[Federal Register Volume 82, Number 110 (Friday, June 9, 2017)]
[Notices]
[Pages 26804-26806]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-12005]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10346, CMS-10036 and CMS-10437]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
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 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 August 8, 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 https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
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: William Parham at (410) 786-4669.
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-10346 Appeals of Quality Bonus Payment Determinations
CMS-10036 IRF-PAI for the Collection of Data Pertaining to the
Inpatient Rehabilitation Facility Prospective Payment System and
Quality Reporting Program
CMS-10437 Generic Social Marketing & Consumer Testing Research
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: Appeals of
Quality Bonus Payment Determinations; Use: Section 1853(o) of the
Social Security Act requires us to make Quality Bonus Payments (QBPs)
to Medicare Advantage (MA) organizations that achieve performance
rating scores of at least 4 stars under a five star rating system. MA
organizations have 10 calendar days from the date of CMS' release of
its QBP determinations to request a technical report from CMS
explaining the development of their QBP status. The technical report is
provided in writing by electronic mail to the MA organization. If,
after reviewing the technical report, the MA organization believes that
CMS was incorrect in its QBP determination, within 10 calendar days the
MA
[[Page 26805]]
organization may request an appeal to be conducted by a hearing officer
designated by CMS. The hearing officer's decision is final and binding
on both the MA organization and CMS. The hearing officer is required to
issue his/her decision on or before May 15 of the year preceding the
year in which the contract for which the QBP to be applied will be
offered. Form Number: CMS-10346 (OMB control number: 0938-1129);
Frequency: Yearly; Affected Public: Private sector (Business or other
for-profits and Not-for-profit institutions); Number of Respondents:
500; Total Annual Responses: 20; Total Annual Hours: 160. (For policy
questions regarding this collection contact Sarah Gaillot at 410-786-
4637).
2. Type of Information Collection Request: Revision of a previously
approved collection; Title of Information Collection: IRF-PAI for the
Collection of Data Pertaining to the Inpatient Rehabilitation Facility
Prospective Payment System and Quality Reporting Program Use: This
instrument with its supporting manual is needed to permit the Secretary
of Health and Human Services, and CMS, to implement Section 1886(j) of
the Social Security Act, 42 U.S.C. 1395ww(j), as enacted by Sec. 4421
of the Balanced Budget Act of 1997 (BBA), Pub. L. 105-33. The statute
requires the Secretary to develop a prospective payment system for
inpatient rehabilitation facility services for the Medicare program.
This payment system is to cover both operating and capital costs for
inpatient rehabilitation facility services. It applies to inpatient
rehabilitation hospitals as well as rehabilitation units of acute care
hospitals, both of which are exempt from the current PPS for inpatient
hospital services. CMS implemented the inpatient rehabilitation
facility prospective payment system for cost reporting periods
beginning on or after January 1, 2002.
Since October 1, 2012, the IRF-PAI has also been used to collect
quality measure data, using data items in the Quality Indicator
section, as required by Section 1886(j)(7) of the Social Security Act
added by section 3004 of the Patient Protection and Affordable Care
Act. The statute requires the Secretary to establish a quality
reporting program for inpatient rehabilitation facilities (IRFs), which
was established in the FY 2012 IRF PPS final rule (76 FR 47873 through
47883. Further, section 1886(j)(7)(A)(i) of the Act requires the
Secretary to reduce the increase factor with respect to a fiscal year
by 2 percentage points for any IRFs that do not submit data to the
Secretary in accordance with requirements established by the Secretary
for that fiscal year, beginning in fiscal year 2014.
Section 2(a) of the Improving Medicare Post-Acute Care
Transformation Act of 2014 (IMPACT Act) (Pub. L. 113-185, enacted on
Oct. 6, 2014), requires that the Secretary specify not later than the
applicable specified application date, as defined in section
1899B(a)(2)(E), quality measures on which IRF providers are required to
submit standardized patient assessment data described in section
1899B(b)(1) and other necessary data specified by the Secretary.
Section 1899B(c)(2)(A) requires, to the extent possible, the submission
of the such quality measure data through the use of a PAC assessment
instrument and the modification of such instrument as necessary to
enable such use; for IRFs, this requirement refers to the Inpatient
Rehabilitation Facility--Patient Assessment Instrument (IRF-PAI).
Since October 1, 2015, there have been numerous updates to the IRF-
PAI. Some of the changes were subject to the Paperwork Reduction Act
and some are exempt under the IMPACT Act. This information collection
includes a summary of those revisions. Form Number: CMS-10036 (OMB
control number: 0938-0842); Frequency: Annually; Affected Public:
Private Sector: Business or other for-profits and Not-for-profit
institutions, State, Local or Tribal Governments and Federal
Government; Number of Respondents: 1,137; Total Annual Responses:
402,311; Total Annual Hours: 227,151. (For policy questions regarding
this collection contact Charles Padgett at 410-786-2811.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Generic Social
Marketing & Consumer Testing Research; Use: The purpose of this
submission is to extend the approval of the generic clearance for a
program of consumer research aimed at a broad audience of those
affected by CMS programs including Medicare, Medicaid, Children's
Health Insurance Program (CHIP), and health insurance exchanges. This
program extends strategic efforts to reach and tailor communications to
beneficiaries, caregivers, providers, stakeholders, and any other
audiences that would support the Agency in improving the functioning of
the health care system, improve patient care and outcomes, and reduce
costs without sacrificing quality of care. The information collected
will be used to create a streamlined and proactive process for
collection of data and utilizing the feedback on service delivery for
continuous improvement of communication activities aimed at diverse CMS
audiences.
The generic clearance will allow rapid response to inform CMS
initiatives using a mixture of qualitative and quantitative consumer
research strategies (including formative research studies and
methodological tests) to improve communication with key CMS audiences.
As new information resources and persuasive technologies are developed,
they can be tested and evaluated for beneficiary response to the
materials and delivery channels. Results will inform communication
development and information architecture as well as allow for
continuous quality improvement. The overall goal is to maximize the
extent to which consumers have access to useful sources of CMS program
information in a form that can help them make the most of their
benefits and options
The activities under this clearance involve social marketing and
consumer research using samples of self-selected customers, as well as
convenience samples, and quota samples, with respondents selected
either to cover a broad range of customers or to include specific
characteristics related to certain products or services. All collection
of information under this clearance will utilize a subset of items
drawn from a core collection of customizable items referred to as the
Social Marketing and Consumer Testing Item Bank. This item bank is
designed to establish a set of pre-approved generic question that can
be drawn upon to allow for the rapid turn-around consumer testing
required for us to communicate more effectively with our audiences. The
questions in the item bank are divided into two major categories. One
set focuses on characteristics of individuals and is intended primarily
for participant screening and for use in structured quantitative on-
line or telephone surveys. The other set is less structured and is
designed for use in qualitative one-on-one and small group discussions
or collecting information related to subjective impressions of test
materials. Results will be compiled and disseminated so that future
communication can be informed by the testing results. We will use the
findings to create the greatest possible public benefit. Form Number:
CMS-10437 (OMB control number: 0938-1247); Frequency: Yearly; Affected
Public: Individuals; Number of Respondents: 41,592; Number of
Responses: 28,800; Total Annual Hours: 21,488. (For policy questions
regarding this collection
[[Page 26806]]
contact Allyssa Allen at 410-786-8436126.)
Dated: June 6, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2017-12005 Filed 6-8-17; 8:45 am]
BILLING CODE 4120-01-P