Agency Information Collection Activities: Proposed Collection; Comment Request, 32433-32434 [2024-09040]
Download as PDF
Federal Register / Vol. 89, No. 82 / Friday, April 26, 2024 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–1500/1490S and
CMS–R–234]
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
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
June 25, 2024.
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: lll, Room C4–26–
05, 7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
ddrumheller on DSK120RN23PROD with NOTICES1
SUMMARY:
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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–1500/1490 Health Insurance
Common Claims Form and
Supporting Regulations at 42 CFR part
424, subpart C
CMS–R–234 Subpart D—Private
Contracts and Supporting Regulations
in 42 CFR 405.410, 405.430, 405.435,
405.440, 405.445, 405.455, 410.61,
415.110, and 424.24
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 without change of a
currently approved collection; Title of
Information Collection: Health
Insurance Common Claims Form and
Supporting Regulations at 42 CFR part
424, subpart C; Use: The CMS–1500 and
the CMS–1490S forms are used to
deliver information to CMS for CMS to
reimburse for provided services.
Medicare Administrative Contractors
use the data collected on the CMS–1500
and the CMS–1490S to determine the
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32433
proper amount of reimbursement for
Part B medical and other health services
(as listed in section 1861(s) of the Social
Security Act) provided by physicians
and suppliers to beneficiaries. The
CMS–1500 is submitted by physicians/
suppliers for all Part B Medicare.
Serving as a common claim form, the
CMS–1500 can be used by other thirdparty payers (commercial and nonprofit
health insurers) and other Federal
programs (e.g., TRICARE, RRB, and
Medicaid). Form Number: CMS–1500/
1490S (OMB control number: 0938–
1197); Frequency: Occasionally;
Affected Public: Private Sector: Business
or other for-profit and not-for-profit
institutions; Number of Respondents:
2,507,992; Total Annual Responses:
994,038,623; Total Annual Hours:
17,328,912. (For policy questions
regarding this collection contact Sadaf
Ali-Simpson at 667–414–0004.)
2. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection: Subpart
D-Private Contracts and Supporting
Regulations in 42 CFR 405.410, 405.430,
405.435, 405.440, 405.445, 405.455,
410.61, 415.110, and 424.24; Use:
Section 4507 of the Balanced Budget
Act of 1997 (BBA 1997) amended
section 1802 of the Social Security Act
(the Act) to permit certain physicians
and practitioners to opt-out of Medicare
and to provide—through private
contracts—services that Medicare would
otherwise cover. Under such contracts,
the mandatory claims submission and
limiting charge rules of section 1848(g)
of the Act would not apply. CMS–R–234
allows certain physicians and
practitioners to opt out of Medicare and
furnish covered services to Medicare
beneficiaries through private contracts.
Physicians and practitioners use this
information collection to comply with
the applicable regulations. Physicians
and practitioners entering private
contracts with beneficiaries must file an
affidavit with Medicare in which they
agree to opt-out of Medicare for 2 years
and to meet certain other criteria. In
general, the applicable regulations
require that during that 2-year period,
physicians and practitioners who have
filed affidavits opting out of Medicare
must sign private contracts with all
Medicare beneficiaries to whom they
furnish services that Medicare would
otherwise cover (except those who need
emergency or urgently needed care). In
addition, Medicare Administrative
Contractors (MACs) use this information
to determine if benefits should be paid
or continued. Form Number: CMS–R–
234 (OMB control number: 0938–0730);
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32434
Federal Register / Vol. 89, No. 82 / Friday, April 26, 2024 / Notices
Frequency: Occasionally; Affected
Public: Business or other for-profit and
not-for-profit institutions; Number of
Respondents; 78,258; Total Annual
Responses; 78,258; Total Annual Hours:
22,780. (For policy questions regarding
this collection contact Frank Whelan at
410–786–1302.)
William N. Parham, III
Director, Division of Information Collections
and Regulatory Impacts, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2024–09040 Filed 4–25–24; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–3464–PN]
Medicare Program; Application by the
National Association of Boards of
Pharmacy (NABP) for Continued CMS
Approval of its Home Infusion Therapy
(HIT) Accreditation Program
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice with request for
comment.
AGENCY:
This notice acknowledges the
receipt of an application from the
National Association of Boards of
Pharmacy (NABP) for continued
approval by the Centers for Medicare &
Medicaid Services (CMS) of NABP’s
national accrediting organization
program for suppliers providing home
infusion therapy (HIT) services and that
wish to participate in the Medicare or
Medicaid programs. The statute requires
that within 60 days of receipt of an
organization’s complete application,
CMS will publish a notice that identifies
the national accrediting body making
the request, describes the nature of the
request, and provides at least a 30-day
public comment period.
DATES: To be assured consideration,
comments must be received at one of
the addresses provided below, by May
28, 2024.
ADDRESSES: In commenting, refer to file
code CMS–3464–PN.
Comments, including mass comment
submissions, must be submitted in one
of the following three ways (please
choose only one of the ways listed):
1. Electronically. You may submit
electronic comments on this regulation
to https://www.regulations.gov. Follow
the ‘‘Submit a comment’’ instructions.
2. By regular mail. You may mail
written comments to the following
ddrumheller on DSK120RN23PROD with NOTICES1
SUMMARY:
VerDate Sep<11>2014
20:31 Apr 25, 2024
Jkt 262001
address ONLY: Centers for Medicare &
Medicaid Services, Department of
Health and Human Services, Attention:
CMS–3464–PN, P.O. Box 8016,
Baltimore, MD 21244–8010.
Please allow sufficient time for mailed
comments to be received before the
close of the comment period.
3. By express or overnight mail. You
may send written comments to the
following address ONLY: Centers for
Medicare & Medicaid Services,
Department of Health and Human
Services, Attention: CMS–3464–PN,
Mail Stop C4–26–05, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
For information on viewing public
comments, see the beginning of the
SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
Shannon Freeland, (410) 786–4348.
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: All
comments received before the close of
the comment period are available for
viewing by the public, including any
personally identifiable or confidential
business information that is included in
a comment. We post all comments
received before the close of the
comment period on the following
website as soon as possible after they
have been received: https://
www.regulations.gov. Follow the search
instructions on that website to view
public comments. We will not post on
Regulations.gov public comments that
make threats to individuals or
institutions or suggest that the
individual will take actions to harm the
individual. We continue to encourage
individuals not to submit duplicative
comments. We will post acceptable
comments from multiple unique
commenters even if the content is
identical or nearly identical to other
comments.
I. Background
Home infusion therapy (HIT) is a
treatment option for Medicare
beneficiaries with a wide range of acute
and chronic conditions. Section 5012 of
the 21st Century Cures Act (Pub. L. 114–
255, enacted December 13, 2016) added
section 1861(iii) to the Social Security
Act (the Act), establishing a new
Medicare benefit for HIT services.
Section 1861(iii)(1) of the Act defines
‘‘home infusion therapy’’ as professional
services, including nursing services;
training and education not otherwise
covered under the Durable Medical
Equipment (DME) benefit; remote
monitoring; and other monitoring
services. HIT must be furnished by a
qualified HIT supplier and furnished in
the individual’s home. The individual
must:
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• Be under the care of an applicable
provider (that is, physician, nurse
practitioner, or physician assistant); and
• Have a plan of care established and
periodically reviewed by a physician in
coordination with the furnishing of
home infusion drugs under Part B, that
prescribes the type, amount, and
duration of infusion therapy services
that are to be furnished.
Section 1861(iii)(3)(D)(i)(III) of the Act
requires that a qualified HIT supplier be
accredited by an accrediting
organization (AO) designated by the
Secretary in accordance with section
1834(u)(5) of the Act. Section
1834(u)(5)(A) of the Act identifies
factors for designating AOs and in
reviewing and modifying the list of
designated AOs. These statutory factors
are as follows:
• The ability of the organization to
conduct timely reviews of accreditation
applications.
• The ability of the organization to
take into account the capacities of
suppliers located in a rural area (as
defined in section 1886(d)(2)(D) of the
Act).
• Whether the organization has
established reasonable fees to be
charged to suppliers applying for
accreditation.
• Such other factors as the Secretary
determines appropriate.
Section 1834(u)(5)(B) of the Act
requires the Secretary to designate AOs
to accredit HIT suppliers furnishing HIT
no later than January 1, 2021. Section
1861(iii)(3)(D)(i)(III) of the Act requires
a ‘‘qualified home infusion therapy
supplier’’ to be accredited by a CMSapproved AO, pursuant to section
1834(u)(5) of the Act.
On March 1, 2019, we published a
solicitation notice entitled, ‘‘Medicare
Program; Solicitation of Independent
Accrediting Organizations to Participate
in the Home Infusion Therapy Supplier
Accreditation Program’’ (84 FR 7057).
This notice informed national AOs that
accredit HIT suppliers of an opportunity
to submit applications to participate in
the HIT supplier accreditation program.
We stated that complete applications
would be considered for the January 1,
2021 designation deadline if received by
February 1, 2020. Regulations for the
approval and oversight of AOs for HIT
organizations are located at 42 CFR part
488, subpart L. The requirements for
HIT suppliers are located at 42 CFR part
486, subpart I.
II. Approval of Deeming Organization
Section 1834(u)(5) of the Act and
regulations at 42 CFR 488.1010 require
that our findings concerning review and
approval of a national accrediting
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Agencies
[Federal Register Volume 89, Number 82 (Friday, April 26, 2024)]
[Notices]
[Pages 32433-32434]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-09040]
[[Page 32433]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-1500/1490S and CMS-R-234]
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 June 25, 2024.
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-1500/1490 Health Insurance Common Claims Form and Supporting
Regulations at 42 CFR part 424, subpart C
CMS-R-234 Subpart D--Private Contracts and Supporting Regulations in 42
CFR 405.410, 405.430, 405.435, 405.440, 405.445, 405.455, 410.61,
415.110, and 424.24
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 without change
of a currently approved collection; Title of Information Collection:
Health Insurance Common Claims Form and Supporting Regulations at 42
CFR part 424, subpart C; Use: The CMS-1500 and the CMS-1490S forms are
used to deliver information to CMS for CMS to reimburse for provided
services. Medicare Administrative Contractors use the data collected on
the CMS-1500 and the CMS-1490S to determine the proper amount of
reimbursement for Part B medical and other health services (as listed
in section 1861(s) of the Social Security Act) provided by physicians
and suppliers to beneficiaries. The CMS-1500 is submitted by
physicians/suppliers for all Part B Medicare. Serving as a common claim
form, the CMS-1500 can be used by other third-party payers (commercial
and nonprofit health insurers) and other Federal programs (e.g.,
TRICARE, RRB, and Medicaid). Form Number: CMS-1500/1490S (OMB control
number: 0938-1197); Frequency: Occasionally; Affected Public: Private
Sector: Business or other for-profit and not-for-profit institutions;
Number of Respondents: 2,507,992; Total Annual Responses: 994,038,623;
Total Annual Hours: 17,328,912. (For policy questions regarding this
collection contact Sadaf Ali-Simpson at 667-414-0004.)
2. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Subpart D-Private Contracts and Supporting Regulations in
42 CFR 405.410, 405.430, 405.435, 405.440, 405.445, 405.455, 410.61,
415.110, and 424.24; Use: Section 4507 of the Balanced Budget Act of
1997 (BBA 1997) amended section 1802 of the Social Security Act (the
Act) to permit certain physicians and practitioners to opt-out of
Medicare and to provide--through private contracts--services that
Medicare would otherwise cover. Under such contracts, the mandatory
claims submission and limiting charge rules of section 1848(g) of the
Act would not apply. CMS-R-234 allows certain physicians and
practitioners to opt out of Medicare and furnish covered services to
Medicare beneficiaries through private contracts. Physicians and
practitioners use this information collection to comply with the
applicable regulations. Physicians and practitioners entering private
contracts with beneficiaries must file an affidavit with Medicare in
which they agree to opt-out of Medicare for 2 years and to meet certain
other criteria. In general, the applicable regulations require that
during that 2-year period, physicians and practitioners who have filed
affidavits opting out of Medicare must sign private contracts with all
Medicare beneficiaries to whom they furnish services that Medicare
would otherwise cover (except those who need emergency or urgently
needed care). In addition, Medicare Administrative Contractors (MACs)
use this information to determine if benefits should be paid or
continued. Form Number: CMS-R-234 (OMB control number: 0938-0730);
[[Page 32434]]
Frequency: Occasionally; Affected Public: Business or other for-profit
and not-for-profit institutions; Number of Respondents; 78,258; Total
Annual Responses; 78,258; Total Annual Hours: 22,780. (For policy
questions regarding this collection contact Frank Whelan at 410-786-
1302.)
William N. Parham, III
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-09040 Filed 4-25-24; 8:45 am]
BILLING CODE 4120-01-P