82 FR 11037 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 82, Issue 32 (February 17, 2017)
Centers for Medicare & Medicaid Services
Federal Register Volume 82, Issue 32 (February 17, 2017)
| Page Range | 11037-11040 | |
| FR Document | 2017-03235 |
[Federal Register Volume 82, Number 32 (Friday, February 17, 2017)] [Notices] [Pages 11037-11040] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-03235] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-R-10, CMS-10116, CMS-R-26, CMS-10069, CMS- 10629, CMS-10266, CMS-8003, CMS-4040, CMS-10156, CMS-10170, CMS-10198, CMS-10227, CMS-10344, CMS-416, CMS-R-244, and CMS-10219] Agency Information Collection Activities: Submission for OMB Review; 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 (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 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 on the collection(s) of information must be received by the OMB desk officer by March 20, 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 [[Page 11038]] 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 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 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 (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 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: 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) 3. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Clinical Laboratory Improvement Amendments (CLIA) Regulations; Use: The information is necessary to determine an entity's compliance with the Congressionally-mandated program with respect to the regulation of laboratory testing (CLIA). In addition, laboratories participating in the Medicare program must comply with CLIA requirements as required by section 6141 of OBRA 89. Medicaid, under the authority of section 1902(a)(9)(C) of the Social Security Act, pays for services furnished only by laboratories that meet Medicare (CLIA) requirements. Form Number: CMS-R-26 (OMB Control Number: 0938-0612); Frequency: Monthly, occasionally; Affected Public: Business or other for-profits and Not- for-profit institutions, State, Local or Tribal Governments, and the Federal government; Number of Respondents: 70,861; Total Annual Responses: 1,979,300; Total Annual Hours: 14,975,785. (For policy questions regarding this collection contact Raelene Perfetto at 410- 786-6876). 4. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicare/Medicaid Demonstration/Model Application; Use: The application is used for solicitation of proposals that are either congressionally mandated or Administration high priority demonstration initiatives which would be used to strengthen and modernize the Medicare and/or Medicaid programs. The standardized proposal format is not controversial and will reduce burden on applicants and reviewers. Responses are strictly voluntary. The standard format will enable CMS to select proposals that meet CMS objectives and show the best potential for success. Form Number: CMS- 10069 (OMB control number: 0938-0880); Frequency: Once; Affected [[Page 11039]] Public: Business or other for-profits and Not-for-profit institutions; Number of Respondents: 75; Total Annual Responses: 75; Total Annual Hours: 6,000. (For policy questions regarding this collection contact John Amoh at 410-786-4910). 5. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Waiver Application for Providers and Suppliers Subject to an Enrollment Moratorium; Use: This demonstration, in conjunction with an expansion of the existing provider enrollment moratoria, will allow CMS to mitigate known vulnerabilities within the existing moratoria and will lead to increased investigations of fraud. Section 402(a)(l)(J) of the Social Security Amendments of 1967 (42 U.S.C. 1395b-l(a)(l)(J)) permits the Secretary to ``develop or demonstrate improved methods for the investigation and prosecution of fraud in the provision of care or services under the health programs established by the Social Security Act.'' In addition to the development and demonstration of improved methods for investigations, CMS will utilize this demonstration to address beneficiary access to care issues. CMS received one comment during the 60-day comment period (81 FR 75408). Form Number: CMS-10629 (OMB control number: 0938-1313); Frequency: Occasionally; Affected Public: Business or other for-profit, Not-for-profit institutions; Number of Respondents: 800; Total Annual Responses: 800; Total Annual Hours: 4,800. (For policy questions regarding this information collection contact Kim Jung at 410-786-9370). 6. Type of Information Collection Request: Extension of a previously approved collection; Title of Information Collection: Conditions of Participation: Requirements for Approval and Reapproval of Transplant Centers to Perform Organ Transplants; Use: The Conditions of Participation and accompanying requirements specified in the regulations are used by our surveyors as a basis for determining whether a transplant center qualifies for approval or re-approval under Medicare. We, along with the healthcare industry, believe that the availability to the facility of the type of records and general content of records is standard medical practice and is necessary in order to ensure the well-being and safety of patients and professional treatment accountability. Form Number: CMS-10266 (OMB Control Number: 0938-1069); Frequency: Yearly; Affected Public: Business or other for-profits and Not-for-profit institutions; Number of Respondents: 165; Total Annual Responses: 425; Total Annual Hours: 2,593. (For policy questions regarding this collection contact Diane Corning at 410-786-8486.) 7. Type of Information Collection Request: Reinstatement without change of a previously approved collection; Title of Information Collection: 1915(c) Home and Community Based Services (HCBS) Waiver; Use: We will use the web-based application to review and adjudicate individual waiver actions. The web-based application will also be used by states to submit and revise their waiver requests. Form Number: CMS- 8003 (OMB control number 0938-0449); Frequency: Yearly; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 47; Total Annual Responses: 71; Total Annual Hours: 6,005. (For policy questions regarding this collection contact Kathy Poisal at 410-786- 5940.) 8. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Request for Enrollment in Supplementary Medical Insurance; Use: Form CMS-4040 is used to establish entitlement to and enrollment in Medicare Part B for beneficiaries who file for Part B only. The collected information is used to determine entitlement for individuals who meet the requirements in section 1836(2) of the Social Security Act as well as the entitlement of the applicant (or their spouses) to an annuity paid by OPM for premium deduction purposes. Form Number: CMS-4040 (OMB control number: 0938-0245); Frequency: Once; Affected Public: Individuals or households; Number of Respondents: 10,000; Total Annual Responses: 10,000; Total Annual Hours: 2,500. (For policy questions regarding this collection contact Carla Patterson at 410-786-8911.) 9. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Retiree Drug Subsidy (RDS) Application and Instructions; Use: Plan sponsors (e.g., employers, unions) who offer prescription drug coverage to their qualified covered retirees are eligible to receive a 28 percent tax- free subsidy for allowable drug costs. To qualify, plan sponsors must submit a complete application with a list of retirees for whom it intends to collect the subsidy. Once we review and analyze the information on the application and the retiree list, notification will be sent to the plan sponsor about its eligibility to participate in the RDS program. Form Number: CMS-10156 (OMB control number: 0938-0957); Frequency: Yearly and monthly; Affected Public: Business or other for- profits and Not-for-profit institutions; Number of Respondents: 2,482; Total Annual Responses: 2,482; Total Annual Hours: 158,848. (For policy questions regarding this collection contact Ivan Iveljic at 410-786- 3312.) 10. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Retiree Drug Subsidy (RDS) Payment Request and Instructions; Use: Plan sponsors (e.g., employers, unions) who offer prescription drug coverage meeting specified criteria to their qualified covered retirees are eligible to receive a 28 percent tax-free subsidy for allowable drug costs. Plan sponsors must submit required prescription drug cost data and other information in order to receive the subsidy. Plan sponsors may elect to submit RDS payment requests on a monthly, quarterly, interim annual, or annual basis; once selected, the payment frequency may not be changed during the plan year. Form Number: CMS-10170 (OMB control number: 0938- 0977); Frequency: Occasionally; Affected Public: Business or other for- profits and Not-for-profit institutions; Number of Respondents: 2,482; Total Annual Responses: 2,482; Total Annual Hours: 374,782. (For policy questions regarding this collection contact Ivan Iveljic at 410-786- 3312.) 11. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Creditable Coverage Disclosure to CMS On-Line Form and Instructions; Use: Most entities that currently provide prescription drug benefits to any Medicare Part D eligible individual must disclose whether their prescription drug benefit is creditable (expected to pay at least as much, on average, as the standard prescription drug plan under Medicare). The disclosure must be provided annually and upon any change that affects whether the coverage is creditable prescription drug coverage. Form Number: CMS-10198 (OMB control number: 0938-1013); Frequency: Yearly and semi-annually; Affected Public: Business or other for-profits and Not-for-profit institutions, and State, Local, or Tribal Governments; Number of Respondents: 85,635; Total Annual Responses: 87,265; Total Annual Hours: 7,272. (For policy questions regarding this collection contact Tammie Wall at 410-786-3317.) 12. Type of Information Collection Request: Extension of a currently [[Page 11040]] approved collection; Title of Information Collection: PACE State Plan Amendment Preprint; Use: If a state elects to offer PACE as an optional Medicaid benefit, it must complete a state plan amendment preprint packet described as ``Enclosures 3, 4, 5, 6, and 7.'' CMS will review the information provided in order to determine if the state has properly elected to cover PACE services as a state plan option. In the event that the state changes something in the state plan, only the affected page must be updated. Form Number: CMS-10227 (OMB control number: 0938-1027); Frequency: Once and occasionally; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 7; Total Annual Responses: 2; Total Annual Hours: 140. (For policy questions regarding this collection contact Angela Cimino at 410-786-2638.) 13. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Elimination of Cost-Sharing for Full Benefit Dual-Eligible Individuals Receiving Home and Community-Based Services; Use: This collection eliminates Part D cost-sharing for full benefit dual-eligible beneficiaries who are receiving home and community based services. In this regard, states are required to identify the affected beneficiaries in their monthly Medicare Modernization Act Phase Down reports. Form Number: CMS-10344 (OMB control number: 0938-1127); Frequency: Monthly; Affected Public: Business or other for-profits and Not-for-profit institutions; Number of Respondents: 51; Total Annual Responses: 612; Total Annual Hours: 612. (For policy questions regarding this collection contact Roland Herrera at 410-786-0668.) 14. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Annual Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Participation Report; Use: The collected baseline data is used to assess the effectiveness of state early and periodic screening, diagnostic and treatment (EPSDT) programs in reaching eligible children (by age group and basis of Medicaid eligibility) who are provided initial and periodic child health screening services, referred for corrective treatment, and receiving dental, hearing, and vision services. This assessment is coupled with the state's results in attaining the participation goals set for the state. The information gathered from this report, permits federal and state managers to evaluate the effectiveness of the EPSDT law on the basic aspects of the program. Form Number: CMS-416 (OMB control number 0938-0354); Frequency: Yearly and on occasion; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 56; Total Annual Responses: 168; Total Annual Hours: 1,624. (For policy questions regarding this collection contact Kimberly Perrault at 410-786-2482.) 15. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Programs for All- inclusive Care of the Elderly (PACE) and Supporting Regulations in 42 CFR part 460; Use: This information collection addresses all operational components of the PACE program (as defined in 42 CFR part 460) with the exception of the application process (Sec. 460.12). We are removing the application requirements and burden since this CMS-R- 244 package is lengthy and we recognize that it can be somewhat time consuming to review. We believe the change will help streamline the public and OMB's review of the application as well as the remaining requirements and burden under the CMS-R-244 package. The application is being moved under a new information collection request with a new CMS identification number (CMS-10631). An OMB control number specific to the application process is pending. The CMS- 10631 information collection request was submitted to OMB on October 6, 2016, under ICR Reference No: 201610-0938-001. When approved, the control number can be found on www.reginfo.gov/public/. Form Number: CMS-R-244 (OMB control number: 0938-0790); Frequency: Once and occasionally; Affected Public: Private sector (Business or other for-profits and Not-for-profit institutions); Number of Respondents: 130; Total Annual Responses: 145,455; Total Annual Hours: 61,350. (For policy questions regarding this collection contact Debbie Van Hoven at 410-786-6625). 16. 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: 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.) Dated: February 14, 2017. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2017-03235 Filed 2-16-17; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 82, No. 32 / Friday, February 17, 2017 / Notices 11037
circumstances. CMS also explained the steps be convened by the designated hearing Dated: February 14, 2017.
which the agency can and must follow under officer below, no later than 60 days after the Patrick H. Conway,
regulations at 42 CFR 435.916(d) and 42 CFR date of the Federal Register notice, or a later Acting Administrator, Centers for Medicare
part 435 subpart E in the event that the date by agreement of the parties and the & Medicaid Services.
agency later discovers information that Hearing Officer, at the CMS Regional Office
suggests someone was not at application, or [FR Doc. 2017–03292 Filed 2–16–17; 8:45 am]
in Atlanta, Georgia, in accordance with the
is no longer, eligible for coverage. Again, if procedures set forth in federal regulations at BILLING CODE 4120–01–P
the agency believes that an applicant 42 CFR part 430, subpart D. The Hearing
intentionally provided false information on Officer also should be notified if the Alabama
his or her application, referral to law Medicaid agency requests a hearing but DEPARTMENT OF HEALTH AND
enforcement for investigation of fraud, or cannot meet the timeframe expressed in this HUMAN SERVICES
institution of a full investigation by the notice. The Hearing Officer designated for
agency into potential abuse, are the only this matter is: Centers for Medicare & Medicaid
appropriate next steps under the statute and Services
Benjamin R. Cohen, Hearing Officer
regulations.
Centers for Medicare & Medicaid Services [Document Identifiers: CMS–R–10, CMS–
The Alabama Medicaid agency’s
submission of its quarterly expenditure 2520 Lord Baltimore Drive, Suite L 10116, CMS–R–26, CMS–10069, CMS–10629,
reports through the CMS–64 includes a Baltimore, MD 21244 CMS–10266, CMS–8003, CMS–4040, CMS–
certification that the Alabama Medicaid At issue in any such hearing will be: 10156, CMS–10170, CMS–10198, CMS–
agency is operating under the authority of its 1. Whether the penalties set forth in 10227, CMS–10344, CMS–416, CMS–R–244,
approved Medicaid state plan. However, at Section 22–6–8 of the Alabama Code are and CMS–10219]
this time, CMS has not received information consistent with the requirements of sections
from the agency providing evidence of 1902(a)(8) and 1902(a)(10) of the Act. Agency Information Collection
compliance with its approved state plan, 2. If so, whether an administrative finding Activities: Submission for OMB
sections 1902(a)(8), 1902(a)(10) and 1128B(a) of the type described in section 22–6–8 of the Review; Comment Request
of the Act or regulations at 42 CFR 455.15 Alabama Code, without a conviction in a
and 455.16. court of law, is a sufficient basis to impose AGENCY: Centers for Medicare &
such penalties consistent with the Medicaid Services, HHS.
Determination of Non-Compliance and FFP
requirements of sections 1902(a)(8) and ACTION: Notice.
Withholding
1902(a)(10) of the Act, and the remedies set
The CMS has concluded that the Alabama forth in sections 1128 and 1128B of the Act, SUMMARY: The Centers for Medicare &
Medicaid agency is operating its program in regulations at 42 CFR 455.15 and 455.16 and Medicaid Services (CMS) is announcing
substantial noncompliance with federal the Alabama Medicaid state plan. an opportunity for the public to
requirements described in sections 1902(a)(8) If the Alabama Medicaid agency plans to comment on CMS’ intention to collect
and 1902(a)(10) of the Act, requiring states to come into compliance with the approved information from the public. Under the
provide Medicaid to all individuals who state plan, the Alabama Medicaid agency
meet eligibility criteria required under the
Paperwork Reduction Act of 1995
should submit, within 30 days of the date of (PRA), federal agencies are required to
state plan, and with section 1128B(a) of the this letter, an explanation of how the
Act and regulations at 42 CFR 455.15 and publish notice in the Federal Register
Alabama Medicaid agency plans to come into
455.16, requiring that the agency refer cases concerning each proposed collection of
compliance with federal requirements and
of suspected fraud to appropriate law the timeframe for doing so. If that
information, including each proposed
enforcement, conduct a full investigation of explanation is satisfactory, CMS may extension or reinstatement of an existing
suspected abuse, and limit sanctions to those consider postponing any requested hearing, collection of information, and to allow
permitted under the regulations or specified which could also delay the imposition of the a second opportunity for public
in its approved state plan. Subject to the comment on the notice. Interested
withholding of funds as described above. Our
state’s opportunity for a hearing, CMS will
withhold a portion of federal financial
goal is to have the Alabama Medicaid agency persons are invited to send comments
come into compliance, and CMS continues to regarding the burden estimate or any
participation (FFP) from the Alabama
be available to provide technical assistance to other aspect of this collection of
Medicaid agency’s quarterly claim of
the Alabama Medicaid agency in achieving information, including the necessity and
expenditures for administrative costs until
this outcome. However, if CMS does not find
such time as the Alabama Medicaid agency utility of the proposed information
the Alabama Medicaid agency’s plan or
is, and continues to be, in compliance with
explanation satisfactory, CMS will not
collection for the proper performance of
the federal requirements. the agency’s functions, the accuracy of
postpone any requested hearing.
The withholding will initially be one the estimated burden, ways to enhance
Should you not request a hearing within 30
percent of the federal share of the Alabama the quality, utility, and clarity of the
Medicaid agency’s quarterly claim for days, a notice of withholding will be sent to
administrative expenditures, an amount that you and the withholding of federal funds will information to be collected and the use
was developed based on the proportion of begin as described above. of automated collection techniques or
total state Medicaid expenditures that are If you have any questions or wish to other forms of information technology to
used for expenditures for eligibility discuss this determination further, please minimize the information collection
determinations, as reported on Form CMS– contact: burden.
64.10 Line 50. The withholding percentage Jackie Glaze
DATES: Comments on the collection(s) of
will increase by one percentage point for Associate Regional Administrator
every quarter in which the Alabama Division of Medicaid and Children’s Health information must be received by the
Medicaid agency remains out of compliance. Operations OMB desk officer by March 20, 2017.
The withholding will end when the Alabama CMS Atlanta Regional Office, 61 Forsyth ADDRESSES: When commenting on the
Medicaid agency fully and satisfactorily Street, Suite 4T20 proposed information collections,
implements a corrective action plan to bring Atlanta, Georgia 30303 please reference the document identifier
mstockstill on DSK3G9T082PROD with NOTICES
its eligibility policies and procedures under 404–562–7417 or OMB control number. To be assured
its Medicaid program into compliance with Sincerely, consideration, comments and
the federal requirements. Patrick H. Conway recommendations must be received by
Opportunity To Request a Hearing Acting Administrator the OMB desk officer via one of the
The state has 30 days from the date of this (Catalog of Federal Domestic Assistance following transmissions: OMB, Office of
letter to request a hearing. If a request for Program No. 13.714, Medicaid Assistance Information and Regulatory Affairs,
hearing is submitted timely, the hearing will Program.) Attention: CMS Desk Officer, Fax
VerDate Sep<11>2014 17:38 Feb 16, 2017 Jkt 241001 PO 00000 Frm 00038 Fmt 4703 Sfmt 4703 E:\FR\FM\17FEN1.SGM 17FEN1](https://thefederalregister.org/doc/82_FR_11069/page/1.svg)
![11040 Federal Register / Vol. 82, No. 32 / Friday, February 17, 2017 / Notices
approved collection; Title of law on the basic aspects of the program. Improvement Organizations and our
Information Collection: PACE State Plan Form Number: CMS–416 (OMB control contractors use HEDIS® data in
Amendment Preprint; Use: If a state number 0938–0354); Frequency: Yearly conjunction with their statutory
elects to offer PACE as an optional and on occasion; Affected Public: State, authority to improve quality of care.
Medicaid benefit, it must complete a Local, or Tribal Governments; Number Consumers use the information to help
state plan amendment preprint packet of Respondents: 56; Total Annual make informed health care choices. In
described as ‘‘Enclosures 3, 4, 5, 6, and Responses: 168; Total Annual Hours: addition, the data is made available to
7.’’ CMS will review the information 1,624. (For policy questions regarding researchers and others as public use
provided in order to determine if the this collection contact Kimberly Perrault files at www.cms.hhs.gov. Form
state has properly elected to cover PACE at 410–786–2482.) Number: CMS–10219 (OMB control
services as a state plan option. In the 15. Type of Information Collection number: 0938–1028); Frequency: Yearly;
event that the state changes something Request: Revision of a currently Affected Public: Business or other for-
in the state plan, only the affected page approved collection; Title of profit and Not-for-profit institutions;
must be updated. Form Number: CMS– Information Collection: Programs for Number of Respondents: 576; Total
10227 (OMB control number: 0938– All-inclusive Care of the Elderly (PACE) Annual Responses: 576; Total Annual
1027); Frequency: Once and and Supporting Regulations in 42 CFR Hours: 184,320. (For policy questions
occasionally; Affected Public: State, part 460; Use: This information regarding this collection contact Lori
Local, or Tribal Governments; Number collection addresses all operational Teichman at 410–786–6684.)
of Respondents: 7; Total Annual components of the PACE program (as
Dated: February 14, 2017.
Responses: 2; Total Annual Hours: 140. defined in 42 CFR part 460) with the
exception of the application process William N. Parham, III,
(For policy questions regarding this
collection contact Angela Cimino at (§ 460.12). We are removing the Director, Paperwork Reduction Staff, Office
application requirements and burden of Strategic Operations and Regulatory
410–786–2638.)
Affairs.
13. Type of Information Collection since this CMS–R–244 package is
Request: Extension of a currently lengthy and we recognize that it can be [FR Doc. 2017–03235 Filed 2–16–17; 8:45 am]
approved collection; Title of somewhat time consuming to review. BILLING CODE 4120–01–P
Information Collection: Elimination of We believe the change will help
Cost-Sharing for Full Benefit Dual- streamline the public and OMB’s review
Eligible Individuals Receiving Home of the application as well as the DEPARTMENT OF HEALTH AND
and Community-Based Services; Use: remaining requirements and burden HUMAN SERVICES
This collection eliminates Part D cost- under the CMS–R–244 package. Centers for Medicare & Medicaid
sharing for full benefit dual-eligible The application is being moved under
Services
beneficiaries who are receiving home a new information collection request
and community based services. In this with a new CMS identification number [Document Identifiers: CMS–304/304a,
regard, states are required to identify the (CMS–10631). An OMB control number CMS–368/CMS–R–144, CMS–R–308, CMS–
affected beneficiaries in their monthly specific to the application process is 10151, CMS–10199, CMS–R–13, and CMS–
pending. The CMS–10631 information 10279]
Medicare Modernization Act Phase
Down reports. Form Number: CMS– collection request was submitted to Agency Information Collection
10344 (OMB control number: 0938– OMB on October 6, 2016, under ICR Activities: Proposed Collection;
1127); Frequency: Monthly; Affected Reference No: 201610–0938–001. When
Comment Request
Public: Business or other for-profits and approved, the control number can be
Not-for-profit institutions; Number of found on www.reginfo.gov/public/. AGENCY: Centers for Medicare &
Respondents: 51; Total Annual Form Number: CMS–R–244 (OMB Medicaid Services.
Responses: 612; Total Annual Hours: control number: 0938–0790); Frequency: ACTION: Notice.
612. (For policy questions regarding this Once and occasionally; Affected Public:
collection contact Roland Herrera at Private sector (Business or other for- SUMMARY: The Centers for Medicare &
410–786–0668.) profits and Not-for-profit institutions); Medicaid Services (CMS) is announcing
14. Type of Information Collection Number of Respondents: 130; Total an opportunity for the public to
Request: Revision of a currently Annual Responses: 145,455; Total comment on CMS’ intention to collect
approved collection; Title of Annual Hours: 61,350. (For policy information from the public. Under the
Information Collection: Annual Early questions regarding this collection Paperwork Reduction Act of 1995 (the
and Periodic Screening, Diagnostic and contact Debbie Van Hoven at 410–786– PRA), federal agencies are required to
Treatment (EPSDT) Participation 6625). publish notice in the Federal Register
Report; Use: The collected baseline data 16. Type of Information Collection concerning each proposed collection of
is used to assess the effectiveness of Request: Extension of a currently information (including each proposed
state early and periodic screening, approved collection; Title of extension or reinstatement of an existing
diagnostic and treatment (EPSDT) Information Collection: Healthcare collection of information) and to allow
programs in reaching eligible children Effectiveness Data and Information Set 60 days for public comment on the
(by age group and basis of Medicaid (HEDIS®) Data Collection for Medicare proposed action. Interested persons are
eligibility) who are provided initial and Advantage; Use: We use the collected invited to send comments regarding our
periodic child health screening services, data to: monitor Medicare Advantage burden estimates or any other aspect of
referred for corrective treatment, and organization performance, inform audit this collection of information, including
mstockstill on DSK3G9T082PROD with NOTICES
receiving dental, hearing, and vision strategies, and inform beneficiary choice the necessity and utility of the proposed
services. This assessment is coupled through their display in our consumer- information collection for the proper
with the state’s results in attaining the oriented public compare tools and Web performance of the agency’s functions,
participation goals set for the state. The sites. Medicare Advantage organizations the accuracy of the estimated burden,
information gathered from this report, use the data for quality assessment and ways to enhance the quality, utility, and
permits federal and state managers to as part of their quality improvement clarity of the information to be
evaluate the effectiveness of the EPSDT programs and activities. Quality collected, and the use of automated
VerDate Sep<11>2014 17:38 Feb 16, 2017 Jkt 241001 PO 00000 Frm 00041 Fmt 4703 Sfmt 4703 E:\FR\FM\17FEN1.SGM 17FEN1](https://thefederalregister.org/doc/82_FR_11069/page/4.svg)
Document Created: 2017-02-17 00:28:42
Document Modified: 2017-02-17 00:28:42
| 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 March 20, 2017. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 82 FR 11037 |
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