Emergency Clearance: Public Information Collection Requirements Submitted to the Office of Management and Budget (OMB), 18913-18914 [2014-07577]
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Federal Register / Vol. 79, No. 65 / Friday, April 4, 2014 / Notices
to charge registration fees, and, if so,
state that the co-sponsor agrees to set a
fee no higher than necessary to recover
its share of the costs of the event; (b)
state whether HHS and the co-sponsor
agree that HHS employees will be
allowed free attendance at the event; (c)
state whether the co-sponsor intends to
sell educational materials pertaining to
the event or transcripts or recordings of
the event, and, if so, state that the cosponsor agrees to sell such items at
cost.]
4. Independently Sponsored Portions of
Event
[Provide the following information:
(a) State whether either HHS or the cosponsor intends to sponsor any discrete
portion of the event independently; (b)
describe any separately sponsored
portion; (c) state that HHS resources,
including staff, will not be used to
develop, promote or otherwise support
a portion of the event that is
independently sponsored by the cosponsor, although official
announcements and brochures may
contain factual references to the
schedule of the entire event, including
portions sponsored solely by the cosponsor.]
5. Fundraising
[Name of co-sponsor] will make clear,
in any solicitation for funds to cover its
share of the event costs, that it, not
HHS, is asking for the funds. [Name of
co-sponsor] will not imply that HHS
endorses any fundraising activities in
connection with the event. [Name of cosponsor] will make clear to donors that
any gift will go solely toward defraying
the expenses of [name of co-sponsor],
not HHS.
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6. Promotional Activity
[Name of co-sponsor] will not use the
event primarily as a vehicle to sell or
promote products or services. [Name of
co-sponsor] will ensure that any
incidental promotional activity does not
imply that HHS endorses any products
or services. [Name of co-sponsor] will
make reasonable efforts, subject to HHS
review, to segregate any incidental
promotional activity from the main
activities of the event.
7. Event Publicity and Endorsements
[Name of co-sponsor] will not use the
name of HHS or any of its components,
except in factual publicity for the
specific event. Factual publicity
includes dates, times, locations,
purposes, agendas, fees, and speakers
involved with the event. Such factual
publicity shall not imply that the
involvement of HHS in the event serves
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as an endorsement of the general
policies, activities, or products of [name
of co-sponsor]; where confusion could
result, publicity should be accompanied
by a disclaimer to the effect that no
endorsement is intended. [Name of cosponsor] will clear all publicity
materials for the event with HHS to
ensure compliance with this paragraph.
8. Records
Records concerning the event shall
account fully and accurately for the
financial commitments and
expenditures of HHS and [name of cosponsor]. Such records shall reflect, at a
minimum, the amounts, sources, and
uses of all funds.
9. Public Availability
This co-sponsorship agreement, as
well as the financial records described
in paragraph 8, shall be publicly
available.
10. Co-Sponsorship Guidance
HHS and [name of co-sponsor] will
abide by the legal memorandum of
August 8, 2002, entitled ‘‘CoSponsorship Guidance,’’ issued by the
HHS Designated Agency Ethics Official.
Co-Sponsorship Proposal: Each cosponsorship proposal shall contain a
description of: (1) The entity or
organization’s background and history,
(2) its ability to satisfy the cosponsorship criteria detailed above, and
(3) its proposed involvement in the cosponsored activity.
Evaluation Criteria: After engaging in
exploratory discussions with potential
co-sponsors that respond to this notice,
AHRQ will select the co-sponsor or cosponsors using the following evaluation
criteria:
(1) Qualifications and capability to
fulfill co-sponsorship responsibilities;
(2) Creativity related to enhancing the
conference, including options for
interactive sessions and ideas for
improving the event based on the 2012
conference offerings;
(3) Potential for reaching and
generating attendees from among key
stakeholders, including Federal, State
and local policymakers, health care
providers, consumers and patients,
purchasers and payers, and other health
officials and underserved/special
populations;
(4) Experience administering
conferences;
(5) Past or current work specific to
health services research;
(6) Personnel names, professional
qualifications, and specific expertise
with conference planning;
(7) Availability and description of
facilities needed to participate in and
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18913
support the conference planning
process, including office space,
information technology, and
telecommunication resources;
(8) Description of financial
management expertise, including
demonstration of experience in
developing a budget and collecting and
managing monies from organizations
and individuals; and,
(9) Proposed plan for managing a
conference with AHRQ.
Dated: March 28, 2014.
Richard Kronick,
Director, Agency for Healthcare Research and
Quality.
[FR Doc. 2014–07562 Filed 4–3–14; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10421]
Emergency Clearance: Public
Information Collection Requirements
Submitted to the Office of Management
and Budget (OMB)
Centers for Medicare &
Medicaid Services, HHS.
In compliance with section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, the Centers for
Medicare & Medicaid Services (CMS),
Department of Health and Human
Services, is publishing a summary of
this proposed information collection for
public comment. Interested persons are
invited to send comments regarding this
collection’s proposed 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.
In compliance with section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, we have also
submitted to the Office of Management
and Budget (OMB) the proposed
information collection for their
emergency review. While the
information collection request (ICR) is
necessary to ensure compliance with an
initiative of the Administration, we are
requesting emergency review of the ICR
AGENCY:
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04APN1
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18914
Federal Register / Vol. 79, No. 65 / Friday, April 4, 2014 / Notices
for the Medicare Fee-for-Service
Recovery Audit Prepayment Review
Demonstration and Prior Authorization
Demonstration be processed under the
emergency clearance process associated
with 5 CFR 1320.13(a)(2)(i) and 5 CFR
1320.13(a)(2)(ii). However, the revisions
contained in this request only pertain to
the Prior Authorization of Power
Mobility Device (PMD) Demonstration.
The approval of the revisions to this
ICR is essential to prevent improper
payments for PMDs that do not meet
Medicare coverage requirements. We
believe that this demonstration prevents
public harm by protecting the Medicare
Trust Fund from improper payments
made for PMDs that do not comply with
Medicare policy and by ensuring that a
beneficiary’s medical condition
warrants the medical equipment
ordered. Reductions in improper
payments will help ensure the
sustainability of the Medicare Trust
Fund and protect beneficiaries who
depend upon the Medicare program. In
absence of this expanded
demonstration, a significant number of
claims will not be reviewed to ensure
compliance with § 1862(a)(l)(A) of the
Act which provides that Medicare may
only make payment for services which
are reasonable and necessary for the
diagnosis or treatment of illness or
injury or to improve the functioning of
a malformed body member.
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Fee-for-Service
Recovery Audit Prepayment Review
Demonstration and Prior Authorization
Demonstration; Use: On July 23, 2012,
the Office of Management and Budget
approved the collections required for
two demonstrations of prepayment
review and prior authorization. The first
demonstration allows Medicare
Recovery Auditors to review claims on
a pre-payment basis in certain States.
The second demonstration established a
prior authorization program for Power
Mobility Device claims in certain States.
For the Recovery Audit Prepayment
Review Demonstration, CMS and its
agents request additional
documentation, including medical
records, to support submitted claims. As
discussed in more detail in Chapter 3 of
the Program Integrity Manual,
additional documentation includes any
medical documentation, beyond what is
included on the face of the claim that
supports the item or service that is
billed. For Medicare to consider
coverage and payment for any item or
service, the information submitted by
the provider or supplier (e.g., claims)
must be supported by the
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17:37 Apr 03, 2014
Jkt 232001
documentation in the patient’s medical
records. When conducting complex
medical review, the contractor specifies
documentation they require in
accordance with Medicare’s rules and
policies. In addition, providers and
suppliers may supply additional
documentation not explicitly listed by
the contractor. This supporting
information may be requested by CMS
and its agents on a routine basis in
instances where diagnoses on a claim do
not clearly indicate medical necessity,
or if there is a suspicion of fraud.
For the Prior Authorization of Power
Mobility Devices (PMDs)
Demonstration, we are piloting prior
authorization for PMDs. Prior
authorization will allow the applicable
documentation that supports a claim to
be submitted before the item is
delivered. For prior authorization,
relevant documentation for review is
submitted before the item is delivered or
the service is rendered. CMS will
conduct this demonstration in
California, Florida, Illinois, Michigan,
New York, North Carolina and Texas
based on beneficiary address as reported
to the Social Security Administration
and recorded in the Common Working
File (CWF). For the demonstration, a
prior authorization request can be
completed by the (ordering) physician
or treating practitioner and submitted to
the appropriate DME MAC for an initial
decision. The supplier may also submit
the request on behalf of the physician or
treating practitioner. The physician,
treating practitioner or supplier who
submits the request on behalf of the
physician or treating practitioner, is
referred to as the ‘‘submitter.’’ Under
this demonstration, the submitter will
submit to the DME MAC a request for
prior authorization and all relevant
documentation to support Medicare
coverage of the PMD item.
With this emergency Federal Register
notice, we are announcing our plans to
expand the demonstration from the
seven aforementioned States to 12 new
States, bringing the total number of
participating States to 19; however, the
original demonstration requirements
will remain the same in all 19 States.
The new States include Pennsylvania,
Ohio, Louisiana, Missouri, Maryland,
New Jersey, Indiana, Kentucky, Georgia,
Tennessee, Washington, and Arizona.
Form Number: CMS–10421 (OCN:
0938–1169); Frequency: Occasionally;
Affected Public: State, Local or Tribal
Governments; Number of Respondents:
333,750; Total Annual Responses:
333,750; Total Annual Hours: 170,060.
(For policy questions regarding this
collection contact Daniel Schwartz at
PO 00000
Frm 00038
Fmt 4703
Sfmt 9990
410–786–4197. For all other issues call
410–786–1326.)
We are requesting OMB review and
approval of this collection by April 18,
2014, with a 180-day approval period.
Written comments and
recommendations will be considered
from the public if received by the date
and address noted below.
Copies of the supporting statement
and any related forms can be found at:
https://www.cms.hhs.gov/
PaperworkReductionActof1995 or can
be obtained by emailing your request,
including your address, phone number,
OMB number, and CMS document
identifier, to: Paperwork@cms.hhs.gov,
or by calling the Reports Clearance
Office at: 410–786–1326.
When commenting on this proposed
information collection, please reference
the CMS document identifier and the
OMB control number (OCN). To be
assured consideration, comments and
recommendations must be received in
one of the following ways by April 18,
2014:
1. Electronically. You may submit
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) 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 (CMS–10421),
Room C4–26–05, 7500 Security
Boulevard, Baltimore, Maryland
21244–1850 and,
OMB Office of Information and
Regulatory Affairs, Attention: CMS
Desk Officer, New Executive Office
Building, Room 10235, Washington,
DC 20503, Fax Number: 202–395–
6974.
Dated: April 1, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–07577 Filed 4–3–14; 8:45 am]
BILLING CODE 4120–01–P
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Agencies
[Federal Register Volume 79, Number 65 (Friday, April 4, 2014)]
[Notices]
[Pages 18913-18914]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-07577]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10421]
Emergency Clearance: Public Information Collection Requirements
Submitted to the Office of Management and Budget (OMB)
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with section 3506(c)(2)(A) of the Paperwork Reduction
Act of 1995, the Centers for Medicare & Medicaid Services (CMS),
Department of Health and Human Services, is publishing a summary of
this proposed information collection for public comment. Interested
persons are invited to send comments regarding this collection's
proposed 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.
In compliance with section 3506(c)(2)(A) of the Paperwork Reduction
Act of 1995, we have also submitted to the Office of Management and
Budget (OMB) the proposed information collection for their emergency
review. While the information collection request (ICR) is necessary to
ensure compliance with an initiative of the Administration, we are
requesting emergency review of the ICR
[[Page 18914]]
for the Medicare Fee-for-Service Recovery Audit Prepayment Review
Demonstration and Prior Authorization Demonstration be processed under
the emergency clearance process associated with 5 CFR 1320.13(a)(2)(i)
and 5 CFR 1320.13(a)(2)(ii). However, the revisions contained in this
request only pertain to the Prior Authorization of Power Mobility
Device (PMD) Demonstration.
The approval of the revisions to this ICR is essential to prevent
improper payments for PMDs that do not meet Medicare coverage
requirements. We believe that this demonstration prevents public harm
by protecting the Medicare Trust Fund from improper payments made for
PMDs that do not comply with Medicare policy and by ensuring that a
beneficiary's medical condition warrants the medical equipment ordered.
Reductions in improper payments will help ensure the sustainability of
the Medicare Trust Fund and protect beneficiaries who depend upon the
Medicare program. In absence of this expanded demonstration, a
significant number of claims will not be reviewed to ensure compliance
with Sec. 1862(a)(l)(A) of the Act which provides that Medicare may
only make payment for services which are reasonable and necessary for
the diagnosis or treatment of illness or injury or to improve the
functioning of a malformed body member.
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Fee-for-Service
Recovery Audit Prepayment Review Demonstration and Prior Authorization
Demonstration; Use: On July 23, 2012, the Office of Management and
Budget approved the collections required for two demonstrations of
prepayment review and prior authorization. The first demonstration
allows Medicare Recovery Auditors to review claims on a pre-payment
basis in certain States. The second demonstration established a prior
authorization program for Power Mobility Device claims in certain
States.
For the Recovery Audit Prepayment Review Demonstration, CMS and its
agents request additional documentation, including medical records, to
support submitted claims. As discussed in more detail in Chapter 3 of
the Program Integrity Manual, additional documentation includes any
medical documentation, beyond what is included on the face of the claim
that supports the item or service that is billed. For Medicare to
consider coverage and payment for any item or service, the information
submitted by the provider or supplier (e.g., claims) must be supported
by the documentation in the patient's medical records. When conducting
complex medical review, the contractor specifies documentation they
require in accordance with Medicare's rules and policies. In addition,
providers and suppliers may supply additional documentation not
explicitly listed by the contractor. This supporting information may be
requested by CMS and its agents on a routine basis in instances where
diagnoses on a claim do not clearly indicate medical necessity, or if
there is a suspicion of fraud.
For the Prior Authorization of Power Mobility Devices (PMDs)
Demonstration, we are piloting prior authorization for PMDs. Prior
authorization will allow the applicable documentation that supports a
claim to be submitted before the item is delivered. For prior
authorization, relevant documentation for review is submitted before
the item is delivered or the service is rendered. CMS will conduct this
demonstration in California, Florida, Illinois, Michigan, New York,
North Carolina and Texas based on beneficiary address as reported to
the Social Security Administration and recorded in the Common Working
File (CWF). For the demonstration, a prior authorization request can be
completed by the (ordering) physician or treating practitioner and
submitted to the appropriate DME MAC for an initial decision. The
supplier may also submit the request on behalf of the physician or
treating practitioner. The physician, treating practitioner or supplier
who submits the request on behalf of the physician or treating
practitioner, is referred to as the ``submitter.'' Under this
demonstration, the submitter will submit to the DME MAC a request for
prior authorization and all relevant documentation to support Medicare
coverage of the PMD item.
With this emergency Federal Register notice, we are announcing our
plans to expand the demonstration from the seven aforementioned States
to 12 new States, bringing the total number of participating States to
19; however, the original demonstration requirements will remain the
same in all 19 States. The new States include Pennsylvania, Ohio,
Louisiana, Missouri, Maryland, New Jersey, Indiana, Kentucky, Georgia,
Tennessee, Washington, and Arizona.
Form Number: CMS-10421 (OCN: 0938-1169); Frequency: Occasionally;
Affected Public: State, Local or Tribal Governments; Number of
Respondents: 333,750; Total Annual Responses: 333,750; Total Annual
Hours: 170,060. (For policy questions regarding this collection contact
Daniel Schwartz at 410-786-4197. For all other issues call 410-786-
1326.)
We are requesting OMB review and approval of this collection by
April 18, 2014, with a 180-day approval period. Written comments and
recommendations will be considered from the public if received by the
date and address noted below.
Copies of the supporting statement and any related forms can be
found at: https://www.cms.hhs.gov/PaperworkReductionActof1995 or can be
obtained by emailing your request, including your address, phone
number, OMB number, and CMS document identifier, to:
Paperwork@cms.hhs.gov, or by calling the Reports Clearance Office at:
410-786-1326.
When commenting on this proposed information collection, please
reference the CMS document identifier and the OMB control number (OCN).
To be assured consideration, comments and recommendations must be
received in one of the following ways by April 18, 2014:
1. Electronically. You may submit 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) 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 (CMS-10421),
Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850
and,
OMB Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, New Executive Office Building, Room 10235, Washington, DC
20503, Fax Number: 202-395-6974.
Dated: April 1, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-07577 Filed 4-3-14; 8:45 am]
BILLING CODE 4120-01-P