[Federal Register Volume 81, Number 237 (Friday, December 9, 2016)]
[Notices]
[Pages 89104-89106]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-29584]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-10, CMS-10487, CMS-10116, CMS-10219 and
CMS-10275]
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: The
necessity and utility of the proposed information collection for the
proper performance of the agency's functions; the accuracy of the
estimated burden; ways to enhance the quality, utility, and clarity of
the information to be collected; and the use of automated collection
techniques or other forms of information technology to minimize the
information collection burden.
DATES: Comments must be received by February 7, 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).
CMS-R-10 Advance Directives (Medicare and Medicaid) and Supporting
Regulations
CMS-10487 Medicaid Emergency Psychiatric Demonstration (MEPD)
Evaluation
CMS-10116 Conditions for Payment of Power Mobility Devices, including
Power Wheelchairs and Power-Operated Vehicles
CMS-10219 Healthcare Effectiveness Data and Information Set
(HEDIS[supreg]) Data Collection for Medicare Advantage
CMS-10275 CAHPS Home Health Care Survey
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: Extension of a
previously approved collection; Title of Information Collection:
Advance Directives (Medicare and Medicaid) and Supporting Regulations;
Use: The advance directives requirement was enacted because Congress
wanted individuals to know that they have a right to make health care
decisions and to refuse treatment even when they are unable to
communicate. Steps have been taken at both the Federal and State level,
to afford greater opportunity for the individual to participate in
decisions made concerning the medical treatment to be received by an
adult patient in the event that the patient is unable to communicate to
others, a preference about medical treatment. The individual may make
his preference known through the use of an advance directive, which is
a written instruction prepared in advance, such as a living will or
durable power of attorney. This information is documented in a
prominent part of the individual's medical record. Advance directives
as described in the Patient Self-Determination Act have increased the
individual's control over decisions concerning medical treatment.
Sections 4206 of the Omnibus Budget Reconciliation Act of 1990 defined
an advance directive as a written instruction recognized under State
law relating to the provision of health care when an individual is
incapacitated
[[Page 89105]]
(those persons unable to communicate their wishes regarding medical
treatment).
All states have enacted legislation defining a patient's right to
make decisions regarding medical care, including the right to accept or
refuse medical or surgical treatment and the right to formulate advance
directives. Participating hospitals, skilled nursing facilities,
nursing facilities, home health agencies, providers of home health
care, hospices, religious nonmedical health care institutions, and
prepaid or eligible organizations (including Health Care Prepayment
Plans (HCPPs) and Medicare Advantage Organizations (MAOs) such as
Coordinated Care Plans, Demonstration Projects, Chronic Care
Demonstration Projects, Program of All Inclusive Care for the Elderly,
Private Fee for Service, and Medical Savings Accounts must provide
written information, at explicit time frames, to all adult individuals
about: (a) The right to accept or refuse medical or surgical
treatments; (b) the right to formulate an advance directive; (c) a
description of applicable State law (provided by the State); and (d)
the provider's or organization's policies and procedures for
implementing an advance directive. Form Number: CMS-R-10 (OMB control
number: 0938-0610); Frequency: Yearly; Affected Public: Business or
other for-profits; Number of Respondents: 39,479; Total Annual
Responses: 39,479; Total Annual Hours: 2,836,441. (For policy questions
regarding this collection contact Jeannine Cramer at 410-786-5664.)
2. Type of Information Collection Request: Extension of a
previously approved collection; Title of Information Collection:
Medicaid Emergency Psychiatric Demonstration (MEPD) Evaluation; Use:
Since the inception of Medicaid, inpatient care provided to adults ages
21 to 64 in institutions for mental disease (IMDs) has been excluded
from federal matching funds. The Emergency Medical Treatment and Active
Labor Act (EMTALA), however, requires IMDs that participate in Medicare
to provide treatment for psychiatric emergency medical conditions
(EMCs), even for Medicaid patients for whose services cannot be
reimbursed. Section 2707 of the Affordable Care Act (ACA) directs the
Secretary of Health and Human Services to conduct and evaluate a
demonstration project to determine the impact of providing payment
under Medicaid for inpatient services provided by private IMDs to
individuals with emergency psychiatric conditions between the ages of
21 and 64. We will use the data to evaluate the Medicaid Emergency
Psychiatric Demonstration (MEPD) in accordance with the ACA mandates.
This evaluation in turn will be used by Congress to determine whether
to continue or expand the demonstration. If the decision is made to
expand the demonstration, the data collected will help to inform both
CMS and its stakeholders about possible effects of contextual factors
and important procedural issues to consider in the expansion, as well
as the likelihood of various outcomes. Form Number: CMS-10487 (OMB
control number: 0938-NEW); Frequency: Annually; Affected Public:
Individuals and households; State, Local and Tribal governments;
Business and other for-profits and Not-for-profits; Number of
Respondents: 93; Total Annual Responses: 1,944; Total Annual Hours:
2,046. (For policy questions regarding this collection contact Vetisha
McClair at 410-786-4923.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Conditions for
Payment of Power Mobility Devices, including Power Wheelchairs and
Power-Operated Vehicles; Use: We are renewing our request for approval
for the collection requirements associated with the final rule, CMS-
3017-F (71 FR 17021), which published on April 5, 2006, and required a
face-to-face examination of the beneficiary by the physician or
treating practitioner, a written prescription, and receipt of pertinent
parts of the medical record by the supplier within 45 days after the
face-to-face examination that the durable medical equipment (DME)
suppliers maintain in their records and make available to CMS and its
agents upon request. Form Number: CMS-10116 (OMB control number: 0938-
0971); Frequency: Yearly; Affected Public: Private Sector--Business or
other for-profits; Number of Respondents: 46,000; Number of Responses:
72,500; Total Annual Hours: 14,434. (For policy questions regarding
this collection contact Stuart Caplan at 410-786-8564.)
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Healthcare
Effectiveness Data and Information Set (HEDIS[supreg]) Data Collection
for Medicare Advantage; Use: We use the collected data to: Monitor
Medicare Advantage organization performance, inform audit strategies,
and inform beneficiary choice through their display in our consumer-
oriented public compare tools and Web sites. Medicare Advantage
organizations use the data for quality assessment and as part of their
quality improvement programs and activities. Quality Improvement
Organizations and our contractors use HEDIS[supreg] data in conjunction
with their statutory authority to improve quality of care. Consumers
use the information to help make informed health care choices. In
addition, the data is made available to researchers and others as
public use files at www.cms.hhs.gov. Form Number: CMS-10219 (OMB
control number: 0938-1028); Frequency: Yearly; Affected Public: Private
sector--Business or other for-profit and Not-for-profit institutions;
Number of Respondents: 576; Total Annual Responses: 576; Total Annual
Hours: 184,320. (For policy questions regarding this collection contact
Lori Teichman at 410-786-6684.)
5. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: CAHPS Home Health
Care Survey; Use: The national implementation of the Home Health Care
Consumer Assessment of Healthcare Providers and Systems (CAHPS[supreg])
Survey is designed to collect ongoing data from samples of home health
care patients who receive skilled services from Medicare-certified home
health agencies. The data collected from the national implementation of
the Home Health Care CAHPS Survey will be used for the following
purposes: (1) To produce comparable data on the patients' perspectives
of the care they receive from home health agencies, (2) to create
incentives for agencies to improve the quality of care they provide
through public reporting of survey results, and (3) to enhance public
accountability in health care by increasing the transparency of the
quality of care provided in return for the public investment. Sampling
and data collection will be conducted on a monthly basis. Survey
results will be analyzed and reported on a quarterly basis, with
publicly reported results based on one year's worth of data.
As part of this information collection request for the national
implementation of Home Health Care CAHPS, CMS is also requesting
approval to conduct a randomized mode experiment with a sample of home
health agencies. The mode experiment compared the responses to the
survey across the three proposed modes to determine whether adjustments
are needed to ensure that the data collection mode does not influence
the survey results. In addition, data from the mode experiment will be
used to determine which, if any, patient characteristics may affect the
patients' rating of the care they receive and, if so,
[[Page 89106]]
develop an adjustment model of those data based on those factors. CMS
worked with RTI, the federal contractor to recruit approximately 100
home health agencies to participate in the mode experiment. The mode
experiment included approximately 23,000 home health care patients.
Form Number: CMS-10275 (OMB control number: 0938-1066); Frequency:
Quarterly; Affected Public: Individuals and households and the Private
sector (Business or other for-profit and Not-for-profit institutions);
Number of Respondents: 2,715,890; Total Annual Responses: 2,715,890;
Total Annual Hours: 699,440. (For policy questions regarding this
collection contact Lori Teichman at 410-786-6684.)
Dated: December 6, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-29584 Filed 12-8-16; 8:45 am]
BILLING CODE 4120-01-P