[Federal Register Volume 81, Number 48 (Friday, March 11, 2016)]
[Notices]
[Pages 12904-12905]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-05471]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10146, CMS-10377, CMS-10465 and CMS-10409]
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 information technology to minimize the
information collection burden.
DATES: Comments must be received by May 10, 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-10146 Notice of Denial of Medicare Prescription Drug Coverage
CMS-10377 Student Health Insurance Coverage
CMS-10465 Minimum Essential Coverage
CMS-10409 Long Term Care Hospital (LCTH) Continuity Assessment Record
and Evaluation (CARE) Data Set
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.
[[Page 12905]]
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Notice of Denial
of Medicare Prescription Drug Coverage; Use: The notice provides
information to enrollees when prescription drug coverage has been
denied, in whole or in part, by their Part D plans. The notice must be
readable, understandable, and state the specific reasons for the
denial. The notice must also remind enrollees about their rights and
protections related to requests for prescription drug coverage and
include an explanation of both the standard and expedited
redetermination processes and the rest of the appeal process. Form
Number: CMS-10146 (OMB control number: 0938-0976); Frequency:
Occasionally; Affected Public: Private sector (Business or other for-
profits); Number of Respondents: 580; Total Annual Responses:
1,902,055; Total Annual Hours: 475,514. (For policy questions regarding
this collection contact Amber Casserly at 410-786-0976.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Student Health
Insurance Coverage; Use: Under the Student Health Insurance Coverage
Final Rule published March 21, 2012 (77 FR 16453), an issuer that
provides student health insurance coverage that does not meet the
annual dollar limits requirements under Public Health Service Act (PHS
Act) section 2711 must provide notice in the insurance policy or
certificate and in any other written materials informing students that
the policy being issued does not meet the annual limits requirements
under the Affordable Care Act. The Patient Protection and Affordable
Care Act; HHS Notice of Benefit and Payment Parameters for 2017 Final
Rule removed outdated provisions in Sec. 147.145(b)(2) and (d)
allowing student health insurance issuers to impose restricted annual
dollar limits on policies started before January 1, 2014, with an
accompanying requirement that student health issuers must provide
notice to students. Those provisions, by their own terms, no longer
apply and student health insurance issuers are subject to the
prohibition on annual dollar limits under PHS Act section 2711 and
Sec. 147.126 for policy years beginning on or after January 1, 2014.
Therefore, the annual limit notification requirement is being
discontinued. The Patient Protection and Affordable Care Act; HHS
Notice of Benefit and Payment Parameters for 2017 Final Rule further
provides that, for policy years beginning on or after July 1, 2016,
student health insurance coverage is exempt from the actuarial value
(AV) requirements under section 1302(d) of the Affordable Care Act, but
must provide coverage with an AV of at least 60 percent. This provision
also requires issuers of student health insurance coverage to specify
in any plan materials summarizing the terms of the coverage the AV of
the coverage and the metal level (or the next lowest metal level) the
coverage would otherwise satisfy under Sec. 156.140. This disclosure
will provide students with information that allows them to compare the
student health coverage with other available coverage options. Form
Number: CMS-10377 (OMB control number 0938-1157); Frequency: Annually;
Affected Public: Private Sector; Number of Respondents: 49; Total
Annual Responses: 1,255,000; Total Annual Hours: 49. (For policy
questions regarding this collection contact Russell Tipps at 301-492-
4371.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Minimum Essential
Coverage; Use: The final rule titled ``Patient Protection and
Affordable Care Act; Exchange Functions: Eligibility for Exemptions;
Miscellaneous Minimum Essential Coverage Provisions,'' published July
1, 2013 (78 FR 39494) designates certain types of health coverage as
minimum essential coverage. Other types of coverage, not statutorily
designated and not designated as minimum essential coverage in
regulation, may be recognized by the Secretary of Health and Human
Services (HHS) as minimum essential coverage if certain substantive and
procedural requirements are met. To be recognized as minimum essential
coverage, the coverage must offer substantially the same consumer
protections as those enumerated in the Title I of Affordable Care Act
relating to non-grandfathered, individual health insurance coverage to
ensure consumers are receiving adequate coverage. The final rule
requires sponsors of other coverage that seek to have such coverage
recognized as minimum essential coverage to adhere to certain
procedures. Sponsoring organizations must submit to HHS certain
information about their coverage and an attestation that the plan
substantially complies with the provisions of Title I of the Affordable
Care Act applicable to non-grandfathered individual health insurance
coverage. Sponsors must also provide notice to enrollees informing them
that the plan has been recognized as minimum essential coverage for the
purposes of the individual coverage requirement. Form Number: CMS-10465
(OMB control number 0938-1189); Frequency: Occasionally; Affected
Public: Private Sector (Business or other for-profits); Number of
Respondents: 10; Total Annual Responses: 10; Total Annual Hours: 53.
(For policy questions regarding this collection contact Russell Tipps
at 301-492-4371.)
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Long Term Care
Hospital (LCTH) Continuity Assessment Record and Evaluation (CARE) Data
Set; Use: Section 3004 of the Affordable Care Act authorized the
establishment of quality reporting program for long term care hospitals
(LTCHs). Beginning in FY 2014, LTCHs that fail to submit quality
measure data may be subject to a 2 percentage point reduction in their
annual update to the standard Federal rate for discharges occurring
during a rate year. The LTCH CARE Data Set was developed specifically
for use in LTCHs for data collection of NQF #0678 Pressure Ulcer
measures beginning October 1, 2012, with the understanding that the
data set would expand in future rulemaking years with the adoption of
additional quality measures. Relevant data elements contained in other
well-known and clinically established data sets, including but not
limited to the Minimum Data Set 3.0 (MDS 3.0) and CARE, were
incorporated into the LTCH CARE Data Set V1.01, V2.00 and V2.01. LTCH
CARE Data Set V3.00 will be implemented April 1, 2016. Form Number:
CMS-10409 (OMB control number: 0938-1163); Frequency: Occasionally;
Affected Public: Private Sector: Business or other for-profit and not-
for-profit institutions; Number of Respondents: 424; Total Annual
Responses: 405,344; Total Annual Hours: 328,346. (For policy questions
regarding this collection contact Staci Payne at 410-786-2838.)
Dated: March 7, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-05471 Filed 3-10-16; 8:45 am]
BILLING CODE 4120-01-P