Statement of Organization, Functions, and Delegations of Authority, 86568-86569 [2020-28795]
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86568
Federal Register / Vol. 85, No. 250 / Wednesday, December 30, 2020 / Notices
Information Collection: State
Permissions for Enrollment in Qualified
Health Plans in the Federally-Facilitated
Exchange & Non-Exchange Entities; Use:
On March 23, 2010, the Patient
Protection and Affordable Care Act
(PPACA; Pub. L. 111–148) was signed
into law and on March 30, 2010, the
Health Care and Education
Reconciliation Act of 2010 (Pub. L. 111–
152) was signed into law. The two laws
implement various health insurance
policies.
This information collection request
(ICR) serves as the renewal of the data
collection clearance related to the
ability of states to permit agents and
brokers, as well as Web-brokers, to assist
qualified individuals, qualified
employers, or qualified employees
enrolling in Qualified Health Plans in
the Federally Facilitated Exchange (45
CFR 155.220) and data collection
requirements related to non-exchange
entities. (45 CFR 155.260). [All
references to § 155.220 shall mean 45
CFR 155.220.] Form Number: CMS–
10650; Frequency: Annually; Affected
Public: Private Sector, State, Business,
and Not-for Profits; Number of
Respondents: 55,148; Number of
Responses: 55,148; Total Annual Hours:
272,707. (For questions regarding this
collection, contact Michele Oshman at
(301–492–4407).
2. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Transparency in
Coverage; Use: The final rules titled
‘‘Transparency in Coverage,’’ published
November 12, 2020 (85 FR 72158),
establish requirements for group health
plans and health insurance issuers
offering non-grandfathered coverage in
the individual and group markets to
disclose to a participant, beneficiary, or
enrollee (or an authorized representative
on behalf of such individual) the
consumer-specific estimated costsharing liability for covered items or
services from a particular provider,
thereby allowing a participant,
beneficiary, or enrollee to obtain an
accurate estimate and understanding of
their potential out-of-pocket expenses
and to effectively shop for covered items
and services. Plans and issuers are
required to make such information
available for covered items and services
through an internet-based self-service
tool, and, if requested, in paper form.
The internet-based self-service tool must
allow participants, beneficiaries, or
enrollees to search for cost-sharing
information for a covered item or
service by inputting the name of a
specific in-network provider in
conjunction with a billing code or
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17:47 Dec 29, 2020
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descriptive term, as well as other
relevant factors such as location of
service, facility name, or dosage. In
addition, the final rules require that the
tool allow the user to refine and reorder
search results based on geographic
proximity of in-network providers. For
covered items and services provided by
out-of-network providers, the tool must
provide the out-of-network allowed
amount, percentage of billed charges, or
other rates that provide a reasonably
accurate estimate of the amount a plan
or issuer will pay by allowing
consumers to input a billing code,
descriptive code, or other relevant
factor, such as location.
The final rules also require plans and
issuers to publicly disclose applicable
rates with in-network providers,
including negotiated rates; historical
data outlining the different billed
charges and allowed amounts a plan or
issuer has paid for covered items or
services, including prescription drugs,
furnished by out-of-network providers;
and negotiated rates and historical net
prices for covered prescription drugs
furnished by in-network providers
through three machine-readable files (an
In-network Rate File, Allowed Amount
File, and Prescription Drug File). The
machine-readable files must be posted
publicly on an internet website and
updated on a monthly basis. Form
Number: CMS–10715 (OMB control
number 0938–1372); Frequency:
Frequently; Affected Public: Public and
Private sectors; Number of Respondents:
908; Total Annual Responses: 74,460;
Total Annual Hours: 28,618,546. (For
policy questions regarding this
collection contact Russell Tipps at 301–
492–4371).
Dated: December 23, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2020–28851 Filed 12–29–20; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
Statement of Organization, Functions,
and Delegations of Authority
Part F of the Statement of
Organization, Functions, and
Delegations of Authority for the
Department of Health and Human
Services, Centers for Medicare &
Medicaid Services (CMS) (last amended
at 75 FR 14176–14178, dated March 24,
PO 00000
Frm 00040
Fmt 4703
Sfmt 4703
2010), is republished to realign
functions in the Center for Program
Integrity (CPI).
CPI is the focal point for all national
and State-wide Medicare and Medicaid
programs and integrity fraud and abuse
issues related to the Children’s Health
Insurance Program (CHIP). It promotes
the integrity of the Medicare and
Medicaid programs and CHIP through
provider/contractor audits, policy
reviews, identification and monitoring
of program vulnerabilities, and provides
support and technical assistance to
States. In addition, it recommends
modifications to programs and
operations as necessary and works with
CMS Centers, Offices, and the Chief
Operating Officer to affect changes as
appropriate, and collaborates with the
Office of Legislation on the
development and advancement of new
legislative initiatives and improvements
to deter, reduce, and eliminate fraud,
waste and abuse.
Part F, Section FC. 20 (Functions) is
as follows:
Center for Program Integrity
• Serves as CMS’ focal point for all
national and State-wide Medicare and
Medicaid programs and CHIP integrity
fraud and abuse issues.
• Promotes the integrity of the
Medicare and Medicaid programs and
CHIP through provider/contractor audits
and policy reviews, identification and
monitoring of program vulnerabilities,
and providing support and assistance to
States. Recommends modifications to
programs and operations as necessary
and works with CMS Centers, Offices,
and the Chief Operating Officer (COO)
to affect changes as appropriate.
Collaborates with the Office of
Legislation on the development and
advancement of new legislative
initiatives and improvements to deter,
reduce, and eliminate fraud, waste and
abuse.
• Oversees all CMS interactions and
collaboration with key stakeholders
relating to program integrity (i.e., U.S.
Department of Justice, DHHS Office of
Inspector General, State law
enforcement agencies, other Federal
entities, CMS components) for the
purposes of detecting, deterring,
monitoring and combating fraud and
abuse, as well as taking action against
those that commit or participate in
fraudulent or other unlawful activities.
• In collaboration with other CMS
Centers, Offices, and the COO, develops
and implements a comprehensive
strategic plan, objectives and measures
to carry out CMS’ Medicare, Medicaid
and CHIP program integrity mission and
goals, and ensure program
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86569
Federal Register / Vol. 85, No. 250 / Wednesday, December 30, 2020 / Notices
vulnerabilities are identified and
resolved.
Authority: 44 U.S.C. 3101.
The Administrator of the Centers for
Medicare & Medicaid Services (CMS),
Seema Verma, having reviewed and
approved this document, authorizes
Lynette Wilson, who is the Federal
Register Liaison, to electronically sign
this document for purposes of
publication in the Federal Register.
Dated: December 22, 2020.
Lynette Wilson,
Federal Register, Centers for Medicare &
Medicaid Services.
[FR Doc. 2020–28795 Filed 12–28–20; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; OPRE Data Collection for
Supporting Youth To Be Successful in
Life (SYSIL) (New Collection)
Office of Planning, Research,
and Evaluation, Administration for
Children and Families, HHS.
ACTION: Request for public comment.
AGENCY:
The Administration for
Children and Families (ACF) is
requesting approval from the Office of
Management and Budget (OMB) for a
new data collection. The Supporting
Youth to be Successful in Life study
SUMMARY:
(SYSIL) will build evidence on how to
end homelessness among youth and
young adults with experience in the
child welfare system by continuing
work with an organization who
conducted foundational work as part of
the Youth At-Risk of Homelessness
project (OMB Control Number: 0970–
0445). SYSIL will provide important
information to the field by designing
and conducting a federally led
evaluation of a comprehensive service
model for youth at risk of homelessness.
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,
ACF 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
OPREinfocollection@acf.hhs.gov.
Alternatively, copies can also be
obtained by writing to the
Administration for Children and
Families, Office of Planning, Research,
and Evaluation, 330 C Street SW,
Washington, DC 20201, Attn: OPRE
Reports Clearance Officer. All requests,
emailed or written, should be identified
by the title of the information collection.
SUPPLEMENTARY INFORMATION:
Description: The SYSIL evaluation
includes an implementation study and
an impact study, which will use a
rigorous quasi-experimental design that
includes a comparison group. This new
information collection request includes
the baseline and follow-up survey
instruments for the impact study (a
single instrument administered four
times), and discussion guides for
interviews and focus groups and the
Working Alliance Inventory (WAI) for
the implementation study. The data
collected from the baseline and followup surveys will be used to describe the
characteristics of the study sample of
youth, develop models for estimating
program impacts, and determine
program effectiveness by comparing
outcomes between youth in the
treatment (youth receiving the Pathways
program) and control groups. Data from
the interviews and focus groups will
provide a detailed understanding of
program implementation. The study
will also use administrative data from
the child welfare system, homelessness
management information system, and
program providers. Administrative data
will be used in its existing format and
does not impose any new information
collection or recordkeeping
requirements on respondents.
Respondents: The baseline and
follow-up surveys will be administered
to youth in the treatment group (youth
receiving the Pathways program) and
youth in the control group who consent
to participate in the study. Interviews
will be conducted with program
leadership and staff. Focus groups will
be conducted with a subset of youth
who are participating in the study. The
WAI will be completed by Pathways
youth and their caseworkers.
ANNUAL BURDEN ESTIMATES
Number of
respondents
(total over
request
period)
Instrument
SYSIL Youth Survey—Baseline survey ...............................
SYSIL Youth Survey—Follow-up survey 1 (6 months) .......
SYSIL Youth Survey—Follow-up survey 2 (12 months) .....
SYSIL Youth Survey—Follow-up survey 3 (24 months) .....
Interview guide for Pathways sites (treatment sites) ...........
Interview guide for comparison sites ...................................
Focus group discussion guide for Pathways youth (treatment youth) ......................................................................
Focus group discussion guide for comparison youth ..........
Working Alliance Inventory for Pathways youth ..................
Working Alliance Inventory for Pathways case workers .....
Estimated Total Annual Burden
Hours: 485.
Comments: The Department
specifically requests comments on (a)
whether the proposed collection of
information is necessary for the proper
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17:47 Dec 29, 2020
Jkt 253001
Number of
responses per
respondent
(total over
request
period)
Frm 00041
Fmt 4703
Total burden
(in hours)
Annual burden
(in hours)
700
630
595
372
30
30
1
1
1
1
1
1
.5
.5
.5
.5
1.5
1.5
350
315
298
186
45
45
117
105
99
62
15
15
50
50
400
40
1
1
1
10
1.5
1.5
.08
.08
75
75
32
32
25
25
11
11
performance of the functions of the
agency, including whether the
information shall have practical utility;
(b) the accuracy of the agency’s estimate
of the burden of the proposed collection
of information; (c) the quality, utility,
PO 00000
Avg. burden
per response
(in hours)
Sfmt 4703
and clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
E:\FR\FM\30DEN1.SGM
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]]>Agencies
[Federal Register Volume 85, Number 250 (Wednesday, December 30, 2020)]
[Notices]
[Pages 86568-86569]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-28795]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
Statement of Organization, Functions, and Delegations of
Authority
Part F of the Statement of Organization, Functions, and Delegations
of Authority for the Department of Health and Human Services, Centers
for Medicare & Medicaid Services (CMS) (last amended at 75 FR 14176-
14178, dated March 24, 2010), is republished to realign functions in
the Center for Program Integrity (CPI).
CPI is the focal point for all national and State-wide Medicare and
Medicaid programs and integrity fraud and abuse issues related to the
Children's Health Insurance Program (CHIP). It promotes the integrity
of the Medicare and Medicaid programs and CHIP through provider/
contractor audits, policy reviews, identification and monitoring of
program vulnerabilities, and provides support and technical assistance
to States. In addition, it recommends modifications to programs and
operations as necessary and works with CMS Centers, Offices, and the
Chief Operating Officer to affect changes as appropriate, and
collaborates with the Office of Legislation on the development and
advancement of new legislative initiatives and improvements to deter,
reduce, and eliminate fraud, waste and abuse.
Part F, Section FC. 20 (Functions) is as follows:
Center for Program Integrity
Serves as CMS' focal point for all national and State-wide
Medicare and Medicaid programs and CHIP integrity fraud and abuse
issues.
Promotes the integrity of the Medicare and Medicaid
programs and CHIP through provider/contractor audits and policy
reviews, identification and monitoring of program vulnerabilities, and
providing support and assistance to States. Recommends modifications to
programs and operations as necessary and works with CMS Centers,
Offices, and the Chief Operating Officer (COO) to affect changes as
appropriate. Collaborates with the Office of Legislation on the
development and advancement of new legislative initiatives and
improvements to deter, reduce, and eliminate fraud, waste and abuse.
Oversees all CMS interactions and collaboration with key
stakeholders relating to program integrity (i.e., U.S. Department of
Justice, DHHS Office of Inspector General, State law enforcement
agencies, other Federal entities, CMS components) for the purposes of
detecting, deterring, monitoring and combating fraud and abuse, as well
as taking action against those that commit or participate in fraudulent
or other unlawful activities.
In collaboration with other CMS Centers, Offices, and the
COO, develops and implements a comprehensive strategic plan, objectives
and measures to carry out CMS' Medicare, Medicaid and CHIP program
integrity mission and goals, and ensure program
[[Page 86569]]
vulnerabilities are identified and resolved.
Authority: 44 U.S.C. 3101.
The Administrator of the Centers for Medicare & Medicaid Services
(CMS), Seema Verma, having reviewed and approved this document,
authorizes Lynette Wilson, who is the Federal Register Liaison, to
electronically sign this document for purposes of publication in the
Federal Register.
Dated: December 22, 2020.
Lynette Wilson,
Federal Register, Centers for Medicare & Medicaid Services.
[FR Doc. 2020-28795 Filed 12-28-20; 8:45 am]
BILLING CODE 4120-01-P
