81 FR 12904 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 81, Issue 48 (March 11, 2016)
Centers for Medicare & Medicaid Services
Federal Register Volume 81, Issue 48 (March 11, 2016)
| Page Range | 12904-12905 | |
| FR Document | 2016-05471 |
[Federal Register Volume 81, Number 48 (Friday, March 11, 2016)] [Notices] [Pages 12904-12905] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-05471] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS-10146, CMS-10377, CMS-10465 and CMS-10409] 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 any of the following subjects: 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 May 10, 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-10146 Notice of Denial of Medicare Prescription Drug Coverage CMS-10377 Student Health Insurance Coverage CMS-10465 Minimum Essential Coverage CMS-10409 Long Term Care Hospital (LCTH) Continuity Assessment Record and Evaluation (CARE) Data Set 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. [[Page 12905]] 1. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Notice of Denial of Medicare Prescription Drug Coverage; Use: The notice provides information to enrollees when prescription drug coverage has been denied, in whole or in part, by their Part D plans. The notice must be readable, understandable, and state the specific reasons for the denial. The notice must also remind enrollees about their rights and protections related to requests for prescription drug coverage and include an explanation of both the standard and expedited redetermination processes and the rest of the appeal process. Form Number: CMS-10146 (OMB control number: 0938-0976); Frequency: Occasionally; Affected Public: Private sector (Business or other for- profits); Number of Respondents: 580; Total Annual Responses: 1,902,055; Total Annual Hours: 475,514. (For policy questions regarding this collection contact Amber Casserly at 410-786-0976.) 2. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Student Health Insurance Coverage; Use: Under the Student Health Insurance Coverage Final Rule published March 21, 2012 (77 FR 16453), an issuer that provides student health insurance coverage that does not meet the annual dollar limits requirements under Public Health Service Act (PHS Act) section 2711 must provide notice in the insurance policy or certificate and in any other written materials informing students that the policy being issued does not meet the annual limits requirements under the Affordable Care Act. The Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017 Final Rule removed outdated provisions in Sec. 147.145(b)(2) and (d) allowing student health insurance issuers to impose restricted annual dollar limits on policies started before January 1, 2014, with an accompanying requirement that student health issuers must provide notice to students. Those provisions, by their own terms, no longer apply and student health insurance issuers are subject to the prohibition on annual dollar limits under PHS Act section 2711 and Sec. 147.126 for policy years beginning on or after January 1, 2014. Therefore, the annual limit notification requirement is being discontinued. The Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017 Final Rule further provides that, for policy years beginning on or after July 1, 2016, student health insurance coverage is exempt from the actuarial value (AV) requirements under section 1302(d) of the Affordable Care Act, but must provide coverage with an AV of at least 60 percent. This provision also requires issuers of student health insurance coverage to specify in any plan materials summarizing the terms of the coverage the AV of the coverage and the metal level (or the next lowest metal level) the coverage would otherwise satisfy under Sec. 156.140. This disclosure will provide students with information that allows them to compare the student health coverage with other available coverage options. Form Number: CMS-10377 (OMB control number 0938-1157); Frequency: Annually; Affected Public: Private Sector; Number of Respondents: 49; Total Annual Responses: 1,255,000; Total Annual Hours: 49. (For policy questions regarding this collection contact Russell Tipps at 301-492- 4371.) 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Minimum Essential Coverage; Use: The final rule titled ``Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage Provisions,'' published July 1, 2013 (78 FR 39494) designates certain types of health coverage as minimum essential coverage. Other types of coverage, not statutorily designated and not designated as minimum essential coverage in regulation, may be recognized by the Secretary of Health and Human Services (HHS) as minimum essential coverage if certain substantive and procedural requirements are met. To be recognized as minimum essential coverage, the coverage must offer substantially the same consumer protections as those enumerated in the Title I of Affordable Care Act relating to non-grandfathered, individual health insurance coverage to ensure consumers are receiving adequate coverage. The final rule requires sponsors of other coverage that seek to have such coverage recognized as minimum essential coverage to adhere to certain procedures. Sponsoring organizations must submit to HHS certain information about their coverage and an attestation that the plan substantially complies with the provisions of Title I of the Affordable Care Act applicable to non-grandfathered individual health insurance coverage. Sponsors must also provide notice to enrollees informing them that the plan has been recognized as minimum essential coverage for the purposes of the individual coverage requirement. Form Number: CMS-10465 (OMB control number 0938-1189); Frequency: Occasionally; Affected Public: Private Sector (Business or other for-profits); Number of Respondents: 10; Total Annual Responses: 10; Total Annual Hours: 53. (For policy questions regarding this collection contact Russell Tipps at 301-492-4371.) 4. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Long Term Care Hospital (LCTH) Continuity Assessment Record and Evaluation (CARE) Data Set; Use: Section 3004 of the Affordable Care Act authorized the establishment of quality reporting program for long term care hospitals (LTCHs). Beginning in FY 2014, LTCHs that fail to submit quality measure data may be subject to a 2 percentage point reduction in their annual update to the standard Federal rate for discharges occurring during a rate year. The LTCH CARE Data Set was developed specifically for use in LTCHs for data collection of NQF #0678 Pressure Ulcer measures beginning October 1, 2012, with the understanding that the data set would expand in future rulemaking years with the adoption of additional quality measures. Relevant data elements contained in other well-known and clinically established data sets, including but not limited to the Minimum Data Set 3.0 (MDS 3.0) and CARE, were incorporated into the LTCH CARE Data Set V1.01, V2.00 and V2.01. LTCH CARE Data Set V3.00 will be implemented April 1, 2016. Form Number: CMS-10409 (OMB control number: 0938-1163); Frequency: Occasionally; Affected Public: Private Sector: Business or other for-profit and not- for-profit institutions; Number of Respondents: 424; Total Annual Responses: 405,344; Total Annual Hours: 328,346. (For policy questions regarding this collection contact Staci Payne at 410-786-2838.) Dated: March 7, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2016-05471 Filed 3-10-16; 8:45 am] BILLING CODE 4120-01-P
![12904 Federal Register / Vol. 81, No. 48 / Friday, March 11, 2016 / Notices
Medicare Advantage plans, cost plans, Dated: March 7, 2016. 2. By regular mail. You may mail
and Health Care Prepayment Plans, are William N. Parham, III, written comments to the following
required to issue the CMS–10003 form Director, Paperwork Reduction Staff, Office address: CMS, Office of Strategic
when a request for either a medical of Strategic Operations and Regulatory Operations and Regulatory Affairs,
service or payment is denied in whole Affairs. Division of Regulations Development,
or in part. The notice explains why the [FR Doc. 2016–05472 Filed 3–10–16; 8:45 am] Attention: Document Identifier/OMB
plan denied the service or payment and BILLING CODE 4120–01–P Control Number lll, Room C4–26–
informs Medicare enrollees of their 05, 7500 Security Boulevard, Baltimore,
appeal rights. The notice is also used, as Maryland 21244–1850.
DEPARTMENT OF HEALTH AND To obtain copies of a supporting
appropriate, to explain Medicaid appeal
HUMAN SERVICES statement and any related forms for the
rights to full dual eligible individuals
proposed collection(s) summarized in
enrolled in a Medicare health plan that Centers for Medicare & Medicaid this notice, you may make your request
is also managing the individual’s Services using one of following:
Medicaid benefits. The PRA package has 1. Access CMS’ Web site address at
[Document Identifier: CMS–10146, CMS–
been revised subsequent to the 10377, CMS–10465 and CMS–10409] http://www.cms.hhs.gov/
publication of the 60-day Federal PaperworkReductionActof1995.
Register notice (October 16, 2015; 80 FR Agency Information Collection 2. Email your request, including your
62534). Form Number: CMS–10003 Activities: Proposed Collection; address, phone number, OMB number,
(OMB control number: 0938–0829). Comment Request and CMS document identifier, to
Frequency: Occasionally; Affected Paperwork@cms.hhs.gov.
AGENCY: Centers for Medicare & 3. Call the Reports Clearance Office at
Public: Private sector (Business or other
Medicaid Services, HHS. (410) 786–1326.
for-profit and Not-for-profit
ACTION: Notice.
institutions); Number of Respondents: FOR FURTHER INFORMATION CONTACT:
730; Total Annual Responses: SUMMARY: The Centers for Medicare & Reports Clearance Office at (410) 786–
33,574,293; Total Annual Hours: Medicaid Services (CMS) is announcing 1326.
5,593,477. (For policy questions an opportunity for the public to SUPPLEMENTARY INFORMATION:
regarding this collection contact Staci comment on CMS’ intention to collect
information from the public. Under the Contents
Paige at 410–786–2045.)
Paperwork Reduction Act of 1995 (the This notice sets out a summary of the
3. Type of Information Collection
PRA), federal agencies are required to use and burden associated with the
Request: Extension of a currently
publish notice in the Federal Register following information collections. More
approved collection; Title of
concerning each proposed collection of detailed information can be found in
Information Collection: Home Health each collection’s supporting statement
information (including each proposed
Change of Care Notice (HHCCN); Use: and associated materials (see
extension or reinstatement of an existing
The Home Health Change of Care Notice collection of information) and to allow ADDRESSES).
(HHCCN) is used to notify original 60 days for public comment on the CMS–10146 Notice of Denial of
Medicare beneficiaries receiving home proposed action. Interested persons are Medicare Prescription Drug Coverage
health care benefits of plan of care invited to send comments regarding our CMS–10377 Student Health Insurance
changes. Home health agencies (HHAs) burden estimates or any other aspect of Coverage
must provide the HHCCN whenever this collection of information, including CMS–10465 Minimum Essential
they reduce or terminate a beneficiary’s any of the following subjects: The Coverage
home health services due to physician/ necessity and utility of the proposed CMS–10409 Long Term Care Hospital
provider orders or limitation of the HHA information collection for the proper (LCTH) Continuity Assessment
in providing the specific service. performance of the agency’s functions; Record and Evaluation (CARE) Data
Notification is required for covered and the accuracy of the estimated burden; Set
non-covered services listed in the plan ways to enhance the quality, utility, and Under the PRA (44 U.S.C. 3501–
of care. This iteration contains non- clarity of the information to be 3520), federal agencies must obtain
substantive changes which add language collected; and the use of automated approval from the Office of Management
informing beneficiaries of their rights collection techniques or other forms of and Budget (OMB) for each collection of
under Section 504 of the Rehabilitation information technology to minimize the information they conduct or sponsor.
Act of 1973 by alerting the beneficiary information collection burden. The term ‘‘collection of information’’ is
to CMS’ nondiscrimination practices DATES: Comments must be received by defined in 44 U.S.C. 3502(3) and 5 CFR
and the availability of alternate forms of May 10, 2016. 1320.3(c) and includes agency requests
this notice if needed. There are no ADDRESSES: When commenting, please or requirements that members of the
substantive changes. Form Number: reference the document identifier or public submit reports, keep records, or
CMS–10280 (OMB control number: OMB control number. To be assured provide information to a third party.
0938–0829); Frequency: Occasionally; consideration, comments and Section 3506(c)(2)(A) of the PRA
Affected Public: Private sector (Business recommendations must be submitted in requires federal agencies to publish a
any one of the following ways: 60-day notice in the Federal Register
asabaliauskas on DSK3SPTVN1PROD with NOTICES
or other for-profits and Not-for-profit
institutions); Number of Respondents: 1. Electronically. You may send your concerning each proposed collection of
comments electronically to http:// information, including each proposed
12,459; Total Annual Responses:
www.regulations.gov. Follow the extension or reinstatement of an existing
13,764,434; Total Annual Hours:
instructions for ‘‘Comment or collection of information, before
917,262. (For policy questions regarding
Submission’’ or ‘‘More Search Options’’ submitting the collection to OMB for
this collection contact Evelyn Blaemire to find the information collection approval. To comply with this
at 410–786–1803). document(s) that are accepting requirement, CMS is publishing this
comments. notice.
VerDate Sep<11>2014 17:56 Mar 10, 2016 Jkt 238001 PO 00000 Frm 00047 Fmt 4703 Sfmt 4703 E:\FR\FM\11MRN1.SGM 11MRN1](https://thefederalregister.org/doc/81_FR_12952/page/1.svg)
![Federal Register / Vol. 81, No. 48 / Friday, March 11, 2016 / Notices 12905
1. Type of Information Collection Parameters for 2017 Final Rule further insurance coverage. Sponsors must also
Request: Revision of a currently provides that, for policy years beginning provide notice to enrollees informing
approved collection; Title of on or after July 1, 2016, student health them that the plan has been recognized
Information Collection: Notice of Denial insurance coverage is exempt from the as minimum essential coverage for the
of Medicare Prescription Drug Coverage; actuarial value (AV) requirements under purposes of the individual coverage
Use: The notice provides information to section 1302(d) of the Affordable Care requirement. Form Number: CMS–
enrollees when prescription drug Act, but must provide coverage with an 10465 (OMB control number 0938–
coverage has been denied, in whole or AV of at least 60 percent. This provision 1189); Frequency: Occasionally;
in part, by their Part D plans. The notice also requires issuers of student health Affected Public: Private Sector (Business
must be readable, understandable, and insurance coverage to specify in any or other for-profits); Number of
state the specific reasons for the denial. plan materials summarizing the terms of Respondents: 10; Total Annual
The notice must also remind enrollees the coverage the AV of the coverage and Responses: 10; Total Annual Hours: 53.
about their rights and protections the metal level (or the next lowest metal
(For policy questions regarding this
related to requests for prescription drug level) the coverage would otherwise
collection contact Russell Tipps at 301–
coverage and include an explanation of satisfy under § 156.140. This disclosure
492–4371.)
both the standard and expedited will provide students with information
redetermination processes and the rest that allows them to compare the student 4. Type of Information Collection
of the appeal process. Form Number: health coverage with other available Request: Extension of a currently
CMS–10146 (OMB control number: coverage options. Form Number: CMS– approved collection; Title of
0938–0976); Frequency: Occasionally; 10377 (OMB control number 0938– Information Collection: Long Term Care
Affected Public: Private sector (Business 1157); Frequency: Annually; Affected Hospital (LCTH) Continuity Assessment
or other for-profits); Number of Public: Private Sector; Number of Record and Evaluation (CARE) Data Set;
Respondents: 580; Total Annual Respondents: 49; Total Annual Use: Section 3004 of the Affordable Care
Responses: 1,902,055; Total Annual Responses: 1,255,000; Total Annual Act authorized the establishment of
Hours: 475,514. (For policy questions Hours: 49. (For policy questions quality reporting program for long term
regarding this collection contact Amber regarding this collection contact Russell care hospitals (LTCHs). Beginning in FY
Casserly at 410–786–0976.) Tipps at 301–492–4371.) 2014, LTCHs that fail to submit quality
2. Type of Information Collection 3. Type of Information Collection measure data may be subject to a 2
Request: Revision of a currently Request: Extension of a currently percentage point reduction in their
approved collection; Title of approved collection; Title of annual update to the standard Federal
Information Collection: Student Health Information Collection: Minimum rate for discharges occurring during a
Insurance Coverage; Use: Under the Essential Coverage; Use: The final rule rate year. The LTCH CARE Data Set was
Student Health Insurance Coverage titled ‘‘Patient Protection and Affordable developed specifically for use in LTCHs
Final Rule published March 21, 2012 Care Act; Exchange Functions: for data collection of NQF #0678
(77 FR 16453), an issuer that provides Eligibility for Exemptions;
Pressure Ulcer measures beginning
student health insurance coverage that Miscellaneous Minimum Essential
October 1, 2012, with the understanding
does not meet the annual dollar limits Coverage Provisions,’’ published July 1,
that the data set would expand in future
requirements under Public Health 2013 (78 FR 39494) designates certain
rulemaking years with the adoption of
Service Act (PHS Act) section 2711 types of health coverage as minimum
must provide notice in the insurance essential coverage. Other types of additional quality measures. Relevant
policy or certificate and in any other coverage, not statutorily designated and data elements contained in other well-
written materials informing students not designated as minimum essential known and clinically established data
that the policy being issued does not coverage in regulation, may be sets, including but not limited to the
meet the annual limits requirements recognized by the Secretary of Health Minimum Data Set 3.0 (MDS 3.0) and
under the Affordable Care Act. The and Human Services (HHS) as minimum CARE, were incorporated into the LTCH
Patient Protection and Affordable Care essential coverage if certain substantive CARE Data Set V1.01, V2.00 and V2.01.
Act; HHS Notice of Benefit and Payment and procedural requirements are met. LTCH CARE Data Set V3.00 will be
Parameters for 2017 Final Rule removed To be recognized as minimum essential implemented April 1, 2016. Form
outdated provisions in § 147.145(b)(2) coverage, the coverage must offer Number: CMS–10409 (OMB control
and (d) allowing student health substantially the same consumer number: 0938–1163); Frequency:
insurance issuers to impose restricted protections as those enumerated in the Occasionally; Affected Public: Private
annual dollar limits on policies started Title I of Affordable Care Act relating to Sector: Business or other for-profit and
before January 1, 2014, with an non-grandfathered, individual health not-for-profit institutions; Number of
accompanying requirement that student insurance coverage to ensure consumers Respondents: 424; Total Annual
health issuers must provide notice to are receiving adequate coverage. The Responses: 405,344; Total Annual
students. Those provisions, by their final rule requires sponsors of other Hours: 328,346. (For policy questions
own terms, no longer apply and student coverage that seek to have such coverage regarding this collection contact Staci
health insurance issuers are subject to recognized as minimum essential Payne at 410–786–2838.)
the prohibition on annual dollar limits coverage to adhere to certain
Dated: March 7, 2016.
asabaliauskas on DSK3SPTVN1PROD with NOTICES
under PHS Act section 2711 and procedures. Sponsoring organizations
§ 147.126 for policy years beginning on must submit to HHS certain information William N. Parham, III,
or after January 1, 2014. Therefore, the about their coverage and an attestation Director, Paperwork Reduction Staff, Office
annual limit notification requirement is that the plan substantially complies of Strategic Operations and Regulatory
being discontinued. The Patient with the provisions of Title I of the Affairs.
Protection and Affordable Care Act; Affordable Care Act applicable to non- [FR Doc. 2016–05471 Filed 3–10–16; 8:45 am]
HHS Notice of Benefit and Payment grandfathered individual health BILLING CODE 4120–01–P
VerDate Sep<11>2014 17:56 Mar 10, 2016 Jkt 238001 PO 00000 Frm 00048 Fmt 4703 Sfmt 4703 E:\FR\FM\11MRN1.SGM 11MRN1](https://thefederalregister.org/doc/81_FR_12952/page/2.svg)
Document Created: 2016-03-11 01:51:27
Document Modified: 2016-03-11 01:51:27
| 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 May 10, 2016. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 81 FR 12904 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR