[Federal Register Volume 78, Number 40 (Thursday, February 28, 2013)]
[Notices]
[Pages 13678-13679]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-04551]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-64 and CMS-1957]
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.
[[Page 13679]]
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Indirect Medical
Education (IME) and Supporting Regulations at 42 CFR 412.105; Direct
Graduate Medical Education (GME) and Supporting Regulations at 412 CFR
413.75 through 83; Use: Section 1886(d)(5)(B) of the Social Security
Act (the Act) requires additional payments to be made under the
Medicare Prospective Payment System (PPS) for the indirect medical
educational costs a hospital incurs in connection with interns and
residents (IRs) in approved teaching programs. In addition, Title 42,
Part 413, sections 75 through 83 implement section 1886(d) of the Act
by establishing the methodology for Medicare payment of the cost of
direct graduate medical educational activities. These payments, which
are adjustments (add-ons) to other payments made to a hospital under
the PPS, are largely determined by the number of full-time equivalent
(FTE) IRs that work at a hospital during its cost reporting period. In
Federal fiscal year (FY) 2011, the estimated Medicare program payments
for indirect medical education (IME) costs amounted to $6.59 billion.
Medicare program payments for direct graduate medical education (GME)
are also based upon the number of FTE-IRs that work at a hospital. In
FY 2011, the estimated Medicare program payments for GME costs amounted
to $2.57 billion. Form Number: CMS-R-64 (OCN: 0938-0456); Frequency:
Reporting--Annually; Affected Public: Private Sector--Business or other
for-profits and Not-for-profit institutions; Number of Respondents:
1,075; Total Annual Responses: 1075; Total Annual Hours: 2,150. (For
policy questions regarding this collection contact Milton Jacobson at
410-786-7553. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Reinstatement of a
previously approved collection; Title of Information Collection: Social
Security Office (SSO) Report of State Buy-in Problem; Use: Under
Section 1843 of the Social Security Act, States may enter into an
agreement with the Department of Health and Human Services to enroll
eligible individuals in Medicare and pay their premiums. The purpose of
the State Buy-in' program is to assure that Medicaid is the payer of
last resort by permitting a State to provide Medicare protection to
certain groups of needy individuals, as part of the State's total
assistance plan. State Buy-in also has the effect of transferring some
medical costs for this population from the Medicaid program, which is
partially State funded to the Medicare program, which is funded by the
federal government and individual premiums. Generally, the States Buy-
in for individuals who meet the eligibility requirements for Medicare
and are cash recipients or deemed cash recipients or categorically
needy under Medicaid. In some cases, States may also include
individuals who are not cash assistance recipients under the Medical
Assistance Only group. The day-to-day operations of the State Buy-in
program is accomplished through an automated data exchange process. The
automated data exchange process is used to exchange Medicare and Buy-in
entitlement information between the Social Security District Offices,
Medicaid State Agencies and the Centers for Medicare & Medicaid
Services. When problems arise however that cannot be resolved though
the normal data exchange process, clerical actions are required. The
CMS-1957, ``SSO Report of State Buy-In Problem'' is used to report Buy-
in problems cases. The CMS-1957 is the only standardized form available
for communications between the aforementioned agencies for the
resolution of beneficiary complaints and inquiries regarding State Buy-
in eligibility. Form Number: CMS-1957 (OCN: 0938-0035); Frequency:
Reporting--Annually; Affected Public: Individuals and Households;
Number of Respondents: 3,802; Total Annual Responses: 3,802; Total
Annual Hours: 1,266. (For policy questions regarding this collection
contact Lucia Diaz-Robinson at 410-247-6843. 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 April 29, 2013:
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: February 22, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-04551 Filed 2-27-13; 8:45 am]
BILLING CODE 4120-01-P