81 FR 6275 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 81, Issue 24 (February 5, 2016)
Centers for Medicare & Medicaid Services
Federal Register Volume 81, Issue 24 (February 5, 2016)
| Page Range | 6275-6276 | |
| FR Document | 2016-02277 |
[Federal Register Volume 81, Number 24 (Friday, February 5, 2016)] [Notices] [Pages 6275-6276] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-02277] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS-10406 and CMS-10599] 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: (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, [[Page 6276]] 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 April 5, 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-10406 Medicare Probable Fraud Measurement Pilot; CMS-10599 Medicare Prior Authorization of Home Health Services Demonstration 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. 1. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicare Probable Fraud Measurement Pilot; Use: The Centers for Medicare & Medicaid Services (CMS) is seeking Office of Management and Budget (OMB) approval of the collections required for a probable fraud measurement pilot. The probable fraud measurement pilot would establish a baseline estimate of probable fraud in payments for home health care services in the fee-for-service Medicare program. CMS and its agents will collect information from home health agencies, the referring physicians and Medicare beneficiaries selected in a national random sample of home health claims. The pilot will rely on the information collected along with a summary of the service history of the HHA, the referring provider, and the beneficiary to estimate the percentage of total payments that are associated with probable fraud and the percentage of all claims that are associated with probable fraud for Medicare fee- for-service home health. Form Number: CMS-10406 (OMB Control Number 0938-1192); Frequency: Annually; Affected Public: Individual and Private Sector (Business or other for-profits); Number of Respondents: 6,000; Total Annual Responses: 6,000; Total Annual Hours: 7,500. (For policy questions regarding this collection contact Cecelia Franco at (786) 313-0737). 2. Type of Information Collection Request: New Collection; Title of Information Collection: Medicare Prior Authorization of Home Health Services Demonstration; Use: Section 402(a)(1)(J) of the Social Security Amendments of 1967 (42 U.S.C. 1395b-1(a)(1)(J)) authorizes the Secretary to ``develop or demonstrate improved methods for the investigation and prosecution of fraud in the provision of care or services under the health programs established by the Social Security Act (the Act).'' In accordance with this authority, we seek to develop and implement a Medicare demonstration project, which we believe will help assist in developing improved procedures for the identification, investigation, and prosecution of Medicare fraud occurring among HHAs providing services to Medicare beneficiaries. This demonstration would help assure that payments for home health services are appropriate before the claims are paid, thereby preventing fraud, waste, and abuse. As part of this demonstration, we propose performing prior authorization before processing claims for home health services in: Florida, Texas, Illinois, Michigan, and Massachusetts. We would establish a prior authorization procedure that is similar to the Prior Authorization of Power Mobility Device (PMD) Demonstration, which was implemented by CMS in 2012. This demonstration would also follow and adopt prior authorization processes that currently exist in other health care programs such as TRICARE, certain state Medicaid programs, and in private insurance. The information required under this collection is requested by Medicare contractors to determine proper payment or if there is a suspicion of fraud. Medicare contractors will request the information from HHA providers submitting claims for payment from the Medicare program in advance to determine appropriate payment. Form Number: CMS- 10599 (OMB Control Number: 0938-NEW); Frequency: Occasionally; Affected Public: Private sector (Business or other for-profits and Not-for- profits); Number of Respondents: 908,740; Number of Responses: 1; Total Annual Hours: 454,370. (For questions regarding this collection contact Carla David (410) 786-4799.) Dated: February 2, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2016-02277 Filed 2-4-16; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 81, No. 24 / Friday, February 5, 2016 / Notices 6275
Grant funding also provides awardees The Work Plan and Annual Report are The PHHS Block Grant program must
with the ability to respond rapidly to designed to help Block Grant awardees continue to collect data in order to
emerging health issues, including attain their goals and to meet reporting remain in compliance with legislative
outbreaks of diseases or pathogens. The requirements specified in the program’s mandates. The system allows CDC and
PHHS Block Grant program is authorizing legislation. Each Work Plan Grantees to measure performance,
authorized by sections 1901–1907 of the objective is defined in SMART format identifying the extent to which
Public Health Service Act. (Specific, Measurable, Achievable, objectives were met and identifying the
CDC currently collects information Realistic and Time-based), and includes most highly successful program
from Block Grant awardees to monitor a specified start date and end date. interventions. CDC requests OMB
their objectives and activities Block Grant activities adhere to the approval to continue the Block Grant
(Preventive Health and Health Services Healthy People (HP) framework information collection for three years.
established by the Department of Health CDC will continue to use the BGMIS to
Block Grant, OMB No. 0920–0106, exp.
and Human Services (HHS). The current monitor awardee progress, identify
8/31/2016). Each awardee is required to
version of the BGMIS associates each activities and personnel supported with
submit an annual application for
awardee-defined activity with a specific Block Grant funding, conduct
funding (Work Plan) that describes its
HP National Objective, and identifies compliance reviews of Block Grant
objectives and the populations to be
the location where funds are applied. awardees, and promote the use of
addressed, and an Annual Report that
Although there are no substantive evidence-based guidelines and
describes activities, progress toward
changes to the information collected interventions. There are no changes to
objectives, and Success Stories which
(Attachment 4A), the Work Plan the number of respondents or the
highlight the improvements Block Grant
guidance document for users estimated annual burden per
programs have made and the value of (Attachments 4B) has been updated to
program activities. Information is respondent. The Work Plan and the
improve their usability and the clarity of Annual Report will be submitted
submitted electronically through the instructions provided to BGMIS users.
web-based Block Grant Information annually. The estimated burden per
These changes are summarized in
Management System (BGMIS). response for the Work Plan is 20 hours
Attachments 4C.
CDC PHHS Block Grant program has There are no changes to the number and the estimated burden per response
benefited from this system by efficiently of Block Grant awardees (respondents), for the Annual Report is 15 hours.
collecting mandated information in a or the estimated burden per response for Participation in this information
format that allows data to be easily the Work Plan or the Annual Report. At collection is required for Block Grant
retrieved in standardized reports. The this time, the BGMIS does not collect awardees. There are no costs to
electronic format verifies completeness data related to performance measures, respondents other than their time.
of data at data entry prior to submission but a future information collection Awardees continue to submit Success
to CDC, reducing the number of re- request may outline additional reporting Stories with their Annual Progress
submissions that are required to provide requirements related to performance reports through BGMIS, without
concise and complete information. measures. changes.
ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of
Number of burden per Total burden
Type of respondents Form name responses per
respondents response (in hours)
respondent (in hours)
Block Grant Awardees ...................... Work Plan ........................................ 61 1 20 1,220
Annual Report .................................. 61 1 15 915
Total ........................................... .......................................................... ........................ ........................ ........................ 2,135
Leroy A. Richardson, DEPARTMENT OF HEALTH AND information from the public. Under the
Chief, Information Collection Review Office, HUMAN SERVICES Paperwork Reduction Act of 1995 (the
Office of Scientific Integrity, Office of the PRA), federal agencies are required to
Associate Director for Science, Office of the Centers for Medicare & Medicaid publish notice in the Federal Register
Director, Centers for Disease Control and Services concerning each proposed collection of
Prevention. information (including each proposed
[FR Doc. 2016–02174 Filed 2–4–16; 8:45 am]
[Document Identifier: CMS–10406 and CMS–
10599] extension or reinstatement of an existing
BILLING CODE 4163–18–P collection of information) and to allow
Agency Information Collection 60 days for public comment on the
Activities: Proposed Collection; proposed action. Interested persons are
Comment Request invited to send comments regarding our
burden estimates or any other aspect of
mstockstill on DSK4VPTVN1PROD with NOTICES
AGENCY: Centers for Medicare &
Medicaid Services, HHS. this collection of information, including
any of the following subjects: (1) The
ACTION: Notice.
necessity and utility of the proposed
SUMMARY: The Centers for Medicare & information collection for the proper
Medicaid Services (CMS) is announcing performance of the agency’s functions;
an opportunity for the public to (2) the accuracy of the estimated
comment on CMS’ intention to collect burden; (3) ways to enhance the quality,
VerDate Sep<11>2014 18:22 Feb 04, 2016 Jkt 238001 PO 00000 Frm 00051 Fmt 4703 Sfmt 4703 E:\FR\FM\05FEN1.SGM 05FEN1](https://thefederalregister.org/doc/81_FR_6299/page/1.svg)
![6276 Federal Register / Vol. 81, No. 24 / Friday, February 5, 2016 / Notices
utility, and clarity of the information to The term ‘‘collection of information’’ is to develop and implement a Medicare
be collected; and (4) the use of defined in 44 U.S.C. 3502(3) and 5 CFR demonstration project, which we
automated collection techniques or 1320.3(c) and includes agency requests believe will help assist in developing
other forms of information technology to or requirements that members of the improved procedures for the
minimize the information collection public submit reports, keep records, or identification, investigation, and
burden. provide information to a third party. prosecution of Medicare fraud occurring
DATES: Comments must be received by
Section 3506(c)(2)(A) of the PRA among HHAs providing services to
April 5, 2016. requires federal agencies to publish a Medicare beneficiaries.
60-day notice in the Federal Register
ADDRESSES: When commenting, please This demonstration would help
concerning each proposed collection of
reference the document identifier or information, including each proposed assure that payments for home health
OMB control number. To be assured extension or reinstatement of an existing services are appropriate before the
consideration, comments and collection of information, before claims are paid, thereby preventing
recommendations must be submitted in submitting the collection to OMB for fraud, waste, and abuse. As part of this
any one of the following ways: approval. To comply with this demonstration, we propose performing
1. Electronically. You may send your
requirement, CMS is publishing this prior authorization before processing
comments electronically to http://
notice. claims for home health services in:
www.regulations.gov. Follow the 1. Type of Information Collection Florida, Texas, Illinois, Michigan, and
instructions for ‘‘Comment or Request: Extension of a currently
Submission’’ or ‘‘More Search Options’’ Massachusetts. We would establish a
approved collection; Title of prior authorization procedure that is
to find the information collection Information Collection: Medicare
document(s) that are accepting similar to the Prior Authorization of
Probable Fraud Measurement Pilot; Use: Power Mobility Device (PMD)
comments. The Centers for Medicare & Medicaid
2. By regular mail. You may mail Demonstration, which was implemented
Services (CMS) is seeking Office of
written comments to the following by CMS in 2012. This demonstration
Management and Budget (OMB)
address: CMS, Office of Strategic would also follow and adopt prior
approval of the collections required for
Operations and Regulatory Affairs, a probable fraud measurement pilot. authorization processes that currently
Division of Regulations Development, The probable fraud measurement pilot exist in other health care programs such
Attention: Document Identifier/OMB would establish a baseline estimate of as TRICARE, certain state Medicaid
Control Numberll, Room C4–26–05, probable fraud in payments for home programs, and in private insurance.
7500 Security Boulevard, Baltimore, health care services in the fee-for- The information required under this
Maryland 21244–1850. service Medicare program. CMS and its collection is requested by Medicare
To obtain copies of a supporting agents will collect information from contractors to determine proper
statement and any related forms for the home health agencies, the referring
proposed collection(s) summarized in payment or if there is a suspicion of
physicians and Medicare beneficiaries fraud. Medicare contractors will request
this notice, you may make your request selected in a national random sample of
using one of following: the information from HHA providers
home health claims. The pilot will rely submitting claims for payment from the
1. Access CMS’ Web site address at on the information collected along with
http://www.cms.hhs.gov/ Medicare program in advance to
a summary of the service history of the
PaperworkReductionActof1995. determine appropriate payment. Form
HHA, the referring provider, and the
2. Email your request, including your Number: CMS–10599 (OMB Control
beneficiary to estimate the percentage of
address, phone number, OMB number, total payments that are associated with Number: 0938–NEW); Frequency:
and CMS document identifier, to probable fraud and the percentage of all Occasionally; Affected Public: Private
Paperwork@cms.hhs.gov. claims that are associated with probable sector (Business or other for-profits and
3. Call the Reports Clearance Office at Not-for-profits); Number of
fraud for Medicare fee-for-service home
(410) 786–1326. health. Form Number: CMS–10406 Respondents: 908,740; Number of
FOR FURTHER INFORMATION CONTACT: (OMB Control Number 0938–1192); Responses: 1; Total Annual Hours:
Reports Clearance Office at (410) 786– Frequency: Annually; Affected Public: 454,370. (For questions regarding this
1326. Individual and Private Sector (Business collection contact Carla David (410)
SUPPLEMENTARY INFORMATION: or other for-profits); Number of 786–4799.)
Respondents: 6,000; Total Annual Dated: February 2, 2016.
Contents Responses: 6,000; Total Annual Hours:
William N. Parham, III,
This notice sets out a summary of the 7,500. (For policy questions regarding
use and burden associated with the this collection contact Cecelia Franco at Director, Paperwork Reduction Staff, Office
following information collections. More (786) 313–0737). of Strategic Operations and Regulatory
detailed information can be found in 2. Type of Information Collection Affairs.
each collection’s supporting statement Request: New Collection; Title of [FR Doc. 2016–02277 Filed 2–4–16; 8:45 am]
and associated materials (see Information Collection: Medicare Prior BILLING CODE 4120–01–P
ADDRESSES). Authorization of Home Health Services
Demonstration; Use: Section 402(a)(1)(J)
CMS–10406 Medicare Probable Fraud of the Social Security Amendments of
Measurement Pilot; CMS–10599
mstockstill on DSK4VPTVN1PROD with NOTICES
1967 (42 U.S.C. 1395b–1(a)(1)(J))
Medicare Prior Authorization of Home authorizes the Secretary to ‘‘develop or
Health Services Demonstration demonstrate improved methods for the
Under the PRA (44 U.S.C. 3501– investigation and prosecution of fraud
3520), federal agencies must obtain in the provision of care or services
approval from the Office of Management under the health programs established
and Budget (OMB) for each collection of by the Social Security Act (the Act).’’ In
information they conduct or sponsor. accordance with this authority, we seek
VerDate Sep<11>2014 18:22 Feb 04, 2016 Jkt 238001 PO 00000 Frm 00052 Fmt 4703 Sfmt 9990 E:\FR\FM\05FEN1.SGM 05FEN1](https://thefederalregister.org/doc/81_FR_6299/page/2.svg)
Document Created: 2016-02-05 00:17:52
Document Modified: 2016-02-05 00:17:52
| 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 must be received by April 5, 2016. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 81 FR 6275 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR