Proposed Information Collection Activity; Comment Request, 41505-41506 [2015-17264]
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Federal Register / Vol. 80, No. 135 / Wednesday, July 15, 2015 / Notices
an expedited review, CMS or its agents
will communicate a decision for the
prior authorization request to the
submitter within 48-hours of the
complete submission.
The following explains the various
prior authorization scenarios:
• Scenario 1: A submitter sends a
prior authorization request to the DME
MAC with appropriate documentation,
and all relevant Medicare coverage and
documentation requirements are met for
the PMD. The DME MAC then sends an
affirmative prior authorization decision
to the physician or treating practitioner,
supplier, and Medicare beneficiary. The
supplier submits the claim to the DME
MAC, and the claim is linked to the
prior authorization via the claims
processing system. Provided all
requirements in the applicable NCD/
LCD are met, the claim is paid.
• Scenario 2: A submitter sends a
prior authorization request, but all
relevant Medicare coverage and
documentation requirements are not
met for the PMD. The DME MAC sends
a non-affirmative prior authorization
decision to the physician or treating
practitioner, supplier, and Medicare
beneficiary advising them that Medicare
will not pay for the item. If the supplier
delivers the PMD and submits a claim
with a non-affirmative prior
authorization decision, the DME MAC
would deny the claim. The supplier or
the Medicare beneficiary would then
have the Medicare denial for secondary
insurance purposes and would have full
appeal rights. Existing liability
provisions with respect to delivery of a
valid ABN apply.
• Scenario 3: A submitter sends a
prior authorization request where
documentation is incomplete. The DME
MAC sends back the prior authorization
request to the submitter with an
explanation about what information is
missing and notifies the physician or
treating practitioner, supplier, and
Medicare beneficiary. The submitter
may resubmit the prior authorization
request.
• Scenario 4: An applicable PMD
claim is submitted without a prior
authorization decision or the DME
supplier fails to submit a prior
authorization request, but nonetheless
delivers the item to the Medicare
beneficiary and submits the claim to the
DME MAC for payment. The claim will
be stopped and documentation will be
requested to conduct medical review.
The PMD claim is reviewed under
normal medical review processing
timeframes, and if approved, a 25percent payment reduction would
apply.
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++ If the claim is determined to be
not medically necessary, or
insufficiently documented, the claim
will be denied. The supplier or
Medicare beneficiary can appeal the
claim denial. If the claim, after review,
is deemed not payable, then all current
Medicare beneficiary/supplier liability
policies and procedures and appeal
rights remain in effect.
++ If the claim is determined to be
payable, it will be paid. However, a 25percent reduction in the Medicare
payment will be applied for failure to
receive a prior authorization decision
before the submission of a claim. This
payment reduction will not be applied
to competitive bidding program contract
suppliers submitting claims for
Medicare beneficiaries who maintain a
permanent residence in a competitive
bidding area according to the Common
Working File (CWF). These contract
suppliers will continue to receive the
applicable single payment amount as
determined in their contract. The 25percent payment reduction is nontransferrable to the Medicare beneficiary
for claims that are deemed payable and
is not subject to appeal. In the case of
capped rental items, the payment
reduction will be applied to all claims
in the series. After a claim is submitted
and processed, appeal rights are
available if necessary.
If the prior authorization request is
not affirmed, and the claim is submitted
by the supplier, the claim will be
denied. Medicare beneficiaries may use
existing appeal rights to contest claim
denials. Suppliers must issue an ABN to
the beneficiary, per CMS policy, prior to
delivery of the item in order for the
beneficiary to be held financially liable
when a Medicare payment denial is
expected for a PMD.
Additional information is available on
the CMS Web site (https://go.cms.gov/
PADemo).
III. Collection of Information
Requirements
This notice announces the extension
of the Medicare PMDs Demonstration
and does not impose any new
information collection burden under the
Paperwork Reduction Act of 1995.
However, there is an information
collection burden associated with the
demonstration that is currently
approved under OMB control number
0938–1169 which expires January 31,
2018.
IV. Regulatory Impact Statement
This document announces an
extension of the Medicare PMDs
Demonstration. Therefore, there are no
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41505
regulatory impact implications
associated with this notice.
Dated: July 1, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. 2015–17365 Filed 7–14–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
Title: Job Search Assistance (JSA)
Strategies Evaluation.
OMB No.: 0970–0440.
Description: The Administration for
Children and Families (ACF) is
proposing a data collection activity as
part of the Job Search Assistance (JSA)
Strategies Evaluation. The JSA
evaluation aims to determine which JSA
strategies are most effective in moving
TANF applicants and recipients into
work. The impact study will randomly
assign individuals to contrasting JSA
approaches and then compare their
employment and earnings to determine
their relative effectiveness. The
implementation study will describe
services participants receive under each
approach as well as provide operational
lessons gathered directly from
practitioners.
Data collection efforts previously
approved for JSA, include: Data
collection activities to document
program implementation, a staff survey
and a baseline information form for
program participants. These collection
activities will continue with this new
request.
This Federal Register Notice provides
the opportunity to comment on a
proposed new information collection
activity for JSA: A follow-up survey for
JSA participants approximately 6
months after program enrollment. The
purpose of the survey is to follow-up
with study participants and document
their job search assistance services and
experiences including their receipt of
job search assistance services, their
knowledge and skills for conducting a
job search, the nature of their job search
process, including tools and services
used to locate employment, and their
search outputs and outcomes, such as
the number of applications submitted,
interviews attended, offers received and
jobs obtained. In addition, the survey
will provide an opportunity for
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Federal Register / Vol. 80, No. 135 / Wednesday, July 15, 2015 / Notices
respondents to provide contact data for
possible longer-term follow-up.
Respondents: JSA study participants
and program staff.
Annual Burden Estimates
EXTENSION OF PREVIOUSLY APPROVED INFORMATION COLLECTIONS
Total
number of
respondents
Instrument
Baseline Information Form ...................................................
Implementation Study Site Visits .........................................
JSA Staff Survey ..................................................................
Annual
number of
respondents
6,400
600
440
Number of
responses per
respondent
3,200
300
220
1
1
1
Average
burden hours
per response
Annual
burden hours
.2
1
.33
640
300
73
PROPOSED NEW INFORMATION COLLECTIONS
Total
number of
respondents
Instrument
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6 Month Follow-Up Survey ..................................................
Contact Update Form ..........................................................
Estimated Total Annual Burden
Hours: 3,241.
In compliance with the requirements
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Administration for Children and
Families is soliciting public comment
on the specific aspects of the
information collection described above.
Copies of the proposed collection of
information can be obtained and
comments may be forwarded by writing
to the Administration for Children and
Families, Office of Planning, Research
and Evaluation, 370 L’Enfant
Promenade SW., Washington, DC 20447,
Attn: OPRE Reports Clearance Officer.
Email address: OPREinfocollection@
acf.hhs.gov. All requests should be
identified by the title of the information
collection.
The Department specifically requests
comments on (a) whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
the quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
Consideration will be given to
comments and suggestions submitted
within 60 days of this publication.
Karl Koerper,
Reports Clearance Officer.
[FR Doc. 2015–17264 Filed 7–14–15; 8:45 am]
BILLING CODE 4184–01–P
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Annual
number of
respondents
6,400
6,400
3,200
3,200
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2015–N–0001]
Preparation for International
Cooperation on Cosmetics Regulation
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice of meeting.
The Food and Drug Administration
(FDA or we) is announcing a public
meeting entitled ‘‘International
Cooperation on Cosmetics Regulation
(ICCR)—Preparation for ICCR–9
Meeting.’’ The purpose of the meeting is
to invite public input on various topics
pertaining to the regulation of
cosmetics. We may use this input to
help us prepare for the ICCR–9 meeting
that will be held November 4–6, 2015,
in Brussels, Belgium.
Date and Time: The public meeting
will be held on September 10, 2015,
from 2 p.m. to 4 p.m.
Location: This meeting will be held at
the Food and Drug Administration,
Center for Food Safety and Applied
Nutrition, 5100 Paint Branch Pkwy.,
Wiley Auditorium (first floor), College
Park, MD 20740.
Contact Person: Maria Rossana
(Rosemary) Cook, Office of Cosmetics
and Colors, Food and Drug
Administration, 4300 River Rd., College
Park, MD 20740, email: maria.cook@
fda.hhs.gov, or FAX: 301–436–2975.
Registration and Requests for Oral
Presentations: Send registration
information (including your name, title,
firm name, address, telephone number,
fax number, and email address), written
material, and requests to make an oral
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Number of
responses per
respondent
1
11
Average
burden hours
per response
Annual
burden hours
.333
.033
1,066
1,162
presentation, to the contact person by
August 27, 2015.
If you need special accommodations
due to a disability, please contact Maria
Rossana (Rosemary) Cook by September
3, 2015.
You may
present proposals for future ICCR
agenda items, data, information, or
views, orally or in writing, on issues
pending at the public meeting. Time
allotted for oral presentations may be
limited to 10 minutes or less for each
presenter. If you wish to make an oral
presentation, you should notify the
contact person by August 27, 2015, and
submit a brief statement of the general
nature of the evidence or arguments that
you wish to present, your name,
address, telephone number, fax number,
and email address, and indicate the
approximate amount of time you need
to make your presentation.
Transcripts: As soon as a transcript is
available, it will be accessible at
https://www.regulations.gov. It may also
be viewed at the Division of Dockets
Management (HFA–305), Food and Drug
Administration, 5630 Fishers Lane, rm.
1061, Rockville, MD 20850. A transcript
will also be available in either hardcopy
or on CD–ROM, after submission of a
Freedom of Information request. Written
requests are to be sent to the Division
of Freedom of Information, (ELEM–
1029), Food and Drug Administration,
12420 Parklawn Dr., Element Bldg.,
Rockville, MD 20857.
The Purpose of the Multilateral
Framework on the ICCR: The purpose of
the multilateral framework on the ICCR
is to pave the way for the removal of
regulatory obstacles to international
trade while maintaining global
consumer protection.
SUPPLEMENTARY INFORMATION:
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]]>Agencies
[Federal Register Volume 80, Number 135 (Wednesday, July 15, 2015)]
[Notices]
[Pages 41505-41506]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-17264]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Proposed Information Collection Activity; Comment Request
Title: Job Search Assistance (JSA) Strategies Evaluation.
OMB No.: 0970-0440.
Description: The Administration for Children and Families (ACF) is
proposing a data collection activity as part of the Job Search
Assistance (JSA) Strategies Evaluation. The JSA evaluation aims to
determine which JSA strategies are most effective in moving TANF
applicants and recipients into work. The impact study will randomly
assign individuals to contrasting JSA approaches and then compare their
employment and earnings to determine their relative effectiveness. The
implementation study will describe services participants receive under
each approach as well as provide operational lessons gathered directly
from practitioners.
Data collection efforts previously approved for JSA, include: Data
collection activities to document program implementation, a staff
survey and a baseline information form for program participants. These
collection activities will continue with this new request.
This Federal Register Notice provides the opportunity to comment on
a proposed new information collection activity for JSA: A follow-up
survey for JSA participants approximately 6 months after program
enrollment. The purpose of the survey is to follow-up with study
participants and document their job search assistance services and
experiences including their receipt of job search assistance services,
their knowledge and skills for conducting a job search, the nature of
their job search process, including tools and services used to locate
employment, and their search outputs and outcomes, such as the number
of applications submitted, interviews attended, offers received and
jobs obtained. In addition, the survey will provide an opportunity for
[[Page 41506]]
respondents to provide contact data for possible longer-term follow-up.
Respondents: JSA study participants and program staff.
Annual Burden Estimates
Extension of Previously Approved Information Collections
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Instrument Total number Annual number responses per hours per Annual burden
of respondents of respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
Baseline Information Form....... 6,400 3,200 1 .2 640
Implementation Study Site Visits 600 300 1 1 300
JSA Staff Survey................ 440 220 1 .33 73
----------------------------------------------------------------------------------------------------------------
Proposed New Information Collections
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Instrument Total number Annual number responses per hours per Annual burden
of respondents of respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
6 Month Follow-Up Survey........ 6,400 3,200 1 .333 1,066
Contact Update Form............. 6,400 3,200 11 .033 1,162
----------------------------------------------------------------------------------------------------------------
Estimated Total Annual Burden Hours: 3,241.
In compliance with the requirements of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Administration for Children and
Families is soliciting public comment on the specific aspects of the
information collection described above. Copies of the proposed
collection of information can be obtained and comments may be forwarded
by writing to the Administration for Children and Families, Office of
Planning, Research and Evaluation, 370 L'Enfant Promenade SW.,
Washington, DC 20447, Attn: OPRE Reports Clearance Officer. Email
address: OPREinfocollection@acf.hhs.gov. All requests should be
identified by the title of the information collection.
The Department specifically requests comments on (a) whether the
proposed collection of information is necessary for the proper
performance of the functions of the agency, including whether the
information shall have practical utility; (b) the accuracy of the
agency's estimate of the burden of the proposed collection of
information; (c) the quality, utility, and clarity of the information
to be collected; and (d) ways to minimize the burden of the collection
of information on respondents, including through the use of automated
collection techniques or other forms of information technology.
Consideration will be given to comments and suggestions submitted
within 60 days of this publication.
Karl Koerper,
Reports Clearance Officer.
[FR Doc. 2015-17264 Filed 7-14-15; 8:45 am]
BILLING CODE 4184-01-P
