Agency Information Collection Activities: Proposed Collection; Comment Request, 12904-12905 [2016-05471]

Download as PDF asabaliauskas on DSK3SPTVN1PROD with NOTICES 12904 Federal Register / Vol. 81, No. 48 / Friday, March 11, 2016 / Notices Medicare Advantage plans, cost plans, and Health Care Prepayment Plans, are required to issue the CMS–10003 form when a request for either a medical service or payment is denied in whole or in part. The notice explains why the plan denied the service or payment and informs Medicare enrollees of their appeal rights. The notice is also used, as appropriate, to explain Medicaid appeal rights to full dual eligible individuals enrolled in a Medicare health plan that is also managing the individual’s Medicaid benefits. The PRA package has been revised subsequent to the publication of the 60-day Federal Register notice (October 16, 2015; 80 FR 62534). Form Number: CMS–10003 (OMB control number: 0938–0829). Frequency: Occasionally; Affected Public: Private sector (Business or other for-profit and Not-for-profit institutions); Number of Respondents: 730; Total Annual Responses: 33,574,293; Total Annual Hours: 5,593,477. (For policy questions regarding this collection contact Staci Paige at 410–786–2045.) 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Home Health Change of Care Notice (HHCCN); Use: The Home Health Change of Care Notice (HHCCN) is used to notify original Medicare beneficiaries receiving home health care benefits of plan of care changes. Home health agencies (HHAs) must provide the HHCCN whenever they reduce or terminate a beneficiary’s home health services due to physician/ provider orders or limitation of the HHA in providing the specific service. Notification is required for covered and non-covered services listed in the plan of care. This iteration contains nonsubstantive changes which add language informing beneficiaries of their rights under Section 504 of the Rehabilitation Act of 1973 by alerting the beneficiary to CMS’ nondiscrimination practices and the availability of alternate forms of this notice if needed. There are no substantive changes. Form Number: CMS–10280 (OMB control number: 0938–0829); Frequency: Occasionally; Affected Public: Private sector (Business or other for-profits and Not-for-profit institutions); Number of Respondents: 12,459; Total Annual Responses: 13,764,434; Total Annual Hours: 917,262. (For policy questions regarding this collection contact Evelyn Blaemire at 410–786–1803). VerDate Sep<11>2014 17:56 Mar 10, 2016 Jkt 238001 Dated: March 7, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2016–05472 Filed 3–10–16; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–10146, CMS– 10377, CMS–10465 and CMS–10409] Agency Information Collection Activities: Proposed Collection; Comment Request Centers for Medicare & Medicaid Services, HHS. ACTION: Notice. AGENCY: 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 (the 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 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including any of the following subjects: The necessity and utility of the proposed information collection for the proper performance of the agency’s functions; the accuracy of the estimated burden; ways to enhance the quality, utility, and clarity of the information to be collected; and the use of automated collection techniques or other forms of information technology to minimize the information collection burden. DATES: Comments must be received by May 10, 2016. ADDRESSES: When commenting, please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be submitted in any one of the following ways: 1. Electronically. You may send your comments electronically to http:// www.regulations.gov. Follow the instructions for ‘‘Comment or Submission’’ or ‘‘More Search Options’’ to find the information collection document(s) that are accepting comments. SUMMARY: PO 00000 Frm 00047 Fmt 4703 Sfmt 4703 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/OMB Control Number lll, Room C4–26– 05, 7500 Security Boulevard, Baltimore, Maryland 21244–1850. 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 http://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: Contents This notice sets out a summary of the use and burden associated with the following information collections. More detailed information can be found in each collection’s supporting statement and associated materials (see ADDRESSES). CMS–10146 Notice of Denial of Medicare Prescription Drug Coverage CMS–10377 Student Health Insurance Coverage CMS–10465 Minimum Essential Coverage CMS–10409 Long Term Care Hospital (LCTH) Continuity Assessment Record and Evaluation (CARE) Data Set Under the 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 requires federal agencies to publish a 60-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. E:\FR\FM\11MRN1.SGM 11MRN1 asabaliauskas on DSK3SPTVN1PROD with NOTICES Federal Register / Vol. 81, No. 48 / Friday, March 11, 2016 / Notices 1. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Notice of Denial of Medicare Prescription Drug Coverage; Use: The notice provides information to enrollees when prescription drug coverage has been denied, in whole or in part, by their Part D plans. The notice must be readable, understandable, and state the specific reasons for the denial. The notice must also remind enrollees about their rights and protections related to requests for prescription drug coverage and include an explanation of both the standard and expedited redetermination processes and the rest of the appeal process. Form Number: CMS–10146 (OMB control number: 0938–0976); Frequency: Occasionally; Affected Public: Private sector (Business or other for-profits); Number of Respondents: 580; Total Annual Responses: 1,902,055; Total Annual Hours: 475,514. (For policy questions regarding this collection contact Amber Casserly at 410–786–0976.) 2. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Student Health Insurance Coverage; Use: Under the Student Health Insurance Coverage Final Rule published March 21, 2012 (77 FR 16453), an issuer that provides student health insurance coverage that does not meet the annual dollar limits requirements under Public Health Service Act (PHS Act) section 2711 must provide notice in the insurance policy or certificate and in any other written materials informing students that the policy being issued does not meet the annual limits requirements under the Affordable Care Act. The Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017 Final Rule removed outdated provisions in § 147.145(b)(2) and (d) allowing student health insurance issuers to impose restricted annual dollar limits on policies started before January 1, 2014, with an accompanying requirement that student health issuers must provide notice to students. Those provisions, by their own terms, no longer apply and student health insurance issuers are subject to the prohibition on annual dollar limits under PHS Act section 2711 and § 147.126 for policy years beginning on or after January 1, 2014. Therefore, the annual limit notification requirement is being discontinued. The Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment VerDate Sep<11>2014 17:56 Mar 10, 2016 Jkt 238001 Parameters for 2017 Final Rule further provides that, for policy years beginning on or after July 1, 2016, student health insurance coverage is exempt from the actuarial value (AV) requirements under section 1302(d) of the Affordable Care Act, but must provide coverage with an AV of at least 60 percent. This provision also requires issuers of student health insurance coverage to specify in any plan materials summarizing the terms of the coverage the AV of the coverage and the metal level (or the next lowest metal level) the coverage would otherwise satisfy under § 156.140. This disclosure will provide students with information that allows them to compare the student health coverage with other available coverage options. Form Number: CMS– 10377 (OMB control number 0938– 1157); Frequency: Annually; Affected Public: Private Sector; Number of Respondents: 49; Total Annual Responses: 1,255,000; Total Annual Hours: 49. (For policy questions regarding this collection contact Russell Tipps at 301–492–4371.) 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Minimum Essential Coverage; Use: The final rule titled ‘‘Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage Provisions,’’ published July 1, 2013 (78 FR 39494) designates certain types of health coverage as minimum essential coverage. Other types of coverage, not statutorily designated and not designated as minimum essential coverage in regulation, may be recognized by the Secretary of Health and Human Services (HHS) as minimum essential coverage if certain substantive and procedural requirements are met. To be recognized as minimum essential coverage, the coverage must offer substantially the same consumer protections as those enumerated in the Title I of Affordable Care Act relating to non-grandfathered, individual health insurance coverage to ensure consumers are receiving adequate coverage. The final rule requires sponsors of other coverage that seek to have such coverage recognized as minimum essential coverage to adhere to certain procedures. Sponsoring organizations must submit to HHS certain information about their coverage and an attestation that the plan substantially complies with the provisions of Title I of the Affordable Care Act applicable to nongrandfathered individual health PO 00000 Frm 00048 Fmt 4703 Sfmt 4703 12905 insurance coverage. Sponsors must also provide notice to enrollees informing them that the plan has been recognized as minimum essential coverage for the purposes of the individual coverage requirement. Form Number: CMS– 10465 (OMB control number 0938– 1189); Frequency: Occasionally; Affected Public: Private Sector (Business or other for-profits); Number of Respondents: 10; Total Annual Responses: 10; Total Annual Hours: 53. (For policy questions regarding this collection contact Russell Tipps at 301– 492–4371.) 4. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Long Term Care Hospital (LCTH) Continuity Assessment Record and Evaluation (CARE) Data Set; Use: Section 3004 of the Affordable Care Act authorized the establishment of quality reporting program for long term care hospitals (LTCHs). Beginning in FY 2014, LTCHs that fail to submit quality measure data may be subject to a 2 percentage point reduction in their annual update to the standard Federal rate for discharges occurring during a rate year. The LTCH CARE Data Set was developed specifically for use in LTCHs for data collection of NQF #0678 Pressure Ulcer measures beginning October 1, 2012, with the understanding that the data set would expand in future rulemaking years with the adoption of additional quality measures. Relevant data elements contained in other wellknown and clinically established data sets, including but not limited to the Minimum Data Set 3.0 (MDS 3.0) and CARE, were incorporated into the LTCH CARE Data Set V1.01, V2.00 and V2.01. LTCH CARE Data Set V3.00 will be implemented April 1, 2016. Form Number: CMS–10409 (OMB control number: 0938–1163); Frequency: Occasionally; Affected Public: Private Sector: Business or other for-profit and not-for-profit institutions; Number of Respondents: 424; Total Annual Responses: 405,344; Total Annual Hours: 328,346. (For policy questions regarding this collection contact Staci Payne at 410–786–2838.) Dated: March 7, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2016–05471 Filed 3–10–16; 8:45 am] BILLING CODE 4120–01–P E:\FR\FM\11MRN1.SGM 11MRN1

Agencies

[Federal Register Volume 81, Number 48 (Friday, March 11, 2016)]
[Notices]
[Pages 12904-12905]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-05471]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10146, CMS-10377, CMS-10465 and CMS-10409]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

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 (the 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 60 days for public 
comment on the proposed action. Interested persons are invited to send 
comments regarding our burden estimates or any other aspect of this 
collection of information, including any of the following subjects: The 
necessity and utility of the proposed information collection for the 
proper performance of the agency's functions; the accuracy of the 
estimated burden; ways to enhance the quality, utility, and clarity of 
the information to be collected; and the use of automated collection 
techniques or other forms of information technology to minimize the 
information collection burden.

DATES: Comments must be received by May 10, 2016.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) that are 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/OMB 
Control Number ___, Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.
    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 http://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:

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-10146 Notice of Denial of Medicare Prescription Drug Coverage
CMS-10377 Student Health Insurance Coverage
CMS-10465 Minimum Essential Coverage
CMS-10409 Long Term Care Hospital (LCTH) Continuity Assessment Record 
and Evaluation (CARE) Data Set

    Under the 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 requires federal agencies 
to publish a 60-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.

[[Page 12905]]

    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Notice of Denial 
of Medicare Prescription Drug Coverage; Use: The notice provides 
information to enrollees when prescription drug coverage has been 
denied, in whole or in part, by their Part D plans. The notice must be 
readable, understandable, and state the specific reasons for the 
denial. The notice must also remind enrollees about their rights and 
protections related to requests for prescription drug coverage and 
include an explanation of both the standard and expedited 
redetermination processes and the rest of the appeal process. Form 
Number: CMS-10146 (OMB control number: 0938-0976); Frequency: 
Occasionally; Affected Public: Private sector (Business or other for-
profits); Number of Respondents: 580; Total Annual Responses: 
1,902,055; Total Annual Hours: 475,514. (For policy questions regarding 
this collection contact Amber Casserly at 410-786-0976.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Student Health 
Insurance Coverage; Use: Under the Student Health Insurance Coverage 
Final Rule published March 21, 2012 (77 FR 16453), an issuer that 
provides student health insurance coverage that does not meet the 
annual dollar limits requirements under Public Health Service Act (PHS 
Act) section 2711 must provide notice in the insurance policy or 
certificate and in any other written materials informing students that 
the policy being issued does not meet the annual limits requirements 
under the Affordable Care Act. The Patient Protection and Affordable 
Care Act; HHS Notice of Benefit and Payment Parameters for 2017 Final 
Rule removed outdated provisions in Sec.  147.145(b)(2) and (d) 
allowing student health insurance issuers to impose restricted annual 
dollar limits on policies started before January 1, 2014, with an 
accompanying requirement that student health issuers must provide 
notice to students. Those provisions, by their own terms, no longer 
apply and student health insurance issuers are subject to the 
prohibition on annual dollar limits under PHS Act section 2711 and 
Sec.  147.126 for policy years beginning on or after January 1, 2014. 
Therefore, the annual limit notification requirement is being 
discontinued. The Patient Protection and Affordable Care Act; HHS 
Notice of Benefit and Payment Parameters for 2017 Final Rule further 
provides that, for policy years beginning on or after July 1, 2016, 
student health insurance coverage is exempt from the actuarial value 
(AV) requirements under section 1302(d) of the Affordable Care Act, but 
must provide coverage with an AV of at least 60 percent. This provision 
also requires issuers of student health insurance coverage to specify 
in any plan materials summarizing the terms of the coverage the AV of 
the coverage and the metal level (or the next lowest metal level) the 
coverage would otherwise satisfy under Sec.  156.140. This disclosure 
will provide students with information that allows them to compare the 
student health coverage with other available coverage options. Form 
Number: CMS-10377 (OMB control number 0938-1157); Frequency: Annually; 
Affected Public: Private Sector; Number of Respondents: 49; Total 
Annual Responses: 1,255,000; Total Annual Hours: 49. (For policy 
questions regarding this collection contact Russell Tipps at 301-492-
4371.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Minimum Essential 
Coverage; Use: The final rule titled ``Patient Protection and 
Affordable Care Act; Exchange Functions: Eligibility for Exemptions; 
Miscellaneous Minimum Essential Coverage Provisions,'' published July 
1, 2013 (78 FR 39494) designates certain types of health coverage as 
minimum essential coverage. Other types of coverage, not statutorily 
designated and not designated as minimum essential coverage in 
regulation, may be recognized by the Secretary of Health and Human 
Services (HHS) as minimum essential coverage if certain substantive and 
procedural requirements are met. To be recognized as minimum essential 
coverage, the coverage must offer substantially the same consumer 
protections as those enumerated in the Title I of Affordable Care Act 
relating to non-grandfathered, individual health insurance coverage to 
ensure consumers are receiving adequate coverage. The final rule 
requires sponsors of other coverage that seek to have such coverage 
recognized as minimum essential coverage to adhere to certain 
procedures. Sponsoring organizations must submit to HHS certain 
information about their coverage and an attestation that the plan 
substantially complies with the provisions of Title I of the Affordable 
Care Act applicable to non-grandfathered individual health insurance 
coverage. Sponsors must also provide notice to enrollees informing them 
that the plan has been recognized as minimum essential coverage for the 
purposes of the individual coverage requirement. Form Number: CMS-10465 
(OMB control number 0938-1189); Frequency: Occasionally; Affected 
Public: Private Sector (Business or other for-profits); Number of 
Respondents: 10; Total Annual Responses: 10; Total Annual Hours: 53. 
(For policy questions regarding this collection contact Russell Tipps 
at 301-492-4371.)
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Long Term Care 
Hospital (LCTH) Continuity Assessment Record and Evaluation (CARE) Data 
Set; Use: Section 3004 of the Affordable Care Act authorized the 
establishment of quality reporting program for long term care hospitals 
(LTCHs). Beginning in FY 2014, LTCHs that fail to submit quality 
measure data may be subject to a 2 percentage point reduction in their 
annual update to the standard Federal rate for discharges occurring 
during a rate year. The LTCH CARE Data Set was developed specifically 
for use in LTCHs for data collection of NQF #0678 Pressure Ulcer 
measures beginning October 1, 2012, with the understanding that the 
data set would expand in future rulemaking years with the adoption of 
additional quality measures. Relevant data elements contained in other 
well-known and clinically established data sets, including but not 
limited to the Minimum Data Set 3.0 (MDS 3.0) and CARE, were 
incorporated into the LTCH CARE Data Set V1.01, V2.00 and V2.01. LTCH 
CARE Data Set V3.00 will be implemented April 1, 2016. Form Number: 
CMS-10409 (OMB control number: 0938-1163); Frequency: Occasionally; 
Affected Public: Private Sector: Business or other for-profit and not-
for-profit institutions; Number of Respondents: 424; Total Annual 
Responses: 405,344; Total Annual Hours: 328,346. (For policy questions 
regarding this collection contact Staci Payne at 410-786-2838.)

    Dated: March 7, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-05471 Filed 3-10-16; 8:45 am]
 BILLING CODE 4120-01-P