Agency Information Collection Activities: Submission for OMB Review; Comment Request, 73546-73547 [2013-29143]
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73546
Federal Register / Vol. 78, No. 235 / Friday, December 6, 2013 / Notices
CMS–10346 Appeals of Quality Bonus
Payment Determinations
Under the 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.
emcdonald on DSK67QTVN1PROD with NOTICES
Information Collections
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Application for
Hospital Insurance and Supporting
Regulations; Use: Regulations at 42 CFR
406.6 specifies the individuals who
must file an application for Medicare
Hospital Insurance (Part A) and those
who need not file an application for Part
A. Section 406.7 lists CMS–18F5 as the
application form. The form elicits
information that the Social Security
Administration and CMS need to
determine entitlement to Part A and
Supplementary Medical Insurance (Part
B); Form Number: CMS–18F5 (OCN:
0938–0251); Frequency: Once; Affected
Public: Individuals or households;
Number of Respondents: 50,000; Total
Annual Responses: 50,000; Total
Annual Hours: 12,500. (For policy
questions regarding this collection
contact Naomi Rappaport at 410–786–
2175).
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: 1932(a) State
Plan Amendment Template, State Plan
Requirements, and Supporting
Regulations; Use: Section 1932(a)(1)(A)
of the Social Security Act (the Act)
grants states the authority to enroll
Medicaid beneficiaries on a mandatory
basis into managed care entities
(managed care organization (MCOs) and
primary care case managers (PCCMs)).
Under this authority, a state can amend
its Medicaid state plan to require certain
categories of Medicaid beneficiaries to
enroll in managed care entities without
VerDate Mar<15>2010
17:28 Dec 05, 2013
Jkt 232001
being out of compliance with provisions
of section 1902 of the Act on
statewideness (42 CFR 431.50), freedom
of choice (42 CFR 431.51) or
comparability (42 CFR 440.230). The
template may be used by states to easily
modify their state plans if they choose
to implement the provisions of section
1932(a)(1)(A); Form Number: CMS–
10120 (OCN: 0938–0933); Frequency:
Once and occasionally; Affected Public:
State, Local, or Tribal Governments;
Number of Respondents: 56; Total
Annual Responses: 15; Total Annual
Hours: 65. (For policy questions
regarding this collection contact Camille
Dobson at 410–786–7062).
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Appeals of
Quality Bonus Payment Determinations;
Use: The information collected from
Medicare Advantage organizations is
considered by the reconsideration
official and potentially the hearing
officer to review our determination of
the organization’s eligibility for a
quality bonus payment. Form Number:
CMS–10346 (OCN: 0938–1129;
Frequency: Yearly; Affected Public:
Private sector—Business or other forprofits; Number of Respondents: 350;
Total Annual Responses: 25; Total
Annual Hours: 200. (For policy
questions regarding this collection
contact Sarah Gaillot at 410–786–4637).
Dated: December 3, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–29144 Filed 12–5–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–416, CMS–R–
26 and CMS–10487]
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 notice in the Federal Register
concerning each proposed collection of
SUMMARY:
PO 00000
Frm 00049
Fmt 4703
Sfmt 4703
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 January 6, 2014.
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
E:\FR\FM\06DEN1.SGM
06DEN1
emcdonald on DSK67QTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 235 / Friday, December 6, 2013 / Notices
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: Revision of a currently
approved collection; Title of
Information Collection: Annual Early
and Periodic Screening, Diagnostic and
Treatment (EPSDT) Participation
Report; Use: The baseline data collected
is used to assess the effectiveness of
state early and periodic screening,
diagnostic and treatment (EPSDT)
programs in reaching eligible children,
by age group and basis of Medicaid
eligibility, who are provided initial and
periodic child health screening services,
referred for corrective treatment, and
receiving dental, hearing, and vision
services. This assessment is coupled
with the state’s results in attaining the
participation goals set for the state. The
information gathered from this report,
permits federal and state managers to
evaluate the effectiveness of the EPSDT
law on the basic aspects of the program.
The associated 30-day PRA package has
been revised subsequent to the
publication of the 60-day notice (78 FR
48687). Form Number: CMS–416 (OCN:
0938–0354); Frequency: Yearly; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
56; Total Annual Responses: 56; Total
Annual Hours: 1,568. (For policy
questions regarding this collection
contact Marsha Lillie-Blanton at 410–
786–8856.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Clinical
Laboratory Improvement Amendments
(CLIA) Regulations; Use: The
information is necessary to determine
an entity’s compliance with the
Congressionally-mandated program
with respect to the regulation of
laboratory testing (CLIA). In addition,
laboratories participating in the
Medicare program must comply with
CLIA requirements as required by
section 6141 of OBRA 89. Medicaid,
under the authority of section
1902(a)(9)(C) of the Social Security Act,
pays for services furnished only by
laboratories that meet Medicare (CLIA)
requirements. Form Number: CMS–R–
26 (OCN: 0938–0612); Frequency:
Monthly, occasionally; Affected Public:
Private sector—Business or other forprofits and Not-for-profit institutions,
VerDate Mar<15>2010
17:28 Dec 05, 2013
Jkt 232001
State, Local or Tribal Governments, and
the Federal government; Number of
Respondents: 79,175; Total Annual
Responses: 88,886,364; Total Annual
Hours: 15,613,299. (For policy questions
regarding this collection contact Raelene
Perfetto at 410–786–6876).
3. Type of Information Collection
Request: New Collection (Request for a
new OMB control number); Title of
Information Collection: Medicaid
Emergency Psychiatric Demonstration
(MEPD) Evaluation; Use: Since the
inception of Medicaid, inpatient care
provided to adults ages 21 to 64 in
institutions for mental disease (IMDs)
has been excluded from federal
matching funds. The Emergency
Medical Treatment and Active Labor
Act (EMTALA), however, requires IMDs
that participate in Medicare to provide
treatment for psychiatric emergency
medical conditions (EMCs), even for
Medicaid patients for whose services
cannot be reimbursed. Section 2707 of
the Affordable Care Act (ACA) directs
the Secretary of Health and Human
Services to conduct and evaluate a
demonstration project to determine the
impact of providing payment under
Medicaid for inpatient services
provided by private IMDs to individuals
with emergency psychiatric conditions
between the ages of 21 and 64. We will
use the data to evaluate the Medicaid
Emergency Psychiatric Demonstration
(MEPD) in accordance with the ACA
mandates. This evaluation in turn will
be used by Congress to determine
whether to continue or expand the
demonstration. If the decision is made
to expand the demonstration, the data
collected will help to inform us as well
as our stakeholders about possible
effects of contextual factors and
important procedural issues to consider
in the expansion, as well as the
likelihood of various outcomes.
Subsequent to publication of the 60-day
Federal Register notice (78 FR 45205),
there was an increase in the burden due
to an increase in time assessed for
reviewing medical records and the need
to obtain additional informed consents
for beneficiary interviews. There have
also been changes made to the ‘‘Key
Informant Interview Questions’’ for
clarification purposes. Form Number:
CMS–10487 (OCN: 0938–NEW);
Frequency: Annually; Affected Public:
Individuals and households; State,
Local and Tribal governments; Private
sector—Business and other for-profits
and Not-for-profits; Number of
Respondents: 98; Total Annual
Responses: 2,754; Total Annual Hours:
2,613. (For policy questions regarding
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Fmt 4703
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73547
this collection contact Negussie Tilahun
at 410–786–2058.)
Dated: December 3, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–29143 Filed 12–5–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1463–N]
Medicare Program; Semi-Annual
Meeting of the Advisory Panel on
Hospital Outpatient Payment (HOP
Panel) March 10–11, 2014
Centers for Medicare &
Medicaid Services (CMS), Department
of Health and Human Services (HHS).
ACTION: Notice.
AGENCY:
This notice announces the
first semi-annual meeting of the
Advisory Panel on Hospital Outpatient
Payment (the Panel) for 2014. The
purpose of the Panel is to advise the
Secretary of the Department of Health
and Human Services (the Secretary) and
the Administrator of the Centers for
Medicare & Medicaid Services (the
Administrator) on the clinical integrity
of the Ambulatory Payment
Classification (APC) groups and their
associated weights, and hospital
outpatient therapeutic services
supervision issues.
DATES: Meeting Dates: The first semiannual meeting in 2014 is scheduled for
the following dates and times. The times
listed in this notice are Eastern Standard
Time (EST) and are approximate times;
consequently, the meetings may last
longer than the times listed in this
notice, but will not begin before the
posted times:
• Monday, March 10, 2014, 1 p.m. to 5
p.m. EST
• Tuesday, March 11, 2014, 9 a.m. to 5
p.m. EST
Meeting Information Updates:
The actual meeting hours and days
will be posted in the agenda. As
information and updates regarding the
onsite and webcasted meeting and
agenda become available, they will be
posted to the CMS Web site at: https://
cms.gov/Regulations-and-Guidance/
Guidance/FACA/AdvisoryPanel
onAmbulatoryPaymentClassification
Groups.html.
SUMMARY:
E:\FR\FM\06DEN1.SGM
06DEN1
]]>Agencies
[Federal Register Volume 78, Number 235 (Friday, December 6, 2013)]
[Notices]
[Pages 73546-73547]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-29143]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-416, CMS-R-26 and CMS-10487]
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 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 January 6, 2014.
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
[[Page 73547]]
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: Revision of a currently
approved collection; Title of Information Collection: Annual Early and
Periodic Screening, Diagnostic and Treatment (EPSDT) Participation
Report; Use: The baseline data collected is used to assess the
effectiveness of state early and periodic screening, diagnostic and
treatment (EPSDT) programs in reaching eligible children, by age group
and basis of Medicaid eligibility, who are provided initial and
periodic child health screening services, referred for corrective
treatment, and receiving dental, hearing, and vision services. This
assessment is coupled with the state's results in attaining the
participation goals set for the state. The information gathered from
this report, permits federal and state managers to evaluate the
effectiveness of the EPSDT law on the basic aspects of the program. The
associated 30-day PRA package has been revised subsequent to the
publication of the 60-day notice (78 FR 48687). Form Number: CMS-416
(OCN: 0938-0354); Frequency: Yearly; Affected Public: State, Local, or
Tribal Governments; Number of Respondents: 56; Total Annual Responses:
56; Total Annual Hours: 1,568. (For policy questions regarding this
collection contact Marsha Lillie-Blanton at 410-786-8856.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Clinical
Laboratory Improvement Amendments (CLIA) Regulations; Use: The
information is necessary to determine an entity's compliance with the
Congressionally-mandated program with respect to the regulation of
laboratory testing (CLIA). In addition, laboratories participating in
the Medicare program must comply with CLIA requirements as required by
section 6141 of OBRA 89. Medicaid, under the authority of section
1902(a)(9)(C) of the Social Security Act, pays for services furnished
only by laboratories that meet Medicare (CLIA) requirements. Form
Number: CMS-R-26 (OCN: 0938-0612); Frequency: Monthly, occasionally;
Affected Public: Private sector--Business or other for-profits and Not-
for-profit institutions, State, Local or Tribal Governments, and the
Federal government; Number of Respondents: 79,175; Total Annual
Responses: 88,886,364; Total Annual Hours: 15,613,299. (For policy
questions regarding this collection contact Raelene Perfetto at 410-
786-6876).
3. Type of Information Collection Request: New Collection (Request
for a new OMB control number); Title of Information Collection:
Medicaid Emergency Psychiatric Demonstration (MEPD) Evaluation; Use:
Since the inception of Medicaid, inpatient care provided to adults ages
21 to 64 in institutions for mental disease (IMDs) has been excluded
from federal matching funds. The Emergency Medical Treatment and Active
Labor Act (EMTALA), however, requires IMDs that participate in Medicare
to provide treatment for psychiatric emergency medical conditions
(EMCs), even for Medicaid patients for whose services cannot be
reimbursed. Section 2707 of the Affordable Care Act (ACA) directs the
Secretary of Health and Human Services to conduct and evaluate a
demonstration project to determine the impact of providing payment
under Medicaid for inpatient services provided by private IMDs to
individuals with emergency psychiatric conditions between the ages of
21 and 64. We will use the data to evaluate the Medicaid Emergency
Psychiatric Demonstration (MEPD) in accordance with the ACA mandates.
This evaluation in turn will be used by Congress to determine whether
to continue or expand the demonstration. If the decision is made to
expand the demonstration, the data collected will help to inform us as
well as our stakeholders about possible effects of contextual factors
and important procedural issues to consider in the expansion, as well
as the likelihood of various outcomes. Subsequent to publication of the
60-day Federal Register notice (78 FR 45205), there was an increase in
the burden due to an increase in time assessed for reviewing medical
records and the need to obtain additional informed consents for
beneficiary interviews. There have also been changes made to the ``Key
Informant Interview Questions'' for clarification purposes. Form
Number: CMS-10487 (OCN: 0938-NEW); Frequency: Annually; Affected
Public: Individuals and households; State, Local and Tribal
governments; Private sector--Business and other for-profits and Not-
for-profits; Number of Respondents: 98; Total Annual Responses: 2,754;
Total Annual Hours: 2,613. (For policy questions regarding this
collection contact Negussie Tilahun at 410-786-2058.)
Dated: December 3, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-29143 Filed 12-5-13; 8:45 am]
BILLING CODE 4120-01-P
