Submission for Office of Management and Budget Review; Tribal Maternal, Infant, and Early Childhood Home Visiting Program: Guidance for Submitting an Annual Report to the Secretary (Office of Management and Budget #0970-0409), 80540-80541 [2022-28427]
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80540
Federal Register / Vol. 87, No. 250 / Friday, December 30, 2022 / Notices
approved collection; Title: Medicare
Durable Medical Equipment,
Prosthetics, Orthotics, and Supplies
(DMEPOS) Competitive Bidding
Program—Contracting Forms; Use:
Since 1989, Medicare has been paying
for durable medical equipment,
prosthetics, orthotics, and supplies
(DMEPOS) (other than customized
items) using fee schedule amounts that
are calculated for each item or category
of DMEPOS identified by a Healthcare
Common Procedure Coding System
(HCPCS) code. Payments are based on
the average DMEPOS supplier charges
on Medicare claims from 1986 and 1987
and are updated annually on a factor
legislated by Congress. For many years,
the Government Accountability Office
(GAO) and the Office of Inspector
General (OIG) of the United States (U.S.)
Department of Health and Human
Services (HHS) have reported that these
fees are often highly inflated and that
Medicare has paid higher than market
rates for several different types of
DMEPOS. Due to reports of Medicare
overpayment of DMEPOS, Congress
required that the Centers for Medicare &
Medicaid Services (CMS) conduct a
competitive bidding demonstration
project for these items. Accordingly,
CMS implemented a demonstration
project for this program from 1999–2002
which produced significant savings for
beneficiaries and taxpayers without
hindering access to DMEPOS and
related services. Shortly after the
successful competitive bidding
demonstrations, Congress passed the
Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 (MMA) and mandated a phased-in
approach to implement this program
over the course of several years
beginning in 2007 in 10 metropolitan
statistical areas (MSAs). This statute
specifically required the Secretary to
establish and implement programs
under which competitive bidding areas
(CBAs) are established throughout the
U.S. for contract award purposes for the
furnishing of certain competitively
priced items and services for which
payment is made under Medicare Part
B. This program is commonly known as
the Medicare DMEPOS Competitive
Bidding Program (the Program).
CMS conducted its first round of
bidding, Round 1, for the Program in
2007 with the help of its contractor, the
Competitive Bidding Implementation
Contractor (CBIC). CMS published a
Request for Bids (RFB) and instructions
for DMEPOS suppliers to submit their
bids to participate in the Program.
During this first round of bidding,
DMEPOS suppliers from across the U.S.
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17:08 Dec 29, 2022
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submitted bids to furnish competitively
bid item(s) to Medicare beneficiaries
residing or traveling to Round 1 CBAs.
CMS evaluated these bids and
contracted with those bidders that met
all program requirements. Round 1 was
successfully implemented on July 1,
2008.
On July 15, 2008, however, Congress
delayed the Program in section 154 of
the Medicare Improvements for Patients
and Providers Act of 2008 (MIPPA).
MIPPA mandated certain changes to the
Program which included, but was not
limited to: a delay of Round 1
(competition to begin in 2009) and
Round 2 of the Program (competition to
begin in 2011 in 70 specific MSAs); the
exclusion of Puerto Rico and negative
pressure wound therapy from Round 1
and Group 3 complex rehabilitative
power wheelchairs from all rounds of
competition; a process for providing
feedback to bidders regarding missing
financial documentation; and a
requirement for contract suppliers to
disclose to CMS information regarding
subcontracting relationships. Section
154 of MIPPA specified that the
competition for national mail-order
(NMO) items and services may be
phased in after 2010. This section of
MIPPA also specified that competitions
to phase-in additional areas could occur
after 2011. As required by MIPPA, CMS
conducted the competition for the
Round 1 Rebid in 2009. The Round 1
Rebid contracts and prices became
effective on January 1, 2011. The
Affordable Care Act (ACA), enacted on
March 23, 2010, expanded the Round 2
competition by adding an additional 21
MSAs, bringing the total MSAs for
Round 2 to 91. The competition for
Round 2 began in December 2011. CMS
also began a NMO competition for
diabetes testing supplies (DTS) at the
same time as Round 2. The Round 2 and
NMO DTS contracts and prices were
implemented on July 1, 2013.
The MMA requires the Secretary to
recompete contracts not less often than
once every three years. The Round 1
Rebid contract period for all product
categories except NMO DTS expired on
December 31, 2013. (Round 1 Rebid
contracts for NMO DTS ended on
December 31, 2012.) The competition
for the Round 1 Recompete began in
August of 2012 and contracts and prices
became effective on January 1, 2014.
The Round 1 Recompete contract period
expired on December 31, 2016. Round 1
2017 contracts were effective on January
1, 2017, and expired on December 31,
2018. Round 2 and NMO DTS contracts
and prices expired on June 30, 2016.
Round 2 Recompete and the NMO DTS
Recompete contracts became effective
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Frm 00019
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on July 1, 2016, and expired on
December 31, 2018.
On October 31, 2018, CMS issued a
final rule (CMS–1691–F) requiring
changes to bidding and pricing
methodologies to be implemented under
the next round of the Program. As a
result, starting January 1, 2019, there
was a temporary gap in the entire
Program that lasted two years until
December 31, 2020. When the program
resumed in January 2021, CMS
implemented a consolidated round of
competition to include most Round 1
2017 and Round 2 Recompete CBAs for
Round 2021. However, due to the 2019
novel coronavirus (COVID–19)
pandemic, and the unexpected bid
evaluation results, CMS only awarded
Round 2021 contracts for two product
categories: Off-The-Shelf (OTS) Back
and OTS Knee Braces. As a result, this
Paperwork Reduction Act (PRA)
package reflects a significant reduction
in burden, compared to previous
packages, for Round 2021 which was
implemented on January 1, 2021, and
will concluded on December 31, 2023.
This iteration of the package currently
approved under OMB control number
0938–1408 is based on data from the
first year of Round 2021 (January 1,
2021–December 31, 2021). Form
Number: CMS–10744 (OMB control
number: 0938–1408); Frequency:
Occasionally; Affected Public: Private
sector (Business or other for profits and
Not-for-profit institutions); Number of
Respondents: 179; Total Annual
Responses: 121,407; Total Annual
Hours: 97,069. (For policy questions
regarding this collection contact Joe
Bryson at 410–786–2986.)
Dated: December 27, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2022–28466 Filed 12–29–22; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for Office of Management
and Budget Review; Tribal Maternal,
Infant, and Early Childhood Home
Visiting Program: Guidance for
Submitting an Annual Report to the
Secretary (Office of Management and
Budget #0970–0409)
Office of Early Childhood
Development, Administration for
AGENCY:
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80541
Federal Register / Vol. 87, No. 250 / Friday, December 30, 2022 / Notices
Children and Families, U.S. Department
of Health and Human Services.
ACTION: Request for public comments.
The Administration for
Children and Families (ACF), Office of
Early Childhood Development (ECD) is
requesting revisions to the Tribal
Maternal, Infant, and Early Childhood
Home Visiting Program (Tribal
MIECHV) Guidance for Submitting
Reports to the Secretary (Office of
Management and Budget (OMB) #0970–
0409; expiration September 30, 2024).
Guidance under this OMB number
includes that for an annual report and
that for a final report. This request is for
review of the final report guidance.
There are no changes proposed to the
guidance for the annual report.
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. You can also obtain
copies of the proposed collection of
information by emailing infocollection@
acf.hhs.gov. Identify all emailed
requests by the title of the information
collection.
SUMMARY:
SUPPLEMENTARY INFORMATION:
Description: Section 511(e)(8)(A) of
Title V of the Social Security Act
requires that grantees under the
MIECHV Program for states and
jurisdictions submit an annual and a
final report to the Secretary of Health
and Human Services regarding the
program and activities carried out under
the program, including such data and
information as the Secretary shall
require. Section 511(h)(2)(A) further
states that the requirements for the
MIECHV grants to tribes, tribal
organizations, and urban Indian
organizations are to be consistent, to the
greatest extent practicable, with the
requirements for grantees under the
MIECHV Program for states and
jurisdictions.
ECD, in collaboration with the Health
Resources and Services Administration,
Maternal and Child Health Bureau
awarded grants for the Tribal MIECHV
Program (Tribal Home Visiting) to
support cooperative agreements to
conduct community needs assessments;
plan for and implement high-quality,
culturally relevant, evidence-based
home visiting programs in at-risk tribal
communities; establish, measure, and
report on progress toward meeting
performance measures in six
legislatively mandated benchmark areas;
and conduct rigorous evaluation
activities to build the knowledge base
on home visiting among Native
populations.
After the first grant year, Tribal Home
Visiting grantees must comply with the
requirement to submit an annual report
to the Secretary that should feature
activities carried out under the program
during the past reporting period, and a
final report to the Secretary during the
final year of their grant. To assist
grantees with meeting these
requirements, ACF created guidance for
grantees to use when writing their
reports. The annual and final report
guidance specifies that grantees must
address the following:
• Update and reflections on meeting
Home Visiting Program Goals and
Objectives
• Update and reflections on Home
Visiting Programs in Targeted
Community(ies)
• Update and reflections on meeting
Legislatively Mandated Benchmark
Requirements
• Update and reflections on Rigorous
Evaluation Activities
• Update and reflections on Home
Visiting Program Continuous Quality
Improvement (CQI) Efforts
• Update and reflections on
Dissemination Activities
• Update and reflections on
Administration of Home Visiting
Program
• Update and reflections on Technical
Assistance Needs
Previously, the guidance included
information about both the annual and
the final reports from grantees. In 2021,
ECD separated out the annual report
guidance and received OMB approval
for that in September 2021. ECD is now
requesting review of guidance specific
to the final report.
Respondents: Tribal Home Visiting
Managers (information collection does
not include direct interaction with
individuals or families that receive the
services).
ANNUAL BURDEN ESTIMATES
Total
number of
respondents
Instrument
Annual Report to the Secretary .......................................................................
Final Report to the Secretary ..........................................................................
Annual
number of
responses per
respondent
30
30
Average
burden hours
per response
1
* .33
25
25
Annual burden
hours
750
248
khammond on DSKJM1Z7X2PROD with NOTICES
* Note that this is estimated to be .33 because grantees provide one final report over the three-year approval period.
Estimated Total Annual Burden
Hours: 998.
Authority: Title V of the Social
Security Act, sections 511(e)(8)(A) and
511(h)(2)(A).
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Mary B. Jones,
ACF/OPRE Certifying Officer.
Submission for OMB Review;
Temporary Assistance for Needy
Families (TANF) Financial Report,
ACF–196T (OMB #0970–0345)
[FR Doc. 2022–28427 Filed 12–29–22; 8:45 am]
Administration for Children and
Families
BILLING CODE 4184–43–P
Office of Family Assistance,
Administration for Children and
AGENCY:
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Families, U.S. Department of Health and
Human Services.
ACTION:
Request for public comments.
The Administration for
Children and Families (ACF) is
requesting a 3-year extension of the
Temporary Assistance for Needy
Families (TANF) Financial Report, Form
ACF–196T (Office of Management and
Budget (OMB) #0970–0345, expiration
April 30, 2023). ACF is proposing minor
SUMMARY:
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]]>Agencies
[Federal Register Volume 87, Number 250 (Friday, December 30, 2022)]
[Notices]
[Pages 80540-80541]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-28427]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Submission for Office of Management and Budget Review; Tribal
Maternal, Infant, and Early Childhood Home Visiting Program: Guidance
for Submitting an Annual Report to the Secretary (Office of Management
and Budget #0970-0409)
AGENCY: Office of Early Childhood Development, Administration for
[[Page 80541]]
Children and Families, U.S. Department of Health and Human Services.
ACTION: Request for public comments.
-----------------------------------------------------------------------
SUMMARY: The Administration for Children and Families (ACF), Office of
Early Childhood Development (ECD) is requesting revisions to the Tribal
Maternal, Infant, and Early Childhood Home Visiting Program (Tribal
MIECHV) Guidance for Submitting Reports to the Secretary (Office of
Management and Budget (OMB) #0970-0409; expiration September 30, 2024).
Guidance under this OMB number includes that for an annual report and
that for a final report. This request is for review of the final report
guidance. There are no changes proposed to the guidance for the annual
report.
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. You can
also obtain copies of the proposed collection of information by
emailing [email protected]. Identify all emailed requests by
the title of the information collection.
SUPPLEMENTARY INFORMATION:
Description: Section 511(e)(8)(A) of Title V of the Social Security
Act requires that grantees under the MIECHV Program for states and
jurisdictions submit an annual and a final report to the Secretary of
Health and Human Services regarding the program and activities carried
out under the program, including such data and information as the
Secretary shall require. Section 511(h)(2)(A) further states that the
requirements for the MIECHV grants to tribes, tribal organizations, and
urban Indian organizations are to be consistent, to the greatest extent
practicable, with the requirements for grantees under the MIECHV
Program for states and jurisdictions.
ECD, in collaboration with the Health Resources and Services
Administration, Maternal and Child Health Bureau awarded grants for the
Tribal MIECHV Program (Tribal Home Visiting) to support cooperative
agreements to conduct community needs assessments; plan for and
implement high-quality, culturally relevant, evidence-based home
visiting programs in at-risk tribal communities; establish, measure,
and report on progress toward meeting performance measures in six
legislatively mandated benchmark areas; and conduct rigorous evaluation
activities to build the knowledge base on home visiting among Native
populations.
After the first grant year, Tribal Home Visiting grantees must
comply with the requirement to submit an annual report to the Secretary
that should feature activities carried out under the program during the
past reporting period, and a final report to the Secretary during the
final year of their grant. To assist grantees with meeting these
requirements, ACF created guidance for grantees to use when writing
their reports. The annual and final report guidance specifies that
grantees must address the following:
Update and reflections on meeting Home Visiting Program Goals
and Objectives
Update and reflections on Home Visiting Programs in Targeted
Community(ies)
Update and reflections on meeting Legislatively Mandated
Benchmark Requirements
Update and reflections on Rigorous Evaluation Activities
Update and reflections on Home Visiting Program Continuous
Quality Improvement (CQI) Efforts
Update and reflections on Dissemination Activities
Update and reflections on Administration of Home Visiting
Program
Update and reflections on Technical Assistance Needs
Previously, the guidance included information about both the annual
and the final reports from grantees. In 2021, ECD separated out the
annual report guidance and received OMB approval for that in September
2021. ECD is now requesting review of guidance specific to the final
report.
Respondents: Tribal Home Visiting Managers (information collection
does not include direct interaction with individuals or families that
receive the services).
Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
Annual number Average burden
Instrument Total number of responses hours per Annual burden
of respondents per respondent response hours
----------------------------------------------------------------------------------------------------------------
Annual Report to the Secretary.................. 30 1 25 750
Final Report to the Secretary................... 30 * .33 25 248
----------------------------------------------------------------------------------------------------------------
* Note that this is estimated to be .33 because grantees provide one final report over the three-year approval
period.
Estimated Total Annual Burden Hours: 998.
Authority: Title V of the Social Security Act, sections
511(e)(8)(A) and 511(h)(2)(A).
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2022-28427 Filed 12-29-22; 8:45 am]
BILLING CODE 4184-43-P
