Agency Information Collection Activities: Submission for OMB Review; Comment Request, 34675-34677 [2017-15726]
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Federal Register / Vol. 82, No. 142 / Wednesday, July 26, 2017 / Notices
Prevention and the Agency for Toxic
Substances and Disease Registry.
Claudette Grant,
Acting Director, Management Analysis and
Services Office Centers for Disease Control
and Prevention.
[FR Doc. 2017–15782 Filed 7–24–17; 11:15 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
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Sunshine Act Meeting: Board of
Scientific Counselors, National Center
for Health Statistics (NCHS)
TIMES AND DATES:
11:00 a.m.–5:30 p.m., EDT, September 6,
2017
8:30 a.m.–1:00 p.m., EDT, September 7,
2017
PLACE: NCHS Headquarters, 3311
Toledo Road, Hyattsville, Maryland
20782.
STATUS: In accordance with section
10(a)(2) of the Federal Advisory
Committee Act (Pub. L. 92–463), the
Centers for Disease Control and
Prevention (CDC), National Center for
Health Statistics (NCHS) announces the
following meeting of the
aforementioned committee. This
meeting is open to the public; however,
visitors must be processed in
accordance with established federal
policies and procedures. For foreign
nationals or non-U.S. citizens, preapproval is required (please contact
Gwen Mustaf, 301–458–4500, glm4@
cdc.gov, or Virginia Cain, vcain@cdc.gov
at least 10 days in advance for
requirements). All visitors are required
to present a valid form of picture
identification issued by a state, federal
or international government. As
required by the Federal Property
Management Regulations, Title 41, Code
of Federal Regulation, Subpart 101–
20.301, all persons entering in or on
Federal controlled property and their
packages, briefcases, and other
containers in their immediate
possession are subject to being x-rayed
and inspected. Federal law prohibits the
knowing possession or the causing to be
present of firearms, explosives and other
dangerous weapons and illegal
substances. The meeting room
accommodates approximately 78
people.
MATTERS TO BE CONSIDERED: This
committee is charged with providing
advice and making recommendations to
the Secretary, Department of Health and
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Human Services; the Director, CDC; and
the Director, NCHS, regarding the
scientific and technical program goals
and objectives, strategies, and priorities
of NCHS. The agenda includes welcome
remarks by NCHS leadership; update
from the Division of Health Care
Statistics; update on National
Committee on Vital and Health
Statistics (NCVHS) activities; update on
improving data collection.
Requests to make oral presentations
should be submitted in writing to the
contact person listed below. All requests
must contain the name, address,
telephone number, and organizational
affiliation of the presenter. Written
comments should not exceed five
single-spaced typed pages in length and
must be received by August 22, 2017.
Agenda items are subject to change as
priorities dictate.
CONTACT PERSON FOR MORE INFORMATION:
Virginia S. Cain, Ph.D., Director of
Extramural Research, NCHS/CDC, 3311
Toledo Road, Room 2627, Hyattsville,
Maryland 20782, telephone (301) 458–
4500, email vcain@cdc.gov.
The Director, Management Analysis
and Services Office, has been delegated
the authority to sign Federal Register
notices pertaining to announcements of
meetings and other committee
management activities for both CDC and
the Agency for Toxic Substances and
Disease Registry.
Claudette Grant,
Acting Director, Management Analysis and
Services Office, Centers for Disease Control
and Prevention.
[FR Doc. 2017–15783 Filed 7–24–17; 11:15 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–1984–14, CMS–
10326, CMS–2088–17, CMS–10452, CMS–
10320 and CMS–10418]
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
SUMMARY:
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34675
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 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.
Comments on the collection(s) of
information must be received by the
OMB desk officer by August 25, 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.
DATES:
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Federal Register / Vol. 82, No. 142 / Wednesday, July 26, 2017 / Notices
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. No
comments were received in response to
the 60-day comment period. 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: Reinstatement of a previously
approved collection; Title of
Information Collection: Hospice Facility
Cost Report; Use: Providers of services
participating in the Medicare program
are required under §§ 1815(a), 1833(e),
and 1861(v)(1)(A) of the Social Security
Act (42 U.S.C. 1395g) to submit annual
information to determine costs for
health care services rendered to
Medicare beneficiaries. In addition,
regulations at 42 CFR 413.20, 413.24
and 418.310 require adequate cost data
and cost reports from providers on an
annual basis. The Form CMS–1984–14
cost report is needed to determine a
provider’s reasonable costs incurred in
furnishing medical services to Medicare
beneficiaries. The data is used by CMS
to calculate: Market basket weight and
the labor related shares, Rate setting and
payment refinement, and Medicare and
total facility margins for Medicarecovered services by type of service.
Form Number: CMS–1984–14 (OMB
control number: 0938–0758); Frequency:
Annually; Affected Public: Private
sector—Business or other for-profit and
Not-for-profit institutions; Number of
Respondents: 3,545; Total Annual
Responses: 3,545; Total Annual Hours:
666,460. (For policy questions regarding
this collection contact Yaakov Feinstein
at 410–786–3137.)
2. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection:
Electronic Submission of Medicare
Graduate Medical Education (GME)
Affiliation Agreements; Use: Sections
1886(h)(4)(F) and 1886(d)(5)(B)(v) of the
Act establish limits on the number of
allopathic and osteopathic FTE
residents that hospitals may count for
purposes of calculating direct GME
payments and the indirect medical
education (IME) adjustment. In
addition, under the authority granted by
section 1886(h)(4)(H)(ii) of the Act, the
Secretary issued regulations on May 12,
1998 (63 FR 26358) to allow institutions
that are members of the same Medicare
GME affiliated group to elect to apply
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their direct GME and IME FTE resident
caps based on the aggregate cap of all
hospitals that are part of a Medicare
GME affiliation group. Under those
regulations, specified at § 413.79(f) for
direct GME and at § 412.105(f)(1)(vi) for
IME, hospitals that are part of the same
Medicare GME affiliated group are
permitted to adjust each hospital’s caps
to reflect the rotation of residents among
affiliated hospitals during an academic
year. Under § 413.75(b), a Medicare
GME affiliated group may be formed by
two or more hospitals if: (1) The
hospitals are located in the same urban
or rural area or in a contiguous area and
have a shared rotational arrangement as
specified at § 413.79(f)(2); (2) the
hospitals are not located in the same or
in a contiguous area, but have a shared
rotational arrangement and they are
jointly listed as the sponsor, primary
clinical site, or major participating
institution for one or more programs as
these terms are used in the most recent
publication of the Graduate Medical
Education Directory, or as the sponsor
or is listed under ‘‘affiliations and
outside rotations’’ for one or more
programs in Opportunities, Directory of
Osteopathic Post-Doctoral Education
Programs; or (3) effective beginning July
1, 2003, two or more hospitals are under
common ownership and have a shared
rotational arrangement under
§ 413.79(f)(2). Form Number: CMS–
10326 (OMB control number: 0938–
1111); Frequency: Annually; Affected
Public: Business or other For-profit and
Not-for-profit institutions; Number of
Respondents: 125; Total Annual
Responses: 125; Total Annual Hours:
166. (For policy questions regarding this
collection contact Renate Dombrowski
at 410–786–4645.)
3. Type of Information Collection
Request: Reinstatement with change of a
previouslyapproved collection; Title of
Information Collection: Community
Mental Health Center Cost Report; Use:
Providers of services participating in the
Medicare program are required under
sections 1815(a) and 1861(v)(1)(A) of the
Social Security Act (42 U.S.C. 1395g) to
submit annual information to achieve
settlement of costs for health care
services rendered to Medicare
beneficiaries. In addition, regulations at
42 CFR 413.20 and 413.24 require
adequate cost data and cost reports from
providers on an annual basis. The Form
CMS–2088–17 cost report is needed to
determine a provider’s reasonable costs
incurred in furnishing medical services
to Medicare beneficiaries and
reimbursement due to or due from a
provider. The primary function of the
cost report is to collect data that is used
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by CMS to support program operations,
payment refinement activities and to
make Medicare Trust Fund projections.
Form Number: CMS–2088–17 (OMB
control number: 0938–0037); Frequency:
Yearly; Affected Public: Private Sector
(Business or other for-profits, Not-forProfit Institutions); Number of
Respondents: 219; Total Annual
Responses: 219; Total Annual Hours:
19,710. (For policy questions regarding
this collection contact Jill Keplinger at
410–786–4550.)
4. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection: CMS
Enterprise Identity Management; Use:
HIPAA regulations require covered
entities to verify the identity of the
person requesting Personal Health
Information (PHI) and the person’s
authority to have access to that
information. Per the HIPAA Security
Rule, covered entities, regardless of
their size, are required under
Section164.312(a)(2)(i) to ‘‘assign a
unique name and/or number for
identifying and tracking user identity.’’
A ‘user’ is defined in Section 164.304 as
a ‘‘person or entity with authorized
access’’. Accordingly, the Security Rule
requires covered entities to assign a
unique name and/or number to each
employee or workforce member who
uses a system that receives, maintains or
transmits electronic PHI, so that system
access and activity can be identified and
tracked by user. This pertains to
workforce members within health plans,
group health plans, small or large
provider offices, clearinghouses and
beneficiaries. Federal law requires that
CMS take precautions to minimize the
security risk to the Federal information
system. FIPS PUB 201—1 Para 1.2:
‘‘Homeland Security Presidential
Directive 12 (HSPD 12), signed by the
President on August 27, 2004,
established the requirements for a
common identification standard for the
identification of credentials issued by
Federal Departments and agencies to
Federal employees and contractors
(including contractor employees) for
gaining physical access to Federally
controlled facilities and logical access to
Federally controlled information
systems. HSPD 12 directs the
department of Commerce to develop a
Federal Information Processing
Standards (FIPS) publication to define
such a common identification
credential.’’ Form Number: CMS–10452
(OMB control number: 0938–1236);
Frequency: Annually; Affected Public:
Individuals and Households; Number of
Respondents: 750,000; Total Annual
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Responses: 750,000; Total Annual
Hours: 300,000. (For policy questions
regarding this collection contact Robert
Burger at 410–786–2125.)
5. Type of Information Collection
Request: Extension of a currently
approved information collection; Title
of Information Collection: Health Care
Reform Insurance Web Portal
Requirements 45 CFR part 159; Use: In
accordance with the provisions of the
ACA referenced above, the U.S.
Department of Health and Human
Services created a Web site called
healthcare.gov to meet these and other
provisions of the law, and data
collection was conducted for six months
based upon an emergency information
collection request. The interim final rule
published on May 5, 2010 served as the
emergency Federal Register notice for
the prior information collection request.
The Office of Management and Budget
(OMB) reviewed the request under
emergency processing and approved it
on April 30, 2010.
CMS updated the web portal system
where state Departments of Insurance
and issuers log in using a custom user
ID and password validation. The states
are asked to provide information on
issuers in their state and various Web
sites maintained for consumers. The
issuers are also tasked with providing
information on their major medical
insurance products and plans. They are
ultimately given the choice to download
a basic information template to enter
data then upload into the web portal; to
manually enter data within the web
portal itself; or to submit .xml files
containing their information. Once the
states and issuers submit their data, they
will receive an email notifying them of
any errors, and that their submission
was received.
CMS mandates that issuers verify and
update their information on a quarterly
basis and requests that States verify
State-submitted information on an
annual basis. In the event that an issuer
enhances its existing plans, proposes
new plans, or deactivates plans, the
organization would be required to
update the information in the web
portal. Changes occurring during the
three month quarterly periods will be
allowed utilizing effective dates for both
the plans and rates associated with the
plans. Form Number: CMS–10320 (OMB
control number: 0938–1086); Frequency:
Annually, Quarterly; Affected Public:
State, Local, and Tribal Governments;
Number of Respondents: 305; Total
Annual Responses: 5,500; Total Annual
Hours: 89,725. (For policy questions
regarding this collection contact Kim
Heckstall at 410–786–1647).
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6. Type of Information Collection
Request: Revision of currently approved
collection; Title of Information
Collection: Annual MLR and Rebate
Calculation Report and MLR Rebate
Notices; Use: Under Section 2718 of the
Affordable Care Act and implementing
regulation at 45 CFR part 158, a health
insurance issuer (issuer) offering group
or individual health insurance coverage
must submit a report to the Secretary
concerning the amount the issuer
spends each year on claims, quality
improvement expenses, non-claims
costs, Federal and State taxes and
licensing and regulatory fees, the
amount of earned premium, and
beginning with the 2014 reporting year,
the amounts related to the reinsurance,
risk corridors, and risk adjustment
programs established under sections
1341, 1342, and 1343, respectively, of
the Affordable Care Act. An issuer must
provide an annual rebate if the amount
it spends on certain costs compared to
its premium revenue (excluding Federal
and States taxes and licensing and
regulatory fees) does not meet a certain
ratio, referred to as the medical loss
ratio (MLR). Each issuer is required to
submit annually MLR data, including
information about any rebates it must
provide, on a form prescribed by CMS,
for each State in which the issuer
conducts business. Each issuer is also
required to provide a rebate notice to
each policyholder that is owed a rebate
and each subscriber of policyholders
that are owed a rebate for any given
MLR reporting year. Additionally, each
issuer is required to maintain for a
period of seven years all documents,
records and other evidence that support
the data included in each issuer’s
annual report to the Secretary.
Under Section 1342 of the Patient
Protection and Affordable Care Act and
implementing regulation at 45 CFR part
153, issuers of qualified health plans
(QHPs) must participate in a risk
corridors program. A QHP issuer will
pay risk corridors charges or be eligible
to receive payments based on the ratio
of the issuer’s allowable costs to the
target amount. Each QHP issuer is
required to submit an annual report to
CMS concerning the issuer’s allowable
costs, allowable administrative costs,
premium, and proportion of market
premium in QHPs. Risk corridors
premium information that is specific to
an issuer’s QHPs is collected through a
separate plan-level data form, which is
included in this information collection.
Additionally, each QHP issuer is
required to maintain for a period of ten
years all documents, records and other
evidence sufficient to enable the
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34677
evaluation of the issuer’s compliance
with applicable risk corridors standards.
On May 2, 2017, CMS published a 60day notice in the Federal Register (82
FR 20481) for the public to submit
written comments on this information
collection; the public comment period
closed on July 3, 2017. As part of the 60day notice, CMS updated its annual
burden hour estimates to reflect the
actual numbers of submissions, rebates
and rebate notices.
CMS received a total of six comments
on a number of specific issues regarding
the notice of the revised MLR PRA
package. CMS has taken into
consideration all of the comments and
has modified the information collection
instruments and instructions (the 2016
MLR Annual Reporting Form and
Instructions; no comments were
submitted on the 2016 Risk Corridors
Plan-Level Data Form and Instructions)
in order to correct errors and to provide
additional clarifications. These
modifications do not affect the
previously estimated burden hours or
costs. Form Number: CMS–10418 (OMB
Control Number: 0938–1164);
Frequency: Annually; Affected Public:
Private Sector, Business or other forprofits and not-for-profit institutions;
Number of Respondents: 545; Number
of Responses: 2,532; Total Annual
Hours: 200,597. (For policy questions
regarding this collection, contact
Christina Whitefield at (301) 492–4172.)
Dated: July 21, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2017–15726 Filed 7–25–17; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Community Living
Notice of Intent To Award a SingleSource Non-Competing Continuation
Application To Fund Grant Number
90DN0295 University of Massachusetts
for an Additional 12 Months
The Administration for
Community Living (ACL) recently
announced the awarding of the
University of Massachusetts-Boston to
the Institute of Community Inclusion
(ICI). The University of MassachusettsBoston will maintain and advance the
longitudinal study describing day and
employment services nationwide for
individuals with developmental
disabilities.
SUPPLEMENTARY INFORMATION:
SUMMARY:
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]]>Agencies
[Federal Register Volume 82, Number 142 (Wednesday, July 26, 2017)]
[Notices]
[Pages 34675-34677]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-15726]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-1984-14, CMS-10326, CMS-2088-17, CMS-10452,
CMS-10320 and CMS-10418]
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 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 August 25, 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.
[[Page 34676]]
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. No comments were received in response to the 60-day
comment period. 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: Reinstatement of a
previously approved collection; Title of Information Collection:
Hospice Facility Cost Report; Use: Providers of services participating
in the Medicare program are required under Sec. Sec. 1815(a), 1833(e),
and 1861(v)(1)(A) of the Social Security Act (42 U.S.C. 1395g) to
submit annual information to determine costs for health care services
rendered to Medicare beneficiaries. In addition, regulations at 42 CFR
413.20, 413.24 and 418.310 require adequate cost data and cost reports
from providers on an annual basis. The Form CMS-1984-14 cost report is
needed to determine a provider's reasonable costs incurred in
furnishing medical services to Medicare beneficiaries. The data is used
by CMS to calculate: Market basket weight and the labor related shares,
Rate setting and payment refinement, and Medicare and total facility
margins for Medicare-covered services by type of service. Form Number:
CMS-1984-14 (OMB control number: 0938-0758); Frequency: Annually;
Affected Public: Private sector--Business or other for-profit and Not-
for-profit institutions; Number of Respondents: 3,545; Total Annual
Responses: 3,545; Total Annual Hours: 666,460. (For policy questions
regarding this collection contact Yaakov Feinstein at 410-786-3137.)
2. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Electronic Submission of Medicare Graduate Medical
Education (GME) Affiliation Agreements; Use: Sections 1886(h)(4)(F) and
1886(d)(5)(B)(v) of the Act establish limits on the number of
allopathic and osteopathic FTE residents that hospitals may count for
purposes of calculating direct GME payments and the indirect medical
education (IME) adjustment. In addition, under the authority granted by
section 1886(h)(4)(H)(ii) of the Act, the Secretary issued regulations
on May 12, 1998 (63 FR 26358) to allow institutions that are members of
the same Medicare GME affiliated group to elect to apply their direct
GME and IME FTE resident caps based on the aggregate cap of all
hospitals that are part of a Medicare GME affiliation group. Under
those regulations, specified at Sec. 413.79(f) for direct GME and at
Sec. 412.105(f)(1)(vi) for IME, hospitals that are part of the same
Medicare GME affiliated group are permitted to adjust each hospital's
caps to reflect the rotation of residents among affiliated hospitals
during an academic year. Under Sec. 413.75(b), a Medicare GME
affiliated group may be formed by two or more hospitals if: (1) The
hospitals are located in the same urban or rural area or in a
contiguous area and have a shared rotational arrangement as specified
at Sec. 413.79(f)(2); (2) the hospitals are not located in the same or
in a contiguous area, but have a shared rotational arrangement and they
are jointly listed as the sponsor, primary clinical site, or major
participating institution for one or more programs as these terms are
used in the most recent publication of the Graduate Medical Education
Directory, or as the sponsor or is listed under ``affiliations and
outside rotations'' for one or more programs in Opportunities,
Directory of Osteopathic Post-Doctoral Education Programs; or (3)
effective beginning July 1, 2003, two or more hospitals are under
common ownership and have a shared rotational arrangement under Sec.
413.79(f)(2). Form Number: CMS-10326 (OMB control number: 0938-1111);
Frequency: Annually; Affected Public: Business or other For-profit and
Not-for-profit institutions; Number of Respondents: 125; Total Annual
Responses: 125; Total Annual Hours: 166. (For policy questions
regarding this collection contact Renate Dombrowski at 410-786-4645.)
3. Type of Information Collection Request: Reinstatement with
change of a previouslyapproved collection; Title of Information
Collection: Community Mental Health Center Cost Report; Use: Providers
of services participating in the Medicare program are required under
sections 1815(a) and 1861(v)(1)(A) of the Social Security Act (42
U.S.C. 1395g) to submit annual information to achieve settlement of
costs for health care services rendered to Medicare beneficiaries. In
addition, regulations at 42 CFR 413.20 and 413.24 require adequate cost
data and cost reports from providers on an annual basis. The Form CMS-
2088-17 cost report is needed to determine a provider's reasonable
costs incurred in furnishing medical services to Medicare beneficiaries
and reimbursement due to or due from a provider. The primary function
of the cost report is to collect data that is used by CMS to support
program operations, payment refinement activities and to make Medicare
Trust Fund projections. Form Number: CMS-2088-17 (OMB control number:
0938-0037); Frequency: Yearly; Affected Public: Private Sector
(Business or other for-profits, Not-for-Profit Institutions); Number of
Respondents: 219; Total Annual Responses: 219; Total Annual Hours:
19,710. (For policy questions regarding this collection contact Jill
Keplinger at 410-786-4550.)
4. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: CMS Enterprise Identity Management; Use: HIPAA regulations
require covered entities to verify the identity of the person
requesting Personal Health Information (PHI) and the person's authority
to have access to that information. Per the HIPAA Security Rule,
covered entities, regardless of their size, are required under
Section164.312(a)(2)(i) to ``assign a unique name and/or number for
identifying and tracking user identity.'' A `user' is defined in
Section 164.304 as a ``person or entity with authorized access''.
Accordingly, the Security Rule requires covered entities to assign a
unique name and/or number to each employee or workforce member who uses
a system that receives, maintains or transmits electronic PHI, so that
system access and activity can be identified and tracked by user. This
pertains to workforce members within health plans, group health plans,
small or large provider offices, clearinghouses and beneficiaries.
Federal law requires that CMS take precautions to minimize the security
risk to the Federal information system. FIPS PUB 201--1 Para 1.2:
``Homeland Security Presidential Directive 12 (HSPD 12), signed by the
President on August 27, 2004, established the requirements for a common
identification standard for the identification of credentials issued by
Federal Departments and agencies to Federal employees and contractors
(including contractor employees) for gaining physical access to
Federally controlled facilities and logical access to Federally
controlled information systems. HSPD 12 directs the department of
Commerce to develop a Federal Information Processing Standards (FIPS)
publication to define such a common identification credential.'' Form
Number: CMS-10452 (OMB control number: 0938-1236); Frequency: Annually;
Affected Public: Individuals and Households; Number of Respondents:
750,000; Total Annual
[[Page 34677]]
Responses: 750,000; Total Annual Hours: 300,000. (For policy questions
regarding this collection contact Robert Burger at 410-786-2125.)
5. Type of Information Collection Request: Extension of a currently
approved information collection; Title of Information Collection:
Health Care Reform Insurance Web Portal Requirements 45 CFR part 159;
Use: In accordance with the provisions of the ACA referenced above, the
U.S. Department of Health and Human Services created a Web site called
healthcare.gov to meet these and other provisions of the law, and data
collection was conducted for six months based upon an emergency
information collection request. The interim final rule published on May
5, 2010 served as the emergency Federal Register notice for the prior
information collection request. The Office of Management and Budget
(OMB) reviewed the request under emergency processing and approved it
on April 30, 2010.
CMS updated the web portal system where state Departments of
Insurance and issuers log in using a custom user ID and password
validation. The states are asked to provide information on issuers in
their state and various Web sites maintained for consumers. The issuers
are also tasked with providing information on their major medical
insurance products and plans. They are ultimately given the choice to
download a basic information template to enter data then upload into
the web portal; to manually enter data within the web portal itself; or
to submit .xml files containing their information. Once the states and
issuers submit their data, they will receive an email notifying them of
any errors, and that their submission was received.
CMS mandates that issuers verify and update their information on a
quarterly basis and requests that States verify State-submitted
information on an annual basis. In the event that an issuer enhances
its existing plans, proposes new plans, or deactivates plans, the
organization would be required to update the information in the web
portal. Changes occurring during the three month quarterly periods will
be allowed utilizing effective dates for both the plans and rates
associated with the plans. Form Number: CMS-10320 (OMB control number:
0938-1086); Frequency: Annually, Quarterly; Affected Public: State,
Local, and Tribal Governments; Number of Respondents: 305; Total Annual
Responses: 5,500; Total Annual Hours: 89,725. (For policy questions
regarding this collection contact Kim Heckstall at 410-786-1647).
6. Type of Information Collection Request: Revision of currently
approved collection; Title of Information Collection: Annual MLR and
Rebate Calculation Report and MLR Rebate Notices; Use: Under Section
2718 of the Affordable Care Act and implementing regulation at 45 CFR
part 158, a health insurance issuer (issuer) offering group or
individual health insurance coverage must submit a report to the
Secretary concerning the amount the issuer spends each year on claims,
quality improvement expenses, non-claims costs, Federal and State taxes
and licensing and regulatory fees, the amount of earned premium, and
beginning with the 2014 reporting year, the amounts related to the
reinsurance, risk corridors, and risk adjustment programs established
under sections 1341, 1342, and 1343, respectively, of the Affordable
Care Act. An issuer must provide an annual rebate if the amount it
spends on certain costs compared to its premium revenue (excluding
Federal and States taxes and licensing and regulatory fees) does not
meet a certain ratio, referred to as the medical loss ratio (MLR). Each
issuer is required to submit annually MLR data, including information
about any rebates it must provide, on a form prescribed by CMS, for
each State in which the issuer conducts business. Each issuer is also
required to provide a rebate notice to each policyholder that is owed a
rebate and each subscriber of policyholders that are owed a rebate for
any given MLR reporting year. Additionally, each issuer is required to
maintain for a period of seven years all documents, records and other
evidence that support the data included in each issuer's annual report
to the Secretary.
Under Section 1342 of the Patient Protection and Affordable Care
Act and implementing regulation at 45 CFR part 153, issuers of
qualified health plans (QHPs) must participate in a risk corridors
program. A QHP issuer will pay risk corridors charges or be eligible to
receive payments based on the ratio of the issuer's allowable costs to
the target amount. Each QHP issuer is required to submit an annual
report to CMS concerning the issuer's allowable costs, allowable
administrative costs, premium, and proportion of market premium in
QHPs. Risk corridors premium information that is specific to an
issuer's QHPs is collected through a separate plan-level data form,
which is included in this information collection. Additionally, each
QHP issuer is required to maintain for a period of ten years all
documents, records and other evidence sufficient to enable the
evaluation of the issuer's compliance with applicable risk corridors
standards.
On May 2, 2017, CMS published a 60-day notice in the Federal
Register (82 FR 20481) for the public to submit written comments on
this information collection; the public comment period closed on July
3, 2017. As part of the 60-day notice, CMS updated its annual burden
hour estimates to reflect the actual numbers of submissions, rebates
and rebate notices.
CMS received a total of six comments on a number of specific issues
regarding the notice of the revised MLR PRA package. CMS has taken into
consideration all of the comments and has modified the information
collection instruments and instructions (the 2016 MLR Annual Reporting
Form and Instructions; no comments were submitted on the 2016 Risk
Corridors Plan-Level Data Form and Instructions) in order to correct
errors and to provide additional clarifications. These modifications do
not affect the previously estimated burden hours or costs. Form Number:
CMS-10418 (OMB Control Number: 0938-1164); Frequency: Annually;
Affected Public: Private Sector, Business or other for-profits and not-
for-profit institutions; Number of Respondents: 545; Number of
Responses: 2,532; Total Annual Hours: 200,597. (For policy questions
regarding this collection, contact Christina Whitefield at (301) 492-
4172.)
Dated: July 21, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2017-15726 Filed 7-25-17; 8:45 am]
BILLING CODE 4120-01-P
