82 FR 16843 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 82, Issue 65 (April 6, 2017)
Centers for Medicare & Medicaid Services
Federal Register Volume 82, Issue 65 (April 6, 2017)
| Page Range | 16843-16844 | |
| FR Document | 2017-06830 |
[Federal Register Volume 82, Number 65 (Thursday, April 6, 2017)] [Notices] [Pages 16843-16844] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-06830] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-10147, CMS-10203, CMS-R-21, and CMS-R-148] 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 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 June 5, 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 https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html. 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: William Parham at (410) 786-4669. 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-10147 Medicare Prescription Drug Coverage and Your Rights CMS-10203 Medicare Health Outcomes Survey (HOS) CMS-R-21 Withholding Medicare Payments to Recover Medicaid [[Page 16844]] Overpayments and Supporting Regulations in 42 CFR 447.31 CMS-R-148 Limitations on Provider Related Donations and Health Care Related Taxes; Limitation on Payment to Disproportionate Share Hospitals; Medicaid and Supporting Regulations in 42 CFR 433.68, 433.74 and 447.272 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: Revision of a currently approved collection; Title of Information Collection: Medicare Prescription Drug Coverage and Your Rights; Use: Through the delivery of this standardized notice, Part D plan sponsors' network pharmacies are in the best position to inform enrollees (at the point of sale) about how to contact their Part D plan if their prescription cannot be filled and how to request an exception to the Part D plan's formulary. The notice restates certain rights and protections related to the enrollees Medicare prescription drug benefits, including the right to receive a written explanation from the drug plan about why a prescription drug is not covered; Form Number: CMS-10147 (OMB control number: 0938-0975); Frequency: Occasionally; Affected Public: Private sector (business or other for-profits); Number of Respondents: 62,000; Total Annual Responses: 40,100,000; Total Annual Hours: 668,066. (For policy questions regarding this collection contact Sabrina Sparkman at 410-786-3209.) 2. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Medicare Health Outcomes Survey (HOS); Use: The collection is necessary to hold Medicare managed care contracts accountable for the quality of care they deliver to beneficiaries. This reporting requirement allows us to obtain the information necessary for proper oversight of the Medicare Advantage program. It is critical to our mission that we collect and disseminate valid and reliable information that can be used to improve quality of care through identification of quality improvement opportunities, assist us in carrying out our oversight responsibilities, and help beneficiaries make an informed choice among health plans. Form Number: CMS-10203 (OMB control number: 0938-0701); Frequency: Yearly; Affected Public: Individuals and households; Number of Respondents: 739,959; Total Annual Responses: 554,895; Total Annual Hours: 183,115. (For policy questions regarding this collection contact Kimberly DeMichele at 410-786-4286.) 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Withholding Medicare Payments to Recover Medicaid Overpayments and Supporting Regulations in 42 CFR 447.31; Use: Certain Medicaid providers that are subject to offsets for the collection of Medicaid overpayments may terminate or substantially reduce their participation in Medicaid, leaving the state Medicaid agency unable to recover the amounts due. Recovery procedures allow for determining the amount of overpayments and offsetting the overpayments by withholding the provider's Medicare payments. To effectuate the withholding, the state agency must provide their respective CMS regional office with certain documentation that identifies the provider and the Medicaid overpayment amount. The agency must also demonstrate that the provider was notified of the overpayment and that demand for the overpayment was made. An opportunity to appeal the overpayment determination must be afforded to the provider by the Medicaid state agency. Lastly, Medicaid state agencies must notify CMS when to terminate the withholding; Form Number: CMS-R-21 (OMB control number: 0938-0287); Frequency: Occasionally; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 54; Total Annual Responses: 27; Total Annual Hours: 81. (For policy questions regarding this collection contact Stuart Goldstein at 410-786-0694.) 4. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Limitations on Provider Related Donations and Health Care Related Taxes; Limitation on Payment to Disproportionate Share Hospitals; Medicaid and Supporting Regulations in 42 CFR 433.68, 433.74 and 447.272; Use: States may request a waiver of the broad based and uniformity tax program requirements. Each state must demonstrate that its tax program(s) do not violate the hold harmless provision. Additionally, state Medicaid agencies must report (quarterly) on health care related taxes collected and the source of provider related donations received by the state or unit of local government. Each state must maintain, in readily reviewable form, supporting documentation that provides a detailed description of each donation and tax program being reported, as well as the source and use of all donations received and collected. Without this information, the amount of Federal financial participation payable to a state cannot be determined; Form Number: CMS-R-148 (OMB control number: 0938-0618); Frequency: Quarterly and occasionally; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 50; Total Annual Responses: 40; Total Annual Hours: 3,200. (For policy questions regarding this collection contact Stuart Goldstein at 410- 786-0694.) Dated: April 3, 2017. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2017-06830 Filed 4-5-17; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 82, No. 65 / Thursday, April 6, 2017 / Notices 16843
questionnaire is referred to as the state, and federal public health partners. symptomatic cases of Cyclospora
Standardized National Hypothesis Subject matter experts at CDC have infection during periods in which
Generating Questionnaire (SNHGQ). developed the CNHGQ, by modifying increased numbers of such cases are
However, not all of the data elements in the SNHGQ to include and focus on reported (typically, during spring and
the SNHGQ are relevant to the parasite data elements pertinent to Cyclospora/ summer months). In part because
Cyclospora (e.g., questions about cyclosporiasis. Input also was solicited molecular typing methods are not yet
consumption of meat and dairy from state public health partners. available for C. cayetanensis, it is
products); on the other hand, additional Because relatively few data elements in important to interview all case-patients
data elements (besides those in the the SNHGQ needed to be modified, a identified during periods of increased
SNHGQ) are needed to capture full vetting process was determined not reporting, to help determine if their
information pertinent to Cyclospora and to be necessary. The CNHGQ has been cases could be part of an outbreak(s).
to fresh produce vehicles of infection. designed for administration over the
Therefore, the Cyclosporiasis National telephone by public health officials, to The CNHGQ is not expected to entail
Hypothesis Generating Questionnaire collect data elements from case-patients substantial burden for respondents. The
(CNHGQ) has been developed, by using or their proxies. The data that is estimated total annualized burden
core data elements from the SNHGQ and collected will be pooled and analyzed at associated with administering the
incorporating modifications pertinent to CDC, to generate hypotheses about CNHGQ is 750 hours (approximately
Cyclospora. potential vehicles/sources of infection. 1,000 individuals interviewed x 45
The core data elements from the CDC requests OMB approval to collect minutes/response). There will be no
SNHGQ were developed by a series of information via the CNHGQ from costs to respondents other than their
working groups comprised of local, persons who have developed time.
ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of
Number of burden per
Type of respondents Form name responses per
respondents response
respondent (hours)
Individuals ..................... Cyclosporiasis National Hypothesis Generating Questionnaire ...... 1,000 1 45/60
Leroy A. Richardson, 60 days for public comment on the Control Number ____, Room C4–26–05,
Chief, Information Collection Review Office, proposed action. Interested persons are 7500 Security Boulevard, Baltimore,
Office of Scientific Integrity, Office of the invited to send comments regarding our Maryland 21244–1850.
Associate Director for Science, Office of the burden estimates or any other aspect of To obtain copies of a supporting
Director, Centers for Disease Control and this collection of information, including statement and any related forms for the
Prevention. the necessity and utility of the proposed proposed collection(s) summarized in
[FR Doc. 2017–06869 Filed 4–5–17; 8:45 am] information collection for the proper this notice, you may make your request
BILLING CODE 4163–18–P performance of the agency’s functions, using one of following:
the accuracy of the estimated burden, 1. Access CMS’ Web site address at
ways to enhance the quality, utility, and https://www.cms.gov/Regulations-and-
DEPARTMENT OF HEALTH AND clarity of the information to be Guidance/Legislation/Paperwork
HUMAN SERVICES collected, and the use of automated ReductionActof1995/PRA-Listing.html.
Centers for Medicare & Medicaid collection techniques or other forms of 2. Email your request, including your
Services information technology to minimize the address, phone number, OMB number,
information collection burden. and CMS document identifier, to
[Document Identifiers: CMS–10147, CMS– DATES: Comments must be received by Paperwork@cms.hhs.gov.
10203, CMS–R–21, and CMS–R–148] June 5, 2017. 3. Call the Reports Clearance Office at
ADDRESSES: When commenting, please (410) 786–1326.
Agency Information Collection
reference the document identifier or FOR FURTHER INFORMATION CONTACT:
Activities: Proposed Collection;
OMB control number. To be assured William Parham at (410) 786–4669.
Comment Request
consideration, comments and
SUPPLEMENTARY INFORMATION:
AGENCY: Centers for Medicare & recommendations must be submitted in
Medicaid Services, HHS. any one of the following ways: Contents
ACTION: Notice. 1. Electronically. You may send your
comments electronically to http:// This notice sets out a summary of the
SUMMARY: The Centers for Medicare & www.regulations.gov. Follow the use and burden associated with the
Medicaid Services (CMS) is announcing instructions for ‘‘Comment or following information collections. More
an opportunity for the public to Submission’’ or ‘‘More Search Options’’ detailed information can be found in
comment on CMS’ intention to collect to find the information collection each collection’s supporting statement
information from the public. Under the document(s) that are accepting and associated materials (see
mstockstill on DSK3G9T082PROD with NOTICES
ADDRESSES).
Paperwork Reduction Act of 1995 (the comments.
PRA), federal agencies are required to 2. By regular mail. You may mail CMS–10147 Medicare Prescription
publish notice in the Federal Register written comments to the following Drug Coverage and Your Rights
concerning each proposed collection of address: CMS, Office of Strategic CMS–10203 Medicare Health
information (including each proposed Operations and Regulatory Affairs, Outcomes Survey (HOS)
extension or reinstatement of an existing Division of Regulations Development, CMS–R–21 Withholding Medicare
collection of information) and to allow Attention: Document Identifier/OMB Payments to Recover Medicaid
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![16844 Federal Register / Vol. 82, No. 65 / Thursday, April 6, 2017 / Notices
Overpayments and Supporting beneficiaries. This reporting Care Related Taxes; Limitation on
Regulations in 42 CFR 447.31 requirement allows us to obtain the Payment to Disproportionate Share
CMS–R–148 Limitations on Provider information necessary for proper Hospitals; Medicaid and Supporting
Related Donations and Health Care oversight of the Medicare Advantage Regulations in 42 CFR 433.68, 433.74
Related Taxes; Limitation on Payment program. It is critical to our mission that and 447.272; Use: States may request a
to Disproportionate Share Hospitals; we collect and disseminate valid and waiver of the broad based and
Medicaid and Supporting Regulations reliable information that can be used to uniformity tax program requirements.
in 42 CFR 433.68, 433.74 and 447.272 improve quality of care through Each state must demonstrate that its tax
Under the PRA (44 U.S.C. 3501– identification of quality improvement program(s) do not violate the hold
3520), federal agencies must obtain opportunities, assist us in carrying out harmless provision. Additionally, state
approval from the Office of Management our oversight responsibilities, and help Medicaid agencies must report
and Budget (OMB) for each collection of beneficiaries make an informed choice (quarterly) on health care related taxes
information they conduct or sponsor. among health plans. Form Number: collected and the source of provider
The term ‘‘collection of information’’ is CMS–10203 (OMB control number: related donations received by the state
defined in 44 U.S.C. 3502(3) and 5 CFR 0938–0701); Frequency: Yearly; Affected or unit of local government. Each state
1320.3(c) and includes agency requests Public: Individuals and households; must maintain, in readily reviewable
or requirements that members of the Number of Respondents: 739,959; Total form, supporting documentation that
public submit reports, keep records, or Annual Responses: 554,895; Total provides a detailed description of each
provide information to a third party. Annual Hours: 183,115. (For policy donation and tax program being
Section 3506(c)(2)(A) of the PRA questions regarding this collection reported, as well as the source and use
requires federal agencies to publish a contact Kimberly DeMichele at 410– of all donations received and collected.
60-day notice in the Federal Register 786–4286.) Without this information, the amount of
concerning each proposed collection of 3. Type of Information Collection Federal financial participation payable
information, including each proposed Request: Extension of a currently to a state cannot be determined; Form
extension or reinstatement of an existing approved collection; Title of Number: CMS–R–148 (OMB control
collection of information, before Information Collection: Withholding number: 0938–0618); Frequency:
submitting the collection to OMB for Medicare Payments to Recover Quarterly and occasionally; Affected
approval. To comply with this Medicaid Overpayments and Public: State, Local, or Tribal
requirement, CMS is publishing this Supporting Regulations in 42 CFR Governments; Number of Respondents:
notice. 447.31; Use: Certain Medicaid providers 50; Total Annual Responses: 40; Total
that are subject to offsets for the Annual Hours: 3,200. (For policy
Information Collection collection of Medicaid overpayments questions regarding this collection
1. Type of Information Collection may terminate or substantially reduce contact Stuart Goldstein at 410–786–
Request: Revision of a currently their participation in Medicaid, leaving 0694.)
approved collection; Title of the state Medicaid agency unable to
Dated: April 3, 2017.
Information Collection: Medicare recover the amounts due. Recovery
Prescription Drug Coverage and Your procedures allow for determining the William N. Parham, III,
Rights; Use: Through the delivery of this amount of overpayments and offsetting Director, Paperwork Reduction Staff, Office
standardized notice, Part D plan the overpayments by withholding the of Strategic Operations and Regulatory
Affairs.
sponsors’ network pharmacies are in the provider’s Medicare payments. To
best position to inform enrollees (at the [FR Doc. 2017–06830 Filed 4–5–17; 8:45 am]
effectuate the withholding, the state
point of sale) about how to contact their agency must provide their respective BILLING CODE 4120–01–P
Part D plan if their prescription cannot CMS regional office with certain
be filled and how to request an documentation that identifies the
exception to the Part D plan’s formulary. provider and the Medicaid overpayment DEPARTMENT OF HEALTH AND
The notice restates certain rights and amount. The agency must also HUMAN SERVICES
protections related to the enrollees demonstrate that the provider was Centers for Medicare & Medicaid
Medicare prescription drug benefits, notified of the overpayment and that Services
including the right to receive a written demand for the overpayment was made.
explanation from the drug plan about An opportunity to appeal the [Document Identifiers: CMS–10501 and
why a prescription drug is not covered; overpayment determination must be CMS–10635]
Form Number: CMS–10147 (OMB afforded to the provider by the Medicaid
control number: 0938–0975); Frequency: Agency Information Collection
state agency. Lastly, Medicaid state
Occasionally; Affected Public: Private Activities: Submission for OMB
agencies must notify CMS when to
sector (business or other for-profits); Review; Comment Request
terminate the withholding; Form
Number of Respondents: 62,000; Total Number: CMS–R–21 (OMB control AGENCY: Centers for Medicare &
Annual Responses: 40,100,000; Total number: 0938–0287); Frequency: Medicaid Services, HHS.
Annual Hours: 668,066. (For policy Occasionally; Affected Public: State, ACTION: Notice.
questions regarding this collection Local, or Tribal Governments; Number
contact Sabrina Sparkman at 410–786– of Respondents: 54; Total Annual SUMMARY: The Centers for Medicare &
3209.) Responses: 27; Total Annual Hours: 81. Medicaid Services (CMS) is announcing
2. Type of Information Collection an opportunity for the public to
mstockstill on DSK3G9T082PROD with NOTICES
(For policy questions regarding this
Request: Revision of a currently collection contact Stuart Goldstein at comment on CMS’ intention to collect
approved collection; Title of 410–786–0694.) information from the public. Under the
Information Collection: Medicare Health 4. Type of Information Collection Paperwork Reduction Act of 1995
Outcomes Survey (HOS); Use: The Request: Extension of a currently (PRA), federal agencies are required to
collection is necessary to hold Medicare approved collection; Title of publish notice in the Federal Register
managed care contracts accountable for Information Collection: Limitations on concerning each proposed collection of
the quality of care they deliver to Provider Related Donations and Health information, including each proposed
VerDate Sep<11>2014 18:51 Apr 05, 2017 Jkt 241001 PO 00000 Frm 00066 Fmt 4703 Sfmt 4703 E:\FR\FM\06APN1.SGM 06APN1](https://thefederalregister.org/doc/82_FR_16908/page/2.svg)
Document Created: 2017-04-06 01:46:27
Document Modified: 2017-04-06 01:46:27
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments must be received by June 5, 2017. | |
| Contact | William Parham at (410) 786-4669. | |
| FR Citation | 82 FR 16843 |
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