[Federal Register Volume 81, Number 210 (Monday, October 31, 2016)]
[Notices]
[Pages 75406-75408]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-26246]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-416, CMS-8003, CMS-10142, CMS-10396, and
CMS-R-262]
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: (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
[[Page 75407]]
other forms of information technology to minimize the information
collection burden.
DATES: Comments must be received by December 30, 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-416 Annual Early and Periodic Screening, Diagnostic and Treatment
(EPSDT) Participation Report
CMS-8003 1915(c) Home and Community Based Services (HCBS) Waiver
CMS-10142 Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and
Prescription Drug Plans (PDP)
CMS-10396 Medication Therapy Management Program Improvements
CMS-R-262 Contract Year 2018 Plan Benefit Package (PBP) Software and
Formulary Submission
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: Annual Early and
Periodic Screening, Diagnostic and Treatment (EPSDT) Participation
Report; Use: The collected baseline data is used to assess the
effectiveness of state early and periodic screening, diagnostic and
treatment (EPSDT) programs in reaching eligible children (by age group
and basis of Medicaid eligibility) who are provided initial and
periodic child health screening services, referred for corrective
treatment, and receiving dental, hearing, and vision services. This
assessment is coupled with the state's results in attaining the
participation goals set for the state. The information gathered from
this report, permits federal and state managers to evaluate the
effectiveness of the EPSDT law on the basic aspects of the program.
Form Number: CMS-416 (OMB control number 0938-0354); Frequency: Yearly
and on occasion; Affected Public: State, Local, or Tribal Governments;
Number of Respondents: 56; Total Annual Responses: 168; Total Annual
Hours: 1,624. (For policy questions regarding this collection contact
Kimberly Perrault at 410-786-2482.)
2. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
1915(c) Home and Community Based Services (HCBS) Waiver; Use: We will
use the web-based application to review and adjudicate individual
waiver actions. The web-based application will also be used by states
to submit and revise their waiver requests. Form Number: CMS-8003 (OMB
control number 0938-0449); Frequency: Yearly; Affected Public: State,
Local, or Tribal Governments; Number of Respondents: 47; Total Annual
Responses: 71; Total Annual Hours: 6,005. (For policy questions
regarding this collection contact Kathy Poisal at 410-786-5940.)
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Bid Pricing Tool
(BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans
(PDP); Use: We require that Medicare Advantage organizations and
Prescription Drug Plans complete the BPT as part of the annual bidding
process. During this process, organizations prepare their proposed
actuarial bid pricing for the upcoming contract year and submit them to
us for review and approval. The purpose of the BPT is to collect the
actuarial pricing information for each plan. The BPT calculates the
plan's bid, enrollee premiums, and payment rates. We publish
beneficiary premium information using a variety of formats
(www.medicare.gov, the Medicare & You handbook, Summary of Benefits
marketing information) for the purpose of beneficiary education and
enrollment. Form Number: CMS-10142 (OMB control number 0938-0944);
Frequency: Yearly; Affected Public: Business or other for-profits and
Not-for-profit institutions; Number of Respondents: 555; Total Annual
Responses: 4,995; Total Annual Hours: 149,850. (For policy questions
regarding this collection contact Rachel Shevland at 410-786-3026.)
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medication
Therapy Management Program Improvements; Use: Information collected by
Part D medication therapy management programs (as required by the
standardized format for the comprehensive medication review summary)
will be used by beneficiaries or their authorized representatives,
caregivers, and their healthcare providers to improve medication use
and achieve better healthcare outcomes. Form Number: CMS-10396 (OMB
control number 0938-1154); Frequency: Occasionally; Affected Public:
Business or other for-profits; Number of Respondents: 599; Total Annual
Responses: 1,211,661; Total Annual Hours: 807,451. (For policy
questions regarding this collection contact Victoria Dang at 410-786-
3991.)
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5. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Contract Year
2018 Plan Benefit Package (PBP) Software and Formulary Submission; Use:
We require that Medicare Advantage and Prescription Drug Plan
organizations submit a completed PBP and formulary as part of the
annual bidding process. During this process, organizations prepare
their proposed plan benefit packages for the upcoming contract year and
submit them to us for review and approval. We publish beneficiary
education information using a variety of formats. The specific
education initiatives that utilize PBP and formulary data include web
application tools on www.medicare.gov and the plan benefit insert in
the Medicare & You handbook. In addition, organizations utilize the PBP
data to generate their Summary of Benefits marketing information. Form
Number: CMS-R-262 (OMB control number 0938-0763); Frequency: Yearly;
Affected Public: Business or other for-profits and Not-for-profit
institutions; Number of Respondents: 524; Total Annual Responses:
5,185; Total Annual Hours: 50,619. (For policy questions regarding this
collection contact Kristy Holtje at 410-786-2209.)
Dated: October 26, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-26246 Filed 10-28-16; 8:45 am]
BILLING CODE 4120-01-P