[Federal Register Volume 81, Number 138 (Tuesday, July 19, 2016)]
[Notices]
[Pages 46925-46926]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-17059]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10295, CMS-838, CMS-10157, CMS-10309, and 
CMS-R-199]


Agency Information Collection Activities: Submission for OMB 
Review; 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 (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 August 18, 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, 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 collection; Title of Information Collection: Reporting 
Requirements for States Under Transitional Medical Assistance (TMA) 
Provisions; Use: The HHS Secretary is required to submit annual reports 
to Congress with information collected from states in accordance with 
section 5004(d) of the American Recovery and Reinvestment Act of 2009. 
Medicaid agencies in 50 states complete the reports while we review the 
information to determine if each state has met all of the reporting 
requirements specified under section 5004(d). Form Number: CMS-10295 
(OMB control number: 0938-1073). Frequency: Quarterly; Affected Public: 
State, Local, or Tribal Governments; Number of Respondents: 50; Total 
Annual Responses: 200; Total Annual Hours: 400. (For policy questions 
regarding this collection contact Martin Burian at 410-786-3246.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare Credit 
Balance Reporting Requirements; Use: Quarterly credit balance reporting 
is needed to monitor and control the identification and timely 
collection of improper payments. Credit balances are mainly 
attributable to provider billing practices and cannot be eliminated by 
program functions; they will continue to occur. The OIG issued a 
Management Advisory Report (MAR) on their extended review of credit 
balances (See Attachment). They state that approximately 90 percent of 
credit balances result from providers: (1) Billing Medicare and a 
private insurer for the same service, (2) submitting duplicate billings 
for services in a manner which cannot be detected by system edits, and 
(3) billing for services not performed. The MAR recommends

[[Page 46926]]

that CMS continue its plan of recovery by requiring hospitals to report 
Medicare credit balances to contractors on a quarterly basis. Form 
Number: CMS-838 (OMB control number: 0938-0600); Frequency: Quarterly; 
Affected Public: Private sector (Business or other For-profits); Number 
of Respondents: 52,582; Total Annual Responses: 210,328; Total Annual 
Hours: 630,984. (For policy questions regarding this collection contact 
Anita Crosier at 410-786-0217).
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: HIPPA Eligibility 
Tracking System; Use: Federal law requires that CMS take precautions to 
minimize the security risk to the federal information system. Federal 
Information Processing Standards Publication (FIPS PUB) 1( ) 1-2 
Paragraph 11.7--Security and Authentication states that: ``Agencies 
shall employ risk management techniques to determine the appropriate 
mix of security controls needed to protect specific data and systems. 
The selection of controls shall take into account procedures required 
under applicable laws and regulations.'' Accordingly, CMS requires that 
entities who wish to connect to the HETS application via the CMS 
Extranet and/or Internet are uniquely identified. CMS is required to 
verify the identity of the person requesting the Protected Health 
Information (PHI) and the person's authority to have access to Medicare 
eligibility information. Furthermore, CMS requires that trading 
partners who wish to conduct eligibility transactions on a real-time 
basis with CMS provide certain assurances as a condition of receiving 
access to the Medicare eligibility information for the purpose of 
conducting real-time 270/271 inquiry/response transactions. Form 
Number: CMS-10157 (OMB control number: 0938-0960); Frequency: 
Quarterly; Affected Public: Private sector (Business or other For-
profits and Not-For-Profits); Number of Respondents: 2,000; Total 
Annual Responses: 2,000; Total Annual Hours: 250. (For policy questions 
regarding this collection contact Rupinder Singh at 410-786-7484).
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Grandfathering 
Provisions of the Medicare DMEPOS Competitive Bidding Program; Use: The 
grandfathering process was established in the April 10, 2007 final rule 
for competitive bidding for rented DME and oxygen and oxygen equipment 
included under the Medicare DMEPOS Competitive Bidding Program. This 
process only applies to suppliers that rented DME and oxygen and oxygen 
equipment to beneficiaries who maintain a permanent residence in a CBA 
before the implementation of the competitive bidding program. The 
competitive bidding program will require some beneficiaries to change 
their suppliers. In order to avoid a beneficiary being without 
medically necessary equipment we felt it necessary to establish this 
notification process. Form Number: CMS-10309 (OMB control number: 0938-
1079); Frequency: Occasionally; Affected Public: Private Sector 
(Business or other for-profit and Not-for-profit institutions); Number 
of Respondents: 1,125; Total Annual Responses: 39,998; Total Annual 
Hours: 4,535. (For policy questions regarding this collection contact 
Djanira Rivera at 410-786-8646).
    5. 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: July 14, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-17059 Filed 7-18-16; 8:45 am]
 BILLING CODE 4120-01-P