Agency Information Collection Activities: Proposed Collection; Comment Request, 5360-5361 [2023-01718]

Download as PDF khammond on DSKJM1Z7X2PROD with NOTICES 5360 Federal Register / Vol. 88, No. 18 / Friday, January 27, 2023 / Notices 23, 2010, the President signed into law H.R. 3590, the Patient Protection and Affordable Care Act, Public Law 111– 148, as amended by the Health Care and Education Reconciliation Act of 2010, Public Law 111–152. The Patient Protection and Affordable Care Act (PPACA) expands access to health insurance coverage through improvements to the Medicaid and Children’s Health Insurance (CHIP) programs, the establishment of Affordable Insurance Exchanges (Exchanges), and the coordination between Medicaid, CHIP, and Exchanges. Small business employers may participate in and provide health coverage through the Small Business Health Options Program (SHOP), so long as the small business employer obtains a positive eligibility determination from SHOP. Employers will work with SHOP-registered agents/brokers or Issuers offering Qualified Health Plans (QHPs) and Qualified Dental Plans (SADPs), to enroll in SHOP coverage and to select coverage options to offer their employees. SHOP Exchanges became operational on October 1, 2013. HHS has developed a single, streamlined form that employers use to obtain a SHOP eligibility determination, which is included as an appendix to this Information Collection Request. 45 CFR 155.731 provides more detail about this ‘‘single employer application,’’ which is used to determine employer eligibility. Since publication of the last package, no updates have been made in regulation concerning what information should be collected on the single employer application to determine employer eligibility under 45 CFR 155.731. When an employer completes the SHOP Eligibility Determination Form, the form and its results are retained by SHOP for future use, if needed (e.g., reconciliation with issuer records, SHOP employer appeals, etc.). Form Number: CMS–10439 (OMB control number 0938–1193); Frequency: Annually; Affected Public: Private Sector (business or other for-profits, notfor-profit institutions); Number of Respondents: 2,100; Number of Responses: 2,100; Total Annual Hours: 336. (For questions regarding this collection contact Elliot Klein at 410– 786–0415). 2. Type of Information Collection Request: New collection (Request for a new OMB control number); Title of Information Collection: Data Collection to Support CMS Burden Reduction and Health Informatics Efforts; Use: CMS seeks to establish a generic clearance that will be used to permit quick turnaround data collection projects that support CMS efforts to infuse customer VerDate Sep<11>2014 16:53 Jan 26, 2023 Jkt 259001 perspectives, apply innovative solutions, advance standards and information technology (IT) interoperability, advance health equity, and respond to emerging priorities. CMS will utilize a range of methodologies through this generic clearance including surveys, focus groups, stakeholder/key informant interviews, cognitive interviews, site visits, and usability testing. Data collected under this generic clearance will support CMS and OBRHI efforts to reduce the burden of CMS regulations, sub-regulations, and policies as well as increasing the use of digital health tools to improve the customer experience. Obtaining feedback from CMS stakeholders is a core component of OBRHI’s work to assist CMS in improving service delivery. Form number: CMS–10830 (OMB control number: 0938–New); Frequency: Occasionally; Affected Public: Private Sector (Businesses or other for-profits and Not-for-profit institutions); Number of Respondents: 15,648; Number of Responses: 15,648; Total Burden Hours: 5,034. (For questions regarding this collection contact Re´na McClain at 410–786– 3975). Dated: January 24, 2023. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2023–01713 Filed 1–26–23; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS–10224 & CMS– 10242] 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 (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 SUMMARY: PO 00000 Frm 00062 Fmt 4703 Sfmt 4703 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 March 28, 2023. 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 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: ll, 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, please access the CMS PRA website by copying and pasting the following web address into your web browser: 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–10224 CMS HCPCS Modification to Code Set Form CMS–10242 Emergency Ambulance Transports and Beneficiary Signature Under the PRA (44 U.S.C. 3501– 3520), federal agencies must obtain E:\FR\FM\27JAN1.SGM 27JAN1 Federal Register / Vol. 88, No. 18 / Friday, January 27, 2023 / Notices khammond on DSKJM1Z7X2PROD with NOTICES 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: Revision of a currently approved collection; Title of Information Collection: CMS HCPCS Modification to Code Set Form; Use: The Healthcare Common Procedure Coding System (HCPCS) Level II code set is one of the standard code sets used for this purpose. The HCPCS Level II code set, also referred to as alphanumeric codes, is a standardized coding system that is used primarily to identify items, supplies, and services not included in the HCPCS Level I Current Procedural Terminology (CPT®) codes, such as ambulatory services and durable medical equipment, prosthetics, orthotics, and supplies when used in the home or outpatient setting as well as certain drugs and biologicals. Because Medicare and other insurers cover a variety of these services and supplies, HCPCS Level II codes were established for assignment by insurers to identify items on claims. HCPCS Level II classifies similar items or services that are medical in nature into categories for the purpose of efficient claims processing. For each alpha-numeric HCPCS code, there is descriptive terminology that identifies a category of like items. As stated in 42 CFR Sec. 414.40(a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. The HCPCS code set has been maintained and distributed via modifications of codes, modifiers and descriptions, as a direct result of data received from applicants. Thus, information collected in the application is significant to code set maintenance. The HCPCS code set maintenance is an ongoing process, as changes are implemented and updated quarterly (for drug and biological products) and VerDate Sep<11>2014 16:53 Jan 26, 2023 Jkt 259001 biannual (for non-drug and nonbiological items or services); therefore, the process requires continual collection of information from applicants on a quarterly and bi-annual basis. As new technology evolves and new devices, drugs and supplies are introduced to the market, applicants submit applications to CMS requesting modifications to the HCPCS Level II code set. Form Number: CMS–10244 (OMB control number: 0938–1042); Frequency: Quarterly; Affected Public: Private sector, Business or other for-profit; Number of Respondents: 250; Total Annual Responses: 250; Total Annual Hours: 2,500. (For policy questions regarding this collection contact Sundus Ashar at 410–786–0750.) 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Emergency Ambulance Transports and Beneficiary Signature; Use: The statutory authority requiring a beneficiary’s signature on a claim submitted by a provider is located in section 1835(a) and in 1814(a) of the Social Security Act (the Act), for Part B and Part A services, respectively. The authority requiring a beneficiary’s signature for supplier claims is implicit in sections 1842(b)(3)(B)(ii) and in 1848(g)(4) of the Act. Federal regulations at 42 CFR 424.32(a)(3) state that all claims must be signed by the beneficiary or on behalf of the Beneficiary (in accordance with 424.36). Section 424.36(a) states that the beneficiary’s signature is required on a claim unless the beneficiary has died or the provisions of 424.36(b), (c), or (d) apply. For emergency and nonemergency ambulance transport services, where the beneficiary is physically or mentally incapable of signing the claim (and the beneficiary’s authorized representative is unavailable or unwilling to sign the claim), that it is impractical and infeasible to require an ambulance provider or supplier to later locate the beneficiary or the person authorized to sign on behalf of the beneficiary, before submitting the claim to Medicare for payment. Therefore, an exception was created to the beneficiary signature requirement with respect to emergency and nonemergency ambulance transport services, where the beneficiary is physically or mentally incapable of signing the claim, and if certain documentation requirements are met. Thus, we added subsection (6) to paragraph (b) of 42 CFR 424.36. The information required in this ICR is needed to help ensure that services were in fact rendered and were rendered as billed. Form Number: CMS–10242 PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 5361 (OMB control number: 0938–1049); Frequency: Occasionally; Affected Public: Private sector, Business or other for-profit, Not-for-profits institutions; Number of Respondents: 10,233; Total Annual Responses: 10,954,288; Total Annual Hours: 912,492. (For policy questions regarding this collection contact Sabrina Teferi at 678–491– 0546.) Dated: January 24, 2023. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2023–01718 Filed 1–26–23; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Heart, Lung, and Blood Institute; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meeting. The meeting will be closed to the public in accordance with the provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., as amended. The grant applications and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with the grant applications, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. Name of Committee: Heart, Lung, and Blood Initial Review Group; Heart, Lung, and Blood Program Project Study Section. Date: March 17, 2023. Time: 11:00 a.m. to 4:00 p.m. Agenda: To review and evaluate grant applications. Place: National Institutes of Health, 6705 Rockledge Drive, Bethesda, MD 20817 (Virtual Meeting). Contact Person: Melissa H. Nagelin, Ph.D., Scientific Review Officer, Office of Scientific Review/DERA, National Heart, Lung, and Blood Institute, National Institutes of Health, 6705 Rockledge Drive, Room 208–R, Bethesda, MD 20892, (301) 827–7951, nagelinmh2@nhlbi.nih.gov. (Catalogue of Federal Domestic Assistance Program Nos. 93.233, National Center for Sleep Disorders Research; 93.837, Heart and Vascular Diseases Research; 93.838, Lung Diseases Research; 93.839, Blood Diseases and Resources Research, National Institutes of Health, HHS) E:\FR\FM\27JAN1.SGM 27JAN1

Agencies

[Federal Register Volume 88, Number 18 (Friday, January 27, 2023)]
[Notices]
[Pages 5360-5361]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-01718]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10224 & CMS-10242]


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 (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 March 28, 2023.

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 
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, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: 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-10224 CMS HCPCS Modification to Code Set Form
CMS-10242 Emergency Ambulance Transports and Beneficiary Signature

    Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain

[[Page 5361]]

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: Revision of a currently 
approved collection; Title of Information Collection: CMS HCPCS 
Modification to Code Set Form; Use: The Healthcare Common Procedure 
Coding System (HCPCS) Level II code set is one of the standard code 
sets used for this purpose. The HCPCS Level II code set, also referred 
to as alpha-numeric codes, is a standardized coding system that is used 
primarily to identify items, supplies, and services not included in the 
HCPCS Level I Current Procedural Terminology (CPT[supreg]) codes, such 
as ambulatory services and durable medical equipment, prosthetics, 
orthotics, and supplies when used in the home or outpatient setting as 
well as certain drugs and biologicals. Because Medicare and other 
insurers cover a variety of these services and supplies, HCPCS Level II 
codes were established for assignment by insurers to identify items on 
claims. HCPCS Level II classifies similar items or services that are 
medical in nature into categories for the purpose of efficient claims 
processing. For each alpha-numeric HCPCS code, there is descriptive 
terminology that identifies a category of like items.
    As stated in 42 CFR Sec. 414.40(a) CMS establishes uniform national 
definitions of services, codes to represent services, and payment 
modifiers to the codes. The HCPCS code set has been maintained and 
distributed via modifications of codes, modifiers and descriptions, as 
a direct result of data received from applicants. Thus, information 
collected in the application is significant to code set maintenance. 
The HCPCS code set maintenance is an ongoing process, as changes are 
implemented and updated quarterly (for drug and biological products) 
and biannual (for non-drug and non-biological items or services); 
therefore, the process requires continual collection of information 
from applicants on a quarterly and bi-annual basis. As new technology 
evolves and new devices, drugs and supplies are introduced to the 
market, applicants submit applications to CMS requesting modifications 
to the HCPCS Level II code set. Form Number: CMS-10244 (OMB control 
number: 0938-1042); Frequency: Quarterly; Affected Public: Private 
sector, Business or other for-profit; Number of Respondents: 250; Total 
Annual Responses: 250; Total Annual Hours: 2,500. (For policy questions 
regarding this collection contact Sundus Ashar at 410-786-0750.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Emergency 
Ambulance Transports and Beneficiary Signature; Use: The statutory 
authority requiring a beneficiary's signature on a claim submitted by a 
provider is located in section 1835(a) and in 1814(a) of the Social 
Security Act (the Act), for Part B and Part A services, respectively. 
The authority requiring a beneficiary's signature for supplier claims 
is implicit in sections 1842(b)(3)(B)(ii) and in 1848(g)(4) of the Act. 
Federal regulations at 42 CFR 424.32(a)(3) state that all claims must 
be signed by the beneficiary or on behalf of the Beneficiary (in 
accordance with 424.36). Section 424.36(a) states that the 
beneficiary's signature is required on a claim unless the beneficiary 
has died or the provisions of 424.36(b), (c), or (d) apply.
    For emergency and nonemergency ambulance transport services, where 
the beneficiary is physically or mentally incapable of signing the 
claim (and the beneficiary's authorized representative is unavailable 
or unwilling to sign the claim), that it is impractical and infeasible 
to require an ambulance provider or supplier to later locate the 
beneficiary or the person authorized to sign on behalf of the 
beneficiary, before submitting the claim to Medicare for payment. 
Therefore, an exception was created to the beneficiary signature 
requirement with respect to emergency and nonemergency ambulance 
transport services, where the beneficiary is physically or mentally 
incapable of signing the claim, and if certain documentation 
requirements are met. Thus, we added subsection (6) to paragraph (b) of 
42 CFR 424.36. The information required in this ICR is needed to help 
ensure that services were in fact rendered and were rendered as billed. 
Form Number: CMS-10242 (OMB control number: 0938-1049); Frequency: 
Occasionally; Affected Public: Private sector, Business or other for-
profit, Not-for-profits institutions; Number of Respondents: 10,233; 
Total Annual Responses: 10,954,288; Total Annual Hours: 912,492. (For 
policy questions regarding this collection contact Sabrina Teferi at 
678-491-0546.)

    Dated: January 24, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2023-01718 Filed 1-26-23; 8:45 am]
BILLING CODE 4120-01-P
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