Agency Information Collection Activities: Proposed Collection; Comment Request, 16631-16633 [2020-06077]
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Federal Register / Vol. 85, No. 57 / Tuesday, March 24, 2020 / Notices
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Cruise Lines International Association
(‘‘CLIA’’), the leading industry trade
group. To that end, CLIA members and
certain individual cruise lines have
voluntarily taken steps to try to mitigate
the impact of the spread of COVID–19.
On March 13, 2020, CLIA and their
associated members announced that all
member cruise lines would voluntarily
suspend cruise ship operations from
U.S. ports of call for 30 days as public
health officials and the Federal
government continue to address
COVID–19. The Federal government
recognizes the enormity and importance
of this action taken by CLIA and the
commitment it demonstrates to
protecting the health of both cruise ship
passengers and the public at large.
Following the example set by CLIA
members, additional cruise lines have
also voluntarily suspended operations
from U.S. ports of call. Although the
CLIA members and the additional cruise
lines implementing a voluntary
suspension of operations represent a
large majority of the cruise industry, not
all cruise lines or ships have announced
a voluntary suspension of operations or
that they will follow the important
example set by CLIA members. This
Order is intended to cover and
specifically apply to those cruise lines
or ships that do not undertake a
voluntary suspension of operations. As
a result, this Order specifically excludes
from applicability any cruise line or
ship that voluntarily suspends
operations for the period of this Order,
as CLIA members have done.
Findings and Immediate Action
Accordingly, and consistent with 42
CFR 71.32(b), the Director of CDC
(‘‘Director’’) finds evidence to support a
reasonable belief that cruise ships are or
may become infected or contaminated
with a quarantinable communicable
disease.5 This reasonable belief is based
on information from epidemiologic and
other data regarding the nature and
transmission of COVID–19 on cruise
ships from the recent outbreaks onboard
the Diamond Princess, Grand Princess,
and other cruise ships. As a result,
cruise ship passengers may be infected
with or exposed to COVID–19 by virtue
of having been onboard a cruise ship at
a time when cases of COVID–19 are
being reported in significant numbers
globally and specifically on cruise
ships, when testing is available. The
Director also finds that cruise ship
travel may exacerbate the global spread
5 COVID–19 is a communicable disease for which
quarantine is authorized under Section 361 of the
Public Health Service Act (42 U.S.C. 264) and 42
CFR 70.1, 71.1, as listed in Executive Order 13295,
as amended by Executive Orders 13375 and 13674.
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17:34 Mar 23, 2020
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of COVID–19. The scope of this
pandemic is inherently and necessarily
a problem that is international and
interstate in nature, and cannot be
controlled sufficiently by the cruise ship
industry or individual state or local
health authorities. Accordingly, under
42 CFR 70.2, the Director determines
that measures taken or likely to be taken
by state and local health authorities
regarding COVID–19 onboard cruise
ships are inadequate to prevent the
further interstate spread of the disease.
The Director further determines that
this Order provides public health
authorities, in concert with the cruise
ship industry, the necessary pause in
operations to develop and implement an
appropriate and robust plan to prevent
and mitigate the spread of COVID–19,
and acts to prevent the spread of the
disease and ensure cruise ship
passenger and crew health.
Therefore, in accordance with
Sections 361 and 365 of the Public
Health Service Act (42 U.S.C. 264, 268)
and 42 CFR 70.2, 71.32(b), for all cruise
ships not voluntarily suspending
operations for the period described
below, it is ordered:
1. Cruise ship operators shall be
allowed to disembark passengers and
crew members at ports or stations only
as directed by the United States Coast
Guard (USCG), in consultation with
HHS/CDC personnel and, as
appropriate, as coordinated with
Federal, state, and local authorities.
2. Cruise ship operators shall not
reembark any crew member, except as
approved by USCG, in consultation with
HHS/CDC personnel, until further
notice.
3. Cruise ship operators shall not
embark any new passengers or crew,
except as approved by USCG, or other
Federal authorities as appropriate, in
consultation with HHS/CDC personnel.
4. Cruise ship operators shall not
commence or continue operations (e.g.,
shifting berths, moving to anchor, or
discharging waste), except as approved
by USCG, in consultation with HHS/
CDC personnel, until further notice.
5. While in port, the cruise ship
operator shall observe health
precautions as directed by HHS/CDC
personnel.
6. The cruise ship operator shall
comply with all HHS/CDC, USCG, and
other Federal agency instructions to
follow CDC recommendations and
guidance for any public health actions
relating to passengers, crew, ship, or any
article or thing on board the ship, as
needed, including by making ship’s
manifests and logs available and
collecting any specimens for COVID–19
testing.
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16631
7. This order does not prevent the
periodic reboarding of the ship by HHS/
CDC personnel and/or USCG and/or
other Federal, state, or local agencies or
the taking on of ships’ stores and
provisions under the supervision of
HHS/CDC personnel and/or USCG.
8. This order does not prevent the
ship from taking actions necessary to
maintain the seaworthiness or safety of
the ship, or the safety of harbor
conditions, such as movement to
establish safe anchorage, or as otherwise
directed by USCG personnel.
CDC may modify this order by an
updated publication in the Federal
Register or by posting an advisory to
follow at www.cdc.gov.
Authority
The authority for these orders is
Sections 361 and 365 of the Public
Health Service Act (42 U.S.C. 264, 268)
and 42 CFR 70.2, 71.32(b).
Dated: March 19, 2020.
Robert R. Redfield,
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2020–06166 Filed 3–23–20; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10468, CMS–
10418, CMS–10488, CMS–R–290 and CMS–
10525]
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,
SUMMARY:
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Federal Register / Vol. 85, No. 57 / Tuesday, March 24, 2020 / Notices
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
May 26, 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 llllllll,
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
https://www.cms.gov/Regulations-andGuidance/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–10468 Essential Health Benefits
in Alternative Benefit Plans,
Eligibility Notices, Fair Hearing and
Appeal Processes, and Premiums and
Cost Sharing; Exchanges: Eligibility
and Enrollment
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CMS–10418 Annual MLR and Rebate
Calculation Report and MLR Rebate
Notices
CMS–10488 Consumer Experience
Survey Data Collection
CMS–R–290 Medicare Program:
Procedures for Making National
Coverage Decisions
CMS–10525 PACE Quality Data
Monitoring and Reporting
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: Extension without change of a
currently approved collection; Title of
Information Collection: Essential Health
Benefits in Alternative Benefit Plans,
Eligibility Notices, Fair Hearing and
Appeal Processes, and Premiums and
Cost Sharing; Exchanges: Eligibility and
Enrollment; Use: The Exchanges, which
became operational on January 1, 2014,
enhanced competition in the health
insurance market, expanded access to
affordable health insurance for millions
of Americans, and provided consumers
with a place to easily compare and shop
for health insurance coverage. The
reporting requirements and data
collection in Medicaid, Children’s
Health Insurance Programs, and
Exchanges: Essential Health Benefits in
Alternative Benefit Plans, Eligibility
Notices, Fair Hearing and Appeal
Processes, and Premiums and Cost
Sharing; Exchanges: Eligibility and
Enrollment (CMS–2334–F) address: (1)
Standards related to notices, (2)
procedures for the verification of
enrollment in an eligible employersponsored plan and eligibility for
qualifying coverage in an eligible
employer-sponsored plan; and (3) other
eligibility and enrollment provisions to
provide detail necessary for state
implementation. The submission seeks
OMB approval of the information
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collection requirements associated with
selected provisions in 45 CFR parts 155,
156 and 157. Form Number: CMS–
10468 (OMB control number: 0938–
1207); Frequency: Annually; Affected
Public: Individuals, Households and
Private Sector; Number of Respondents:
1,522; Total Annual Responses: 9,533;
Total Annual Hours: 103,710. For policy
questions regarding this collection
contact Anne Pesto at 443–844–9966.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Annual MLR
and Rebate Calculation Report and MLR
Rebate Notices; Use: Under Section
2718 of the Affordable Care Act and
implementing regulation at 45 CFR part
158, a health insurance issuer (issuer)
offering group or individual health
insurance coverage must submit a report
to the Secretary concerning the amount
the issuer spends each year on claims,
quality improvement expenses, nonclaims costs, Federal and State taxes
and licensing and regulatory fees, the
amount of earned premium, and
beginning with the 2014 reporting year,
the amounts related to the transitional
reinsurance, risk corridors, and risk
adjustment programs established under
sections 1341, 1342, and 1343,
respectively, of the Affordable Care Act.
An issuer must provide an annual rebate
if the amount it spends on certain costs
compared to its premium revenue
(excluding Federal and States taxes and
licensing and regulatory fees) does not
meet a certain ratio, referred to as the
medical loss ratio (MLR). Each issuer is
required to submit annually MLR data,
including information about any rebates
it must provide, on a form prescribed by
CMS, for each State in which the issuer
conducts business. Each issuer is also
required to provide a rebate notice to
each policyholder that is owed a rebate
and each subscriber of policyholders
that are owed a rebate for any given
MLR reporting year. Additionally, each
issuer is required to maintain for a
period of seven years all documents,
records and other evidence that support
the data included in each issuer’s
annual report to the Secretary.
Based upon CMS’ experience in the
MLR data collection and evaluation
process, CMS is updating its annual
burden hour estimates to reflect the
actual numbers of submissions, rebates
and rebate notices.
The 2019 MLR Reporting Form and
Instructions reflect changes for the 2018
reporting year and beyond. The 2019
MLR Reporting Form and instructions
are also modified to eliminate the
reporting elements that were required
under the risk corridors data submission
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Federal Register / Vol. 85, No. 57 / Tuesday, March 24, 2020 / Notices
requirements in 45 CFR 153.530 for the
2014 through 2016 benefit years. For
2019, it is expected that issuers will
submit fewer reports and on average,
send fewer notices and rebate checks in
the mail to policyholders and
subscribers, which will reduce burden
on issuers. In addition, issuers of
qualified health plans will no longer
have to submit on the annual report the
data for the risk corridors program
established under section 1342 of the
Patient Protection and Affordable Care
Act. Form Number: CMS–10418 (OMB
control number: 0938–1164); Frequency:
Annually; Affected Public: Private
Sector, Business or other for-profit and
not-for-profit institutions; Number of
Respondents: 494; Number of
Responses: 1,896; Total Annual Hours:
232,427. For policy questions regarding
this collection contact Stephanie
Watson at 301–492–4238.
3. Type of Information Collection
Request: Renewal of a currently
approved collection; Title of
Information Collection: Consumer
Experience Survey Data Collection; Use:
Section 1311(c)(4) of the Affordable
Care Act requires the Department of
Health and Human Services (HHS) to
develop an enrollee satisfaction survey
system that assesses consumer
experience with qualified health plans
(QHPs) offered through an Exchange. It
also requires public display of enrollee
satisfaction information by the
Exchange to allow individuals to easily
compare enrollee satisfaction levels
between comparable plans. HHS
established the QHP Enrollee
Experience Survey (QHP Enrollee
Survey) to assess consumer experience
with the QHPs offered through the
Marketplaces. The survey includes
topics to assess consumer experience
with the health care system such as
communication skills of providers and
ease of access to health care services.
CMS developed the survey using the
Consumer Assessment of Health
Providers and Systems (CAHPS®)
principles (https://www.ahrq.gov/
cahps/about-cahps/principles/
index.html) and established an
application and approval process for
survey vendors who want to participate
in collecting QHP enrollee experience
data.
The QHP Enrollee Survey, which is
based on the CAHPS® Health Plan
Survey, will be used to (1) help
consumers choose among competing
health plans, (2) provide actionable
information that the QHPs can use to
improve performance, (3) provide
information that regulatory and
accreditation organizations can use to
regulate and accredit plans, and (4)
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Jkt 250001
provide a longitudinal database for
consumer research. Based on the
requirements for the QHP Enrollee
Survey, CMS developed this survey to
capture information about enrollees’
experience with QHPs offered through
an Exchange. CMS conducted in-depth
formative research including: A
comprehensive literature review, review
of existing CMS survey instruments,
consumer focus groups, stakeholder
discussions, and input from a Technical
Expert Panel (TEP). CMS performed a
psychometric test and beta test in 2014
and 2015, respectively. CMS began
fielding the QHP Enrollee Survey
nationwide in 2016 and this request is
to continue nationwide collection and
administration of the statutorilyrequired survey in 2021 through 2023.
These activities are necessary to ensure
that CMS fulfills legislative mandates
established by section 1311(c)(4) of the
Affordable Care Act to develop an
‘‘enrollee satisfaction survey system’’
and provide such information on
Exchange websites. Form Number:
CMS–10488 (OMB Control Number:
0938–1221); Frequency: Annually;
Affected Public: Public sector
(Individuals and Households), Private
sector (Business or other for-profits and
Not-for-profit institutions); Number of
Respondents: 285; Total Annual
Responses: 82,510; Total Annual Hours:
15,141. For policy questions regarding
this collection contact Nidhi Singh Shah
at 301–492–5110.
4. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title: Medicare Program: Procedures for
Making National Coverage Decisions;
Use: This collection is required by a
notice (78 FR 48164–69) published on
August 7, 2013 which delineates the
process for making a national coverage
determination (NCD) including
information for external parties to
submit a formal request for a new NCD
or a reconsideration of an existing NCD.
An NCD is defined in 1862(l) of the
Social Security Act (the Act) as ‘‘a
determination by the Secretary with
respect to whether or not a particular
item or service is covered nationally
under this title.’’ This information
collection will assist us in obtaining the
information we require to make a
national coverage determination in a
timely manner and ensuring that the
Medicare program continues to meet the
needs of its beneficiaries. Form Number:
CMS–R–290 (OMB control number:
0938–0776); Frequency: Annual;
Affected Public: Private Sector: Business
or other for-profits; Number of
Respondents: 30; Total Annual
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16633
Responses: 30; Total Annual Hours:
1,200. (For policy questions regarding
this collection contact Lori M. Ashby at
410–786–6322.)
6. Type of Information Collection
Request: Revision with change of a
previously approved collection; Title:
PACE Quality Data Monitoring and
Reporting; Use: The Programs of AllInclusive Care for the Elderly (PACE)
program is a unique model of managed
care service delivery for the frail elderly,
most of whom are dually-eligible for
Medicare and Medicaid benefits. To be
eligible to enroll in PACE, an individual
must: Be 55 or older, live in the service
area of a PACE organization (PO), need
a nursing home-level of care (as certified
by the state in which he or she lives),
and be able to live safely in the
community with assistance from PACE.
PACE organizations are responsible
for providing all required Medicare and
Medicaid covered services, and any
other service that the interdisciplinary
team (IDT) determines necessary to
improve and maintain a participant’s
overall health condition (42 CFR
460.92). POs must also comply with the
quality monitoring and reporting
requirements outlined in §§ 460.140,
460.200(b)(1), 460.200(c) and 460.202.
POs are also required to report certain
unusual incidents to other Federal and
State agencies consistent with
applicable statutory or regulatory
requirements (see 42 CFR 460.136(a)(5)).
Form Number: CMS–R–10525 (OMB
control number: 0938–1264); Frequency:
Annual; Affected Public: Private Sector:
Business or other for-profits; Number of
Respondents: 131; Total Annual
Responses: 1,143; Total Annual Hours:
156,414. (For policy questions regarding
this collection contact Donna
Williamson at 410–786–4647.)
Dated: March 18, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2020–06077 Filed 3–23–20; 8:45 am]
BILLING CODE 4120–01–P
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]]>Agencies
[Federal Register Volume 85, Number 57 (Tuesday, March 24, 2020)]
[Notices]
[Pages 16631-16633]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-06077]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10468, CMS-10418, CMS-10488, CMS-R-290 and
CMS-10525]
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,
[[Page 16632]]
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 May 26, 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 proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' 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-10468 Essential Health Benefits in Alternative Benefit Plans,
Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums
and Cost Sharing; Exchanges: Eligibility and Enrollment
CMS-10418 Annual MLR and Rebate Calculation Report and MLR Rebate
Notices
CMS-10488 Consumer Experience Survey Data Collection
CMS-R-290 Medicare Program: Procedures for Making National Coverage
Decisions
CMS-10525 PACE Quality Data Monitoring and Reporting
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: Extension without change
of a currently approved collection; Title of Information Collection:
Essential Health Benefits in Alternative Benefit Plans, Eligibility
Notices, Fair Hearing and Appeal Processes, and Premiums and Cost
Sharing; Exchanges: Eligibility and Enrollment; Use: The Exchanges,
which became operational on January 1, 2014, enhanced competition in
the health insurance market, expanded access to affordable health
insurance for millions of Americans, and provided consumers with a
place to easily compare and shop for health insurance coverage. The
reporting requirements and data collection in Medicaid, Children's
Health Insurance Programs, and Exchanges: Essential Health Benefits in
Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal
Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and
Enrollment (CMS-2334-F) address: (1) Standards related to notices, (2)
procedures for the verification of enrollment in an eligible employer-
sponsored plan and eligibility for qualifying coverage in an eligible
employer-sponsored plan; and (3) other eligibility and enrollment
provisions to provide detail necessary for state implementation. The
submission seeks OMB approval of the information collection
requirements associated with selected provisions in 45 CFR parts 155,
156 and 157. Form Number: CMS-10468 (OMB control number: 0938-1207);
Frequency: Annually; Affected Public: Individuals, Households and
Private Sector; Number of Respondents: 1,522; Total Annual Responses:
9,533; Total Annual Hours: 103,710. For policy questions regarding this
collection contact Anne Pesto at 443-844-9966.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Annual MLR and
Rebate Calculation Report and MLR Rebate Notices; Use: Under Section
2718 of the Affordable Care Act and implementing regulation at 45 CFR
part 158, a health insurance issuer (issuer) offering group or
individual health insurance coverage must submit a report to the
Secretary concerning the amount the issuer spends each year on claims,
quality improvement expenses, non-claims costs, Federal and State taxes
and licensing and regulatory fees, the amount of earned premium, and
beginning with the 2014 reporting year, the amounts related to the
transitional reinsurance, risk corridors, and risk adjustment programs
established under sections 1341, 1342, and 1343, respectively, of the
Affordable Care Act. An issuer must provide an annual rebate if the
amount it spends on certain costs compared to its premium revenue
(excluding Federal and States taxes and licensing and regulatory fees)
does not meet a certain ratio, referred to as the medical loss ratio
(MLR). Each issuer is required to submit annually MLR data, including
information about any rebates it must provide, on a form prescribed by
CMS, for each State in which the issuer conducts business. Each issuer
is also required to provide a rebate notice to each policyholder that
is owed a rebate and each subscriber of policyholders that are owed a
rebate for any given MLR reporting year. Additionally, each issuer is
required to maintain for a period of seven years all documents, records
and other evidence that support the data included in each issuer's
annual report to the Secretary.
Based upon CMS' experience in the MLR data collection and
evaluation process, CMS is updating its annual burden hour estimates to
reflect the actual numbers of submissions, rebates and rebate notices.
The 2019 MLR Reporting Form and Instructions reflect changes for
the 2018 reporting year and beyond. The 2019 MLR Reporting Form and
instructions are also modified to eliminate the reporting elements that
were required under the risk corridors data submission
[[Page 16633]]
requirements in 45 CFR 153.530 for the 2014 through 2016 benefit years.
For 2019, it is expected that issuers will submit fewer reports and on
average, send fewer notices and rebate checks in the mail to
policyholders and subscribers, which will reduce burden on issuers. In
addition, issuers of qualified health plans will no longer have to
submit on the annual report the data for the risk corridors program
established under section 1342 of the Patient Protection and Affordable
Care Act. Form Number: CMS-10418 (OMB control number: 0938-1164);
Frequency: Annually; Affected Public: Private Sector, Business or other
for-profit and not-for-profit institutions; Number of Respondents: 494;
Number of Responses: 1,896; Total Annual Hours: 232,427. For policy
questions regarding this collection contact Stephanie Watson at 301-
492-4238.
3. Type of Information Collection Request: Renewal of a currently
approved collection; Title of Information Collection: Consumer
Experience Survey Data Collection; Use: Section 1311(c)(4) of the
Affordable Care Act requires the Department of Health and Human
Services (HHS) to develop an enrollee satisfaction survey system that
assesses consumer experience with qualified health plans (QHPs) offered
through an Exchange. It also requires public display of enrollee
satisfaction information by the Exchange to allow individuals to easily
compare enrollee satisfaction levels between comparable plans. HHS
established the QHP Enrollee Experience Survey (QHP Enrollee Survey) to
assess consumer experience with the QHPs offered through the
Marketplaces. The survey includes topics to assess consumer experience
with the health care system such as communication skills of providers
and ease of access to health care services. CMS developed the survey
using the Consumer Assessment of Health Providers and Systems
(CAHPS[supreg]) principles (https://www.ahrq.gov/cahps/about-cahps/principles/) and established an application and approval
process for survey vendors who want to participate in collecting QHP
enrollee experience data.
The QHP Enrollee Survey, which is based on the CAHPS[supreg] Health
Plan Survey, will be used to (1) help consumers choose among competing
health plans, (2) provide actionable information that the QHPs can use
to improve performance, (3) provide information that regulatory and
accreditation organizations can use to regulate and accredit plans, and
(4) provide a longitudinal database for consumer research. Based on the
requirements for the QHP Enrollee Survey, CMS developed this survey to
capture information about enrollees' experience with QHPs offered
through an Exchange. CMS conducted in-depth formative research
including: A comprehensive literature review, review of existing CMS
survey instruments, consumer focus groups, stakeholder discussions, and
input from a Technical Expert Panel (TEP). CMS performed a psychometric
test and beta test in 2014 and 2015, respectively. CMS began fielding
the QHP Enrollee Survey nationwide in 2016 and this request is to
continue nationwide collection and administration of the statutorily-
required survey in 2021 through 2023. These activities are necessary to
ensure that CMS fulfills legislative mandates established by section
1311(c)(4) of the Affordable Care Act to develop an ``enrollee
satisfaction survey system'' and provide such information on Exchange
websites. Form Number: CMS-10488 (OMB Control Number: 0938-1221);
Frequency: Annually; Affected Public: Public sector (Individuals and
Households), Private sector (Business or other for-profits and Not-for-
profit institutions); Number of Respondents: 285; Total Annual
Responses: 82,510; Total Annual Hours: 15,141. For policy questions
regarding this collection contact Nidhi Singh Shah at 301-492-5110.
4. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title: Medicare Program:
Procedures for Making National Coverage Decisions; Use: This collection
is required by a notice (78 FR 48164-69) published on August 7, 2013
which delineates the process for making a national coverage
determination (NCD) including information for external parties to
submit a formal request for a new NCD or a reconsideration of an
existing NCD. An NCD is defined in 1862(l) of the Social Security Act
(the Act) as ``a determination by the Secretary with respect to whether
or not a particular item or service is covered nationally under this
title.'' This information collection will assist us in obtaining the
information we require to make a national coverage determination in a
timely manner and ensuring that the Medicare program continues to meet
the needs of its beneficiaries. Form Number: CMS-R-290 (OMB control
number: 0938-0776); Frequency: Annual; Affected Public: Private Sector:
Business or other for-profits; Number of Respondents: 30; Total Annual
Responses: 30; Total Annual Hours: 1,200. (For policy questions
regarding this collection contact Lori M. Ashby at 410-786-6322.)
6. Type of Information Collection Request: Revision with change of
a previously approved collection; Title: PACE Quality Data Monitoring
and Reporting; Use: The Programs of All-Inclusive Care for the Elderly
(PACE) program is a unique model of managed care service delivery for
the frail elderly, most of whom are dually-eligible for Medicare and
Medicaid benefits. To be eligible to enroll in PACE, an individual
must: Be 55 or older, live in the service area of a PACE organization
(PO), need a nursing home-level of care (as certified by the state in
which he or she lives), and be able to live safely in the community
with assistance from PACE.
PACE organizations are responsible for providing all required
Medicare and Medicaid covered services, and any other service that the
interdisciplinary team (IDT) determines necessary to improve and
maintain a participant's overall health condition (42 CFR 460.92). POs
must also comply with the quality monitoring and reporting requirements
outlined in Sec. Sec. 460.140, 460.200(b)(1), 460.200(c) and 460.202.
POs are also required to report certain unusual incidents to other
Federal and State agencies consistent with applicable statutory or
regulatory requirements (see 42 CFR 460.136(a)(5)). Form Number: CMS-R-
10525 (OMB control number: 0938-1264); Frequency: Annual; Affected
Public: Private Sector: Business or other for-profits; Number of
Respondents: 131; Total Annual Responses: 1,143; Total Annual Hours:
156,414. (For policy questions regarding this collection contact Donna
Williamson at 410-786-4647.)
Dated: March 18, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2020-06077 Filed 3-23-20; 8:45 am]
BILLING CODE 4120-01-P
