Agency Information Collection Activities: Submission for OMB Review; Comment Request, 11435-11436 [2014-04327]
Download as PDF
<![CDATA[
Federal Register / Vol. 79, No. 40 / Friday, February 28, 2014 / Notices
the we collect and disseminate valid
and reliable information that can be
used to improve quality of care through
identification of quality improvement
opportunities, assist us in carrying out
our oversight responsibilities, and help
beneficiaries make an informed choice
among health plans. Form Number:
CMS–10203 (OCN: 0938–0701);
Frequency: Yearly; Affected Public:
Individuals and households; Number of
Respondents: 739,959; Total Annual
Responses: 244,187; Total Annual
Hours: 244,187. (For policy questions
regarding this collection contact
Kimberly DeMichele at 410–786–4286.)
Dated: February 24, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–04328 Filed 2–27–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10346 and CMS–
10496]
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: (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.
tkelley on DSK3SPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
17:47 Feb 27, 2014
Jkt 232001
Comments on the collection(s) of
information must be received by the
OMB desk officer by March 31, 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: Extension of a currently
approved collection; Title of
Information Collection: Appeals of
Quality Bonus Payment Determinations;
Use: Section 1853(o) of the Social
Security Act (the Act) requires us to
make quality bonus payments (QBPs)
QBPs to Medicare Advantage (MA)
organizations that achieve performance
DATES:
PO 00000
Frm 00046
Fmt 4703
Sfmt 4703
11435
rating scores of at least 4 stars under a
five-star rating system. While we have
applied a Star Rating system to MA
organizations for a number of years,
prior to the QBP program these Star
Ratings were used only to provide
additional information for beneficiaries
to consider in making their Part C and
D plan elections. Beginning in 2012, the
Star Ratings we assign for purposes of
QBPs directly affected the monthly
payment amount MA organizations
receive from us under their contracts.
Additionally, section 1854(b)(1)(C)(v) of
the Act, as added by the Affordable Care
Act, also requires us to change the share
of savings that MA organizations must
provide to enrollees as the beneficiary
rebate specified at § 422.266(a) based on
the level of a sponsor’s Star Rating for
quality performance.
While the statute does not specify an
administrative review process for
appealing low QBP Star Ratings, we
have implemented an appeals process in
accordance with its authority to
establish MA program standards by
regulation at section 1856(b)(1) of the
Act. Under this process, MA
organizations may seek review of their
QBP Star Rating determinations. This
review process also applies to the
determinations we made where the
organization’s Star Rating sets its QBP
status at ineligible for rebate retention.
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).
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: State Health
Insurance Exchange Incident Report;
Use: We have implemented a Computer
Matching Agreement (CMA) with the
State-Based Administering Entities
(AEs). This agreement establishes the
terms, conditions, safeguards, and
procedures under which we will
disclose certain information to the AEs
in accordance with the Patient
Protection and Affordable Care Act of
2010 (Pub. L. 111–148), as amended by
the Health Care and Education
Reconciliation Act (Pub. L. 111–152),
which are referred to collectively as the
Affordable Care Act (ACA),
E:\FR\FM\28FEN1.SGM
28FEN1
11436
Federal Register / Vol. 79, No. 40 / Friday, February 28, 2014 / Notices
amendments to the Social Security Act
made by the ACA, and the
implementing regulations. The AEs,
which are state entities administering
Insurance Affordability Programs, will
use the data, accessed through the CMS
Data Services Hub (Hub), to make
Eligibility Determinations for Insurance
Affordability Programs and certificates
of exemption.
The AEs shall report suspected or
confirmed incidents affecting loss or
suspected loss of PII within one hour of
discovery to their designated Center for
Consumer Information and Insurance
Oversight State Officer who will then
notify the affected Federal agency data
sources, i.e., Internal Revenue Service,
Department of Defense, Department of
Homeland Security, Social Security
Administration, Peace Corps, Office of
Personnel Management and Veterans
Health Administration. Additionally,
AEs shall contact the office of the
appropriate Special Agent-in-Charge,
Treasury Inspector General for Tax
Administration (TIGTA), and the IRS
Office of Safeguards within 24 hours of
discovery of any potential breach, loss,
or misuse of Return Information. Form
Number: CMS–10496 (OCN: 0938–
1216); Frequency: Occasionally;
Affected Public: State, Local or Tribal
governments; Number of Respondents:
18; Total Annual Responses: 936; Total
Annual Hours: 234. (For policy
questions regarding this collection
contact Theodora Wills at 410–786–
1504.)
Dated: February 24, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–04327 Filed 2–27–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–2389–N]
tkelley on DSK3SPTVN1PROD with NOTICES
Medicaid Program; Preliminary
Disproportionate Share Hospital
Allotments (DSH) for Fiscal Year (FY)
2014 and the Preliminary Institutions
for Mental Diseases Disproportionate
Share Hospital Limits for FY 2014
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This notice announces the
preliminary federal share DSH
allotments for FY 2014 and the
SUMMARY:
VerDate Mar<15>2010
17:47 Feb 27, 2014
Jkt 232001
preliminary federal share FY 2014 limits
on aggregate DSH payments that states
may make to institutions for mental
diseases (IMDs) and other mental health
facilities. This notice also includes
additional information regarding the
calculation of the FY 2014 DSH
allotments and FY 2014 IMD DSH
limits.
Effective Date: This notice is
effective on March 31, 2014. The final
allotments and limitations set forth in
this notice are effective for the fiscal
years specified.
FOR FURTHER INFORMATION CONTACT: Rory
Howe, (410) 786–4878; or Richard
Strauss, (410) 786–2019.
SUPPLEMENTARY INFORMATION:
DATES:
I. Background
A. Fiscal Year DSH Allotments
A state’s federal fiscal year (FY)
disproportionate share hospital (DSH)
allotment represents the aggregate limit
on the federal share amount of the
state’s payments to DSH hospitals in the
state for the FY. The amount of such
allotment is determined in accordance
with the provisions of section 1923(f)(3)
of the Social Security Act (the Act).
Under such provisions, in general a
state’s FY DSH allotment is calculated
by increasing the amount of its DSH
allotment for the preceding FY by the
percentage change in the Consumer
Price Index for all Urban Consumers
(CPI–U) for the previous FY.
The Affordable Care Act amended
Medicaid DSH provisions, adding
section 1923(f)(7) of the Act which
would have required reductions to
states’ FY DSH allotments beginning
with FY 2014, the calculation of which
was described in the Disproportionate
Share Hospital Payment Reduction final
rule published in the September 18,
2013 Federal Register (78 FR 57293).
Under the DSH reduction methodology,
first, each state’s unreduced FY DSH
allotment would have been calculated
in accordance with the provisions of
section 1923(f) of the Act, excluding
section 1923(f)(7) of the Act; then, the
reduction amount for each state would
have been determined under the
provisions of section 1923(f)(7) of the
Act and implementing regulations at 42
CFR 447.294; and, finally, the net FY
DSH allotment for each state would
have been determined by subtracting the
DSH reduction amount for the state
from its unreduced FY 2014 DSH
allotment.
The reductions under section
1923(f)(7) of the Act were delayed and
modified by section 1204 of Division B
(Medicare and Other Health Provisions)
PO 00000
Frm 00047
Fmt 4703
Sfmt 4703
of the ‘‘Pathway for SGR Reform Act of
2013’’ (Pub. L. 113–67), which was
enacted on December 26, 2013. The
reductions of states’ fiscal year DSH
allotments under section 1923(f)(7) of
the Act that were applicable to FY 2014
and 2015 were repealed, and the FY
2016 was increased substantially.
Because there is no reduction to DSH
allotments for FY 2014 under section
1923(f)(7) of the Act, this notice
contains only the state-specific FY 2014
DSH allotments, as calculated under the
statute without application of the
reductions that would have been
imposed under the Affordable Care Act
provisions beginning with FY 2014.
This notice also provides information
on the calculation of such FY DSH
allotments, the calculation of the states’
IMD DSH limits, and the amounts of
states’ preliminary FY 2014 IMD DSH
limits.
B. Determination of Fiscal Year DSH
Allotments
Generally, in accordance with the
methodology specified under section
1923(f)(3) of the Act, a state’s FY DSH
allotment is calculated by increasing the
amount of its DSH allotment for the
preceding FY by the percentage change
in the CPI–U for the previous FY. Also
in accordance with section 1923(f)(3) of
the Act, a state’s DSH allotment for a FY
is subject to the limitation that an
increase to a state’s DSH allotment for
a FY cannot result in the DSH allotment
exceeding the greater of the state’s DSH
allotment for the previous FY or 12
percent of the state’s total medical
assistance expenditures for the
allotment year (this is referred to as the
12 percent limit).
Furthermore, under section 1923(h) of
the Act, federal financial participation
(FFP) for DSH payments to institutions
for mental diseases (IMDs) and other
mental health facilities is limited to
state-specific aggregate amounts. Under
this provision, the aggregate limit for
DSH payments to IMDs and other
mental health facilities is the lesser of
a state’s FY 1995 total computable (state
and federal share) IMD and other mental
health facility DSH expenditures
applicable to the state’s FY 1995 DSH
allotment (as reported on the Form
CMS–64 as of January 1, 1997), or the
amount equal to the product of the
state’s current year total computable
DSH allotment and the applicable
percentage specified in section 1902(h)
of the Act (the applicable percentage is
the IMD share of DSH total computable
expenditures as of FY 1995).
In general, we determine states’ DSH
allotments for a FY and the IMD DSH
limits for the same FY using the most
E:\FR\FM\28FEN1.SGM
28FEN1
]]>Agencies
[Federal Register Volume 79, Number 40 (Friday, February 28, 2014)]
[Notices]
[Pages 11435-11436]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-04327]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10346 and CMS-10496]
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 March 31, 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: Extension of a currently
approved collection; Title of Information Collection: Appeals of
Quality Bonus Payment Determinations; Use: Section 1853(o) of the
Social Security Act (the Act) requires us to make quality bonus
payments (QBPs) QBPs to Medicare Advantage (MA) organizations that
achieve performance rating scores of at least 4 stars under a five-star
rating system. While we have applied a Star Rating system to MA
organizations for a number of years, prior to the QBP program these
Star Ratings were used only to provide additional information for
beneficiaries to consider in making their Part C and D plan elections.
Beginning in 2012, the Star Ratings we assign for purposes of QBPs
directly affected the monthly payment amount MA organizations receive
from us under their contracts. Additionally, section 1854(b)(1)(C)(v)
of the Act, as added by the Affordable Care Act, also requires us to
change the share of savings that MA organizations must provide to
enrollees as the beneficiary rebate specified at Sec. 422.266(a) based
on the level of a sponsor's Star Rating for quality performance.
While the statute does not specify an administrative review process
for appealing low QBP Star Ratings, we have implemented an appeals
process in accordance with its authority to establish MA program
standards by regulation at section 1856(b)(1) of the Act. Under this
process, MA organizations may seek review of their QBP Star Rating
determinations. This review process also applies to the determinations
we made where the organization's Star Rating sets its QBP status at
ineligible for rebate retention. 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 for-profits; 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).
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: State Health
Insurance Exchange Incident Report; Use: We have implemented a Computer
Matching Agreement (CMA) with the State-Based Administering Entities
(AEs). This agreement establishes the terms, conditions, safeguards,
and procedures under which we will disclose certain information to the
AEs in accordance with the Patient Protection and Affordable Care Act
of 2010 (Pub. L. 111-148), as amended by the Health Care and Education
Reconciliation Act (Pub. L. 111-152), which are referred to
collectively as the Affordable Care Act (ACA),
[[Page 11436]]
amendments to the Social Security Act made by the ACA, and the
implementing regulations. The AEs, which are state entities
administering Insurance Affordability Programs, will use the data,
accessed through the CMS Data Services Hub (Hub), to make Eligibility
Determinations for Insurance Affordability Programs and certificates of
exemption.
The AEs shall report suspected or confirmed incidents affecting
loss or suspected loss of PII within one hour of discovery to their
designated Center for Consumer Information and Insurance Oversight
State Officer who will then notify the affected Federal agency data
sources, i.e., Internal Revenue Service, Department of Defense,
Department of Homeland Security, Social Security Administration, Peace
Corps, Office of Personnel Management and Veterans Health
Administration. Additionally, AEs shall contact the office of the
appropriate Special Agent-in-Charge, Treasury Inspector General for Tax
Administration (TIGTA), and the IRS Office of Safeguards within 24
hours of discovery of any potential breach, loss, or misuse of Return
Information. Form Number: CMS-10496 (OCN: 0938-1216); Frequency:
Occasionally; Affected Public: State, Local or Tribal governments;
Number of Respondents: 18; Total Annual Responses: 936; Total Annual
Hours: 234. (For policy questions regarding this collection contact
Theodora Wills at 410-786-1504.)
Dated: February 24, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-04327 Filed 2-27-14; 8:45 am]
BILLING CODE 4120-01-P
