81 FR 95615 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

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

Federal Register Volume 81, Issue 249 (December 28, 2016)

Page Range		95615-95616
FR Document		2016-31185

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

Federal Register, Volume 81 Issue 249 (Wednesday, December 28, 2016)

[Federal Register Volume 81, Number 249 (Wednesday, December 28, 2016)]
[Notices]
[Pages 95615-95616]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-31185]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10180, CMS-R-138, CMS-10088, and CMS-10466]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

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 (PRA), federal agencies are required to publish notice in 
the Federal Register concerning each proposed collection of 
information, including each proposed extension or reinstatement of an 
existing collection of information, and to allow a second opportunity 
for public comment on the notice. Interested persons are invited to 
send comments regarding the burden estimate or any other aspect of this 
collection of information, including any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper performance of the agency's functions; (2) the accuracy of 
the estimated burden; (3) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (4) the use of 
automated collection techniques or other forms of information 
technology to minimize the information collection burden.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by January 27, 2017.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions: OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-5806 OR Email: 
[email protected].
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, you may make 
your request using one of following:
    1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. The term ``collection of 
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and 
includes agency requests or requirements that members of the public 
submit reports, keep records, or provide information to a third party. 
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires 
federal agencies to publish a 30-day notice in the Federal Register 
concerning each proposed collection of information, including each 
proposed extension or reinstatement of an existing collection of 
information, before submitting the

[[Page 95616]]

collection to OMB for approval. To comply with this requirement, CMS is 
publishing this notice that summarizes the following proposed 
collection(s) of information for public comment:
    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Children's Health 
Insurance Program (CHIP) Report on Payables and Receivables; Use: 
Collection of CHIP data and the calculation of the CHIP Incurred But 
Not Reported (IBNR) estimate are pertinent to CMS' financial audit. 
Section 2105 of the Social Security Act (Title XXI) requires the 
Secretary to estimate the amount each State should be paid at the 
beginning of each quarter. This amount is based on a report filed by 
the State. Section 2105 of the Social Security Act authorizes the 
Secretary to pay the amount estimated, reduced or increased to the 
extent of any overpayment or underpayment for any prior quarter. 
Section 3515 of the CFO Act requires government agencies to produce 
auditable financial statements in accordance with Office of Management 
and Budget guidelines on Form and Content. The Government Management 
and Reform Act of 1994 requires that all offices, bureaus and 
associated activities of the 24 CFO Act agencies must be covered in an 
agency-wide, audited financial statement. Collection of CHIP data and 
the calculation of the CHIP Incurred But Not Reported (IBNR) estimate 
are pertinent to CMS' financial audit. The CHIP Report on Payables and 
Receivables will provide the information needed to calculate the CHIP 
IBNR. Failure to collect this information could result in non-
compliance with the law. Program expenditures for the CHIP have 
increased since its inception; as such, CHIP receivables and payables 
may materially impact the financial statements. The CHIP Report on 
Payables and Receivables will provide the information needed to 
calculate the CHIP IBNR. Form Number: CMS-10180 (OMB control number: 
0938-0988); Frequency: Reporting--Annually; Affected Public: State, 
Local or Tribal governments; Number of Respondents: 56; Total Annual 
Responses: 56; Total Annual Hours: 392. (For policy questions regarding 
this collection contact Beverly Boher at 410-786-7806.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare 
Geographic Classification Review Board Procedures and Criteria; Use: 
During the first few years of IPPS, hospitals were paid strictly based 
on their physical geographic location concerning the wage index 
(Metropolitan Statistical Areas (MSAs)) and the standardized amount 
(rural, other urban, or large urban). However, a growing number of 
hospitals became concerned that their payment rates were not providing 
accurate compensation. The hospitals argued that they were not 
competing with the hospitals in their own geographic area, but instead 
that they were competing with hospitals in neighboring geographic 
areas. At that point, Congress enacted Section 1886(d)(10) of the Act 
which enabled hospitals to apply to be considered part of neighboring 
geographic areas for payment purposes based on certain criteria. The 
application and decision process is administered by the MGCRB which is 
not a part of CMS so that CMS could not be accused of any untoward 
action. However, CMS needs to remain apprised of any potential payment 
changes. Hospitals are required to provide CMS with copy of any 
applications that they made to the MGCRB. CMS also developed the 
guidelines for the MGCRB that were the interim final issue of the 
Federal Register, and must ensure that the MGCRB properly applied the 
guidelines. This check and balance process also contributes to limiting 
the number of hospitals that ultimately need to appeal their MGCRB 
decisions to the CMS Administrator. Form Number: CMS-R-138 (OMB control 
number: 0938-0573); Frequency: Occasionally; Affected Public: 
Businesses or other for-profits and Not-for-profit institutions; Number 
of Respondents: 300; Total Annual Responses: 300; Total Annual Hours: 
300. (For policy questions regarding this collection contact Noel 
Manlove at 410-786-5161.)
    3. Type of Information Collection Request: Reinstatement of a 
previously approved collection; Title of Information Collection: 
Notification of FIs and CMS of co-located Medicare providers; Use: Many 
long-term care hospitals (LTCHs) are co-located with other Medicare 
providers (acute care hospitals, IRFs, SNFs, psychiatric facilities), 
which leads to potential gaming of the Medicare system based on patient 
shifting. In regulations at 42 CFR 412.22(e)(3) and (h)(6) and 
412.532(i), CMS is requiring LTCHs to notify Medicare Administrative 
Contractors (MACs) and CMS of co-located providers in order to 
establish policies to limit payment abuse that will be based on FIs 
tracking patient movement among these co-located providers. Form 
Number: CMS-10088 (OMB control number: 0938-0897); Frequency: Annually; 
Affected Public: Businesses or other for-profits and Not-for-profit 
institutions; Number of Respondents: 25; Total Annual Responses: 25; 
Total Annual Hours: 6. (For policy questions regarding this collection 
contact Emily Lipkin at 410-786-3633.)
    4. Type of Information Collection Request: Revision of a previously 
approved collection; Title of Information Collection: Patient 
Protection and Affordable Care Act; Exchange Functions: Eligibility for 
Exemptions; Use: The data collection and reporting requirements in 
``Patient Protection and Affordable Care Act; Exchange Functions: 
Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage 
Provisions'' (CMS-9958-F, 78 FR 39518), address federal requirements 
that states must meet with regard to the Exchange minimum function of 
performing eligibility determinations and issuing certificates of 
exemption from the shared responsibility payment. In the final 
regulation, CMS addresses standards related to eligibility, including 
the verification and eligibility determination process, eligibility 
redeterminations, options for states to rely on HHS to make eligibility 
determinations for certificates of exemption, and reporting. The data 
collection and reporting requirements included in this information 
collection request are critical to the basic ability of Exchanges to 
determine eligibility for and issue certificates of exemption, and will 
also assist Exchanges, HHS, and IRS in ensuring program integrity and 
quality improvement. Form Number: CMS-10466 (OMB control number: 0938-
1190); Frequency: Monthly, Yearly; Affected Public: Business or other 
for-profit, Not-for-profit institutions; Number of Respondents: 
2,000,000; Total Annual Responses: 2,000,000; Total Annual Hours: 
540,000. (For policy questions regarding this collection contact Kate 
Ficke at 301-492-4256).

    Dated: December 21, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-31185 Filed 12-27-16; 8:45 am]
 BILLING CODE 4120-01-P

Federal Register / Vol. 81, No. 249 / Wednesday, December 28, 2016 / Notices 95615

Contents quantitative and qualitative techniques persons are invited to send comments
This notice sets out a summary of the to analyze the outcomes and impact of regarding the burden estimate or any
use and burden associated with the the Demonstration. Claims analysis, a other aspect of this collection of
following information collections. More web-based supplier survey, and supplier information, including any of the
detailed information can be found in key informant interviews will inform following subjects: (1) The necessity and
the evaluation, and: (1) Focus utility of the proposed information
each collection’s supporting statement
specifically on outcomes including collection for the proper performance of
and associated materials (see
supplier satisfaction with the the agency’s functions; (2) the accuracy
ADDRESSES).
discussions, the rate of claims denials, of the estimated burden; (3) ways to
CMS–10633 QIC Demonstration and the number of claims that go enhance the quality, utility, and clarity
Evaluation Contractor (QDEC): Analyze through appeals Levels 2 and 3; (2) seek of the information to be collected; and
Medicare Appeals To Conduct Formal to determine whether further (4) the use of automated collection
Discussions and Reopenings With engagement between suppliers and the techniques or other forms of information
Suppliers QIC improves understanding of the technology to minimize the information
Under the PRA (44 U.S.C. 3501– reasons for claim denials; and (3) collection burden.
support CMS in assessing the QIC’s DATES: Comments on the collection(s) of
3520), federal agencies must obtain
effectiveness in meeting a number of information must be received by the
approval from the Office of Management
criteria established by CMS, including OMB desk officer by January 27, 2017.
and Budget (OMB) for each collection of
how satisfied participating suppliers ADDRESSES: When commenting on the
information they conduct or sponsor.
were with the formal telephone proposed information collections,
The term ‘‘collection of information’’ is
discussion process. Form Number: please reference the document identifier
defined in 44 U.S.C. 3502(3) and 5 CFR
CMS–10633 (OMB control number: or OMB control number. To be assured
1320.3(c) and includes agency requests
0938–NEW); Frequency: Monthly; consideration, comments and
or requirements that members of the
Affected Public: Private Sector Business recommendations must be received by
public submit reports, keep records, or
or other for-profits, Not-for-Profit the OMB desk officer via one of the
provide information to a third party.
Institutions; Number of Respondents: following transmissions: OMB, Office of
Section 3506(c)(2)(A) of the PRA
10,560; Total Annual Responses: 2,640; Information and Regulatory Affairs,
requires federal agencies to publish a
Total Annual Hours: 473.3. (For policy Attention: CMS Desk Officer, Fax
60-day notice in the Federal Register
questions regarding this collection Number: (202) 395–5806 OR Email:
concerning each proposed collection of
contact Lynnsie Doty at 410–786–2175.) OIRA_submission@omb.eop.gov.
information, including each proposed
extension or reinstatement of an existing Dated: December 21, 2016. To obtain copies of a supporting
collection of information, before William N. Parham, III, statement and any related forms for the
submitting the collection to OMB for Director, Paperwork Reduction Staff, Office proposed collection(s) summarized in
approval. To comply with this of Strategic Operations and Regulatory this notice, you may make your request
requirement, CMS is publishing this Affairs. using one of following:
notice. [FR Doc. 2016–31183 Filed 12–27–16; 8:45 am] 1. Access CMS’ Web site address at
BILLING CODE 4120–01–P
http://www.cms.hhs.gov/Paperwork
Information Collection ReductionActof1995.
1. Type of Information Collection 2. Email your request, including your
Request: New Collection (Request for a DEPARTMENT OF HEALTH AND address, phone number, OMB number,
new OMB control number); Title of HUMAN SERVICES and CMS document identifier, to
Information Collection: QIC Paperwork@cms.hhs.gov.
Demonstration Evaluation Contractor Centers for Medicare & Medicaid 3. Call the Reports Clearance Office at
(QDEC): Analyze Medicare Appeals to Services (410) 786–1326.
Conduct Formal Discussions and FOR FURTHER INFORMATION CONTACT:
[Document Identifiers: CMS–10180, CMS–
Reopenings with Suppliers; Use: The R–138, CMS–10088, and CMS–10466] Reports Clearance Office at (410) 786–
Formal Telephone Discussions 1326.
Demonstration is designed to improve Agency Information Collection SUPPLEMENTARY INFORMATION: Under the
the efficiency of Medicare’s five-level Activities: Submission for OMB Paperwork Reduction Act of 1995 (PRA)
appeals system for fee-for-service (FFS) Review; Comment Request (44 U.S.C. 3501–3520), federal agencies
claims, which currently is experiencing AGENCY: Centers for Medicare & must obtain approval from the Office of
a backlog. In the Demonstration, the Medicaid Services. Management and Budget (OMB) for each
Qualified Independent Contractor (QIC) ACTION: Notice. collection of information they conduct
provides education through a formal or sponsor. The term ‘‘collection of
telephone discussion process to SUMMARY: The Centers for Medicare & information’’ is defined in 44 U.S.C.
improve suppliers’ understanding of the Medicaid Services (CMS) is announcing 3502(3) and 5 CFR 1320.3(c) and
reasons for claim denials, and an opportunity for the public to includes agency requests or
ultimately improve the quality of future comment on CMS’ intention to collect requirements that members of the public
claims submissions. CMS is interested information from the public. Under the submit reports, keep records, or provide
in determining whether engagement Paperwork Reduction Act of 1995 information to a third party. Section
between suppliers and the QIC will (PRA), federal agencies are required to 3506(c)(2)(A) of the PRA (44 U.S.C.
sradovich on DSK3GMQ082PROD with NOTICES

improve the understanding of the cause publish notice in the Federal Register 3506(c)(2)(A)) requires federal agencies
of Level 2 appeal denials, and over time, concerning each proposed collection of to publish a 30-day notice in the
whether this results in increased information, including each proposed Federal Register concerning each
submission of accurate and complete extension or reinstatement of an existing proposed collection of information,
claims at the Medicare Administrative collection of information, and to allow including each proposed extension or
Contractor (MAC) level. The evaluation a second opportunity for public reinstatement of an existing collection
of the Demonstration will use both comment on the notice. Interested of information, before submitting the

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Document Created: 2016-12-28 02:16:35
Document Modified: 2016-12-28 02:16:35

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice.
Dates		Comments on the collection(s) of information must be received by the OMB desk officer by January 27, 2017.
Contact		Reports Clearance Office at (410) 786- 1326.
FR Citation		81 FR 95615

81 FR 95615 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services

Federal Register Volume 81, Issue 249 (December 28, 2016)

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