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

Published date28 April 2021
Citation86 FR 22438
Record Number2021-08796
SectionNotices
CourtCenters For Medicare & Medicaid Services,Health And Human Services Department
Federal Register, Volume 86 Issue 80 (Wednesday, April 28, 2021)
[Federal Register Volume 86, Number 80 (Wednesday, April 28, 2021)]
                [Notices]
                [Pages 22438-22439]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2021-08796]
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                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Centers for Medicare & Medicaid Services
                [Document Identifier: CMS-10326 and CMS-10340]
                Agency Information Collection Activities: Submission for OMB
                Review; Comment Request
                AGENCY: Centers for Medicare & Medicaid Services, Health and Human
                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. April 28, 2021.
                DATES: Comments on the collection(s) of information must be received by
                the OMB desk officer by May 28, 2021.
                ADDRESSES: Written comments and recommendations for the proposed
                information collection should be sent within 30 days of publication of
                this notice to www.reginfo.gov/public/do/PRAMain. Find this particular
                information collection by selecting ``Currently under 30-day Review--
                Open for Public Comments'' or by using the search function.
                 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.
                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
                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: Reinstatement without
                change of a currently approved collection; Title of Information
                Collection: Electronic Submission of Medicare Graduate Medical
                Education (GME) Affiliation Agreements; Use: Existing regulations at
                Sec. 413.75(b) permit hospitals that share residents to elect to form
                a Medicare GME affiliated group if they are in the same or contiguous
                urban or rural areas, if they are under common ownership, or if they
                are jointly listed as program sponsors or major participating
                institutions in the same program by the accrediting agency. The purpose
                of a Medicare GME affiliated group is to provide flexibility to
                hospitals in structuring rotations under an aggregate full time
                equivalent (FTE) resident cap when they share residents. The existing
                regulations at Sec. 413.79(f)(1) specify that each hospital in a
                Medicare GME affiliated group must submit a Medicare GME affiliation
                agreement (as defined under Sec. 413.75(b)) to the Medicare
                Administrative Contractor (MAC) servicing the hospital and send a copy
                to the Centers for Medicare and Medicaid Services' (CMS) Central
                Office, no later than July 1 of the residency program year during which
                the Medicare GME affiliation agreement will be in effect.
                 CMS will use the information contained in electronic affiliation
                agreements as documentation of the existence of Medicare GME
                affiliations, and to verify that the affiliations being formed by
                teaching hospitals for the purposes of sharing their Medicare GME FTE
                cap slots are valid according to CMS regulations. CMS will also use
                these affiliation agreements as reference materials when potential
                issues involving specific affiliations arise. While we have used hard
                copies of affiliation agreements for those same purposes in the past,
                we implemented this electronic submission process in order to expedite
                and ease the process of retrieving, analyzing and evaluating
                affiliation agreements. Form Number: CMS-10326 (OMB control number:
                0938-1111); Frequency: Annually; Affected Public: Private Sector,
                Business or other for profits, Not for profit institutions; Number of
                Respondents: 125; Total Annual Responses: 125; Total Annual Hours: 166.
                (For policy questions regarding this collection contact Shevi Marciano
                at 410-786-2874.)
                 2. Type of Information Collection Request: Revision of a currently
                approved collection; Title of Information Collection: Collection of
                Encounter Data from MA Organizations Use: Section 1853(a)(3)(B) of the
                Act directs CMS to require MA organizations and eligible organizations
                with risk-sharing contracts under 1876 to ``submit data regarding
                inpatient hospital services . . . and data regarding other services and
                other information as the Secretary deems necessary'' in order to
                implement a methodology for ``risk adjusting'' payments made to MA
                organizations and other entities. Risk adjustments to enrollee monthly
                payments are made in order to take into account ``variations in per
                capita costs based on [the] health status'' of the Medicare
                beneficiaries enrolled in an MA plan.
                 CMS collects encounter data for beneficiaries enrolled in MA
                organizations, section 1876 Cost Health Maintenance Organizations
                (HMOs)/Competitive Medical Plans (CMPs),
                [[Page 22439]]
                Programs of All-inclusive Care for the Elderly (PACE) organizations,
                and MMPs. For PACE organizations and MMPs, encounter data serves
                essentially the same purposes as it does for the MA program (for Part C
                and Part D risk adjustment). To 1876 Cost Plans that offer Part D
                coverage, CMS makes risk adjusted, capitated monthly payments for Part
                D.
                 MA organizations, Part D organizations, 1876 Cost Plans, MMPs and
                PACE organizations must use a CMS approved Network Service Vendor to
                establish connectivity with the CMS secure network for operational
                purposes. Once connectivity is established, these entities must submit
                required documents to CMS's front-end contractor to obtain security
                access credentials. Form Number: CMS-10340 (OMB control number: 0938-
                1152); Frequency: Annually; Affected Public: Private Sector, Business
                or other for-profits, Not-for-profits institutions; Number of
                Respondents: 733; Total Annual Responses: 1,068,204,429; Total Annual
                Hours: 35,618,366. (For policy questions regarding this collection
                contact Michael P. Massimini at 410-786-1560.)
                 Dated: April 22, 2021.
                William N. Parham, III,
                Director, Paperwork Reduction Staff, Office of Strategic Operations and
                Regulatory Affairs.
                [FR Doc. 2021-08796 Filed 4-27-21; 8:45 am]
                BILLING CODE 4120-01-P
                

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