Agency Information Collection Activities: Proposed Collection; Comment Request, 43406-43407 [2024-10900]
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Federal Register / Vol. 89, No. 97 / Friday, May 17, 2024 / Notices
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[FR Doc. 2024–10833 Filed 5–16–24; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10307]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
FOR FURTHER INFORMATION CONTACT:
Centers for Medicare &
Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
Contents
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
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).
AGENCY:
khammond on DSKJM1Z7X2PROD with NOTICES
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
July 16, 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: 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.
SUMMARY:
VerDate Sep<11>2014
17:20 May 16, 2024
Jkt 262001
William N. Parham at (410) 786–4669.
SUPPLEMENTARY INFORMATION:
PO 00000
Frm 00037
Fmt 4703
Sfmt 4703
CMS–10307 Medical Necessity and
Claims Denial Disclosures Under
MHPAEA
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: Medical
Necessity and Claims Denial Disclosures
under MHPAEA; Use: The Paul
Wellstone and Pete Domenici Mental
Health Parity and Addiction Equity Act
of 2008 (MHPAEA) (Pub. L.110–343)
generally requires that group health
plans and group health insurance
issuers offering both medical and
surgical (med/surg) and mental health
or substance use disorder (MH/SUD)
benefits do not apply any more
restrictive financial requirements (e.g.,
co-pays, deductibles) and/or treatment
limitations (e.g., visit limits) to MH/SUD
benefits than those requirements and/or
limitations applied to substantially all
med/surg benefits. The Patient
Protection and Affordable Care Act,
Public Law 111–148, was enacted on
March 23, 2010, and the Health Care
and Education Reconciliation Act of
2010, Public Law 111–152, was enacted
on March 30, 2010. These statutes are
collectively known as the ‘‘Affordable
Care Act’’ (ACA). The ACA extended
MHPAEA to apply to the individual
health insurance market. Additionally,
the Department of Health and Human
Services (HHS) final regulation
regarding essential health benefits (EHB)
requires health insurance issuers
offering non-grandfathered health
insurance coverage in the individual
and small group markets, through an
Exchange or outside of an Exchange, to
comply with the requirements of the
MHPAEA regulations to satisfy the
E:\FR\FM\17MYN1.SGM
17MYN1
Federal Register / Vol. 89, No. 97 / Friday, May 17, 2024 / Notices
requirement to cover EHB (45 CFR
147.150 and 156.115).
khammond on DSKJM1Z7X2PROD with NOTICES
Medical Necessity Disclosure Under
MHPAEA
MHPAEA specifically amends the
Public Health Service (PHS) Act to
require plan administrators or health
insurance issuers to provide, upon
request, the criteria for medical
necessity determinations made with
respect to MH/SUD benefits to current
or potential participants, beneficiaries,
or contracting providers. The Final
Rules under MHPAEA set forth rules for
providing criteria for medical necessity
determinations. CMS administers
MHPAEA with respect to self-insured,
non-Federal governmental plans in all
States, and health insurance issuers in
two States.
Claims Denial Disclosure Under
MHPAEA
MHPAEA specifically amends the
PHS Act to require plan administrators
or health insurance issuers to provide,
upon request, the reason for any denial
or reimbursement of payment for MH/
SUD services to the participant or
beneficiary involved in the case. The
Final Rules under MHPAEA at 45 CFR
146.136(d)(2) implement MHPAEA.
CMS administers MHPAEA with respect
to self-insured, non-Federal
governmental plans in all States and
health insurance issuers in two States,
and the regulation provides a safe
harbor such that non-Federal
governmental plans (and issuers offering
coverage in connection with such plans)
are deemed to comply with
requirements of paragraph (d)(2) of 45
CFR 146.136 if they provide the reason
for claims denial in a form and manner
consistent with ERISA requirements
found in 29 CFR 2560.503–1. Section
146.136(d)(3) clarifies that PHS Act
section 2719 governing internal claims
and appeals and external review as
implemented by 45 CFR 147.136, covers
MHPAEA claims denials and requires
that, when a non-quantitative treatment
limitation (NQTL) is the basis for a
claims denial, that a non-grandfathered
plan or issuer must provide the
processes, strategies, evidentiary
standard, and other factors used in
developing and applying the NQTL with
respect to med/surg benefits and MH/
SUD benefits.
Disclosure Request Form
Group health plan participants,
beneficiaries, covered individuals in the
individual market, or persons acting on
their behalf, may use this optional
model form to request information from
plans regarding the medical necessity
VerDate Sep<11>2014
17:20 May 16, 2024
Jkt 262001
and claims denials disclosures
referenced above. Form Number: CMS–
10307 (OMB control number: 0938–
1080); Frequency: On Occasion;
Affected Public: State, Local, or Tribal
Governments, Private Sector,
Individuals; Number of Respondents:
282,657; Total Annual Responses:
1,125,558; Total Annual Hours: 93,797.
(For policy questions regarding this
collection contact Erik Gomez at 667–
414–0682.)
William N. Parham, III,
Director, Division of Information Collections
and Regulatory Impacts, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2024–10900 Filed 5–16–24; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Privacy Act of 1974; System of
Records
Administration for Children
and Families, Department of Health and
Human Services.
ACTION: Notice of a modified system of
records.
AGENCY:
In accordance with the
requirements of the Privacy Act of 1974,
as amended, the Department of Health
and Human Services (HHS) is modifying
an existing system of records
maintained by the Administration for
Children and Families (ACF), Office of
Child Support Services (OCSS): System
No. 09–80–0389, ‘‘OCSE Data Center
General Support System,’’ being
renamed ‘‘OCSS Data Exchange
Platform.’’
SUMMARY:
This Notice is applicable May
17, 2024, subject to a 30-day period in
which to comment on the new and
revised routine uses, described below.
Please submit any comments by June 17,
2024.
ADDRESSES: The public should address
written comments by mail or email to:
Anita Alford, Senior Official for Privacy,
Administration for Children and
Families, 330 C St. SW, Washington, DC
20201, or by email to anita.alford@
acf.hhs.gov.
DATES:
FOR FURTHER INFORMATION CONTACT:
General questions about these system of
records should be submitted by mail or
email to Venkata Kondapolu, Director,
Division of Federal Systems, Office of
Child Support Services, at 330 C St.
SW—5th Floor, Washington, DC 20201,
PO 00000
Frm 00038
Fmt 4703
Sfmt 4703
43407
or venkata.kondapolu@acf.hhs.gov, or
by phone at 202–260–4712.
SUPPLEMENTARY INFORMATION:
I. Explanation of Changes to System of
Records 09–80–0381
In accordance with 5 U.S.C. 552a(e)(4)
and (11), HHS is modifying an existing
system of records maintained by ACF/
OCSS: System No. 09–80–0389, being
renamed ‘‘OCSS Data Exchange
Platform.’’ The system of records covers
records supporting State and Tribal
child support programs, and the
program’s external stakeholders, which
are exchanged electronically using a
secure data exchange platform (the
OCSS Data Exchange Platform, or any
successor system) provided by OCSS.
The data exchange platform facilitates
electronic exchanges of information
about individual participants in child
support cases, between State child
support agencies and other external
partners such as employers, health plan
administrators, financial institutions,
and central authorities in foreign treaty
countries or foreign countries that are
the subject of a declaration under 42
U.S.C. 659a. The child support agencies
and other external partners use the data
exchange platform to electronically
submit information to and receive
information from each other, through
OCSS.
The System of Records Notice (SORN)
for system of records 09–80–0389 has
been modified as follows:
• The system of records name has
been changed to ‘‘OCSS Data Exchange
Platform’’ to reflect the name change of
the ‘‘Office of Support Enforcement’’ to
the ‘‘Office of Child Support Services’’
and to provide a more meaningful name
for the system of records.
• The System Manager(s) section has
been revised to change the office name
to Office of Child Support Services.
• The Purpose(s) section has been
revised to describe the system as a data
exchange platform, rather than as a
‘‘gateway system,’’ and one purpose, at
the end of the section, has been
expanded to include the use of the data
exchange platform by foreign authorities
to transmit case information associated
with child support disbursements
transmitted from a foreign authority to
the United States through the Central
Authority Payment (CAP) service.
• The Categories of Records section
has been revised to make these changes
to Category (4):
Æ The phrase ‘‘which includes’’ has
been changed to ‘‘which may include.’’
Æ Under (4)(c), ‘‘agency’s case
number’’ had been changed to ‘‘agency’s
case identifier.’’
E:\FR\FM\17MYN1.SGM
17MYN1
Agencies
[Federal Register Volume 89, Number 97 (Friday, May 17, 2024)]
[Notices]
[Pages 43406-43407]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-10900]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10307]
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 July 16, 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-10307 Medical Necessity and Claims Denial Disclosures Under MHPAEA
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: Medical Necessity
and Claims Denial Disclosures under MHPAEA; Use: The Paul Wellstone and
Pete Domenici Mental Health Parity and Addiction Equity Act of 2008
(MHPAEA) (Pub. L.110-343) generally requires that group health plans
and group health insurance issuers offering both medical and surgical
(med/surg) and mental health or substance use disorder (MH/SUD)
benefits do not apply any more restrictive financial requirements
(e.g., co-pays, deductibles) and/or treatment limitations (e.g., visit
limits) to MH/SUD benefits than those requirements and/or limitations
applied to substantially all med/surg benefits. The Patient Protection
and Affordable Care Act, Public Law 111-148, was enacted on March 23,
2010, and the Health Care and Education Reconciliation Act of 2010,
Public Law 111-152, was enacted on March 30, 2010. These statutes are
collectively known as the ``Affordable Care Act'' (ACA). The ACA
extended MHPAEA to apply to the individual health insurance market.
Additionally, the Department of Health and Human Services (HHS) final
regulation regarding essential health benefits (EHB) requires health
insurance issuers offering non-grandfathered health insurance coverage
in the individual and small group markets, through an Exchange or
outside of an Exchange, to comply with the requirements of the MHPAEA
regulations to satisfy the
[[Page 43407]]
requirement to cover EHB (45 CFR 147.150 and 156.115).
Medical Necessity Disclosure Under MHPAEA
MHPAEA specifically amends the Public Health Service (PHS) Act to
require plan administrators or health insurance issuers to provide,
upon request, the criteria for medical necessity determinations made
with respect to MH/SUD benefits to current or potential participants,
beneficiaries, or contracting providers. The Final Rules under MHPAEA
set forth rules for providing criteria for medical necessity
determinations. CMS administers MHPAEA with respect to self-insured,
non-Federal governmental plans in all States, and health insurance
issuers in two States.
Claims Denial Disclosure Under MHPAEA
MHPAEA specifically amends the PHS Act to require plan
administrators or health insurance issuers to provide, upon request,
the reason for any denial or reimbursement of payment for MH/SUD
services to the participant or beneficiary involved in the case. The
Final Rules under MHPAEA at 45 CFR 146.136(d)(2) implement MHPAEA. CMS
administers MHPAEA with respect to self-insured, non-Federal
governmental plans in all States and health insurance issuers in two
States, and the regulation provides a safe harbor such that non-Federal
governmental plans (and issuers offering coverage in connection with
such plans) are deemed to comply with requirements of paragraph (d)(2)
of 45 CFR 146.136 if they provide the reason for claims denial in a
form and manner consistent with ERISA requirements found in 29 CFR
2560.503-1. Section 146.136(d)(3) clarifies that PHS Act section 2719
governing internal claims and appeals and external review as
implemented by 45 CFR 147.136, covers MHPAEA claims denials and
requires that, when a non-quantitative treatment limitation (NQTL) is
the basis for a claims denial, that a non-grandfathered plan or issuer
must provide the processes, strategies, evidentiary standard, and other
factors used in developing and applying the NQTL with respect to med/
surg benefits and MH/SUD benefits.
Disclosure Request Form
Group health plan participants, beneficiaries, covered individuals
in the individual market, or persons acting on their behalf, may use
this optional model form to request information from plans regarding
the medical necessity and claims denials disclosures referenced above.
Form Number: CMS-10307 (OMB control number: 0938-1080); Frequency: On
Occasion; Affected Public: State, Local, or Tribal Governments, Private
Sector, Individuals; Number of Respondents: 282,657; Total Annual
Responses: 1,125,558; Total Annual Hours: 93,797. (For policy questions
regarding this collection contact Erik Gomez at 667-414-0682.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-10900 Filed 5-16-24; 8:45 am]
BILLING CODE 4120-01-P