Submission for OMB Review; Comment Request, 22268-22269 [2018-10178]

Download as PDF 22268 Federal Register / Vol. 83, No. 93 / Monday, May 14, 2018 / Notices amozie on DSK3GDR082PROD with NOTICES 1. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Medical Necessity and Claims Denial Disclosures under MHPAEA; Use: The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) (Pub. L. 110–343) generally requires that group health plans and group health insurance issuers offering mental health or substance use disorder (MH/SUD) benefits in addition to medical and surgical (med/surg) benefits ensure that they do not apply any more restrictive financial requirements (e.g., co-pays, deductibles) and/or treatment limitations (e.g., visit limits) to MH/SUD benefits than those requirements and/or limitations applied to substantially all med/surg benefits. The Patient Protection and Affordable Care Act, Public Law 111–148, was enacted on March 23, 2010, and the Health Care and Education Reconciliation Act of 2010, Public Law 111–152, was enacted on March 30, 2010. These statutes are collectively known as the ‘‘Affordable Care Act.’’ The Affordable Care Act extended MHPAEA to apply to the individual health insurance market. Additionally, the Department of Health and Human Services (HHS) final regulation regarding essential health benefits (EHB) requires health insurance issuers offering non-grandfathered health insurance coverage in the individual and small group markets, through an Exchange or outside of an Exchange, to comply with the requirements of the MHPAEA regulations in order to satisfy the requirement to cover EHB (45 CFR 147.150 and 156.115). Medical Necessity Disclosure Under MHPAEA MHPAEA section 512(b) specifically amends the Public Health Service (PHS) Act to require plan administrators or health insurance issuers to provide, upon request, the criteria for medical necessity determinations made with respect to MH/SUD benefits to current or potential participants, beneficiaries, or contracting providers. The Interim Final Rules Under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (75 FR 5410, February 2, 2010) and the Final Rules under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 set forth rules for providing criteria for medical necessity determinations. CMS administers MHPAEA with respect to non-Federal governmental plans and health insurance issuers. VerDate Sep<11>2014 18:02 May 11, 2018 Jkt 244001 Claims Denial Disclosure Under MHPAEA MHPAEA section 512(b) specifically amends the PHS Act to require plan administrators or health insurance issuers to provide, upon request, the reason for any denial or reimbursement of payment for MH/SUD services to the participant or beneficiary involved in the case. The Interim Final Rules Under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (75 FR 5410, February 2, 2010) and the Final Rules under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 implement 45 CFR 146.136(d)(2), which sets forth rules for providing reasons for claims denial. CMS administers MHPAEA with respect to non-Federal governmental plans and health insurance issuers, and the regulation provides a safe harbor such that nonFederal governmental plans (and issuers offering coverage in connection with such plans) are deemed to comply with requirements of paragraph (d)(2) of 45 CFR 146.136 if they provide the reason for claims denial in a form and manner consistent with ERISA requirements found in 29 CFR 2560.503–1. Section 146.136(d)(3) of the final rule clarifies that PHS Act section 2719 governing internal claims and appeals and external review as implemented by 45 CFR 147.136, covers MHPAEA claims denials and requires that, when a nonquantitative treatment limitation (NQTL) is the basis for a claims denial, that a non-grandfathered plan or issuer must provide the processes, strategies, evidentiary standard, and other factors used in developing and applying the NQTL with respect to med/surg benefits and MH/SUD benefits. Disclosure Request Form Group health plan participants, beneficiaries, covered individuals in the individual market, or persons acting on their behalf, may use this optional model form to request information from plans regarding NQTLs that may affect patients’ MH/SUD benefits or that may have resulted in their coverage being denied. Form Number: CMS–10307 (OMB control number: 0938–1080); Frequency: On Occasion; Affected Public: State, Local, or Tribal Governments, Private Sector, Individuals; Number of Respondents: 267,538; Total Annual Responses: 1,081,929; Total Annual Hours: 43,327. (For policy questions regarding this collection contact Usree Bandyopadhyay at 410–786–6650.) PO 00000 Frm 00030 Fmt 4703 Sfmt 4703 Dated: May 8, 2018. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2018–10130 Filed 5–11–18; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for OMB Review; Comment Request Title: Implementation Grants to Develop a Model Intervention for Youth/Young Adults with Child Welfare Involvement at Risk of Homelessness: Phase II—Extension. OMB NO.: 0970–0445. Description: The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) intends to collect data for an evaluation of the initiative, Implementation Grants to Develop a Model Intervention for Youth/Young Adults with Child Welfare Involvement at Risk of Homelessness: Phase II. This builds on the previously approved ‘‘Planning Grants to Develop a Model Intervention for Youth/Young Adults with Child Welfare Involvement at Risk of Homelessness’’ (Phase I). The Phase II data collection described in this Notice was approved by the Office of Management and Budget in July 2017. This request is for a time extension for data collection under OMB# 0970–0445. There are no changes to the previously approved information collection. Due to delays, data collection has not begun and will need to extend beyond the current expiration date of July 2018. Grantees are receiving an additional year to conduct their work. To capture data at a similar point in the development of their efforts, data collection will be delayed. Phase II is an initiative, funded by the Children’s Bureau (CB) within ACF, that will support implementation grants for interventions designed to intervene with youth who have experienced time in foster care and are most likely to have a challenging transition into adulthood, including homelessness and unstable housing experiences. CB awarded six implementation grants (Phase II) in September 2015. During the implementation phase, organizations will conduct a range of activities to finetune their comprehensive service model, determine whether their model is being implemented as intended, and develop plans to evaluate the model E:\FR\FM\14MYN1.SGM 14MYN1 22269 Federal Register / Vol. 83, No. 93 / Monday, May 14, 2018 / Notices under a potential future funding opportunity (Phase III). During Phase II, ACF will engage a contractor to: Conduct a cross-site process evaluation. Data collected for the process evaluation will be used to assess grantees’ organizational capacity to implement and evaluate the model interventions and to monitor each grantee’s progress toward achieving the goals of the implementation period. Data for the process evaluation will be collected through: Interviews during site visits. Respondents: Grantee agency directors and staff; partner agency directors and staff. Partner agencies may vary by site, but are expected to include child welfare, mental health, and youth housing/homelessness agencies. ANNUAL BURDEN ESTIMATES Instrument Total/annual number of respondents Number of responses per respondent Average burden hours per response Total/annual burden hours Grantee Site Visit-Semi-Structured Interview Topic Guide ............................. 60 1 1.5 90 ........................ ........................ ........................ 90 Estimated Total Annual Burden Hours ..................................................... Additional Information: Copies of the proposed collection may be obtained by writing to the Administration for Children and Families, Office of Planning, Research and Evaluation, 330 C Street, SW, Washington, DC 20201, Attn: OPRE Reports Clearance Officer. All requests should be identified by the title of the information collection. Email address: OPREinfocollection@ acf.hhs.gov. OMB Comment: OMB is required to make a decision concerning the collection of information between 30 and 60 days after publication of this document in the Federal Register. Therefore, a comment is best assured of having its full effect if OMB receives it within 30 days of publication. Written comments and recommendations for the proposed information collection should be sent directly to the following: Office of Management and Budget, Paperwork Reduction Project, Email: OIRA_ SUBMISSION@OMB.EOP.GOV, Attn: Desk Officer for the Administration, for Children and Families. Mary B. Jones, ACF/OPRE Certifying Officer. [FR Doc. 2018–10178 Filed 5–11–18; 8:45 am] BILLING CODE 4184–29–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families [OMB NO.: 0970–0402] Submission for OMB Review; Comment Request Title: Mother and Infant Home Visiting Program Evaluation (MIHOPE): Long-Term Follow-Up. Description: The Administration for Children and Families (ACF), in partnership with the Health Resources and Services Administration (HRSA), both of the U.S. Department of Health and Human Services (HHS), is proposing a data collection activity as part of the Mother and Infant Home Visiting Program Evaluation Long-Term Follow-Up project (MIHOPE–LT). The purpose of MIHOPE–LT is to conduct follow-up studies that assess the longterm impact of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. The design of MIHOPE–LT calls for multiple followup points including when the participating children are in kindergarten, 3rd grade, early adolescence, and late adolescence. This Federal Register Notice is specific to the first follow-up study. Data collected during the first follow-up study (when the children from the MIHOPE sample are of kindergarten age) will include the following: (1) A one-hour survey with the child’s primary caregiver (who will be the mother if she is available), (2) direct assessments of child development, (3) a semi-structured interview with the caregiver, (4) surveys with the child’s teacher, (5) a direct assessment of the caregiver, and (6) 15 minutes of videotaped interactions between the caregiver and child. In addition to collecting these data, the MIHOPE–LT project will also maintain up-to-date consent forms for the collection of administrative data. Future information collection requests and related Federal Register Notices will describe future data collection efforts for this project. Data collected during the kindergarten follow-up study will be used to estimate the effects of MIECHV-funded programs on seven domains: (1) Maternal health; (2) child health; (3) child development and school performance; (4) child maltreatment; (5) parenting; (6) crime or domestic violence; and (7) family economic self-sufficiency. Respondents: The respondents in this follow-up study will include 4,115 families who participated in MIHOPE and 4,115 teachers of the focal children from those families. ANNUAL BURDEN ESTIMATES Total number of respondents amozie on DSK3GDR082PROD with NOTICES Instrument Survey of caregivers ............................................................ Direct assessments of children ............................................ Semi-structured interview with caregivers ........................... Survey of the focal children’s teachers ............................... Direct assessments of caregivers ........................................ Videotaped caregiver-child interactions ............................... VerDate Sep<11>2014 18:34 May 11, 2018 Jkt 244001 PO 00000 Frm 00031 Annual number of respondents 4115 4115 100 4115 4115 8230 Fmt 4703 Sfmt 4703 Number of responses per respondent 1372 1372 33 1372 1372 2743 E:\FR\FM\14MYN1.SGM 1 1 1 1 1 1 14MYN1 Average burden hours per response 1 1.5 2 0.5 0.25 0.25 Annual burden hours 1372 2058 66 686 343 686

Agencies

[Federal Register Volume 83, Number 93 (Monday, May 14, 2018)]
[Notices]
[Pages 22268-22269]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-10178]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Submission for OMB Review; Comment Request

    Title: Implementation Grants to Develop a Model Intervention for 
Youth/Young Adults with Child Welfare Involvement at Risk of 
Homelessness: Phase II--Extension.
    OMB NO.: 0970-0445.
    Description: The Administration for Children and Families (ACF) at 
the U.S. Department of Health and Human Services (HHS) intends to 
collect data for an evaluation of the initiative, Implementation Grants 
to Develop a Model Intervention for Youth/Young Adults with Child 
Welfare Involvement at Risk of Homelessness: Phase II. This builds on 
the previously approved ``Planning Grants to Develop a Model 
Intervention for Youth/Young Adults with Child Welfare Involvement at 
Risk of Homelessness'' (Phase I). The Phase II data collection 
described in this Notice was approved by the Office of Management and 
Budget in July 2017. This request is for a time extension for data 
collection under OMB# 0970-0445. There are no changes to the previously 
approved information collection. Due to delays, data collection has not 
begun and will need to extend beyond the current expiration date of 
July 2018. Grantees are receiving an additional year to conduct their 
work. To capture data at a similar point in the development of their 
efforts, data collection will be delayed.
    Phase II is an initiative, funded by the Children's Bureau (CB) 
within ACF, that will support implementation grants for interventions 
designed to intervene with youth who have experienced time in foster 
care and are most likely to have a challenging transition into 
adulthood, including homelessness and unstable housing experiences. CB 
awarded six implementation grants (Phase II) in September 2015. During 
the implementation phase, organizations will conduct a range of 
activities to fine-tune their comprehensive service model, determine 
whether their model is being implemented as intended, and develop plans 
to evaluate the model

[[Page 22269]]

under a potential future funding opportunity (Phase III). During Phase 
II, ACF will engage a contractor to: Conduct a cross-site process 
evaluation. Data collected for the process evaluation will be used to 
assess grantees' organizational capacity to implement and evaluate the 
model interventions and to monitor each grantee's progress toward 
achieving the goals of the implementation period.
    Data for the process evaluation will be collected through: 
Interviews during site visits.
    Respondents: Grantee agency directors and staff; partner agency 
directors and staff. Partner agencies may vary by site, but are 
expected to include child welfare, mental health, and youth housing/
homelessness agencies.

                                             Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
                                                Total/annual      Number of     Average  burden
                 Instrument                      number of      responses  per     hours per       Total/annual
                                                respondents       respondent        response       burden hours
----------------------------------------------------------------------------------------------------------------
Grantee Site Visit-Semi-Structured Interview              60                1              1.5               90
 Topic Guide................................
                                             -------------------------------------------------------------------
    Estimated Total Annual Burden Hours.....  ...............  ...............  ...............              90
----------------------------------------------------------------------------------------------------------------

    Additional Information: Copies of the proposed collection may be 
obtained by writing to the Administration for Children and Families, 
Office of Planning, Research and Evaluation, 330 C Street, SW, 
Washington, DC 20201, Attn: OPRE Reports Clearance Officer. All 
requests should be identified by the title of the information 
collection. Email address: [email protected].
    OMB Comment: OMB is required to make a decision concerning the 
collection of information between 30 and 60 days after publication of 
this document in the Federal Register. Therefore, a comment is best 
assured of having its full effect if OMB receives it within 30 days of 
publication. Written comments and recommendations for the proposed 
information collection should be sent directly to the following: Office 
of Management and Budget, Paperwork Reduction Project, Email: 
[email protected], Attn: Desk Officer for the Administration, 
for Children and Families.

Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2018-10178 Filed 5-11-18; 8:45 am]
 BILLING CODE 4184-29-P