[Federal Register Volume 81, Number 126 (Thursday, June 30, 2016)]
[Notices]
[Pages 42710-42711]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-15564]
[[Page 42710]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10260, CMS-10305 and CMS-10622]
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 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 29, 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-10260 Medicare Advantage and Prescription Drug Program: Final
Marketing Provisions in 42 CFR 422.111(a)(3) and 423.128(a)(3)
CMS-10305 Medicare Part C and Part D Data Validation (42 CFR 422.516(g)
and 423.514(g))
CMS-10622 Evaluation of the CMS Quality Improvement Organizations:
Reducing Healthcare-Acquired Conditions in Nursing Homes
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.
Information Collection
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare
Advantage and Prescription Drug Program: Final Marketing Provisions in
42 CFR 422.111(a)(3) and 423.128(a)(3); Use: We require that Medicare
Advantage (MA) organizations and Part D sponsors use standardized
documents to satisfy disclosure requirements mandated by section 1851
(d)(3)(A) of the Social Security Act (Act) and 42 CFR 422.111(b) for MA
organizations, and section 1860D-1(c) of the Act and 42 CFR
423.128(a)(3) for Part D sponsors. The regulatory provisions require
that MA organizations and Part D sponsors disclose plan information,
including: Service area, benefits, access, grievance and appeals
procedures, and quality improvement and quality assurance requirements
by September 30th of each year. The MA organizations and Part D
sponsors use the information to comply with the disclosure
requirements. We will use the approved standardized documents to ensure
that correct information is disclosed to current and potential
enrollees.
For 2017, CMS has a total of nine standardized ANOC/EOC documents:
Health Maintenance Organization, Cost, Dual Eligible Special Needs,
Medicare Medical Savings Account, Private-Fee-For-Service, Preferred
Provider Organizations, Preferred Provider Organization with
Prescription Drugs, Health Maintenance Organization with Prescription
Drug, and Prescription Drug. These standardized documents will be used
by MA organizations and Part D sponsors for the 2018 contract year.
In revising the standardized ANOC/EOCs for contract year 2018, we
did not add to or remove any section from the prior contract year ANOC/
EOC models. MA organizations and Part D sponsors are still required to
use the standardized language in the ANOC/EOC models and to send this
document to current members at least 15 days prior to the start of the
annual enrollment period or by September 30, 2017 for the 2018
enrollment season, based on 42 CFR 422.111(a) (3) and 423.128(a)(3).
Form Number: CMS-10260 (OMB control number: 0938-1051); Frequency:
Yearly; Affected Public: Private sector (Business or other for-
profits); Number of Respondents: 805; Total Annual Responses: 805;
Total Annual Hours: 9,660. (For policy questions regarding this
collection contact Gladys Valentin at 410-786-1620.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare Part C
and Part D Data Validation (42 CFR 422.516(g) and 423.514(g)); Use:
Organizations contracted to offer
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Medicare Part C and Part D benefits are required to report data to us
on a variety of measures. For the data to be useful for monitoring and
performance measurement, the data must be reliable, valid, complete,
and comparable among sponsoring organizations. To meet this goal, we
have developed reporting standards and data validation specifications
with respect to the Part C and Part D reporting requirements. These
standards provide a review process for Medicare Advantage
Organizations, Cost Plans, and Part D sponsors to use to conduct data
validation checks on their reported Part C and Part D data.
The FDCF is revised for the 2017 and 2018 DV collection periods by
changing the scoring of six standards from a binary scale to a five-
point Likert-type scale. This change is expected to improve the
precision of the data validation scores by increasing overall variation
in total scores among the MAOs and PDPs. The revision is not expected
to alter resource requirements, since the assessment by DV contractors
in scoring standards will continue to be based on the percentage of
records that meet the standards. Form Number: CMS-10305 (OMB control
number: 0938-1115); Frequency: Yearly; Affected Public: Private
sector--Business or other for-profits; Number of Respondents: 639;
Total Annual Responses: 639; Total Annual Hours: 209,271. (For policy
questions regarding this collection contact Terry Lied at 410-786-
8973.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Evaluation of the
CMS Quality Improvement Organizations: Reducing Healthcare-Acquired
Conditions in Nursing Homes; Use: As mandated by Sections 1152-1154 of
the Social Security Act, CMS directs the QIO program, one of the
largest federal programs dedicated to improving health quality for
Medicare beneficiaries. In the 11th SOW, CMS restructured the QIO
program to funded Quality Innovation Networks (QIN)-QIOs, Beneficiary
and Family-Centered Care (BFCC) organizations, National Coordinating
Centers (NCCs), Program Collaboration Centers (PCCs), and the Strategic
Innovation Engine (SIE). In the current SOW, 14 QIN-QIOs coordinate the
work of 53 QIOs nationwide including all 50 states and other U.S.
territories.
CMS evaluates the quality and effectiveness of the QIO program as
authorized in Part B of Title XI of the Social Security Act. CMS
created the Independent Evaluation Center (IEC) to provide CMS and its
stakeholders with an independent and objective program evaluation of
the 11th SOW. Evaluation activities will focus on analyzing how well
the QIO program is achieving the three aims of better care, better
health, and lower cost as well as the effectiveness of the new QIO
program structure. One of the QIN-QIOs' tasks to achieve these three
aims is to support participating nursing homes in their efforts to
improve quality of care and health outcomes among residents. According
to the 2013 CMS Nursing Home Data Compendium, more than 15,000 nursing
homes participated in Medicare and Medicaid programs with more than 1.4
million beneficiaries resided in U.S. nursing homes. These residents
and their families rely on nursing homes to provide reliable, safe,
high quality care. However, cognitive and functional impairments, pain,
incontinence, antipsychotic drug use, and healthcare associated
conditions (HAC), such as pressure ulcers and falls, remain areas of
concern.
This information collection is to provide data to assess QIN-QIOs
efforts aimed at addressing these HACs in nursing homes. QIN-QIOs are
responsible for recruiting nursing homes to participate in the program.
We will conduct an annual survey of administrators of nursing homes
participating in the QIN-QIO program (intervention group) and
administrators at nursing homes that are not participating in the QIN-
QIO program (comparison group). Our proposed survey assesses progress
towards the goals of the QIN-QIO SOW, including activities and
strategies to increase mobility among residents, reduce infections,
reduce use of inappropriate antipsychotic medication among long-term
stay residents.
We plan to conduct qualitative interviews with nursing home
administrators. This interview will supplement the Nursing Home Survey
and provide more in-depth contextual information about the QIN-QIO
program implementation within at nursing homes, including: (i) Their
experience with, and perceived success of QIN-QIO collaboratives; (ii)
their satisfaction with the QIN-QIO Collaborative and QIO support;
(iii) perceived value and impact of QIO program; and (iv) drivers and
barriers to QIN-QIO involvement and success.
Information from QIO leadership and/or state/territory task leads
will be collected by interviews and focus groups. Interviews with
Nursing Home Task leaders at the QIN and QIO will be conducted in-
person during site visits and/or over the phone. We will conduct focus
groups with QIO-level Directors during the annual CMS Quality
conference. The purpose of the interviews and focus groups is to
examine: (i) QIO processes for recruiting nursing homes, peer coaches,
and beneficiaries to participate in the program; (ii) strengths and
challenges of QIN-QIO activities related to nursing homes; (iii)
partnership and coordination with other QIN-QIO tasks; and (iv) overall
lessons learned. We will also conduct qualitative interviews with
nursing home peer coaches. Form Number: CMS-10622 (OMB control number:
0938-NEW); Frequency: Annually; Affected Public: Business or other for-
profits and Not-for Profits institutions; Number of Respondents: 856;
Total Annual Responses: 856; Total Annual Hours: 242. (For policy
questions regarding this collection contact Robert Kambic at 410-786-
1515.)
Dated: June 27, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-15564 Filed 6-29-16; 8:45 am]
BILLING CODE 4120-01-P