80 FR 70807 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 80, Issue 220 (November 16, 2015)
Centers for Medicare & Medicaid Services
Federal Register Volume 80, Issue 220 (November 16, 2015)
| Page Range | 70807-70808 | |
| FR Document | 2015-29160 |
[Federal Register Volume 80, Number 220 (Monday, November 16, 2015)] [Notices] [Pages 70807-70808] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-29160] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-3427] Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Centers for Medicare & Medicaid Services. 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 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. DATES: Comments must be received by January 15, 2016. 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-3427 End Stage Renal Disease Application and Survey and Certification Report 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: Reinstatement with change of a previously approved collection; Title of Information Collection: End Stage Renal Disease Application and Survey and Certification Report; Use: Part I of this form is a facility identification and screening measurement used to initiate the certification and recertification of ESRD facilities. Part II is completed by the Medicare/Medicaid State survey agency to determine facility compliance with ESRD conditions for coverage. [[Page 70808]] Form Number: CMS-3427 (OMB control number: 0938-0360); Frequency: Every three years; Affected Public: Private sector (Business or other for- profit and Not-for profit institutions); Number of Respondents: 6,138; Total Annual Responses: 2,046; Total Annual Hours: 682. (For policy questions regarding this collection contact Judith Kari at 410-786- 6829) Dated: November 10, 2015. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2015-29160 Filed 11-13-15; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 80, No. 220 / Monday, November 16, 2015 / Notices 70807
entity. As discussed above, this annual DEPARTMENT OF HEALTH AND To obtain copies of a supporting
notice announces Medicare’s Hospital HUMAN SERVICES statement and any related forms for the
Insurance (Part A) premium for proposed collection(s) summarized in
uninsured enrollees in calendar year Centers for Medicare & Medicaid this notice, you may make your request
(CY) 2016. As a result, we are not Services using one of following:
preparing an analysis for the RFA [Document Identifiers: CMS–3427] 1. Access CMS’ Web site address at
because the Secretary has determined http://www.cms.hhs.gov/
that this notice will not have a Agency Information Collection PaperworkReductionActof1995.
significant economic impact on a Activities: Proposed Collection; 2. Email your request, including your
substantial number of small entities. Comment Request address, phone number, OMB number,
and CMS document identifier, to
In addition, section 1102(b) of the AGENCY: Centers for Medicare & Paperwork@cms.hhs.gov.
Social Security Act requires us to Medicaid Services. 3. Call the Reports Clearance Office at
prepare a regulatory impact analysis if ACTION: Notice. (410) 786–1326.
a rule may have a significant impact on
SUMMARY: The Centers for Medicare & FOR FURTHER INFORMATION CONTACT:
the operations of a substantial number
Medicaid Services (CMS) is announcing Reports Clearance Office at (410) 786–
of small rural hospitals. This analysis
an opportunity for the public to 1326.
must conform to the provisions of
section 604 of the RFA. For purposes of comment on CMS’ intention to collect SUPPLEMENTARY INFORMATION:
section 1102(b) of the Act, we define a information from the public. Under the
Paperwork Reduction Act of 1995 (the Contents
small rural hospital as a hospital that is
located outside of a Metropolitan PRA), federal agencies are required to This notice sets out a summary of the
publish notice in the Federal Register use and burden associated with the
Statistical Area for Medicare payment
concerning each proposed collection of following information collections. More
regulations and has fewer than 100
information (including each proposed detailed information can be found in
beds. As discussed above, we are not
extension or reinstatement of an existing each collection’s supporting statement
preparing an analysis for section 1102(b) collection of information) and to allow
of the Act, because the Secretary has and associated materials (see
60 days for public comment on the ADDRESSES).
determined that this notice will not proposed action. Interested persons are
have a significant impact on the invited to send comments regarding our CMS–3427 End Stage Renal Disease
operations of a substantial number of burden estimates or any other aspect of Application and Survey and
small rural hospitals. this collection of information, including Certification Report
Section 202 of the Unfunded any of the following subjects: (1) The Under the PRA (44 U.S.C. 3501–
Mandates Reform Act of 1995 also necessity and utility of the proposed 3520), federal agencies must obtain
requires that agencies assess anticipated information collection for the proper approval from the Office of Management
costs and benefits before issuing any performance of the agency’s functions; and Budget (OMB) for each collection of
rule whose mandates require spending (2) the accuracy of the estimated information they conduct or sponsor.
in any 1 year of $100 million in 1995 burden; (3) ways to enhance the quality, The term ‘‘collection of information’’ is
dollars, updated annually for inflation. utility, and clarity of the information to defined in 44 U.S.C. 3502(3) and 5 CFR
In 2015, that threshold is approximately be collected; and (4) the use of 1320.3(c) and includes agency requests
$144 million. This notice does not automated collection techniques or or requirements that members of the
impose mandates that will have a other forms of information technology to public submit reports, keep records, or
consequential effect of $144 million or minimize the information collection provide information to a third party.
more on state, local, or tribal burden. Section 3506(c)(2)(A) of the PRA
governments or on the private sector. DATES: Comments must be received by requires federal agencies to publish a
Executive Order 13132 establishes January 15, 2016. 60-day notice in the Federal Register
certain requirements that an agency ADDRESSES: When commenting, please concerning each proposed collection of
must meet when it promulgates a reference the document identifier or information, including each proposed
proposed rule (and subsequent final OMB control number. To be assured extension or reinstatement of an existing
rule) that imposes substantial direct consideration, comments and collection of information, before
requirement costs on state and local recommendations must be submitted in submitting the collection to OMB for
any one of the following ways: approval. To comply with this
governments, preempts state law, or
1. Electronically. You may send your requirement, CMS is publishing this
otherwise has Federalism implications.
comments electronically to http:// notice.
Since this notice does not impose any
www.regulations.gov. Follow the
costs on state or local governments, the Information Collection
instructions for ‘‘Comment or
requirements of Executive Order 13132 1. Type of Information Collection
Submission’’ or ‘‘More Search Options’’
are not applicable. Request: Reinstatement with change of a
to find the information collection
Dated: November 6, 2015. document(s) that are accepting previously approved collection; Title of
Andrew M. Slavitt, comments. Information Collection: End Stage Renal
Acting Administrator, Centers for Medicare 2. By regular mail. You may mail Disease Application and Survey and
& Medicaid Services. written comments to the following Certification Report; Use: Part I of this
tkelley on DSK3SPTVN1PROD with NOTICES
address: CMS, Office of Strategic form is a facility identification and
Dated: November 9, 2015
Operations and Regulatory Affairs, screening measurement used to initiate
Sylvia M. Burwell, Division of Regulations Development, the certification and recertification of
Secretary, Department of Health and Human Attention: Document Identifier/OMB ESRD facilities. Part II is completed by
Services. Control Number lll, Room C4–26– the Medicare/Medicaid State survey
[FR Doc. 2015–29176 Filed 11–10–15; 4:15 pm] 05, 7500 Security Boulevard, Baltimore, agency to determine facility compliance
BILLING CODE 4120–01–P Maryland 21244–1850. with ESRD conditions for coverage.
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![70808 Federal Register / Vol. 80, No. 220 / Monday, November 16, 2015 / Notices
Form Number: CMS–3427 (OMB control for inpatient hospital services furnished Act requires that any hospital that is not
number: 0938–0360); Frequency: Every to a beneficiary. It also provides for a meaningful electronic health record
three years; Affected Public: Private certain coinsurance amounts to be (EHR) user (as defined in section
sector (Business or other for-profit and subtracted from the amounts payable by 1886(n)(3) of the Act) will have three-
Not-for profit institutions); Number of Medicare for inpatient hospital and quarters of the market basket update
Respondents: 6,138; Total Annual extended care services. Section reduced by 331⁄3 percent for FY 2015,
Responses: 2,046; Total Annual Hours: 1813(b)(2) of the Act requires us to 662⁄3 percent for FY 2016, and 100
682. (For policy questions regarding this determine and publish each year the percent for FY 2017 and each
collection contact Judith Kari at 410– amount of the inpatient hospital subsequent fiscal year. We are
786–6829) deductible and the hospital and estimating that after accounting for
Dated: November 10, 2015. extended care services coinsurance these hospitals receiving the lower
amounts applicable for services market basket update, the calculated
William N. Parham, III,
furnished in the following calendar year deductible will not be affected, since the
Director, Paperwork Reduction Staff, Office
(CY). majority of hospitals are meaningful
of Strategic Operations and Regulatory
Affairs.
EHR users and are expected to receive
II. Computing the Inpatient Hospital
the full market basket update.
[FR Doc. 2015–29160 Filed 11–13–15; 8:45 am] Deductible for CY 2016 Under section 1886(b)(3)(B)(ii)(VIII) of
BILLING CODE 4120–01–P Section 1813(b) of the Act prescribes the Act, the percentage increase used to
the method for computing the amount of update the payment rates for FY 2016
the inpatient hospital deductible. The for hospitals excluded from the
DEPARTMENT OF HEALTH AND inpatient hospital deductible is an inpatient prospective payment system is
HUMAN SERVICES amount equal to the inpatient hospital as follows:
Centers for Medicare & Medicaid
deductible for the preceding CY, • The percentage increase for long
adjusted by our best estimate of the term care hospitals is the market basket
Services
payment-weighted average of the percentage increase reduced by 0.2
[CMS–8059–N] applicable percentage increases (as percentage points and the MFP
RIN 0938–AS36 defined in section 1886(b)(3)(B) of the adjustment (see sections 1886(m)(3)(A)
Act) used for updating the payment and 1886(m)(4)(E) of the Act).
Medicare Program; CY 2016 Inpatient rates to hospitals for discharges in the • The percentage increase for
Hospital Deductible and Hospital and fiscal year (FY) that begins on October inpatient rehabilitation facilities is the
Extended Care Services Coinsurance 1 of the same preceding CY, and market basket percentage increase
Amounts adjusted to reflect changes in real case- reduced by 0.2 percentage points and
mix. The adjustment to reflect real case- the MFP adjustment (see sections
AGENCY: Centers for Medicare & mix is determined on the basis of the 1886(j)(3)(C) and 1886(j)(3)(D)(iv) of the
Medicaid Services (CMS), HHS. most recent case-mix data available. The Act).
ACTION: Notice. amount determined under this formula • The percentage increase used to
is rounded to the nearest multiple of $4 update the payment rate for inpatient
SUMMARY: This notice announces the (or, if midway between two multiples of psychiatric facilities is the market
inpatient hospital deductible and the $4, to the next higher multiple of $4). basket percentage increase reduced by
hospital and extended care services Under section 1886(b)(3)(B)(i)(XX) of 0.2 percentage points and the MFP
coinsurance amounts for services the Act, the percentage increase used to adjustment (see sections
furnished in calendar year (CY) 2016 update the payment rates for FY 2016 1886(s)(2)(A)(i), 1886(s)(2)(A)(ii), and
under Medicare’s Hospital Insurance for hospitals paid under the inpatient 1886(s)(3)(D) of the Act).
Program (Medicare Part A). The prospective payment system is the The Inpatient Prospective Payment
Medicare statute specifies the formulae market basket percentage increase, System market basket percentage
used to determine these amounts. For otherwise known as the market basket increase for 2016 is 2.4 percent and the
CY 2016, the inpatient hospital update, reduced by 0.2 percentage MFP adjustment is 0.5 percent, as
deductible will be $1,288. The daily points (see section 1886(b)(3)(B)(xii)(IV) announced in the final rule that
coinsurance amounts for CY 2016 will of the Act), and an adjustment based on appeared in the Federal Register on
be: (1) $322 for the 61st through 90th changes in the economy-wide August 17, 2015 entitled, ‘‘Hospital
day of hospitalization in a benefit productivity (the multifactor Inpatient Prospective Payment Systems
period; (2) $644 for lifetime reserve productivity (MFP) adjustment) (see for Acute Care Hospitals and the Long-
days; and (3) $161.00 for the 21st section 1886(b)(3)(B)(xi)(II) of the Act). Term Care Hospital Prospective
through 100th day of extended care Under section 1886(b)(3)(B)(viii) of the Payment System Policy Changes and
services in a skilled nursing facility in Act, for fiscal year 2016, the applicable Fiscal Year 2016 Rates’’ (80 FR 49510).
a benefit period. percentage increase for hospitals that do Therefore, the percentage increase for
DATES: Effective Date: This notice is not submit quality data as specified by hospitals paid under the inpatient
effective on January 1, 2016. the Secretary of the Department of prospective payment system that submit
FOR FURTHER INFORMATION CONTACT: Health and Human Services (the quality data and are meaningful EHR
Clare McFarland, (410) 786–6390 for Secretary) is reduced by one quarter of users is 1.7 percent (that is, the FY 2016
general information. Gregory J. Savord, the market basket update. We are market basket update of 2.4 percent less
(410) 786–1521 for case-mix analysis. estimating that after accounting for the MFP adjustment of 0.5 percentage
tkelley on DSK3SPTVN1PROD with NOTICES
SUPPLEMENTARY INFORMATION: those hospitals receiving the lower point and less 0.2 percentage point).
market basket update in the payment- The average payment percentage
I. Background weighted average update, the calculated increase for hospitals excluded from the
Section 1813 of the Social Security deductible will not be affected, since the inpatient prospective payment system is
Act (the Act) provides for an inpatient majority of hospitals submit quality data 1.82 percent. Weighting these
hospital deductible to be subtracted and receive the full market basket percentages in accordance with
from the amount payable by Medicare update. Section 1886(b)(3)(B)(ix) of the payment volume, our best estimate of
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Document Created: 2015-12-14 14:13:16
Document Modified: 2015-12-14 14:13:16
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments must be received by January 15, 2016. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 80 FR 70807 |
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