Submission for OMB Review; Mental Health Care Services for Unaccompanied Children (New Collection), 54199-54200 [2021-21280]

Download as PDF 54199 Federal Register / Vol. 86, No. 187 / Thursday, September 30, 2021 / Notices and U. More specifically, § 423.2006 of the Part D appeals rules discusses the AIC threshold amounts for ALJ hearings and judicial review. Sections 423.2002 and 423.2006 grant a Part D enrollee who is dissatisfied with the independent review entity (IRE) reconsideration determination a right to an ALJ hearing if the amount remaining in controversy after the IRE reconsideration meets the threshold amount established annually by the Secretary, and other requirements set forth in § 423.2002. Sections 423.2006 and 423.2136 allow a Part D enrollee to request judicial review of an ALJ or Medicare Appeals Council decision if the AIC meets the threshold amount established annually by the Secretary, and other requirements are met as set forth in these provisions. II. Provisions of the Notice—Annual AIC Adjustments A. AIC Adjustment Formula and AIC Adjustments Section 1869(b)(1)(E) of the Act requires that the AIC threshold amounts be adjusted annually, beginning in January 2005, by the percentage increase in the medical care component of the CPI for all urban consumers (U.S. city average) for July 2003 to July of the year preceding the year involved and rounded to the nearest multiple of $10. B. Calendar Year 2022 The AIC threshold amount for ALJ hearings will remain at $180 and the AIC threshold amount for judicial review will remain at $1,760 for CY 2022. These amounts are based on the 76.149 percent increase in the medical care component of the CPI, which was at 297.600 in July 2003 and rose to CY 2018 ALJ Hearing ......................................................................... Judicial Review .................................................................... $160 1,600 DEPARTMENT OF HEALTH AND HUMAN SERVICES This document does not impose information collection requirements, that is, reporting, recordkeeping or third-party disclosure requirements. Consequently, there is no need for review by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.). The Administrator of the Centers for Medicare & Medicaid Services (CMS), Chiquita Brooks-LaSure, having reviewed and approved this document, authorizes Vanessa Garcia, who is the Federal Register Liaison, to electronically sign this document for purposes of publication in the Federal Register. Administration for Children and Families [FR Doc. 2021–21288 Filed 9–29–21; 8:45 am] BILLING CODE 4120–01–P Submission for OMB Review; Mental Health Care Services for Unaccompanied Children (New Collection) Office of Refugee Resettlement, Administration for Children and Families, Department of Health and Human Services. ACTION: Request for public comment. AGENCY: The Office of Refugee Resettlement (ORR), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is inviting public comments on the proposed collection. The request consists of several forms that allow the Unaccompanied Children (UC) Program to provide mental health care services to UC. DATES: Comments due within 30 days of publication. OMB must make a decision about the collection of information between 30 and 60 days after publication of this document in the Federal Register. Therefore, a comment is best assured of having its full effect if OMB receives it within 30 days of publication. SUMMARY: Written comments and recommendations for the proposed ADDRESSES: VerDate Sep<11>2014 18:15 Sep 29, 2021 Jkt 253001 PO 00000 Frm 00051 Fmt 4703 Sfmt 4703 C. Summary Table of Adjustments in the AIC Threshold Amounts In the following table we list the CYs 2018 through 2022 threshold amounts. CY 2020 $160 1,630 III. Collection of Information Requirements Vanessa Garcia, Federal Register Liaison, Centers for Medicare & Medicaid Services. LOTTER on DSK11XQN23PROD with NOTICES1 CY 2019 524.219 in July 2021. The AIC threshold amount for ALJ hearings changes to $176.15 based on the 76.149 percent increase over the initial threshold amount of $100 established in 2003. In accordance with section 1869(b)(1)(E)(iii) of the Act, the adjusted threshold amounts are rounded to the nearest multiple of $10. Therefore, the CY 2022 AIC threshold amount for ALJ hearings is $180.00. The AIC threshold amount for judicial review changes to $1,761.49 based on the 76.149 percent increase over the initial threshold amount of $1,000. This amount was rounded to the nearest multiple of $10, resulting in the CY 2022 AIC threshold amount of $1,760.00 for judicial review. $170 1,670 CY 2021 $180 1,760 CY 2022 $180 1,760 information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/ PRAMain. Find this particular information collection by selecting ‘‘Currently under 30-day Review—Open for Public Comments’’ or by using the search function. SUPPLEMENTARY INFORMATION: Description: ORR received several comments on this information collection in response to the Federal Register Notice published on January 7, 2021, (86 FR 1114) and has provided responses to those comments in its final submission to OMB. UC Path is critical to program operations and it is important that rollout of the new system not be delayed. Therefore, the below description details what will be included in the initial launch of the UC Path case management system and revisions based on public comments will be made after initial launch. ORR plans to conduct a deliberative review of commenters’ suggestions and concerns and submit a request for revisions to this information collection request in January 2022. The upcoming information collection request will also include revisions based on feedback from UC Path system users (i.e., ORR grantee, contractor, and federal staff). 1. Initial Mental Health Evaluation (Form MH–1): This instrument is used by clinicians to document the UC’s mental state upon arrival to the care provider facility. It includes an E:\FR\FM\30SEN1.SGM 30SEN1 54200 Federal Register / Vol. 86, No. 187 / Thursday, September 30, 2021 / Notices assessment of the UC’s current mental state, psychiatric history, and substance use history. 2. Columbia Suicide Severity Rating Scale (SSRS) Risk Assessment (Form MH–2): This instrument is used by clinicians to assess suicide risk for UC who verbalize or demonstrate suicidal thoughts or behavior. It is a shorter version of the standard Columbia SSRS used to triage mental health care for UC, a tool designed to support suicide risk assessment through a series of simple, plain-language questions that anyone can ask. The Columbia SSRS includes the most essential, evidence-supported questions required for a thorough assessment. Further information about the Columbia SSRS can be found at https://cssrs.columbia.edu/thecolumbia-scale-c-ssrs/about-the-scale/. 3. Mental Health Group Event (Form MH–3): This instrument is used by clinicians to document group counseling or community meetings held at the care provider program. 4. Clinical Contact Log (Form MH–4): This instrument is used by clinicians to document the following mental health services: Individual counseling, group counseling, community meetings, family counseling sessions, screenings/ evaluations, and collateral contact with services providers involved in the UC’s case. Mental Health Group Events (Form MH–3) may be linked to a Clinical Contact Log entry. 5. Mental Health Referral (Form MH– 5): This instrument is used by clinicians and/or medical coordinators to refer a UC for community-based mental health care services (assessments/evaluations, psychotherapy, medical referrals, and treatment); acute and long-term psychiatric hospitalizations; and referrals to out-of-network residential treatment centers. 6. Mental Health Service Report (Form MH–6): This instrument is used by clinicians and/or medical coordinators to document the provision of community-based mental health care services (assessments/evaluations, psychotherapy, medical referrals, and treatment); acute and long-term psychiatric hospitalizations; and referrals to out-of-network residential treatment centers. In addition, the UC interview portion of the Out-of-Network Site Visit Report (Form M–3B), which is part of a different information collection request, is accessible from within this instrument. 7. Mental Health Task (Form MH–7): This instrument is auto-generated to create reminders for clinicians and/or medical coordinators of tasks that must be completed. Clinicians and/or medical coordinators may edit the instrument after it is generated. Revisions: 1. ORR plans to replace the term ‘‘unaccompanied alien child (UC)’’ with ‘‘unaccompanied child (UC)’’ throughout the instruments in this collection. The revision in terminology will be made before the UC Path system is launched. 2. ORR plans to remove the term ‘‘alien’’ from the title of this information collection and revise it to read ‘‘Mental Health Care Services for Unaccompanied Children.’’ Respondents: ORR grantee and contractor staff, and UC. ANNUAL BURDEN ESTIMATES Annual total number of respondents Instrument Average burden minutes per response Annual total burden hours Initial Mental Health Evaluation (Form MH–1) ................................................ Columbia SSRS Risk Assessment (Form MH–2) ........................................... Mental Health Group Event (Form MH–3) ...................................................... Clinical Contact Log (Form MH–4) .................................................................. Mental Health Referral (Form MH–5) .............................................................. Mental Health Service Report (Form MH–6) ................................................... Mental Health Task (Form MH–7) ................................................................... 216 216 216 216 216 216 216 241 5 156 11,194 24 31 55 60 45 10 10 45 45 5 52,056 810 5,616 402,984 3,888 5,022 990 Estimated Annual Burden Hours Total: .................................................... ........................ ........................ ........................ 471,366 Families, Department of Health and Human Services. ACTION: Request for public comment. Authority: 6 U.S.C. 279; 8 U.S.C. 1232; Flores v. Reno Settlement Agreement, No. CV85–4544–RJK (C.D. Cal. 1996). The Office of Refugee Resettlement (ORR), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is inviting public comments on revisions to an approved information collection. The request consists of several forms that allow the Unaccompanied Children (UC) Program to process release of UC from ORR custody and provide services after release. SUMMARY: Mary B. Jones, ACF/OPRE Certifying Officer. [FR Doc. 2021–21280 Filed 9–29–21; 8:45 am] BILLING CODE 4184–45–P DEPARTMENT OF HEALTH AND HUMAN SERVICES LOTTER on DSK11XQN23PROD with NOTICES1 Annual total number of responses per respondent Administration for Children and Families Submission for OMB Review; Release of Unaccompanied Children From ORR Custody (OMB #0970–0552) Office of Refugee Resettlement, Administration for Children and AGENCY: VerDate Sep<11>2014 20:52 Sep 29, 2021 Jkt 253001 Comments due within 30 days of publication. OMB must make a decision about the collection of information between 30 and 60 days after publication of this document in the Federal Register. Therefore, a comment DATES: PO 00000 Frm 00052 Fmt 4703 Sfmt 4703 is best assured of having its full effect if OMB receives it within 30 days of publication. ADDRESSES: Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/ PRAMain. Find this particular information collection by selecting ‘‘Currently under 30-day Review—Open for Public Comments’’ or by using the search function. SUPPLEMENTARY INFORMATION: Description: ORR received several comments on this information collection in response to the Federal Register Notice published on February 25, 2021, (86 FR 11536) and has provided responses to those comments in its final submission to OMB. UC Path is critical to program operations, and it E:\FR\FM\30SEN1.SGM 30SEN1

Agencies

[Federal Register Volume 86, Number 187 (Thursday, September 30, 2021)]
[Notices]
[Pages 54199-54200]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-21280]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Submission for OMB Review; Mental Health Care Services for 
Unaccompanied Children (New Collection)

AGENCY: Office of Refugee Resettlement, Administration for Children and 
Families, Department of Health and Human Services.

ACTION: Request for public comment.

-----------------------------------------------------------------------

SUMMARY: The Office of Refugee Resettlement (ORR), Administration for 
Children and Families (ACF), U.S. Department of Health and Human 
Services (HHS), is inviting public comments on the proposed collection. 
The request consists of several forms that allow the Unaccompanied 
Children (UC) Program to provide mental health care services to UC.

DATES: Comments due within 30 days of publication. OMB must make a 
decision about the collection of information between 30 and 60 days 
after publication of this document in the Federal Register. Therefore, 
a comment is best assured of having its full effect if OMB receives it 
within 30 days of publication.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.

SUPPLEMENTARY INFORMATION:
    Description: ORR received several comments on this information 
collection in response to the Federal Register Notice published on 
January 7, 2021, (86 FR 1114) and has provided responses to those 
comments in its final submission to OMB. UC Path is critical to program 
operations and it is important that rollout of the new system not be 
delayed. Therefore, the below description details what will be included 
in the initial launch of the UC Path case management system and 
revisions based on public comments will be made after initial launch. 
ORR plans to conduct a deliberative review of commenters' suggestions 
and concerns and submit a request for revisions to this information 
collection request in January 2022. The upcoming information collection 
request will also include revisions based on feedback from UC Path 
system users (i.e., ORR grantee, contractor, and federal staff).
    1. Initial Mental Health Evaluation (Form MH-1): This instrument is 
used by clinicians to document the UC's mental state upon arrival to 
the care provider facility. It includes an

[[Page 54200]]

assessment of the UC's current mental state, psychiatric history, and 
substance use history.
    2. Columbia Suicide Severity Rating Scale (SSRS) Risk Assessment 
(Form MH-2): This instrument is used by clinicians to assess suicide 
risk for UC who verbalize or demonstrate suicidal thoughts or behavior. 
It is a shorter version of the standard Columbia SSRS used to triage 
mental health care for UC, a tool designed to support suicide risk 
assessment through a series of simple, plain-language questions that 
anyone can ask. The Columbia SSRS includes the most essential, 
evidence-supported questions required for a thorough assessment. 
Further information about the Columbia SSRS can be found at https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/about-the-scale/.
    3. Mental Health Group Event (Form MH-3): This instrument is used 
by clinicians to document group counseling or community meetings held 
at the care provider program.
    4. Clinical Contact Log (Form MH-4): This instrument is used by 
clinicians to document the following mental health services: Individual 
counseling, group counseling, community meetings, family counseling 
sessions, screenings/evaluations, and collateral contact with services 
providers involved in the UC's case. Mental Health Group Events (Form 
MH-3) may be linked to a Clinical Contact Log entry.
    5. Mental Health Referral (Form MH-5): This instrument is used by 
clinicians and/or medical coordinators to refer a UC for community-
based mental health care services (assessments/evaluations, 
psychotherapy, medical referrals, and treatment); acute and long-term 
psychiatric hospitalizations; and referrals to out-of-network 
residential treatment centers.
    6. Mental Health Service Report (Form MH-6): This instrument is 
used by clinicians and/or medical coordinators to document the 
provision of community-based mental health care services (assessments/
evaluations, psychotherapy, medical referrals, and treatment); acute 
and long-term psychiatric hospitalizations; and referrals to out-of-
network residential treatment centers. In addition, the UC interview 
portion of the Out-of-Network Site Visit Report (Form M-3B), which is 
part of a different information collection request, is accessible from 
within this instrument.
    7. Mental Health Task (Form MH-7): This instrument is auto-
generated to create reminders for clinicians and/or medical 
coordinators of tasks that must be completed. Clinicians and/or medical 
coordinators may edit the instrument after it is generated.
    Revisions:
    1. ORR plans to replace the term ``unaccompanied alien child (UC)'' 
with ``unaccompanied child (UC)'' throughout the instruments in this 
collection. The revision in terminology will be made before the UC Path 
system is launched.
    2. ORR plans to remove the term ``alien'' from the title of this 
information collection and revise it to read ``Mental Health Care 
Services for Unaccompanied Children.''
    Respondents: ORR grantee and contractor staff, and UC.

                                             Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
                                                                   Annual total       Average
                                                   Annual total      number of        burden       Annual total
                   Instrument                        number of     responses per    minutes per    burden hours
                                                    respondents     respondent       response
----------------------------------------------------------------------------------------------------------------
Initial Mental Health Evaluation (Form MH-1)....             216             241              60          52,056
Columbia SSRS Risk Assessment (Form MH-2).......             216               5              45             810
Mental Health Group Event (Form MH-3)...........             216             156              10           5,616
Clinical Contact Log (Form MH-4)................             216          11,194              10         402,984
Mental Health Referral (Form MH-5)..............             216              24              45           3,888
Mental Health Service Report (Form MH-6)........             216              31              45           5,022
Mental Health Task (Form MH-7)..................             216              55               5             990
                                                 ---------------------------------------------------------------
    Estimated Annual Burden Hours Total:........  ..............  ..............  ..............         471,366
----------------------------------------------------------------------------------------------------------------

    Authority: 6 U.S.C. 279; 8 U.S.C. 1232; Flores v. Reno Settlement 
Agreement, No. CV85-4544-RJK (C.D. Cal. 1996).

Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2021-21280 Filed 9-29-21; 8:45 am]
BILLING CODE 4184-45-P