[Federal Register Volume 79, Number 105 (Monday, June 2, 2014)]
[Notices]
[Pages 31336-31338]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-12664]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10340 and CMS-10380]
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: (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.
DATES: Comments must be received by August 1, 2014:
[[Page 31337]]
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-10340 Collection of Encounter Data From Medicare Advantage
Organizations, Section 1876 Cost HMOS/CMPS, Section 1833 Health Care
Prepayment Plans (HCPPS), and Pace Organizations
CMS-10380 Reporting Requirements for Grants to States for Rate Review
Cycle I, Cycle II, Cycle III, and Cycle IV and Effective Rate Review
Program
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 Collection
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Collection of
Encounter Data from Medicare Advantage Organizations, Section 1876 Cost
HMOS/CMPS, Section 1833 Health Care Prepayment Plans (HCPPS), and Pace
Organizations; Use: CMS collects encounter data or data on each item or
service delivered to enrollees of Medicare Advantage (MA) plans offered
by MA organizations. MA organizations currently obtain this data from
providers. CMS collects this information using standard transaction
forms and code sets. CMS will use the data for determining risk
adjustment factors for payment, updating the risk adjustment model,
calculating Medicare DSH percentages, Medicare coverage purposes, and
quality review and improvement activities. The data is also used to
verify the accuracy and validity of the costs claimed on cost reports.
For PACE organizations, encounter data would serve the same purpose it
does related to the MA program and would be submitted in a similar
manner. Form Number: CMS-10340 (OCN: 0938-1152); Frequency: Weekly;
Affected Public: Private sector (business or other for-profits); Number
of Respondents: 683; Total Annual Responses: 516,493,635; Total Annual
Hours: 34,433 (For policy questions regarding this collection contact
Michael Massimini at 410-786-1566).
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Reporting
Requirements for Grants to States for Rate Review Cycle I, Cycle II,
Cycle III, and Cycle IV and Effective Rate Review Program; Use: Under
the section 1003 of the Affordable Care Act (ACA) (section 2794 of the
Public Health Service Act), the Secretary, in conjunction with the
states and territories, is required to establish a process for the
annual review, beginning with the 2010 plan year, of unreasonable
increases in premiums for health insurance coverage. Section 2794(c)
requires the Secretary to establish the Rate Review Grant Program to
assist states to implement this provision. In addition, section 2794(c)
requires the Rate Review Grant Program to assist states in the
establishment and enhancement of ``Data Centers'' that collect,
analyze, and disseminate health care pricing data to the public.
Concurrent with this information collection request, HHS released
Cycle IV of the Rate Review Grants, ``Grants to States to Support
Health Insurance Rate Review and Increase Transparency in the Pricing
of Medical Services.'' The purpose of Cycle IV of the Rate Review Grant
Program is to continue the rate review successes of Cycles I, II, and
III, as well as to provide greater support to Data Centers, thereby
enhancing medical pricing transparency. States and territories that
apply for funds are required to complete the grant application. States
and territories that are awarded funds under this funding opportunity
are required to provide the Secretary with rate review data, four
quarterly reports, and one annual report per year until the end of the
grant period detailing the state's progression towards a more
comprehensive and effective rate review process. A final report is due
at the end of the grant period. This information collection is required
for effective monitoring of grantees and to fulfill statutory
requirements under section 2794(b)(1)(A) of the ACA that requires
grantees, as a condition of receiving a grant authorized under section
2794(c), to report to the Secretary information about premium
increases.
On May 23, 2011, CMS published a final rule with comment period (76
FR 29964) to implement the annual review of unreasonable increases in
premiums for health insurance coverage called for by section 2794.
Under the regulation, if CMS determines that a state has an Effective
Rate Review Program in a given market, using the criteria set forth in
the rule, CMS will adopt that state's determinations regarding whether
rate increases in that market are unreasonable, provided that the state
reports its final determinations to CMS and explains the bases of its
determinations. The final rule titled ``Patient Protection and
Affordable Care Act; Health Insurance Market Rules; Rate Review'' (78
FR 13406, February 27, 2013) amends the standards under
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the Effective Rate Review Program. Currently, CMS relies on publicly
available information and annual calls with individual states to obtain
the information needed to evaluate whether a state has begun to or
continues to satisfy the Effective Rate Review Program criteria. CMS is
proposing to instead collect the information in writing from all states
that would like to request effective status. Form Number: CMS-10380
(OCN: 0938-1121); Frequency: Annually and On occasion; Affected Public:
Public Sector and State and Territory Governments; Number of
Respondents: 50; Total Annual Responses: 553; Total Annual Hours:
20,951. (For policy questions regarding this collection contact Susie
Lorden at 301-492-4162.)
Dated: May 28, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-12664 Filed 5-30-14; 8:45 am]
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