81 FR 39644 - 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 117 (June 17, 2016)

Page Range		39644-39646
FR Document		2016-14405

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 a 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.

Federal Register, Volume 81 Issue 117 (Friday, June 17, 2016)

[Federal Register Volume 81, Number 117 (Friday, June 17, 2016)]
[Notices]
[Pages 39644-39646]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-14405]



[[Page 39644]]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10377, CMS-10338, CMS-10465, CMS-10443, and 
CMS-10379]


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 a 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 July 18, 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: 
OIRA_[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: 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.)
    2. Type of Information Collection Request: Revision of currently 
approved collection; Title of Information Collection: Affordable Care 
Act Internal Claims and Appeals and External Review Procedures for Non-
grandfathered Group Health Plans and Issuers and Individual Market 
Issuers; Use: The PHS Act section 2719 and paragraph (b)(2)(i) of the 
Appeals regulations provide that group health plans and health 
insurance issuers offering group health insurance coverage must comply 
with the internal claims and appeals processes set forth in 29 CFR 
2560.503-1, the Department of Labor (DOL) claims procedure regulation, 
and update such processes in accordance with standards established by 
the Secretary of Labor in paragraph (b)(2)(ii) of the regulations. 
Paragraph (b)(3)(i) requires issuers offering coverage in the 
individual health insurance market to also comply with the DOL claims 
procedure regulation as updated by the Secretary of Health and Human 
Services (HHS) in paragraph (b)(3)(ii) of the Appeals regulation for 
their internal claims and appeals processes.
    The PHS Act section 2719 and the Appeals regulation also provide 
that health insurance issuers and self-funded nonfederal governmental 
health plans must comply either with a State external review process or 
a Federal review process. The IFR provides a basis for

[[Page 39645]]

determining when health insurance issuers and self-funded non-federal 
governmental health plans must comply with an applicable State external 
review process and when they must comply with the Federal external 
review process.
    The PRA coverage and any burdens contained herein recognize 
requirements that the Department identified in the NAIC Uniform Health 
Carrier External Review Model Act that must be met or exceeded. The 
claims procedure regulation imposes information collection requirements 
as part of the reasonable procedures that an employee benefit plan must 
establish regarding the handling of a benefit claim. Form Number: CMS-
10338 (OMB control number: 0938-1099); Frequency: Annually; Affected 
Public: Private Sector (Business or other for-profits and not-for-
profit institutions); Number of Respondents: 95,500; Number of 
Responses: 399,000,000; Total Annual Hours: 2,322,500. (For policy 
questions regarding this collection contact Leslie Wagstaffe at (301) 
492-4251.)
    3. Type of Information Collection Request: Revision 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: Public and Private Sector; 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 
previously approved collection. Title of Information Collection: 
Transcatheter Valve Therapy Registry and KCCQ-10; Use: The data 
collection is required by the Centers for Medicare and Medicaid 
Services (CMS) National Coverage Determination (NCD) entitled, 
``Transcatheter Aortic Valve Replacement (TAVR)''. The TAVR device is 
only covered when specific conditions are met including that the heart 
team and hospital are submitting data in a prospective, national, 
audited registry. The data includes patient, practitioner and facility 
level variables that predict outcomes such as all cause mortality and 
quality of life. CMS finds that the Society of Thoracic Surgery/
American College of Cardiology Transcatheter Valve Therapy (STS/ACC 
TVT) Registry, one registry overseen by the National Cardiovascular 
Data Registry, meets the requirements specified in the NCD on TAVR. The 
TVT Registry will support a national surveillance system to monitor the 
safety and efficacy of the TAVR technologies for the treatment of 
aortic stenosis.
    The data will also include the variables on the eight item Kansas 
City Cardiomyopathy Questionnaire (KCCQ-10) to assess heath status, 
functioning and quality of life. In the KCCQ, an overall summary score 
can be derived from the physical function, symptoms (frequency and 
severity), social function and quality of life domains. For each 
domain, the validity, reproducibility, responsiveness and 
interpretability have been independently established. Scores are 
transformed to a range of 0-100, in which higher scores reflect better 
health status.
    The conduct of the STS/ACC TVT Registry and the KCCQ-10 is in 
accordance with Section 1142 of the Social Security Act (the Act) that 
describes the authority of the Agency for Healthcare Research and 
Quality (AHRQ). Under section 1142, research may be conducted and 
supported on the outcomes, effectiveness, and appropriateness of health 
care services and procedures to identify the manner in which disease, 
disorders, and other health conditions can be prevented, diagnosed, 
treated, and managed clinically. Section 1862(a)(1)(E) of the Act 
allows Medicare to cover under coverage with evidence development (CED) 
certain items or services for which the evidence is not adequate to 
support coverage under section 1862(a)(1)(A) and where additional data 
gathered in the context of a clinical setting would further clarify the 
impact of these items and services on the health of beneficiaries.
    The data collected and analyzed in the TVT Registry will be used by 
CMS to determine if the TAVR is reasonable and necessary (e.g., 
improves health outcomes) for Medicare beneficiaries under section 
1862(a)(1)(A) of the Act. Furthermore, data from the Registry will 
assist the medical device industry and the Food and Drug Administration 
(FDA) in surveillance of the quality, safety and efficacy of new 
medical devices to treat aortic stenosis. For purposes of the TAVR NCD, 
The TVT Registry has contracted with the Data Analytic Centers to 
conduct the analyses. In addition, data will be made available for 
research purposes under the terms of a data use agreement that only 
provides de-identified datasets. Form Number: CMS-10443 (OMB control 
number: 0938-1202); Frequency: Annual; Affected Public: Individuals, 
Households and Private Sector; Number of Respondents: 14,871; Total 
Annual Responses: 59,484; Total Annual Hours: 19,184. (For policy 
questions regarding this collection contact Sarah Fulton at 410-786-
2749.)
    5. Type of Information Collection Request: Revision of a currently 
approved information collection; Title of Information Collection: Rate 
Increase Disclosure and Review Reporting Requirements; Use: Section 
1003 of the Affordable Care Act adds a new section 2794 of the PHS Act 
which directs the Secretary of the Department of Health and Human 
Services (the Secretary), in conjunction with the states, to establish 
a process for the annual review of ``unreasonable increases in premiums 
for health insurance coverage.'' The statute provides that health 
insurance issuers must submit to the Secretary and the applicable state 
justifications for unreasonable premium increases prior to the 
implementation of the increases. Section 2794 also specifies that 
beginning with plan years beginning in 2014, the Secretary, in 
conjunction with the states, shall monitor premium increases of health 
insurance coverage offered through an Exchange and outside of an 
Exchange.

[[Page 39646]]

    Section 2794 directs the Secretary to ensure the public disclosure 
of information and justification relating to unreasonable rate 
increases. Section 2794 requires that health insurance issuers submit 
justification for an unreasonable rate increase to CMS and the relevant 
state prior to its implementation. Additionally, section 2794 requires 
that rate increases effective in 2014 (submitted for review in 2013) be 
monitored by the Secretary, in conjunction with the states.
    To those ends, section 154 of the CFR establishes various reporting 
requirements for health insurance issuers, including a Preliminary 
Justification for a proposed rate increase, a Final Justification for 
any rate increase determined by a state or CMS to be unreasonable, and 
a notification requirement for unreasonable rate increases which the 
issuer will not implement.
    In order to obtain the information necessary to monitor premium 
increases of health insurance coverage offered through an Exchange and 
outside of an Exchange, 45 CFR 154.215 would require health insurance 
issuers to submit the Unified Rate Review Template for all single risk 
pool coverage products in the individual or small group (or merged) 
market, regardless of whether any plan within a product is subject to a 
rate increase. That regulation would also require health insurance 
issuers to submit an Actuarial Memorandum (in addition to the Unified 
Rate Review Template) when a plan within a product is subject to a rate 
increase. Although the two required documents are submitted at the risk 
pool level, the requirement to submit is based on increases at the plan 
level. To conduct a review to assess reasonableness when a plan within 
a product has a rate increase that is subject to review, health 
insurance issuers would be required to submit a written description 
justifying the increase (in addition to the Unified Rate Review 
Template and Actuarial Memorandum). Although the required documents are 
submitted at the risk pool level, the requirement to submit is based on 
increases at the plan level. Form Number: CMS-10379 (OMB control 
number: 0938-1141); Frequency: Yearly; Affected Public: Private sector 
(Business or other for-profits and Not-for-profit institutions) and 
State agencies; Number of Respondents: 1,081; Total Annual Responses: 
1,621; Total Annual Hours: 17,837. (For policy questions regarding this 
collection contact Lisa Cuozzo at 410-786-1746.)

    Dated: June 14, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-14405 Filed 6-16-16; 8:45 am]
 BILLING CODE 4120-01-P

39644 Federal Register / Vol. 81, No. 117 / Friday, June 17, 2016 / Notices

DEPARTMENT OF HEALTH AND and CMS document identifier, to annual limit notification requirement is
HUMAN SERVICES Paperwork@cms.hhs.gov. being discontinued.
3. Call the Reports Clearance Office at The Patient Protection and Affordable
Centers for Medicare & Medicaid (410) 786–1326. Care Act; HHS Notice of Benefit and
Services FOR FURTHER INFORMATION CONTACT: Payment Parameters for 2017 Final Rule
[Document Identifier: CMS–10377, CMS– Reports Clearance Office at (410) 786– further provides that, for policy years
10338, CMS–10465, CMS–10443, and CMS– 1326. beginning on or after July 1, 2016,
10379] student health insurance coverage is
SUPPLEMENTARY INFORMATION: Under the
exempt from the actuarial value (AV)
Paperwork Reduction Act of 1995 (PRA)
Agency Information Collection requirements under section 1302(d) of
(44 U.S.C. 3501–3520), federal agencies
Activities: Submission for OMB the Affordable Care Act, but must
must obtain approval from the Office of
Review; Comment Request. provide coverage with an AV of at least
Management and Budget (OMB) for each
60 percent. This provision also requires
ACTION: Notice. collection of information they conduct
issuers of student health insurance
or sponsor. The term ‘‘collection of
SUMMARY: The Centers for Medicare & coverage to specify in any plan
information’’ is defined in 44 U.S.C.
Medicaid Services (CMS) is announcing materials summarizing the terms of the
3502(3) and 5 CFR 1320.3(c) and
an opportunity for the public to coverage the AV of the coverage and the
includes agency requests or
comment on CMS’ intention to collect metal level (or the next lowest metal
requirements that members of the public
level) the coverage would otherwise
information from the public. Under the submit reports, keep records, or provide
satisfy under § 156.140. This disclosure
Paperwork Reduction Act of 1995 information to a third party. Section will provide students with information
(PRA), federal agencies are required to 3506(c)(2)(A) of the PRA (44 U.S.C. that allows them to compare the student
publish a notice in the Federal Register 3506(c)(2)(A)) requires federal agencies health coverage with other available
concerning each proposed collection of to publish a 30-day notice in the coverage options. Form Number: CMS–
information, including each proposed Federal Register concerning each 10377 (OMB Control Number: 0938–
extension or reinstatement of an existing proposed collection of information, 1157); Frequency: Annually; Affected
collection of information, and to allow including each proposed extension or Public: Private Sector; Number of
a second opportunity for public reinstatement of an existing collection Respondents: 49; Total Annual
comment on the notice. Interested of information, before submitting the Responses: 1,255,000; Total Annual
persons are invited to send comments collection to OMB for approval. To Hours: 49. (For policy questions
regarding the burden estimate or any comply with this requirement, CMS is regarding this collection contact Russell
other aspect of this collection of publishing this notice that summarizes Tipps at 301–492–4371.)
information, including any of the the following proposed collection(s) of 2. Type of Information Collection
following subjects: (1) The necessity and information for public comment: Request: Revision of currently approved
utility of the proposed information 1. Type of Information Collection collection; Title of Information
collection for the proper performance of Request: Revision of a currently Collection: Affordable Care Act Internal
the agency’s functions; (2) the accuracy approved collection; Title of Claims and Appeals and External
of the estimated burden; (3) ways to Information Collection: Student Health Review Procedures for Non-
enhance the quality, utility, and clarity Insurance Coverage; Use: Under the grandfathered Group Health Plans and
of the information to be collected; and Student Health Insurance Coverage Issuers and Individual Market Issuers;
(4) the use of automated collection Final Rule published March 21, 2012 Use: The PHS Act section 2719 and
techniques or other forms of information (77 FR 16453), an issuer that provides paragraph (b)(2)(i) of the Appeals
technology to minimize the information student health insurance coverage that regulations provide that group health
collection burden. does not meet the annual dollar limits plans and health insurance issuers
DATES: Comments on the collection(s) of requirements under Public Health offering group health insurance
information must be received by the Service Act (PHS Act) section 2711 coverage must comply with the internal
OMB desk officer by July 18, 2016. must provide notice in the insurance claims and appeals processes set forth
ADDRESSES: When commenting on the policy or certificate and in any other in 29 CFR 2560.503–1, the Department
proposed information collections, written materials informing students of Labor (DOL) claims procedure
please reference the document identifier that the policy being issued does not regulation, and update such processes
or OMB control number. To be assured meet the annual limits requirements in accordance with standards
consideration, comments and under the Affordable Care Act. The established by the Secretary of Labor in
recommendations must be received by Patient Protection and Affordable Care paragraph (b)(2)(ii) of the regulations.
the OMB desk officer via one of the Act; HHS Notice of Benefit and Payment Paragraph (b)(3)(i) requires issuers
following transmissions: OMB, Office of Parameters for 2017 Final Rule removed offering coverage in the individual
Information and Regulatory Affairs, outdated provisions in § 147.145(b)(2) health insurance market to also comply
Attention: CMS Desk Officer, Fax and (d) allowing student health with the DOL claims procedure
Number: (202) 395–5806 or Email: insurance issuers to impose restricted regulation as updated by the Secretary
OIRA_submission@omb.eop.gov. annual dollar limits on policies started of Health and Human Services (HHS) in
To obtain copies of a supporting before January 1, 2014, with an paragraph (b)(3)(ii) of the Appeals
statement and any related forms for the accompanying requirement that student regulation for their internal claims and
health issuers must provide notice to appeals processes.
sradovich on DSK3TPTVN1PROD with NOTICES

proposed collection(s) summarized in
this notice, you may make your request students. Those provisions, by their The PHS Act section 2719 and the
using one of following: own terms, no longer apply and student Appeals regulation also provide that
1. Access CMS’ Web site address at health insurance issuers are subject to health insurance issuers and self-funded
http://www.cms.hhs.gov/ the prohibition on annual dollar limits nonfederal governmental health plans
PaperworkReductionActof1995. under PHS Act section 2711 and must comply either with a State external
2. Email your request, including your § 147.126 for policy years beginning on review process or a Federal review
address, phone number, OMB number, or after January 1, 2014. Therefore, the process. The IFR provides a basis for

VerDate Sep<11>2014 16:48 Jun 16, 2016 Jkt 238001 PO 00000 Frm 00021 Fmt 4703 Sfmt 4703 E:\FR\FM\17JNN1.SGM 17JNN1

39646 Federal Register / Vol. 81, No. 117 / Friday, June 17, 2016 / Notices

Section 2794 directs the Secretary to pool level, the requirement to submit is secure, and residential treatment
ensure the public disclosure of based on increases at the plan level. centers. The care providers provide
information and justification relating to Form Number: CMS–10379 (OMB children with classroom education,
unreasonable rate increases. Section control number: 0938–1141); Frequency: health care, socialization/recreation,
2794 requires that health insurance Yearly; Affected Public: Private sector vocational training, mental health
issuers submit justification for an (Business or other for-profits and Not- services, access to legal services, and
unreasonable rate increase to CMS and for-profit institutions) and State case management.
the relevant state prior to its agencies; Number of Respondents: In order to monitor performance and
implementation. Additionally, section 1,081; Total Annual Responses: 1,621; ensure compliance with statutory and
2794 requires that rate increases Total Annual Hours: 17,837. (For policy regulatory requirements and standards,
effective in 2014 (submitted for review questions regarding this collection ORR:
in 2013) be monitored by the Secretary, contact Lisa Cuozzo at 410–786–1746.) • Collects information from its
in conjunction with the states. Dated: June 14, 2016. network of care providers to show
To those ends, section 154 of the CFR evidence that care providers’ standards
establishes various reporting William N. Parham, III,
Director, Paperwork Reduction Staff, Office of care, family reunification methods,
requirements for health insurance internal policies and procedures,
issuers, including a Preliminary of Strategic Operations and Regulatory
Affairs. personnel, training, and other
Justification for a proposed rate components meet minimum standards
increase, a Final Justification for any [FR Doc. 2016–14405 Filed 6–16–16; 8:45 am]
and ensure the safety and security of
rate increase determined by a state or BILLING CODE 4120–01–P
children in ORR care.
CMS to be unreasonable, and a
• Requires care providers to track the
notification requirement for
DEPARTMENT OF HEALTH AND timely release process and delivery of
unreasonable rate increases which the
HUMAN SERVICES services for individual children and
issuer will not implement.
In order to obtain the information youth to ensure compliance and allow
Administration for Children and ORR to conduct formal monitoring and
necessary to monitor premium increases
Families performance review.
of health insurance coverage offered
through an Exchange and outside of an The tasks described in this supporting
Submission for OMB Review; statement are mainly conducted through
Exchange, 45 CFR 154.215 would Comment Request
require health insurance issuers to the ORR online database (The UC
submit the Unified Rate Review Title: Information Collection and Portal), which provides a central
Template for all single risk pool Record Keeping for the Timely location for case records and the
coverage products in the individual or Placement and Release of documentation of other activities (for
small group (or merged) market, Unaccompanied Children in ORR Care. example, when a child or youth is
regardless of whether any plan within a OMB No.: transferred to another facility). Many of
product is subject to a rate increase. Description: The ORR these records are ‘‘auto-populated’’ on
That regulation would also require Unaccompanied Children Program the UC Portal once the original data
health insurance issuers to submit an provides placement, care, custody and points are completed (such as DOB, ‘‘A’’
Actuarial Memorandum (in addition to mandated services for UC until such number, date of initial placement). The
the Unified Rate Review Template) time as they can be successfully UC Portal is a secure limited access
when a plan within a product is subject released to a sponsor, repatriated to database that requires two factor
to a rate increase. Although the two their home country, or obtain legal authentication. The use of electronic
required documents are submitted at the status. records also allows ORR Project Officers
risk pool level, the requirement to Through cooperative agreements and to more easily monitor grantee
submit is based on increases at the plan contracts, ORR funds residential care compliance with standards of care and
level. To conduct a review to assess providers that provide temporary record keeping compared with hard
reasonableness when a plan within a housing and other services to copy case files that are only available
product has a rate increase that is unaccompanied children in ORR onsite. The database also allows ORR to
subject to review, health insurance custody. These care provider facilities more easily calculate bed capacity
issuers would be required to submit a are State licensed and must meet ORR throughout the network so that
written description justifying the requirements to ensure a high level resources are efficiently distributed,
increase (in addition to the Unified Rate quality of care. They provide a particularly during an influx when large
Review Template and Actuarial continuum of care for children, numbers of unaccompanied children are
Memorandum). Although the required including placements in ORR foster crossing the border.
documents are submitted at the risk care, group homes, shelter, staff secure, Respondents:

ANNUAL BURDEN ESTIMATES
Number of Average
Number of Total burden
Instrument responses per burden hours
respondents hours
respondent per response
sradovich on DSK3TPTVN1PROD with NOTICES

UC Portal Capacity Report .............................................................................. 50 1 .16/hour .......... 8
Further Assessment Swift Track (FAST) Placement Tool .............................. 2,320 1 .25/hour .......... 580
Placement Authorization Form ........................................................................ 58,000 1 .1/hour ............ 5,800
Notice of Placement in Secure or Staff Secure Facility .................................. 2,320 1 .1/hour ............ 232
Initial Intakes Form .......................................................................................... 58,000 1 .25/hour .......... 14,500
UC Assessment ............................................................................................... 58,000 1 .50/hour .......... 29,000
Individual Service Plan .................................................................................... 58,000 1 .25 .................. 14,500
UC Case Review Form ................................................................................... 58,000 1 .50/hour .......... 29,000

VerDate Sep<11>2014 16:48 Jun 16, 2016 Jkt 238001 PO 00000 Frm 00023 Fmt 4703 Sfmt 4703 E:\FR\FM\17JNN1.SGM 17JNN1

Document Created: 2016-06-17 01:04:52
Document Modified: 2016-06-17 01:04:52

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 July 18, 2016.
Contact		Reports Clearance Office at (410) 786- 1326.
FR Citation		81 FR 39644

81 FR 39644 - Agency Information Collection Activities: Submission for OMB Review; Comment Request.

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services

Federal Register Volume 81, Issue 117 (June 17, 2016)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services