1848(g) of the Act would
not apply. Subpart D and the supporting
regulations counters the effect of certain
provisions of Medicare law that, absent
section 4507 of BBA 1997, preclude
physicians and practitioners from
contracting privately with Medicare
beneficiaries to pay without regard to
Medicare limits. Physicians and/or
practitioners use these information
collection requirements to comply with
the law. In addition, Medicare carriers
use this information to determine if
benefits should be paid or continued.
Form Number: CMS–R–234 (OCN 0938–
0730); Frequency: Biennially; Affected
Public: Private sector (business or other
for-profits); Number of Respondents:
26,820. Total Annual Responses:
26,820. Total Annual Hours: 7,197. (For
policy questions regarding this
collection contact Fred Grabau at 410–
786–0206. For all other issues call 410–
786–1326.)
OMB No.: 0970–0157.
Description
Dated: June 4, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
42 U.S.C. 612 (Section 412 of the
Social Security Act) requires each
Indian Tribe that elects to administer
and operate a Temporary Assistance for
Needy Families (TANF) program to
submit a TANF Tribal Plan. The TANF
Tribal Plan is a mandatory statement
submitted to the Secretary by the Indian
Tribe, which consists of an outline of
how the Indian Tribes TANF program
will be administered and operated. It is
used by the Secretary to determine
whether the plan is approvable and to
determine that the Indian Tribe is
eligible to receive a TANF assistance
grant. It is also made available to the
public.
[FR Doc. 2013–13577 Filed 6–6–13; 8:45 am]
Respondents
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Tribes applying to operate a
TANF program.
Annual Burden Estimates
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Guidance for Tribal TANF.
Instrument
Number of
respondents
Number of
responses per
respondent
Average
burden hours
per response
Total burden
hours
Request for State Data Needed to Determine the Amount of a Tribal Family
Assistance Grant ..........................................................................................
23
1
68
1564
Estimated Total Annual Burden
Hours: 1,564.
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Additional Information
Copies of the proposed collection may
be obtained by writing to the
Administration for Children and
Families, Office of Planning, Research
and Evaluation, 370 L’Enfant
Promenade SW., Washington, DC 20447,
Attn: ACF Reports Clearance Officer. All
requests should be identified by the title
of the information collection. Email
address: infocollection@acf.hhs.gov.
directly to the following: Office of
Management and Budget, Paperwork
Reduction Project, Fax: 202–395–7285,
Email:
OIRA_SUBMISSION@OMB.EOP.GOV.
Attn: Desk Officer for the
Administration for Children and
Families.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2013–13536 Filed 6–6–13; 8:45 am]
BILLING CODE 4184–01–P
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PO 00000
Food and Drug Administration
[Docket No. FDA–2009–D–0179]
Guidance for Industry and Food and
Drug Administration Staff: Technical
Considerations for Pen, Jet, and
Related Injectors Intended for Use With
Drugs and Biological Products;
Availability
AGENCY:
Food and Drug Administration,
HHS.
OMB Comment
OMB is required to make a decision
concerning the collection of information
between 30 and 60 days after
publication of this document in the
Federal Register. Therefore, a comment
is best assured of having its full effect
if OMB receives it within 30 days of
publication. Written comments and
recommendations for the proposed
information collection should be sent
VerDate Mar<15>2010
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
ACTION:
Notice.
The Food and Drug
Administration (FDA) is announcing the
availability of a final guidance
document entitled ‘‘Technical
Considerations for Pen, Jet, and Related
Injectors Intended for Use With Drugs
and Biological Products,’’ dated June
2013. The final guidance document
provides technical and scientific
SUMMARY:
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]]>Agencies
[Federal Register Volume 78, Number 110 (Friday, June 7, 2013)]
[Notices]
[Pages 34390-34392]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-13577]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10309, CMS-10475, CMS-R-5 and CMS-R-234]
Agency Information Collection Activities; Submission for OMB
Review; Comment Request
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the
[[Page 34391]]
Paperwork Reduction Act of 1995 (PRA), federal agencies are required to
publish notice in the Federal Register concerning each proposed
collection of information, including each proposed extension or
reinstatement of an existing collection of information, and to allow a
second opportunity for public comment on the notice. Interested persons
are invited to send comments regarding the 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.
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by July 8, 2013.
ADDRESSES: When commenting on the proposed information collections,
please reference the document identifier or OMB control number. To be
assured consideration, comments and recommendations must be received by
the OMB desk officer via one of the following transmissions:
OMB, Office of Information and Regulatory Affairs,
Attention: CMS Desk Officer,
Fax Number: (202) 395-6974 OR
Email: OIRA_submission@omb.eop.gov.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' Web site address at https://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), federal Agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. The term ``collection of
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and
includes agency requests or requirements that members of the public
submit reports, keep records, or provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires
federal agencies to publish a 30-day notice in the Federal Register
concerning each proposed collection of information, including each
proposed extension or reinstatement of an existing collection of
information, before submitting the collection to OMB for approval. To
comply with this requirement, CMS is publishing this notice that
summarizes the following proposed collection(s) of information for
public comment:
1. Type of Information Collection Request: Reinstatement with
change of a previously approved collection. Title of Information
Collection: Grandfathering Provisions of the Medicare DMEPOS
Competitive Bidding Program. Use: Section 1847(a)(4) of the Social
Security Act (the Act) requires (in the case of covered durable medical
equipment (DME) items for which payment is made on a rental basis under
section 1834(a) of the Act and in the case of oxygen for which payment
is made under section 1834(a)(5) of the Act) that the Secretary will
establish a grandfathering process by which covered items and supplies
that were rented by suppliers before the implementation of a
competitive bidding program may be continued.
We established the grandfathering process in the April 10, 2007
final rule for competitive bidding (72 FR 17992) for rented DME and
oxygen and oxygen equipment when these items are included under the
Medicare DMEPOS Competitive Bidding Program. This process only applies
to suppliers that rented DME and oxygen and oxygen equipment to
beneficiaries who maintain a permanent residence in a competitive
bidding area (CBA) before the implementation of the competitive bidding
program.
The competitive bidding program will require some beneficiaries to
change their suppliers. To avoid a beneficiary being without medically
necessary equipment we believe it is necessary to establish this
notification process. The notification to the beneficiaries is a
beneficiary protection that will keep them informed of whether or not
they can continue to rent an item from their current supplier or go to
a contract supplier. The notification will also provide information to
the beneficiary as to how to find a contract supplier in their CBA. In
the event that the beneficiary must go to a contract supplier, the
notification will identify the procedure for the pick-up of their
current equipment and delivery of new equipment. Form Number: CMS-10309
(OCN: 0938-1079). Frequency: Once; Affected Public: Private sector
(business or other for-profits); Number of Respondents: 2,697; Total
Annual Responses: 536,667; Total Annual Hours: 65. (For policy
questions regarding this collection contact Michael Keane at 410-786-
4495. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: New collection (request
for a new OMB control number). Title of Information Collection: Hospice
Experience of Care Survey; Use: This survey supports the National
Quality Strategy that was called for under the Affordable Care Act to
create national aims and priorities to guide local, state, and national
efforts to improve the quality of health care. This strategy has
established six priorities that support a three-part aim focusing on
better care, better health, and lower costs through improvement.
Because the hospice survey focuses on experiences of care,
implementation of the survey supports the following national priorities
for improving care: Engaging patients and families in care and
promoting effective communication and coordination. In addition, upon
national implementation and public reporting of hospice survey results,
the survey will provide data on experiences with hospice care that
enable consumers to make meaningful comparisons between hospices across
the nation. Form Number: CMS-10475 (OCN: 0938-New); Frequency: Once;
Affected Public: Individuals and households; Number of Respondents:
730; Total Annual Responses: 730. Total Annual Hours: 185. (For policy
questions regarding this collection contact Lori Teichman at 410-786-
6684. For all other issues call 410-786-1326.)
3. Type of Information Collection Request: Reinstatement without
change of a previously approved collection. Title of Information
Collection: Physician Certification/Recertification in Skilled Nursing
Facilities (SNFs) Manual Instructions and Supporting Regulation in 42
CFR 424.20; Use: The Medicare program requires, as a condition for
Medicare Part A payment for post-hospital SNF services that a physician
must certify and periodically recertify that a beneficiary requires a
SNF level of care. The physician certification and recertification is
intended to ensure that the beneficiary's need for services has been
established and then reviewed and updated at appropriate intervals. The
documentation is a condition for Medicare Part A payment for post-
hospital SNF care. Form Number: CMS-R-5 (OCN: 0938-0454). Frequency:
[[Page 34392]]
Occasionally; Affected Public: Private sector (business or other for-
profit and not-for-profit institutions); Number of Respondents:
1,796,502; Total Annual Responses: 1,796,502; Total Annual Hours:
559,713. (For policy questions regarding this collection contact Kia
Sidbury at 410-786-7816. For all other issues call 410-786-1326.)
4. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Subpart D--Private Contracts and Supporting Regulations Contained in 42
CFR 405.410, 405.430, 405.435, 405.440, 405.445, and 405.455. Use:
Section 4507 of Balancing Budget Act (BBA) 1997 amended section 1802 of
the Social Security Act to permit certain physicians and practitioners
to opt-out of Medicare and to provide (through private contracts)
services that would otherwise be covered by Medicare. Under such
contracts the mandatory claims submission and limiting charge rules of
section 1848(g) of the Act would not apply. Subpart D and the
supporting regulations counters the effect of certain provisions of
Medicare law that, absent section 4507 of BBA 1997, preclude physicians
and practitioners from contracting privately with Medicare
beneficiaries to pay without regard to Medicare limits. Physicians and/
or practitioners use these information collection requirements to
comply with the law. In addition, Medicare carriers use this
information to determine if benefits should be paid or continued. Form
Number: CMS-R-234 (OCN 0938-0730); Frequency: Biennially; Affected
Public: Private sector (business or other for-profits); Number of
Respondents: 26,820. Total Annual Responses: 26,820. Total Annual
Hours: 7,197. (For policy questions regarding this collection contact
Fred Grabau at 410-786-0206. For all other issues call 410-786-1326.)
Dated: June 4, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-13577 Filed 6-6-13; 8:45 am]
BILLING CODE 4120-01-P
