[Federal Register Volume 78, Number 96 (Friday, May 17, 2013)]
[Notices]
[Pages 29137-29139]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-11812]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10088, CMS-10265, CMS-10477 and CMS-R-13]
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: Extension without change
of a currently approved collection; Title of Information Collection:
Notification of Fiscal Intermediaries (FIs) and CMS of Co-located
Medicare Providers and Supporting Regulations in 42 CFR 412.22 and
412.532; Use: Many long-term care hospitals (LTCHs) are co-located with
other Medicare providers (acute care hospitals, inpatient
rehabilitation facilities (IRFs), skilled nursing facilities (SNFs),
and psychiatric facilities), which leads to potential gaming of the
Medicare system based on patient shifting. We are requiring LTCHs to
notify fiscal intermediaries (FIs), Medicare administrative contractors
(MACs), and CMS of co-located providers and establish policies to limit
payment abuse that will be based on FIs and MACs tracking patient
movement among these co-located providers 42 CFR 412.22(e)(6) and
(h)(5).
Based upon being able to identify co-located providers, FIs, MACs,
and CMS will be able to track patient shifting between LTCHs and other
in-patient providers which will lead to appropriate payments under
Sec. 412.532. That section limits payments to LTCHs where over 5
percent of admissions represent patients who had been sequentially
discharged by the LTCH, admitted to an on-site provider, and
subsequently readmitted to the LTCH. Since each discharge triggers a
Medicare payment, we implemented this policy to discourage payment
abuse.
Form Number: CMS-10088 (OCN: 0938-0897); Frequency: Occasionally;
Affected Public: Private Sector--Business or other for-profit and not-
for-profit institutions; Number of Respondents: 25; Total Annual
Responses: 25; Total Annual Hours: 6. (For policy questions regarding
this collection contact Judy Richter at 410-786-2590. For all other
issues call 410-786-1326.)
2. Type of Information Collection Request: Reinstatement with a
change of a previously approved collection; Title of Information
Collection: Mandatory Insurer Reporting Requirements of Section 111 of
the Medicare, Medicaid and SCHIP Act of 2007; Use: Section
[[Page 29138]]
111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (Pub. L.
110-173) (MMSEA) amends the Medicare Secondary Payer (MSP) provisions
of the Social Security Act (42 U.S.C. 1395y(b)) to provide for
mandatory reporting by group health plan arrangements and by liability
insurance (including self-insurance), no-fault insurance, and workers'
compensation laws and plans. The law provides that, notwithstanding any
other provision of law, the Secretary of Health and Human Services may
implement this provision by program instruction or otherwise. The
Secretary has elected not to implement the provision through rulemaking
and will implement by publishing instructions on a publicly available
Web site and submitting an information collection request to OMB for
review and approval of the associated information collection
requirements.
Effective January 1, 2009, as required by the MMSEA, an entity
serving as an insurer or third party administrator for a group health
plan and, in the case of a group health plan that is self-insured and
self-administered, a plan administrator or fiduciary must: (1) Secure
from the plan sponsor and plan participants such information as the
Secretary may specify to identify situations where the group health
plan is a primary plan to Medicare; and (2) report such information to
the Secretary in the form and manner (including frequency) specified by
the Secretary.
Effective July 1, 2009, as required by the MMSEA, ``applicable
plans,'' must: (1) Determine whether a claimant is entitled to Medicare
benefits; and, if so, (2) report the identity of such claimant and
provide such other information as the Secretary may require to properly
coordinate Medicare benefits with respect to such insurance
arrangements in the form and manner (including frequency) as the
Secretary may specify after the claim is resolved through a settlement,
judgment, award or other payment (regardless of whether or not there is
a determination or admission of liability). Applicable plan refers to
the following laws, plans or other arrangements, including the
fiduciary or administrator for such law, plan or arrangement: (1)
Liability insurance (including self-insurance); (2) No-fault insurance;
and (3) Workers' compensation laws or plans. As indicated, the
Secretary has elected to implement this provision by publishing
instructions at a Web site established for such purpose. The Web site
is (http://www.cms.hhs.gov/MandatoryInsRep/). CMS shall use this Web
site to publish preliminary guidance as well as the final instructions.
The Web site also advises interested parties how to comment on the
preliminary guidance. Form Number: CMS-10265 (OCN: 0938-1074);
Frequency: Yearly; Affected Public: Private Sector--Business or other
for-profits and not-for-profit institutions, State, Local or Tribal
Governments; Number of Respondents: 22,647; Total Annual Responses:
22,647; Total Annual Hours: 333,130. (For policy questions regarding
this collection contact Cynthia Ginsburg at 410-786-2579. For all other
issues call 410-786-1326.)
3. Type of Information Collection Request: New Collection (Request
for a new control number); Title of Information Collection: Medicaid
Incentives for Prevention of Chronic Disease (MIPCD) Demonstration;
Use: Under section 4108(d)(1) of the Affordable Care Act, the Centers
for Medicare & Medicaid Services (CMS) is required to contract with an
independent entity or organization to conduct an evaluation of the
Medicaid Incentives for Prevention of Chronic Disease (MIPCD)
demonstration. The contractor will conduct state site visits, two
rounds of focus group discussions, interviews with key program
stakeholders, and field a beneficiary satisfaction survey. Both the
state site visits and interviews with key program stakeholders will
entail one-on-one interviews; however each set will have a unique data
collection form. Thus, each evaluation task listed above has a separate
data collection form and this proposed information collection
encompasses four data collection forms. The purpose of the evaluation
and assessment includes determining the following:
The effect of such initiatives on the use of health care
services by Medicaid beneficiaries participating in the program;
The extent to which special populations (including adults
with disabilities, adults with chronic illnesses, and children with
special health care needs) are able to participate in the program;
The level of satisfaction of Medicaid beneficiaries with
respect to the accessibility and quality of health care services
provided through the program; and
The administrative costs incurred by state agencies that
are responsible for administration of the program.
Form Number: CMS-10477 (OCN: 0938-NEW); Frequency: Annually;
Affected Public: Individuals and households, business and not-for-
profits, State, Local or Tribal Governments; Number of Respondents:
4,524; Total Annual Responses: 4,524; Total Annual Hours: 1,795. (For
policy questions regarding this collection contact Jean Scott at 410-
786-6327. For all other issues call 410-786-1326.)
4. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Conditions of Coverage for Organ Procurement Organizations
and Supporting Regulations in 42 CFR, Sections 486.301-.348; Use:
Section 1138(b) of the Social Security Act, as added by section 9318 of
the Omnibus Budget Reconciliation Act of 1986 (Pub. L. 99-509), sets
forth the statutory qualifications and requirements that organ
procurement organizations (OPOs) must meet in order for the costs of
their services in procuring organs for transplant centers to be
reimbursable under the Medicare and Medicaid programs. An OPO must be
certified and designated by the Secretary as an OPO and must meet
performance-related standards prescribed by the Secretary. The
corresponding regulations are found at 42 CFR Part 486 (Conditions for
Coverage of Specialized Services Furnished by Suppliers) under subpart
G (Requirements for Certification and Designation and Conditions for
Coverage: Organ Procurement Organizations).
Since each OPO has a monopoly on organ procurement within its
designated service area (DSA), CMS must hold OPOs to high standards.
Collection of this information is necessary for CMS to assess the
effectiveness of each OPO and determine whether it should continue to
be certified as an OPO and designated for a particular donation service
area by the Secretary or replaced by an OPO that can more effectively
procure organs within that DSA. Form Number: CMS-R-13 (OCN: 0938-0688);
Frequency: Occasionally; Affected Public: Not-for-profit institutions;
Number of Respondents: 58; Total Annual Responses: 58; Total Annual
Hours: 14,453. (For policy questions regarding this collection contact
Diane Corning at 410-786-8486. 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.
[[Page 29139]]
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 July 16, 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: May 14, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-11812 Filed 5-16-13; 8:45 am]
BILLING CODE 4120-01-P