Agency Information Collection Activities: Submission for OMB Review; Comment Request, 23011-23013 [2015-09591]
Download as PDF
Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
tkelley on DSK3SPTVN1PROD with NOTICES
of Diabetes Educators’ (AADE) request
for the Secretary’s approval of its
accreditation program for outpatient
DSMT services. The AADE submitted
all the necessary materials to enable us
to make a determination concerning its
request for re-approval as a deeming
organization for DSMTs. AADE was
initially accredited on August 27, 2012,
for a period of 3 years. This application
was determined to be complete on
February 27, 2015. This notice also
solicits public comments on the ability
of the AADE to continue to develop
standards that meet or exceed the
Medicare conditions for coverage and
apply them to entities furnishing
outpatient.
The regulations specifying the
Medicare conditions for coverage for
outpatient diabetes self-management
training services are located in parts
410, subpart H. These conditions
implement section 1861(qq) of the Act,
which provides for Medicare Part B
coverage of outpatient DSMT services
specified by the Secretary.
Under section 1865(a)(2) of the Act
and our regulations at § 410.142 (CMS
process for approving accreditation
organizations) and § 410.143
(Requirements for approved
accreditation organizations), we review
and evaluate a national accreditation
organization based on (but not
necessarily limited to) the criteria set
forth in § 410.142(b).
We may conduct on-site inspections
of a national accreditation
organization’s operations and office to
verify information in the organization’s
application and assess the
organization’s compliance with its own
policies and procedures. The on-site
inspection may include, but is not
limited to, reviewing documents,
auditing documentation of meetings
concerning the accreditation process,
evaluating accreditation results or the
accreditation status decision making
process, and interviewing the
organization’s staff.
IV. Collection of Information
Requirements
This document does not impose
information collection requirements,
that is, reporting, recordkeeping or
third-party disclosure requirements.
Consequently, there is no need for
review by the Office of Management and
Budget under the authority of the
Paperwork Reduction Act of 1995 (44
U.S.C. 3501 et seq.).
V. Response to Comments
Because of the large number of public
comments we normally receive on
Federal Register documents, we are not
VerDate Sep<11>2014
17:30 Apr 23, 2015
Jkt 235001
able to acknowledge or respond to them
individually. We will consider all
comments we receive by the date and
time specified in the DATES section of
this preamble, and, when we proceed
with a subsequent document, we will
respond to the comments in the
preamble to that document. Upon
completion of our evaluation, including
evaluation of comments received as a
result of this notice, we will publish a
notice in the Federal Register
announcing the result of our evaluation.
Dated: April 7, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. 2015–09610 Filed 4–23–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10392 and CMS–
10418]
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.
ADDRESSES:
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: Revision of a currently
approved information collection; Title
of Information Collection: Consumer
Operated and Oriented (CO–OP)
Program; Use: The Consumer Operated
and Oriented Plan (CO–OP) program
was established by Section 1322 of the
Affordable Care Act. This program
provides for loans to establish at least
one consumer-operated, qualified
nonprofit health insurance issuer in
each State. Issuers supported by the
SUPPLEMENTARY INFORMATION:
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.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by May 26, 2015.
SUMMARY:
PO 00000
Frm 00045
Fmt 4703
Sfmt 4703
23011
E:\FR\FM\24APN1.SGM
24APN1
tkelley on DSK3SPTVN1PROD with NOTICES
23012
Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
CO–OP program will offer at least one
qualified health plan at the silver level
of benefits and one at the gold level of
benefits in the individual market State
Health Benefit Exchanges (Exchanges).
At least two-thirds of policies or
contracts offered by a CO–OP will be
open to individuals and small
employers. Profits generated by the
nonprofit CO–OPs will be used to lower
premiums, improve benefits, improve
the quality of health care delivered to
their members, expand enrollment, or
otherwise contribute to the stability of
coverage offered by the CO–OP. By
increasing competition in the health
insurance market and operating with a
strong consumer focus, the CO–OP
program will provide consumers more
choices, greater plan accountability,
increased competition to lower prices,
and better models of care, benefiting all
consumers, not just CO–OP members.
The CO–OP program will provide
nonprofits with loans to fund start-up
costs and State reserve requirements, in
the form of Start-up Loans and Solvency
Loans. An applicant may apply for (1)
joint Start-up and Solvency Loans; or (3)
only a Solvency Loan. Planning Loans
are intended to help loan recipients
determine the feasibility of operating a
CO–OP in a target market. Start-up
Loans are intended to assist loan
recipients with the many start-up costs
associated with establishing a new
health insurance issuer. Solvency Loans
are intended to assist loan recipients
with meeting the solvency requirements
of States in which the applicant seeks to
be licensed to issue qualified health
plans. Form Number: CMS–10392 (OMB
control number 0938–1139); Frequency:
Occasionally; Affected Public: Private
Sector (Not-for-profit institutions);
Number of Respondents: 23; Total
Annual Responses: 675; Total Annual
Hours: 93,220. (For policy questions
regarding this collection contact Deepti
Loharikar at 301–492–4126.)
2. Type of Information Collection
Request: Revision of currently approved
collection; Title of Information
Collection: Annual MLR and Rebate
Calculation Report and MLR Rebate
Notices; Use: Under Section 2718 of the
Affordable Care Act and implementing
regulation at 45 CFR part 158, a health
insurance issuer (issuer) offering group
or individual health insurance coverage
must submit a report to the Secretary
concerning the amount the issuer
spends each year on claims, quality
improvement expenses, non-claims
costs, Federal and State taxes and
licensing and regulatory fees, the
amount of earned premium, and
beginning with the 2014 reporting year,
the amounts related to the reinsurance,
VerDate Sep<11>2014
17:30 Apr 23, 2015
Jkt 235001
risk corridors, and risk adjustment
programs established under sections
1341, 1342, and 1343, respectively, of
the Affordable Care Act. An issuer must
provide an annual rebate if the amount
it spends on certain costs compared to
its premium revenue (excluding Federal
and States taxes and licensing and
regulatory fees) does not meet a certain
ratio, referred to as the medical loss
ratio (MLR). An interim final rule (IFR)
implementing the MLR was published
on December 1, 2010 (75 FR 74865) and
modified by technical corrections on
December 30, 2010 (75 FR 82277),
which added Part 158 to Title 45 of the
Code of Federal Regulations. The IFR is
effective January 1, 2011. A final rule
regarding selected provisions of the IFR
was published on December 7, 2011 (76
FR 76574, CMS–9998–FC) and an
interim final rule regarding an issue not
included in issuers’ reporting
obligations (disbursement of rebates by
non-federal governmental plans) was
also published December 7, 2011 (76 FR
76596, CMS–9998–IFC2). Both rules
published on December 7, 2011 are
effective January 1, 2012. Each issuer is
required to submit annually MLR data,
including information about any rebates
it must provide, on a form prescribed by
CMS, for each State in which the issuer
conducts business. Each issuer is also
required to provide a rebate notice to
each policyholder that is owed a rebate
and each subscriber of policyholders
that are owed a rebate for any given
MLR reporting year. Additionally, each
issuer is required to maintain for a
period of seven years all documents,
records and other evidence that support
the data included in each issuer’s
annual report to the Secretary.
Under Section 1342 of the Patient
Protection and Affordable Care Act and
implementing regulation at 45 CFR part
153, issuers of qualified health plans
(QHPs) must participate in a risk
corridors program. A QHP issuer will
pay risk corridors charges or be eligible
to receive risk corridors payments based
on the ratio of the issuer’s allowable
costs to the target amount. A final rule
(Premium Stabilization Rule)
implementing the risk corridors
program was published on March 23,
2012 (77 FR 17220), which added part
153 to title 45 of the Code of Federal
Regulations. The Premium Stabilization
Rule is effective May 22, 2012. Final
rules (2014 Payment Notice, 2015
Payment Notice, and 2016 Payment
Notice) outlining the risk corridors
benefit and payment parameters for the
2014, 2015, and 2016 benefit years were
published on March 11, 2013 (78 FR
15410), March 11, 2014 (79 FR 13744),
PO 00000
Frm 00046
Fmt 4703
Sfmt 4703
and February 27, 2015 (80 FR 10750),
respectively. Additionally, on October
30, 2013, HHS published the Second
Final Program Integrity rule (78 FR
65076) to align the risk corridors
program with the requirements of the
single risk pool provision at 45 CFR
156.80. The risk corridors data
collection applies to QHP issuers the
individual and small group markets.
Each QHP issuer is required to submit
an annual report to CMS concerning the
issuer’s allowable costs, allowable
administrative costs, premium, and
proportion of market premium in QHPs.
Risk corridors premium information
that is specific to an issuer’s QHPs is
collected through a separate data
reporting form. CMS is publishing the
risk corridors plan-level reporting form,
and instructions for completing the form
for public comment as part of the
proposed revision to this information
collection requirement.
On January 30, 2015, CMS published
a 60-day notice in the Federal Register
(80 FR 5118) for the public to submit
written comments on this information
collection; the public comment period
closed on March 31, 2015. As part of the
60-day notice, CMS updated its annual
burden hour estimates, including to
reflect the additional burden (published
in the 2015 Payment Notice) related to
the risk corridors data submission
requirements. The proposed revisions in
the 60-day notice also made changes
regarding the new MLR reporting and
rebate distribution deadlines and the
accounting for the reinsurance, risk
adjustment, and risk corridors. We
received a total of 3 public comments on
a number of specific issues regarding
the notice of the revised MLR PRA
package. We have taken into
consideration all of the comments and
has modified the 2014 MLR Annual
Reporting Form, the Risk Corridors Plan
Level Data Form, and the accompanying
Instructions in order to correct minor
errors and to provide additional
clarifications. These modifications do
not affect the previously estimated
burden hours or costs. Form Number:
CMS–10418 (OMB control number:
0938–1164); Frequency: Annually;
Affected Public: Private sector (Business
or other for-profits and Not-for-profit
institutions); Number of Respondents:
517; Number of Responses: 3,307; Total
Annual Hours: 271,600. (For policy
questions regarding this collection,
contact Julie McCune at (301) 492–
4196.)
E:\FR\FM\24APN1.SGM
24APN1
Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
Dated: April 21, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2015–09591 Filed 4–23–15; 8:45 am]
[CMS–9091–N]
Centers for Medicare & Medicaid
Services
BILLING CODE 4120–01–P
Medicare and Medicaid Programs;
Quarterly Listing of Program
Issuances—January through March
2015
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This quarterly notice lists
CMS manual instructions, substantive
SUMMARY:
and interpretive regulations, and other
Federal Register notices that were
published from January through March
2015, relating to the Medicare and
Medicaid programs and other programs
administered by CMS.
It is
possible that an interested party may
need specific information and not be
able to determine from the listed
information whether the issuance or
regulation would fulfill that need.
Consequently, we are providing contact
persons to answer general questions
concerning each of the addenda
published in this notice.
FOR FURTHER INFORMATION CONTACT:
Addenda
Contact
I CMS Manual Instructions ..................................................................................................................
II Regulation Documents Published in the Federal Register .............................................................
III CMS Rulings ....................................................................................................................................
IV Medicare National Coverage Determinations .................................................................................
V FDA-Approved Category B IDEs .....................................................................................................
VI Collections of Information ................................................................................................................
VII Medicare –Approved Carotid Stent Facilities .................................................................................
VIII American College of Cardiology-National Cardiovascular Data Registry Sites ...........................
Ismael Torres ..............
Terri Plumb .................
Tiffany Lafferty ............
Wanda Belle ................
John Manlove ..............
Mitch Bryman ..............
Lori Ashby ...................
Marie Casey, BSN,
MPH.
JoAnna Baldwin ..........
JoAnna Baldwin ..........
Stuart Caplan, RN,
MAS.
Marie Casey, BSN,
MPH.
Marie Casey, BSN,
MPH.
Jamie Hermansen .......
Stuart Caplan, RN,
MAS.
Annette Brewer ...........
IX Medicare’s Active Coverage-Related Guidance Documents ..........................................................
X One-time Notices Regarding National Coverage Provisions ...........................................................
XI National Oncologic Positron Emission Tomography Registry Sites ...............................................
XII Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities ............................
XIII Medicare-Approved Lung Volume Reduction Surgery Facilities ..................................................
XIV Medicare-Approved Bariatric Surgery Facilities ...........................................................................
XV Fluorodeoxyglucose Positron Emission Tomography for Dementia Trials ...................................
All Other Information ............................................................................................................................
SUPPLEMENTARY INFORMATION:
tkelley on DSK3SPTVN1PROD with NOTICES
I. Background
The Centers for Medicare & Medicaid
Services (CMS) is responsible for
administering the Medicare and
Medicaid programs and coordination
and oversight of private health
insurance. Administration and oversight
of these programs involves the
following: (1) Furnishing information to
Medicare and Medicaid beneficiaries,
health care providers, and the public;
and (2) maintaining effective
communications with CMS regional
offices, state governments, state
Medicaid agencies, state survey
agencies, various providers of health
care, all Medicare contractors that
process claims and pay bills, National
Association of Insurance Commissioners
(NAIC), health insurers, and other
stakeholders. To implement the various
statutes on which the programs are
based, we issue regulations under the
VerDate Sep<11>2014
17:30 Apr 23, 2015
Jkt 235001
authority granted to the Secretary of the
Department of Health and Human
Services under sections 1102, 1871,
1902, and related provisions of the
Social Security Act (the Act) and Public
Health Service Act. We also issue
various manuals, memoranda, and
statements necessary to administer and
oversee the programs efficiently.
Section 1871(c) of the Act requires
that we publish a list of all Medicare
manual instructions, interpretive rules,
statements of policy, and guidelines of
general applicability not issued as
regulations at least every 3 months in
the Federal Register.
II. Format for the Quarterly Issuance
Notices
This quarterly notice provides only
the specific updates that have occurred
in the 3-month period along with a
hyperlink to the full listing that is
available on the CMS Web site or the
appropriate data registries that are used
PO 00000
Frm 00047
Fmt 4703
Sfmt 4703
23013
Phone number
(410) 786–1864
(410) 786–4481
(410)786–7548
(410) 786–7491
(410) 786–6877
(410) 786–5258
(410) 786–6322
(410) 786–7861
(410) 786–7205
(410) 786–7205
(410) 786–8564
(410) 786–7861
(410) 786–7861
(410) 786–2064
(410) 786–8564
(410) 786–6580
as our resources. This is the most
current up-to-date information and will
be available earlier than we publish our
quarterly notice. We believe the Web
site list provides more timely access for
beneficiaries, providers, and suppliers.
We also believe the Web site offers a
more convenient tool for the public to
find the full list of qualified providers
for these specific services and offers
more flexibility and ‘‘real time’’
accessibility. In addition, many of the
Web sites have listservs; that is, the
public can subscribe and receive
immediate notification of any updates to
the Web site. These listservs avoid the
need to check the Web site, as
notification of updates is automatic and
sent to the subscriber as they occur. If
assessing a Web site proves to be
difficult, the contact person listed can
provide information.
E:\FR\FM\24APN1.SGM
24APN1
Agencies
[Federal Register Volume 80, Number 79 (Friday, April 24, 2015)]
[Notices]
[Pages 23011-23013]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-09591]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10392 and CMS-10418]
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 May 26, 2015.
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: Revision of a currently
approved information collection; Title of Information Collection:
Consumer Operated and Oriented (CO-OP) Program; Use: The Consumer
Operated and Oriented Plan (CO-OP) program was established by Section
1322 of the Affordable Care Act. This program provides for loans to
establish at least one consumer-operated, qualified nonprofit health
insurance issuer in each State. Issuers supported by the
[[Page 23012]]
CO-OP program will offer at least one qualified health plan at the
silver level of benefits and one at the gold level of benefits in the
individual market State Health Benefit Exchanges (Exchanges). At least
two-thirds of policies or contracts offered by a CO-OP will be open to
individuals and small employers. Profits generated by the nonprofit CO-
OPs will be used to lower premiums, improve benefits, improve the
quality of health care delivered to their members, expand enrollment,
or otherwise contribute to the stability of coverage offered by the CO-
OP. By increasing competition in the health insurance market and
operating with a strong consumer focus, the CO-OP program will provide
consumers more choices, greater plan accountability, increased
competition to lower prices, and better models of care, benefiting all
consumers, not just CO-OP members.
The CO-OP program will provide nonprofits with loans to fund start-
up costs and State reserve requirements, in the form of Start-up Loans
and Solvency Loans. An applicant may apply for (1) joint Start-up and
Solvency Loans; or (3) only a Solvency Loan. Planning Loans are
intended to help loan recipients determine the feasibility of operating
a CO-OP in a target market. Start-up Loans are intended to assist loan
recipients with the many start-up costs associated with establishing a
new health insurance issuer. Solvency Loans are intended to assist loan
recipients with meeting the solvency requirements of States in which
the applicant seeks to be licensed to issue qualified health plans.
Form Number: CMS-10392 (OMB control number 0938-1139); Frequency:
Occasionally; Affected Public: Private Sector (Not-for-profit
institutions); Number of Respondents: 23; Total Annual Responses: 675;
Total Annual Hours: 93,220. (For policy questions regarding this
collection contact Deepti Loharikar at 301-492-4126.)
2. Type of Information Collection Request: Revision of currently
approved collection; Title of Information Collection: Annual MLR and
Rebate Calculation Report and MLR Rebate Notices; Use: Under Section
2718 of the Affordable Care Act and implementing regulation at 45 CFR
part 158, a health insurance issuer (issuer) offering group or
individual health insurance coverage must submit a report to the
Secretary concerning the amount the issuer spends each year on claims,
quality improvement expenses, non-claims costs, Federal and State taxes
and licensing and regulatory fees, the amount of earned premium, and
beginning with the 2014 reporting year, the amounts related to the
reinsurance, risk corridors, and risk adjustment programs established
under sections 1341, 1342, and 1343, respectively, of the Affordable
Care Act. An issuer must provide an annual rebate if the amount it
spends on certain costs compared to its premium revenue (excluding
Federal and States taxes and licensing and regulatory fees) does not
meet a certain ratio, referred to as the medical loss ratio (MLR). An
interim final rule (IFR) implementing the MLR was published on December
1, 2010 (75 FR 74865) and modified by technical corrections on December
30, 2010 (75 FR 82277), which added Part 158 to Title 45 of the Code of
Federal Regulations. The IFR is effective January 1, 2011. A final rule
regarding selected provisions of the IFR was published on December 7,
2011 (76 FR 76574, CMS-9998-FC) and an interim final rule regarding an
issue not included in issuers' reporting obligations (disbursement of
rebates by non-federal governmental plans) was also published December
7, 2011 (76 FR 76596, CMS-9998-IFC2). Both rules published on December
7, 2011 are effective January 1, 2012. Each issuer is required to
submit annually MLR data, including information about any rebates it
must provide, on a form prescribed by CMS, for each State in which the
issuer conducts business. Each issuer is also required to provide a
rebate notice to each policyholder that is owed a rebate and each
subscriber of policyholders that are owed a rebate for any given MLR
reporting year. Additionally, each issuer is required to maintain for a
period of seven years all documents, records and other evidence that
support the data included in each issuer's annual report to the
Secretary.
Under Section 1342 of the Patient Protection and Affordable Care
Act and implementing regulation at 45 CFR part 153, issuers of
qualified health plans (QHPs) must participate in a risk corridors
program. A QHP issuer will pay risk corridors charges or be eligible to
receive risk corridors payments based on the ratio of the issuer's
allowable costs to the target amount. A final rule (Premium
Stabilization Rule) implementing the risk corridors program was
published on March 23, 2012 (77 FR 17220), which added part 153 to
title 45 of the Code of Federal Regulations. The Premium Stabilization
Rule is effective May 22, 2012. Final rules (2014 Payment Notice, 2015
Payment Notice, and 2016 Payment Notice) outlining the risk corridors
benefit and payment parameters for the 2014, 2015, and 2016 benefit
years were published on March 11, 2013 (78 FR 15410), March 11, 2014
(79 FR 13744), and February 27, 2015 (80 FR 10750), respectively.
Additionally, on October 30, 2013, HHS published the Second Final
Program Integrity rule (78 FR 65076) to align the risk corridors
program with the requirements of the single risk pool provision at 45
CFR 156.80. The risk corridors data collection applies to QHP issuers
the individual and small group markets. Each QHP issuer is required to
submit an annual report to CMS concerning the issuer's allowable costs,
allowable administrative costs, premium, and proportion of market
premium in QHPs. Risk corridors premium information that is specific to
an issuer's QHPs is collected through a separate data reporting form.
CMS is publishing the risk corridors plan-level reporting form, and
instructions for completing the form for public comment as part of the
proposed revision to this information collection requirement.
On January 30, 2015, CMS published a 60-day notice in the Federal
Register (80 FR 5118) for the public to submit written comments on this
information collection; the public comment period closed on March 31,
2015. As part of the 60-day notice, CMS updated its annual burden hour
estimates, including to reflect the additional burden (published in the
2015 Payment Notice) related to the risk corridors data submission
requirements. The proposed revisions in the 60-day notice also made
changes regarding the new MLR reporting and rebate distribution
deadlines and the accounting for the reinsurance, risk adjustment, and
risk corridors. We received a total of 3 public comments on a number of
specific issues regarding the notice of the revised MLR PRA package. We
have taken into consideration all of the comments and has modified the
2014 MLR Annual Reporting Form, the Risk Corridors Plan Level Data
Form, and the accompanying Instructions in order to correct minor
errors and to provide additional clarifications. These modifications do
not affect the previously estimated burden hours or costs. Form Number:
CMS-10418 (OMB control number: 0938-1164); Frequency: Annually;
Affected Public: Private sector (Business or other for-profits and Not-
for-profit institutions); Number of Respondents: 517; Number of
Responses: 3,307; Total Annual Hours: 271,600. (For policy questions
regarding this collection, contact Julie McCune at (301) 492-4196.)
[[Page 23013]]
Dated: April 21, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-09591 Filed 4-23-15; 8:45 am]
BILLING CODE 4120-01-P