Agency Information Collection Activities: Submission for OMB Review; Comment Request, 41932-41933 [2013-16742]
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Federal Register / Vol. 78, No. 134 / Friday, July 12, 2013 / Notices
Number: CMS–2728 (OCN#: 0938–
0046); Frequency: Occasionally;
Affected Public: Individuals or
households; Number of Respondents:
130,000; Total Annual Responses:
130,000; Total Annual Hours: 97,500.
(For policy questions regarding this
collection contact Michelle Tucker at
410–786–0736.)
3. Type of Information Collection
Request: Reinstatement with change of a
currently approved collection; Title of
Information Collection: Home Health
Conditions of Participation (CoP) and
Supporting Regulations; Use: The
information collection requirements
contained in this request are part of the
requirements classified as the
conditions of participation (CoPs) which
are based on criteria prescribed in law
and are standards designed to ensure
that each facility has properly trained
staff to provide the appropriate safe
physical environment for patients.
These particular standards reflect
comparable standards developed by
industry organizations such as the Joint
Commission on Accreditation of
Healthcare Organizations, and the
Community Health Accreditation
Program. The primary users of this
information will be state agency
surveyors, the regional home health
intermediaries, CMS and home health
agencies (HHAs) for the purpose of
ensuring compliance with Medicare
CoPs as well as ensuring the quality of
care provided by HHA patients. Form
Numbers: CMS–R–39 (OCN: 0938–
0365); Frequency: Occasionally;
Affected Public: Business or for-profits,
not-for-profit institutions, and State,
Local or Tribal governments; Number of
Respondents: 13,577; Total Annual
Responses: 20,202,576; Total Annual
Hours: 6,422,694. (For policy questions
regarding this collection contact
Danielle Shearer at 410–786–6617.)
4. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection: Retiree
Drug Subsidy (RDS) Payment Request
and Instructions; Use: Under section
1860D–22 of the Social Security Act and
implementing regulations at 42 CFR part
423 subpart R, plan sponsors (e.g.,
employers, unions) who offer
prescription drug coverage meeting
specified criteria to their qualified
covered retirees are eligible to receive a
28 percent tax-free subsidy for allowable
drug costs. Plan sponsors must submit
required prescription drug cost data and
other information in order to receive the
subsidy. Subpart R stipulates that plan
sponsors may elect to submit RDS
payment requests on a monthly,
quarterly, interim annual, or annual
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basis; once selected, the payment
frequency may not be changed during
the plan year. Form Number: CMS–
10170 (OCN: 0938–0977); Frequency:
Occasionally; Affected Public: Private
sector (business or other for-profits and
not-for-profit institutions); Number of
Respondents: 4,500; Total Annual
Responses: 4,500; Total Annual Hours:
679,500. (For policy questions regarding
this collection contact John W.
Campbell at 410–786–0542.)
5. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection: Retiree
Drug Subsidy (RDS) Applications and
Instructions; Use: Under the Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003 and
implementing regulations at 42 CFR part
423, subpart R plan sponsors (e.g.,
employers, unions) who offer
prescription drug coverage to their
qualified covered retirees are eligible to
receive a 28 percent tax-free subsidy for
allowable drug costs. In order to qualify,
plan sponsors must submit a complete
application with a list of retirees for
whom it intends to collect the subsidy.
Once CMS reviews and analyzes the
information on the application and the
retiree list, notification will be sent to
the plan sponsor about its eligibility to
participate in the RDS program. Form
Number: CMS–10156 (OCN: 0938–
0957); Frequency: Yearly and monthly;
Affected Public: Private sector (business
or other for-profits and not-for-profit
institutions); Number of Respondents:
4,500; Total Annual Responses: 4,500;
Total Annual Hours: 288,000. (For
policy questions regarding this
collection contact John W. Campbell at
410–786–0542.)
6. Type of Information Collection
Request: New Collection (Request for a
new OMB control number); Title of
Information Collection: Evaluation of
the Multi-Payer Advanced Primary Care
Practice (MAPCP) Demonstration:
Provider Survey; Use: On September 16,
2009, the Department of Health and
Human Services announced the
establishment of the Multi-payer
Advanced Primary Care Practice
(MAPCP) Demonstration, under which
Medicare joined Medicaid and private
insurers as a payer participant in statesponsored patient-centered medical
home (PCMH) initiatives. We selected
eight states to participate in this
demonstration: Maine, Vermont, Rhode
Island, New York, Pennsylvania, North
Carolina, Michigan, and Minnesota.
We are proposing to conduct this
provider survey to understand how
participating practices’ structures and
functions vary, particularly with respect
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to their adoption of different
components of the PCMH model of care.
Researchers evaluating the MAPCP
Demonstration plan to combine these
survey data with claims data to conduct
statistical analyses that identify which
particular medical home care processes
are associated with the largest gains in
health care quality and reductions in
health care cost trends. Form Number:
CMS–10485 (OCN: 0938–NEW);
Frequency: Annually; Affected Public:
Individuals and households; Number of
Respondents: 5,799; Total Annual
Responses: 5,799; Total Annual Hours:
1,450. (For policy questions regarding
this collection contact Suzanne Wensky
at 410–786–0226.)
Dated: July 9, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–16740 Filed 7–11–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers CMS–10108, CMS–
10115, and CMS–10130]
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
publish a 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
SUMMARY:
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Federal Register / Vol. 78, No. 134 / Friday, July 12, 2013 / Notices
technology to minimize the information
collection burden.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by August 12, 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
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: Extension of a currently
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SUPPLEMENTARY INFORMATION:
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18:46 Jul 11, 2013
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approved collection; Title of
Information Collection: Medicaid
Managed Care Regulations; Use: The
information collection requirements
contained in this information collection
request implement regulations that
allow states greater flexibility to
implement mandatory managed care
programs, implement new beneficiary
protections, and eliminate certain
requirements viewed by state agencies
as impediments to the growth of
managed care programs. Information
collected includes information about
managed care programs, grievances and
appeals, enrollment broker contracts,
and managed care organizational
capacity to provide health care services.
Medicaid enrollees use the information
collected and reported to make
informed choices regarding health care,
including how to access health care
services and the grievance and appeal
system. States use the information
collected and reported as part of its
contracting process with managed care
entities, as well as its compliance
oversight role. We use the information
collected and reported in an oversight
role of state Medicaid managed care
programs. Form Number: CMS–10108
(OCN: 0938–0920); Frequency:
Occasionally; Affected Public:
Individuals or households, Private
sector (business or other for-profit and
not-for-profit institutions), and State,
local or Tribal Government; Number of
Respondents: 1,640,223; Total Annual
Responses: 5,217,333; Total Annual
Hours: 5,872,255. (For policy questions
regarding this collection contact Amy
Gentile at 410–786–3499.)
2. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Federal
Reimbursement of Emergency Health
Services Furnished to Undocumented
Aliens, Section 1011 of the Medicare
Prescription Drug, Improvement and
Modernization Act of 2003 (MMA); Use:
Section 1011 of the Medicare
Prescription Drug, Improvement and
Modernization Act of 2003 (MMA)
provides that the Secretary will
establish a process (i.e., enrollment and
claims payment) for eligible providers to
request payment. The Secretary must
directly pay hospitals, physicians and
ambulance providers (including Indian
Health Service, Indian Tribe and Tribal
organizations) for their otherwise unreimbursed costs of providing services
required by section 1867 of the Social
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Fmt 4703
Sfmt 9990
41933
Security Act and related hospital
inpatient, outpatient and ambulance
services. We will use the application
information to administer this health
services program and establish an audit
process. Form Number: CMS–10115
(OCN: 0938–0929); Frequency: Once
and occasionally; Affected Public:
Private sector (business or other forprofit and not-for-profit institutions);
Number of Respondents: 10,000; Total
Annual Responses: 10,000; Total
Annual Hours: 5,000. (For policy
questions regarding this collection
contact Fred Rooke at 404–562–7502.)
3. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection: Federal
Reimbursement of Emergency Health
Services Furnished to Undocumented
Aliens, Section 1011 of the Medicare
Prescription Drug, Improvement and
Modernization Act of 2003 (MMA):
‘‘Section 1011 Provider Payment
Determination’’ and ‘‘Request for
Section 1011 Hospital On-Call Payments
to Physicians’’ Forms; Use: Section 1011
of the MMA requires that the Secretary
establish a process under which eligible
providers (certain hospitals, physicians
and ambulance providers) may request
payment for (claim) their otherwise unreimbursed costs of providing eligible
services. The Secretary must make
quarterly payments directly to such
providers. The Secretary must also
implement measures to ensure that
inappropriate, excessive, or fraudulent
payments are not made under Section
1011, including certification by
providers of the veracity of their
requests for payment. Both forms have
been established to address the statutory
requirements outlined above. Form
Number: CMS–10130 (OCN: 0938–
0952); Frequency: Occasionally;
Affected Public: Private sector (business
or other for-profit and not-for-profit
institutions); Number of Respondents:
12,037; Total Annual Responses:
300,148; Total Annual Hours: 75,037.
(For policy questions regarding this
collection contact Fred Rooke at 404–
562–7205.)
Dated: July 9, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–16742 Filed 7–11–13; 8:45 am]
BILLING CODE 4120–01–P
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]]>Agencies
[Federal Register Volume 78, Number 134 (Friday, July 12, 2013)]
[Notices]
[Pages 41932-41933]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-16742]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers CMS-10108, CMS-10115, and CMS-10130]
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 Paperwork Reduction
Act of 1995 (PRA), federal agencies are required to publish a 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
[[Page 41933]]
technology to minimize the information collection burden.
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by August 12, 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: Extension of a currently
approved collection; Title of Information Collection: Medicaid Managed
Care Regulations; Use: The information collection requirements
contained in this information collection request implement regulations
that allow states greater flexibility to implement mandatory managed
care programs, implement new beneficiary protections, and eliminate
certain requirements viewed by state agencies as impediments to the
growth of managed care programs. Information collected includes
information about managed care programs, grievances and appeals,
enrollment broker contracts, and managed care organizational capacity
to provide health care services. Medicaid enrollees use the information
collected and reported to make informed choices regarding health care,
including how to access health care services and the grievance and
appeal system. States use the information collected and reported as
part of its contracting process with managed care entities, as well as
its compliance oversight role. We use the information collected and
reported in an oversight role of state Medicaid managed care programs.
Form Number: CMS-10108 (OCN: 0938-0920); Frequency: Occasionally;
Affected Public: Individuals or households, Private sector (business or
other for-profit and not-for-profit institutions), and State, local or
Tribal Government; Number of Respondents: 1,640,223; Total Annual
Responses: 5,217,333; Total Annual Hours: 5,872,255. (For policy
questions regarding this collection contact Amy Gentile at 410-786-
3499.)
2. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Federal Reimbursement of Emergency Health Services
Furnished to Undocumented Aliens, Section 1011 of the Medicare
Prescription Drug, Improvement and Modernization Act of 2003 (MMA);
Use: Section 1011 of the Medicare Prescription Drug, Improvement and
Modernization Act of 2003 (MMA) provides that the Secretary will
establish a process (i.e., enrollment and claims payment) for eligible
providers to request payment. The Secretary must directly pay
hospitals, physicians and ambulance providers (including Indian Health
Service, Indian Tribe and Tribal organizations) for their otherwise un-
reimbursed costs of providing services required by section 1867 of the
Social Security Act and related hospital inpatient, outpatient and
ambulance services. We will use the application information to
administer this health services program and establish an audit process.
Form Number: CMS-10115 (OCN: 0938-0929); Frequency: Once and
occasionally; Affected Public: Private sector (business or other for-
profit and not-for-profit institutions); Number of Respondents: 10,000;
Total Annual Responses: 10,000; Total Annual Hours: 5,000. (For policy
questions regarding this collection contact Fred Rooke at 404-562-
7502.)
3. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Federal Reimbursement of Emergency Health Services
Furnished to Undocumented Aliens, Section 1011 of the Medicare
Prescription Drug, Improvement and Modernization Act of 2003 (MMA):
``Section 1011 Provider Payment Determination'' and ``Request for
Section 1011 Hospital On-Call Payments to Physicians'' Forms; Use:
Section 1011 of the MMA requires that the Secretary establish a process
under which eligible providers (certain hospitals, physicians and
ambulance providers) may request payment for (claim) their otherwise
un-reimbursed costs of providing eligible services. The Secretary must
make quarterly payments directly to such providers. The Secretary must
also implement measures to ensure that inappropriate, excessive, or
fraudulent payments are not made under Section 1011, including
certification by providers of the veracity of their requests for
payment. Both forms have been established to address the statutory
requirements outlined above. Form Number: CMS-10130 (OCN: 0938-0952);
Frequency: Occasionally; Affected Public: Private sector (business or
other for-profit and not-for-profit institutions); Number of
Respondents: 12,037; Total Annual Responses: 300,148; Total Annual
Hours: 75,037. (For policy questions regarding this collection contact
Fred Rooke at 404-562-7205.)
Dated: July 9, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-16742 Filed 7-11-13; 8:45 am]
BILLING CODE 4120-01-P
