Agency Information Collection Activities: Proposed Collection; Comment Request, 66912-66913 [2019-26385]
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66912
Federal Register / Vol. 84, No. 235 / Friday, December 6, 2019 / Notices
Social Security Act and 42 CFR 424.100,
allows payment of Medicare benefits for
a Medicare beneficiary to a
nonparticipating hospital that does not
have an agreement in effect with the
Centers for Medicare and Medicaid
Services. These payments can be made
if such services were emergency
services and if CMS would be required
to make the payment if the hospital had
an agreement in effect and met the
conditions of payment. This form is
used in connection with claims for
emergency hospital services provided
by hospitals that do not have an
agreement in effect under Section 1866
of the Social Security Act. 42 CFR
424.103(b) requires that before a nonparticipating hospital may be paid for
emergency services rendered to a
Medicare beneficiary, a statement must
be submitted that is sufficiently
comprehensive to support that an
emergency existed. Form CMS–1771
contains a series of questions relating to
the medical necessity of the emergency.
The attending physician must attest that
the hospitalization was required under
the regulatory emergency definition (42
CFR 424.101 attached) and give clinical
documentation to support the claim. A
photocopy of the beneficiary’s hospital
records may be used in lieu of the CMS–
1771 if the records contain all the
information required by the form. Form
Number: CMS–1771 (OMB control
number: 0938–0023); Frequency: Yearly;
Affected Public: Private Sector; Business
or other for-profits, Not-for-profit
Institutions; Number of Respondents:
100; Total Annual Responses: 200; Total
Annual Hours: 50. (For policy questions
regarding this collection contact
Shauntari Cheely at (410) 786–1818.)
4. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Children’s
Health Insurance Program (CHIP) Report
on Payables and Receivables; Use:
Section 2105 of the Social Security Act
(Title XXI) requires the Secretary to
estimate the amount each State should
be paid at the beginning of each quarter.
This amount is based on a report filed
by the State. Section 2105 of the Social
Security Act authorizes the Secretary to
pay the amount estimated, reduced or
increased to the extent of any
overpayment or underpayment for any
prior quarter. Section 3515 of the CFO
Act requires government agencies to
produce auditable financial statements
in accordance with Office of
Management and Budget guidelines on
Form and Content. The Government
Management and Reform Act of 1994
requires that all offices, bureaus and
VerDate Sep<11>2014
16:11 Dec 05, 2019
Jkt 250001
associated activities of the 24 CFO Act
agencies must be covered in an agencywide, audited financial statement.
Collection of CHIP data and the
calculation of the CHIP Incurred But
Not Reported (IBNR) estimate are
pertinent to CMS’ financial audit. The
CHIP Report on Payables and
Receivables will provide the
information needed to calculate the
CHIP IBNR. Failure to collect this
information could result in noncompliance with the law. Form Number:
CMS–10180 (OMB control number:
0938–0988); Frequency: Yearly; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
56; Total Annual Responses: 56; Total
Annual Hours: 504. (For policy
questions regarding this collection
contact Beverly Boher at (410) 786–
7806.)
5. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Medicaid Report
on Payables and Receivables; Use:
Section 1903(b)(d)(1) of the Social
Security Act requires the Secretary to
estimate the amount each State should
be paid at the beginning of each quarter.
This amount is to be based on a report
filed by the State. Section
1903(b)(d)(2)(A) of the Social Security
Act authorizes the Secretary to pay the
amount estimated, reduced or increased
to the extent of any overpayment or
underpayment for any prior quarter.
Section 3515 of CFO Act requires
government agencies to produce
auditable financial statements in
accordance with Office of Management
and Budget guidelines on Form and
Content. The Government Management
and Reform Act of 1994 requires that all
offices, bureaus and associated activities
of the 24 CFO Act agencies must be
covered in an agency. Form Number:
CMS–R–199 (OMB control number:
0938–0697); Frequency: Yearly; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
56; Total Annual Responses: 56; Total
Annual Hours: 504. (For policy
questions regarding this collection
contact Beverly Boher at (410) 786–
7806.)
Dated: December 3, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2019–26362 Filed 12–5–19; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10717]
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
February 4, 2020.
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 ll, Room C4–26–05,
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
SUMMARY:
E:\FR\FM\06DEN1.SGM
06DEN1
Federal Register / Vol. 84, No. 235 / Friday, December 6, 2019 / Notices
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:
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).
lotter on DSKBCFDHB2PROD with NOTICES
CMS–10717 Medicare Part C and Part
D Program Audit and Industry-Wide
Part C Timeliness Monitoring Project
(TMP) Protocols
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: New Collection (Request for a
new OMB control number); Title of
Information Collection: Medicare Part C
and Part D Program Audit and IndustryWide Part C Timeliness Monitoring
Project (TMP) Protocols; Use: Under the
Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 and implementing regulations at
42 CFR parts 422 and 423, Medicare
Part D plan sponsors and Medicare
Advantage organizations are required to
comply with all Medicare Parts C and D
VerDate Sep<11>2014
16:11 Dec 05, 2019
Jkt 250001
program requirements. CMS’ annual
audit plan ensures that we evaluate
sponsoring organizations’ compliance
with these requirements by conducting
program audits that focus on high-risk
areas that have the greatest potential for
beneficiary harm. As such, CMS has
developed the following audit protocols
for use by sponsoring organizations to
prepare for their audit:
• Compliance Program Effectiveness
(CPE)
• Part D Formulary and Benefit
Administration (FA)
• Part D Coverage Determinations,
Appeals, and Grievances (CDAG)
• Part C Organization Determinations,
Appeals, and Grievances (ODAG)
• Special Needs Plans Care
Coordination (SNPCC)
CMS generally conducts program
audits at the parent organization level in
an effort to reduce burden and, for
routine audits, subjects each sponsoring
organization to all applicable program
area protocols. For example, if a
sponsoring organization does not offer a
special needs plan, or an accrediting
organization has deemed a special needs
plan compliant with CMS regulations
and standards, CMS would not apply
the SNPCC protocol. Likewise, CMS
would not apply the ODAG audit
protocol to an organization that offers
only a standalone prescription drug
plan since that organization does not
offer the MA benefit. Conversely, ad hoc
audits resulting from referral may be
limited in scope and, therefore, all
program area protocols may not be
applied.
In addition, as part of the robust
program audit process, CMS also
requires sponsoring organizations that
have undergone a program audit and
found to have deficiencies to undergo a
validation audit to ensure correction.
The validation audit uses the same audit
protocols, but only tests the elements
where deficiencies were found as
opposed to re-administering the entire
audit. Finally, CMS conducts annual
industry-wide timeliness monitoring of
all Part C organizations by using a
subset of the ODAG protocol. However,
sponsoring organizations that
successfully submitted all of their Part
C data in response to a program audit
in the prior year are excluded from
submitting new data for the timeliness
monitoring effort in the year following
their program audit.
The information gathered during this
program audit will be used by the
Medicare Parts C and D Oversight and
Enforcement Group (MOEG) within the
Center for Medicare (CM) and CMS
Regional Offices to assess sponsoring
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66913
organizations’ compliance with
Medicare program requirements. If
outliers or other data anomalies are
detected, Regional Offices will work in
collaboration with MOEG and other
divisions within CMS for follow-up and
resolution. Additionally, MA and Part D
organizations will receive the audit
results and will be required to
implement corrective action to correct
any identified deficiencies. Form
Number: CMS–10717 (OMB control
number: 0938–New); Frequency: Yearly;
Affected Public: Private Sector, Business
or other for-profits, Not-for-profits
institutions; Number of Respondents:
190; Total Annual Responses: 179; Total
Annual Hours: 36,082. (For policy
questions regarding this collection
contact Kellie Simons at 410–786–
0886.)
Dated: December 3, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2019–26385 Filed 12–5–19; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–2567]
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
SUMMARY:
E:\FR\FM\06DEN1.SGM
06DEN1
]]>Agencies
[Federal Register Volume 84, Number 235 (Friday, December 6, 2019)]
[Notices]
[Pages 66912-66913]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-26385]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10717]
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 February 4, 2020.
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
[[Page 66913]]
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-10717 Medicare Part C and Part D Program Audit and Industry-Wide
Part C Timeliness Monitoring Project (TMP) Protocols
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: New Collection (Request
for a new OMB control number); Title of Information Collection:
Medicare Part C and Part D Program Audit and Industry-Wide Part C
Timeliness Monitoring Project (TMP) Protocols; Use: Under the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 and
implementing regulations at 42 CFR parts 422 and 423, Medicare Part D
plan sponsors and Medicare Advantage organizations are required to
comply with all Medicare Parts C and D program requirements. CMS'
annual audit plan ensures that we evaluate sponsoring organizations'
compliance with these requirements by conducting program audits that
focus on high-risk areas that have the greatest potential for
beneficiary harm. As such, CMS has developed the following audit
protocols for use by sponsoring organizations to prepare for their
audit:
Compliance Program Effectiveness (CPE)
Part D Formulary and Benefit Administration (FA)
Part D Coverage Determinations, Appeals, and Grievances (CDAG)
Part C Organization Determinations, Appeals, and Grievances
(ODAG)
Special Needs Plans Care Coordination (SNPCC)
CMS generally conducts program audits at the parent organization
level in an effort to reduce burden and, for routine audits, subjects
each sponsoring organization to all applicable program area protocols.
For example, if a sponsoring organization does not offer a special
needs plan, or an accrediting organization has deemed a special needs
plan compliant with CMS regulations and standards, CMS would not apply
the SNPCC protocol. Likewise, CMS would not apply the ODAG audit
protocol to an organization that offers only a standalone prescription
drug plan since that organization does not offer the MA benefit.
Conversely, ad hoc audits resulting from referral may be limited in
scope and, therefore, all program area protocols may not be applied.
In addition, as part of the robust program audit process, CMS also
requires sponsoring organizations that have undergone a program audit
and found to have deficiencies to undergo a validation audit to ensure
correction. The validation audit uses the same audit protocols, but
only tests the elements where deficiencies were found as opposed to re-
administering the entire audit. Finally, CMS conducts annual industry-
wide timeliness monitoring of all Part C organizations by using a
subset of the ODAG protocol. However, sponsoring organizations that
successfully submitted all of their Part C data in response to a
program audit in the prior year are excluded from submitting new data
for the timeliness monitoring effort in the year following their
program audit.
The information gathered during this program audit will be used by
the Medicare Parts C and D Oversight and Enforcement Group (MOEG)
within the Center for Medicare (CM) and CMS Regional Offices to assess
sponsoring organizations' compliance with Medicare program
requirements. If outliers or other data anomalies are detected,
Regional Offices will work in collaboration with MOEG and other
divisions within CMS for follow-up and resolution. Additionally, MA and
Part D organizations will receive the audit results and will be
required to implement corrective action to correct any identified
deficiencies. Form Number: CMS-10717 (OMB control number: 0938-New);
Frequency: Yearly; Affected Public: Private Sector, Business or other
for-profits, Not-for-profits institutions; Number of Respondents: 190;
Total Annual Responses: 179; Total Annual Hours: 36,082. (For policy
questions regarding this collection contact Kellie Simons at 410-786-
0886.)
Dated: December 3, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2019-26385 Filed 12-5-19; 8:45 am]
BILLING CODE 4120-01-P
