[Federal Register Volume 81, Number 40 (Tuesday, March 1, 2016)]
[Notices]
[Pages 10625-10627]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-04463]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-685, CMS-576A, CMS-10601, and CMS-R-199]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
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 require; 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
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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 May 2, 2016.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number. 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-685 End Stage Renal Disease (ESRD) Network Semi-Annual Cost
Report Forms and Supporting Regulations
CMS-576A Organ Procurement Organization's (OPOs) Health Insurance
Benefits Agreement and Supporting Regulations
CMS-10601 CMS Innovation Partners Program Applications and Surveys
CMS-R-199 Medicaid Report on Payables and Receivables
Under the 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.
1. Type of Information Collection Request: Revision of a previously
approved collection; Title of Information Collection: End Stage Renal
Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting
Regulations; Use: Section 1881(c) of the Social Security Act
establishes End Stage Renal Disease (ESRD) Network contracts. The
regulations found at 42 CFR 405.2110 and 405.2112 designated 18 ESRD
Networks which are funded by renewable contracts. These contracts are
on 3-year cycles. To better administer the program, CMS is requiring
contractors to submit semi-annual cost reports. The purpose of the cost
reports is to enable the ESRD Networks to report costs in a
standardized manner. This will allow CMS to review, compare and project
ESRD Network costs during the life of the contract. Form Number: CMS-
685 (OMB Control Number: 0938-0657); Frequency: Reporting--Semi-
annually; Affected Public: Not-for-profit institutions; Number of
Respondents: 18; Total Annual Responses: 36; Total Annual Hours: 144.
(For policy questions regarding this collection contact Etleva Davis at
410-786-4013)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Organ Procurement
Organization's (OPOs) Health Insurance Benefits Agreement and
Supporting Regulations; Use: The Medicare and Medicaid Programs final
conditions for coverage for Organ Procurement Organizations (OPOs)
require OPOs to sign agreements with the Center for Medicare and
Medicaid Services (CMS) in order to be reimbursed and perform their
services. The information provided on this form serves as a basis for
continuing the agreements with CMS and the OPOs for participation in
the Medicare and Medicaid programs for reimbursement of service. Form
Number: CMS-576A (OMB Control Number: 0938-0512); Frequency:
Occasionally; Affected Public: Private Sector: Business or other for-
profit and not-for-profit institutions; Number of Respondents: 58;
Total Annual Responses: 58; Total Annual Hours: 116. (For policy
questions regarding this collection contact Melissa Rice at 410-786-
3270.)
3. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection: CMS
Innovation Partners Program Applications and Surveys; Use: The CMS
Innovation Center (CMMI) has a significant role in supporting the goals
set by the Secretary of Health and Human Services to move 30 percent of
Medicare fee-for-service payments to alternate payment models by the
end of 2016 and ultimately 50 percent by the end of 2018. A multi-
pronged approach is necessary to achieve these ambitious goals and
includes the testing of innovative models around design of both payment
and care delivery, the Health Care Payment and Learning Action Network
(HCPLAN) and value and quality based initiatives through the Medicare
Access and CHIP Reauthorization Act of 2015 (MACRA) and Merit-based
Incentive Payment System (MIPS). In addition to these key strategies,
CMS seeks to engage individuals from the front lines of health care,
who are actively supporting delivery system transformation at local and
regional levels, in order to support and accelerate adoption of
alternate payment models developed through the Innovation Center. This
will be accomplished through the Innovation Partners Program (IPP).
The IPP will provide an opportunity for 100 selected individuals
from around the country who are already leading and participating in
delivery reform initiatives with local and regional networks to engage
in a deeper way with CMS to enhance these efforts. During the course of
one year, the IPP will immerse individuals in the strategy
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and innovation work of CMS through intensive webinars and small group
discussions. Program participants will engage with CMS staff in the
Innovation Center and Regional Offices to inform and support regional
activities supporting innovation models. In collaboration with CMS and
fellow program participants, they will create partnerships regionally
and across the United States.
An application process is necessary to select the individuals who
will participate in IPP and is the first component of this data
collection. Applicants shall likely include physicians, nurses and
other clinical staff in leadership roles from various health care
delivery, public health and community health organizations. The second
data collection component is a set surveys and the respondents shall be
only those who are participating in the program. Data from these
surveys will be used to design program activities and to identify
opportunities for improvement to both activities and the program
overall. This data collection is necessary in order to launch and
implement the IPP--a key initiative in the efforts of CMS to support
the Secretary's goals. Form Number: CMS-10601 (OMB control number:
0938--NEW); Frequency: Annually; Affected Public: Individuals and
Households; Number of Respondents: 850; Total Annual Responses: 850;
Total Annual Hours: 1,700. (For policy questions regarding this
collection contact Fran Griffin at 212-616-2370).
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicaid Report
on Payables and Receivables; Use: The Government Management and Reform
Act of 1994 requires that all offices, bureaus and associated
activities of the 24 CFO Act agencies must be covered in an agency-
wide, audited financial statement. Collection of Medicaid data and the
calculation of the Medicaid Incurred But Not Reported (IBNR) estimate
are pertinent to CMS' financial audit. The Medicaid Report on Payables
and Receivables will provide the information needed to calculate the
Medicaid IBNR. Failure to collect this information could result in non-
compliance with the law. Form Number: CMS-R-199 (OMB Control Number:
0938-0697); Frequency: Yearly; Affected Public: State, Local, or Tribal
Governments; Number of Respondents: 56; Total Annual Responses: 56;
Total Annual Hours: 392. (For policy questions regarding this
collection contact Beverly Boher at 410-786-7806.)
Dated: February 25, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-04463 Filed 2-29-16; 8:45 am]
BILLING CODE 4120-01-P