81 FR 76945 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 81, Issue 214 (November 4, 2016)

Page Range		76945-76946
FR Document		2016-26745

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (the PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the agency's functions; (2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden.

Federal Register, Volume 81 Issue 214 (Friday, November 4, 2016)

[Federal Register Volume 81, Number 214 (Friday, November 4, 2016)]
[Notices]
[Pages 76945-76946]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-26745]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-3070G-I, CMS-R-38 and CMS-10636]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.

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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (the PRA), federal agencies are required to publish notice 
in the Federal Register concerning each proposed collection of 
information (including each proposed extension or reinstatement of an 
existing collection of information) and to allow 60 days for public 
comment on the proposed action. Interested persons are invited to send 
comments regarding our burden estimates or any other aspect of this 
collection of information, including any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper performance of the agency's functions; (2) the accuracy of 
the estimated burden; (3) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (4) the use of 
automated collection techniques or other forms of information 
technology to minimize the information collection burden.

DATES: Comments must be received by January 3, 2017.

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-3070G-I............................  ICF/IID Survey Report Form and
                                          Supporting Regulations.
CMS-R-38...............................  Conditions for Certification
                                          for Rural Health Clinics.
CMS-10636..............................  Three-Year Network Adequacy
                                          Review for Medicare Advantage
                                          Organizations.
------------------------------------------------------------------------

    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

[[Page 76946]]

submitting the collection to OMB for approval. To comply with this 
requirement, CMS is publishing this notice.

Information Collection

    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: ICF/IID Survey 
Report Form and Supporting Regulations; Use: The information collected 
with forms 3070G-I is used to determine the level of compliance with 
Intermediate Care Facilities for Individuals with Intellectual 
Disabilities (ICF/IID) CoPs necessary to participate in the Medicare/
Medicaid program. Information needed to monitor the State's performance 
as well as the ICF/IID program in general, is available to CMS only 
through the use of information abstracted from the survey report form. 
The form serves as a coding worksheet designed to facilitate data entry 
and retrieval into the Automated Survey Processing Environment Suite 
(ASPEN) in the State and at the CMS regional offices. Form Number: CMS-
3070G-I (OMB Control Number: 0938-0062); Frequency: Reporting--Yearly; 
Affected Public: Private Sector: Business or other for-profits and Not-
for-profit institutions; Number of Respondents: 6,310; Total Annual 
Responses: 6,310; Total Annual Hours: 18,930. (For policy questions 
regarding this collection contact Melissa Rice at 410-786-3270.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Conditions for 
Certification for Rural Health Clinics; Use: The Rural Health Clinic 
(RHC) conditions of certification are based on criteria prescribed in 
law and are designed to ensure that each facility has a properly 
trained staff to provide appropriate care and to assure a safe physical 
environment for patients. We use these conditions of participation to 
certify RHCs wishing to participate in the Medicare program. These 
requirements are similar in intent to standards developed by industry 
organizations such as the Joint Commission on Accreditation of 
Hospitals, and the National League of Nursing and the American Public 
Association and merely reflect accepted standards of management and 
care to which rural health clinics must adhere. Form Number: CMS-R-38 
(OMB control number: 0938-0334); Frequency: Recordkeeping and 
Reporting--Annually; Affected Public: Business or other for-profits; 
Number of Respondents: 4,247; Total Annual Responses: 4,247; Total 
Annual Hours: 18,284. (For policy questions regarding this collection 
contact Jacqueline Leach at 410-786-4282.)
    3. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: Three-
Year Network Adequacy Review for Medicare Advantage Organizations; Use: 
The CMS regulations at 42 CFR 422.112(a)(1)(i) and Sec.  
422.114(a)(3)(ii) require that all Medicare Advantage organizations 
(MAOs) offering coordinated care plans (e.g., HMO, PPO) or other 
network-based plans (e.g., network-based PFFS, network-based MSA, 
section 1876 cost plan) maintain a network of appropriate providers 
that is sufficient to provide adequate access to covered services to 
meet the needs of the population served. To enforce this requirement, 
CMS has developed network adequacy criteria, which sets forth the 
minimum number of providers and maximum travel time and distance from 
enrollees to providers, for each provider specialty type in each county 
in the United States and its territories. MAOs must be in compliance 
with the current CMS network adequacy criteria. This proposed 
collection of information is essential to appropriate and timely 
compliance monitoring by CMS, in order to ensure that all active MAO 
contracts offering network-based plans maintain an adequate network. 
Currently, CMS verifies that MAOs are compliant with the current CMS 
network adequacy criteria by performing a contract-level network 
review, which occurs when CMS requests that an MAO upload provider and 
facility Health Service Delivery (HSD) tables for a given contract to 
the Health Plan Management System (HPMS). If an MAO does not have its 
contract-level network formally reviewed by CMS after the initial 
contract application process, then there is no CMS requirement for a 
network adequacy review unless one of the above listed triggering 
events occurs. Therefore, CMS is proposing this collection of 
information in order to improve monitoring of MAOs' network adequacy. 
This collection of information requires the uploading of HSD tables to 
the Network Management Module (NMM) in HPMS for any contract that has 
not had an entire network review performed by CMS in the previous three 
years of contract operation. The collection process will occur at the 
contract level for each MAO that qualifies, and CMS will assess each 
contract against the current CMS network adequacy criteria. Each time 
an MAO's contract undergoes an entire network review during any of the 
triggering events listed on page one, the three-year anniversary date 
for that contract will be reset, and CMS will maintain an HPMS report 
to keep track of this date for every active network-based contract. 
Form Number: CMS-10636 (OMB control number 0938-New); Frequency: 
Yearly; Affected Public: Private sector (Business or other for-
profits); Number of Respondents: 484; Total Annual Responses: 1,652; 
Total Annual Hours: 15,692. (For policy questions regarding this 
collection contact Theresa Wachter at 410-786-1157.)

    Dated: November 1, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-26745 Filed 11-3-16; 8:45 am]
 BILLING CODE 4120-01-P

76946 Federal Register / Vol. 81, No. 214 / Friday, November 4, 2016 / Notices

submitting the collection to OMB for 18,284. (For policy questions regarding network review during any of the
approval. To comply with this this collection contact Jacqueline Leach triggering events listed on page one, the
requirement, CMS is publishing this at 410–786–4282.) three-year anniversary date for that
notice. 3. Type of Information Collection contract will be reset, and CMS will
Request: New collection (Request for a maintain an HPMS report to keep track
Information Collection
new OMB control number); Title of of this date for every active network-
1. Type of Information Collection Information Collection: Three-Year based contract. Form Number: CMS–
Request: Revision of a currently Network Adequacy Review for Medicare 10636 (OMB control number 0938-
approved collection; Title of Advantage Organizations; Use: The CMS New); Frequency: Yearly; Affected
Information Collection: ICF/IID Survey Public: Private sector (Business or other
regulations at 42 CFR 422.112(a)(1)(i)
Report Form and Supporting for-profits); Number of Respondents:
and § 422.114(a)(3)(ii) require that all
Regulations; Use: The information 484; Total Annual Responses: 1,652;
Medicare Advantage organizations
collected with forms 3070G–I is used to Total Annual Hours: 15,692. (For policy
(MAOs) offering coordinated care plans
determine the level of compliance with questions regarding this collection
(e.g., HMO, PPO) or other network-
Intermediate Care Facilities for contact Theresa Wachter at 410–786–
based plans (e.g., network-based PFFS,
Individuals with Intellectual Disabilities 1157.)
network-based MSA, section 1876 cost
(ICF/IID) CoPs necessary to participate
plan) maintain a network of appropriate Dated: November 1, 2016.
in the Medicare/Medicaid program.
providers that is sufficient to provide William N. Parham, III,
Information needed to monitor the
State’s performance as well as the ICF/ adequate access to covered services to Director, Paperwork Reduction Staff, Office
IID program in general, is available to meet the needs of the population served. of Strategic Operations and Regulatory
CMS only through the use of To enforce this requirement, CMS has Affairs.
information abstracted from the survey developed network adequacy criteria, [FR Doc. 2016–26745 Filed 11–3–16; 8:45 am]
report form. The form serves as a coding which sets forth the minimum number BILLING CODE 4120–01–P
worksheet designed to facilitate data of providers and maximum travel time
entry and retrieval into the Automated and distance from enrollees to
Survey Processing Environment Suite providers, for each provider specialty DEPARTMENT OF HEALTH AND
(ASPEN) in the State and at the CMS type in each county in the United States HUMAN SERVICES
regional offices. Form Number: CMS– and its territories. MAOs must be in
3070G–I (OMB Control Number: 0938– compliance with the current CMS Centers for Medicare & Medicaid
0062); Frequency: Reporting—Yearly; network adequacy criteria. This Services
Affected Public: Private Sector: Business proposed collection of information is
essential to appropriate and timely [Document Identifiers: CMS–10191 and
or other for-profits and Not-for-profit CMS–10305]
institutions; Number of Respondents: compliance monitoring by CMS, in
6,310; Total Annual Responses: 6,310; order to ensure that all active MAO
Agency Information Collection
Total Annual Hours: 18,930. (For policy contracts offering network-based plans
Activities: Submission for OMB
questions regarding this collection maintain an adequate network.
Review; Comment Request
contact Melissa Rice at 410–786–3270.) Currently, CMS verifies that MAOs are
2. Type of Information Collection compliant with the current CMS AGENCY: Centers for Medicare &
Request: Revision of a currently network adequacy criteria by Medicaid Services, HHS.
approved collection; Title of performing a contract-level network ACTION: Notice.
Information Collection: Conditions for review, which occurs when CMS
Certification for Rural Health Clinics; requests that an MAO upload provider SUMMARY: The Centers for Medicare &
Use: The Rural Health Clinic (RHC) and facility Health Service Delivery Medicaid Services (CMS) is announcing
conditions of certification are based on (HSD) tables for a given contract to the an opportunity for the public to
criteria prescribed in law and are Health Plan Management System comment on CMS’ intention to collect
designed to ensure that each facility has (HPMS). If an MAO does not have its information from the public. Under the
a properly trained staff to provide contract-level network formally Paperwork Reduction Act of 1995
appropriate care and to assure a safe reviewed by CMS after the initial (PRA), federal agencies are required to
physical environment for patients. We contract application process, then there publish notice in the Federal Register
use these conditions of participation to is no CMS requirement for a network concerning each proposed collection of
certify RHCs wishing to participate in adequacy review unless one of the information, including each proposed
the Medicare program. These above listed triggering events occurs. extension or reinstatement of an existing
requirements are similar in intent to Therefore, CMS is proposing this collection of information, and to allow
standards developed by industry collection of information in order to a second opportunity for public
organizations such as the Joint improve monitoring of MAOs’ network comment on the notice. Interested
Commission on Accreditation of adequacy. This collection of information persons are invited to send comments
Hospitals, and the National League of requires the uploading of HSD tables to regarding the burden estimate or any
Nursing and the American Public the Network Management Module other aspect of this collection of
Association and merely reflect accepted (NMM) in HPMS for any contract that information, including any of the
standards of management and care to has not had an entire network review following subjects: The necessity and
asabaliauskas on DSK3SPTVN1PROD with NOTICES

which rural health clinics must adhere. performed by CMS in the previous three utility of the proposed information
Form Number: CMS–R–38 (OMB control years of contract operation. The collection for the proper performance of
number: 0938–0334); Frequency: collection process will occur at the the agency’s functions; the accuracy of
Recordkeeping and Reporting— contract level for each MAO that the estimated burden; ways to enhance
Annually; Affected Public: Business or qualifies, and CMS will assess each the quality, utility, and clarity of the
other for-profits; Number of contract against the current CMS information to be collected; and the use
Respondents: 4,247; Total Annual network adequacy criteria. Each time an of automated collection techniques or
Responses: 4,247; Total Annual Hours: MAO’s contract undergoes an entire other forms of information technology to

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Document Created: 2018-02-14 08:27:21
Document Modified: 2018-02-14 08:27:21

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice.
Dates		Comments must be received by January 3, 2017.
Contact		Reports Clearance Office at (410) 786- 1326.
FR Citation		81 FR 76945

81 FR 76945 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services

Federal Register Volume 81, Issue 214 (November 4, 2016)

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