Agency Information Collection Activities: Submission for OMB Review; Comment Request, 16844-16846 [2017-06827]
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16844
Federal Register / Vol. 82, No. 65 / Thursday, April 6, 2017 / Notices
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Overpayments and Supporting
Regulations in 42 CFR 447.31
CMS–R–148 Limitations on Provider
Related Donations and Health Care
Related Taxes; Limitation on Payment
to Disproportionate Share Hospitals;
Medicaid and Supporting Regulations
in 42 CFR 433.68, 433.74 and 447.272
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.
Information Collection
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Medicare
Prescription Drug Coverage and Your
Rights; Use: Through the delivery of this
standardized notice, Part D plan
sponsors’ network pharmacies are in the
best position to inform enrollees (at the
point of sale) about how to contact their
Part D plan if their prescription cannot
be filled and how to request an
exception to the Part D plan’s formulary.
The notice restates certain rights and
protections related to the enrollees
Medicare prescription drug benefits,
including the right to receive a written
explanation from the drug plan about
why a prescription drug is not covered;
Form Number: CMS–10147 (OMB
control number: 0938–0975); Frequency:
Occasionally; Affected Public: Private
sector (business or other for-profits);
Number of Respondents: 62,000; Total
Annual Responses: 40,100,000; Total
Annual Hours: 668,066. (For policy
questions regarding this collection
contact Sabrina Sparkman at 410–786–
3209.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Medicare Health
Outcomes Survey (HOS); Use: The
collection is necessary to hold Medicare
managed care contracts accountable for
the quality of care they deliver to
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beneficiaries. This reporting
requirement allows us to obtain the
information necessary for proper
oversight of the Medicare Advantage
program. It is critical to our mission that
we collect and disseminate valid and
reliable information that can be used to
improve quality of care through
identification of quality improvement
opportunities, assist us in carrying out
our oversight responsibilities, and help
beneficiaries make an informed choice
among health plans. Form Number:
CMS–10203 (OMB control number:
0938–0701); Frequency: Yearly; Affected
Public: Individuals and households;
Number of Respondents: 739,959; Total
Annual Responses: 554,895; Total
Annual Hours: 183,115. (For policy
questions regarding this collection
contact Kimberly DeMichele at 410–
786–4286.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Withholding
Medicare Payments to Recover
Medicaid Overpayments and
Supporting Regulations in 42 CFR
447.31; Use: Certain Medicaid providers
that are subject to offsets for the
collection of Medicaid overpayments
may terminate or substantially reduce
their participation in Medicaid, leaving
the state Medicaid agency unable to
recover the amounts due. Recovery
procedures allow for determining the
amount of overpayments and offsetting
the overpayments by withholding the
provider’s Medicare payments. To
effectuate the withholding, the state
agency must provide their respective
CMS regional office with certain
documentation that identifies the
provider and the Medicaid overpayment
amount. The agency must also
demonstrate that the provider was
notified of the overpayment and that
demand for the overpayment was made.
An opportunity to appeal the
overpayment determination must be
afforded to the provider by the Medicaid
state agency. Lastly, Medicaid state
agencies must notify CMS when to
terminate the withholding; Form
Number: CMS–R–21 (OMB control
number: 0938–0287); Frequency:
Occasionally; Affected Public: State,
Local, or Tribal Governments; Number
of Respondents: 54; Total Annual
Responses: 27; Total Annual Hours: 81.
(For policy questions regarding this
collection contact Stuart Goldstein at
410–786–0694.)
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Limitations on
Provider Related Donations and Health
PO 00000
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Care Related Taxes; Limitation on
Payment to Disproportionate Share
Hospitals; Medicaid and Supporting
Regulations in 42 CFR 433.68, 433.74
and 447.272; Use: States may request a
waiver of the broad based and
uniformity tax program requirements.
Each state must demonstrate that its tax
program(s) do not violate the hold
harmless provision. Additionally, state
Medicaid agencies must report
(quarterly) on health care related taxes
collected and the source of provider
related donations received by the state
or unit of local government. Each state
must maintain, in readily reviewable
form, supporting documentation that
provides a detailed description of each
donation and tax program being
reported, as well as the source and use
of all donations received and collected.
Without this information, the amount of
Federal financial participation payable
to a state cannot be determined; Form
Number: CMS–R–148 (OMB control
number: 0938–0618); Frequency:
Quarterly and occasionally; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
50; Total Annual Responses: 40; Total
Annual Hours: 3,200. (For policy
questions regarding this collection
contact Stuart Goldstein at 410–786–
0694.)
Dated: April 3, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2017–06830 Filed 4–5–17; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10501 and
CMS–10635]
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
SUMMARY:
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06APN1
mstockstill on DSK3G9T082PROD with NOTICES
Federal Register / Vol. 82, No. 65 / Thursday, April 6, 2017 / Notices
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 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 on the collection(s) of
information must be received by the
OMB desk officer by May 8, 2017.
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
Web site address at https://
www.cms.gov/Regulations-andGuidance/Legislation/Paperwork
ReductionActof1995/PRA-Listing.html.
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:
William Parham at (410) 786–4669.
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
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18:51 Apr 05, 2017
Jkt 241001
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval.
Comments submitted in response to the
60-day FR Notice have been addressed
in Appendix A of the ICR. 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: Healthcare
Fraud Prevention Partnership (HFPP):
Data Sharing and Information Exchange;
Use: Section 1128C(a)(2) of the Social
Security Act (42 U.S.C. 1320a–7c(a)(2))
authorizes the Secretary and the
Attorney General to consult, and arrange
for the sharing of data with,
representatives of health plans for
purposes of establishing a Fraud and
Abuse Control Program as specified in
Section 1128(C)(a)(1) of the Social
Security Act. The result of this authority
has been the establishment of the HFPP.
The HFPP was officially established by
a Charter in the fall of 2012 and signed
by HHS Secretary Sibelius and U.S.
Attorney General Holder.
Data sharing within the HFPP
primarily focuses on conducting studies
for the purpose of combatting fraud,
waste, and abuse. These studies are
intended to target specific
vulnerabilities within the payment
systems in both the public and private
healthcare sectors. The HFPP and its
committees design and develop studies
in coordination with the TTP. The core
function of the TTP is to manage and
execute the HFPP studies within the
HFPP. Specifically, the TTP collects and
consolidates partner (both public and
private) study-related data in order to
share information among the HFPP
pertaining to analytical tools and
techniques; study analysis; successful
anti-fraud practices, trends and
vulnerabilities; and reports that
maintain the confidentiality of its
source data. Form Number: CMS–10501
(OMB control number: 0938–1251);
Frequency: Occasionally; Affected
Public: Private sector (Business or other
for-profits); Number of Respondents: 20;
Total Annual Responses: 20; Total
Annual Hours: 360. (For policy
questions regarding this collection
contact Marnie Dorsey at 410–786–
5942.)
2. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Montana Health
and Economic Livelihood Partnership
PO 00000
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16845
(HELP) Federal Evaluation; Use: CMS
approved the Montana Health and
Economic Livelihood Partnership
(HELP) demonstration in November
2015. The demonstration provides
flexibility for the expanded Medicaid
population under the Affordable Care
Act for individuals in the state of
Montana (hereinafter, ‘‘State’’ or
‘‘Montana’’).
Montana expects to achieve the
following: (1) Premiums and copayment
liability that will encourage HELP
Program enrollees to be discerning
health care purchasers, take personal
responsibility for their health care
decisions and develop health-conscious
behaviors as consumers of health care
services; and (2) 12 month continuous
eligibility to improve continuity of care.
The State also seeks to demonstrate the
following over the life of the
demonstration: (1) Premiums will not
pose a barrier to accessing care for HELP
Program beneficiaries; (2) HELP
Program enrollees will exhibit healthconscious health care behaviors without
harming beneficiary health; and (3) 12
month continuous eligibility will
promote continuity of coverage and
reduce churning rates.
The demonstration includes the
authority to charge premiums of 2
percent of household income to
individuals in the new adult group with
incomes between 50 and 133 percent of
the FPL. The state will credit such
individuals’ premium obligation
towards copayments due. Non-payment
of premiums may result in
disenrollment for individuals with
incomes above 100 percent of the FPL
after notice and a grace period.
Individuals at or below 100 percent who
stop paying premiums will not be
disenrolled.
To adequately inform CMS decisionmaking regarding Section 1115
Demonstrations, this federal evaluation
of Montana’s HELP demonstration
includes surveys and associated focus
groups, and informational interviews
conducted during site visits and via
phone.
Form Number: CMS–10635 (OMB
control number: 0938-New); Frequency:
Once and on occasion; Affected Public:
Individuals and Households, Business
or other for-profits and Not-for-profits
institutions, and State, Local, or Tribal
Governments; Number of Respondents:
1,458; Total Annual Responses: 1,458;
Total Annual Hours: 568. (For policy
questions regarding this collection
contact Serge King at 410–786–6052.)
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16846
Federal Register / Vol. 82, No. 65 / Thursday, April 6, 2017 / Notices
Dated: April 3, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2017–06827 Filed 4–5–17; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Office of the Director; Notice of
Meeting
Notice is hereby given of a meeting
scheduled by the Deputy Director for
Intramural Research at the National
Institutes of Health (NIH) with the
Chairpersons of the Boards of Scientific
Counselors. The Boards of Scientific
Counselors are advisory groups to the
Scientific Directors of the Intramural
Research Programs at the NIH.
The meeting will be open to the
public. Attendance is limited to space
available in the conference room.
Individuals who plan to attend and
need special assistance, such as sign
language interpretation or other
reasonable accommodations, should
notify the contact person listed below.
mstockstill on DSK3G9T082PROD with NOTICES
Date: Friday, May 12, 2017.
Time: 10:00 a.m. to 2:00 p.m.
Place: Room 6, C-Wing, 6th Floor, Building
31, 31 Center Drive, Bethesda, MD 20892.
Agenda: The meeting will include a
discussion of policies and procedures that
apply to the regular review of NIH intramural
scientists and their work. Information is also
available on the Office of Intramural
Research home page: https://
sourcebook.od.nih.gov.
Contact Person: Margaret McBurney,
Program Specialist, Office of the Deputy
Director for Intramural Research, 1 Center
Drive, Room 160, Bethesda, MD 20892,
email: mmcburney@od.nih.gov, Phone: 301–
496–1921, Fax: 301–402–4273.
In the interest of security, NIH has
instituted stringent procedures for
entrance onto the NIH campus. All
visitor vehicles, including taxicabs,
hotel and airport shuttles will be
inspected before being allowed on
campus. Visitors will be asked to show
one form of identification (for example,
a government-issued photo ID, driver’s
license, or passport) and to state the
purpose of their visit.
Dated: March 31, 2017.
Anna Snouffer,
Deputy Director, Office of Federal Advisory
Committee Policy.
[FR Doc. 2017–06775 Filed 4–5–17; 8:45 am]
BILLING CODE 4140–01–P
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute of Environmental
Health Sciences; Notice of Meeting
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of a meeting of the Board
of Scientific Counselors, NIEHS.
The meeting will be open to the
public as indicated below, with
attendance limited to space available.
Individuals who plan to attend and
need special assistance, such as sign
language interpretation or other
reasonable accommodations, should
notify the Contact Person listed below
in advance of the meeting.
The meeting will be closed to the
public as indicated below in accordance
with the provisions set forth in section
552b(c)(6), Title 5 U.S.C., as amended
for the review, discussion, and
evaluation of individual intramural
programs and projects conducted by the
NATIONAL INSTITUTE OF
ENVIRONMENTAL HEALTH
SCIENCES, including consideration of
personnel qualifications and
performance, and the competence of
individual investigators, the disclosure
of which would constitute a clearly
unwarranted invasion of personal
privacy.
Name of Committee: Board of Scientific
Counselors, NIEHS.
Date: May 7–9, 2017.
Closed: May 07, 2017, 7:00 p.m. to 10:00
p.m.
Agenda: To review and evaluate
programmatic concerns and personnel
qualifications.
Place: Doubletree Guest Suites, 2515
Meridian Parkway, Research Triangle Park,
NC 27713.
Open: May 08, 2017, 8:30 a.m. to 11:00
a.m.
Agenda: Scientific Presentations.
Place: Nat. Inst. of Environmental Health
Sciences, Building 101, Rodbell Auditorium,
111 T.W. Alexander Drive, Research Triangle
Park, NC 27709.
Closed: May 08, 2017, 11:00 a.m. to 1:00
p.m.
Agenda: To review and evaluate
programmatic concerns and personnel
qualifications.
Place: Nat. Inst. of Environmental Health
Sciences, Building 101, Rodbell Auditorium,
111 T.W. Alexander Drive, Research Triangle
Park, NC 27709.
Open: May 08, 2017, 1:00 p.m. to 2:00 p.m.
Agenda: Poster Session.
Place: Nat. Inst. of Environmental Health
Sciences, Building 101, Rodbell Auditorium,
111 T.W. Alexander Drive, Research Triangle
Park, NC 27709.
Closed: May 08, 2017, 2:00 p.m. to 3:00
p.m.
PO 00000
Frm 00068
Fmt 4703
Sfmt 4703
Agenda: To review and evaluate
programmatic concerns and personnel
qualifications.
Place: Nat. Inst. of Environmental Health
Sciences, Building 101, Rodbell Auditorium,
111 T.W. Alexander Drive, Research Triangle
Park, NC 27709.
Open: May 08, 2017, 3:15 p.m. to 4:55 p.m.
Agenda: Scientific Presentations.
Place: Nat. Inst. of Environmental Health
Sciences, Building 101, Rodbell Auditorium,
111 T.W. Alexander Drive, Research Triangle
Park, NC 27709.
Closed: May 08, 2017, 4:55 p.m. to 5:25
p.m.
Agenda: To review and evaluate
programmatic concerns and personnel
qualifications.
Place: Nat. Inst. of Environmental Health
Sciences, Building 101, Rodbell Auditorium,
111 T.W. Alexander Drive, Research Triangle
Park, NC 27709.
Closed: May 08, 2017, 6:00 p.m. to 10:00
p.m.
Agenda: To review and evaluate
programmatic concerns and personnel
qualifications.
Place: Doubletree Guest Suites, 2515
Meridian Parkway, Research Triangle Park,
NC 27713.
Open: May 09, 2017, 8:30 a.m. to 10:00
a.m.
Agenda: Scientific Presentations.
Place: Nat. Inst. of Environmental Health
Sciences, Building 101, Rodbell Auditorium,
111 T.W. Alexander Drive, Research Triangle
Park, NC 27709.
Closed: May 09, 2017, 10:00 a.m. to 12:30
p.m.
Agenda: To review and evaluate
programmatic concerns and personnel
qualifications.
Place: Nat. Inst. of Environmental Health
Sciences, Building 101, Rodbell Auditorium,
111 T.W. Alexander Drive, Research Triangle
Park, NC 27709.
Contact Person: Darryl C. Zeldin, Scientific
Director & Principal Investigator, Division of
Intramural Research, National Institute of
Environmental Health Sciences, NIH, 111
T.W. Alexander Drive, Mail drop A2–09,
Research Triangle Park, NC 27709, 919–541–
1169, zeldin@niehs.nih.gov.
Any interested person may file written
comments with the committee by forwarding
the statement to the Contact Person listed on
this notice. The statement should include the
name, address, telephone number and when
applicable, the business or professional
affiliation of the interested person.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.115, Biometry and Risk
Estimation Health Risks from Environmental
Exposures; 93.142, NIEHS Hazardous Waste
Worker Health and Safety Training; 93.143,
NIEHS Superfund Hazardous Substances—
Basic Research and Education; 93.894,
Resources and Manpower Development in
the Environmental Health Sciences; 93.113,
Biological Response to Environmental Health
Hazards; 93.114, Applied Toxicological
Research and Testing, National Institutes of
Health, HHS)
E:\FR\FM\06APN1.SGM
06APN1
]]>Agencies
[Federal Register Volume 82, Number 65 (Thursday, April 6, 2017)]
[Notices]
[Pages 16844-16846]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-06827]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10501 and CMS-10635]
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
[[Page 16845]]
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 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 on the collection(s) of information must be received by
the OMB desk officer by May 8, 2017.
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 Web site address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
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: William Parham at (410) 786-4669.
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.
Comments submitted in response to the 60-day FR Notice have been
addressed in Appendix A of the ICR. 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:
Healthcare Fraud Prevention Partnership (HFPP): Data Sharing and
Information Exchange; Use: Section 1128C(a)(2) of the Social Security
Act (42 U.S.C. 1320a-7c(a)(2)) authorizes the Secretary and the
Attorney General to consult, and arrange for the sharing of data with,
representatives of health plans for purposes of establishing a Fraud
and Abuse Control Program as specified in Section 1128(C)(a)(1) of the
Social Security Act. The result of this authority has been the
establishment of the HFPP. The HFPP was officially established by a
Charter in the fall of 2012 and signed by HHS Secretary Sibelius and
U.S. Attorney General Holder.
Data sharing within the HFPP primarily focuses on conducting
studies for the purpose of combatting fraud, waste, and abuse. These
studies are intended to target specific vulnerabilities within the
payment systems in both the public and private healthcare sectors. The
HFPP and its committees design and develop studies in coordination with
the TTP. The core function of the TTP is to manage and execute the HFPP
studies within the HFPP. Specifically, the TTP collects and
consolidates partner (both public and private) study-related data in
order to share information among the HFPP pertaining to analytical
tools and techniques; study analysis; successful anti-fraud practices,
trends and vulnerabilities; and reports that maintain the
confidentiality of its source data. Form Number: CMS-10501 (OMB control
number: 0938-1251); Frequency: Occasionally; Affected Public: Private
sector (Business or other for-profits); Number of Respondents: 20;
Total Annual Responses: 20; Total Annual Hours: 360. (For policy
questions regarding this collection contact Marnie Dorsey at 410-786-
5942.)
2. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection: Montana
Health and Economic Livelihood Partnership (HELP) Federal Evaluation;
Use: CMS approved the Montana Health and Economic Livelihood
Partnership (HELP) demonstration in November 2015. The demonstration
provides flexibility for the expanded Medicaid population under the
Affordable Care Act for individuals in the state of Montana
(hereinafter, ``State'' or ``Montana'').
Montana expects to achieve the following: (1) Premiums and
copayment liability that will encourage HELP Program enrollees to be
discerning health care purchasers, take personal responsibility for
their health care decisions and develop health-conscious behaviors as
consumers of health care services; and (2) 12 month continuous
eligibility to improve continuity of care. The State also seeks to
demonstrate the following over the life of the demonstration: (1)
Premiums will not pose a barrier to accessing care for HELP Program
beneficiaries; (2) HELP Program enrollees will exhibit health-conscious
health care behaviors without harming beneficiary health; and (3) 12
month continuous eligibility will promote continuity of coverage and
reduce churning rates.
The demonstration includes the authority to charge premiums of 2
percent of household income to individuals in the new adult group with
incomes between 50 and 133 percent of the FPL. The state will credit
such individuals' premium obligation towards copayments due. Non-
payment of premiums may result in disenrollment for individuals with
incomes above 100 percent of the FPL after notice and a grace period.
Individuals at or below 100 percent who stop paying premiums will not
be disenrolled.
To adequately inform CMS decision-making regarding Section 1115
Demonstrations, this federal evaluation of Montana's HELP demonstration
includes surveys and associated focus groups, and informational
interviews conducted during site visits and via phone.
Form Number: CMS-10635 (OMB control number: 0938-New); Frequency:
Once and on occasion; Affected Public: Individuals and Households,
Business or other for-profits and Not-for-profits institutions, and
State, Local, or Tribal Governments; Number of Respondents: 1,458;
Total Annual Responses: 1,458; Total Annual Hours: 568. (For policy
questions regarding this collection contact Serge King at 410-786-
6052.)
[[Page 16846]]
Dated: April 3, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2017-06827 Filed 4-5-17; 8:45 am]
BILLING CODE 4120-01-P
