Agency Information Collection Activities: Proposed Collection; Comment Request, 53625-53626 [2024-14124]
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Federal Register / Vol. 89, No. 124 / Thursday, June 27, 2024 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–216–94 and
CMS–1984–14]
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
August 26, 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.
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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–216–94 Organ Procurement
Organization (OPO)/
Histocompatibility Laboratory (HCL)
Cost Report Form
CMS–1984–14 Hospice Facility Cost
Report
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:
Extension of a currently approved
collection; Title of Information
Collection: Organ Procurement
Organization Histocompatibility
Laboratory Cost Report; Use: The Form
CMS–216–94 cost report is needed to
determine Organ Procurement
Organization (OPO)/Histocompatibility
Lab (HL) reasonable costs incurred in
procuring and transporting organs for
transplant into Medicare beneficiaries
and reimbursement due to or from the
provider. The reasonable costs of
procuring and transporting organs
cannot be determined for the fiscal year
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Sfmt 4703
53625
until the OPO/HL files its cost report
and costs are verified by the Medicare
contractor. During the fiscal year, an
interim rate is established based on cost
report data from the previous year. The
OPO/HL bills the transplant hospital for
services rendered. The transplant
hospital pays interim payments,
approximating reasonable cost, to the
OPO/HL. The Form CMS–216–94 cost
report is filed by each OPO/HL at the
end of its fiscal year and there is a cost
report settlement to take into account
increases or decreases in costs. The cost
report reconciliation and settlement take
into consideration the difference
between the total reasonable costs
minus the total interim payments
received or receivable from the
transplant centers. Form Number: CMS–
216–94 (OMB control number: 0938–
0102); Frequency: Annually; Affected
Public: Private Sector—Business or
other for-profits; Number of
Respondents: 95; Total Annual
Responses: 95; Total Annual Hours:
4,275. (For policy questions regarding
this collection contact Luann Piccione
at 410–786–5423.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Hospice Facility
Cost Report Form; Use: Under the
authority of sections 1815(a) and 1833(e)
of the Social Security Act (the Act),
CMS requires that providers of services
participating in the Medicare program
submit information to determine costs
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). The 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. In addition, regulations require
that providers furnish such Information
to the contractor as may be necessary to
assure proper payment by the program,
receive program payments, and satisfy
program overpayment determinations.
CMS regulations at 42 CFR
413.24(f)(4) require that each hospice
submit an annual cost report to their
contractor in a standard American
Standard Code for Information
Interchange (ASCII) electronic cost
report (ECR) format. A hospice submits
the ECR file to contractors using a
compact disk (CD), flash drive, or the
CMS approved Medicare Cost Report Efiling (MCREF) portal, [URL: https://
mcref.cms.gov]. The instructions for
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53626
Federal Register / Vol. 89, No. 124 / Thursday, June 27, 2024 / Notices
submission are included in the hospice
cost report instructions on page 43–3.
CMS requires the Form CMS–1984–14
to determine a hospice’s reasonable
costs incurred in furnishing medical
services to Medicare beneficiaries. CMS
uses the Form CMS–1984–14 for rate
setting; payment refinement activities,
including developing a market basket;
Medicare Trust Fund projections; and
program operations support.
Additionally, the Medicare Payment
Advisory Commission (MedPAC) uses
the hospice cost report data to calculate
Medicare margins (a measure of the
relationship between Medicare’s
payments and providers’ Medicare
costs) and analyze data to formulate
Medicare Program recommendations to
Congress. Form Number: CMS–1984–14
(OMB control number: 0938–0758);
Frequency: Yearly; Affected Public:
Private Sector, Business or other forprofits, Not for profits institutions;
Number of Respondents: 6,430; Total
Annual Responses: 6,430; Total Annual
Hours: 1,208,840. (For policy questions
regarding this collection contact Duncan
Gail at 410–786–7278.)
William N. Parham, III,
Director, Division of Information Collections
and Regulatory Impacts, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2024–14124 Filed 6–26–24; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–3461–PN]
Medicare and Medicaid Programs:
Application by the Accreditation
Association for Ambulatory Health
Care for Continued CMS-Approval of
Ambulatory Surgical Center
Accreditation Program
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Proposed notice.
AGENCY:
This proposed notice
announces the receipt of an application
from the Accreditation Association for
Ambulatory Health Care for continued
recognition as a national accrediting
organization for Ambulatory Surgical
Centers that wish to participate in the
Medicare or Medicaid programs.
DATES: To be assured consideration,
comments must be received at one of
the addresses provided below, no later
than 5 p.m. on July 29, 2024.
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SUMMARY:
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20:13 Jun 26, 2024
Jkt 262001
In commenting, refer to file
code CMS–3461–PN. Because of staff
and resource limitations, we cannot
accept comments by facsimile (FAX)
transmission.
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
address ONLY: Centers for Medicare &
Medicaid Services, Department of
Health and Human Services, Attention:
CMS–3461–PN, P.O. Box 8010,
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–3461–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: Joy
Webb, (410) 786–1667, Joann Fitzell,
(410) 786–4280.
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. CMS will not post on
Regulations.gov public comments that
make threats to individuals or
institutions or suggest that the
commenter will take actions to harm an
individual. CMS continues 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.
ADDRESSES:
I. Background
Ambulatory Surgical Centers (ASCs)
are distinct entities that operate
exclusively for the purpose of
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furnishing outpatient surgical services
to patients. Under the Medicare
program, eligible beneficiaries may
receive covered services from an ASC
provided certain requirements are met.
Section 1832(a)(2)(F)(i) of the Social
Security Act (the Act) establishes
distinct criteria for a facility seeking
designation as an ASC. Regulations
concerning provider agreements are at
42 CFR part 489 and those pertaining to
activities relating to the survey and
certification of facilities are at 42 CFR
part 488. The regulations at 42 CFR part
416 specify the conditions that an ASC
must meet in order to participate in the
Medicare program, the scope of covered
services, and the conditions for
Medicare payment for ASCs.
Generally, to enter into an agreement,
an ASC must first be certified by a state
survey agency (SA) as complying with
the conditions or requirements set forth
in part 416 of our Medicare regulations.
Thereafter, the ASC is subject to regular
surveys by an SA to determine whether
it continues to meet these requirements.
Section 1865(a)(1) of the Act provides
that, if a provider entity demonstrates
through accreditation by a Centers for
Medicare & Medicaid Services (CMS)
approved national accrediting
organization (AO) that all applicable
Medicare conditions are met or
exceeded, we may deem that provider
entity as having met the requirements.
Accreditation by an AO is voluntary and
is not required for Medicare
participation.
If an AO is recognized by the
Secretary of the Department of Health
and Human Services as having
standards for accreditation that meet or
exceed Medicare requirements, any
provider entity accredited by the
national accrediting body’s approved
program may be deemed to meet the
Medicare conditions. The AO applying
for approval of its accreditation program
under part 488, subpart A, must provide
CMS with reasonable assurance that the
AO requires the accredited provider
entities to meet requirements that are at
least as stringent as the Medicare
conditions. Our regulations concerning
the approval of AOs are set forth at
§§ 488.4 and 488.5.
The Accreditation Association for
Ambulatory Health Care’s (AAAHC’s)
current term of approval for its ASC
program expires December 20, 2024.
II. Approval of Deeming Organization
Section 1865(a)(2) of the Act and our
regulations at § 488.5 require that our
findings concerning review and
approval of an AO’s requirements
consider, among other factors, the
applying AO’s requirements for
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Agencies
[Federal Register Volume 89, Number 124 (Thursday, June 27, 2024)]
[Notices]
[Pages 53625-53626]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-14124]
[[Page 53625]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-216-94 and CMS-1984-14]
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 August 26, 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-216-94 Organ Procurement Organization (OPO)/Histocompatibility
Laboratory (HCL) Cost Report Form
CMS-1984-14 Hospice Facility Cost Report
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: Extension of a currently
approved collection; Title of Information Collection: Organ Procurement
Organization Histocompatibility Laboratory Cost Report; Use: The Form
CMS-216-94 cost report is needed to determine Organ Procurement
Organization (OPO)/Histocompatibility Lab (HL) reasonable costs
incurred in procuring and transporting organs for transplant into
Medicare beneficiaries and reimbursement due to or from the provider.
The reasonable costs of procuring and transporting organs cannot be
determined for the fiscal year until the OPO/HL files its cost report
and costs are verified by the Medicare contractor. During the fiscal
year, an interim rate is established based on cost report data from the
previous year. The OPO/HL bills the transplant hospital for services
rendered. The transplant hospital pays interim payments, approximating
reasonable cost, to the OPO/HL. The Form CMS-216-94 cost report is
filed by each OPO/HL at the end of its fiscal year and there is a cost
report settlement to take into account increases or decreases in costs.
The cost report reconciliation and settlement take into consideration
the difference between the total reasonable costs minus the total
interim payments received or receivable from the transplant centers.
Form Number: CMS-216-94 (OMB control number: 0938-0102); Frequency:
Annually; Affected Public: Private Sector--Business or other for-
profits; Number of Respondents: 95; Total Annual Responses: 95; Total
Annual Hours: 4,275. (For policy questions regarding this collection
contact Luann Piccione at 410-786-5423.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Hospice Facility
Cost Report Form; Use: Under the authority of sections 1815(a) and
1833(e) of the Social Security Act (the Act), CMS requires that
providers of services participating in the Medicare program submit
information to determine costs 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). The 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. In addition, regulations
require that providers furnish such Information to the contractor as
may be necessary to assure proper payment by the program, receive
program payments, and satisfy program overpayment determinations.
CMS regulations at 42 CFR 413.24(f)(4) require that each hospice
submit an annual cost report to their contractor in a standard American
Standard Code for Information Interchange (ASCII) electronic cost
report (ECR) format. A hospice submits the ECR file to contractors
using a compact disk (CD), flash drive, or the CMS approved Medicare
Cost Report E-filing (MCREF) portal, [URL: https://mcref.cms.gov]. The
instructions for
[[Page 53626]]
submission are included in the hospice cost report instructions on page
43-3.
CMS requires the Form CMS-1984-14 to determine a hospice's
reasonable costs incurred in furnishing medical services to Medicare
beneficiaries. CMS uses the Form CMS-1984-14 for rate setting; payment
refinement activities, including developing a market basket; Medicare
Trust Fund projections; and program operations support. Additionally,
the Medicare Payment Advisory Commission (MedPAC) uses the hospice cost
report data to calculate Medicare margins (a measure of the
relationship between Medicare's payments and providers' Medicare costs)
and analyze data to formulate Medicare Program recommendations to
Congress. Form Number: CMS-1984-14 (OMB control number: 0938-0758);
Frequency: Yearly; Affected Public: Private Sector, Business or other
for-profits, Not for profits institutions; Number of Respondents:
6,430; Total Annual Responses: 6,430; Total Annual Hours: 1,208,840.
(For policy questions regarding this collection contact Duncan Gail at
410-786-7278.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-14124 Filed 6-26-24; 8:45 am]
BILLING CODE 4120-01-P