Agency information collection activities: Proposed collection; comment request,


[Federal Register: June 16, 1998 (Volume 63, Number 115)]


[Page 32888-32889]

From the Federal Register Online via GPO Access []



Health Care Financing Administration

[Document Identifier: HCFA-250, and HCFA-R-153]

Agency information Collection Activities: Proposed Collection; Comment Request

AGENCY: Health Care Financing Administration, HHS.

In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Health Care Financing Administration (HCFA), Department of Health and Human Services, is publishing the following summary of proposed collections for public comment. Interested persons are invited to send comments regarding this burden estimate 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.

(1) Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicare Secondary Payer and Supporting Regulations in 42 CFR 489.20; Form No.: HCFA-250 (OMB# 0938-0214); Use: Medicare Secondary Payer (MSP) is essentially the same concept known in the private insurance industry as coordination of benefits, and refers to those situations where Medicare does not have primary responsibility for paying the medical expenses of a Medicare beneficiary. HCFA contracts with health insuring organizations, herein referred to as intermediaries and

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carriers, to process Medicare claims. HCFA charges its Medicare intermediaries and carriers with various tasks to detect MSP cases; develops and disseminates tools to enable them to better perform their tasks; and monitors their performance in achievement of their assigned MSP functions. Because intermediaries and carriers are also marketing health insurance products that may have liability when Medicare is secondary, the MSP provisions create the potential for conflict of interest. Recognizing this inherent conflict, HCFA has taken steps to ensure that its intermediaries and carriers process claims in accordance with the MSP provisions, regardless of what other insurer is primary. These information collection requirements describe the MSP requirements.; Frequency: Other--Monthly for New Beneficiaries Only; Affected Public: Individual or Households; Number of Respondents: 14,204,000; Total Annual Responses: 14,204,000; Total Annual Hours: 773,240.

(2) Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Drug Utilization Review and Supporting Regulations in 42 CFR 456.700; Form No.: HCFA-R-153, HCFA-R-153a (OMB# 0938-0659); Use: These information collection requirements are necessary to establish patient profiles in pharmacies, identify problems in prescribing and/or dispensing, determine each program's ability to meet minimum standards required for Federal financial participation, and ensure quality pharmaceutical care for Medicaid patients. State Medicaid agencies that have prescription drug programs are required to perform prospective and retrospective drug use review in order to identify aberrations in prescribing, dispensing and/or patient behavior.; Frequency: Annually; Affected Public: State, Local or Tribal Government, Business or other for- profit, and Not for profit institutions; Number of Respondents: 50; Total Annual Responses: 50; Total Annual Hours: 588,667.

To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, access HCFA's Web Site address at, or E-mail your request, including your address, phone number, OMB number, and HCFA document identifier, to, or call the Reports Clearance Office on (410) 786-1326. Written comments and recommendations for the proposed information collections must be mailed within 60 days of this notice directly to the HCFA Paperwork Clearance Officer designated at the following address: HCFA, Office of Information Services, Security and Standards Group, Division of HCFA Enterprise Standards, Attention: Louis Blank, Room C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

Dated: June 9, 1998. John P. Burke III, HCFA Reports Clearance Officer, HCFA Office of Information Services, Security and Standards Group, Division of HCFA Enterprise Standards.

[FR Doc. 98-15970Filed6-15-98; 8:45 am]