Agency Information Collection Activities: Submission for OMB Review; Comment Request

Published date11 September 2019
Citation84 FR 47958
Record Number2019-19677
SectionNotices
CourtCenters For Medicare & Medicaid Services
Federal Register, Volume 84 Issue 176 (Wednesday, September 11, 2019)
[Federal Register Volume 84, Number 176 (Wednesday, September 11, 2019)]
                [Notices]
                [Pages 47958-47960]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2019-19677]
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                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Centers for Medicare & Medicaid Services
                [Document Identifiers CMS-10261, CMS-10556, CMS-R-305, CMS-10328 and
                CMS-10079]
                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 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 on the collection(s) of information must be received by
                the OMB desk officer by October 11, 2019.
                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' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
                 1. Email your request, including your address, phone number, OMB
                number, and CMS document identifier, to [email protected].
                 2. Call the Reports Clearance Office at (410) 786-1326.
                FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.
                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
                [[Page 47959]]
                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: Revision with change of
                a previously approved collection; Title of Information Collection: Part
                C Medicare Advantage Reporting Requirements and Supporting Regulations
                in 42 CFR 422.516(a); Use: Section 1852(m) of the Social Security Act
                (the Act) and CMS regulations at 42 CFR 422.135 allow Medicare
                Advantage (MA) plans the ability to provide ``additional telehealth
                benefits'' to enrollees starting in plan year 2020 and treat them as
                basic benefits. MA additional telehealth benefits are limited to
                services for which benefits are available under Medicare Part B but
                which are not payable under section 1834(m) of the Act. In addition, MA
                additional telehealth benefits are services that been identified by the
                MA plan for the applicable year as clinically appropriate to furnish
                through electronic information and telecommunications technology (or
                ``electronic exchange'') when the physician (as defined in section
                1861(r) of the Act) or practitioner (as defined in section
                1842(b)(18)(C) of the Act) providing the service is not in the same
                location as the enrollee. Per Sec. 422.135(d), MA plans may only
                furnish MA additional telehealth benefits using contracted providers.
                 The changes for the 2020 Reporting Requirements will require plans
                to report Telehealth benefits. The data collected in this measure will
                provide CMS with a better understanding of the number of organizations
                utilizing Telehealth per contract and to also capture those specialties
                used for both in-person and Telehealth. This data will allow CMS to
                improve its policy and process surrounding Telehealth. In addition, the
                specialist and facility data we are collecting aligns with some of the
                provider and facility specialty types that organizations are required
                to include in their networks and to submit on their HSD tables in the
                Network Management Module in Health Plan Management System. Form
                Number: CMS-10261 (OMB control number 0938-1054); Frequency:
                Occasionally; Affected Public: State, Local, and Tribal Governments;
                Number of Respondents: 594; Total Annual Responses: 4,752; Total Annual
                Hours: 187,926. (For policy questions regarding this collection contact
                Mark Smith at 410-786-8015.)
                 2. Type of Information Collection Request: Extension of a currently
                approved collection; Title of Information Collection: Medical Necessity
                and Contract Amendments Under Mental Health Parity; Use: Upon request,
                regulated entities must provide a medical necessity disclosure.
                Receiving this information will enable potential and current enrollees
                to make more educated decisions given the choices available to them
                through their plans and may result in better treatment of their mental
                health or substance use disorder (MH/SUD) conditions. States use the
                information collected and reported as part of its contracting process
                with managed care entities, as well as its compliance oversight role.
                In states where a Medicaid Managed Care Organization (MCO) is
                responsible for providing the full scope of medical/surgical and MH/SUD
                services to beneficiaries, the state will review the parity analysis
                provided by the MCO to confirm that the MCO benefits are in compliance.
                CMS uses the information collected and reported in an oversight role of
                State Medicaid managed care programs. Form Number: CMS-10556 (OMB
                control number: 0938-1280); Frequency: Once and occasionally; Affected
                Public: Individuals and households, the Private sector, and State,
                Local, or Tribal Governments; Number of Respondents: 47,468,596; Total
                Annual Responses: 285,444; Total Annual Hours: 48,057. (For policy
                questions regarding this collection contact Juliet Kuhn at 410-786-
                2480.)
                 3. Type of Information Collection Request: Revision of a currently
                approved collection; Title of Information Collection: External Quality
                Review (EQR) of Medicaid Managed Care Organizations (MCOs) and
                Supporting Regulations; Use: State agencies must provide to the
                external quality review organization (EQRO) information obtained
                through methods consistent with the protocols specified by CMS. This
                information is used by the EQRO to determine the quality of care
                furnished by an MCO. Since the EQR results are made available to the
                general public, this allows Medicaid/CHIP enrollees and potential
                enrollees to make informed choices regarding the selection of their
                providers. It also allows advocacy organizations, researchers, and
                other interested parties access to information on the quality of care
                provided to Medicaid beneficiaries enrolled in Medicaid/CHIP MCOs.
                States use the information during their oversight of these
                organizations. Form Number: CMS-R-305 (OMB control number 0938-0786);
                Frequency: Yearly; Affected Public: State, Local, or Tribal
                Governments; Number of Respondents: 629; Total Annual Responses: 4,869;
                Total Annual Hours: 426,492. (For policy questions regarding this
                collection contact Jennifer Sheer at 410-786-1769.)
                 4. Type of Information Collection Request: Extension of a currently
                approved collection; Title of Information Collection: Medicare Self-
                Referral Disclosure Protocol; Use: Section 6409 of the ACA requires the
                Secretary to establish a voluntary self-disclosure process that allows
                providers of services and suppliers to self-disclose actual or
                potential violations of section 1877 of the Act. In addition, section
                6409(b) of the ACA gives the Secretary authority to reduce the amounts
                due and owing for the violations. To determine the nature and extent of
                the noncompliance and the appropriate amount by which an overpayment
                may be reduced, the Secretary must collect relevant information
                regarding the arrangements and financial relationships at issue from
                disclosing parties. The Secretary may also collect supporting
                documentation, such as contracts, leases, communications, invoices, or
                other documents bearing on the actual or potential violation(s). Most
                of the information and documentation required for submission to CMS in
                accordance with the SRDP is information that health care providers of
                services and suppliers keep as part of customary and usual business
                practices. Form Number: CMS-10328 (OMB control number: 0938-1106);
                Frequency: Yearly; Affected Public: Private Sector (business or other
                for-profits, not-for-profit institutions); Number of Respondents: 100;
                Total Annual Responses: 100; Total Annual Hours: 5,000. (For policy
                questions regarding this collection contact Matthew Edgar at 410-786-
                0698.)
                 5. Type of Information Collection Request: Extension of a currently
                approved collection; Title of Information Collection: Hospital Wage
                Index Occupational Mix Survey; Use: Section 304(c) of Public Law 106-
                554 mandates an occupational mix adjustment to the wage index,
                requiring the collection of data every 3 years on the occupational mix
                of employees for each short-term, acute care hospital participating in
                the Medicare program. The proposed data collection that is
                [[Page 47960]]
                included in this submission complies with this statutory requirement.
                The purpose of the occupational mix adjustment is to control for the
                effect of hospitals' employment choices on the wage index. For example,
                hospitals may choose to employ different combinations of registered
                nurses, licensed practical nurses, nursing aides, and medical
                assistants for the purpose of providing nursing care to their patients.
                The varying labor costs associated with these choices reflect hospital
                management decisions rather than geographic differences in the costs of
                labor. Form Number: CMS-10079 (OMB control number: 0938-0907);
                Frequency: Yearly; Affected Public: Business or Other for-Profits, Not-
                for-Profit Institutions; Number of Respondents: 3,300; Total Annual
                Responses: 3,300; Total Annual Hours: 1,584,000. (For policy questions
                regarding this collection contact Tehila Lipschutz at 410-786-1344.)
                 Dated: September 6, 2019.
                William N. Parham, III,
                Director, Paperwork Reduction Staff, Office of Strategic Operations and
                Regulatory Affairs.
                [FR Doc. 2019-19677 Filed 9-10-19; 8:45 am]
                BILLING CODE 4120-01-P
                

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