[Federal Register Volume 78, Number 101 (Friday, May 24, 2013)]
[Notices]
[Pages 31557-31558]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-12469]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers CMS-R-137, CMS-10371 and CMS-10471]
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: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Internal Revenue Service (IRS)/Social Security
Administration (SSA)/Centers for Medicare and Medicaid Services (CMS)
Data Match and Supporting Regulations in 42 CFR 411.20-491.206 Use:
Medicare Secondary Payer (MSP) is essentially the same concept known in
the private insurance industry as coordination of benefits; it refers
to those situations where Medicare assumes a secondary payer role to
certain types of private insurance for covered services provided to a
Medicare beneficiary.
Congress sought to reduce the losses to the Medicare program by
requiring in 42 U.S.C. 1395y(b)(5) that the Internal Revenue Service
(IRS), the Social Security Administration (SSA), and CMS perform an
annual data match (the IRS/SSA/CMS Data Match, or ``Data Match'' for
short). We use the information obtained through Data Match to contact
employers concerning possible application of the MSP provisions by
requesting information about specifically identified employees (either
a Medicare beneficiary or the working spouse of a Medicare
beneficiary). This statutory data match and employer information
collection activity enhances our ability to identify both past and
present MSP situations. Form Number: CMS-R-137 (OCN: 0938-0565);
Frequency: Annually; Affected Public: Business or other for-profit,
Not-for-profit institutions, Farms, State, Local or Tribal Governments;
Number of Respondents: 280,028; Total Annual Responses: 280,028; Total
Annual Hours: 1,629,763. (For policy questions regarding this
collection contact Rick Mazur at 410-786-1418. For all other issues
call 410-786-1326.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Cooperative
Agreement to Support Establishment of State-Operated Health Insurance
Exchanges; Use: All States (including the 50 states, consortia of
states, territories, and the District of Columbia herein referred to as
states) that received a State Planning and Establishment Grant for
Affordable Care Act's (ACA) Exchanges are eligible for the Cooperative
Agreement to Support Establishment of State Operated Insurance
Exchanges. Section 1311 of the Affordable Care Act offers the
opportunity for each state to establish an Exchange [now referred to as
Marketplace], and provides for grants to states for the planning and
establishment of these Exchanges. Given the innovative nature of
Exchanges and the statutorily-prescribed relationship between the
Secretary and states in their development and operation, it is critical
that the Secretary work closely with states to provide necessary
guidance and technical assistance to ensure that states can meet the
prescribed timelines, federal requirements, and goals of the statute.
In order to provide appropriate and timely guidance and technical
assistance, the Secretary must have access to timely, periodic
information regarding state progress. Consequently, the information
collection associated with these grants is essential to facilitating
reasonable and appropriate federal monitoring of funds, providing
statutorily-mandated assistance to states to implement Exchanges in
accordance with federal requirements, and to ensure that states have
all necessary information required to proceed, such that retrospective
corrective action can be minimized.
The submitted revision adds sets of Outcomes and Operational
Metrics to States' data collection requirements; we will use the
resulting data to evaluate Marketplace performance and overall
effectiveness of the ACA. Key areas of measurement are the
effectiveness of eligibility determination and enrollment processes,
impact on affordability for consumers, and the effect of Marketplace
participation on health insurances markets. Furthermore, these metrics
facilitate actionable feedback and technical assistance to states for
quality improvement efforts during the critical early period of
operations. This funding opportunity was first released on January 20,
2011. Form Number: CMS-10371; Frequency: Occasionally; Affected Public:
State, Local, or Tribal governments; Number of Respondents: 40; Total
Annual Responses: 1475; Total Annual Hours: 64,695. (For policy
questions regarding this collection contact Christina Daw at 301-492-
4181. 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:
Medicare Prior Authorization of Power Mobility Devices (PMDs)
Demonstration; Use: The purpose of the Medicare Prior Authorization of
Power Mobility Devices Demonstration (the Demonstration) is to ensure
that payments for PMDs are appropriate before the claims are paid,
thereby preventing the fraud, waste, and abuse in the seven states
participating in the Demonstration: California, Florida, Illinois,
Michigan, New York, North Carolina and Texas. Additional benefits of
the Demonstration include ensuring that a beneficiary's medical
condition warrants their medical equipment under existing coverage
guidelines and preserving their ability to receive quality products
from accredited suppliers. In order to gather qualitative information
for analysis, the evaluation team will use semi-structured interview
guides that focus on the direct impact of the Demonstration on
stakeholder groups. Stakeholders will be drawn from advocacy
organizations, power mobility device supply companies, state and local
government, and healthcare practitioners. This information collection
request explains the research methodology and data collection
strategies designed to minimize the burden placed on research
participants, while effectively gathering the data needed for the
evaluation of the
[[Page 31558]]
Demonstration. Form Number: CMS-10471 (OCN: 0938-NEW); Frequency:
Yearly; Affected Public: Private sector (business or other for-profit
and not-for-profit institutions) and State and Local Governments;
Number of Respondents: 285; Total Annual Responses: 285; Total Annual
Hours: 324. (For policy questions regarding this collection contact
Andrea Glasgow at 410-786-4695. 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 July 23, 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 21, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-12469 Filed 5-23-13; 8:45 am]
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