[Federal Register Volume 78, Number 36 (Friday, February 22, 2013)]
[Notices]
[Pages 12322-12323]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-04135]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10430, CMS-10164 and CMS-838]
Agency Information Collection Activities: 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: Reinstatement of a
previously approved collection; Title: Information Collection
Requirements for Compliance with Individual and Group Market Reforms
under Title XXVII of the Public Health Service Act; Use: The provisions
of title XXVII of the Public Health Service Act (PHS Act) are designed
to make it easier for people to get access to health care coverage and
to reduce the limitations that can be put on the coverage. Sections
2723 and 2761 of the PHS Act direct CMS to enforce a provision (or
provisions) of title XXVII of the PHS Act with respect to health
insurance issuers when a state has notified CMS that it has not enacted
legislation to enforce or that it is not otherwise enforcing a
provision (or provisions) of the individual and group market reforms
with respect to health insurance issuers, or when CMS has determined
that a state is not substantially enforcing one or more of those
provisions. This collection also pertains to notices issued by
individual and group health insurance issuers and self-funded non-
Federal governmental plans. This collection includes the issuance of
certificates of creditable coverage; notification of preexisting
condition exclusions; notification of special enrollment rights; and
review of issuers' filings of individual and group market products or
similar Federal review in cases in which a state is not enforcing a
title XXVII individual or group market provision. This information
collection is a reinstatement of a previously approved collection
(which expired on September 30, 2012 (OMB: 0938-0702 and
OMB: 0938-0703)) with minimal changes to reflect
[[Page 12323]]
laws passed since the previous collection document was approved. While
the OMB control number for this proposed collection will remain the
same as the previously approved collection, this proposed collection
will be given a new CMS Form Number. Form Number: CMS-10430 (OCN: 0938-
0702); Frequency: Annually; Occasionally; Affected Public: Private
Sector; Business or other for-profits and Not-for-profit institutions,
and State, Local, or Tribal Governments; Number of Respondents: 8,716;
Total Annual Responses: 39,831,442; Total Annual Hours: 3,760,422
hours. (For policy questions regarding this collection contact Lisa
Campbell at 301-492-4114. 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 is 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, or both 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: 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: Medicare Credit Balance Reporting Requirements and
Supporting Regulations in 42 CFR 405.371, 405.378 and 413.20; Use:
Section 1815(a) of the Social Security 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, and phone number as well
the OMB number, and CMS document identifier, to [email protected],
or call the Reports Clearance Office on (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 March 25, 2013.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, Email: [email protected].
Dated: February 19, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-04135 Filed 2-21-13; 8:45 am]
BILLING CODE 4120-01-P