Agency Information Collection Activities: Proposed Collection; Comment Request, 9627-9629 [2022-03727]
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Federal Register / Vol. 87, No. 35 / Tuesday, February 22, 2022 / Notices
Department of Health and Human
Services (DHHS) Assistant Secretary for
Planning and Evaluation (ASPE), the
Office of Enterprise Data and Analytics
(OEDA) in CMS has been designated as
the lead participant for the U.S.
The PaRIS Survey will help to close
critical policy gaps by focusing on: (1)
Patient Reported Experience Measures
(PREMS) which measure how patients
experience health care, and (2) Patient
Reported Outcome Measures (PROMS)
which measure how patients assess the
results of the care they receive. The
PaRIS survey includes both PREMS and
PROMS items and aims to collect vital
information about primary health care,
by asking about topics such as the
respondent’s health, health behaviors,
patient activation and confidence in
managing their health care, experiences
with health care and health providers
including access to health care, quality
of life, physical functioning, and
psychological well-being.
OECD and its member countries will
use data collected by the PaRIS Survey
to shed light on key questions about
how well care in each country is
organized around the needs of patients.
Results from the survey will show how
key outcomes and experiences vary
across and within countries. This will
allow countries to benchmark and learn
from each other’s approaches. The
survey will also help policy makers in
OECD member countries understand
how health systems are addressing the
needs of persons with chronic health
conditions. Findings will foster a
dialogue with service providers about
how to further improve the performance
and people-centeredness of primary
health care services.
To facilitate U.S. participation in this
important initiative, CMS will leverage
the existing sample for the Medicare
Current Beneficiary Survey (MCBS). The
MCBS is a continuous, multi-purpose
survey of a representative national
sample of the Medicare population; it is
conducted under OMB clearance
number 0938–0568. While the MCBS
sample includes the population of
beneficiaries aged 65 and over and
beneficiaries aged 64 and below with
certain disabling conditions residing in
the U.S., selection for the PaRIS Survey
will be limited to beneficiaries aged 65
and over who have seen a medical
provider in the last six months to
provide a comparable population to
survey respondents selected in other
participating OECD countries.
Interviewers will telephone MCBS
respondents and administer the PaRIS
Survey by phone as a one-time
standalone survey during January
through April 2023. Non-response
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follow-up will be conducted by
telephone and in-person as needed. It is
estimated that 5,144 Medicare
beneficiaries will participate in this 40minute survey. CMS plans to release a
disclosure protected public use file with
accompanying methodological
documentation. This public use file will
also be made available to OECD for
analysis and released with data from
other participating countries. Form
Number: CMS–10792 (OMB: 0938-New);
Frequency: One-time collection;
Affected Public: Individuals residing in
households; Total Number of
Respondents: 10,498; Total Number of
Responses: 10,498; Total Hours: 3,814
(For policy questions regarding this
collection contact William Long at 410–
786–7927.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Generic
Clearance for the Health Care Payment
Learning and Action Network; Use: The
Center for Medicare and Medicaid
Services (CMS), through the Center for
Medicare and Medicaid Innovation,
develops and tests innovative new
payment and service delivery models in
accordance with the requirements of
section 1115A and in consideration of
the opportunities and factors set forth in
section 1115A(b)(2) of the Act. To date,
CMS has built a portfolio of models (in
operation or recently announced) that
have attracted participation from a
broad array of health care providers,
states, payers, and other stakeholders.
To more effectively partner with
stakeholders across the health care
system and accelerate system
transformation, CMS launched the
Health Care Payment Learning and
Action Network (LAN) to accelerate the
transition to Medicare and nonMedicare alternative payment models
by collaborating with a broad array of
health care delivery stakeholders,
identifying best practices in their
implementation, and monitoring the
adoption of value-based alternative
payment models across the U.S. health
care system—to include the percentage
of Medicare, Medicaid, and nonMedicare payments tied to (and U.S.
lives covered by) alternative payment
models that reward the quality of care
delivered. Form Number: CMS–10575
(OMB control number: 0938–1297);
Frequency: Occasionally; Affected
Public: Individuals and Households,
State, Local, or Tribal Governments,
Federal Government, Private Sector
(Business or other for-profits and Notfor-profits); Number of Respondents:
30,110; Number of Responses: 23,110;
Total Annual Hours: 26,467. (For
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9627
questions regarding this collection
contact Dustin Allison (303) 437–6123.)
Dated: February 16, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2022–03725 Filed 2–18–22; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10391, CMS–
R–74, CMS–R–306, CMS–265–11 and CMS–
10544]
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.
DATES: Comments must be received by
April 25, 2022.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number. To be assured
consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send your
comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
SUMMARY:
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Federal Register / Vol. 87, No. 35 / Tuesday, February 22, 2022 / Notices
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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: lll, 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.
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–10391—Methods for Assuring
Access to Covered Medicaid
Services Under 42 CFR 447.203 and
447.204
CMS–R–74 Income and Eligibility
Verification System Reporting and
Supporting Regulations
CMS–R–306 Use of Restraint and
Seclusion in Psychiatric Residential
Treatment Facilities (PRTFs) for
Individuals Under Age 21 and
Supporting Regulations
CMS–265–11 Independent Renal
Dialysis Facility Cost Report
CMS–10544 Good Cause Processes
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
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submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
Information Collection
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Methods for
Assuring Access to Covered Medicaid
Services Under 42 CFR 447.203 and
447.204; Use: Current regulations at 42
CFR 447.203(b) require states to develop
an access monitoring review plan
(AMRP) that is updated at least every
three years for: Primary care services,
physician specialist services, behavioral
health services, pre and post-natal
obstetric services (including labor and
delivery), and home health services.
When states reduce rates for other
Medicaid services, they must add those
services to the AMRP and monitor the
effects of the rate reductions for 3 years.
If access issues are detected, a state
must submit a corrective action plan to
CMS within 90 days and work to
address the issues within 12 months.
Section 447.203(b)(7) requires that states
have mechanisms to obtain ongoing
beneficiary and provider feedback. A
state is also required to maintain a
record of data on public input and how
the state responded to the input. Prior
to submitting proposals to reduce or
restructure Medicaid service payment
rates, states must receive input from
beneficiaries, providers, and other
affected stakeholders on the extent of
beneficiary access to the affected
services.
The information is used by states to
document that access to care is in
compliance with section 1902(a)(30)(A)
of the Social Security Act, to identify
issues with access within a state’s
Medicaid program, and to inform any
necessary programmatic changes to
address issues with access to care. CMS
uses the information to make informed
approval decisions on State plan
amendments that propose to make
Medicaid rate reductions or restructure
payment rates and to provide the
necessary information for CMS to
monitor ongoing compliance with
section 1902(a)(30)(A). Beneficiaries,
providers and other affected
stakeholders may use the information to
raise access issues to state Medicaid
agencies and work with agencies to
address those issues. Form Number:
CMS–10391 (OMB control number:
0938–1134); Frequency: Annually;
Affected Public: State, Local, or Tribal
Governments); Number of Respondents:
51; Total Annual Responses: 212; Total
Annual Hours: 12,262. (For questions
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regarding this collection contact Jeremy
Silanskis at 410–786–1592.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Income and
Eligibility Verification System Reporting
and Supporting Regulations; Use:
Section 1137 of the Social Security Act
requires that States verify the income
and eligibility information contained on
the applicant’s application and in the
applicant’s case file through data
matches with the agencies and entities
identified in this section. The State
Medicaid/CHIP agency will report the
existence of a system to collect all
information needed to determine and
redetermine eligibility for Medicaid and
CHIP. The State Medicaid/CHIP agency
will attest to using the PARIS system in
determining beneficiary eligibility in
Medicaid or CHIP benefit programs.
Form Number: CMS–R–74 (OMB control
number: 0938–0467); Frequency:
Occasionally; Affected Public: State,
Local, or Tribal Governments; Number
of Respondents: 55; Total Annual
Responses: 3,241; Total Annual Hours:
1,071. (For policy questions regarding
this collection contact Stephanie Bell at
410–786–0617.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Use of Restraint
and Seclusion in Psychiatric Residential
Treatment Facilities (PRTFs) for
Individuals Under Age 21 and
Supporting Regulations; Use:
Psychiatric residential treatment
facilities are required to report deaths,
serious injuries and attempted suicides
to the State Medicaid Agency and the
Protection and Advocacy Organization.
They are also required to provide
residents the restraint and seclusion
policy in writing, and to document in
the residents’ records all activities
involving the use of restraint and
seclusion. Form Number: CMS–R–306
(OMB control number: 0938–0833);
Frequency: Occasionally; Affected
Public: Private sector (Business or other
for-profits); Number of Respondents:
390; Total Annual Responses:
1,466,823; Total Annual Hours: 449,609.
(For policy questions regarding this
collection contact Kirsten Jensen at 410–
786–8146.)
4. Type of Information Collection
Request: Reinstatement with change;
Title of Information Collection:
Independent Renal Dialysis Facility
Cost Report; Use: Under the authority of
sections 1815(a) and 1833(e) of the Act,
CMS requires that providers of services
participating in the Medicare program
submit information to determine costs
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Federal Register / Vol. 87, No. 35 / Tuesday, February 22, 2022 / Notices
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 (MCR). 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.
ESRD facilities participating in the
Medicare program submit these cost
reports annually to report cost and
statistical data used by CMS to
determine reasonable costs incurred for
furnishing dialysis services to Medicare
beneficiaries and to effect the year-end
cost settlement for Medicare bad debts.
Form Number: CMS–265–11 (OMB
control number: 0938–0236); Frequency:
Annually; Affected Public: Private
Sector, Business or other for-profits,
State, Local, or Tribal Governments);
Number of Respondents: 7,492; Total
Annual Responses: 7,492; Total Annual
Hours: 494,472. (For questions regarding
this collection contact Keplinger, Jill C
at 410–786–4550.)
5. Type of Information Collection
Request: Reinstatement without change;
Title of Information Collection: Good
Cause Processes; Use: Section
1851(g)(3)(B)(i) of the Act provides that
MA organizations may terminate the
enrollment of individuals who fail to
pay basic and supplemental premiums
after a grace period established by the
plan. Section 1860D–1(b)(1)(B)(v) of the
Act generally directs us to establish
rules related to enrollment,
disenrollment, and termination for Part
D plan sponsors that are similar to those
established for MA organizations under
section 1851 of the Act. Consistent with
these sections of the Act, subpart B in
each of the Parts C and D regulations
sets forth requirements with respect to
involuntary disenrollment procedures at
42 CFR 422.74 and 423.44, respectively.
In addition, section 1876(c)(3)(B)
establishes that individuals may be
disenrolled from coverage as specified
in regulations. Thus, current regulations
at 42 CFR 417.460 specify that a cost
plan, specifically a Health Maintenance
Organization (HMO) or competitive
medical plan (CMP), may disenroll a
member who fails to pay premiums or
other charges imposed by the plan for
deductible and coinsurance amounts.
These good cause provisions
authorize CMS to reinstate a disenrolled
individual’s enrollment without
interruption in coverage if the nonpayment is due to circumstances that
the individual could not reasonably
foresee or could not control, such as an
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unexpected hospitalization. At its
inception, the process of accepting,
reviewing, and processing beneficiary
requests for reinstatement for good
cause was carried out exclusively by
CMS. Form Number: CMS–10544 (OMB
control number: 0938–1271); Frequency:
Annually; Affected Public: Business or
other for-profits State, Local, or Tribal
Governments); Number of Respondents:
312; Total Annual Responses: 41,289;
Total Annual Hours: 27,499. (For
questions regarding this collection
contact Fabayo, Ronke at (410) 786–
4460.)
Dated: February 16, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2022–03727 Filed 2–18–22; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
OMB No. 0970–0502
Proposed Information Collection
Activity; Behavioral Interventions To
Advance Self-Sufficiency Next
Generation
Office of Planning, Research,
and Evaluation, Administration for
Children and Families, HHS.
ACTION: Request for public comment.
AGENCY:
The Office of Planning,
Research, and Evaluation (OPRE) in the
Administration for Children and
Families (ACF), U.S. Department of
Health and Human Services (HHS),
requests Office of Management and
Budget (OMB) approval to extend
approval of the ACF Behavioral
Interventions to Advance SelfSufficiency Next Generation (BIAS–NG)
Project Overarching Generic (OMB #:
0970–0502; Expiration date: 8/31/2022).
Under this overarching generic, ACF
collects data as part of rapid cycle
testing and evaluation, in order to
inform the design of interventions
informed by behavioral science and to
better understand the mechanisms and
effects of such interventions.
Interventions have been and will
continue to be developed in the program
area domains of Temporary Assistance
for Needy Families (TANF), child
welfare, and Early Head Start/Head Start
(EHS/HS). These interventions are
intended to improve outcomes for
participants in these programs. No
changes are proposed.
SUMMARY:
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9629
Comments due within 60 days of
publication. In compliance with the
requirements of the Paperwork
Reduction Act of 1995, ACF is soliciting
public comment on the specific aspects
of the information collection described
above.
ADDRESSES: You can obtain copies of the
proposed collection of information and
submit comments by emailing
OPREinfocollection@acf.hhs.gov.
Identify all requests by the title of the
information collection.
SUPPLEMENTARY INFORMATION:
Description: OPRE is conducting the
BIAS–NG project, which uses
behavioral insights to design and test
interventions intended to improve the
efficiency, operations, and efficacy of
human services programs. The BIAS–
NG project is applying and testing
behavioral insights to ACF programs
including TANF, Child Welfare, and
EHS/HS. This notice is a request for
comments on ACF’s proposal to extend
approval of the overarching generic.
Under the approved pilot generic
clearance, OPRE has already completed
work with five sites and has conducted
five tests. The extended approval would
allow OPRE to continue to work with at
least three additional sites, conducting
one or more tests of behavioral
interventions. The design and testing of
BIAS–NG interventions is rapid and, to
the extent possible, iterative. Each
specific intervention is designed in
consultation with agency leaders and
launched as quickly as possible. To
maximize the likelihood that the
intervention produces measurable,
significant, and positive effects on
outcomes of interest, rapid cycle
evaluation techniques will be employed
in which proximate outcomes will be
measured to allow the research team to
more quickly iterate and adjust the
intervention design, informing
subsequent tests. Due to the rapid and
iterative nature of this work, OPRE
sought and received generic clearance to
conduct this research. Following
standard OMB requirements for generic
clearances, once instruments requiring
burden are tailored to a specific site and
the site’s intervention, OPRE submits an
individual generic information
collection request under this umbrella
clearance. Each request includes the
individual instrument(s), a justification
specific to the individual information
collection, a description of the proposed
intervention, and any supplementary
documents. Each specific information
collection includes up to two
submissions—one submission for the
formative stage research and another
submission for any further data
DATES:
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]]>Agencies
[Federal Register Volume 87, Number 35 (Tuesday, February 22, 2022)]
[Notices]
[Pages 9627-9629]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-03727]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10391, CMS-R-74, CMS-R-306, CMS-265-11 and
CMS-10544]
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.
DATES: Comments must be received by April 25, 2022.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number. To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send your comments electronically to
https://www.regulations.gov. Follow the instructions for ``Comment or
[[Page 9628]]
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.
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-10391--Methods for Assuring Access to Covered Medicaid Services
Under 42 CFR 447.203 and 447.204
CMS-R-74 Income and Eligibility Verification System Reporting and
Supporting Regulations
CMS-R-306 Use of Restraint and Seclusion in Psychiatric Residential
Treatment Facilities (PRTFs) for Individuals Under Age 21 and
Supporting Regulations
CMS-265-11 Independent Renal Dialysis Facility Cost Report
CMS-10544 Good Cause Processes
Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain
approval from the Office of Management and Budget (OMB) for each
collection of information they conduct or sponsor. The term
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests or requirements that members of
the public submit reports, keep records, or provide information to a
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies
to publish a 60-day notice in the Federal Register concerning each
proposed collection of information, including each proposed extension
or reinstatement of an existing collection of information, before
submitting the collection to OMB for approval. To comply with this
requirement, CMS is publishing this notice.
Information Collection
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Methods for
Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and
447.204; Use: Current regulations at 42 CFR 447.203(b) require states
to develop an access monitoring review plan (AMRP) that is updated at
least every three years for: Primary care services, physician
specialist services, behavioral health services, pre and post-natal
obstetric services (including labor and delivery), and home health
services. When states reduce rates for other Medicaid services, they
must add those services to the AMRP and monitor the effects of the rate
reductions for 3 years. If access issues are detected, a state must
submit a corrective action plan to CMS within 90 days and work to
address the issues within 12 months. Section 447.203(b)(7) requires
that states have mechanisms to obtain ongoing beneficiary and provider
feedback. A state is also required to maintain a record of data on
public input and how the state responded to the input. Prior to
submitting proposals to reduce or restructure Medicaid service payment
rates, states must receive input from beneficiaries, providers, and
other affected stakeholders on the extent of beneficiary access to the
affected services.
The information is used by states to document that access to care
is in compliance with section 1902(a)(30)(A) of the Social Security
Act, to identify issues with access within a state's Medicaid program,
and to inform any necessary programmatic changes to address issues with
access to care. CMS uses the information to make informed approval
decisions on State plan amendments that propose to make Medicaid rate
reductions or restructure payment rates and to provide the necessary
information for CMS to monitor ongoing compliance with section
1902(a)(30)(A). Beneficiaries, providers and other affected
stakeholders may use the information to raise access issues to state
Medicaid agencies and work with agencies to address those issues. Form
Number: CMS-10391 (OMB control number: 0938-1134); Frequency: Annually;
Affected Public: State, Local, or Tribal Governments); Number of
Respondents: 51; Total Annual Responses: 212; Total Annual Hours:
12,262. (For questions regarding this collection contact Jeremy
Silanskis at 410-786-1592.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Income and
Eligibility Verification System Reporting and Supporting Regulations;
Use: Section 1137 of the Social Security Act requires that States
verify the income and eligibility information contained on the
applicant's application and in the applicant's case file through data
matches with the agencies and entities identified in this section. The
State Medicaid/CHIP agency will report the existence of a system to
collect all information needed to determine and redetermine eligibility
for Medicaid and CHIP. The State Medicaid/CHIP agency will attest to
using the PARIS system in determining beneficiary eligibility in
Medicaid or CHIP benefit programs. Form Number: CMS-R-74 (OMB control
number: 0938-0467); Frequency: Occasionally; Affected Public: State,
Local, or Tribal Governments; Number of Respondents: 55; Total Annual
Responses: 3,241; Total Annual Hours: 1,071. (For policy questions
regarding this collection contact Stephanie Bell at 410-786-0617.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Use of Restraint
and Seclusion in Psychiatric Residential Treatment Facilities (PRTFs)
for Individuals Under Age 21 and Supporting Regulations; Use:
Psychiatric residential treatment facilities are required to report
deaths, serious injuries and attempted suicides to the State Medicaid
Agency and the Protection and Advocacy Organization. They are also
required to provide residents the restraint and seclusion policy in
writing, and to document in the residents' records all activities
involving the use of restraint and seclusion. Form Number: CMS-R-306
(OMB control number: 0938-0833); Frequency: Occasionally; Affected
Public: Private sector (Business or other for-profits); Number of
Respondents: 390; Total Annual Responses: 1,466,823; Total Annual
Hours: 449,609. (For policy questions regarding this collection contact
Kirsten Jensen at 410-786-8146.)
4. Type of Information Collection Request: Reinstatement with
change; Title of Information Collection: Independent Renal Dialysis
Facility Cost Report; Use: Under the authority of sections 1815(a) and
1833(e) of the Act, CMS requires that providers of services
participating in the Medicare program submit information to determine
costs
[[Page 9629]]
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
(MCR). 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.
ESRD facilities participating in the Medicare program submit these
cost reports annually to report cost and statistical data used by CMS
to determine reasonable costs incurred for furnishing dialysis services
to Medicare beneficiaries and to effect the year-end cost settlement
for Medicare bad debts. Form Number: CMS-265-11 (OMB control number:
0938-0236); Frequency: Annually; Affected Public: Private Sector,
Business or other for-profits, State, Local, or Tribal Governments);
Number of Respondents: 7,492; Total Annual Responses: 7,492; Total
Annual Hours: 494,472. (For questions regarding this collection contact
Keplinger, Jill C at 410-786-4550.)
5. Type of Information Collection Request: Reinstatement without
change; Title of Information Collection: Good Cause Processes; Use:
Section 1851(g)(3)(B)(i) of the Act provides that MA organizations may
terminate the enrollment of individuals who fail to pay basic and
supplemental premiums after a grace period established by the plan.
Section 1860D-1(b)(1)(B)(v) of the Act generally directs us to
establish rules related to enrollment, disenrollment, and termination
for Part D plan sponsors that are similar to those established for MA
organizations under section 1851 of the Act. Consistent with these
sections of the Act, subpart B in each of the Parts C and D regulations
sets forth requirements with respect to involuntary disenrollment
procedures at 42 CFR 422.74 and 423.44, respectively. In addition,
section 1876(c)(3)(B) establishes that individuals may be disenrolled
from coverage as specified in regulations. Thus, current regulations at
42 CFR 417.460 specify that a cost plan, specifically a Health
Maintenance Organization (HMO) or competitive medical plan (CMP), may
disenroll a member who fails to pay premiums or other charges imposed
by the plan for deductible and coinsurance amounts.
These good cause provisions authorize CMS to reinstate a
disenrolled individual's enrollment without interruption in coverage if
the non-payment is due to circumstances that the individual could not
reasonably foresee or could not control, such as an unexpected
hospitalization. At its inception, the process of accepting, reviewing,
and processing beneficiary requests for reinstatement for good cause
was carried out exclusively by CMS. Form Number: CMS-10544 (OMB control
number: 0938-1271); Frequency: Annually; Affected Public: Business or
other for-profits State, Local, or Tribal Governments); Number of
Respondents: 312; Total Annual Responses: 41,289; Total Annual Hours:
27,499. (For questions regarding this collection contact Fabayo, Ronke
at (410) 786-4460.)
Dated: February 16, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-03727 Filed 2-18-22; 8:45 am]
BILLING CODE 4120-01-P
