Agency Information Collection Activities: Submission for OMB Review; Comment Request, 4726-4727 [2014-01775]
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4726
Federal Register / Vol. 79, No. 19 / Wednesday, January 29, 2014 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10485, CMS–
417, CMS–10277, and CMS–10260]
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
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: the necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions; the accuracy of
the estimated burden; ways to enhance
the quality, utility, and clarity of the
information to be collected; and the use
of automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
SUMMARY:
Comments on the collection(s) of
information must be received by the
OMB desk officer by February 28, 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) 395–5806 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,
tkelley on DSK3SPTVN1PROD with NOTICES
DATES:
VerDate Mar<15>2010
16:05 Jan 28, 2014
Jkt 232001
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: 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
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. Subsequent to
the publication of the 60-day Federal
PO 00000
Frm 00072
Fmt 4703
Sfmt 4703
Register notice (78 FR 41931), revisions
have been made to the survey. There has
been a slight increase in the annual
burden hours. 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:
1,740. (For policy questions regarding
this collection contact Suzanne Wensky
at 410–786–0226.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Hospice Request
for Certification and Supporting
Regulations; Use: The Hospice Request
for Certification Form is the
identification and screening form used
to initiate the certification process and
to determine if the provider has
sufficient personnel to participate in the
Medicare program. Subsequent to the
publication of the 60-day Federal
Register notice (78 FR 65656), minor
changes were made to the form. Form
Number: CMS–417 (OCN: 0938–0313);
Frequency: Annually; Affected Public:
Private Sector (Business or other forprofits); Number of Respondents: 3,807;
Total Annual Responses: 3,807; Total
Annual Hours: 952. (For policy
questions regarding this collection
contact Patricia Sevast at 410–786–
8135).
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Hospice
Conditions of Participation and
Supporting Regulations; Use: The
Conditions of Participation and
accompanying requirements are used by
Federal or State surveyors as a basis for
determining whether a hospice qualifies
for approval or re-approval under
Medicare. The healthcare industry and
CMS believe that the availability to the
hospice of the type of records and
general content of records, which the
final rule (72 FR 32088) specifies, is
standard medical practice, and is
necessary in order to ensure the wellbeing and safety of patients and
professional treatment accountability.
Form Number: CMS–10277 (OCN:
0938–1067); Frequency: Reporting and
Recordkeeping—Yearly; Affected
Public: Private sector (Business or other
for-profit and Not-for-profit
institutions); Number of Respondents:
3,897; Total Annual Responses:
1,535,919; Total Annual Hours:
1,625,440. (For policy questions
regarding this collection contact
Danielle Shearer at 410–786–6617.)
4. Type of Information Collection
Request: Reinstatement with change of a
E:\FR\FM\29JAN1.SGM
29JAN1
Federal Register / Vol. 79, No. 19 / Wednesday, January 29, 2014 / Notices
previously approved collection; Title of
Information Collection: Medicare
Advantage and Prescription Drug
Program: Final Marketing Provisions;
Use: We require that Medicare
Advantage (MA) organizations and Part
D sponsors use standardized documents
to satisfy disclosure requirements
mandated by section 1851(d)(3)(A) of
the Social Security Act (Act) and 42
CFR 422.111(b) for MA organizations,
and section 1860D–1(c) of the Act and
42 CFR 423.128(a)(3) for Part D
sponsors. The regulatory provisions
require that MA organizations and Part
D sponsors disclose plan information,
including: Service area, benefits, access,
grievance and appeals procedures, and
quality improvement and quality
assurance requirements by September
30th of each year. The MA organizations
and Part D sponsors use the information
to comply with the disclosure
requirements. We will use the approved
standardized documents to ensure that
correct information is disclosed to
current and potential enrollees. The
package has been revised subsequent to
the publication of the 60-day notice (78
FR 63208). Form Number: CMS–10260
(OCN: 0938–1051); Frequency: Yearly;
Affected Public: Private sector (Business
or other for-profits); Number of
Respondents: 770; Total Annual
Responses: 770; Total Annual Hours:
9,240. (For policy questions regarding
this collection contact Timothy Roe at
410–786–2006.)
Dated: January 24, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–01775 Filed 1–28–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–3290–PN]
Medicare and Medicaid Programs:
Application From the Joint
Commission for Continued Approval of
Its Hospital Accreditation Program
Centers for Medicare and
Medicaid Services, HHS.
ACTION: Proposed notice.
tkelley on DSK3SPTVN1PROD with NOTICES
AGENCY:
This proposed notice
acknowledges the receipt of an
application from the Joint Commission
for continued recognition as a national
accrediting organization for hospitals
that wish to participate in the Medicare
SUMMARY:
VerDate Mar<15>2010
16:05 Jan 28, 2014
Jkt 232001
or Medicaid programs. Section
1865(b)(3)(A) of the Social Security Act
(the Act) requires that within 60 days of
receipt of an organization’s complete
application, CMS publish a notice that
identifies the national accrediting body
making the request, describes the nature
of the request, and provides at least a
30-day public comment period.
DATES: To be assured consideration,
comments must be received at one of
the addresses provided below, no later
than 5 p.m. on February 28, 2014.
ADDRESSES: In commenting, please refer
to file code CMS–3290–PN. Because of
staff and resource limitations, we cannot
accept comments by facsimile (FAX)
transmission.
You may submit comments in one of
four ways (please choose only one of the
ways listed):
1. Electronically. You may submit
electronic comments on specific issues
in this regulation to https://
www.regulations.gov. Follow the
‘‘Submit a comment’’ instructions.
2. By regular mail. You may mail
written comments (one original and two
copies) to the following address ONLY:
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, Attention: CMS–3290–
PN, P.O. Box 8016, Baltimore, MD
21244–8010.
Please allow sufficient time for mailed
comments to be received before the
close of the comment period.
3. By express or overnight mail. You
may send written comments to the
following address ONLY:
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, Attention: CMS–3290–
PN, Mail Stop C4–26–05, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
4. By hand or courier. Alternatively,
you may deliver (by hand or courier)
your written comments to the following
addresses:
a. For delivery in Washington, DC—
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, Room 445–G, Hubert
H. Humphrey Building, 200
Independence Avenue SW.,
Washington, DC 20201
(Because access to the interior of the
Hubert H. Humphrey Building is not
readily available to persons without
Federal government identification,
commenters are encouraged to leave
their comments in the CMS drop slots
located in the main lobby of the
building. A stamp-in clock is available
for persons wishing to retain a proof of
filing by stamping in and retaining an
extra copy of the comments being filed.)
b. For delivery in Baltimore, MD—
PO 00000
Frm 00073
Fmt 4703
Sfmt 4703
4727
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
If you intend to deliver your
comments to the Baltimore address, call
telephone number (410) 786–7195 in
advance to schedule your arrival with
one of our staff members.
Comments erroneously mailed to the
addresses indicated as appropriate for
hand or courier delivery may be delayed
and received after the comment period.
For information on viewing public
comments, see the beginning of the
SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
Monda Shaver, (410) 786–3410, Cindy
Melanson, (410) 786–0310, or Patricia
Chmielewski, (410) 786–6899.
SUPPLEMENTARY INFORMATION: Inspection
of Public Comments: All comments
received before the close of the
comment period are available for
viewing by the public, including any
personally identifiable or confidential
business information that is included in
a comment. We post all comments
received before the close of the
comment period on the following Web
site as soon as possible after they have
been received: https://
www.regulations.gov. Follow the search
instructions on that Web site to view
public comments.
Comments received timely will also
be available for public inspection as
they are received, generally beginning
approximately 3 weeks after publication
of a document, at the headquarters of
the Centers for Medicare & Medicaid
Services, 7500 Security Boulevard,
Baltimore, Maryland 21244, Monday
through Friday of each week from 8:30
a.m. to 4 p.m. To schedule an
appointment to view public comments,
phone 1–800–743–3951.
I. Background
Under the Medicare program, eligible
beneficiaries may receive covered
services from a hospital provided
certain requirements are met. Sections
1861(e) of the Social Security Act (the
Act), establish distinct criteria for
facilities seeking designation as a
hospital. Regulations concerning
provider agreements are at 42 CFR part
489 and those pertaining to activities
relating to the survey and certification
of facilities are at 42 CFR part 488. The
regulations at 42 CFR part 482 specify
the minimum conditions that a hospital
must meet to participate in the Medicare
program.
Generally, to enter into an agreement,
a hospital must first be certified by a
state survey agency as complying with
E:\FR\FM\29JAN1.SGM
29JAN1
]]>Agencies
[Federal Register Volume 79, Number 19 (Wednesday, January 29, 2014)]
[Notices]
[Pages 4726-4727]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-01775]
[[Page 4726]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10485, CMS-417, CMS-10277, and CMS-10260]
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: the
necessity and utility of the proposed information collection for the
proper performance of the agency's functions; the accuracy of the
estimated burden; ways to enhance the quality, utility, and clarity of
the information to be collected; and 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 February 28, 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) 395-5806 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: 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 state-sponsored 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 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. Subsequent to the publication of the 60-day
Federal Register notice (78 FR 41931), revisions have been made to the
survey. There has been a slight increase in the annual burden hours.
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: 1,740. (For policy
questions regarding this collection contact Suzanne Wensky at 410-786-
0226.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Hospice Request
for Certification and Supporting Regulations; Use: The Hospice Request
for Certification Form is the identification and screening form used to
initiate the certification process and to determine if the provider has
sufficient personnel to participate in the Medicare program. Subsequent
to the publication of the 60-day Federal Register notice (78 FR 65656),
minor changes were made to the form. Form Number: CMS-417 (OCN: 0938-
0313); Frequency: Annually; Affected Public: Private Sector (Business
or other for-profits); Number of Respondents: 3,807; Total Annual
Responses: 3,807; Total Annual Hours: 952. (For policy questions
regarding this collection contact Patricia Sevast at 410-786-8135).
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Hospice
Conditions of Participation and Supporting Regulations; Use: The
Conditions of Participation and accompanying requirements are used by
Federal or State surveyors as a basis for determining whether a hospice
qualifies for approval or re-approval under Medicare. The healthcare
industry and CMS believe that the availability to the hospice of the
type of records and general content of records, which the final rule
(72 FR 32088) specifies, is standard medical practice, and is necessary
in order to ensure the well-being and safety of patients and
professional treatment accountability. Form Number: CMS-10277 (OCN:
0938-1067); Frequency: Reporting and Recordkeeping--Yearly; Affected
Public: Private sector (Business or other for-profit and Not-for-profit
institutions); Number of Respondents: 3,897; Total Annual Responses:
1,535,919; Total Annual Hours: 1,625,440. (For policy questions
regarding this collection contact Danielle Shearer at 410-786-6617.)
4. Type of Information Collection Request: Reinstatement with
change of a
[[Page 4727]]
previously approved collection; Title of Information Collection:
Medicare Advantage and Prescription Drug Program: Final Marketing
Provisions; Use: We require that Medicare Advantage (MA) organizations
and Part D sponsors use standardized documents to satisfy disclosure
requirements mandated by section 1851(d)(3)(A) of the Social Security
Act (Act) and 42 CFR 422.111(b) for MA organizations, and section
1860D-1(c) of the Act and 42 CFR 423.128(a)(3) for Part D sponsors. The
regulatory provisions require that MA organizations and Part D sponsors
disclose plan information, including: Service area, benefits, access,
grievance and appeals procedures, and quality improvement and quality
assurance requirements by September 30th of each year. The MA
organizations and Part D sponsors use the information to comply with
the disclosure requirements. We will use the approved standardized
documents to ensure that correct information is disclosed to current
and potential enrollees. The package has been revised subsequent to the
publication of the 60-day notice (78 FR 63208). Form Number: CMS-10260
(OCN: 0938-1051); Frequency: Yearly; Affected Public: Private sector
(Business or other for-profits); Number of Respondents: 770; Total
Annual Responses: 770; Total Annual Hours: 9,240. (For policy questions
regarding this collection contact Timothy Roe at 410-786-2006.)
Dated: January 24, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-01775 Filed 1-28-14; 8:45 am]
BILLING CODE 4120-01-P
