[Federal Register Volume 77, Number 180 (Monday, September 17, 2012)]
[Notices]
[Pages 57090-57091]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-22726]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10445, CMS-10164, CMS-10143 and CMS-838]
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:
Medicare Advantage Quality Bonus Payment Demonstration; Use: In
response to the provision of the Affordable Care Act, beginning in
2012, quality bonus payments (QBPs) are given to all plans earning four
or five stars in Medicare's Star Rating program. As an extension of
this legislation, CMS launched the Medicare Advantage Quality Bonus
Payment Demonstration, which accelerates the phase-in of QBPs by
extending bonus payments to three-star plans and eliminating the cap on
blended county benchmarks that would otherwise limit QBPs. Through this
demonstration, CMS seeks to understand how incentive payments impact
plan quality across a broader spectrum of plans.
The data collection effort will be conducted in the form of a
survey of Medicare Advantage Organizations (MAOs) and up to 10 case
studies with MAOs in order to supplement what can be learned from the
analyses of administrative and financial data for MAOs, and from an
environmental and literature scan. The data collected is needed to
evaluate the QBP demonstration to better understand what impact the
demonstration has had on MAO operations and their efforts to improve
quality. The data collection instrument is a survey questionnaire
designed to capture information on how MAOs perceive the demonstration
and are planning for or implementing changes in quality initiatives and
to identify factors that help or hinder the capacity to achieve quality
improvement and that influence the decision calculus to make changes.
Specifically, the information is expected to provide a detailed picture
to CMS of the kinds of quality initiatives utilized by MAOs and some
preliminary information on how they assess the effectiveness of these
programs. The survey is designed to provide an overall picture of the
QBP that can be used for national comparisons across plans as part of
the larger evaluation of the QBP demonstration.
The case studies will be conducted as a series of open-ended
discussions with MAO staff that will be guided by a discussion
protocol. The case studies will supplement the information gathered
from the survey and data analysis, providing valuable context and
details about successful quality improvement activities. The case
studies are particularly well suited to exploring the detailed
characteristics of the plans' quality improvement activities,
emphasizing the decision-making and thought processes underlying the
structure and direction of their efforts and capturing the contextual
factors that impact the nature, structure, and scope of the programs.
Form Number: CMS-10445 (OCN: 0938-New); Frequency: Annual; Affected
Public: Private Sector--Business or other for-profits; Number of
Respondents: 730; Total Annual Responses: 1,280; Total Annual Hours:
683. (For policy questions regarding this collection contact Gerald
Riley at 410-786-6699. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Reinstatement with a
change of a previously approved collection; Title: Medicare Electronic
Data Interchange (EDI) Registration and Electronic Data Interchange
(EDI) Enrollment Form; Use: The purpose of this collection to obtain
information that will be subsequently used during transaction exchange
for identification of Medicare providers/suppliers and authorization of
requested Electronic Data Interface (EDI) functions. The EDI Enrollment
and the Medicare Registration Forms are completed by Medicare
providers/suppliers and submitted to Medicare contractors.
Authorization is needed for providers and suppliers to send and receive
HIPAA standard transactions directly (or through a designated 3rd
party) to and from Medicare contractors. Medicare contractors would use
the information for initial set-up and maintenance of the access
privileges. The use of the standard form provides an efficient uniform
means by which Medicare captures information necessary to drive
Medicare EDI security and EDI access privileges. All EDI providers will
complete and sign the EDI Enrollment Form along with the Medicare EDI
Registration Form. They will also reconfirm their access privileges
annually.
The information collected will be uploaded into Medicare contractor
computer systems. Medicare contractors will store this information in a
database accessed at the time of provider connection to the Medicare
Data Contractor Network (MDCN). When authentication is successful and
connectivity is established, transactions may be exchanged. The
information will be stored in a computer data base and used to
authenticate the user on day-to-day electronic commerce, support the
submitter and password administration function, and validate access
relationships between providers/suppliers and their designated EDI
submitter/receiver on a per transaction basis. Form Number: CMS-10164
(OCN: 0938-0983); Frequency: Once; Affected Public: Private Sector--
Business or other for-profits, Not for-profit institutions; Number of
Respondents:
[[Page 57091]]
240,000; Total Annual Responses: 240,000; Total Annual Hours: 80,000.
(For policy questions regarding this collection contact Claudette
Sikora at 410-786-5618. For all other issues call 410-786-1326.)
3. Type of Information Collection Request: Reinstatement without
change of a previously approved collection. Title of Information
Collection: Monthly State File of Medicaid/Medicare Dual Eligible
Enrollees. Use: The monthly data file is provided to CMS by states on
dually eligible Medicaid and Medicare beneficiaries, listing the
individuals on the Medicaid eligibility file, their Medicare status and
other information needed to establish subsidy level, such as income and
institutional status. The file will be used to count the exact number
of individuals who should be included in the phased-down state
contribution calculation that month. CMS will be able to merge the data
with other data files and establish Part D enrollment for those
individuals on the file. The file may be used by CMS partners to obtain
accurate counts of duals on a current basis. Form Number: CMS-10143
(OCN 0938-0958). Frequency: Monthly. Affected Public: State, Local, or
Tribal Governments. Number of Respondents: 51. Total Annual Responses:
612. Total Annual Hours: 6,120. (For policy questions regarding this
collection contact Goldy Austen at 410-786-6450. For all other issues
call 410-786-1326.)
4. Type of Information Collection Request: Reinstatement without
change of a previously approved collection. Title of Information
Collection: Medicare Credit Balance Reporting Requirements and
Supporting Regulations in 42 CFR 405.371, 405.378 and 413.20; Use:
Section 1815(a) of the Act authorizes the Secretary to request
information from providers which is necessary to properly administer
the Medicare program. Quarterly credit balance reporting is needed to
monitor and control the identification and timely collection of
improper payments. The information obtained from Medicare credit
balance reports will be used by the contractors to identify and recover
outstanding Medicare credit balances and by federal enforcement
agencies to protect federal funds. The information will also be used to
identify the causes of credit balances and to take corrective action.
Form Number: CMS-838 (OCN: 0938-0600); Frequency: Yearly; Affected
Public: Private sector--Business or other for-profits; Number of
Respondents: 45,838; Total Annual Responses: 183,352; Total Annual
Hours: 550,056. (For policy questions regarding this collection contact
Milton Jacobson at 410-786-7553. 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 on (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 November 16, 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: September 11, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-22726 Filed 9-14-12; 8:45 am]
BILLING CODE 4120-01-P