Agency Information Collection Activities: Submission for OMB Review; Comment Request, 40308-40309 [2016-14569]
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40308
Federal Register / Vol. 81, No. 119 / Tuesday, June 21, 2016 / Notices
medium (10–24 EPs), and large (25+
EPs) medical groups from across the
Unites States. The goal is to recruit
approximately 3 administrators and 2
frontline clinicians in each Group,
understanding that depending on the
size and organization of the medical
group staff members may operate in
multiple roles.
Based on the pilot study conducted
for this project, AHRQ estimates that the
recruitment call will average 15
minutes, and that the longest interviews
will be 1.5 hours. These longest
interviews will be with the highest level
administrators working on internal
performance measurement at the most
complex medical groups. AHRQ
believes these will be the largest
medical groups that are part of complex
systems and payment relationships.
These complex organizational
relationships will require more time to
understand in order to understand the
place, role, and operation of internal
measurement for performance
improvement within the group. For
equivalent administrators from medium
and small groups, AHRQ estimates the
longest interviews will be 1.25 hours.
For all other administrators and
frontline clinicians, AHRQ estimates the
interviews will be 1 hour.
The total annualized burden is
estimated to be 295 hours. Again,
interviews with both frontline clinicians
and all medical group administrators
will use the same protocol. The
screening call will be an informal
conversation in which AHRQ looks to
learn if the medical group self-identifies
as using measurement for performance
improvement and provides consent to
take part. AHRQ will answer any
questions the medical group has about
the study on this call and confirm some
basic, publicly available background
information about the group that AHRQ
has obtained is accurate and up to date.
This background information will help
put the information learned during the
interview in better context. The types of
background information AHRQ is
looking at includes medical group size,
organizational structure, specialty mix,
and payment relationships.
EXHIBIT 1—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Form name
Hours per
response
Total burden
hours
Frontline clinicians .......................................................................................................................
Medical group administrators ......................................................................................................
Medical group administrators: Administrator with authority to agree to participate in the study
Medical group administrators:Initial, highest level administrators ...............................................
Medical group administrators: All other administrators ...............................................................
90
235
100
45
90
1
........................
0.25
1.5
1.25
90
........................
25
67.5
112.5
Total ......................................................................................................................................
325
NA
295
Exhibit 2 shows the estimated
annualized cost burden associated with
the participants’ time to take part in this
research. The total cost burden is
estimated to be $27,270.45.
EXHIBIT 2—ESTIMATED ANNUALIZED COST BURDEN
Total burden
hours
Interviewee type
Average
hourly wage
rate *
Total cost
burden
Frontline clinicians .......................................................................................................................
Medical group administrators ......................................................................................................
90
205
a $103.54
b 87.57
$9,318.60
17,951.85
Total ......................................................................................................................................
295
NA
27,270.45
a Based
on the average hourly wage for one physician (29–1060; $103.54).
on the average hourly wage for one Chief Executive (11–1011; $87.57).
* National Industry-Specific Occupational Employment and Wage Estimates, May 2014, from the Bureau of Labor Statistics (available at https://
www.bls.gov/oes/current/naics4_621100.htm [for Offices of Physicians, NAICS 622100]).
asabaliauskas on DSK3SPTVN1PROD with NOTICES
b Based
Request for Comments
In accordance with the Paperwork
Reduction Act, comments on AHRQ’s
information collection are requested
with regard to any of the following: (a)
Whether the proposed collection of
information is necessary for the proper
performance of AHRQ health care
research and health care information
dissemination functions, including
whether the information will have
practical utility; (b) the accuracy of
AHRQ’s estimate of burden (including
hours and costs) of the proposed
collection(s) of information; (c) ways to
enhance the quality, utility, and clarity
of the information to be collected; and
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(d) ways to minimize the burden of the
collection of information upon the
respondents, including the use of
automated collection techniques or
other forms of information technology.
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the
proposed information collection. All
comments will become a matter of
public record.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Sharon B. Arnold,
Deputy Director.
SUMMARY:
[FR Doc. 2016–14614 Filed 6–20–16; 8:45 am]
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Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10599]
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
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asabaliauskas on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 81, No. 119 / Tuesday, June 21, 2016 / Notices
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish a 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 July 21, 2016.
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
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18:37 Jun 20, 2016
Jkt 238001
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: Request for a new OMB control
number; Title of Information Collection:
Pre-Claim Review Demonstration For
Home Health Services; Use: Section
402(a)(1)(J) of the Social Security
Amendments of 1967 (42 U.S.C. 1395b–
1(a)(1)(J)) authorizes the Secretary to
‘‘develop or demonstrate improved
methods for the investigation and
prosecution of fraud in the provision of
care or services under the health
programs established by the Social
Security Act (the Act).’’ Pursuant to this
authority, the CMS seeks to develop and
implement a Medicare demonstration
project, which CMS believes will help
assist in developing improved
procedures for the identification,
investigation, and prosecution of
Medicare fraud occurring among HHAs
providing services to Medicare
beneficiaries.
This demonstration would help
assure that payments for home health
services are appropriate before the
claims are paid, thereby preventing
fraud, waste, and abuse. As part of this
demonstration, CMS proposes
performing prior authorization before
processing claims for home health
services in: Florida, Texas, Illinois,
Michigan, and Massachusetts. CMS
would establish a prior authorization
procedure that is similar to the Prior
Authorization of Power Mobility Device
(PMD) Demonstration, which was
implemented by CMS in 2012. This
demonstration would also follow and
adopt prior authorization processes that
currently exist in other health care
programs such as TRICARE, certain
state Medicaid programs, and in private
insurance.
The information required under this
collection is requested by Medicare
contractors to determine proper
payment or if there is a suspicion of
fraud. Medicare contractors will request
the information from HHA providers
submitting claims for payment from the
Medicare program in advance to
determine appropriate payment. Please
note, due to the title of ‘‘Prior
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40309
Authorization’’ implying that services
will be withheld from the beneficiary
until an affirmed decision is achieved,
this demonstration has been renamed
from the ‘‘Home Health Prior
Authorization Demonstration’’ to the
‘‘Home Health Pre-Claim Review
Demonstration,’’ as home health
services are already being provided to
the beneficiary when the pre-claim
review process begins. Form Number:
CMS–10599 (OMB Control Number:
0938–NEW); Frequency: Occasionally;
Affected Public: Private Sector (Business
or other for-profits and Not-for-profits);
Number of Respondents: 908,740;
Number of Responses: 908,740; Total
Annual Hours: 454,370. (For questions
regarding this collection contact Kristal
Vines (410) 786–0119.)
Dated: June 15, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2016–14569 Filed 6–20–16; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Community Living
Notice of Intent To Award a Single
Supplement to the National
Association of Area Agencies on
Aging; The Eldercare Locator
Administration for Community
Living, HHS.
ACTION: Notice.
AGENCY:
The Administration for
Community Living (ACL) is announcing
supplemental funding for the Eldercare
Locator program. The Eldercare Locator
program helps older adults and their
families and caregivers find their way
through the maze of services for older
adults by linking to a trustworthy
network of national, State, Tribal and
community organizations and services
through a nationally recognized toll-free
number. The Eldercare Locator also
provides older adults and caregivers
who require more in depth support the
opportunity to speak with highly
trained eldercare consultants who can
better triage the situation. The purpose
of this announcement is to award
supplemental funds to the National
Association of Area Agencies on Aging
to support additional specialized staff
and enhanced technology to better serve
callers, mobile and after hour callers.
Program Name: Eldercare Locator.
Award Amount: $149,049.
Budget Period: 6/1/2016 to 5/31/2017.
SUMMARY:
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]]>Agencies
[Federal Register Volume 81, Number 119 (Tuesday, June 21, 2016)]
[Notices]
[Pages 40308-40309]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-14569]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10599]
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
[[Page 40309]]
information from the public. Under the Paperwork Reduction Act of 1995
(PRA), federal agencies are required to publish a 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 July 21, 2016.
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: Request for a new OMB
control number; Title of Information Collection: Pre-Claim Review
Demonstration For Home Health Services; Use: Section 402(a)(1)(J) of
the Social Security Amendments of 1967 (42 U.S.C. 1395b-1(a)(1)(J))
authorizes the Secretary to ``develop or demonstrate improved methods
for the investigation and prosecution of fraud in the provision of care
or services under the health programs established by the Social
Security Act (the Act).'' Pursuant to this authority, the CMS seeks to
develop and implement a Medicare demonstration project, which CMS
believes will help assist in developing improved procedures for the
identification, investigation, and prosecution of Medicare fraud
occurring among HHAs providing services to Medicare beneficiaries.
This demonstration would help assure that payments for home health
services are appropriate before the claims are paid, thereby preventing
fraud, waste, and abuse. As part of this demonstration, CMS proposes
performing prior authorization before processing claims for home health
services in: Florida, Texas, Illinois, Michigan, and Massachusetts. CMS
would establish a prior authorization procedure that is similar to the
Prior Authorization of Power Mobility Device (PMD) Demonstration, which
was implemented by CMS in 2012. This demonstration would also follow
and adopt prior authorization processes that currently exist in other
health care programs such as TRICARE, certain state Medicaid programs,
and in private insurance.
The information required under this collection is requested by
Medicare contractors to determine proper payment or if there is a
suspicion of fraud. Medicare contractors will request the information
from HHA providers submitting claims for payment from the Medicare
program in advance to determine appropriate payment. Please note, due
to the title of ``Prior Authorization'' implying that services will be
withheld from the beneficiary until an affirmed decision is achieved,
this demonstration has been renamed from the ``Home Health Prior
Authorization Demonstration'' to the ``Home Health Pre-Claim Review
Demonstration,'' as home health services are already being provided to
the beneficiary when the pre-claim review process begins. Form Number:
CMS-10599 (OMB Control Number: 0938-NEW); Frequency: Occasionally;
Affected Public: Private Sector (Business or other for-profits and Not-
for-profits); Number of Respondents: 908,740; Number of Responses:
908,740; Total Annual Hours: 454,370. (For questions regarding this
collection contact Kristal Vines (410) 786-0119.)
Dated: June 15, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-14569 Filed 6-20-16; 8:45 am]
BILLING CODE 4120-01-P
