Agency Information Collection Activities: Submission for OMB Review; Comment Request, 10442-10443 [2020-03633]
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Federal Register / Vol. 85, No. 36 / Monday, February 24, 2020 / Notices
announcements of meetings and other
committee management activities, for
both the Centers for Disease Control and
Prevention and the Agency for Toxic
Substances and Disease Registry.
Kalwant Smagh,
Director, Strategic Business Initiatives Unit,
Office of the Chief Operating Officer, Centers
for Disease Control and Prevention.
[FR Doc. 2020–03584 Filed 2–21–20; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–1728–19, CMS–
10714 and CMS–484, 846, 847, 848, 849,
10125, 10126]
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.
SUMMARY:
Comments on the collection(s) of
information must be received by the
OMB desk officer by March 25, 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
lotter on DSKBCFDHB2PROD with NOTICES
DATES:
VerDate Sep<11>2014
18:30 Feb 21, 2020
Jkt 250001
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
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: 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
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Frm 00045
Fmt 4703
Sfmt 4703
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.)
2. Type of Information Collection
Request: New Collection; Title of
Information Collection: Electronic
Medical Documentation Interoperability
(EMDI) Pre and Post Pilot Measures
Survey; Use: The EMDI program assists
the Centers for Medicare & Medicaid
Services (CMS) Health Information
Technology (health IT) standards and
interoperability (S&I) initiative, which is
to: (1) Facilitate and expand the secure
transport of interoperable electronic
documentation, (2) utilize and fill in the
gaps in the current standards to achieve
increased level of interoperability
among systems and organizations, and
(3) demonstrate the utility of these
standards by establishing pilot programs
with existing Health Information
Handlers, Health Information Service
Providers (HISP), and health care
providers.
The EMDI Initiative, associated
documentation, and pilots are for the
purposes of evaluating the performance
of CMS policies that involve
interoperability and the collection of
data/information only. The collected
data/information will help CMS, and
the EMDI team in determining the
overall effectiveness of piloting the
EMDI program, as well as assessing each
provider’s current ability to send, and
receive electronic data. Form Number:
CMS–10714 (OMB control number:
0938–New); Frequency: Yearly; Affected
Public: Private Sector (Business or other
E:\FR\FM\24FEN1.SGM
24FEN1
Federal Register / Vol. 85, No. 36 / Monday, February 24, 2020 / Notices
for-profit, not-for-profit institutions);
Number of Respondents: 240; Total
Annual Responses: 240; Total Annual
Hours: 120. For policy questions
regarding this collection contact
Christopher Lofts at 410–786–4076.
3. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Durable Medical
Equipment Medicare Administrative
Contractor Certificate of Medical
Necessity and Supporting
Documentation Requirements; Use: The
certificates of medical necessity (CMNs)
collect information required to help
determine the medical necessity of
certain items. CMS requires CMNs
where there may be a vulnerability to
the Medicare program. Each initial
claim for these items must have an
associated CMN for the beneficiary.
Suppliers (those who bill for the items)
complete the administrative information
(e.g., patient’s name and address, items
ordered, etc.) on each CMN. The 1994
Amendments to the Social Security Act
require that the supplier also provide a
narrative description of the items
ordered and all related accessories, their
charge for each of these items, and the
Medicare fee schedule allowance (where
applicable). The supplier then sends the
CMN to the treating physician or other
clinicians (e.g., physician assistant,
LPN, etc.) who completes questions
pertaining to the beneficiary’s medical
condition and signs the CMN. The
physician or other clinician returns the
CMN to the supplier who has the option
to maintain a copy and then submits the
CMN electronically to CMS, along with
a claim for reimbursement. Form
Numbers: CMS–484, 846, 847, 848, 849,
10125, 10126 (OMB control number:
0938–0679); Frequency: Occasionally;
Affected Public: Individuals or
Households; Number of Respondents:
1,335,658; Total Annual Responses:
1,335,658; Total Annual Hours: 267,132.
For policy questions regarding this
collection contact Melissa Singer at
410–786–0365.
lotter on DSKBCFDHB2PROD with NOTICES
Dated: February 19, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2020–03633 Filed 2–21–20; 8:45 am]
BILLING CODE 4120–01–P
VerDate Sep<11>2014
18:30 Feb 21, 2020
Jkt 250001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–199, CMS–
10180 and CMS–1771]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
10443
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.
Under the
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:
the agency’s functions, the accuracy of
1. Type of Information Collection
the estimated burden, ways to enhance
Request: Reinstatement without change
the quality, utility, and clarity of the
of a currently approved collection; Title
information to be collected, and the use of Information Collection: Medicaid
of automated collection techniques or
Report on Payables and Receivables;
other forms of information technology to Use: Section 1903(b)(d)(1) of the Social
minimize the information collection
Security Act requires the Secretary to
burden.
estimate the amount each State should
DATES: Comments on the collection(s) of be paid at the beginning of each quarter.
This amount is to be based on a report
information must be received by the
filed by the State. Section
OMB desk officer by March 25, 2020.
1903(b)(d)(2)(A) of the Social Security
ADDRESSES: When commenting on the
Act authorizes the Secretary to pay the
proposed information collections,
please reference the document identifier amount estimated, reduced or increased
to the extent of any overpayment or
or OMB control number. To be assured
underpayment for any prior quarter.
consideration, comments and
Section 3515 of CFO Act requires
recommendations must be received by
government agencies to produce
the OMB desk officer via one of the
following transmissions: OMB, Office of auditable financial statements in
accordance with Office of Management
Information and Regulatory Affairs,
and Budget guidelines on Form and
Attention: CMS Desk Officer, Fax
Content. The Government Management
Number: (202) 395–5806 OR Email:
and Reform Act of 1994 requires that all
OIRA_submission@omb.eop.gov.
offices, bureaus and associated activities
To obtain copies of a supporting
of the 24 CFO Act agencies must be
statement and any related forms for the
covered in an agency. Form Number:
proposed collection(s) summarized in
CMS–R–199 (OMB control number:
this notice, you may make your request
0938–0697); Frequency: Yearly; Affected
using one of following:
Public: State, Local, or Tribal
1. Access CMS’ website address at
website address at https://www.cms.gov/ Governments; Number of Respondents:
56; Total Annual Responses: 56; Total
Regulations-and-Guidance/Legislation/
Annual Hours: 504. (For policy
PaperworkReductionActof1995/PRAquestions regarding this collection
Listing.html.
PO 00000
Frm 00046
Fmt 4703
Sfmt 4703
SUPPLEMENTARY INFORMATION:
E:\FR\FM\24FEN1.SGM
24FEN1
Agencies
[Federal Register Volume 85, Number 36 (Monday, February 24, 2020)]
[Notices]
[Pages 10442-10443]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-03633]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-1728-19, CMS-10714 and CMS-484, 846, 847,
848, 849, 10125, 10126]
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 March 25, 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: 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.)
2. Type of Information Collection Request: New Collection; Title of
Information Collection: Electronic Medical Documentation
Interoperability (EMDI) Pre and Post Pilot Measures Survey; Use: The
EMDI program assists the Centers for Medicare & Medicaid Services (CMS)
Health Information Technology (health IT) standards and
interoperability (S&I) initiative, which is to: (1) Facilitate and
expand the secure transport of interoperable electronic documentation,
(2) utilize and fill in the gaps in the current standards to achieve
increased level of interoperability among systems and organizations,
and (3) demonstrate the utility of these standards by establishing
pilot programs with existing Health Information Handlers, Health
Information Service Providers (HISP), and health care providers.
The EMDI Initiative, associated documentation, and pilots are for
the purposes of evaluating the performance of CMS policies that involve
interoperability and the collection of data/information only. The
collected data/information will help CMS, and the EMDI team in
determining the overall effectiveness of piloting the EMDI program, as
well as assessing each provider's current ability to send, and receive
electronic data. Form Number: CMS-10714 (OMB control number: 0938-New);
Frequency: Yearly; Affected Public: Private Sector (Business or other
[[Page 10443]]
for-profit, not-for-profit institutions); Number of Respondents: 240;
Total Annual Responses: 240; Total Annual Hours: 120. For policy
questions regarding this collection contact Christopher Lofts at 410-
786-4076.
3. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Durable Medical Equipment Medicare Administrative Contractor
Certificate of Medical Necessity and Supporting Documentation
Requirements; Use: The certificates of medical necessity (CMNs) collect
information required to help determine the medical necessity of certain
items. CMS requires CMNs where there may be a vulnerability to the
Medicare program. Each initial claim for these items must have an
associated CMN for the beneficiary. Suppliers (those who bill for the
items) complete the administrative information (e.g., patient's name
and address, items ordered, etc.) on each CMN. The 1994 Amendments to
the Social Security Act require that the supplier also provide a
narrative description of the items ordered and all related accessories,
their charge for each of these items, and the Medicare fee schedule
allowance (where applicable). The supplier then sends the CMN to the
treating physician or other clinicians (e.g., physician assistant, LPN,
etc.) who completes questions pertaining to the beneficiary's medical
condition and signs the CMN. The physician or other clinician returns
the CMN to the supplier who has the option to maintain a copy and then
submits the CMN electronically to CMS, along with a claim for
reimbursement. Form Numbers: CMS-484, 846, 847, 848, 849, 10125, 10126
(OMB control number: 0938-0679); Frequency: Occasionally; Affected
Public: Individuals or Households; Number of Respondents: 1,335,658;
Total Annual Responses: 1,335,658; Total Annual Hours: 267,132. For
policy questions regarding this collection contact Melissa Singer at
410-786-0365.
Dated: February 19, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2020-03633 Filed 2-21-20; 8:45 am]
BILLING CODE 4120-01-P