[Federal Register Volume 79, Number 226 (Monday, November 24, 2014)]
[Notices]
[Pages 69854-69855]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-27756]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10407 and CMS-R-245]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HSS.
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.
[[Page 69855]]
DATES: Comments must be received by January 23, 2015.
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-10407 Summary of Benefits and Coverage and Uniform Glossary
CMS-R-245 Medicare and Medicaid Programs OASIS Collection Requirements
as Part of the CoPs for HHAs and Supporting Regulations
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: Summary of
Benefits and Coverage and Uniform Glossary; Use: Section 2715 of the
Public Health Service Act directs the Department of Health and Human
Services (HHS), the Department of Labor (DOL), and the Department of
the Treasury (collectively, the Departments), in consultation with the
National Association of Insurance Commissioners (NAIC) and a working
group comprised of stakeholders, to ``develop standards for use by a
group health plan and a health insurance issuer in compiling and
providing to applicants, enrollees, and policyholders and certificate
holders a summary of benefits and coverage explanation that accurately
describes the benefits and coverage under the applicable plan or
coverage.'' To implement these disclosure requirements, collection of
information requests relate to the provision of the following: Summary
of benefits and coverage, which includes coverage examples; a uniform
glossary of health coverage and medical terms; and a notice of
modifications. Form Number: CMS-10407 (OMB control number 0938-1146);
Frequency: Annual; Affected Public: Private Sector--Business or other
for-profits and Not-for-profit institutions; Number of Respondents:
126,500; Number of Responses: 41,153,858; Total Annual Hours: 322,411.
(For policy questions regarding this collection, contact Heather
Raeburn at 301-492-4224.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare and
Medicaid Programs OASIS Collection Requirements as Part of the CoPs for
HHAs and Supporting Regulations; Use: The Outcome and Assessment
Information Set (OASIS) data set is currently mandated for use by Home
Health Agencies (HHAs) as a condition of participation (CoP) in the
Medicare program. Since 1999, the Medicare CoPs have mandated that HHAs
use the OASIS data set when evaluating adult non-maternity patients
receiving skilled services. The OASIS is a core standard assessment
data set that agencies integrate into their own patient-specific,
comprehensive assessment to identify each patient's need for home care
that meets the patient's medical, nursing, rehabilitative, social, and
discharge planning needs.
The Office of Management and Budget (OMB) approved the OASIS-C1
information collection request on February 6, 2014. We originally
planned to use OASIS-C1 to coincide with the original implementation of
ICD-10 on October 1, 2014. However, on April 1, 2014, the Protecting
Access to Medicare Act of 2014 (PAMA) (Pub. L. 113-93) was enacted.
This legislation prohibits CMS from adopting ICD-10 coding prior to
October 1, 2015. Because OASIS-C1 is based on ICD-10 coding, it is not
possible to implement OASIS-C1 prior to October 1, 2015, when ICD-10 is
implemented. The passage of the PAMA Act left us with the dilemma of
how to collect OASIS data in the interim, until ICD-10 is implemented.
The OASIS-C1/ICD-9 version is an interim version of the OASIS-C1
data item set that was created in response to the legislatively
mandated ICD-10 delay. There are five items in OASIS-C1 that require
ICD-10 codes. In the OASIS-C1/ICD-9 version, these items have been
replaced with the corresponding items from OASIS-C that use ICD-9
coding. The OASIS-C1/ICD-9 version also incorporates updated clinical
concepts, modified item wording and response categories and improved
item clarity. In addition, the OASIS-C1/ICD-9 version includes a
significant decrease in provider burden that was accomplished by the
deletion of a number of non-essential data items from the OASIS-C data
item set. Form Number: CMS-R-245 (OMB control number: 0938-0760);
Frequency: Occasionally; Affected Public: Private sector--Business or
other for-profit and Not-for-profit institutions; Number of
Respondents: 12,014; Total Annual Responses: 17,268,890; Total Annual
Hours: 15,305,484. (For policy questions regarding this collection
contact Cheryl Wiseman at 410-786-1175).
Dated: November 19, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2014-27756 Filed 11-21-14; 8:45 am]
BILLING CODE 4120-01-P