Agency Information Collection Activities: Submission for OMB Review; Comment Request, 9527-9528 [2019-04902]
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amozie on DSK9F9SC42PROD with NOTICES
Federal Register / Vol. 84, No. 51 / Friday, March 15, 2019 / Notices
The primary function of the site
investigation form is to provide a
standardized, uniform tool to gather
information from a DMEPOS supplier
that tells us whether it meets certain
qualifications to be a DMEPOS supplier
(as found in 42 CFR 424.57(c)) and
where it practices or renders its
services. This site investigation form
also aides the Medicare contractor (the
National Supplier Clearinghouse
Medicare Administrative Contractor
(NSC MAC)) in verifying compliance
with the required supplier standards
found in 42 CFR 424.57(c). Form
Number: CMS–R–263 (OMB control
number: 0938–0749); Frequency: Yearly;
Affected Public: Private Sector—
Business or other for-profits and not-forprofit institutions; Number of
Respondents: 4,811; Total Annual
Responses: 1,603; Total Annual Hours:
1,603. (For policy questions regarding
this collection contact Thomas Pryor at
410–786–1132.)
3. Type of Information Collection
Request: Revision of a currently
approved collection. Title of
Information Collection: State Agency
Sheets for Verifying Exclusions from the
Inpatient Prospective Payment System
and Supporting Regulations—
Rehabilitation Unit/Rehabilitation
Hospital Criteria Worksheets; Use: The
purpose of this information collection is
to renew forms CMS–437A and 437B.
Inpatient Rehabilitation Facility (IRF)
hospitals and units must initially attest
that they meet the Inpatient Prospective
Payment System (IPPS) exclusion
criteria set forth at 42 CFR 412.20 to
412.29 prior to being placed into IPPS
exempt status. Form CMS–437A must
be completed by IRF units and form
CMS–437B must be completed by IRF
hospitals.
For first time verification requests for
exclusion from the IPPS, an IRF unit or
hospital must notify the Regional Office
(RO) servicing the State in which it is
located that it believes it meets the
criteria for exclusion from the IPPS.
Currently, all new IRF units or hospitals
must provide written certification that
the inpatient population it intends to
serve will meet the requirements of the
IPPS exclusion criteria for IRFs. The
completed CMS–437A and 437B forms
are submitted to the State Agency (SA)
no later than 5 months before the date
the IRF unit or hospital would become
subject to Inpatient Rehabilitation
Facility Prospective Payment System
(IRF–PPS). For IRF units and hospitals
already excluded from the IPPS, annual
onsite re-verification surveys by the SA
are no longer required. IRF units and
hospitals must now re-attest to meeting
VerDate Sep<11>2014
16:53 Mar 14, 2019
Jkt 247001
the exclusion criteria every 3 years
thereafter.
IRF units and hospitals that have
already been excluded need not reapply
for exclusion. These facilities will
automatically be reevaluated yearly to
determine whether they continue to
meet the exclusion criteria. For the triannual re-verification, IRF units and
hospitals will be provided with a copy
of the appropriate CMS–437 worksheet
at least 5-months prior to the beginning
of its cost reporting period, so that the
IRF unit or hospital official may
complete and sign an attestation
statement and complete and return the
appropriate form CMS–437A or CMS–
437B at least 5-months prior to the
beginning of the cost reporting period.
However, Fiscal Intermediaries (FIs)
will continue to verify, on an annual
basis, compliance with the 60 percent
rule (42 CFR 412.29(b)(2)) for IRF units
and hospitals through a sample of
medical records and the SA will verify
the medical director requirement.
The SA will notify the RO at least 60
days prior to the end of the IRF unit’s
or hospital’s cost reporting period of the
status of compliance or non-compliance
with the payment requirements. The
information collected on the 437A and
437B forms, along with other
information submitted by the IRF is
necessary for determining the IRF’s IPPS
exclusion status. Form Number: CMS–
437A and CMS–437B (OMB control
number: 0938–0986); Frequency: Triannually; Affected Public: Private sector
(Business or other for-profits); Number
of Respondents: 1,126; Total Annual
Responses: 1,126; Total Annual Hours:
1,126. (For policy questions regarding
this collection contact Caroline Gallaher
at 410–786–8705).
Dated: March 12, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2019–04895 Filed 3–14–19; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10102, CMS–
10692 and CMS–10657]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
AGENCY:
PO 00000
Frm 00052
Fmt 4703
Sfmt 4703
ACTION:
9527
Notice.
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 April 15, 2019.
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’ website address at
website address at https://www.cms.gov/
Regulations-and-Guidance/Legislation/
PaperworkReductionActof1995/PRAListing.html.
1. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
2. 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
SUMMARY:
E:\FR\FM\15MRN1.SGM
15MRN1
amozie on DSK9F9SC42PROD with NOTICES
9528
Federal Register / Vol. 84, No. 51 / Friday, March 15, 2019 / Notices
collection of information they conduct
or sponsor. The term ‘‘collection of
information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and
includes agency requests or
requirements that members of the public
submit reports, keep records, or provide
information to a third party. Section
3506(c)(2)(A) of the PRA (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval. To
comply with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: National
Implementation of the Hospital CAHPS
Survey; Use: The HCAHPS (Hospital
Consumer Assessment of Healthcare
Providers and Systems) Survey, also
known as the CAHPS® Hospital Survey
or Hospital CAHPS®, is a standardized
survey instrument and data collection
methodology that has been in use since
2006 to measure patients’ perspectives
of hospital care. While many hospitals
collect information on patient
satisfaction, HCAHPS created a national
standard for the collection and public
reporting of information that enables
valid comparisons to be made across all
hospitals to support consumer choice.
In the FY 2018 IPPS/LTCH PPS final
rule (82 FR 38328 through 38342), out
of an abundance of caution, in the face
of a nationwide epidemic of opioid over
prescription, we finalized a refinement
to the HCAHPS Survey measure as used
in the Hospital Inpatient Quality
Reporting Program by removing the
previously adopted Pain Management
questions and incorporating new
Communication About Pain questions
beginning with patients discharged in
January 2018. As discussed in the CY
2019 OPPS/ASC proposed rule (83 FR
37218), since finalization of the
Communication About Pain questions,
we have received feedback that some
stakeholders are concerned that,
although the revised questions focus on
communications with patients about
their pain and treatment of that pain,
rather than how well their pain was
controlled, the questions still could
potentially impose pressure on hospital
staff to prescribe more opioids in order
to achieve higher scores on the HCAHPS
Survey.
VerDate Sep<11>2014
16:53 Mar 14, 2019
Jkt 247001
In response to stakeholder feedback,
recommendations from the President’s
Commission on Combatting Drug
Addiction and the Opioid Crisis, to
comply with the requirements of the
Substance Use-Disorder Prevention that
Promotes Opioid Recovery and
Treatment (SUPPORT) for Patients and
Communities Act (Pub. L. 115–271), and
to avoid any potential unintended
consequences under the Hospital
Inpatient Quality Reporting (IQR)
Program, CMS is revising the HCAHPS
survey by removing the three recently
revised pain communication questions.
The removal of these questions is
effective with October 2019 discharges.
At that point, the HCAHPS survey will
consist of 29 questions which will result
in a burden decrease. Form Number:
CMS–10102 (OMB control number
0938–0981); Frequency: Occasionally;
Affected Public: Private sector (Business
or other for-profits and Not-for-profit
institutions); Number of Respondents:
4,200; Total Annual Responses:
3,104,200; Total Annual Hours: 379,290.
(For policy questions regarding this
collection contact William Lehrman at
410–786–1037.)
2. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Home and
Community Based Services (HCBS)
Incident Management Survey; Use: The
Survey will be disseminated to all 51
state Medicaid agencies (including the
District of Columbia) to assess incident
management systems in 1915(c)
waivers. States will be surveyed to
identify methods and promising
practices for identifying, reporting,
tracking, and resolving incidents of
abuse, neglect, and exploitation. The
survey results will also be used to
review the strengths and weaknesses of
each state’s incident management
system and will inform guidance to help
ensure compliance with sections
1902(a)(30(A) and 1915(c)(2)(A) of the
Social Security Act. Form Number:
CMS–10692 (OMB control number:
0938–TBD); Frequency: Once and on
occasion; Affected Public: State, Local,
or Tribal Governments; Number of
Respondents: 51; Total Annual
Responses: 102; Total Annual Hours:
153. (For policy questions regarding this
collection contact Ryan Shannahan at
410–786–0295.)
3. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: The State
Flexibility to Stabilize the Market Grant
Program Reporting; Use: Section 1003 of
the Affordable Care Act (ACA) adds a
new section 2794 to the PHS Act
PO 00000
Frm 00053
Fmt 4703
Sfmt 4703
entitled, ‘‘Ensuring That Consumers Get
Value for Their Dollars.’’ Specifically,
section 2794(a) requires the Secretary of
the Department of Health and Human
Services (the Secretary) (HHS), in
conjunction with the States, to establish
a process for the annual review of health
insurance premiums to protect
consumers from unreasonable rate
increases. Section 2794(c) directs the
Secretary to carry out a program to
award grants to States. Section
2794(c)(2)(B) specifies that any
appropriated Rate Review Grant funds
that are not fully obligated by the end
of FY 2014 shall remain available to the
Secretary for grants to States for
planning and implementing the
insurance market reforms and consumer
protections under Part A of title XXVII
of the Public Health Service Act (PHS
Act). States that are awarded funds
under this funding opportunity are
required to provide CMS with four
quarterly reports and one annual report
(except for the last year of the grant)
until the end of the grant period
detailing the state’s progression towards
planning and/or implementing the preselected market reforms under Part A of
Title XXVII of the PHS Act. A final
report is due at the end of the grant
period. Form Number: CMS–10657
(OMB control number: 0938–NEW);
Frequency: Annually and Quarterly;
Affected Public: State, Local or Tribal
Governments; Number of Respondents:
31; Total Annual Responses: 155; Total
Annual Hours: 2,108. (For policy
questions regarding this collection
contact Jim Taing at 301–492–4182.)
Dated: March 12, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2019–04902 Filed 3–14–19; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Community Living
[OMB No. 0985–0006]
Agency Information Collection
Activities; Proposed Collection; Public
Comment Request; Performance
(Progress) Report for AoA Grantees
Administration for Community
Living, HHS.
ACTION: Notice.
AGENCY:
The Administration for
Community Living (ACL) is announcing
an opportunity for the public to
comment on the proposed collection of
SUMMARY:
E:\FR\FM\15MRN1.SGM
15MRN1
]]>Agencies
[Federal Register Volume 84, Number 51 (Friday, March 15, 2019)]
[Notices]
[Pages 9527-9528]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-04902]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10102, CMS-10692 and CMS-10657]
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 April 15, 2019.
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' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
1. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
2. 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
[[Page 9528]]
collection of information they conduct or sponsor. The term
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests or requirements that members of
the public submit reports, keep records, or provide information to a
third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A))
requires federal agencies to publish a 30-day notice in the Federal
Register concerning each proposed collection of information, including
each proposed extension or reinstatement of an existing collection of
information, before submitting the collection to OMB for approval. To
comply with this requirement, CMS is publishing this notice that
summarizes the following proposed collection(s) of information for
public comment:
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: National
Implementation of the Hospital CAHPS Survey; Use: The HCAHPS (Hospital
Consumer Assessment of Healthcare Providers and Systems) Survey, also
known as the CAHPS[supreg] Hospital Survey or Hospital CAHPS[supreg],
is a standardized survey instrument and data collection methodology
that has been in use since 2006 to measure patients' perspectives of
hospital care. While many hospitals collect information on patient
satisfaction, HCAHPS created a national standard for the collection and
public reporting of information that enables valid comparisons to be
made across all hospitals to support consumer choice.
In the FY 2018 IPPS/LTCH PPS final rule (82 FR 38328 through
38342), out of an abundance of caution, in the face of a nationwide
epidemic of opioid over prescription, we finalized a refinement to the
HCAHPS Survey measure as used in the Hospital Inpatient Quality
Reporting Program by removing the previously adopted Pain Management
questions and incorporating new Communication About Pain questions
beginning with patients discharged in January 2018. As discussed in the
CY 2019 OPPS/ASC proposed rule (83 FR 37218), since finalization of the
Communication About Pain questions, we have received feedback that some
stakeholders are concerned that, although the revised questions focus
on communications with patients about their pain and treatment of that
pain, rather than how well their pain was controlled, the questions
still could potentially impose pressure on hospital staff to prescribe
more opioids in order to achieve higher scores on the HCAHPS Survey.
In response to stakeholder feedback, recommendations from the
President's Commission on Combatting Drug Addiction and the Opioid
Crisis, to comply with the requirements of the Substance Use-Disorder
Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for
Patients and Communities Act (Pub. L. 115-271), and to avoid any
potential unintended consequences under the Hospital Inpatient Quality
Reporting (IQR) Program, CMS is revising the HCAHPS survey by removing
the three recently revised pain communication questions. The removal of
these questions is effective with October 2019 discharges. At that
point, the HCAHPS survey will consist of 29 questions which will result
in a burden decrease. Form Number: CMS-10102 (OMB control number 0938-
0981); Frequency: Occasionally; Affected Public: Private sector
(Business or other for-profits and Not-for-profit institutions); Number
of Respondents: 4,200; Total Annual Responses: 3,104,200; Total Annual
Hours: 379,290. (For policy questions regarding this collection contact
William Lehrman at 410-786-1037.)
2. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection: Home
and Community Based Services (HCBS) Incident Management Survey; Use:
The Survey will be disseminated to all 51 state Medicaid agencies
(including the District of Columbia) to assess incident management
systems in 1915(c) waivers. States will be surveyed to identify methods
and promising practices for identifying, reporting, tracking, and
resolving incidents of abuse, neglect, and exploitation. The survey
results will also be used to review the strengths and weaknesses of
each state's incident management system and will inform guidance to
help ensure compliance with sections 1902(a)(30(A) and 1915(c)(2)(A) of
the Social Security Act. Form Number: CMS-10692 (OMB control number:
0938-TBD); Frequency: Once and on occasion; Affected Public: State,
Local, or Tribal Governments; Number of Respondents: 51; Total Annual
Responses: 102; Total Annual Hours: 153. (For policy questions
regarding this collection contact Ryan Shannahan at 410-786-0295.)
3. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection: The
State Flexibility to Stabilize the Market Grant Program Reporting; Use:
Section 1003 of the Affordable Care Act (ACA) adds a new section 2794
to the PHS Act entitled, ``Ensuring That Consumers Get Value for Their
Dollars.'' Specifically, section 2794(a) requires the Secretary of the
Department of Health and Human Services (the Secretary) (HHS), in
conjunction with the States, to establish a process for the annual
review of health insurance premiums to protect consumers from
unreasonable rate increases. Section 2794(c) directs the Secretary to
carry out a program to award grants to States. Section 2794(c)(2)(B)
specifies that any appropriated Rate Review Grant funds that are not
fully obligated by the end of FY 2014 shall remain available to the
Secretary for grants to States for planning and implementing the
insurance market reforms and consumer protections under Part A of title
XXVII of the Public Health Service Act (PHS Act). States that are
awarded funds under this funding opportunity are required to provide
CMS with four quarterly reports and one annual report (except for the
last year of the grant) until the end of the grant period detailing the
state's progression towards planning and/or implementing the pre-
selected market reforms under Part A of Title XXVII of the PHS Act. A
final report is due at the end of the grant period. Form Number: CMS-
10657 (OMB control number: 0938-NEW); Frequency: Annually and
Quarterly; Affected Public: State, Local or Tribal Governments; Number
of Respondents: 31; Total Annual Responses: 155; Total Annual Hours:
2,108. (For policy questions regarding this collection contact Jim
Taing at 301-492-4182.)
Dated: March 12, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2019-04902 Filed 3-14-19; 8:45 am]
BILLING CODE 4120-01-P
