Agency Information Collection Activities: Submission for OMB Review; Comment Request, 69380-69382 [2019-27280]
Download as PDF
<![CDATA[
69380
Federal Register / Vol. 84, No. 243 / Wednesday, December 18, 2019 / Notices
Date: February 27–28, 2020 (Open
from 8:00 a.m. to 8:30 a.m. on
February 27 and closed for
remainder of the meeting)
5. Healthcare Information Technology
Research (HITR)
Date: February 27–28, 2020 (Open
from 8:00 a.m. to 8:30 a.m. on
February 27 and closed for
remainder of the meeting)
(Below specifics hotel
where each meeting will be held:)
ADDRESSES:
Bethesda North Marriott Hotel &
Conference Center, 5701 Marinelli
Road, Bethesda, Maryland 20852,
(HEOR, HITR, HCRT, HSVR).
Hilton Washington DC/Rockville Hotel
& Executive Meeting Center, 1750
Rockville Pike, Rockville, MD 20852,
(HSQR).
(To
obtain a roster of members, agenda or
minutes of the non-confidential portions
of the meetings.)
FOR FURTHER INFORMATION CONTACT:
Jenny Griffith, Acting Committee
Management Officer, Office of
Extramural Research Education and
Priority Populations, Agency for
Healthcare Research and Quality
(AHRQ), 5600 Fishers Lane,
Rockville, Maryland 20857,
Telephone (301) 427–1557.
In
accordance with section 10 (a)(2) of the
Federal Advisory Committee Act (5
U.S.C. App. 2), AHRQ announces
meetings of the above-listed scientific
peer review groups, which are
subcommittees of AHRQ’s Health
Services Research Initial Review Group
Committees. Each subcommittee
meeting will commence in open session
before closing to the public for the
duration of the meeting. The
subcommittee meetings will be closed to
the public in accordance with the
provisions set forth in 5 U.S.C. App. 2
section 10(d), 5 U.S.C. 552b(c)(4), and 5
U.S.C. 552b(c)(6). The grant applications
and the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Agenda items for these meetings are
subject to change as priorities dictate.
khammond on DSKJM1Z7X2PROD with NOTICES
SUPPLEMENTARY INFORMATION:
Virginia L. Mackay-Smith,
Associate Director.
[FR Doc. 2019–27263 Filed 12–17–19; 8:45 am]
BILLING CODE 4160–90–P
VerDate Sep<11>2014
16:40 Dec 17, 2019
Jkt 250001
PaperworkReductionActof1995/PRAListing.html.
1. Email your request, including your
Centers for Medicare & Medicaid
address, phone number, OMB number,
Services
and CMS document identifier, to
Paperwork@cms.hhs.gov.
[Document Identifiers: CMS–10108, CMS–
2. Call the Reports Clearance Office at
10243, CMS–10383, CMS–10609, CMS–R–
(410) 786–1326.
131 and CMS–10662]
FOR FURTHER INFORMATION CONTACT:
Agency Information Collection
William Parham at (410) 786–4669.
Activities: Submission for OMB
SUPPLEMENTARY INFORMATION: Under the
Review; Comment Request
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), federal agencies
AGENCY: Centers for Medicare &
must obtain approval from the Office of
Medicaid Services, HHS.
Management and Budget (OMB) for each
ACTION: Notice.
collection of information they conduct
or sponsor. The term ‘‘collection of
SUMMARY: The Centers for Medicare &
Medicaid Services (CMS) is announcing information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and
an opportunity for the public to
includes agency requests or
comment on CMS’ intention to collect
requirements that members of the public
information from the public. Under the
submit reports, keep records, or provide
Paperwork Reduction Act of 1995
information to a third party. Section
(PRA), federal agencies are required to
3506(c)(2)(A) of the PRA (44 U.S.C.
publish notice in the Federal Register
3506(c)(2)(A)) requires federal agencies
concerning each proposed collection of
to publish a 30-day notice in the
information, including each proposed
extension or reinstatement of an existing Federal Register concerning each
proposed collection of information,
collection of information, and to allow
including each proposed extension or
a second opportunity for public
reinstatement of an existing collection
comment on the notice. Interested
of information, before submitting the
persons are invited to send comments
collection to OMB for approval. To
regarding the burden estimate or any
comply with this requirement, CMS is
other aspect of this collection of
information, including the necessity and publishing this notice that summarizes
the following proposed collection(s) of
utility of the proposed information
collection for the proper performance of information for public comment:
1. Type of Information Collection
the agency’s functions, the accuracy of
Request: Extension of a currently
the estimated burden, ways to enhance
approved collection; Title of
the quality, utility, and clarity of the
information to be collected, and the use Information Collection: Medicaid
Managed Care Regulations; Use: The
of automated collection techniques or
other forms of information technology to requirements contained in this
information collection request
minimize the information collection
implement regulations that allow states
burden.
greater flexibility to implement
DATES: Comments on the collection(s) of mandatory managed care programs,
information must be received by the
implement new beneficiary protections,
OMB desk officer by January 17, 2020.
and eliminate certain requirements
viewed by state agencies as
ADDRESSES: When commenting on the
impediments to the growth of managed
proposed information collections,
please reference the document identifier care programs. Information collected
includes information about managed
or OMB control number. To be assured
care programs, grievances and appeals,
consideration, comments and
enrollment broker contracts, and
recommendations must be received by
managed care organizational capacity to
the OMB desk officer via one of the
following transmissions: OMB, Office of provide health care services. Medicaid
enrollees use the information collected
Information and Regulatory Affairs,
and reported to make informed choices
Attention: CMS Desk Officer, Fax
regarding health care, including how to
Number: (202) 395–5806 OR Email:
access health care services and the
OIRA_submission@omb.eop.gov.
grievance and appeal system. States use
To obtain copies of a supporting
the information collected and reported
statement and any related forms for the
as part of its contracting process with
proposed collection(s) summarized in
managed care entities, as well as its
this notice, you may make your request
compliance oversight role. We use the
using one of following:
information collected and reported in an
1. Access CMS’ website address at
website address at https://www.cms.gov/ oversight role of state Medicaid
managed care programs. Form Number:
Regulations-and-Guidance/Legislation/
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
PO 00000
Frm 00028
Fmt 4703
Sfmt 4703
E:\FR\FM\18DEN1.SGM
18DEN1
khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 84, No. 243 / Wednesday, December 18, 2019 / Notices
CMS–10108 (OMB control number:
0938–0920); Frequency: Occasionally;
Affected Public: Individuals or
households, Private sector (business or
other for-profit and not-for-profit
institutions), and State, local or Tribal
Government; Number of Respondents:
628; Total Annual Responses:
22,564,877; Total Annual Hours:
1,371,968. (For policy questions
regarding this collection contact Amy
Gentile at 410–786–3499.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Testing
Experience and Functional Tools:
Functional Assessment Standardized
Items (FASI) Based on the CARE Tool;
Use: In 2012, CMS funded a project
entitled, Technical Assistance to States
for Testing Experience and Functional
Tools (TEFT) Grants. One component of
this demonstration is to amend and test
the reliability of a setting-agnostic,
interoperable set of data elements,
called ‘‘items,’’ that can support
standardized assessment of individuals
across the continuum of care. Items that
were created for use in post-acute care
settings using the Continuity
Assessment Record and Evaluation
(CARE) tool have been adopted,
modified, or supplemented for use in
community-based long-term services
and supports (CB–LTSS) programs. This
project will test the reliability and
validity of the function-related
assessment items, now referred to as
Functional Assessment Standardized
Items (FASI), when applied in
community settings, and in various
populations: Elders (65 years and older);
younger adults (18–64) with physical
disabilities; and adults of any age with
intellectual or developmental
disabilities, with severe mental illness,
or with traumatic brain injury.
Individual-level data will be collected
two times using the TEFT FASI Item
Set. The first data collection effort will
collect data that can be analyzed to
evaluate the reliability and validity of
the FASI items when used with the five
waiver populations. Assessors will
conduct functional assessments in client
homes using the TEFT FASI Item Set.
Changes may be recommended to
individual TEFT FASI items, to be made
prior to releasing the TEFT FASI items
for use by the states. The FASI Field
Test Report will be released to the
public.
The second data collection will be
conducted by the states to demonstrate
their use of the FASI data elements. The
assessment data could be used by the
states for multiple purposes. They may
use the standardized items to determine
VerDate Sep<11>2014
16:40 Dec 17, 2019
Jkt 250001
individual eligibility for state programs,
or to help determine levels of care
within which people can receive
services, or other purposes. In the
second round of data collection, states
will demonstrate their proposed uses,
manage their FASI data collection and
conduct their own analysis, to the
extent they propose to do such tasks.
The states have been funded under the
demonstration grant to conduct the
round 2 data collection and analysis.
These states will submit reports to CMS
describing their experience in the
Round 2 data collection, including the
items they collected, how they planned
to use the data, and the types of
challenges and successes they
encountered in doing so. The reports
may be used by CMS in their evaluation
of the TEFT grants. Form Number:
CMS–10243 (OMB control number:
0938–1037); Frequency: On occasion;
Affected Public: Individuals and
Households; Number of Respondents:
5,650; Total Annual Responses: 5,650;
Total Annual Hours: 2,825. (For policy
questions regarding this collection
contact Kerry Lida at 410–786–4826.)
3. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Review and
Approval Process for Waivers for State
Innovation; Use: The information
required under this collection is
necessary to ensure that states comply
with statutory and regulatory
requirements related to the development
and implementation of section 1332
waivers. States seeking waiver authority
under section 1332 of the PPACA are
required to meet certain requirements
for applications, public notice, and
reporting. The authority for these
requirements is found in section 1332 of
the PPACA. This information collection
reflects the requirements provided in
the final rules, 77 FR 11700, published
February 27, 2012. Additionally, on
October 24, 2018, the Departments
published guidance, 83 FR 53575, that
provides supplementary information
about the requirements that must be met
for the approval of a section 1332
waiver, the Secretaries application
review procedures, the calculation of
pass-through funding, certain analytical
requirements, and operational
considerations. This guidance
supersedes the guidance related to
section 1332 of the PPACA that was
previously published on December 16,
2015. This information collection also
reflects the requirements outlined in a
state’s specific terms and conditions
(STCs), as part of the approval of a
state’s section 1332 waiver application.
PO 00000
Frm 00029
Fmt 4703
Sfmt 4703
69381
Form Number: CMS–10383 (OMB
control number 0938–NEW); Frequency:
Occasionally; Affected Public: State
Governments; Number of Respondents:
12; Total Annual Responses: 212; Total
Annual Hours: 4,016. (For policy
questions regarding this collection
contact Michelle Koltov at 301–492–
4225.)
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicaid
Program Face-to-Face Requirements for
Home Health Services and Supporting
Regulations; Use: 42 CFR 440.70(f) and
(g) requires that physicians (or for
medical equipment, authorized nonphysician practitioners (NPPs)
including nurse practitioners, clinical
nurse specialists and physician
assistants) document that there was a
face-to-face encounter with the
Medicaid beneficiary prior to the
physician making a certification that
home health services are required. The
burden associated with this requirement
is the time and effort to complete this
documentation. The burden also
includes writing, typing, or dictating the
face-to-face documentation and signing/
dating the documentation. Form
Number: CMS–10609 (OMB control
number: 0938–1319); Frequency:
Occasionally; Affected Public: Private
sector (business or other for-profits);
Number of Respondents: 381,148; Total
Annual Responses: 1,143,443; Total
Annual Hours: 190,955. (For policy
questions regarding this collection
contact Alexandra Smilow at 410–786–
0790.)
5. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Advance
Beneficiary Notice of Noncoverage
(ABN); Use: The use of the written
Advance Beneficiary Notice of Noncoverage (ABN) is to inform Medicare
beneficiaries of their liability under
specific conditions. This has been
available since the ‘‘limitation on
liability’’ provisions in section 1879 of
the Social Security Act (the Act) were
enacted in 1972 (Pub. L. 92–603). ABNs
are not given every time items and
services are delivered. Rather, ABNs are
given only when a physician, provider,
practitioner, or supplier anticipates that
Medicare will not provide payment in
specific cases.
An ABN may be given, and the
beneficiary may subsequently choose
not to receive the item or service. An
ABN may also be issued because of
other applicable statutory requirements
other than § 1862(a)(1) such as when a
beneficiary wants to obtain an item from
E:\FR\FM\18DEN1.SGM
18DEN1
khammond on DSKJM1Z7X2PROD with NOTICES
69382
Federal Register / Vol. 84, No. 243 / Wednesday, December 18, 2019 / Notices
a supplier who has not met Medicare
supplier number requirements, as listed
in section 1834(j)(1) of the Act or when
statutory requirements for issuance
specific to HHAs are applicable.
ABNs are usually given as hard copy
notices during in-person patient
encounters. In some cases, notification
may be done by telephone with a
follow-up notice mailed. Electronic
issuance of ABNs is permitted as long
as the beneficiary is offered the option
to receive a paper copy of the notice if
this is preferred. Regardless of the mode
of delivery, the beneficiary must receive
a copy of the signed ABN for his/her
own records. Incorporation of ABNs
into other automated business processes
is permitted, and some limited
flexibility in formatting the notice in
such cases is allowed, as discussed in
the form instructions. Notifiers may
choose to store the required signed copy
of the ABN electronically. Form
Number: CMS–R–131 (OMB control
number: 0938–0566); Frequency: Yearly;
Affected Public: State, Local, or Tribal
Governments; Number of Respondents:
1,589,060; Total Annual Responses:
382,216,385; Total Annual Hours:
44,593,186. (For policy questions
regarding this collection contact Jennifer
McCormick at 410–786–2852.)
6. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Administrative
Simplification HIPAA Compliance
Review; Use: The authority for
administering and enforcing compliance
with the Administrative Simplification
non-privacy Health Insurance
Portability and Accountability Act
(HIPAA) rules has been delegated to the
Centers for Medicare & Medicaid
Services (CMS). (68 FR 60694 Part F,
October 23, 2003) 45 CFR 160.308
states, ‘‘that the Secretary may conduct
compliance reviews to determine
whether covered entities are complying
with the applicable administrative
simplification provisions.’’ These
reviews are conducted at the discretion
of the Secretary. Title 45 CFR 160.310
requires that a covered entity provide
records and compliance reports to the
Secretary in cooperation with a
compliance review. Title 45 CFR
160.310 provides that a covered entity
must permit HHS, or its delegated
entity, access during normal business
hours to its facilities, books, records,
and other information, and other
information necessary to determine
compliance, but also provides that if the
Secretary determines that ‘‘exigent
circumstances exist, such as when
documents may be hidden or
destroyed,’’ the covered entity must
VerDate Sep<11>2014
16:40 Dec 17, 2019
Jkt 250001
permit access at any time without
notice.
The purpose of this collection is to
retrieve information necessary to
conduct a compliance review as
described in CMS–0014–N (68 FR
60694). These forms will be submitted
to the Centers for Medicare & Medicaid
Services (CMS), Program Management
National Standards Group, from entities
covered by HIPAA Administrative
Simplification regulations. This
collection is not applicable to HIPAA
Privacy and Security Rules. Form
Number: CMS–10662 (OMB control
number: 0938–New); Frequency:
Occasionally; Affected Public: State,
Local, or Tribal Governments; Number
of Respondents: 10; Total Annual
Responses: 10; Total Annual Hours:
425. (For policy questions regarding this
collection contact Cecily Austin at 410–
786–0895.)
Dated: December 13, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2019–27280 Filed 12–17–19; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Income Withholding Order/
Notice for Support (IWO)
Office of Child Support
Enforcement, Administration for
Children and Families, HHS.
ACTION: Request for public comment.
AGENCY:
The Administration for
Children and Families (ACF) is
requesting a three-year extension of the
form Income Withholding Order/Notice
for Support (IWO) (OMB #0970–0154,
expiration 8/31/2020). This request
includes minor revisions to the
approved forms.
DATES: Comments due within 60 days of
publication. In compliance with the
requirements of Section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995,
the Administration for Children and
Families is soliciting public comment
on the specific aspects of the
information collection described above.
ADDRESSES: Copies of the proposed
collection of information can be
obtained and comments may be
forwarded by emailing infocollection@
acf.hhs.gov. Alternatively, copies can
also be obtained by writing to the
SUMMARY:
PO 00000
Frm 00030
Fmt 4703
Sfmt 4703
Administration for Children and
Families, Office of Planning, Research
and Evaluation, 330 C Street SW,
Washington, DC 20201, Attn: ACF
Reports Clearance Officer. All requests,
emailed or written, should be identified
by the title of the information collection.
SUPPLEMENTARY INFORMATION:
Description: The IWO is the standard
form that must be used to order and
notify employers and income providers
to withhold child support payments
from an obligor’s income. It also
indicates where employers and other
income providers must remit the
payments and other information needed
to withhold correctly.
Child support agencies, courts,
private attorneys, custodial parties, and
others must use the IWO form to initiate
an income withholding order for
support and give notice of income
withholding. State child support
agencies are required to have automated
data processing systems containing
current order and case information.
State child support agencies providing
services to custodial and/or
noncustodial parties enter the terms of
a child support order established by a
tribunal into the state’s automated
system, which automatically populates
the order information into the IWO
form.
Employers and income providers also
use the form to respond to the order/
notice with termination or income
status information. Employers and other
income providers may choose to receive
the IWO form from child support
agencies on paper or electronically, and
may respond on paper or electronically
to notify the sender of termination of
employment or change in the income
status.
The information collection activities
pertaining to the IWO form are
authorized by 42 U.S.C. 666(a)(1), (a)(8),
and 666(b)(6), which require the use of
the IWO form to order income
withholding for all child support orders.
The IWO form and instructions
include these proposed changes:
1. Changed effective date from a
calendar date to a text entry. This
clarifies that IWOs are effective on
either the date of mailing, receipt, or
service to the employer.
2. Added a textbox in Remittance
Information regarding payments in
interstate cases.
3. Simplified and consolidated
wording of required advices to
employers and moved some of them
from Additional Information into
Remittance Information.
4. Moved a link to the Child Support
Portal within Additional Information to
E:\FR\FM\18DEN1.SGM
18DEN1
]]>Agencies
[Federal Register Volume 84, Number 243 (Wednesday, December 18, 2019)]
[Notices]
[Pages 69380-69382]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-27280]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10108, CMS-10243, CMS-10383, CMS-10609, CMS-
R-131 and CMS-10662]
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 January 17, 2020.
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:
[email protected].
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 [email protected].
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 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: Extension of a currently
approved collection; Title of Information Collection: Medicaid Managed
Care Regulations; Use: The requirements contained in this information
collection request implement regulations that allow states greater
flexibility to implement mandatory managed care programs, implement new
beneficiary protections, and eliminate certain requirements viewed by
state agencies as impediments to the growth of managed care programs.
Information collected includes information about managed care programs,
grievances and appeals, enrollment broker contracts, and managed care
organizational capacity to provide health care services. Medicaid
enrollees use the information collected and reported to make informed
choices regarding health care, including how to access health care
services and the grievance and appeal system. States use the
information collected and reported as part of its contracting process
with managed care entities, as well as its compliance oversight role.
We use the information collected and reported in an oversight role of
state Medicaid managed care programs. Form Number:
[[Page 69381]]
CMS-10108 (OMB control number: 0938-0920); Frequency: Occasionally;
Affected Public: Individuals or households, Private sector (business or
other for-profit and not-for-profit institutions), and State, local or
Tribal Government; Number of Respondents: 628; Total Annual Responses:
22,564,877; Total Annual Hours: 1,371,968. (For policy questions
regarding this collection contact Amy Gentile at 410-786-3499.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Testing
Experience and Functional Tools: Functional Assessment Standardized
Items (FASI) Based on the CARE Tool; Use: In 2012, CMS funded a project
entitled, Technical Assistance to States for Testing Experience and
Functional Tools (TEFT) Grants. One component of this demonstration is
to amend and test the reliability of a setting-agnostic, interoperable
set of data elements, called ``items,'' that can support standardized
assessment of individuals across the continuum of care. Items that were
created for use in post-acute care settings using the Continuity
Assessment Record and Evaluation (CARE) tool have been adopted,
modified, or supplemented for use in community-based long-term services
and supports (CB-LTSS) programs. This project will test the reliability
and validity of the function-related assessment items, now referred to
as Functional Assessment Standardized Items (FASI), when applied in
community settings, and in various populations: Elders (65 years and
older); younger adults (18-64) with physical disabilities; and adults
of any age with intellectual or developmental disabilities, with severe
mental illness, or with traumatic brain injury.
Individual-level data will be collected two times using the TEFT
FASI Item Set. The first data collection effort will collect data that
can be analyzed to evaluate the reliability and validity of the FASI
items when used with the five waiver populations. Assessors will
conduct functional assessments in client homes using the TEFT FASI Item
Set. Changes may be recommended to individual TEFT FASI items, to be
made prior to releasing the TEFT FASI items for use by the states. The
FASI Field Test Report will be released to the public.
The second data collection will be conducted by the states to
demonstrate their use of the FASI data elements. The assessment data
could be used by the states for multiple purposes. They may use the
standardized items to determine individual eligibility for state
programs, or to help determine levels of care within which people can
receive services, or other purposes. In the second round of data
collection, states will demonstrate their proposed uses, manage their
FASI data collection and conduct their own analysis, to the extent they
propose to do such tasks. The states have been funded under the
demonstration grant to conduct the round 2 data collection and
analysis. These states will submit reports to CMS describing their
experience in the Round 2 data collection, including the items they
collected, how they planned to use the data, and the types of
challenges and successes they encountered in doing so. The reports may
be used by CMS in their evaluation of the TEFT grants. Form Number:
CMS-10243 (OMB control number: 0938-1037); Frequency: On occasion;
Affected Public: Individuals and Households; Number of Respondents:
5,650; Total Annual Responses: 5,650; Total Annual Hours: 2,825. (For
policy questions regarding this collection contact Kerry Lida at 410-
786-4826.)
3. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection: Review
and Approval Process for Waivers for State Innovation; Use: The
information required under this collection is necessary to ensure that
states comply with statutory and regulatory requirements related to the
development and implementation of section 1332 waivers. States seeking
waiver authority under section 1332 of the PPACA are required to meet
certain requirements for applications, public notice, and reporting.
The authority for these requirements is found in section 1332 of the
PPACA. This information collection reflects the requirements provided
in the final rules, 77 FR 11700, published February 27, 2012.
Additionally, on October 24, 2018, the Departments published guidance,
83 FR 53575, that provides supplementary information about the
requirements that must be met for the approval of a section 1332
waiver, the Secretaries application review procedures, the calculation
of pass-through funding, certain analytical requirements, and
operational considerations. This guidance supersedes the guidance
related to section 1332 of the PPACA that was previously published on
December 16, 2015. This information collection also reflects the
requirements outlined in a state's specific terms and conditions
(STCs), as part of the approval of a state's section 1332 waiver
application. Form Number: CMS-10383 (OMB control number 0938-NEW);
Frequency: Occasionally; Affected Public: State Governments; Number of
Respondents: 12; Total Annual Responses: 212; Total Annual Hours:
4,016. (For policy questions regarding this collection contact Michelle
Koltov at 301-492-4225.)
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicaid Program
Face-to-Face Requirements for Home Health Services and Supporting
Regulations; Use: 42 CFR 440.70(f) and (g) requires that physicians (or
for medical equipment, authorized non-physician practitioners (NPPs)
including nurse practitioners, clinical nurse specialists and physician
assistants) document that there was a face-to-face encounter with the
Medicaid beneficiary prior to the physician making a certification that
home health services are required. The burden associated with this
requirement is the time and effort to complete this documentation. The
burden also includes writing, typing, or dictating the face-to-face
documentation and signing/dating the documentation. Form Number: CMS-
10609 (OMB control number: 0938-1319); Frequency: Occasionally;
Affected Public: Private sector (business or other for-profits); Number
of Respondents: 381,148; Total Annual Responses: 1,143,443; Total
Annual Hours: 190,955. (For policy questions regarding this collection
contact Alexandra Smilow at 410-786-0790.)
5. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Advance Beneficiary Notice of Noncoverage (ABN); Use: The use of the
written Advance Beneficiary Notice of Non-coverage (ABN) is to inform
Medicare beneficiaries of their liability under specific conditions.
This has been available since the ``limitation on liability''
provisions in section 1879 of the Social Security Act (the Act) were
enacted in 1972 (Pub. L. 92-603). ABNs are not given every time items
and services are delivered. Rather, ABNs are given only when a
physician, provider, practitioner, or supplier anticipates that
Medicare will not provide payment in specific cases.
An ABN may be given, and the beneficiary may subsequently choose
not to receive the item or service. An ABN may also be issued because
of other applicable statutory requirements other than Sec. 1862(a)(1)
such as when a beneficiary wants to obtain an item from
[[Page 69382]]
a supplier who has not met Medicare supplier number requirements, as
listed in section 1834(j)(1) of the Act or when statutory requirements
for issuance specific to HHAs are applicable.
ABNs are usually given as hard copy notices during in-person
patient encounters. In some cases, notification may be done by
telephone with a follow-up notice mailed. Electronic issuance of ABNs
is permitted as long as the beneficiary is offered the option to
receive a paper copy of the notice if this is preferred. Regardless of
the mode of delivery, the beneficiary must receive a copy of the signed
ABN for his/her own records. Incorporation of ABNs into other automated
business processes is permitted, and some limited flexibility in
formatting the notice in such cases is allowed, as discussed in the
form instructions. Notifiers may choose to store the required signed
copy of the ABN electronically. Form Number: CMS-R-131 (OMB control
number: 0938-0566); Frequency: Yearly; Affected Public: State, Local,
or Tribal Governments; Number of Respondents: 1,589,060; Total Annual
Responses: 382,216,385; Total Annual Hours: 44,593,186. (For policy
questions regarding this collection contact Jennifer McCormick at 410-
786-2852.)
6. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection:
Administrative Simplification HIPAA Compliance Review; Use: The
authority for administering and enforcing compliance with the
Administrative Simplification non-privacy Health Insurance Portability
and Accountability Act (HIPAA) rules has been delegated to the Centers
for Medicare & Medicaid Services (CMS). (68 FR 60694 Part F, October
23, 2003) 45 CFR 160.308 states, ``that the Secretary may conduct
compliance reviews to determine whether covered entities are complying
with the applicable administrative simplification provisions.'' These
reviews are conducted at the discretion of the Secretary. Title 45 CFR
160.310 requires that a covered entity provide records and compliance
reports to the Secretary in cooperation with a compliance review. Title
45 CFR 160.310 provides that a covered entity must permit HHS, or its
delegated entity, access during normal business hours to its
facilities, books, records, and other information, and other
information necessary to determine compliance, but also provides that
if the Secretary determines that ``exigent circumstances exist, such as
when documents may be hidden or destroyed,'' the covered entity must
permit access at any time without notice.
The purpose of this collection is to retrieve information necessary
to conduct a compliance review as described in CMS-0014-N (68 FR
60694). These forms will be submitted to the Centers for Medicare &
Medicaid Services (CMS), Program Management National Standards Group,
from entities covered by HIPAA Administrative Simplification
regulations. This collection is not applicable to HIPAA Privacy and
Security Rules. Form Number: CMS-10662 (OMB control number: 0938-New);
Frequency: Occasionally; Affected Public: State, Local, or Tribal
Governments; Number of Respondents: 10; Total Annual Responses: 10;
Total Annual Hours: 425. (For policy questions regarding this
collection contact Cecily Austin at 410-786-0895.)
Dated: December 13, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2019-27280 Filed 12-17-19; 8:45 am]
BILLING CODE 4120-01-P
