[Federal Register Volume 81, Number 83 (Friday, April 29, 2016)]
[Notices]
[Pages 25673-25675]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-10084]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10406, CMS-10572 and CMS-P-0015A]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

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 (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 a second opportunity 
for public comment on the notice. Interested persons are invited to 
send comments regarding the burden estimate 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 on the collection(s) of information must be received by 
the OMB desk officer by May 31, 2016.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions: OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-5806 OR Email: 
[email protected].
    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,

[[Page 25674]]

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: Under the Paperwork Reduction Act of 1995 
(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 (44 U.S.C. 3506(c)(2)(A)) requires 
federal agencies to publish a 30-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 that 
summarizes the following proposed collection(s) of information for 
public comment:
    1. Type of Information Collection Request: Extension of a currently 
approved information collection; Title: Probable Fraud Measurement 
Pilot; Use: The Centers for Medicare & Medicaid Services (CMS) is 
seeking Office of Management and Budget (OMB) approval of the 
collections required for a probable fraud measurement pilot. The 
probable fraud measurement pilot would establish a baseline estimate of 
probable fraud in payments for home health care services in the fee-
for-service Medicare program. CMS and its agents will collect 
information from home health agencies, the referring physicians and 
Medicare beneficiaries selected in a national random sample of home 
health claims. The pilot will rely on the information collected along 
with a summary of the service history of the HHA, the referring 
provider, and the beneficiary to estimate the percentage of total 
payments that are associated with probable fraud and the percentage of 
all claims that are associated with probable fraud for Medicare fee-
for-service home health. Form Number: CMS-10406 (OMB control number: 
0938-1192); Frequency: Yearly; Affected Public: Individual and Private 
Sector--Business or other for-profits; Number of Respondents: 6,000; 
Total Annual Responses: 6,000; Total Annual Hours: 7,500. (For policy 
questions regarding this collection contact Cecilia Franco at (786) 
313-0737.)
    2. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title Information Collection: 
Information Collection for Transparency in Coverage Reporting by 
Qualified Health Plan Issuers; Use: Section 1311(e)(3) of the 
Affordable Care Act requires issuers of Qualified Health Plans (QHPs), 
to make available and submit transparency in coverage data. This data 
collection would collect certain information from QHP issuers in 
Federally-facilitated Exchanges and State-based Exchanges that rely on 
the federal IT platform (i.e., HealthCare.gov). HHS anticipates that 
consumers may use this information to inform plan selection.
    Although this proposed data collection is limited to certain QHP 
issuers, HHS intends to phase in implementation for other entities over 
time. As stated in the final rule Patient Protection and Affordable 
Care Act; Establishment of Exchanges and Qualified Health Plans; 
Exchange Standards for Employers (77 FR 18310; March 27, 2012), broader 
implementation (including under Public Health Service Act (PHS Act) 
2715A), will continue to be addressed in separate rulemaking issued by 
HHS, the Department of Labor, and the Department of the Treasury (the 
Departments). For State-based Exchanges not addressed in the current 
proposal, standards will be proposed later.
    Consistent with PHS Act section 2715A, which largely extends the 
transparency reporting provisions set forth in section 1311(e)(3) to 
non-grandfathered group health plans (including large group and self-
insured health plans) and health insurance issuers offering group and 
individual health insurance coverage (non-QHP issuers), the Departments 
intend to propose other transparency reporting requirements, through a 
separate rulemaking, for non-QHP issuers and non-grandfathered group 
health plans. Those proposed reporting requirements may differ from 
those prescribed in the HHS proposal under section 1311(e)(3), and will 
take into account differences in markets and other relevant factors. 
Importantly, the Departments intend to streamline reporting under 
multiple reporting provisions and reduce unnecessary duplication. The 
Departments intend to implement any transparency reporting requirements 
applicable to non-QHP issuers and non-grandfathered group health plans 
only after notice and comment, and after giving those issuers and plans 
sufficient time, following the publication of final rules, to come into 
compliance with those requirements.
    CMS received a total of 13 comments during the 60-day comment 
period (August 12, 2015, 80 FR 48320). Form Number: CMS-10572 (OMB 
control number: 0938-NEW); Frequency: Annually; Affected Public: 
Private Sector; Number of Respondents: 475; Number of Responses: 475; 
Total Annual Hours: 16,150. (For questions regarding this collection, 
contact Valisha Price at (301) 492-4343.)
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare Current 
Beneficiary Survey; Use: CMS is the largest single payer of health care 
in the United States. With full implementation of the Affordable Care 
Act of 2010 (ACA), the agency will play a direct or indirect role in 
administering health insurance coverage for more than 120 million 
people across the Medicare, Medicaid, CHIP, and Exchange populations. 
One of our critical aims is to be an effective steward, major force, 
and trustworthy partner in leading the transformation of the health 
care system. We also aim to provide Americans with high quality care 
and better health at lower costs through improvement. At the forefront 
of these initiatives is the newly formed Center for Medicare and 
Medicaid Innovation (CMMI).
    The CMMI is authorized by Section 1115A of the Social Security Act, 
as established by section 3021 of the ACA and was established to ``test 
innovative payment and service delivery models to reduce program 
expenditures while preserving or enhancing the quality of care 
furnished'' to Medicare, Medicaid and CHIP beneficiaries. Implicit 
across all of CMMI activities is an emphasis on diffusion--finding and 
validating innovative models that have the potential to scale, 
facilitating rapid adoption, and letting them take root in 
organizations, health systems, and communities across America.
    The Medicare Current Beneficiary Survey (MCBS) is the most 
comprehensive and complete survey available on the Medicare population 
and is essential in capturing data not otherwise collected through our 
operations. The MCBS is an in-person, nationally-representative, 
longitudinal survey of Medicare beneficiaries that we sponsor and is 
directed by the Office of Enterprise Data and Analytics (OEDA) in 
partnership with the CMMI. The survey captures beneficiary information 
whether aged or disabled, living in the community or facility, or 
serviced by

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managed care or fee-for-service. Data produced as part of the MCBS are 
enhanced with our administrative data (e.g. fee-for-service claims, 
prescription drug event data, enrollment, etc.) to provide users with 
more accurate and complete estimates of total health care costs and 
utilization. The MCBS has been continuously fielded for more than 20 
years (encompassing over 1 million interviews), and consists of three 
annual interviews per survey participant.
    The MCBS continues to provide unique insight into the Medicare 
program and helps CMS and our external stakeholders better understand 
and evaluate the impact of existing programs and significant new policy 
initiatives. In the past, MCBS data have been used to assess potential 
changes to the Medicare program. For example, the MCBS was instrumental 
in supporting the development and implementation of the Medicare 
prescription drug benefit by providing a means to evaluate prescription 
drug costs and out-of-pocket burden for these drugs to Medicare 
beneficiaries. The revision will streamline some questionnaire 
sections, add a few new measures, and update the wording of questions 
and response categories. Most of the revised questions reflect an 
effort to bring the MCBS questionnaire in line with other national 
surveys that have more current wording of questions and response 
categories with well-established measures. As a whole, these revisions 
do not change the respondent burden; there is a small increase in 
overall burden reflecting a program change to oversample small 
population groups. Form Number: CMS-P-0015A (OMB control number: 0938-
0568); Frequency: Occasionally; Affected Public: Individuals or 
Households; Number of Respondents: 16,071; Total Annual Responses: 
43,199; Total Annual Hours: 60,103. (For policy questions regarding 
this collection contact William Long at 410-786-7927.)

    Dated: April 26, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-10084 Filed 4-28-16; 8:45 am]
 BILLING CODE 4120-01-P