Submission for OMB Review; Comment Request, 22268-22269 [2018-10178]
Download as PDF
<![CDATA[
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]
-----------------------------------------------------------------------
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
