Agency Information Collection Activities: Proposed Collection; Comment Request, 57149-57151 [2021-22448]

Download as PDF Federal Register / Vol. 86, No. 196 / Thursday, October 14, 2021 / Notices lotter on DSK11XQN23PROD with NOTICES1 Æ What policies are needed to ensure that privacy protecting identifiers are effective? • What are the premier examples of public or private sector entities that aggregate, integrate, and share information? Think of entities that operate on the scale of Federal agencies with broad and diverse missions. In addition, we are interested in entities that have moved beyond one-to-one data sharing to using standardized and automated data sharing controls. Æ For the premier entity, can you outline the policies, frameworks, strategies, organizational constructs, operational capabilities, and value creation model? • How can the Federal government engage with private sector data providers in a way that maximizes the ability to use the data or data derivatives across multiple agencies? How might we achieve this while ensuring a viable business model for data providers? Section 5: Value and Maturity As agencies formulate their data strategies, they are constantly looking for ways to deliver and communicate value. There is broad awareness of the value of Federal data. However, there is not a consensus on how to measure the value of that data. • What are meaningful approaches to defining the value of government data? Æ How can we define the value of data to different stakeholders or purposes? (e.g. government agencies in decision-making, performance management, and program evaluation, as well as to researchers, states, localities, private industry and the general public) • What are the best practices and practical experiences for conducting useful, high integrity maturity assessments in large, distributed, and decentralized federal agencies— balancing overhead and burden with utility, coverage, and alignment against ongoing efforts to implement data strategies? Æ Can you describe an example where mission or business leaders have championed maturity assessments as core to transformation initiatives they championed, why they did so, and how they did it? • What approaches or models exist to calculate the return on investment in data products, data governance, and data management? • How can we raise awareness of the value of data governance and data management in support of achieving agency value? Æ What steps do we need to take in order to integrate a data governance VerDate Sep<11>2014 17:44 Oct 13, 2021 Jkt 256001 framework into the way of doing government business? Æ How should CDOs communicate progress on and value of data governance efforts? Section 6: Ethics and Equity The Federal Data Strategy, delivered in December 2019, recognized the importance of ethics in its founding principles. The Federal Data Strategy 2020 Action Plan required the development of a Data Ethics Framework that is intended to help agency employees, managers, and leaders make ethical decisions as they acquire, manage, and use data. The Framework and its Tenets are a ‘‘living’’ resource and are to be updated by the CDO Council and Interagency Council on Statistical Policy (ICSP) every 24 months to ensure the Framework remains current. • How might the Federal Data Ethics Framework need to evolve to address racial equity and support for underserved communities? Does the Federal Data Ethics Framework sufficiently address concerns about the vulnerability of certain populations? • Are there best practices for agencies to consider at the intersection of data ethics and diversity, equity, inclusion, and accessibility? • How can we leverage Federal Data ethics to improve trust and transparency? • What steps can the CDO Council and the ICSP take to ensure the Federal Data Ethics Framework serves as the foundation of partnerships between Federal agencies, academic and research partners, state, local, and tribal governments, community and advocacy groups, and other stakeholders? • How might the Federal government encourage the adoption of the Federal Data Ethics Framework across the contractor, financial assistance communities, and other stakeholders? Section 7: Technology The Federal CDO Council is interested in better understanding the marketplace trends for both operational and analytic data management use cases. • What frameworks should agencies use to evaluate their existing data infrastructure and to modernize technology with capabilities that break down organizational data silos and ensure the best available data is available? Æ What are the best examples of where you have seen this happen in the public and private sectors? PO 00000 Frm 00027 Fmt 4703 Sfmt 4703 57149 • Are advances in data management enabling new models for information sharing? Æ How are technologies evolving with new data management models? Æ What technology components are positioned to serve as the source for operationally authoritative data? • Technology approaches go through a cycle of emphasizing integration of open source or commercial best of breed for targeted capabilities, or emphasis on integrated solutions or platforms with accompanying ecosystems. Æ Where are we in the cycle and why? Ken Ambrose, Senior Advisor CDO Council, Office of Shared Solutions and Performance Improvement, General Services Administration. [FR Doc. 2021–22267 Filed 10–13–21; 8:45 am] BILLING CODE 6820–14–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS–222–17, CMS– 10142 and CMS–10552] Agency Information Collection Activities: Proposed Collection; Comment Request Centers for Medicare & Medicaid Services, Health and Human 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, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden. SUMMARY: E:\FR\FM\14OCN1.SGM 14OCN1 57150 Federal Register / Vol. 86, No. 196 / Thursday, October 14, 2021 / Notices Comments must be received by December 13, 2021. 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 http:// 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 Numberll: 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 website address at https://www.cms.gov/ Regulations-and-Guidance/Legislation/ PaperworkReductionActof1995/PRAListing.html. FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786–4669. SUPPLEMENTARY INFORMATION: lotter on DSK11XQN23PROD with NOTICES1 DATES: 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–222–17 Independent Rural Health Clinic Cost Report CMS–10142 Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) CMS–10552 Implementation of Medicare and Medicaid Programs;— Promoting Interoperability Programs (Stage 3) (CMS–10552) 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 VerDate Sep<11>2014 17:44 Oct 13, 2021 Jkt 256001 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: Reinstatement without change of a previously approved collection; Title of Information Collection: Independent Rural Health Clinic Cost Report; Use: Under the authority of sections 1815(a) and 1833(e) of the Social Security Act (42 U.S.C. 1395g), CMS requires that providers of services participating in the Medicare program submit information to determine costs for health care services rendered to Medicare beneficiaries. CMS requires that providers follow reasonable cost principles under 1861(v)(1)(A) of the Act when completing the Medicare cost report. Regulations at 42 CFR 413.20 and 413.24 require that providers submit acceptable cost reports on an annual basis and maintain sufficient financial records and statistical data, capable of verification by qualified auditors. CMS requires Form CMS–222–17 to determine an RHC’s reasonable costs incurred in furnishing medical services to Medicare beneficiaries and reimbursement due to or from an RHC. Each RHC submits the cost report to its contractor for a reimbursement determination. Section 1874A of the Act describes the functions of the contractor. CMS regulations at 42 CFR 413.24(f)(4)(ii) requires that each RHC submit an annual cost report to their contractor in American Standard Code for Information Interchange (ASCII) electronic cost report (ECR) format. RHCs submit the ECR file to contractors using a compact disk (CD), flash drive, or the CMS approved Medicare Cost Report E-filing (MCREF) portal, [URL: https://mcref.cms.gov]. Form Number: CMS–222–17 (OMB control number: 0938–0107); Frequency: Yearly; Affected Public: Private Sector, State, Local, or Tribal Governments, Federal Government, Business or other forprofits, Not-for-profits institutions; Number of Respondents: 1,724; Total Annual Responses: 1,724; Total Annual Hours: 94,820. (For policy questions regarding this collection contact LuAnn Piccione at (410) 786–5423. 2. Type of Information Collection Request: Extension without change of a PO 00000 Frm 00028 Fmt 4703 Sfmt 4703 currently approved collection; Title of Information Collection: Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP); Use: This collection dates back to 2005. Under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), and implementing regulations at 42 CFR, Medicare Advantage organizations (MAO) and Prescription Drug Plans (PDP) are required to submit an actuarial pricing ‘‘bid’’ for each plan offered to Medicare beneficiaries for approval by the Centers for Medicare & Medicaid Services (CMS). MAOs and PDPs use the Bid Pricing Tool (BPT) software to develop their actuarial pricing bid. The competitive bidding process defined by the ‘‘The Medicare Prescription Drug, Improvement, and Modernization Act’’ (MMA) applies to both the MA and Part D programs. It is an annual process that encompasses the release of the MA rate book in April, the bid’s that plans submit to CMS in June, and the release of the Part D and RPPO benchmarks, which typically occurs in August. Form Number: CMS–10142 (OMB control number: 0938–0944); Frequency: Yearly; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 555; Total Annual Responses: 4,995; Total Annual Hours: 149,850. (For policy questions regarding this collection contact Rachel Shevland at 410–786–3026.) 3. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Implementation of Medicare and Medicaid Programs;— Promoting Interoperability Programs (Stage 3) (CMS–10552); Use: As discussed in the Final Rule published on October 16, 2016 (80 FR 62762), the Centers for Medicare & Medicaid Services (CMS) is requesting approval to collect information from eligible hospitals and critical access hospitals (CAHs). We are making further changes to this program as proposed in the FY 2022 Inpatient Prospective Payment System (IPPS)/Long-term Care Hospital Prospective Payment System (LTCH PPS) Proposed Rule (86 FR 25628), and as finalized in the FY 2022 Inpatient Prospective Payment System (IPPS)/ Long-term Care Hospital Prospective Payment System (LTCH PPS) Final Rule (86 FR 45460). The American Recovery and Reinvestment Act of 2009 (Recovery Act) (Pub. L. 111–5) was enacted on February 17, 2009. Title IV of Division B of the Recovery Act amended Titles XVIII and XIX of the Social Security Act (the Act) by establishing incentive payments to eligible professionals (EPs), E:\FR\FM\14OCN1.SGM 14OCN1 lotter on DSK11XQN23PROD with NOTICES1 Federal Register / Vol. 86, No. 196 / Thursday, October 14, 2021 / Notices eligible hospitals and critical access hospitals (CAHs), and Medicare Advantage (MA) organizations participating in the Medicare and Medicaid programs that adopt and successfully demonstrate meaningful use of certified EHR technology (CEHRT). These Recovery Act provisions, together with Title XIII of Division A of the Recovery Act, may be cited as the ‘‘Health Information Technology for Economic and Clinical Health Act’’ or the ‘‘HITECH Act.’’ The HITECH Act created incentive programs for EPs and eligible hospitals, including CAHs, in the Medicare Feefor-Service (FFS), MA, and Medicaid programs that successfully demonstrate meaningful use of certified EHR technology. In their first payment year, Medicaid EPs and eligible hospitals could adopt, implement, or upgrade to certified EHR technology. It also allowed for negative payment adjustments in the Medicare FFS and MA programs starting in 2015 for EPs, eligible hospitals, and CAHs participating in Medicare that are not meaningful users of CEHRT. The Medicaid Promoting Interoperability Program did not authorize negative payment adjustments, but its participants were eligible for positive incentive payments. In CY 2017, we began collecting data from eligible hospitals and CAHs to determine the application of the Medicare payment adjustments. At this time, Medicare eligible professionals no longer reported to the EHR Incentive Program, as they began reporting under the Merit-based Incentive Payment System (MIPS). This information collected was also used to make incentive payments to eligible hospitals and critical access hospitals in Puerto Rico. In the FY 2019 IPPS/LTCH PPS Final Rule (83 FR 41634), we focused on reducing burden on eligible hospitals and CAHs. We finalized a new scoring methodology for eligible hospitals and CAHs, removing the requirement to report on and meet the threshold for all objectives and measures. This approach required an eligible hospital or CAH to meet the requirements on six measures, with scoring based on performance. This approach reduced burden by decreasing the amount of time needed to report on measures. Additionally, we finalized two new optional opioid measures and one new care coordination measure to help address the opioid epidemic and improve interoperability. In the FY 2020 IPPS/LTCH Final Rule (84 FR 42591), we established the EHR Reporting Period to be a minimum of VerDate Sep<11>2014 17:44 Oct 13, 2021 Jkt 256001 any continuous 90-day period in CY 2021 for new and returning participants (eligible hospitals and CAHs) in the Medicare Promoting Interoperability Program attesting to CMS, as well as finalizing the removal of the Electronic Prescribing Objective’s Verify Opioid Treatment Agreement measure beginning with the EHR reporting period in CY 2020. In the FY 2021 IPPS/LTCH PPS Final Rule (85 FR 58966), we are finalizing as proposed changes that we believe will continue to be a low reporting burden on eligible hospitals and CAHs in the Medicare Promoting Interoperability Program while incentivizing the advanced use of CEHRT to support health information exchange, interoperability, advanced quality measurement, and maximizing clinical effectiveness and efficiencies. These finalized changes include continuing an EHR reporting period of a minimum of any continuous 90-day period in CY 2022, and maintaining the Query of PDMP measure as optional and worth 5 bonus points in CY 2021. In the FY 2022 IPPS/LTCH PPS Proposed Rule (86 FR 25628), we proposed changes that we believe will continue to be a low reporting burden on eligible hospitals and CAHs in the Medicare Promoting Interoperability Program while incentivizing the advanced use of CEHRT to support health information exchange, interoperability, advance quality measurement, and maximize clinical effectiveness and efficiencies. The proposals include continuing an EHR reporting period of a minimum of any continuous 90-day period in CY 2023, maintaining the Query of PDMP measure as optional but worth 10 bonus points in CY 2022, the addition of a new Health Information Exchange BiDirectional Exchange measure beginning in CY 2022 as an optional alternative to the two existing measures, a requirement of reporting 4 specific Public Health and Clinical Data Exchange Objective measures, the inclusion of a new SAFER Guides measure attestation response, and to adopt two new eCQMs to the Medicare Promoting Interoperability Program’s eCQM measure set beginning with the reporting period in CY 2023 (in addition to removing three eCQMs from the measure set beginning with the reporting period in CY 2024, in alignment with the finalized changes to the Hospital IQR Program. In the FY 2022 IPPS/LTCH PPS Final Rule (86 FR 45460 through 45498), we finalized these proposals. We did not finalize a proposal to update the Provide Patients Electronic Access to their Health PO 00000 Frm 00029 Fmt 4703 Sfmt 4703 57151 Information measure to include a data retention requirement; however, this proposal would not have affected our information collection burden estimate. We note the previously approved PRA package under OMB control number 0938–1278 reflecting updates to information collection burden estimates based on policies finalized in the FY 2021 IPPS/LTCH PPS Final Rule include information collection burden estimates for 2021, which is the last year for including Medicaid eligible providers, eligible hospitals, and CAHs in the burden estimate as the Medicaid Promoting Interoperability Program concludes December 31, 2021. Therefore, this PRA request for information collection burden in 2022 does not include any burden under the Medicaid Promoting Interoperability Program. Form Number: CMS–10552 (OMB control number: 0938–1278); Frequency: Annually; Affected Public: State, Local or Private Government; Business and for-profit and Not-forprofit; Number of Respondents: 3,300; Total Annual Responses: 3,300; Total Annual Hours: 21,450. For policy questions regarding this collection, contact Jessica Warren at 410–786– 7519.) Dated: October 8, 2021. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2021–22448 Filed 10–13–21; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–372(S), CMS– 10305, CMS–10148, CMS–10784, CMS– 10715, CMS–10768, CMS–R–43 and CMS– 10417] Agency Information Collection Activities: Submission for OMB Review; Comment Request Centers for Medicare & Medicaid Services, Health and Human Services (HHS). ACTION: Notice. AGENCY: The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS’ intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of SUMMARY: E:\FR\FM\14OCN1.SGM 14OCN1

Agencies

[Federal Register Volume 86, Number 196 (Thursday, October 14, 2021)]
[Notices]
[Pages 57149-57151]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-22448]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-222-17, CMS-10142 and CMS-10552]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
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, 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.

[[Page 57150]]


DATES: Comments must be received by December 13, 2021.

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 
http://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 website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.

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-222-17 Independent Rural Health Clinic Cost Report
CMS-10142 Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and 
Prescription Drug Plans (PDP)
CMS-10552 Implementation of Medicare and Medicaid Programs;--Promoting 
Interoperability Programs (Stage 3) (CMS-10552)

    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: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Independent Rural Health Clinic Cost Report; Use: Under the 
authority of sections 1815(a) and 1833(e) of the Social Security Act 
(42 U.S.C. 1395g), CMS requires that providers of services 
participating in the Medicare program submit information to determine 
costs for health care services rendered to Medicare beneficiaries. CMS 
requires that providers follow reasonable cost principles under 
1861(v)(1)(A) of the Act when completing the Medicare cost report. 
Regulations at 42 CFR 413.20 and 413.24 require that providers submit 
acceptable cost reports on an annual basis and maintain sufficient 
financial records and statistical data, capable of verification by 
qualified auditors.
    CMS requires Form CMS-222-17 to determine an RHC's reasonable costs 
incurred in furnishing medical services to Medicare beneficiaries and 
reimbursement due to or from an RHC. Each RHC submits the cost report 
to its contractor for a reimbursement determination. Section 1874A of 
the Act describes the functions of the contractor.
    CMS regulations at 42 CFR 413.24(f)(4)(ii) requires that each RHC 
submit an annual cost report to their contractor in American Standard 
Code for Information Interchange (ASCII) electronic cost report (ECR) 
format. RHCs submit the ECR file to contractors using a compact disk 
(CD), flash drive, or the CMS approved Medicare Cost Report E-filing 
(MCREF) portal, [URL: https://mcref.cms.gov]. Form Number: CMS-222-17 
(OMB control number: 0938-0107); Frequency: Yearly; Affected Public: 
Private Sector, State, Local, or Tribal Governments, Federal 
Government, Business or other for-profits, Not-for-profits 
institutions; Number of Respondents: 1,724; Total Annual Responses: 
1,724; Total Annual Hours: 94,820. (For policy questions regarding this 
collection contact LuAnn Piccione at (410) 786-5423.
    2. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and 
Prescription Drug Plans (PDP); Use: This collection dates back to 2005. 
Under the Medicare Prescription Drug, Improvement, and Modernization 
Act of 2003 (MMA), and implementing regulations at 42 CFR, Medicare 
Advantage organizations (MAO) and Prescription Drug Plans (PDP) are 
required to submit an actuarial pricing ``bid'' for each plan offered 
to Medicare beneficiaries for approval by the Centers for Medicare & 
Medicaid Services (CMS). MAOs and PDPs use the Bid Pricing Tool (BPT) 
software to develop their actuarial pricing bid. The competitive 
bidding process defined by the ``The Medicare Prescription Drug, 
Improvement, and Modernization Act'' (MMA) applies to both the MA and 
Part D programs. It is an annual process that encompasses the release 
of the MA rate book in April, the bid's that plans submit to CMS in 
June, and the release of the Part D and RPPO benchmarks, which 
typically occurs in August. Form Number: CMS-10142 (OMB control number: 
0938-0944); Frequency: Yearly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 555; Total Annual Responses: 4,995; 
Total Annual Hours: 149,850. (For policy questions regarding this 
collection contact Rachel Shevland at 410-786-3026.)
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Implementation of 
Medicare and Medicaid Programs;--Promoting Interoperability Programs 
(Stage 3) (CMS-10552); Use: As discussed in the Final Rule published on 
October 16, 2016 (80 FR 62762), the Centers for Medicare & Medicaid 
Services (CMS) is requesting approval to collect information from 
eligible hospitals and critical access hospitals (CAHs). We are making 
further changes to this program as proposed in the FY 2022 Inpatient 
Prospective Payment System (IPPS)/Long-term Care Hospital Prospective 
Payment System (LTCH PPS) Proposed Rule (86 FR 25628), and as finalized 
in the FY 2022 Inpatient Prospective Payment System (IPPS)/Long-term 
Care Hospital Prospective Payment System (LTCH PPS) Final Rule (86 FR 
45460).
    The American Recovery and Reinvestment Act of 2009 (Recovery Act) 
(Pub. L. 111-5) was enacted on February 17, 2009. Title IV of Division 
B of the Recovery Act amended Titles XVIII and XIX of the Social 
Security Act (the Act) by establishing incentive payments to eligible 
professionals (EPs),

[[Page 57151]]

eligible hospitals and critical access hospitals (CAHs), and Medicare 
Advantage (MA) organizations participating in the Medicare and Medicaid 
programs that adopt and successfully demonstrate meaningful use of 
certified EHR technology (CEHRT). These Recovery Act provisions, 
together with Title XIII of Division A of the Recovery Act, may be 
cited as the ``Health Information Technology for Economic and Clinical 
Health Act'' or the ``HITECH Act.''
    The HITECH Act created incentive programs for EPs and eligible 
hospitals, including CAHs, in the Medicare Fee-for-Service (FFS), MA, 
and Medicaid programs that successfully demonstrate meaningful use of 
certified EHR technology. In their first payment year, Medicaid EPs and 
eligible hospitals could adopt, implement, or upgrade to certified EHR 
technology. It also allowed for negative payment adjustments in the 
Medicare FFS and MA programs starting in 2015 for EPs, eligible 
hospitals, and CAHs participating in Medicare that are not meaningful 
users of CEHRT. The Medicaid Promoting Interoperability Program did not 
authorize negative payment adjustments, but its participants were 
eligible for positive incentive payments.
    In CY 2017, we began collecting data from eligible hospitals and 
CAHs to determine the application of the Medicare payment adjustments. 
At this time, Medicare eligible professionals no longer reported to the 
EHR Incentive Program, as they began reporting under the Merit-based 
Incentive Payment System (MIPS). This information collected was also 
used to make incentive payments to eligible hospitals and critical 
access hospitals in Puerto Rico.
    In the FY 2019 IPPS/LTCH PPS Final Rule (83 FR 41634), we focused 
on reducing burden on eligible hospitals and CAHs. We finalized a new 
scoring methodology for eligible hospitals and CAHs, removing the 
requirement to report on and meet the threshold for all objectives and 
measures. This approach required an eligible hospital or CAH to meet 
the requirements on six measures, with scoring based on performance. 
This approach reduced burden by decreasing the amount of time needed to 
report on measures. Additionally, we finalized two new optional opioid 
measures and one new care coordination measure to help address the 
opioid epidemic and improve interoperability.
    In the FY 2020 IPPS/LTCH Final Rule (84 FR 42591), we established 
the EHR Reporting Period to be a minimum of any continuous 90-day 
period in CY 2021 for new and returning participants (eligible 
hospitals and CAHs) in the Medicare Promoting Interoperability Program 
attesting to CMS, as well as finalizing the removal of the Electronic 
Prescribing Objective's Verify Opioid Treatment Agreement measure 
beginning with the EHR reporting period in CY 2020.
    In the FY 2021 IPPS/LTCH PPS Final Rule (85 FR 58966), we are 
finalizing as proposed changes that we believe will continue to be a 
low reporting burden on eligible hospitals and CAHs in the Medicare 
Promoting Interoperability Program while incentivizing the advanced use 
of CEHRT to support health information exchange, interoperability, 
advanced quality measurement, and maximizing clinical effectiveness and 
efficiencies. These finalized changes include continuing an EHR 
reporting period of a minimum of any continuous 90-day period in CY 
2022, and maintaining the Query of PDMP measure as optional and worth 5 
bonus points in CY 2021.
    In the FY 2022 IPPS/LTCH PPS Proposed Rule (86 FR 25628), we 
proposed changes that we believe will continue to be a low reporting 
burden on eligible hospitals and CAHs in the Medicare Promoting 
Interoperability Program while incentivizing the advanced use of CEHRT 
to support health information exchange, interoperability, advance 
quality measurement, and maximize clinical effectiveness and 
efficiencies. The proposals include continuing an EHR reporting period 
of a minimum of any continuous 90-day period in CY 2023, maintaining 
the Query of PDMP measure as optional but worth 10 bonus points in CY 
2022, the addition of a new Health Information Exchange Bi-Directional 
Exchange measure beginning in CY 2022 as an optional alternative to the 
two existing measures, a requirement of reporting 4 specific Public 
Health and Clinical Data Exchange Objective measures, the inclusion of 
a new SAFER Guides measure attestation response, and to adopt two new 
eCQMs to the Medicare Promoting Interoperability Program's eCQM measure 
set beginning with the reporting period in CY 2023 (in addition to 
removing three eCQMs from the measure set beginning with the reporting 
period in CY 2024, in alignment with the finalized changes to the 
Hospital IQR Program. In the FY 2022 IPPS/LTCH PPS Final Rule (86 FR 
45460 through 45498), we finalized these proposals. We did not finalize 
a proposal to update the Provide Patients Electronic Access to their 
Health Information measure to include a data retention requirement; 
however, this proposal would not have affected our information 
collection burden estimate.
    We note the previously approved PRA package under OMB control 
number 0938-1278 reflecting updates to information collection burden 
estimates based on policies finalized in the FY 2021 IPPS/LTCH PPS 
Final Rule include information collection burden estimates for 2021, 
which is the last year for including Medicaid eligible providers, 
eligible hospitals, and CAHs in the burden estimate as the Medicaid 
Promoting Interoperability Program concludes December 31, 2021. 
Therefore, this PRA request for information collection burden in 2022 
does not include any burden under the Medicaid Promoting 
Interoperability Program. Form Number: CMS-10552 (OMB control number: 
0938-1278); Frequency: Annually; Affected Public: State, Local or 
Private Government; Business and for-profit and Not-for-profit; Number 
of Respondents: 3,300; Total Annual Responses: 3,300; Total Annual 
Hours: 21,450. For policy questions regarding this collection, contact 
Jessica Warren at 410-786-7519.)

    Dated: October 8, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-22448 Filed 10-13-21; 8:45 am]
BILLING CODE 4120-01-P