[Federal Register Volume 78, Number 205 (Wednesday, October 23, 2013)]
[Notices]
[Pages 63208-63210]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-24854]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-40B, CMS-2088-92, CMS-10260, and CMS-L564
and CMS-10501]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
ACTION: Notice.
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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (the PRA), federal agencies are required to publish notice
in the Federal Register concerning each proposed collection of
information (including each proposed extension or reinstatement of an
existing collection of information) and to allow 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our burden estimates or any other aspect of this
collection of information, including any of the following subjects: the
necessity and utility of the proposed information collection for the
proper performance of the agency's functions; the accuracy of the
estimated burden; ways to enhance the quality, utility, and clarity of
the information to be collected; and the use of automated collection
techniques or other forms of
[[Page 63209]]
information technology to minimize the information collection burden.
DATES: Comments must be received by December 23, 2013.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number (OCN). To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send 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) that are 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.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to [email protected].
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-40B Application for Enrollment in Medicare the Medical Insurance
Program
CMS-2088-92 Outpatient Rehabilitation Facility, Community Mental Health
Center Cost Report and Supporting Regulations
CMS-10260 Medicare Advantage and Prescription Drug Program: Final
Marketing Provisions
CMS-L564 Request for Employment Information
CMS-10501 Healthcare Fraud Prevention Partnership (HFPP): Data Sharing
and Information Exchange
Under the Paperwork Reduction Act (PRA) (44 U.S.C. 3501-3520),
federal agencies must obtain approval from the Office of Management and
Budget (OMB) for each collection of information they conduct or
sponsor. The term ``collection of information'' is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and includes agency requests or
requirements that members of the public submit reports, keep records,
or provide information to a third party. Section 3506(c)(2)(A) of the
PRA requires federal agencies to publish a 60-day notice in the Federal
Register concerning each proposed collection of information, including
each proposed extension or reinstatement of an existing collection of
information, before submitting the collection to OMB for approval. To
comply with this requirement, CMS is publishing this notice.
Information Collections
1. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection:
Application for Enrollment in Medicare the Medical Insurance Program;
Use: Form CMS-40B is used to establish entitlement to and enrollment in
supplementary medical insurance for beneficiaries who already have Part
A, but not Part B. The form solicits information that is used to
determine enrollment for individuals who meet the requirements in
section 1836 of the Social Security Act as well as the entitlement of
the applicant or a spouse regarding a benefit or annuity paid by the
Social Security Administration or the Office of Personnel Management
for premium deduction purposes. The Social Security Administration will
use the collected information to establish Part B enrollment. Form
Number: CMS-40B (OCN: 0938-New); Frequency: Once; Affected Public:
Individuals or households; Number of Respondents: 200,000; Total Annual
Responses: 200,000; Total Annual Hours: 50,000. (For policy questions
regarding this collection contact Lindsay Smith at 410-786-6843.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Outpatient
Rehabilitation Facility, Community Mental Health Center Cost Report and
Supporting Regulations; Use: The cost reports are required to be filed
with the provider's Medicare Administrative Contractor (MAC). The MAC
uses the cost report to calculate the provider's cost to charge ratios
which are used to compute outlier payments and to determine a
provider's final cost settlement by comparing the provider's interim
payments received to the reasonable cost for the fiscal period covered
by the cost report.
The collection of data is a secondary function of the cost report.
We use the data to support program operations, payment refinement
activities, and to make Medicare Trust Fund projections. The data is
also used by CMS and other stakeholders to analyze a myriad of health
care measures on a national level. Stakeholders include the Office of
Management and Budget, the Congressional Budget Office, Medicare
Payment Advisory Commission, Congress, researchers, universities, and
other interested parties. Form Number: CMS-2088-92 (OCN: 0938-0037);
Frequency: Yearly; Affected Public: Private sector (Business or other
for-profits and Not-for-profit institutions); Number of Respondents:
540; Total Annual Responses: 540; Total Annual Hours: 54,000. (For
policy questions regarding this collection contact Jill Keplinger at
410-786-4550.)
3. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Medicare Advantage and Prescription Drug Program: Final
Marketing Provisions; Use: We require that Medicare Advantage (MA)
organizations and Part D sponsors use standardized documents to satisfy
disclosure requirements mandated by section 1851(d)(3)(A) of the Social
Security Act (Act) and 42 CFR 422.111(b) for MA organizations, and
section 1860D-1(c) of the Act and 42 CFR 423.128(a)(3) for Part D
sponsors. The regulatory provisions require that MA organizations and
Part D sponsors disclose plan information, including: service area,
benefits, access, grievance and appeals procedures, and quality
improvement and quality assurance requirements by September 30th of
each year. The MA organizations and Part D sponsors use the information
to comply with the disclosure requirements. We will use the approved
standardized documents to ensure that correct information is disclosed
to current and potential enrollees. Form Number: CMS-10260 (OCN: 0938-
1051); Frequency: Yearly; Affected Public: Private sector (Business or
other for-profits); Number of Respondents: 770; Total Annual Responses:
770; Total Annual Hours: 9,240. (For policy questions regarding this
collection contact Timothy Roe at 410-786-2006.)
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4. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Request for
Employment Information; Use: Section 1837(i) of the Social Security Act
provides for a special enrollment period for individuals who delay
enrolling in Medicare Part B because they are covered by a group health
plan based on their own or a spouse's current employment status.
Disabled individuals with Medicare may also delay enrollment because
they have large group health plan coverage based on their own or a
family member's current employment status. When these individuals apply
for Medicare Part B, they must provide proof that the group health plan
coverage is (or was) based on current employment status. Form Number:
CMS-L564 (OCN: 0938-0787); Frequency: Once; Affected Public: Private
sector (Business or other for-profits and Not-for-profit institutions);
Number of Respondents: 15,000; Total Annual Responses: 15,000; Total
Annual Hours: 5,000. (For policy questions regarding this collection
contact Lindsay Smith at 410-786-6843)
5. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection:
Healthcare Fraud Prevention Partnership (HFPP): Data Sharing and
Information Exchange; Use: Section 1128C(a)(2) of the Social Security
Act (42 U.S.C. Sec. 1320a-7c(a)(2)) authorizes the Secretary and the
Attorney General to consult with, and arrange for the sharing of data
with representatives of health plans to establish a Fraud and Abuse
Control Program as specified in Section 1128(C)(a)(1) of the Social
Security Act. This is known as the Healthcare Fraud Prevention
Partnership (HFPP). It was officially established by a Charter in fall
2012 and signed by HHS Secretary Sibelius and U.S. Attorney General
Holder. The HFPP is a joint initiative established by the Department of
Health and Human Services (HHS) and Department of Justice (DOJ) to
detect and prevent the prevalence of healthcare fraud through data and
information-sharing and applying analytic capabilities by the public
and private sectors. The HFPP collaboration provides a unique
opportunity to transition from traditional ``pay and chase'' approaches
for fraud detection and recovery towards a data-driven model for
identifying and predicting aberrant activity. A central goal of the
HFPP is to identify the optimal way to coordinate nationwide sharing of
health care claims information, including aggregating claims and
payment information from large public healthcare programs and private
insurance payers. In addition to sharing data and information, the HFPP
is focused on advancing analytics, training, outreach, education to
support anti-fraud efforts and achieving its objectives, primarily
through goal-oriented, well-designed fraud studies. Form Number: CMS-
10501 (OCN: 0938-New); Frequency: Occasionally; Affected Public:
Private sector (Business or other for-profits); Number of Respondents:
75; Total Annual Responses: 75; Total Annual Hours: 180,000. (For
policy questions regarding this collection contact Johnalyn Lyles at
410-786-8410.)
Dated: October 18, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-24854 Filed 10-22-13; 8:45 am]
BILLING CODE 4120-01-P