[Federal Register Volume 78, Number 82 (Monday, April 29, 2013)]
[Notices]
[Pages 25089-25090]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-09948]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-1984-14, CMS-10115, CMS-10130, and CMS-
10479]
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.
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Hospice Facility
Cost Report; Use: In accordance with sections 1815(a), 1833(e) and
1861(v)(1)(A) of the Social Security Act (the Act), providers of
service in the Medicare program are required to submit annual
information to achieve reimbursement for health care services rendered
to Medicare beneficiaries. In addition, 42 CFR 413.20(b) specifies that
cost reports are required from providers on an annual basis. Such cost
reports are required to be filed with the provider's Medicare
contractor. The functions of the Medicare contractor are described in
section 1816 of the Act. Section 3132 of the Affordable Care Act
requires that CMS collect appropriate data and information to
facilitate hospice payment reform. Form Number: CMS-1984-14 (OCN: 0938-
0758); Frequency: Yearly; Affected Public: Private sector (business or
other for-profit and not-for-profit institutions); Number of
Respondents: 2,751; Total Annual Responses: 2,751; Total Annual Hours:
517,188. (For policy questions regarding this collection contact Gail
Duncan at 410-786-7278. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Federal Reimbursement of Emergency Health Services
Furnished to Undocumented Aliens, Section 1011 of the Medicare
Prescription Drug, Improvement and Modernization Act of 2003 (MMA).
Use: Section 1011 of the MMA provides that the Secretary will establish
a process (i.e., enrollment and claims payment) for eligible providers
to request payment. The Secretary must directly pay hospitals,
physicians and ambulance providers (including Indian Health Service,
Indian Tribe and Tribal organizations) for their otherwise un-
reimbursed costs of providing services required by section 1867 of the
Social Security Act and related hospital inpatient, outpatient and
ambulance services. CMS will use the application information to
administer this health services program and establish an audit process.
Form Number: CMS-10115 (OCN: 0938-0929); Frequency: Once and
occasionally; Affected Public: Private sector (business or other for-
profit and not-for-profit institutions); Number of Respondents: 10,000;
Total Annual Responses: 10,000; Total Annual Hours: 5,000. (For policy
questions regarding this collection contact Fred Rooke at 404-562-7502.
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: Federal Reimbursement of Emergency Health Services
Furnished to Undocumented Aliens, Section 1011 of the Medicare
Prescription Drug, Improvement and Modernization Act of 2003 (MMA):
``Section 1011 Provider Payment Determination'' and ``Request for
Section 1011 Hospital On-Call Payments to Physicians'' Forms. Use:
Section 1011 of the MMA requires that the Secretary establish a process
under which eligible providers (certain hospitals, physicians and
ambulance providers) may request payment for (claim) their otherwise
un-reimbursed costs of providing eligible services. The Secretary must
make quarterly payments directly to such providers. The Secretary must
also implement measures to ensure that inappropriate, excessive, or
fraudulent payments are not made under Section 1011, including
certification by providers of the veracity of their requests for
payment. Both forms have been established to address the statutory
requirements outlined above. Form Number: CMS-10130 (OCN: 0938-0952);
Frequency: Occasionally; Affected Public: Private sector (business or
other for-profit and not-for-profit institutions); Number of
Respondents:
[[Page 25090]]
12,037; Total Annual Responses: 300,148; Total Annual Hours: 75,037.
(For policy questions regarding this collection contact Fred Rooke at
404-562-7205. For all other issues call 410-786-1326.)
4. Type of Information Collection Request: New Collection; Title of
Information Collection: Evaluation of the Multi-Payer Advanced Primary
Care Practice (MAPCP) Demonstration Focus Group Protocols; Use: On
September 16, 2009, the Department of Health and Human Services
announced the establishment of the Multi-payer Advanced Primary Care
Practice (MAPCP) Demonstration, under which Medicare joined Medicaid
and private insurers as a payer participant in state-sponsored patient-
centered medical home (PCMH) initiatives. CMS selected eight states to
participate in this demonstration: Maine, Vermont, Rhode Island, New
York, Pennsylvania, North Carolina, Michigan, and Minnesota. CMS is
proposing to conduct in-person focus groups with Medicare and Medicaid
beneficiaries and their caregivers to more thoroughly understand
patients' experiences with their PCMHs and how well their PCMHs are
serving their needs.
The focus groups will provide CMS with answers to fundamental
``what, how, and why'' questions about beneficiaries' experiences with
care and access to and coordination of care. The information obtained
via in-person, focus groups will be utilized by CMS for the evaluation
of the MAPCP Demonstration. The focus group data will be collected to
supplement other qualitative and quantitative analyses from primary and
secondary data sources by providing data on context, structure, and
process, as well as select aspects of the key outcomes. The data
gathered from the interviews will allow for more complete
interpretation of the quantitative claims and other data analysis by
taking into account the unique perspectives of beneficiaries. Form
Number: CMS-10479 (OCN: 0938-NEW); Frequency: Annually; Affected
Public: Individuals and households; Number of Respondents: 768; Total
Annual Responses: 384; Total Annual Hours: 1,152. (For policy questions
regarding this collection contact Suzanne Goodwin at 410-786-0226. 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 June 28, 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: April 23, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-09948 Filed 4-26-13; 8:45 am]
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