[Federal Register Volume 78, Number 65 (Thursday, April 4, 2013)]
[Notices]
[Pages 20320-20321]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-07799]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10457, CMS-10428 and CMS-10458]
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: New collection; Title of
Information Collection: MAC Satisfaction Indicator (MSI) Participant
Information Registration Form; Use: Section 1874(A)(b)(3)(B) of the
Social Security Act requires that provider satisfaction be a
performance standard for the work of Medicare Administrative
Contractors (MACs). In order to gain provider feedback regarding their
satisfaction with their MACs, we need to be able to contact the
providers. Therefore, we need accurate contact information to: select
from for a random sample, get the survey to the appropriate respondent,
and increase response rates. The survey will not be added to this
package; instead, it will be processed under a different control number
via an Interagency Agreement. Form Number: CMS-10457 (OCN: 0938-New).
Frequency: Yearly; Affected Public: Private sector (business or other
for-profit and not-for-profit institutions). Number of Respondents:
150,000. Total Annual Responses: 150,000. Total Annual Hours: 2,500.
(For policy questions regarding this collection contact Teresa Mundell
at 410-786-9176. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title: PCIP Authorization to Share Personal Health
Information; Use: On March 23, 2010, the President signed into law H.R.
3590, the Patient Protection and Affordable Care Act (Affordable Care
Act), Public Law 111-148. Section 1101 of the law establishes a
``temporary high risk health insurance pool program'' (which has been
named the Pre-Existing Condition Insurance Plan, or PCIP) to provide
health insurance coverage to currently uninsured individuals with pre-
existing conditions. The law authorizes HHS to carry out the program
directly or through contracts with states or private, non-profit
entities.
Reapproval of this package is being requested as a result of CMS,
in its administration of the PCIP program, serving as a covered entity
under the Health Insurance Portability and Accountability Act (HIPAA).
Without a valid authorization, the PCIP program is unable to disclose
information, with respect to an applicant or enrollee, about the status
of an application, enrollment, premium billing or claim, to individuals
of the applicant's or enrollee's choosing. The HIPAA Authorization Form
has been modeled after CMS' Medicare HIPAA Authorization Form (OMB
control number 0938-0930) and is used by applicants or enrollees to
designate someone else to communicate with PCIP about their protected
health information (PHI).
Unless permitted or required by law, the Health Insurance
Portability and Accountability Act (HIPAA) Privacy Rule (Sec. 164.508)
prohibits CMS' PCIP program (a HIPAA covered entity) from disclosing an
individual's protected health information without a valid
authorization. In order to be valid, an authorization must include
specified core elements and statements.
CMS will make available to PCIP applicants and enrollees a
standard, valid authorization to enable beneficiaries to communicate
with PCIP about their personal health information. This is a critical
tool because the population the PCIP program serves is comprised of
individuals with pre-existing conditions who may be incapacitated and
need an advocate to help them apply for or receive benefits from the
program. This standard authorization will simplify the process of
requesting information disclosure for beneficiaries and minimize the
response time for the PCIP program.
[[Page 20321]]
Each individual will be asked to complete the form which will
include providing the individual's name, PCIP account number (if
known), date of birth, what personal health information they agree to
share, the length of time the individual agrees their personal health
information can be shared, the names and addresses of the third party
the individual wants PCIP to share their personal health information
with, and an attestation that the individual is giving PCIP permission
to share their personal health information with the third party listed
in the form. This completed form will be submitted to the PCIP benefits
administrator, GEHA, which contracts with CMS.
We estimate that it will take approximately 15 minutes per
applicant to complete and submit a HIPAA Authorization Form to the PCIP
program.
The federally-run PCIP program operates in 23 states plus the
District of Columbia and receives an average of 35,000 enrollment
applications per year. To estimate the number of PCIP applicants and
enrollees who may complete an authorization, we looked at the
percentage of individuals who request an authorization in Medicare as a
baseline. Medicare estimates 3% of its population will submit an
authorization per year. However, since the PCIP program caters to an
exclusive population comprised of individuals who have one or more pre-
existing conditions, we believe it is likely we could receive double
the percentage estimated by Medicare. Accordingly, PCIP estimates 6%
(or 2,100) of its applicants and enrollees may submit an authorization
per year.
Based on the above, it is estimated that up to 2,100 applicants and
enrollees may submit an authorization annually. There is no cost to
PCIP beneficiaries to request, complete, submit, or have the
authorization form processed by PCIP. It should take approximately 15
minutes for a beneficiary to complete the authorization form. 15
minutes multiplied by 2,100 beneficiaries equals 525 hours. Form
Number: CMS-10428 (OCN: 0938-1161); Frequency: Once; Affected
Public: Individuals or households; Number of Respondents: 2,100; Total
Annual Responses: 2,100; Total Annual Hours: 525. (For policy questions
regarding this collection contact Geoffrey Cabin at 410-786-1744. For
all other issues call 410-786-1326.)
1. Type of Information Collection Request: New collection (request
for a new OMB control number). Title of Information Collection:
Consumer Research Supporting Outreach for Health Insurance Marketplace.
Use: The Centers for Medicare and Medicaid Services is requesting
clearance for two surveys to aid in understanding levels of awareness
and customer service needs associated with the Health Insurance
Marketplace established by the Affordable Care Act. Because the
Marketplace will provide coverage to the almost 50 million uninsured in
the United States through individual and small employer programs, we
have developed one survey to be administered to individual consumers
most likely to use the Marketplace and another to be administered to
small employers most likely to use the Small Business Health Options
portion of the Marketplace. These brief surveys, designed to be
conducted quarterly, will give CMS the ability to obtain a rough
indication of the types of outreach and marketing that will be needed
to enhance awareness of and knowledge about the Marketplace for
individual and business customers. CMS' biggest customer service need
is likely to be providing sufficient education so consumers: (a) Can
take advantage of the Marketplace and (b) know how to access CMS'
customer service channels. The surveys will provide information on
media use, concept awareness, and conceptual or content areas where
education for customer service delivery can be improved. Awareness and
knowledge gaps are likely to change over time based not only on
effectiveness of CMS' marketing efforts, but also of those of state,
local, private sector, and nongovernmental organizations. Form Number:
CMS-10458 (OCN: 0938-New). Frequency: Quarterly. Affected Public:
Individuals or households, private sector (business or other for-
profits). Number of Respondents: 40,200. Total Annual Responses:
40,200. Total Annual Hours: 2,480. (For policy questions regarding this
collection contact Julie Franklin at 410-786-8126. 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.
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 May 6, 2013.
OMB, Office of Information and Regulatory Affairs, Attention: CMS
Desk Officer, Fax Number: (202) 395-6974, Email: [email protected].
Dated: March 29, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-07799 Filed 4-3-13; 8:45 am]
BILLING CODE 4120-01-P