Agency Information Collection Activities: Proposed Collection; Comment Request, 37542-37545 [2013-14878]
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Federal Register / Vol. 78, No. 120 / Friday, June 21, 2013 / Notices
collaboration and informed decision
making with the ultimate goal of
reaching consensus on issues. Although
formal responsibility for the agency’s
overall government-to-government
consultation activities rests within the
CDC Office of the Director (OD), other
CDC Center, Institute, and Office (CIO)
leadership shall actively participate in
TAC meetings and HHS-sponsored
regional and national tribal consultation
sessions as frequently as possible.
Matters to Be Discussed: The TAC
will convene their advisory committee
meeting with discussions and
presentations from various CDC senior
leaders on activities and areas identified
by TAC members and other tribal
leaders as priority public health issues.
The following topics are scheduled for
presentation and discussion during the
TAC Meeting; however, discussion is
not limited to these topics: Native
specimens, direct assistance and EpiAids, success stories, and disease
specific topics.
The 10th Biannual Tribal
Consultation Session will engage CDC
senior leadership from the CDC OD and
various CDC CIOs. Sessions that will be
held during the Tribal Consultation
include the following: A listening
session with CDC’s director, roundtable
discussions with CDC senior leadership,
and an opportunity for tribal testimony.
Additional opportunities will be
provided during the Consultation
Session for tribal testimony. Tribal
Leaders are encouraged to submit
written testimony by 12:00 a.m., EST on
July 19, 2013, to Kimberly Cantrell,
Deputy Associate Director for Tribal
Support, OSTLTS, via mail to 4770
Buford Highway NE., MS E–70, Atlanta,
Georgia 30341 or email to
tribalconsult@cdc.gov. Depending on
the time available, it may be necessary
to limit the time of each presenter.
The agenda is subject to change as
priorities dictate.
Information about the TAC, CDC’s
Tribal Consultation Policy, and previous
meetings may be referenced on the
following web link: https://www.cdc.gov/
tribal.
Contact Person For More Information:
April R. Taylor, Public Health Analyst,
CDC/OSTLTS, via mail to 4770 Buford
Highway NE., MS E–70, Atlanta,
Georgia 30341 or email to
ARTaylor@cdc.gov.
The Director, Management Analysis
and Services Office has been delegated
the authority to sign Federal Register
notices pertaining to announcements of
meetings and other committee
management activities, for both the
Centers for Disease Control and
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Prevention, and the Agency for Toxic
Substances and Disease Registry.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Elaine L. Baker,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
Centers for Disease Control and
Prevention
[FR Doc. 2013–14779 Filed 6–20–13; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Disease, Disability, and Injury
Prevention and Control Special
Emphasis Panel (SEP): Initial Review
The meeting announced below
concerns NIOSH Cooperative
Agreement Research to Aid Recovery
from Hurricane Sandy, Request for
Applications (RFA) OH13–002, initial
review.
In accordance with Section 10(a)(2) of
the Federal Advisory Committee Act
(Pub. L. 92–463), the Centers for Disease
Control and Prevention (CDC)
announces the aforementioned meeting:
Time and Date: 1:00 p.m.–5:00 p.m.,
August 8, 2013 (Closed).
Place: Teleconference.
Status: The meeting will be closed to
the public in accordance with
provisions set forth in Section
552b(c)(4) and (6), Title 5 U.S.C., and
the Determination of the Director,
Management Analysis and Services
Office, CDC, pursuant to Public Law 92–
463.
Matters to Be Discussed: The meeting
will include the initial review,
discussion, and evaluation of
applications received in response to
‘‘NIOSH Cooperative Agreement
Research to Aid Recovery from
Hurricane Sandy RFA OH13–002.’’
Contact Person for More Information:
Joan Karr, Ph.D., Scientific Review
Officer, CDC/NIOSH 1600 Clifton Road,
Mailstop E–74, Atlanta, Georgia 30333,
Telephone: (404)498–2506.
The Director, Management Analysis
and Services Office, has been delegated
the authority to sign Federal Register
notices pertaining to announcements of
meetings and other committee
management activities, for both the
Centers for Disease Control and
Prevention and the Agency for Toxic
Substances and Disease Registry.
Elaine L. Baker,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. 2013–14782 Filed 6–20–13; 8:45 am]
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Board of Scientific Counselors,
National Center for Injury Prevention
and Control, (BSC, NCIPC)
Correction: This notice was published
in the Federal Register on June 11,
2013, Volume 78, Number 112, Pages
35036–35037. The closing date for
receipt of nominations was
inadvertently omitted. Nominations
must be submitted (postmarked or
electronically received) by July 26,
2013.
Contact Person for More Information:
Paul Middendorf, Senior Health
Scientist, 1600 Clifton Rd. NE., MS: E–
20, Atlanta, GA 30329; telephone (404)
498–2548 (this is not a toll-free
number); email: pmiddendorf@cdc.gov.
The Director, Management Analysis
and Services Office, has been delegated
the authority to sign Federal Register
notices pertaining to announcements of
meetings and other committee
management activities, for both the
Centers for Disease Control and
Prevention, and Agency for Toxic
Substances and Disease Registry.
Elaine L. Baker,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. 2013–14781 Filed 6–20–13; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10116, CMS–
R–245, CMS–1572, CMS–250–254, CMS–379,
CMS–4040, CMS–10174, CMS–10261, and
CMS–R–285]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
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
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
SUMMARY:
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extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates 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 must be received by
August 20, 2013.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number (OCN). To be
assured consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send 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) that are 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 lll, Room C4–26–
05, 7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
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: This
notice sets out a summary of the use and
burden associated with the following
information collections. More detailed
information can be found in each
collection’s supporting statement and
associated materials (see ADDRESSES).
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CMS–10116 Conditions for Payment
of Power Mobility Devices, including
Power Wheelchairs and Power-Operated
Vehicles.
CMS–R–245 Medicare and Medicaid
Programs OASIS Collection
Requirements as Part of the CoPs for
HHAs and Supp. Regs. in 42 CFR 48.55,
484.205, 484.245, 484.250.
CMS–1572 Home Health Agency
Survey and Deficiencies Report.
CMS–250–254 Medicare Secondary
Payer Information Collection and
Supporting Regulations.
CMS–379 Financial Statement of
Debtor and Supporting Regulations.
CMS–4040 Request for Enrollment
in Supplementary Medical Insurance.
CMS–10174 Collection of
Prescription Drug Event Data from
Contracted Part D Providers for
Payment.
CMS–10261 Part C Medicare
Advantage Reporting Requirements and
Supporting Regulations.
CMS–R–285 Request for Retirement
Benefit 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
requires federal agencies to publish a
60-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.
Information Collections
1. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection:
Conditions for Payment of Power
Mobility Devices, including Power
Wheelchairs and Power-Operated
Vehicles; Use: We are renewing our
request for approval for the collection
requirements associated with the final
rule, CMS–3017–F (71 FR 17021), which
published on April 5, 2006, and
required a face-to-face examination of
the beneficiary by the physician or
treating practitioner, a written
prescription, and receipt of pertinent
parts of the medical record by the
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supplier within 45 days after the faceto-face examination that the durable
medical equipment (DME) suppliers
maintain in their records and make
available to CMS and its agents upon
request. Form Number: CMS–10116
(OCN: 0938–0971); Frequency: Yearly;
Affected Public: Private Sector—
Business or other for-profits; Number of
Respondents: 90,521; Number of
Responses: 173,810; Total Annual
Hours: 34,762. (For policy questions
regarding this collection contact Susan
Miller at 410–786–2118.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: OASIS
Collection Requirements as Part of the
CoPs for HHAs and Supporting
Regulations; Use: The OASIS data set is
currently mandated for use by Home
Health Agencies (HHAs) as a condition
of participation (CoP) in the Medicare
program. Since 1999, the Medicare CoPs
have mandated that HHAs use the
OASIS data set when evaluating adult
non-maternity patients receiving skilled
services. The OASIS is a core standard
assessment data set that agencies
integrate into their own patient-specific,
comprehensive assessment to identify
each patient’s need for home care that
meets the patient’s medical, nursing,
rehabilitative, social, and discharge
planning needs. Form Number: CMS–R–
245 (OCN: 0938–0760); Frequency:
Occasionally; Affected Public: Private
Sector (Business or other for-profit and
Not-for-profit institutions); Number of
Respondents: 12,014; Total Annual
Responses: 17,268,890; Total Annual
Hours: 15,305,484. (For policy questions
regarding this collection contact Robin
Dowell at 410–786–0060.)
3. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Home Health
Agency Survey and Deficiencies Report;
Use: In order to participate in the
Medicare Program as a Home Health
Agency (HHA) provider, the HHA must
meet federal standards. This form is
used to record information and patients’
health and provider compliance with
requirements and to report the
information to the federal government.
Form Number: CMS–1572 (OCN: 0938–
0355); Frequency: Yearly; Affected
Public: State, Local or Tribal
Government; Number of Respondents:
3,830; Total Annual Responses: 3,830;
Total Annual Hours: 958. (For policy
questions regarding this collection
contact Patricia Sevast at 410–786–
8135.)
4. Type of Information Collection
Request: Reinstatement without change
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of a previously approved collection;
Title of Information Collection:
Medicare Secondary Payer Information
Collection and Supporting Regulations;
Use: We are seeking to renew approval
to collect information from
beneficiaries, providers, physicians,
insurers, and suppliers on health
insurance coverage that is primary to
Medicare. Collecting this information
allows us to identify those Medicare
beneficiaries who are in situations
where Medicare is statutorily required
to be a secondary payer (MSP), thereby
safeguarding the Medicare Trust Fund.
Specifically, we use the information to
accurately process and pay Medicare
claims and to make necessary recoveries
in accordance with § 1862(b) of the Act
(42 U.S.C. 1395y(b)). If an active MSP
situation is identified and Medicare is
inappropriately billed as primary, the
claim will be rejected. The hospitals,
other providers, physicians, pharmacies,
and suppliers use the information
collected (and furnished to them on the
denial) to properly bill the appropriate
primary payer. Completing an MSP
questionnaire and making an accurate
MSP determination helps hospitals,
other providers, physicians, pharmacies,
and suppliers to bill correctly the first
time, saving the Medicare Program
money and affording Medicare
beneficiaries an enhanced level of
customer service (which, again, is
particularly important in Part D due to
the real-time adjudication of claims and
the complicated nature of its benefit
administration). Insurers, underwriters,
third party administrators, and selfinsured/self-administered employers
use the information to ensure
compliance with the law by refunding
any identified mistaken payments to
Medicare. Form Number: CMS–250–254
(OCN: 0938–0214); Frequency:
Occasionally; Affected Public:
Individuals and Households, Private
Sector, State, Local or Tribal
Governments; Number of Respondents:
143,070,217; Total Annual Responses:
143,070,217; Total Annual Hours:
1,788,057. (For policy questions
regarding this collection contact Ward
Marsh at 410–786–6473.)
5. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection:
Financial Statement of Debtor and
Supporting Regulations; Use: The form
CMS–379 is used to collect financial
information which is needed to evaluate
requests from physicians and suppliers
to pay indebtedness under an extended
repayment schedule, or to compromise
a debt less than the full amount.
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Normally, when a Medicare
Administrative Contractor (MAC)
overpays a physician or supplier, the
overpayment is associated with a single
claim, and the amount of the
overpayment is moderate. In these
cases, the physician/supplier usually
refunds the overpaid amount in a lump
sum. Alternatively, the MAC may
recoup the overpaid amount against
future payments. A recoupment is the
recovery by Medicare of any
outstanding Medicare debt by reducing
present or future Medicare payments
and applying the amount withheld to
the indebtedness. The recoupment can
be made only if the physician or
supplier accepts assignment since the
MAC makes payment to the physician
or supplier only on assigned claims.
Sometimes, however, an overpayment
to a physician or supplier is
exceptionally large, and it cannot be
recovered in the normal fashion. The
large overpayment usually results from
aberrant billing practices, such as billing
for more expensive services than were
rendered. This could be discovered
during routine review of a statistically
valid sample of claims. The physician or
supplier may be unable to refund a large
overpaid amount in a single payment.
The MAC cannot recover the
overpayment by recoupment if the
physician/supplier does not accept
assignment of future claims, or is not
expected to file future claims because of
going out of business, illness or death.
In these unusual circumstances, the
MAC has authority to approve or deny
extended repayment schedules up to 12
months, or may recommend to that we
approve up to 60 months. Before the
MAC takes these actions, the MAC will
require full documentation of the
physician’s or supplier’s financial
situation. Thus, the physician or
supplier must complete form CMS–379.
Form Number: CMS–379 (OCN: 0938–
0270); Frequency: Occasionally;
Affected Public: Private Sector—
Business or other for-profits; Number of
Respondents: 500; Total Annual
Responses: 500; Total Annual Hours:
1,000. (For policy questions regarding
this collection contact Ronke Fabayo at
410–786–4460.)
6. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection: Request
for Enrollment in Supplementary
Medical Insurance; Use: Form CMS–
4040 (and CMS–4040SP) is used to
establish entitlement to and enrollment
in Medicare Part B for beneficiaries who
file for Part B only. The collected
information is used to determine
entitlement for individuals who meet
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the requirements in section 1836(2) of
the Social Security Act as well as the
entitlement of the applicant or their
spouses to an annuity paid by OPM for
premium deduction purposes. Form
Number: CMS–4040 (OCN: 0938–0245);
Frequency: Once; Affected Public:
Individuals or households; Number of
Respondents: 10,000; Total Annual
Responses: 10,000; Total Annual Hours:
2,500. (For policy questions regarding
this collection contact Lindsay Smith at
410–786–6843.)
7. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection:
Collection of Prescription Drug Event
Data from Contracted Part D Providers
for Payment; Use: The information users
would include Pharmacy Benefit
Managers, third party administrators
and pharmacies and prescription drug
plans, Medicare Advantage plans that
offer integrated prescription drug and
health care coverage, Fallbacks and
other plans that offer coverage of
outpatient prescription drugs under the
Medicare Part D benefit to Medicare
beneficiaries. The data is used primarily
for payment, but is also used for claim
validation as well as for other legislated
functions such as quality monitoring,
program integrity, and oversight. Form
Number: CMS–10174 (OCN: 0938–
0982); Frequency: Monthly; Affected
Public: Private sector (business or other
for-profits and not-for-profit
institutions); Number of Respondents:
747; Total Annual Responses:
947,881,770; Total Annual Hours: 1,896.
(For policy questions regarding this
collection contact Ivan Iveljic at 410–
786–3312.)
8. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Part C Medicare
Advantage Reporting Requirements and
Supporting Regulations; Use: There are
a number of information users of Part C
reporting, including CMS central and
regional office staff that use this
information to monitor health plans and
to hold them accountable for their
performance, researchers, and other
government agencies such as GAO.
Health plans can use this information to
measure and benchmark their
performance. We intend to make some
of these data available for public
reporting as ‘‘display measures’’ in
2013. Form Number: CMS–10261 (OCN:
0938–1054); Frequency: Yearly and
semi-annually; Affected Public: Private
sector (business or other for-profits);
Number of Respondents: 588; Total
Annual Responses: 6,715; Total Annual
Hours: 200,918. (For policy questions
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regarding this collection contact Terry
Lied at 410–786–8973.)
9. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection: Request
for Retirement Benefit Information; Use:
Section 1818(d)(5) of the Social Security
Act provides that former state and local
government employees (who are age 65
or older, have been entitled to Premium
Part A for at least 7 years, and did not
have the premium paid for by a state, a
political subdivision of a state, or an
agency or instrumentality of one or
more states or political subdivisions)
may have the Part A premium reduced
to zero. These individuals must also
have 10 years of employment with the
state or local government employer or a
combination of 10 years of employment
with a state or local government
employer and a non-government
employer. Form CMS–R–285 is an
essential part of the process of
determining whether an individual
qualifies for the premium reduction.
The Social Security Administration will
use this information to help determine
whether a beneficiary meets the
requirements for reduction of the Part A
premium. Form Number: CMS–R–285
(OCN: 0938–0769). Frequency: Once.
Affected Public: State, Local, or Tribal
Governments; Number of Respondents:
500; Total Annual Responses: 500; Total
Annual Hours: 125. (For policy
questions regarding this collection
contact Lindsay Smith at 410–786–
6843.)
Dated: June 18, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–460]
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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
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
SUMMARY:
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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 22, 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.
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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: Extension of a currently
approved collection; Title of
Information Collection: Medicare
Participating Physician or Supplier
Agreement; Use: Section 1842(h) of the
Social Security Act permits physicians
and suppliers to voluntarily participate
in Medicare Part B by agreeing to take
assignment on all claims for services to
Medicare beneficiaries. The law also
requires that the Secretary provide
specific benefits to the physicians,
suppliers and other persons who choose
to participate. Form CMS–460 is the
agreement by which the physician or
supplier elects to participate in
Medicare. The collected information is
used by Medicare contractors to provide
the benefits the law provides for
participating entities and to enable
contractors to enforce the Medicare
limiting charge for physicians, suppliers
and other persons who do not
participate. It is also used by Medicare
beneficiaries to assist them in locating
physicians who will accept Medicare
assignment on claims for services and
therefore save them money. In addition,
we use the form to gauge the
effectiveness of efforts to increase
participation in Medicare. Form
Number: CMS–460 (OCN: 0938–0373);
Frequency: Yearly; Affected Public:
Private sector (business or other forprofits); Number of Respondents:
120,000; Total Annual Responses:
120,000; Total Annual Hours: 30,000.
(For policy questions regarding this
collection contact April Billingsley at
410–786–0140.)
Dated: June 18, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–14870 Filed 6–20–13; 8:45 am]
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Agencies
[Federal Register Volume 78, Number 120 (Friday, June 21, 2013)]
[Notices]
[Pages 37542-37545]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-14878]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10116, CMS-R-245, CMS-1572, CMS-250-254,
CMS-379, CMS-4040, CMS-10174, CMS-10261, and CMS-R-285]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
ACTION: Notice.
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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 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
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extension or reinstatement of an existing collection of information)
and to allow 60 days for public comment on the proposed action.
Interested persons are invited to send comments regarding our burden
estimates 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 must be received by August 20, 2013.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number (OCN). To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send 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) that are 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.
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: This notice sets out a summary of the use
and burden associated with the following information collections. More
detailed information can be found in each collection's supporting
statement and associated materials (see ADDRESSES).
CMS-10116 Conditions for Payment of Power Mobility Devices,
including Power Wheelchairs and Power-Operated Vehicles.
CMS-R-245 Medicare and Medicaid Programs OASIS Collection
Requirements as Part of the CoPs for HHAs and Supp. Regs. in 42 CFR
48.55, 484.205, 484.245, 484.250.
CMS-1572 Home Health Agency Survey and Deficiencies Report.
CMS-250-254 Medicare Secondary Payer Information Collection and
Supporting Regulations.
CMS-379 Financial Statement of Debtor and Supporting Regulations.
CMS-4040 Request for Enrollment in Supplementary Medical Insurance.
CMS-10174 Collection of Prescription Drug Event Data from
Contracted Part D Providers for Payment.
CMS-10261 Part C Medicare Advantage Reporting Requirements and
Supporting Regulations.
CMS-R-285 Request for Retirement Benefit 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 requires federal agencies to publish a 60-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.
Information Collections
1. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Conditions for Payment of Power Mobility Devices, including
Power Wheelchairs and Power-Operated Vehicles; Use: We are renewing our
request for approval for the collection requirements associated with
the final rule, CMS-3017-F (71 FR 17021), which published on April 5,
2006, and required a face-to-face examination of the beneficiary by the
physician or treating practitioner, a written prescription, and receipt
of pertinent parts of the medical record by the supplier within 45 days
after the face-to-face examination that the durable medical equipment
(DME) suppliers maintain in their records and make available to CMS and
its agents upon request. Form Number: CMS-10116 (OCN: 0938-0971);
Frequency: Yearly; Affected Public: Private Sector--Business or other
for-profits; Number of Respondents: 90,521; Number of Responses:
173,810; Total Annual Hours: 34,762. (For policy questions regarding
this collection contact Susan Miller at 410-786-2118.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: OASIS Collection
Requirements as Part of the CoPs for HHAs and Supporting Regulations;
Use: The OASIS data set is currently mandated for use by Home Health
Agencies (HHAs) as a condition of participation (CoP) in the Medicare
program. Since 1999, the Medicare CoPs have mandated that HHAs use the
OASIS data set when evaluating adult non-maternity patients receiving
skilled services. The OASIS is a core standard assessment data set that
agencies integrate into their own patient-specific, comprehensive
assessment to identify each patient's need for home care that meets the
patient's medical, nursing, rehabilitative, social, and discharge
planning needs. Form Number: CMS-R-245 (OCN: 0938-0760); Frequency:
Occasionally; Affected Public: Private Sector (Business or other for-
profit and Not-for-profit institutions); Number of Respondents: 12,014;
Total Annual Responses: 17,268,890; Total Annual Hours: 15,305,484.
(For policy questions regarding this collection contact Robin Dowell at
410-786-0060.)
3. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Home Health Agency Survey and Deficiencies Report; Use: In
order to participate in the Medicare Program as a Home Health Agency
(HHA) provider, the HHA must meet federal standards. This form is used
to record information and patients' health and provider compliance with
requirements and to report the information to the federal government.
Form Number: CMS-1572 (OCN: 0938-0355); Frequency: Yearly; Affected
Public: State, Local or Tribal Government; Number of Respondents:
3,830; Total Annual Responses: 3,830; Total Annual Hours: 958. (For
policy questions regarding this collection contact Patricia Sevast at
410-786-8135.)
4. Type of Information Collection Request: Reinstatement without
change
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of a previously approved collection; Title of Information Collection:
Medicare Secondary Payer Information Collection and Supporting
Regulations; Use: We are seeking to renew approval to collect
information from beneficiaries, providers, physicians, insurers, and
suppliers on health insurance coverage that is primary to Medicare.
Collecting this information allows us to identify those Medicare
beneficiaries who are in situations where Medicare is statutorily
required to be a secondary payer (MSP), thereby safeguarding the
Medicare Trust Fund. Specifically, we use the information to accurately
process and pay Medicare claims and to make necessary recoveries in
accordance with Sec. 1862(b) of the Act (42 U.S.C. 1395y(b)). If an
active MSP situation is identified and Medicare is inappropriately
billed as primary, the claim will be rejected. The hospitals, other
providers, physicians, pharmacies, and suppliers use the information
collected (and furnished to them on the denial) to properly bill the
appropriate primary payer. Completing an MSP questionnaire and making
an accurate MSP determination helps hospitals, other providers,
physicians, pharmacies, and suppliers to bill correctly the first time,
saving the Medicare Program money and affording Medicare beneficiaries
an enhanced level of customer service (which, again, is particularly
important in Part D due to the real-time adjudication of claims and the
complicated nature of its benefit administration). Insurers,
underwriters, third party administrators, and self-insured/self-
administered employers use the information to ensure compliance with
the law by refunding any identified mistaken payments to Medicare. Form
Number: CMS-250-254 (OCN: 0938-0214); Frequency: Occasionally; Affected
Public: Individuals and Households, Private Sector, State, Local or
Tribal Governments; Number of Respondents: 143,070,217; Total Annual
Responses: 143,070,217; Total Annual Hours: 1,788,057. (For policy
questions regarding this collection contact Ward Marsh at 410-786-
6473.)
5. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Financial Statement of Debtor and Supporting Regulations;
Use: The form CMS-379 is used to collect financial information which is
needed to evaluate requests from physicians and suppliers to pay
indebtedness under an extended repayment schedule, or to compromise a
debt less than the full amount. Normally, when a Medicare
Administrative Contractor (MAC) overpays a physician or supplier, the
overpayment is associated with a single claim, and the amount of the
overpayment is moderate. In these cases, the physician/supplier usually
refunds the overpaid amount in a lump sum. Alternatively, the MAC may
recoup the overpaid amount against future payments. A recoupment is the
recovery by Medicare of any outstanding Medicare debt by reducing
present or future Medicare payments and applying the amount withheld to
the indebtedness. The recoupment can be made only if the physician or
supplier accepts assignment since the MAC makes payment to the
physician or supplier only on assigned claims.
Sometimes, however, an overpayment to a physician or supplier is
exceptionally large, and it cannot be recovered in the normal fashion.
The large overpayment usually results from aberrant billing practices,
such as billing for more expensive services than were rendered. This
could be discovered during routine review of a statistically valid
sample of claims. The physician or supplier may be unable to refund a
large overpaid amount in a single payment. The MAC cannot recover the
overpayment by recoupment if the physician/supplier does not accept
assignment of future claims, or is not expected to file future claims
because of going out of business, illness or death. In these unusual
circumstances, the MAC has authority to approve or deny extended
repayment schedules up to 12 months, or may recommend to that we
approve up to 60 months. Before the MAC takes these actions, the MAC
will require full documentation of the physician's or supplier's
financial situation. Thus, the physician or supplier must complete form
CMS-379. Form Number: CMS-379 (OCN: 0938-0270); Frequency:
Occasionally; Affected Public: Private Sector--Business or other for-
profits; Number of Respondents: 500; Total Annual Responses: 500; Total
Annual Hours: 1,000. (For policy questions regarding this collection
contact Ronke Fabayo at 410-786-4460.)
6. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Request for Enrollment in Supplementary Medical Insurance;
Use: Form CMS-4040 (and CMS-4040SP) is used to establish entitlement to
and enrollment in Medicare Part B for beneficiaries who file for Part B
only. The collected information is used to determine entitlement for
individuals who meet the requirements in section 1836(2) of the Social
Security Act as well as the entitlement of the applicant or their
spouses to an annuity paid by OPM for premium deduction purposes. Form
Number: CMS-4040 (OCN: 0938-0245); Frequency: Once; Affected Public:
Individuals or households; Number of Respondents: 10,000; Total Annual
Responses: 10,000; Total Annual Hours: 2,500. (For policy questions
regarding this collection contact Lindsay Smith at 410-786-6843.)
7. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Collection of Prescription Drug Event Data from Contracted
Part D Providers for Payment; Use: The information users would include
Pharmacy Benefit Managers, third party administrators and pharmacies
and prescription drug plans, Medicare Advantage plans that offer
integrated prescription drug and health care coverage, Fallbacks and
other plans that offer coverage of outpatient prescription drugs under
the Medicare Part D benefit to Medicare beneficiaries. The data is used
primarily for payment, but is also used for claim validation as well as
for other legislated functions such as quality monitoring, program
integrity, and oversight. Form Number: CMS-10174 (OCN: 0938-0982);
Frequency: Monthly; Affected Public: Private sector (business or other
for-profits and not-for-profit institutions); Number of Respondents:
747; Total Annual Responses: 947,881,770; Total Annual Hours: 1,896.
(For policy questions regarding this collection contact Ivan Iveljic at
410-786-3312.)
8. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Part C Medicare
Advantage Reporting Requirements and Supporting Regulations; Use: There
are a number of information users of Part C reporting, including CMS
central and regional office staff that use this information to monitor
health plans and to hold them accountable for their performance,
researchers, and other government agencies such as GAO. Health plans
can use this information to measure and benchmark their performance. We
intend to make some of these data available for public reporting as
``display measures'' in 2013. Form Number: CMS-10261 (OCN: 0938-1054);
Frequency: Yearly and semi-annually; Affected Public: Private sector
(business or other for-profits); Number of Respondents: 588; Total
Annual Responses: 6,715; Total Annual Hours: 200,918. (For policy
questions
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regarding this collection contact Terry Lied at 410-786-8973.)
9. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Request for Retirement Benefit Information; Use: Section
1818(d)(5) of the Social Security Act provides that former state and
local government employees (who are age 65 or older, have been entitled
to Premium Part A for at least 7 years, and did not have the premium
paid for by a state, a political subdivision of a state, or an agency
or instrumentality of one or more states or political subdivisions) may
have the Part A premium reduced to zero. These individuals must also
have 10 years of employment with the state or local government employer
or a combination of 10 years of employment with a state or local
government employer and a non-government employer. Form CMS-R-285 is an
essential part of the process of determining whether an individual
qualifies for the premium reduction. The Social Security Administration
will use this information to help determine whether a beneficiary meets
the requirements for reduction of the Part A premium. Form Number: CMS-
R-285 (OCN: 0938-0769). Frequency: Once. Affected Public: State, Local,
or Tribal Governments; Number of Respondents: 500; Total Annual
Responses: 500; Total Annual Hours: 125. (For policy questions
regarding this collection contact Lindsay Smith at 410-786-6843.)
Dated: June 18, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-14878 Filed 6-20-13; 8:45 am]
BILLING CODE 4120-01-P