Agency Information Collection Activities: Submission for OMB Review; Comment Request, 76946-76947 [2016-26743]
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Federal Register / Vol. 81, No. 214 / Friday, November 4, 2016 / Notices
asabaliauskas on DSK3SPTVN1PROD with NOTICES
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
Information Collection
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: ICF/IID Survey
Report Form and Supporting
Regulations; Use: The information
collected with forms 3070G–I is used to
determine the level of compliance with
Intermediate Care Facilities for
Individuals with Intellectual Disabilities
(ICF/IID) CoPs necessary to participate
in the Medicare/Medicaid program.
Information needed to monitor the
State’s performance as well as the ICF/
IID program in general, is available to
CMS only through the use of
information abstracted from the survey
report form. The form serves as a coding
worksheet designed to facilitate data
entry and retrieval into the Automated
Survey Processing Environment Suite
(ASPEN) in the State and at the CMS
regional offices. Form Number: CMS–
3070G–I (OMB Control Number: 0938–
0062); Frequency: Reporting—Yearly;
Affected Public: Private Sector: Business
or other for-profits and Not-for-profit
institutions; Number of Respondents:
6,310; Total Annual Responses: 6,310;
Total Annual Hours: 18,930. (For policy
questions regarding this collection
contact Melissa Rice at 410–786–3270.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Conditions for
Certification for Rural Health Clinics;
Use: The Rural Health Clinic (RHC)
conditions of certification are based on
criteria prescribed in law and are
designed to ensure that each facility has
a properly trained staff to provide
appropriate care and to assure a safe
physical environment for patients. We
use these conditions of participation to
certify RHCs wishing to participate in
the Medicare program. These
requirements are similar in intent to
standards developed by industry
organizations such as the Joint
Commission on Accreditation of
Hospitals, and the National League of
Nursing and the American Public
Association and merely reflect accepted
standards of management and care to
which rural health clinics must adhere.
Form Number: CMS–R–38 (OMB control
number: 0938–0334); Frequency:
Recordkeeping and Reporting—
Annually; Affected Public: Business or
other for-profits; Number of
Respondents: 4,247; Total Annual
Responses: 4,247; Total Annual Hours:
VerDate Sep<11>2014
17:52 Nov 03, 2016
Jkt 241001
18,284. (For policy questions regarding
this collection contact Jacqueline Leach
at 410–786–4282.)
3. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Three-Year
Network Adequacy Review for Medicare
Advantage Organizations; Use: The CMS
regulations at 42 CFR 422.112(a)(1)(i)
and § 422.114(a)(3)(ii) require that all
Medicare Advantage organizations
(MAOs) offering coordinated care plans
(e.g., HMO, PPO) or other networkbased plans (e.g., network-based PFFS,
network-based MSA, section 1876 cost
plan) maintain a network of appropriate
providers that is sufficient to provide
adequate access to covered services to
meet the needs of the population served.
To enforce this requirement, CMS has
developed network adequacy criteria,
which sets forth the minimum number
of providers and maximum travel time
and distance from enrollees to
providers, for each provider specialty
type in each county in the United States
and its territories. MAOs must be in
compliance with the current CMS
network adequacy criteria. This
proposed collection of information is
essential to appropriate and timely
compliance monitoring by CMS, in
order to ensure that all active MAO
contracts offering network-based plans
maintain an adequate network.
Currently, CMS verifies that MAOs are
compliant with the current CMS
network adequacy criteria by
performing a contract-level network
review, which occurs when CMS
requests that an MAO upload provider
and facility Health Service Delivery
(HSD) tables for a given contract to the
Health Plan Management System
(HPMS). If an MAO does not have its
contract-level network formally
reviewed by CMS after the initial
contract application process, then there
is no CMS requirement for a network
adequacy review unless one of the
above listed triggering events occurs.
Therefore, CMS is proposing this
collection of information in order to
improve monitoring of MAOs’ network
adequacy. This collection of information
requires the uploading of HSD tables to
the Network Management Module
(NMM) in HPMS for any contract that
has not had an entire network review
performed by CMS in the previous three
years of contract operation. The
collection process will occur at the
contract level for each MAO that
qualifies, and CMS will assess each
contract against the current CMS
network adequacy criteria. Each time an
MAO’s contract undergoes an entire
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Frm 00036
Fmt 4703
Sfmt 4703
network review during any of the
triggering events listed on page one, the
three-year anniversary date for that
contract will be reset, and CMS will
maintain an HPMS report to keep track
of this date for every active networkbased contract. Form Number: CMS–
10636 (OMB control number 0938New); Frequency: Yearly; Affected
Public: Private sector (Business or other
for-profits); Number of Respondents:
484; Total Annual Responses: 1,652;
Total Annual Hours: 15,692. (For policy
questions regarding this collection
contact Theresa Wachter at 410–786–
1157.)
Dated: November 1, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2016–26745 Filed 11–3–16; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10191 and
CMS–10305]
Agency Information Collection
Activities: Submission for OMB
Review; 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
(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: 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
SUMMARY:
E:\FR\FM\04NON1.SGM
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Federal Register / Vol. 81, No. 214 / Friday, November 4, 2016 / Notices
minimize the information collection
burden.
Comments on the collection(s) of
information must be received by the
OMB desk officer by December 5, 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.
DATES:
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 collection; Title of
Information Collection: Medicare Parts
C and D Program Audit Protocols and
Data Requests; Use: Under the Medicare
Prescription Drug, Improvement, and
asabaliauskas on DSK3SPTVN1PROD with NOTICES
SUPPLEMENTARY INFORMATION:
VerDate Sep<11>2014
17:52 Nov 03, 2016
Jkt 241001
Modernization Act of 2003 and
implementing regulations at 42 CFR
parts 422 and 423, Medicare Part D plan
sponsors and Medicare Advantage
organizations are required to comply
with all Medicare Parts C and D
program requirements. In 2010, the
explosive growth of these sponsoring
organizations forced CMS to develop an
audit strategy to ensure we continue to
obtain meaningful audit results. As a
result, CMS’ audit strategy reflected a
move to a more targeted, data-driven
and risk-based audit approach. We
focused on high-risk areas that have the
greatest potential for beneficiary harm.
To maximize resources, CMS will
focus on assisting the industry to
improve their operations to ensure
beneficiaries receive access to care. One
way to accomplish this is CMS will
develop an annual audit strategy which
describes how sponsors will be selected
for audit and the areas that will be
audited. CMS has developed several
audit protocols and these are posted to
the CMS Web site each year for use by
sponsors to prepare for their audit.
Currently CMS utilizes the following 7
protocols to audit sponsor performance:
Formulary Administration (FA),
Coverage Determinations, Appeals &
Grievances (CDAG), Organization
Determination, Appeals and Grievances
(ODAG), Special Needs Model of Care
(SNPMOC) (only administered on
organizations who operate SNPs),
Compliance Program Effectiveness
(CPE), Medication Therapy Management
(MTM) and Provider Network Accuracy
(PNA). The data collected is detailed in
each of these protocols and the exact
fields are located in the record layouts,
at the end of each protocol. In addition,
questionnaires are distributed as part of
our CDAG, ODAG and CPE audits.
These questionnaires are also included
in this package.
As part of a robust audit process, CMS
also requires sponsors who have been
audited and found to have deficiencies
to undergo a validation audit to ensure
correction. The validation audit utilizes
the same audit protocols, but only tests
the elements where deficiencies were
found, as opposed to re-administering
the entire audit. Finally, to assist in
improving the audit process, CMS sends
sponsors a link to a survey (Appendix
D) at the end of each audit to complete
in order to obtain the sponsors’
feedback. The sponsor is not required to
complete the survey. Form Number:
CMS–10191 (OMB control number:
0938–1000); Frequency: Yearly; Affected
Public: Private Sector (business or other
for-profit and not-for-profit institutions);
Number of Respondents: 40; Total
Annual Responses: 40; Total Annual
PO 00000
Frm 00037
Fmt 4703
Sfmt 9990
76947
Hours: 13,640. (For policy questions
regarding this collection contact Dawn
Johnson at 410–786–3159.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Medicare Part C
and Part D Data Validation (42 CFR
422.516(g) and 423.514(g)); Use:
Organizations contracted to offer
Medicare Part C and Part D benefits are
required to report data to us on a variety
of measures. For the data to be useful for
monitoring and performance
measurement, the data must be reliable,
valid, complete, and comparable among
sponsoring organizations. To meet this
goal, we have developed reporting
standards and data validation
specifications with respect to the Part C
and Part D reporting requirements.
These standards provide a review
process for Medicare Advantage
Organizations, Cost Plans, and Part D
sponsors to use to conduct data
validation checks on their reported Part
C and Part D data.
The FDCF is revised for the 2017 and
2018 DV collection periods by changing
the scoring of six standards from a
binary scale to a five-point Likert-type
scale. This change is expected to
improve the precision of the data
validation scores by increasing overall
variation in total scores among the
MAOs and PDPs. The revision is not
expected to alter resource requirements,
since the assessment by DV contractors
in scoring standards will continue to be
based on the percentage of records that
meet the standards. Form Number:
CMS–10305 (OMB control number:
0938–1115); Frequency: Yearly; Affected
Public: Private sector—Business or other
for-profits; Number of Respondents:
639; Total Annual Responses: 639; Total
Annual Hours: 209,271. (For policy
questions regarding this collection
contact Terry Lied at 410–786–8973.)
Dated: November 1, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2016–26743 Filed 11–3–16; 8:45 am]
BILLING CODE 4120–01–P
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04NON1
]]>Agencies
[Federal Register Volume 81, Number 214 (Friday, November 4, 2016)]
[Notices]
[Pages 76946-76947]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-26743]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10191 and CMS-10305]
Agency Information Collection Activities: Submission for OMB
Review; 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 (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: 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
[[Page 76947]]
minimize the information collection burden.
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by December 5, 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: Revision of a currently
approved collection; Title of Information Collection: Medicare Parts C
and D Program Audit Protocols and Data Requests; Use: Under the
Medicare Prescription Drug, Improvement, and Modernization Act of 2003
and implementing regulations at 42 CFR parts 422 and 423, Medicare Part
D plan sponsors and Medicare Advantage organizations are required to
comply with all Medicare Parts C and D program requirements. In 2010,
the explosive growth of these sponsoring organizations forced CMS to
develop an audit strategy to ensure we continue to obtain meaningful
audit results. As a result, CMS' audit strategy reflected a move to a
more targeted, data-driven and risk-based audit approach. We focused on
high-risk areas that have the greatest potential for beneficiary harm.
To maximize resources, CMS will focus on assisting the industry to
improve their operations to ensure beneficiaries receive access to
care. One way to accomplish this is CMS will develop an annual audit
strategy which describes how sponsors will be selected for audit and
the areas that will be audited. CMS has developed several audit
protocols and these are posted to the CMS Web site each year for use by
sponsors to prepare for their audit. Currently CMS utilizes the
following 7 protocols to audit sponsor performance: Formulary
Administration (FA), Coverage Determinations, Appeals & Grievances
(CDAG), Organization Determination, Appeals and Grievances (ODAG),
Special Needs Model of Care (SNPMOC) (only administered on
organizations who operate SNPs), Compliance Program Effectiveness
(CPE), Medication Therapy Management (MTM) and Provider Network
Accuracy (PNA). The data collected is detailed in each of these
protocols and the exact fields are located in the record layouts, at
the end of each protocol. In addition, questionnaires are distributed
as part of our CDAG, ODAG and CPE audits. These questionnaires are also
included in this package.
As part of a robust audit process, CMS also requires sponsors who
have been audited and found to have deficiencies to undergo a
validation audit to ensure correction. The validation audit utilizes
the same audit protocols, but only tests the elements where
deficiencies were found, as opposed to re-administering the entire
audit. Finally, to assist in improving the audit process, CMS sends
sponsors a link to a survey (Appendix D) at the end of each audit to
complete in order to obtain the sponsors' feedback. The sponsor is not
required to complete the survey. Form Number: CMS-10191 (OMB control
number: 0938-1000); Frequency: Yearly; Affected Public: Private Sector
(business or other for-profit and not-for-profit institutions); Number
of Respondents: 40; Total Annual Responses: 40; Total Annual Hours:
13,640. (For policy questions regarding this collection contact Dawn
Johnson at 410-786-3159.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare Part C
and Part D Data Validation (42 CFR 422.516(g) and 423.514(g)); Use:
Organizations contracted to offer Medicare Part C and Part D benefits
are required to report data to us on a variety of measures. For the
data to be useful for monitoring and performance measurement, the data
must be reliable, valid, complete, and comparable among sponsoring
organizations. To meet this goal, we have developed reporting standards
and data validation specifications with respect to the Part C and Part
D reporting requirements. These standards provide a review process for
Medicare Advantage Organizations, Cost Plans, and Part D sponsors to
use to conduct data validation checks on their reported Part C and Part
D data.
The FDCF is revised for the 2017 and 2018 DV collection periods by
changing the scoring of six standards from a binary scale to a five-
point Likert-type scale. This change is expected to improve the
precision of the data validation scores by increasing overall variation
in total scores among the MAOs and PDPs. The revision is not expected
to alter resource requirements, since the assessment by DV contractors
in scoring standards will continue to be based on the percentage of
records that meet the standards. Form Number: CMS-10305 (OMB control
number: 0938-1115); Frequency: Yearly; Affected Public: Private
sector--Business or other for-profits; Number of Respondents: 639;
Total Annual Responses: 639; Total Annual Hours: 209,271. (For policy
questions regarding this collection contact Terry Lied at 410-786-
8973.)
Dated: November 1, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-26743 Filed 11-3-16; 8:45 am]
BILLING CODE 4120-01-P
