81 FR 22272 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 81, Issue 73 (April 15, 2016)
Centers for Medicare & Medicaid Services
Federal Register Volume 81, Issue 73 (April 15, 2016)
| Page Range | 22272-22273 | |
| FR Document | 2016-08784 |
[Federal Register Volume 81, Number 73 (Friday, April 15, 2016)] [Notices] [Pages 22272-22273] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-08784] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-276 and CMS-1957] Agency Information Collection Activities: Submission for OMB Review; Comment Request 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 (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 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 on the collection(s) of information must be received by the OMB desk officer by May 16, 2016. 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' 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: 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: Revision of a currently approved collection; Title of Information Collection: Prepaid Health Plan Cost Report; Use: Health Maintenance Organizations and Competitive Medical Plans (HMO/CMPs) contracting with the Secretary under Section 1876 of the Social Security Act are required to submit a budget and enrollment forecast, semi-annual interim report, 4th Quarter interim report, and a final certified cost report in accordance with 42 CFR 417.572-417.576. Health Care Prepayment Plans (HCPPs) contracting with the Secretary under Section 1833 of the Social Security Act are required to submit a budget and enrollment forecast, semi-annual interim report, and final cost report in accordance with 42 CFR 417.808 and 42 CFR 417.810. Form Number: CMS-276 (OMB control number 0938- 0165); Frequency: Quarterly; Affected Public: Private Sector (Business or other for-profits); Number of Respondents: 91; Total Annual Responses: 74; Total Annual Hours: 3728. (For policy questions regarding this collection contact Bilal Farrakh at 410-786-4456.) 2. Type of Information Collection Request: Reinstatement of a previously approved collection; Title of Information Collection: Social Security [[Page 22273]] Office (SSO) Report of State Buy-in Problem; Use: Under Section 1843 of the Social Security Act, States may enter into an agreement with the Department of Health and Human Services to enroll eligible individuals in Medicare and pay their premiums. The purpose of the State Buy-in' program is to assure that Medicaid is the payer of last resort by permitting a State to provide Medicare protection to certain groups of needy individuals, as part of the State's total assistance plan. State Buy-in also has the effect of transferring some medical costs for this population from the Medicaid program, which is partially State funded to the Medicare program, which is funded by the federal government and individual premiums. Generally, the States Buy-in for individuals who meet the eligibility requirements for Medicare and are cash recipients or deemed cash recipients or categorically needy under Medicaid. In some cases, States may also include individuals who are not cash assistance recipients under the Medical Assistance Only group. The day- to-day operations of the State Buy-in program is accomplished through an automated data exchange process. The automated data exchange process is used to exchange Medicare and Buy-in entitlement information between the Social Security District Offices, Medicaid State Agencies and the Centers for Medicare & Medicaid Services. When problems arise however that cannot be resolved though the normal data exchange process, clerical actions are required. The CMS-1957, ``SSO Report of State Buy- In Problem'' is used to report Buy-in problems cases. The CMS-1957 is the only standardized form available for communications between the aforementioned agencies for the resolution of beneficiary complaints and inquiries regarding State Buy-in eligibility. Form Number: CMS-1957 (OMB control number: 0938-0035); Frequency: Reporting--Annually; Affected Public: Individuals and Households; Number of Respondents: 3,936; Total Annual Responses: 3,936; Total Annual Hours: 1,311. (For policy questions regarding this collection contact Keith Robinson at 410-786-1148.) Dated: April 12, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2016-08784 Filed 4-14-16; 8:45 am] BILLING CODE 4120-01-P
![22272 Federal Register / Vol. 81, No. 73 / Friday, April 15, 2016 / Notices
relations activities. Responsible for DEPARTMENT OF HEALTH AND and CMS document identifier, to
communicating information to internal HUMAN SERVICES Paperwork@cms.hhs.gov.
and external stakeholders. Develops, 3. Call the Reports Clearance Office at
implements, and manages programs to Centers for Medicare & Medicaid (410) 786–1326.
reach stakeholders about the results of Services FOR FURTHER INFORMATION CONTACT:
AHRQ-funded research and evidence, Reports Clearance Office at (410) 786–
[Document Identifiers: CMS–276 and CMS–
tools and training materials, and data 1326.
1957]
and measures. Helps stakeholders SUPPLEMENTARY INFORMATION: Under the
understand how AHRQ research, tools, Agency Information Collection Paperwork Reduction Act of 1995 (PRA)
and data can help improve quality and Activities: Submission for OMB (44 U.S.C. 3501–3520), federal agencies
safety of care. Review; Comment Request must obtain approval from the Office of
Shall be organized into the following Management and Budget (OMB) for each
three divisions: ACTION: Notice. collection of information they conduct
• Division of Outreach and Stakeholder or sponsor. The term ‘‘collection of
Engagement: SUMMARY: The Centers for Medicare &
Medicaid Services (CMS) is announcing information’’ is defined in 44 U.S.C.
Æ Assesses findings from AHRQ- an opportunity for the public to 3502(3) and 5 CFR 1320.3(c) and
funded research, products, and comment on CMS’ intention to collect includes agency requests or
tools for dissemination and use by information from the public. Under the requirements that members of the public
stakeholders; Paperwork Reduction Act of 1995 submit reports, keep records, or provide
Æ Develops, coordinates, and (PRA), federal agencies are required to information to a third party. Section
implements dissemination plans publish notice in the Federal Register 3506(c)(2)(A) of the PRA (44 U.S.C.
using a wide variety of strategies concerning each proposed collection of 3506(c)(2)(A)) requires federal agencies
and tactics; information, including each proposed to publish a 30-day notice in the
Æ Provides strategic guidance to extension or reinstatement of an existing Federal Register concerning each
Agency program staff and various collection of information, and to allow proposed collection of information,
Agency contractors on a second opportunity for public including each proposed extension or
opportunities for dissemination; comment on the notice. Interested reinstatement of an existing collection
Æ Develops and coordinates outreach persons are invited to send comments of information, before submitting the
to prospective dissemination regarding the burden estimate or any collection to OMB for approval. To
partners, and produces case studies other aspect of this collection of comply with this requirement, CMS is
on use of AHRQ findings and tools. information, including any of the publishing this notice that summarizes
• Division of Print and Electronic following subjects: (1) The necessity and the following proposed collection(s) of
Publishing: utility of the proposed information information for public comment:
1. Type of Information Collection
Æ Disseminates AHRQ research, tools, collection for the proper performance of
Request: Revision of a currently
and data to stakeholders via both the agency’s functions; (2) the accuracy
approved collection; Title of
electronic and print publications. of the estimated burden; (3) ways to
Information Collection: Prepaid Health
Manages the full publishing process enhance the quality, utility, and clarity
Plan Cost Report; Use: Health
from concept to Web site posting, of the information to be collected; and
Maintenance Organizations and
including planning, advising and (4) the use of automated collection
Competitive Medical Plans (HMO/
managing publishing projects for techniques or other forms of information
CMPs) contracting with the Secretary
the Agency; technology to minimize the information
under Section 1876 of the Social
Æ Writes and edits articles; packages collection burden.
Security Act are required to submit a
products and tools for presentations DATES: Comments on the collection(s) of budget and enrollment forecast, semi-
and dissemination. information must be received by the annual interim report, 4th Quarter
• Division of Media Relations: OMB desk officer by May 16, 2016. interim report, and a final certified cost
Æ Creates and implements strategy for ADDRESSES: When commenting on the report in accordance with 42 CFR
traditional and social media proposed information collections, 417.572–417.576. Health Care
relations activities as part of overall please reference the document identifier Prepayment Plans (HCPPs) contracting
efforts to communicate with AHRQ or OMB control number. To be assured with the Secretary under Section 1833
stakeholders and partners about consideration, comments and of the Social Security Act are required
Agency-funded work; recommendations must be received by to submit a budget and enrollment
All delegations and redelegations of the OMB desk officer via one of the forecast, semi-annual interim report,
authority to officers and employees of following transmissions: OMB, Office of and final cost report in accordance with
the Agency for Healthcare Research and Information and Regulatory Affairs, 42 CFR 417.808 and 42 CFR 417.810.
Quality that were in effect immediately Attention: CMS Desk Officer, Fax Form Number: CMS–276 (OMB control
prior to the effective date of this Number: (202) 395–5806 OR Email: number 0938–0165); Frequency:
reorganization shall continue in effect OIRA_submission@omb.eop.gov. Quarterly; Affected Public: Private
pending further redelegation provided To obtain copies of a supporting Sector (Business or other for-profits);
statement and any related forms for the Number of Respondents: 91; Total
asabaliauskas on DSK3SPTVN1PROD with NOTICES
they are consistent with this
reorganization. proposed collection(s) summarized in Annual Responses: 74; Total Annual
These changes are effective upon date this notice, you may make your request Hours: 3728. (For policy questions
of signature. using one of following: regarding this collection contact Bilal
1. Access CMS’ Web site address at Farrakh at 410–786–4456.)
Sharon B. Arnold, http://www.cms.hhs.gov/Paperwork 2. Type of Information Collection
Acting Director. ReductionActof1995. Request: Reinstatement of a previously
[FR Doc. 2016–08679 Filed 4–14–16; 8:45 am] 2. Email your request, including your approved collection; Title of
BILLING CODE 4160–90–P address, phone number, OMB number, Information Collection: Social Security
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![Federal Register / Vol. 81, No. 73 / Friday, April 15, 2016 / Notices 22273
Office (SSO) Report of State Buy-in DEPARTMENT OF HEALTH AND Enforcement, 330 C Street SW.,
Problem; Use: Under Section 1843 of the HUMAN SERVICES Washington, DC 20201. Telephone:
Social Security Act, States may enter 202–401–5099; Email: Lauren.Antelo@
into an agreement with the Department Administration for Children and acf.hhs.gov.
of Health and Human Services to enroll Families SUPPLEMENTARY INFORMATION: In FY
eligible individuals in Medicare and pay [CFDA Number: 93.564] 2014, OCSE competitively awarded a
their premiums. The purpose of the cooperative agreement to the
State Buy-in’ program is to assure that Announcement of the Award of a Washington State Department of Social
Medicaid is the payer of last resort by Single-Source Expansion Supplement and Health Services to conduct a 5-year
permitting a State to provide Medicare Grant to the Washington State evaluation of OCSE’s national
protection to certain groups of needy Department of Social and Health demonstration called Behavioral
individuals, as part of the State’s total Services in Lacey, WA Interventions for Child Support Services
assistance plan. State Buy-in also has (BICS).
AGENCY: Office of Child Support This supplement will allow the
the effect of transferring some medical Enforcement, ACF, HHS.
costs for this population from the Washington State Department of Social
ACTION: Notice of the award of a single- and Health Services to develop
Medicaid program, which is partially
source expansion supplement grant to additional dissemination tools such as
State funded to the Medicare program, the Washington State Department of reports and web-based trainings on the
which is funded by the federal Social and Health Services in Lacey, lessons learned and early findings from
government and individual premiums. WA, to support the development of the evaluation of Behavioral
Generally, the States Buy-in for additional dissemination tools such as Interventions for Child Support Services
individuals who meet the eligibility reports and web-based trainings on the Demonstration.
requirements for Medicare and are cash lessons learned and early findings from The cost of the BICS evaluation is
recipients or deemed cash recipients or the Evaluation of Behavioral larger than originally budgeted because
categorically needy under Medicaid. In Interventions for Child Support Services the process mapping and project design
some cases, States may also include of the Behavioral Interventions for Child phase has been significantly slower than
individuals who are not cash assistance Support Services (BICS) Demonstration. anticipated for the grantees. This has led
recipients under the Medical Assistance to the need for increased technical
Only group. The day-to-day operations SUMMARY: The Administration for assistance to the BICS grantees by the
of the State Buy-in program is Children and Families (ACF), Office of evaluation grantee. Additionally, as a
accomplished through an automated Child Support Enforcement (OCSE), result of the mapping and design phase,
data exchange process. The automated Division of Program Innovation, OCSE anticipates an increased number
announces the award of a single-source of interesting findings that will be of
data exchange process is used to
program expansion supplement grant in benefit to the greater child support field.
exchange Medicare and Buy-in
the amount of $34,568 to the The supplement funds will allow
entitlement information between the Washington State Department of Social
Washington State Department of Social
Social Security District Offices, and Health Services in Lacey, WA, to and Health Services to provide
Medicaid State Agencies and the support the development of additional increased technical assistance to the
Centers for Medicare & Medicaid dissemination tools such as reports and BICS demonstration sites, and support
Services. When problems arise however web-based trainings on the lessons the development additional
that cannot be resolved though the learned and early findings from the dissemination tools such as reports and
normal data exchange process, clerical Evaluation of the Behavioral web-based trainings on the lessons
actions are required. The CMS–1957, Interventions for Child Support Services learned and early findings from the
‘‘SSO Report of State Buy-In Problem’’ of the Behavioral Interventions for Child Evaluation of BICS.
is used to report Buy-in problems cases. Support Services (BICS) Demonstration. Specifically, the Washington State
The CMS–1957 is the only standardized In FY 2014, OCSE competitively Department of Social and Health
form available for communications awarded a cooperative agreement to the Services will explore the development
between the aforementioned agencies Washington State Department of Social of innovative, user-friendly tools such
for the resolution of beneficiary and Health Services to conduct a 5-year as podcasts and infographics that will
complaints and inquiries regarding State evaluation of OCSE’s national provide research findings and learning
Buy-in eligibility. Form Number: CMS– demonstration called Behavioral to the child support community in a
1957 (OMB control number: 0938– Interventions for Child Support Services way that is easily accessible to
0035); Frequency: Reporting—Annually; (BICS) under Funding Opportunity interested program administrators and
Affected Public: Individuals and Announcement (FOA) number HHS– policy officials. These tools will also
2014–ACF–OCSE–FD–0822. Under this continue to build the evidence-base in
Households; Number of Respondents:
FOA, a total of $1.7 million of 1115 what works in the delivery of child
3,936; Total Annual Responses: 3,936;
funds are made available over the five support services.
Total Annual Hours: 1,311. (For policy Statutory Authority: Section 1115 of
questions regarding this collection year project period to conduct this
evaluation. The Washington State the Social Security Act authorizes funds
contact Keith Robinson at 410–786– for experimental, pilot, or
Department of Social and Health
asabaliauskas on DSK3SPTVN1PROD with NOTICES
1148.) demonstration projects that are likely to
Services was the only grantee that
Dated: April 12, 2016. received funding under this FOA. assist in promoting the objectives of Part
William N. Parham, III, DATES: The period of support for this
D of Title IV.
Director, Paperwork Reduction Staff, Office supplement is September 30, 2015 Christopher Beach,
of Strategic Operations and Regulatory through September 29, 2016. Senior Grants Policy Specialist, Office of
Affairs. FOR FURTHER INFORMATION CONTACT: Administration.
[FR Doc. 2016–08784 Filed 4–14–16; 8:45 am] Lauren Antelo, Senior Program [FR Doc. 2016–08649 Filed 4–14–16; 8:45 am]
BILLING CODE 4120–01–P Specialist, Office of Child Support BILLING CODE 4184–42–P
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Document Created: 2016-04-15 00:55:10
Document Modified: 2016-04-15 00:55:10
| 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 on the collection(s) of information must be received by the OMB desk officer by May 16, 2016. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 81 FR 22272 |
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