[Federal Register Volume 78, Number 71 (Friday, April 12, 2013)]
[Notices]
[Pages 21955-21956]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-08677]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10003, CMS-10409, and CMS-10461]
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 of Information Collection: Notice of Denial
of Medical Coverage (or Payment). Use: Form CMS-10003 is currently
separated into a Notice of Denial of Medical Coverage (NDMC) and a
Notice of Denial of Payment (NDP). The revised notice that is the
subject of this PRA package combines the NDMC and the NDP notices and
incorporates text to be inserted if the Medicare health plan enrollee
receives full benefits under a State Medical Assistance (Medicaid)
program being managed by the plan and the plan denies a service or item
that is also subject to Medicaid appeal rights. Form Number: CMS-10003
(OCN: 0938-0829). Frequency: Occasionally; Affected Public: Private
sector (business or other for-profit and not-for-profit institutions).
Number of Respondents: 665. Total Annual Responses: 6,960,410. Total
Annual Hours: 1,159,604. (For policy questions regarding this
collection contact Kathryn McCann Smith at 410-786-7623. For all other
issues call 410-786-1326.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Long Term Care
Hospital (LCTH) Continuity Assessment Record and Evaluation (CARE) Data
Set; Use: Section 3004 of the Affordable Care Act authorizes the
establishment of a new quality reporting program for long term care
hospitals (LTCHs). The LTCHs that fail to submit quality measure data
may be subject to a 2 percentage point reduction in their annual update
to the standard Federal rate for discharges occurring during a rate
year. In the FY 2013 IPPS/LTCH PPS final rule (76 FR 51743 through
51756), CMS retained three National Quality Forum (NQF) measures (NQF
0678, NQF 0138 and NQF 0139) and adopted two
new measure (NQF 0680 and NQF0431) for the FY 2016
payment determination. The NQF 0680 is the percent of
residents or patients who were assessed and appropriately given the
seasonal influenza vaccine (short-stay). The NQF 0431 is
influenza vaccination coverage among healthcare personnel. The data
collection for these two NQF endorsed measures will start January 1,
2014.
The LTCH CARE Data Set was developed specifically for use in LTCHs
for data collection of NQF 0678 Pressure Ulcer measures
beginning October 1, 2012, with the understanding that the data set
would expand in future rulemaking years with the adoption of additional
quality measures. Relevant data elements contained in other well-known
and clinically established data sets, including but not limited to the
Minimum Data Set 3.0 (MDS 3.0) and CARE, were incorporated into the
LTCH
[[Page 21956]]
CARE Data Set V1.01. Form Number: CMS-10409 (OCN: 0938-1163);
Frequency: Occasionally; Affected Public: Private Sector: Business or
other for-profit and not-for-profit institutions; Number of
Respondents: 442; Total Annual Responses: 403,988; Total Annual Hours:
212,160. (For policy questions regarding this collection contact
Charles Padgett at 410-786-2811. For all other issues call 410-786-
1326.)
3. Type of Information Collection Request: New collection (request
for a new OMB control number). Title of Information Collection:
Emergency Department Patient Experience of Care Survey. Use: This
survey supports the six national priorities for improving care from the
National Quality Strategy developed by the U.S. Department of Health
and Human Services (HHS) that was called for under the Affordable Care
Act to create national aims and priorities to guide local, state, and
national efforts to improve the quality of health care. The priorities
support a three-part aim focusing on better care, better health, and
lower costs through improvement. In this regard, this survey will
provide patient experiences with care data that enables making
comparisons of emergency departments across the nation and promoting
effective communication and coordination. Form Number: CMS-10461 (OCN:
0938--New). Frequency: Once. Affected Public: Individuals and
households. Number of Respondents: Total Annual Responses: 3,360. Total
Annual Hours: 799. (For policy questions regarding this collection
contact Sai Ma at 410-786-1479. 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 13, 2013.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, Email: [email protected].
Dated: April 9, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-08677 Filed 4-11-13; 8:45 am]
BILLING CODE 4120-01-P