[Federal Register Volume 77, Number 208 (Friday, October 26, 2012)]
[Notices]
[Page 65390]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-26378]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10261]
Agency Information Collection Activities: Submission for OMB
Review; 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), Department of Health and Human Services, 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 function; (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: Revision of a currently
approved collection; Title: Part C Medicare Advantage Reporting
Requirements and Supporting Regulations in 42 CFR 422.516(a); Use: The
Centers for Medicare and Medicaid Services (CMS) established reporting
requirements for Medicare Advantage Organizations (MAOs) under the
authority described in 42 CFR 422.516(a). It is noted that each MAO
must have an effective procedure to develop, compile, evaluate, and
report to CMS, to its enrollees, and to the general public, at the
times and in the manner that CMS requires, and while safeguarding the
confidentiality of the doctor-patient relationship, statistics and
other information with respect to the cost of its operations, patterns
of service utilization, availability, accessibility, and acceptability
of its services, developments in the health status of its enrollees,
and other matters that CMS may require.
CMS also has oversight authority over cost plans which includes
establishment of reporting requirements. The data requirements in this
supporting statement are specifically relevant to the cost plan
requirements in section 1876(c)(1)(C) of the Social Security Act which
establishes beneficiary enrollment and appeal rights.
CMS initiated new Part C reporting requirements with the Office of
Management and Budget (OMB) approval of the ``Information Collection
Request'' (ICR) under the Paperwork Reduction Act of 1995 (PRA) in
December, 2008 (OMB 0938-New; CMS-10261). National PACE plans
and 1833 cost plans are excluded from reporting all the new Part C
Reporting Requirements measures. The initial ICR involved thirteen
measures. Two of these thirteen measures have been suspended from
reporting because the information is available elsewhere: Measurement
10 Agent Compensation Structure and; Measurement 11
Agent Training and Testing. One new measure was added beginning 2012:
Enrollment and Disenrollment. The ICR Reference number is 201105-0938-
008. The OMB control number is 0938-1054.
CMS suspended the ``Benefit Utilization'' measure in late 2011.
Thus, calendar year 2011 benefit utilization data were not reported.
This suspension remains in effect and will lead to a reduction in
burden. CMS is requesting the suspension of two additional measures:
``Procedure Frequency'' and Provider Network Adequacy.'' The
suspensions are all due to the fact that equivalent data are already
being collected or are available through other sources in CMS. These
suspensions will lead to a decrease in burden. CMS is adding one
additional data element to its ``grievances'' measure. The grievance
measure currently has 10 reporting categories. The additional category
will be ``CMS Issues.'' This will add a slight increase to burden for
this measure only. As a result of ``lessons learned'' after the
publication of the 60-day notice, CMS proposes to make the Part C
measure, Plan Oversight of Agents, consistent with the corresponding
Part D section. Instead of reporting six data elements, contracts will
now be required to report ten data elements. This change added a slight
increase in burden. Overall, the approval of this ICR will lead to an
estimated burden reduction of 85,594 hours and $5,217,603 in costs on
an annual basis. Form Number: CMS-10261(OCN: 0938-1054);
Frequency: Yearly, Quarterly; Affected Public: Private Sector--Business
or other for-profits; Number of Respondents: 1,375; Total Annual
Responses: 6,715; Total Annual Hours: 123,326. (For policy questions
regarding this collection contact Terry Lied at 410-786-8973. For all
other issues call 410-786-1326.)
To be assured consideration, comments and recommendations for the
proposed information collections must be received by the OMB desk
officer at the address below, no later than 5 p.m. on November 26,
2012.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, Email: [email protected].
Dated: October 23, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-26378 Filed 10-25-12; 8:45 am]
BILLING CODE 4120-01-P