[Federal Register Volume 81, Number 214 (Friday, November 4, 2016)]
[Notices]
[Pages 76945-76946]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-26745]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-3070G-I, CMS-R-38 and CMS-10636]
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 other forms of information
technology to minimize the information collection burden.
DATES: Comments must be received by January 3, 2017.
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).
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CMS-3070G-I............................ ICF/IID Survey Report Form and
Supporting Regulations.
CMS-R-38............................... Conditions for Certification
for Rural Health Clinics.
CMS-10636.............................. Three-Year Network Adequacy
Review for Medicare Advantage
Organizations.
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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
[[Page 76946]]
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: ICF/IID Survey
Report Form and Supporting Regulations; Use: The information collected
with forms 3070G-I is used to determine the level of compliance with
Intermediate Care Facilities for Individuals with Intellectual
Disabilities (ICF/IID) CoPs necessary to participate in the Medicare/
Medicaid program. Information needed to monitor the State's performance
as well as the ICF/IID program in general, is available to CMS only
through the use of information abstracted from the survey report form.
The form serves as a coding worksheet designed to facilitate data entry
and retrieval into the Automated Survey Processing Environment Suite
(ASPEN) in the State and at the CMS regional offices. Form Number: CMS-
3070G-I (OMB Control Number: 0938-0062); Frequency: Reporting--Yearly;
Affected Public: Private Sector: Business or other for-profits and Not-
for-profit institutions; Number of Respondents: 6,310; Total Annual
Responses: 6,310; Total Annual Hours: 18,930. (For policy questions
regarding this collection contact Melissa Rice at 410-786-3270.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Conditions for
Certification for Rural Health Clinics; Use: The Rural Health Clinic
(RHC) conditions of certification are based on criteria prescribed in
law and are designed to ensure that each facility has a properly
trained staff to provide appropriate care and to assure a safe physical
environment for patients. We use these conditions of participation to
certify RHCs wishing to participate in the Medicare program. These
requirements are similar in intent to standards developed by industry
organizations such as the Joint Commission on Accreditation of
Hospitals, and the National League of Nursing and the American Public
Association and merely reflect accepted standards of management and
care to which rural health clinics must adhere. Form Number: CMS-R-38
(OMB control number: 0938-0334); Frequency: Recordkeeping and
Reporting--Annually; Affected Public: Business or other for-profits;
Number of Respondents: 4,247; Total Annual Responses: 4,247; Total
Annual Hours: 18,284. (For policy questions regarding this collection
contact Jacqueline Leach at 410-786-4282.)
3. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection: Three-
Year Network Adequacy Review for Medicare Advantage Organizations; Use:
The CMS regulations at 42 CFR 422.112(a)(1)(i) and Sec.
422.114(a)(3)(ii) require that all Medicare Advantage organizations
(MAOs) offering coordinated care plans (e.g., HMO, PPO) or other
network-based plans (e.g., network-based PFFS, network-based MSA,
section 1876 cost plan) maintain a network of appropriate providers
that is sufficient to provide adequate access to covered services to
meet the needs of the population served. To enforce this requirement,
CMS has developed network adequacy criteria, which sets forth the
minimum number of providers and maximum travel time and distance from
enrollees to providers, for each provider specialty type in each county
in the United States and its territories. MAOs must be in compliance
with the current CMS network adequacy criteria. This proposed
collection of information is essential to appropriate and timely
compliance monitoring by CMS, in order to ensure that all active MAO
contracts offering network-based plans maintain an adequate network.
Currently, CMS verifies that MAOs are compliant with the current CMS
network adequacy criteria by performing a contract-level network
review, which occurs when CMS requests that an MAO upload provider and
facility Health Service Delivery (HSD) tables for a given contract to
the Health Plan Management System (HPMS). If an MAO does not have its
contract-level network formally reviewed by CMS after the initial
contract application process, then there is no CMS requirement for a
network adequacy review unless one of the above listed triggering
events occurs. Therefore, CMS is proposing this collection of
information in order to improve monitoring of MAOs' network adequacy.
This collection of information requires the uploading of HSD tables to
the Network Management Module (NMM) in HPMS for any contract that has
not had an entire network review performed by CMS in the previous three
years of contract operation. The collection process will occur at the
contract level for each MAO that qualifies, and CMS will assess each
contract against the current CMS network adequacy criteria. Each time
an MAO's contract undergoes an entire network review during any of the
triggering events listed on page one, the three-year anniversary date
for that contract will be reset, and CMS will maintain an HPMS report
to keep track of this date for every active network-based contract.
Form Number: CMS-10636 (OMB control number 0938-New); Frequency:
Yearly; Affected Public: Private sector (Business or other for-
profits); Number of Respondents: 484; Total Annual Responses: 1,652;
Total Annual Hours: 15,692. (For policy questions regarding this
collection contact Theresa Wachter at 410-786-1157.)
Dated: November 1, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-26745 Filed 11-3-16; 8:45 am]
BILLING CODE 4120-01-P