Agency Information Collection Activities: Proposed Collection; Comment Request, 15616-15617 [2019-07500]
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Federal Register / Vol. 84, No. 73 / Tuesday, April 16, 2019 / Notices
questions regarding this collection,
contact Bilal Farrakh at 410–786–4456.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: The Fiscal
Soundness Reporting Requirements;
Use: All contracting organizations must
submit audited annual financial
statements one time per year. In
addition, to the audited annual
submission, Health Plans with a
negative net worth and/or a net loss and
the amount of that loss is greater than
one-half of the organization’s total net
worth must file quarterly financial
statements for fiscal soundness
monitoring. Part D organizations are
required to submit three (3) quarterly
financial statements. Lastly, PACE
organizations are required to file four (4)
quarterly financial statements for the
first three (3) years in the program. After
the first three (3) years, PACE
organizations with a negative net worth
and/or a net loss and the amount of that
loss is greater than one-half of the
organization’s total net worth must
submit quarterly financial statements for
fiscal soundness monitoring. CMS is
responsible for overseeing the ongoing
financial performance for all Medicare
Health Plans, PDPs, and PACE
organizations. Specifically, CMS needs
the requested information collected in
order to establish that contracting
entities within those programs maintain
fiscally sound operations. Form
Number: CMS–906 (OMB control
number: 0938–0469); Frequency: Yearly;
Affected Public: Business or other forprofits, Not-for profits institutions;
Number of Respondents: 767; Total
Annual Responses: 1589; Total Annual
Hours: 530. (For policy questions
regarding this collection contact Christa
Zalewski at 410–786–1971.)
Dated: April 11, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2019–07581 Filed 4–15–19; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10630]
Agency Information Collection
Activities: Proposed Collection;
Extension of Comment Period
Centers for Medicare &
Medicaid Services (CMS), HHS.
AGENCY:
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16:32 Apr 15, 2019
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Agency information collection
activities: Proposed collection; comment
request; extension of comment period.
ACTION:
This notice extends the
comment period for a 60-day notice
request for proposed information
collection request associated with the
notice [Document Identifier: CMS–
10630] entitled ‘‘Programs of AllInclusive Care for the Elderly (PACE)
2020 Audit Protocol’’ that was
published in the March 15, 2019 (84 FR
9526) Federal Register. The comment
period for the information collection
request, which would have ended on
May 14, 2019, is extended to May 28,
2019.
DATES: The comment period for the
information collection request
published in the March 15, 2019,
Federal Register (84 FR 9526) is
extended to May 28, 2019.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number. To be assured
consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send your
comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) that are accepting
comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Document Identifier/OMB
Control Number ____, Room C4–26–05,
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
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
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 N. Parham at (410) 786–4669.
SUPPLEMENTARY INFORMATION:
SUMMARY:
Contents
In the FR Doc. 2019–04895 of March
15, 2019 (84 FR 9526), we published a
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Paperwork Reduction Act notice
requesting a 60-day public comment
period for the document entitled
‘‘Programs of All-Inclusive Care for the
Elderly (PACE) 2020 Audit Protocol’’.
There were technical delays with
making the information collection
request publicly available; therefore, in
this notice we are extending the
comment period from the date originally
listed in the March 15, 2019, notice.
Dated: April 10, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2019–07474 Filed 4–15–19; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–1728–19]
Agency Information Collection
Activities: Proposed Collection;
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 (the
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
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates 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 must be received by
June 17, 2019.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number. To be assured
consideration, comments and
SUMMARY:
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Federal Register / Vol. 84, No. 73 / Tuesday, April 16, 2019 / Notices
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send your
comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) that are accepting
comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Document Identifier/OMB
Control Number ____, Room C4–26–05,
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
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
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 N. Parham at (410) 786–4669.
SUPPLEMENTARY INFORMATION:
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Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–1728–19 Home Health Agency
Cost Report
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
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16:32 Apr 15, 2019
Jkt 247001
approval. To comply with this
requirement, CMS is publishing this
notice.
Information Collection
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Home Health
Agency Cost Report; Use: Under the
authority of sections 1815(a) and
1833(e) of the Social Security Act (42
U.S.C. 1395g), CMS requires that
providers of services participating in the
Medicare program submit information
to determine costs for health care
services rendered to Medicare
beneficiaries. CMS requires that
providers follow reasonable cost
principles under 1861(v)(1)(A) of the
Act when completing the Medicare cost
report. Under the regulations at 42 CFR
413.20 and 413.24, CMS defines
adequate cost data and requires cost
reports from providers on an annual
basis. The Form CMS–1728–19 cost
report is needed to determine a
provider’s reasonable cost incurred in
furnishing medical services to Medicare
beneficiaries and reimbursement due to
or from a provider. The Form CMS–
1728–19 cost report is also used for
annual rate setting and payment
refinement activities, including
developing a home health market
basket. Additionally, the Medicare
Payment Advisory Commission
(MedPAC) uses the home health cost
report data to calculate Medicare
margins, to formulate recommendations
to Congress regarding the HHA PPS, and
to conduct additional analysis of the
HHA PPS. Providers receiving Medicare
reimbursement must provide adequate
cost data based on financial and
statistical records that can be verified by
qualified auditors. Form Number: CMS–
1728–19 (OMB control number: 0938–
0022); Frequency: Yearly; Affected
Public: Business or Other for-Profits,
Not-for-Profit Institutions; Number of
Respondents: 10,196; Total Annual
Responses: 10,196; Total Annual Hours:
1,988,220. (For policy questions
regarding this collection contact LuAnn
Piccione at 410–786–5423.)
Dated: April 10, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2019–07500 Filed 4–15–19; 8:45 am]
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15617
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–P–0015A and
CMS–10694]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the burden estimate or any
other aspect of this collection of
information, including the necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions, the accuracy of
the estimated burden, ways to enhance
the quality, utility, and clarity of the
information to be collected, and the use
of automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by May 16, 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.
SUMMARY:
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]]>Agencies
[Federal Register Volume 84, Number 73 (Tuesday, April 16, 2019)]
[Notices]
[Pages 15616-15617]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-07500]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-1728-19]
Agency Information Collection Activities: Proposed Collection;
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 (the 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 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our burden estimates 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 must be received by June 17, 2019.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number. To be assured consideration, comments and
[[Page 15617]]
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send your comments electronically to
https://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) that are accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: Document Identifier/OMB
Control Number ____, Room C4-26-05, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
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
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to [email protected].
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-1728-19 Home Health Agency Cost Report
Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain
approval from the Office of Management and Budget (OMB) for each
collection of information they conduct or sponsor. The term
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests or requirements that members of
the public submit reports, keep records, or provide information to a
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies
to publish a 60-day notice in the Federal Register concerning each
proposed collection of information, including each proposed extension
or reinstatement of an existing collection of information, before
submitting the collection to OMB for approval. To comply with this
requirement, CMS is publishing this notice.
Information Collection
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Home Health
Agency Cost Report; Use: Under the authority of sections 1815(a) and
1833(e) of the Social Security Act (42 U.S.C. 1395g), CMS requires that
providers of services participating in the Medicare program submit
information to determine costs for health care services rendered to
Medicare beneficiaries. CMS requires that providers follow reasonable
cost principles under 1861(v)(1)(A) of the Act when completing the
Medicare cost report. Under the regulations at 42 CFR 413.20 and
413.24, CMS defines adequate cost data and requires cost reports from
providers on an annual basis. The Form CMS-1728-19 cost report is
needed to determine a provider's reasonable cost incurred in furnishing
medical services to Medicare beneficiaries and reimbursement due to or
from a provider. The Form CMS-1728-19 cost report is also used for
annual rate setting and payment refinement activities, including
developing a home health market basket. Additionally, the Medicare
Payment Advisory Commission (MedPAC) uses the home health cost report
data to calculate Medicare margins, to formulate recommendations to
Congress regarding the HHA PPS, and to conduct additional analysis of
the HHA PPS. Providers receiving Medicare reimbursement must provide
adequate cost data based on financial and statistical records that can
be verified by qualified auditors. Form Number: CMS-1728-19 (OMB
control number: 0938-0022); Frequency: Yearly; Affected Public:
Business or Other for-Profits, Not-for-Profit Institutions; Number of
Respondents: 10,196; Total Annual Responses: 10,196; Total Annual
Hours: 1,988,220. (For policy questions regarding this collection
contact LuAnn Piccione at 410-786-5423.)
Dated: April 10, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2019-07500 Filed 4-15-19; 8:45 am]
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