Submission for OMB Review; Mental Health Care Services for Unaccompanied Children (New Collection), 54199-54200 [2021-21280]
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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
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PO 00000
Frm 00051
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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]
-----------------------------------------------------------------------
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
