81_FR_89341 81 FR 89104 - Agency Information Collection Activities: Proposed Collection; Comment Request

81 FR 89104 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 81, Issue 237 (December 9, 2016)

Page Range89104-89106
FR Document2016-29584

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

Federal Register, Volume 81 Issue 237 (Friday, December 9, 2016)
[Federal Register Volume 81, Number 237 (Friday, December 9, 2016)]
[Notices]
[Pages 89104-89106]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-29584]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-10, CMS-10487, CMS-10116, CMS-10219 and 
CMS-10275]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.

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

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

DATES: Comments must be received by February 7, 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-R-10 Advance Directives (Medicare and Medicaid) and Supporting 
Regulations
CMS-10487 Medicaid Emergency Psychiatric Demonstration (MEPD) 
Evaluation
CMS-10116 Conditions for Payment of Power Mobility Devices, including 
Power Wheelchairs and Power-Operated Vehicles
CMS-10219 Healthcare Effectiveness Data and Information Set 
(HEDIS[supreg]) Data Collection for Medicare Advantage
CMS-10275 CAHPS Home Health Care Survey

    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.

Information Collection

    1. Type of Information Collection Request: Extension of a 
previously approved collection; Title of Information Collection: 
Advance Directives (Medicare and Medicaid) and Supporting Regulations; 
Use: The advance directives requirement was enacted because Congress 
wanted individuals to know that they have a right to make health care 
decisions and to refuse treatment even when they are unable to 
communicate. Steps have been taken at both the Federal and State level, 
to afford greater opportunity for the individual to participate in 
decisions made concerning the medical treatment to be received by an 
adult patient in the event that the patient is unable to communicate to 
others, a preference about medical treatment. The individual may make 
his preference known through the use of an advance directive, which is 
a written instruction prepared in advance, such as a living will or 
durable power of attorney. This information is documented in a 
prominent part of the individual's medical record. Advance directives 
as described in the Patient Self-Determination Act have increased the 
individual's control over decisions concerning medical treatment. 
Sections 4206 of the Omnibus Budget Reconciliation Act of 1990 defined 
an advance directive as a written instruction recognized under State 
law relating to the provision of health care when an individual is 
incapacitated

[[Page 89105]]

(those persons unable to communicate their wishes regarding medical 
treatment).
    All states have enacted legislation defining a patient's right to 
make decisions regarding medical care, including the right to accept or 
refuse medical or surgical treatment and the right to formulate advance 
directives. Participating hospitals, skilled nursing facilities, 
nursing facilities, home health agencies, providers of home health 
care, hospices, religious nonmedical health care institutions, and 
prepaid or eligible organizations (including Health Care Prepayment 
Plans (HCPPs) and Medicare Advantage Organizations (MAOs) such as 
Coordinated Care Plans, Demonstration Projects, Chronic Care 
Demonstration Projects, Program of All Inclusive Care for the Elderly, 
Private Fee for Service, and Medical Savings Accounts must provide 
written information, at explicit time frames, to all adult individuals 
about: (a) The right to accept or refuse medical or surgical 
treatments; (b) the right to formulate an advance directive; (c) a 
description of applicable State law (provided by the State); and (d) 
the provider's or organization's policies and procedures for 
implementing an advance directive. Form Number: CMS-R-10 (OMB control 
number: 0938-0610); Frequency: Yearly; Affected Public: Business or 
other for-profits; Number of Respondents: 39,479; Total Annual 
Responses: 39,479; Total Annual Hours: 2,836,441. (For policy questions 
regarding this collection contact Jeannine Cramer at 410-786-5664.)
    2. Type of Information Collection Request: Extension of a 
previously approved collection; Title of Information Collection: 
Medicaid Emergency Psychiatric Demonstration (MEPD) Evaluation; Use: 
Since the inception of Medicaid, inpatient care provided to adults ages 
21 to 64 in institutions for mental disease (IMDs) has been excluded 
from federal matching funds. The Emergency Medical Treatment and Active 
Labor Act (EMTALA), however, requires IMDs that participate in Medicare 
to provide treatment for psychiatric emergency medical conditions 
(EMCs), even for Medicaid patients for whose services cannot be 
reimbursed. Section 2707 of the Affordable Care Act (ACA) directs the 
Secretary of Health and Human Services to conduct and evaluate a 
demonstration project to determine the impact of providing payment 
under Medicaid for inpatient services provided by private IMDs to 
individuals with emergency psychiatric conditions between the ages of 
21 and 64. We will use the data to evaluate the Medicaid Emergency 
Psychiatric Demonstration (MEPD) in accordance with the ACA mandates. 
This evaluation in turn will be used by Congress to determine whether 
to continue or expand the demonstration. If the decision is made to 
expand the demonstration, the data collected will help to inform both 
CMS and its stakeholders about possible effects of contextual factors 
and important procedural issues to consider in the expansion, as well 
as the likelihood of various outcomes. Form Number: CMS-10487 (OMB 
control number: 0938-NEW); Frequency: Annually; Affected Public: 
Individuals and households; State, Local and Tribal governments; 
Business and other for-profits and Not-for-profits; Number of 
Respondents: 93; Total Annual Responses: 1,944; Total Annual Hours: 
2,046. (For policy questions regarding this collection contact Vetisha 
McClair at 410-786-4923.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Conditions for 
Payment of Power Mobility Devices, including Power Wheelchairs and 
Power-Operated Vehicles; Use: We are renewing our request for approval 
for the collection requirements associated with the final rule, CMS-
3017-F (71 FR 17021), which published on April 5, 2006, and required a 
face-to-face examination of the beneficiary by the physician or 
treating practitioner, a written prescription, and receipt of pertinent 
parts of the medical record by the supplier within 45 days after the 
face-to-face examination that the durable medical equipment (DME) 
suppliers maintain in their records and make available to CMS and its 
agents upon request. Form Number: CMS-10116 (OMB control number: 0938-
0971); Frequency: Yearly; Affected Public: Private Sector--Business or 
other for-profits; Number of Respondents: 46,000; Number of Responses: 
72,500; Total Annual Hours: 14,434. (For policy questions regarding 
this collection contact Stuart Caplan at 410-786-8564.)
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Healthcare 
Effectiveness Data and Information Set (HEDIS[supreg]) Data Collection 
for Medicare Advantage; Use: We use the collected data to: Monitor 
Medicare Advantage organization performance, inform audit strategies, 
and inform beneficiary choice through their display in our consumer-
oriented public compare tools and Web sites. Medicare Advantage 
organizations use the data for quality assessment and as part of their 
quality improvement programs and activities. Quality Improvement 
Organizations and our contractors use HEDIS[supreg] data in conjunction 
with their statutory authority to improve quality of care. Consumers 
use the information to help make informed health care choices. In 
addition, the data is made available to researchers and others as 
public use files at www.cms.hhs.gov. Form Number: CMS-10219 (OMB 
control number: 0938-1028); Frequency: Yearly; Affected Public: Private 
sector--Business or other for-profit and Not-for-profit institutions; 
Number of Respondents: 576; Total Annual Responses: 576; Total Annual 
Hours: 184,320. (For policy questions regarding this collection contact 
Lori Teichman at 410-786-6684.)
    5. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: CAHPS Home Health 
Care Survey; Use: The national implementation of the Home Health Care 
Consumer Assessment of Healthcare Providers and Systems (CAHPS[supreg]) 
Survey is designed to collect ongoing data from samples of home health 
care patients who receive skilled services from Medicare-certified home 
health agencies. The data collected from the national implementation of 
the Home Health Care CAHPS Survey will be used for the following 
purposes: (1) To produce comparable data on the patients' perspectives 
of the care they receive from home health agencies, (2) to create 
incentives for agencies to improve the quality of care they provide 
through public reporting of survey results, and (3) to enhance public 
accountability in health care by increasing the transparency of the 
quality of care provided in return for the public investment. Sampling 
and data collection will be conducted on a monthly basis. Survey 
results will be analyzed and reported on a quarterly basis, with 
publicly reported results based on one year's worth of data.
    As part of this information collection request for the national 
implementation of Home Health Care CAHPS, CMS is also requesting 
approval to conduct a randomized mode experiment with a sample of home 
health agencies. The mode experiment compared the responses to the 
survey across the three proposed modes to determine whether adjustments 
are needed to ensure that the data collection mode does not influence 
the survey results. In addition, data from the mode experiment will be 
used to determine which, if any, patient characteristics may affect the 
patients' rating of the care they receive and, if so,

[[Page 89106]]

develop an adjustment model of those data based on those factors. CMS 
worked with RTI, the federal contractor to recruit approximately 100 
home health agencies to participate in the mode experiment. The mode 
experiment included approximately 23,000 home health care patients.
    Form Number: CMS-10275 (OMB control number: 0938-1066); Frequency: 
Quarterly; Affected Public: Individuals and households and the Private 
sector (Business or other for-profit and Not-for-profit institutions); 
Number of Respondents: 2,715,890; Total Annual Responses: 2,715,890; 
Total Annual Hours: 699,440. (For policy questions regarding this 
collection contact Lori Teichman at 410-786-6684.)

    Dated: December 6, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-29584 Filed 12-8-16; 8:45 am]
 BILLING CODE 4120-01-P



                                                  89104                        Federal Register / Vol. 81, No. 237 / Friday, December 9, 2016 / Notices

                                                  MATTERS FOR DISCUSSION:    The meeting                  ways to enhance the quality, utility, and             CMS–10219 Healthcare Effectiveness
                                                  will include the initial review,                        clarity of the information to be                        Data and Information Set (HEDIS®)
                                                  discussion, and evaluation of                           collected; and the use of automated                     Data Collection for Medicare
                                                  applications received in response to                    collection techniques or other forms of                 Advantage
                                                  ‘‘Understanding the Epidemiology of                     information technology to minimize the                CMS–10275 CAHPS Home Health Care
                                                  Syphilis in the United States’’,                        information collection burden.                          Survey
                                                  PS17–002.                                               DATES: Comments must be received by                     Under the PRA (44 U.S.C. 3501–
                                                  CONTACT PERSON FOR MORE INFORMATION:                    February 7, 2017.                                     3520), federal agencies must obtain
                                                  Gregory Anderson, M.S., M.P.H.,                         ADDRESSES: When commenting, please                    approval from the Office of Management
                                                  Scientific Review Officer, CDC, 1600                    reference the document identifier or                  and Budget (OMB) for each collection of
                                                  Clifton Road NE., Mailstop E60, Atlanta,                OMB control number. To be assured                     information they conduct or sponsor.
                                                  Georgia 30329, Telephone: (404) 718–                    consideration, comments and                           The term ‘‘collection of information’’ is
                                                  8833.                                                   recommendations must be submitted in                  defined in 44 U.S.C. 3502(3) and 5 CFR
                                                    The Director, Management Analysis                     any one of the following ways:                        1320.3(c) and includes agency requests
                                                  and Services Office, has been delegated                   1. Electronically. You may send your                or requirements that members of the
                                                  the authority to sign Federal Register                  comments electronically to http://                    public submit reports, keep records, or
                                                  notices pertaining to announcements of                  www.regulations.gov. Follow the                       provide information to a third party.
                                                  meetings and other committee                            instructions for ‘‘Comment or                         Section 3506(c)(2)(A) of the PRA
                                                  management activities, for both the                     Submission’’ or ‘‘More Search Options’’               requires federal agencies to publish a
                                                  Centers for Disease Control and                         to find the information collection                    60-day notice in the Federal Register
                                                  Prevention and the Agency for Toxic                     document(s) that are accepting                        concerning each proposed collection of
                                                  Substances and Disease Registry.                        comments.                                             information, including each proposed
                                                  Elaine L. Baker,                                          2. By regular mail. You may mail                    extension or reinstatement of an existing
                                                  Director, Management Analysis and Services              written comments to the following                     collection of information, before
                                                  Office, Centers for Disease Control and                 address: CMS, Office of Strategic                     submitting the collection to OMB for
                                                  Prevention.                                             Operations and Regulatory Affairs,                    approval. To comply with this
                                                  [FR Doc. 2016–29456 Filed 12–8–16; 8:45 am]             Division of Regulations Development,                  requirement, CMS is publishing this
                                                  BILLING CODE 4163–18–P                                  Attention: Document Identifier/OMB                    notice.
                                                                                                          Control Number ll, Room C4–26–05,
                                                                                                          7500 Security Boulevard, Baltimore,                   Information Collection
                                                  DEPARTMENT OF HEALTH AND                                Maryland 21244–1850.                                     1. Type of Information Collection
                                                  HUMAN SERVICES                                            To obtain copies of a supporting                    Request: Extension of a previously
                                                                                                          statement and any related forms for the               approved collection; Title of
                                                  Centers for Medicare & Medicaid                         proposed collection(s) summarized in                  Information Collection: Advance
                                                  Services                                                this notice, you may make your request                Directives (Medicare and Medicaid) and
                                                  [Document Identifier: CMS–R–10, CMS–                    using one of following:                               Supporting Regulations; Use: The
                                                  10487, CMS–10116, CMS–10219 and CMS–                      1. Access CMS’ Web site address at                  advance directives requirement was
                                                  10275]                                                  http://www.cms.hhs.gov/                               enacted because Congress wanted
                                                                                                          PaperworkReductionActof1995.                          individuals to know that they have a
                                                  Agency Information Collection                             2. Email your request, including your               right to make health care decisions and
                                                  Activities: Proposed Collection;                        address, phone number, OMB number,                    to refuse treatment even when they are
                                                  Comment Request                                         and CMS document identifier, to                       unable to communicate. Steps have
                                                                                                          Paperwork@cms.hhs.gov.                                been taken at both the Federal and State
                                                  AGENCY: Centers for Medicare &                            3. Call the Reports Clearance Office at
                                                  Medicaid Services, HHS.                                                                                       level, to afford greater opportunity for
                                                                                                          (410) 786–1326.                                       the individual to participate in
                                                  ACTION: Notice.
                                                                                                          FOR FURTHER INFORMATION CONTACT:                      decisions made concerning the medical
                                                  SUMMARY:   The Centers for Medicare &                   Reports Clearance Office at (410) 786–                treatment to be received by an adult
                                                  Medicaid Services (CMS) is announcing                   1326.                                                 patient in the event that the patient is
                                                  an opportunity for the public to                        SUPPLEMENTARY INFORMATION:                            unable to communicate to others, a
                                                  comment on CMS’ intention to collect                                                                          preference about medical treatment. The
                                                  information from the public. Under the                  Contents                                              individual may make his preference
                                                  Paperwork Reduction Act of 1995 (the                      This notice sets out a summary of the               known through the use of an advance
                                                  PRA), federal agencies are required to                  use and burden associated with the                    directive, which is a written instruction
                                                  publish notice in the Federal Register                  following information collections. More               prepared in advance, such as a living
                                                  concerning each proposed collection of                  detailed information can be found in                  will or durable power of attorney. This
                                                  information (including each proposed                    each collection’s supporting statement                information is documented in a
                                                  extension or reinstatement of an existing               and associated materials (see                         prominent part of the individual’s
                                                  collection of information) and to allow                 ADDRESSES).                                           medical record. Advance directives as
                                                  60 days for public comment on the                       CMS–R–10 Advance Directives                           described in the Patient Self-
                                                  proposed action. Interested persons are                   (Medicare and Medicaid) and                         Determination Act have increased the
                                                  invited to send comments regarding our                                                                        individual’s control over decisions
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                                                                                                            Supporting Regulations
                                                  burden estimates or any other aspect of                 CMS–10487 Medicaid Emergency                          concerning medical treatment. Sections
                                                  this collection of information, including                 Psychiatric Demonstration (MEPD)                    4206 of the Omnibus Budget
                                                  any of the following subjects: The                        Evaluation                                          Reconciliation Act of 1990 defined an
                                                  necessity and utility of the proposed                   CMS–10116 Conditions for Payment of                   advance directive as a written
                                                  information collection for the proper                     Power Mobility Devices, including                   instruction recognized under State law
                                                  performance of the agency’s functions;                    Power Wheelchairs and Power-                        relating to the provision of health care
                                                  the accuracy of the estimated burden;                     Operated Vehicles                                   when an individual is incapacitated


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                                                                               Federal Register / Vol. 81, No. 237 / Friday, December 9, 2016 / Notices                                            89105

                                                  (those persons unable to communicate                    Emergency Psychiatric Demonstration                   as part of their quality improvement
                                                  their wishes regarding medical                          (MEPD) in accordance with the ACA                     programs and activities. Quality
                                                  treatment).                                             mandates. This evaluation in turn will                Improvement Organizations and our
                                                     All states have enacted legislation                  be used by Congress to determine                      contractors use HEDIS® data in
                                                  defining a patient’s right to make                      whether to continue or expand the                     conjunction with their statutory
                                                  decisions regarding medical care,                       demonstration. If the decision is made                authority to improve quality of care.
                                                  including the right to accept or refuse                 to expand the demonstration, the data                 Consumers use the information to help
                                                  medical or surgical treatment and the                   collected will help to inform both CMS                make informed health care choices. In
                                                  right to formulate advance directives.                  and its stakeholders about possible                   addition, the data is made available to
                                                  Participating hospitals, skilled nursing                effects of contextual factors and                     researchers and others as public use
                                                  facilities, nursing facilities, home health             important procedural issues to consider               files at www.cms.hhs.gov. Form
                                                  agencies, providers of home health care,                in the expansion, as well as the                      Number: CMS–10219 (OMB control
                                                  hospices, religious nonmedical health                   likelihood of various outcomes. Form                  number: 0938–1028); Frequency: Yearly;
                                                  care institutions, and prepaid or eligible              Number: CMS–10487 (OMB control                        Affected Public: Private sector—
                                                  organizations (including Health Care                    number: 0938–NEW); Frequency:                         Business or other for-profit and Not-for-
                                                  Prepayment Plans (HCPPs) and                            Annually; Affected Public: Individuals                profit institutions; Number of
                                                  Medicare Advantage Organizations                        and households; State, Local and Tribal               Respondents: 576; Total Annual
                                                  (MAOs) such as Coordinated Care Plans,                  governments; Business and other for-                  Responses: 576; Total Annual Hours:
                                                  Demonstration Projects, Chronic Care                    profits and Not-for-profits; Number of                184,320. (For policy questions regarding
                                                  Demonstration Projects, Program of All                  Respondents: 93; Total Annual                         this collection contact Lori Teichman at
                                                  Inclusive Care for the Elderly, Private                 Responses: 1,944; Total Annual Hours:                 410–786–6684.)
                                                  Fee for Service, and Medical Savings                    2,046. (For policy questions regarding                   5. Type of Information Collection
                                                  Accounts must provide written                           this collection contact Vetisha McClair               Request: Revision of a currently
                                                  information, at explicit time frames, to                at 410–786–4923.)                                     approved collection; Title of
                                                  all adult individuals about: (a) The right                 3. Type of Information Collection                  Information Collection: CAHPS Home
                                                  to accept or refuse medical or surgical                 Request: Extension of a currently                     Health Care Survey; Use: The national
                                                  treatments; (b) the right to formulate an               approved collection; Title of                         implementation of the Home Health
                                                  advance directive; (c) a description of                 Information Collection: Conditions for                Care Consumer Assessment of
                                                  applicable State law (provided by the                   Payment of Power Mobility Devices,                    Healthcare Providers and Systems
                                                  State); and (d) the provider’s or                       including Power Wheelchairs and                       (CAHPS®) Survey is designed to collect
                                                  organization’s policies and procedures                  Power-Operated Vehicles; Use: We are                  ongoing data from samples of home
                                                  for implementing an advance directive.                  renewing our request for approval for                 health care patients who receive skilled
                                                  Form Number: CMS–R–10 (OMB control                      the collection requirements associated                services from Medicare-certified home
                                                  number: 0938–0610); Frequency: Yearly;                  with the final rule, CMS–3017–F (71 FR                health agencies. The data collected from
                                                  Affected Public: Business or other for-                 17021), which published on April 5,                   the national implementation of the
                                                  profits; Number of Respondents: 39,479;                 2006, and required a face-to-face                     Home Health Care CAHPS Survey will
                                                  Total Annual Responses: 39,479; Total                   examination of the beneficiary by the                 be used for the following purposes: (1)
                                                  Annual Hours: 2,836,441. (For policy                    physician or treating practitioner, a                 To produce comparable data on the
                                                  questions regarding this collection                     written prescription, and receipt of                  patients’ perspectives of the care they
                                                  contact Jeannine Cramer at 410–786–                     pertinent parts of the medical record by              receive from home health agencies, (2)
                                                  5664.)                                                  the supplier within 45 days after the                 to create incentives for agencies to
                                                     2. Type of Information Collection                    face-to-face examination that the                     improve the quality of care they provide
                                                  Request: Extension of a previously                      durable medical equipment (DME)                       through public reporting of survey
                                                  approved collection; Title of                           suppliers maintain in their records and               results, and (3) to enhance public
                                                  Information Collection: Medicaid                        make available to CMS and its agents                  accountability in health care by
                                                  Emergency Psychiatric Demonstration                     upon request. Form Number: CMS–                       increasing the transparency of the
                                                  (MEPD) Evaluation; Use: Since the                       10116 (OMB control number: 0938–                      quality of care provided in return for the
                                                  inception of Medicaid, inpatient care                   0971); Frequency: Yearly; Affected                    public investment. Sampling and data
                                                  provided to adults ages 21 to 64 in                     Public: Private Sector—Business or                    collection will be conducted on a
                                                  institutions for mental disease (IMDs)                  other for-profits; Number of                          monthly basis. Survey results will be
                                                  has been excluded from federal                          Respondents: 46,000; Number of                        analyzed and reported on a quarterly
                                                  matching funds. The Emergency                           Responses: 72,500; Total Annual Hours:                basis, with publicly reported results
                                                  Medical Treatment and Active Labor                      14,434. (For policy questions regarding               based on one year’s worth of data.
                                                  Act (EMTALA), however, requires IMDs                    this collection contact Stuart Caplan at                 As part of this information collection
                                                  that participate in Medicare to provide                 410–786–8564.)                                        request for the national implementation
                                                  treatment for psychiatric emergency                        4. Type of Information Collection                  of Home Health Care CAHPS, CMS is
                                                  medical conditions (EMCs), even for                     Request: Extension of a currently                     also requesting approval to conduct a
                                                  Medicaid patients for whose services                    approved collection; Title of                         randomized mode experiment with a
                                                  cannot be reimbursed. Section 2707 of                   Information Collection: Healthcare                    sample of home health agencies. The
                                                  the Affordable Care Act (ACA) directs                   Effectiveness Data and Information Set                mode experiment compared the
                                                  the Secretary of Health and Human                       (HEDIS®) Data Collection for Medicare                 responses to the survey across the three
                                                  Services to conduct and evaluate a                      Advantage; Use: We use the collected                  proposed modes to determine whether
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                                                  demonstration project to determine the                  data to: Monitor Medicare Advantage                   adjustments are needed to ensure that
                                                  impact of providing payment under                       organization performance, inform audit                the data collection mode does not
                                                  Medicaid for inpatient services                         strategies, and inform beneficiary choice             influence the survey results. In addition,
                                                  provided by private IMDs to individuals                 through their display in our consumer-                data from the mode experiment will be
                                                  with emergency psychiatric conditions                   oriented public compare tools and Web                 used to determine which, if any, patient
                                                  between the ages of 21 and 64. We will                  sites. Medicare Advantage organizations               characteristics may affect the patients’
                                                  use the data to evaluate the Medicaid                   use the data for quality assessment and               rating of the care they receive and, if so,


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                                                  89106                        Federal Register / Vol. 81, No. 237 / Friday, December 9, 2016 / Notices

                                                  develop an adjustment model of those                    DATES:  The project period of                         of pregnancies affected by Zika virus. To
                                                  data based on those factors. CMS                        performance for the Cooperative                       increase access to all FDA-approved
                                                  worked with RTI, the federal contractor                 Agreement will be 36 months from the                  contraceptive methods, a territory or
                                                  to recruit approximately 100 home                       date of award.                                        state must use grant funds to provide
                                                  health agencies to participate in the                   FOR FURTHER INFORMATION CONTACT:                      client-centered contraceptive counseling
                                                  mode experiment. The mode                               Elizabeth Garbarczyk, 410–786–0426.                   to educate women (including women
                                                  experiment included approximately                       SUPPLEMENTARY INFORMATION:                            who are pregnant and post-partum) and
                                                  23,000 home health care patients.                                                                             men on effective contraception
                                                    Form Number: CMS–10275 (OMB                           I. Background                                         methods, increase contraceptive
                                                  control number: 0938–1066); Frequency:                     The Zika Response and Preparedness                 supplies in provider offices, increase
                                                  Quarterly; Affected Public: Individuals                 Act (Pub. L. 114–223) provides                        family planning delivery sites, train
                                                  and households and the Private sector                   $387,000,000 in funding to prevent,                   providers on the full range of
                                                  (Business or other for-profit and Not-for-              prepare for, and respond to the Zika                  contraceptive methods and their use,
                                                  profit institutions); Number of                         virus. Of the funds appropriated by                   including insertion and removal of long-
                                                  Respondents: 2,715,890; Total Annual                    Public Law 114–223, Congress                          acting reversible contraception (LARC),
                                                  Responses: 2,715,890; Total Annual                      designated $75 million to support states,             and to remove a patient’s financial
                                                  Hours: 699,440. (For policy questions                   territories, tribes, or tribal organizations          barriers to use of effective contraception
                                                  regarding this collection contact Lori                  with active or local transmission cases               through methods such as cost sharing
                                                  Teichman at 410–786–6684.)                              of the Zika virus, as confirmed by the                assistance for contraceptive services.
                                                     Dated: December 6, 2016.                             Centers for Disease Control and                       2. Reduce Barriers to Diagnostic Testing,
                                                  William N. Parham, III,                                 Prevention (CDC), to reimburse the costs              Screening, and Counseling for Pregnant
                                                  Director, Paperwork Reduction Staff, Office             of health care for health conditions                  Women and Newborns
                                                  of Strategic Operations and Regulatory                  related to the Zika virus not covered by
                                                  Affairs.                                                private insurance. No less than $60                      Uninsured or underinsured pregnant
                                                                                                          million of this funding is for territories            women may not seek testing and
                                                  [FR Doc. 2016–29584 Filed 12–8–16; 8:45 am]
                                                                                                          with the highest rates of Zika                        medical follow-up if Zika testing does
                                                  BILLING CODE 4120–01–P
                                                                                                          transmission.                                         not begin at the initial point of prenatal
                                                                                                                                                                care or if it presents financial hardship.
                                                                                                          II. Provisions of the Notice                          Testing should be performed as a part of
                                                  DEPARTMENT OF HEALTH AND
                                                  HUMAN SERVICES                                             In accordance with the Zika Response               routine prenatal care. However,
                                                                                                          and Preparedness Act (Pub. L. 114–223),               additional unscheduled prenatal visits
                                                  Centers for Medicare & Medicaid                         entities eligible to apply for this funding           may be necessary to complete the
                                                  Services                                                opportunity include states, territories,              testing protocol (for example, reflex
                                                                                                          tribes or tribal organizations with active            testing) and to provide pre- and post-test
                                                  [CMS–2431–N]                                                                                                  counseling on the interpretation of
                                                                                                          or local transmission of the Zika virus,
                                                                                                          as confirmed by the Centers for Disease               results. Funds designated for diagnostic
                                                  Zika Health Care Services Program
                                                                                                          Control and Prevention (CDC). As of                   testing, screening, and counseling will
                                                  AGENCY: Centers for Medicare &                          October 12, 2016, the CDC reports that                be used to ensure access to diagnostic
                                                  Medicaid Services (CMS), HHS.                           American Samoa, Puerto Rico, the U.S.                 services to test for Zika infection
                                                  ACTION: Notice.                                         Virgin Islands, and Florida are the only              wherever a pregnant woman initially
                                                                                                          areas with laboratory-confirmed active                presents for care. This will increase the
                                                  SUMMARY:    This notice announces the                   or local transmission of the Zika virus,              identification of pregnant women
                                                  November 9, 2016 publication of a                       and therefore, these are the only                     infected with Zika, who require
                                                  funding opportunity providing up to                     territories and state eligible to receive             increased monitoring and prenatal care
                                                  $66.1 million available to support                      funding as authorized under the                       services, and will lead to early diagnosis
                                                  prevention activities and treatment                     legislation. Funding available under the              of infants with special medical needs.
                                                  services for health conditions related to               ‘‘Zika Health Care Services Program’’
                                                  the Zika virus. The funding opportunity                                                                       3. Increase Access to Appropriate
                                                                                                          may be used to address the following                  Specialized Healthcare Services for
                                                  solicited single source emergency                       four critical components of a
                                                  applications for a cooperative agreement                                                                      Pregnant Women, Children Born to
                                                                                                          comprehensive response to Zika.                       Mothers With Maternal Zika Virus
                                                  aimed at supporting prevention                          Applicant needs may vary and some
                                                  activities and treatment services for                                                                         Infection, and Their Families
                                                                                                          applicants may not have unmet needs
                                                  women (including pregnant women),                       across each of the four areas. If                        Complex clinical and psychosocial
                                                  children, and men adversely or                          approved by CMS, recipients may use                   needs associated with maternal Zika
                                                  potentially impacted by the Zika virus.                 grant funds for additional health care                virus infection require access to
                                                  Entities eligible to apply for this funding             services for health conditions related to             comprehensive and appropriate
                                                  opportunity are states, territories, tribes             the Zika virus that are not listed in the             specialized healthcare, and a
                                                  or tribal organizations, with active or                 following section.                                    coordinated suite of services that serves
                                                  local transmission of the Zika virus, as                                                                      mother, child, and their families.
                                                  confirmed by the Centers for Disease                    1. Increase Access to Contraceptive                   Increased access to prenatal care is
                                                  Control and Prevention (CDC). As of                     Services for Women and Men                            critical to plan for post-natal care,
                                                  October 12, 2016, the CDC designated                       Contraceptive services for women and               particularly access to ultrasounds which
mstockstill on DSK3G9T082PROD with NOTICES




                                                  American Samoa, Puerto Rico, the U.S.                   men can reduce the risk of unintended                 can detect abnormalities in fetal
                                                  Virgin Islands, and Florida as areas with               pregnancy, as well as sexual                          development. In addition, high-risk
                                                  laboratory-confirmed active or local                    transmission of Zika. Preventing                      pregnancies and pregnancy loss, can be
                                                  Zika virus transmission. As such, this                  unintended pregnancy in areas affected                stressful for both the pregnant woman
                                                  emergency funding opportunity is                        by the Zika virus outbreak among                      and her family and require psychosocial
                                                  currently available to the territorial and              people who may have been exposed is                   support. Moreover, the infants
                                                  state health departments in these areas.                a primary strategy to reduce the number               themselves require enhanced follow-up,


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Document Created: 2018-02-14 09:03:39
Document Modified: 2018-02-14 09:03:39
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments must be received by February 7, 2017.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation81 FR 89104 

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