[Federal Register Volume 77, Number 105 (Thursday, May 31, 2012)]
[Notices]
[Pages 32118-32119]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-13207]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10436 and CMS-855B]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS) is publishing the following summary of proposed
collections for public comment. Interested persons are invited to send
comments regarding this burden estimate or any other aspect of this
collection of information, including any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (2) the accuracy of
the estimated burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of
automated collection techniques or other forms of information
technology to minimize the information collection burden.
1. Type of Information Collection Request: New collection; Title of
Information Collection: Evaluation of the Multi-Payer Advanced Primary
Care Practice Demonstration; Use: On September 16, 2009, the Department
of Health and Human Services announced the establishment of the Multi-
Payer Advanced Primary Care Practice (MAPCP) Demonstration, under which
Medicare joined Medicaid and private insurers as a payer participant in
state-sponsored initiatives to promote the principles that characterize
advanced primary care, often referred to as the ``patient-centered
medical home'' (PCMH). CMS selected eight states to participate in this
demonstration: Maine, Vermont, Rhode Island, New York, Pennsylvania,
North Carolina, Michigan, and Minnesota. These states vary on a number
of important dimensions, such as features of their public (Medicaid)
and private insurance markets, delivery system, prior experience with
medical home initiatives, and nature of their state-sponsored multi-
payer initiative.
CMS is conducting an evaluation of the demonstration to assess the
effects of advanced primary care practice when supported by Medicare,
Medicaid, and
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private health plans. As part of this evaluation, qualitative and
quantitative data will be collected and analyzed to answer research
questions focused on: (1) State initiative features and implementation,
including various payment models; (2) practice characteristics,
particularly medical home transformation; and (3) outcomes, including
access to and coordination of care, clinical quality of care and
patient safety, beneficiary experience with care, patterns of
utilization, Medicare and Medicaid expenditures, and budget neutrality.
This information will help CMS decide whether the MAPCP Demonstration
model should be expanded under Medicare, and if so, what modifications
and supports would be needed to implement similar innovations in other
states and practices in the future. Form Number: CMS-10436 (OCN: 0938-
New); Frequency: Yearly; Affected Public: Individuals and households;
Number of Respondents: 472 ; Total Annual Responses: 472; Total Annual
Hours: 478 (For policy questions regarding this collection contact
Suzanne Goodwin at 410-786-0226. For all other issues call 410-786-
1326.)
2. Type of Information Collection Request: New collection; Title of
Information Collection: Medicare Enrollment Application for Clinics/
Group Practice and Certain Other Suppliers; Use: The primary function
of the CMS-855B enrollment application for Clinics, Group Practices and
Certain Other Suppliers is to gather information from the organization
that tells us what it is, whether it meets certain qualifications to be
a health care supplier, where it renders services and information
necessary to establish the correct claims payment. The goal of
evaluating and revising the CMS-855B enrollment application is to
simplify and clarify the information collection without jeopardizing
our need to collect specific information. The majority of the revisions
are very minor in nature such as spelling and formatting corrections,
removal of duplicate fields and instruction clarification for the
organization/group. The Sections and Sub-Sections within the form are
also being re-numbered and re-sequenced to create a more logical flow
of the data collection. In addition, CMS is adding a data collection
for an address to mail the periodic request for the revalidation of
enrollment information (only if it differs from other addresses
currently collected). Other than the revalidation mailing address
described above, new data being collected in this revision package is a
checkbox indicating whether or not an organization is wholly owned or
operated by a hospital, the inclusion of a new supplier type
(Centralized Flu Biller) and information on, if applicable, where the
supplier stores its patient records electronically. Form Number: CMS-
855B (OCN: 0938-New); Frequency: Yearly; Affected Public: Individuals
and households; Number of Respondents: 31,000; Total Annual Responses:
31,000; Total Annual Hours: 103,000 (For policy questions regarding
this collection contact Kim McPhillips at 410-786-5374. For all other
issues call 410-786-1326.)
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'
Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995,
or Email your request, including your address, phone number, OMB
number, and CMS document identifier, to [email protected], or call
the Reports Clearance Office at (410) 786-1326.
In commenting on the proposed information collections please
reference the document identifier or OMB control number. To be assured
consideration, comments and recommendations must be submitted in one of
the following ways by July 30, 2012:
1. Electronically. You may submit your comments electronically to
http://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) 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.
Dated: May 25, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-13207 Filed 5-30-12; 8:45 am]
BILLING CODE 4120-01-P