82 FR 20481 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 82, Issue 83 (May 2, 2017)
Centers for Medicare & Medicaid Services
Federal Register Volume 82, Issue 83 (May 2, 2017)
| Page Range | 20481-20482 | |
| FR Document | 2017-08848 |
[Federal Register Volume 82, Number 83 (Tuesday, May 2, 2017)] [Notices] [Pages 20481-20482] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-08848] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier CMS-10418] 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 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 July 3, 2017. ADDRESSES: When commenting, please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be submitted in any one of the following ways: 1. Electronically. You may send your comments electronically to http://www.regulations.gov. Follow the instructions for ``Comment or Submission'' or ``More Search Options'' to find the information collection document(s) that are accepting comments. 2. By regular mail. You may mail written comments to the following address: CMS, Office of Strategic Operations and Regulatory Affairs, Division of Regulations Development, Attention: Document Identifier/OMB Control Number ____, Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850. To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice, you may make your request using one of following: 1. Access CMS' Web site address at 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: 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-10418 Medical Loss Ratio Annual Reports, MLR Notices, and Recordkeeping Requirements 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. 1. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Annual MLR and Rebate Calculation Report and MLR Rebate Notices; Use: Under Section 2718 of the Affordable Care Act and implementing regulation at 45 CFR part 158, a health insurance issuer (issuer) offering group or individual health insurance coverage must submit a report to the Secretary concerning the amount the issuer spends each year on claims, quality improvement expenses, non-claims costs, Federal and State taxes and licensing and regulatory fees, the amount of earned premium, and beginning with the 2014 reporting year, the amounts related to the transitional reinsurance, risk corridors, and risk adjustment programs established under sections 1341, 1342, and 1343, respectively, of the Affordable Care Act. An issuer must provide an annual rebate if the amount it spends on certain costs compared to its premium revenue (excluding Federal and States taxes and licensing and regulatory fees) does not meet a certain ratio, referred to as the medical loss ratio (MLR). Each issuer is required to submit annually MLR data, including information about any rebates it must provide, on a form prescribed by CMS, for each State in which the issuer conducts business. Each issuer is also required to provide a rebate notice to each policyholder that is owed a rebate and each subscriber of policyholders that are owed a rebate for any given MLR reporting year. Additionally, each issuer is required to maintain for a period of seven years all documents, records and other evidence that support the data included in each issuer's annual report to the Secretary. Under Section 1342 of the Patient Protection and Affordable Care Act and implementing regulation at 45 CFR part 153, issuers of qualified health plans (QHPs) must participate in a risk corridors program. A QHP issuer will pay risk corridors charges or be eligible to receive payments based on the ratio of the issuer's allowable costs to the target amount. Each QHP issuer is required to submit an annual report to CMS concerning the issuer's allowable costs, allowable administrative costs, premium, and proportion of market premium in QHPs. Risk corridors premium information that is specific to an issuer's QHPs is collected through a separate plan-level data form, which is included in this information collection. Additionally, each QHP issuer is required to maintain for a period of ten years all documents, records and other evidence sufficient to enable the evaluation of the issuer's compliance with applicable risk corridors standards. Based upon CMS' experience in the MLR data collection and evaluation process, CMS is updating its annual [[Page 20482]] burden hour estimates to reflect the actual numbers of submissions, rebates and rebate notices. The 2016 MLR Reporting Form and Instructions reflect changes for the 2016 reporting/benefit year and beyond. In 2017, it is expected that issuers will submit fewer reports and send fewer notices and rebate checks in the mail to policyholders and subscribers, which will reduce burden on issuers. It is estimated that there will be a net reduction in total burden from 235,148 to 200,597. Form Number: CMS- 10418 (OMB Control Number: 0938-1164); Frequency: Annually; Affected Public: Private Sector, Business or other for-profit and not-for-profit institutions; Number of Respondents: 545; Number of Responses: 2,532; Total Annual Hours: 200,597. (For policy questions regarding this collection contact Christina Whitefield at 301-492-4172.) Dated: April 27, 2017. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2017-08848 Filed 5-1-17; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 82, No. 83 / Tuesday, May 2, 2017 / Notices 20481
PERSON TO CONTACT FOR INFORMATION: 2. By regular mail. You may mail Rebate Notices; Use: Under Section
Judith Ingram, Press Officer, Telephone: written comments to the following 2718 of the Affordable Care Act and
(202) 694–1220. address: CMS, Office of Strategic implementing regulation at 45 CFR part
Operations and Regulatory Affairs, 158, a health insurance issuer (issuer)
Dayna C. Brown,
Division of Regulations Development, offering group or individual health
Secretary and Clerk of the Commission.
Attention: Document Identifier/OMB insurance coverage must submit a report
[FR Doc. 2017–08912 Filed 4–28–17; 11:15 am]
Control Number llll, Room C4–26– to the Secretary concerning the amount
BILLING CODE 6715–01–P 05, 7500 Security Boulevard, Baltimore, the issuer spends each year on claims,
Maryland 21244–1850. quality improvement expenses, non-
To obtain copies of a supporting claims costs, Federal and State taxes
DEPARTMENT OF HEALTH AND statement and any related forms for the and licensing and regulatory fees, the
HUMAN SERVICES proposed collection(s) summarized in amount of earned premium, and
this notice, you may make your request beginning with the 2014 reporting year,
Centers for Medicare & Medicaid using one of following: the amounts related to the transitional
Services 1. Access CMS’ Web site address at reinsurance, risk corridors, and risk
[Document Identifier CMS–10418] https://www.cms.gov/Regulations-and- adjustment programs established under
Guidance/Legislation/Paperwork sections 1341, 1342, and 1343,
Agency Information Collection ReductionActof1995/PRA-Listing.html. respectively, of the Affordable Care Act.
Activities: Proposed Collection; 2. Email your request, including your An issuer must provide an annual rebate
Comment Request address, phone number, OMB number, if the amount it spends on certain costs
AGENCY: Centers for Medicare & and CMS document identifier, to compared to its premium revenue
Medicaid Services, HHS. Paperwork@cms.hhs.gov. (excluding Federal and States taxes and
3. Call the Reports Clearance Office at licensing and regulatory fees) does not
ACTION: Notice.
(410) 786–1326. meet a certain ratio, referred to as the
SUMMARY: The Centers for Medicare & FOR FURTHER INFORMATION CONTACT: medical loss ratio (MLR). Each issuer is
Medicaid Services (CMS) is announcing Reports Clearance Office at (410) 786– required to submit annually MLR data,
an opportunity for the public to 1326. including information about any rebates
comment on CMS’ intention to collect it must provide, on a form prescribed by
SUPPLEMENTARY INFORMATION:
information from the public. Under the CMS, for each State in which the issuer
Paperwork Reduction Act of 1995 (the Contents conducts business. Each issuer is also
PRA), federal agencies are required to This notice sets out a summary of the required to provide a rebate notice to
publish notice in the Federal Register use and burden associated with the each policyholder that is owed a rebate
concerning each proposed collection of following information collections. More and each subscriber of policyholders
information (including each proposed detailed information can be found in that are owed a rebate for any given
extension or reinstatement of an existing each collection’s supporting statement MLR reporting year. Additionally, each
collection of information) and to allow and associated materials (see issuer is required to maintain for a
60 days for public comment on the ADDRESSES). period of seven years all documents,
proposed action. Interested persons are records and other evidence that support
invited to send comments regarding our CMS–10418 Medical Loss Ratio the data included in each issuer’s
burden estimates or any other aspect of Annual Reports, MLR Notices, and annual report to the Secretary. Under
this collection of information, including Recordkeeping Requirements Section 1342 of the Patient Protection
any of the following subjects including Under the PRA (44 U.S.C. 3501– and Affordable Care Act and
the necessity and utility of the proposed 3520), federal agencies must obtain implementing regulation at 45 CFR part
information collection for the proper approval from the Office of Management 153, issuers of qualified health plans
performance of the agency’s functions, and Budget (OMB) for each collection of (QHPs) must participate in a risk
the accuracy of the estimated burden, information they conduct or sponsor. corridors program. A QHP issuer will
ways to enhance the quality, utility, and The term ‘‘collection of information’’ is pay risk corridors charges or be eligible
clarity of the information to be collected defined in 44 U.S.C. 3502(3) and 5 CFR to receive payments based on the ratio
and the use of automated collection 1320.3(c) and includes agency requests of the issuer’s allowable costs to the
techniques or other forms of information or requirements that members of the target amount. Each QHP issuer is
technology to minimize the information public submit reports, keep records, or required to submit an annual report to
collection burden. provide information to a third party. CMS concerning the issuer’s allowable
DATES: Comments must be received by Section 3506(c)(2)(A) of the PRA costs, allowable administrative costs,
July 3, 2017. requires federal agencies to publish a premium, and proportion of market
ADDRESSES: When commenting, please 60-day notice in the Federal Register premium in QHPs. Risk corridors
reference the document identifier or concerning each proposed collection of premium information that is specific to
OMB control number. To be assured information, including each proposed an issuer’s QHPs is collected through a
consideration, comments and extension or reinstatement of an existing separate plan-level data form, which is
recommendations must be submitted in collection of information, before included in this information collection.
any one of the following ways: submitting the collection to OMB for Additionally, each QHP issuer is
1. Electronically. You may send your approval. To comply with this required to maintain for a period of ten
sradovich on DSK3GMQ082PROD with NOTICES
comments electronically to http:// requirement, CMS is publishing this years all documents, records and other
www.regulations.gov. Follow the notice. evidence sufficient to enable the
instructions for ‘‘Comment or 1. Type of Information Collection evaluation of the issuer’s compliance
Submission’’ or ‘‘More Search Options’’ Request: Revision of a currently with applicable risk corridors standards.
to find the information collection approved collection; Title of Based upon CMS’ experience in the
document(s) that are accepting Information Collection: Annual MLR MLR data collection and evaluation
comments. and Rebate Calculation Report and MLR process, CMS is updating its annual
VerDate Sep<11>2014 16:36 May 01, 2017 Jkt 241001 PO 00000 Frm 00026 Fmt 4703 Sfmt 4703 E:\FR\FM\02MYN1.SGM 02MYN1](https://thefederalregister.org/doc/82_FR_20564/page/1.svg)
![20482 Federal Register / Vol. 82, No. 83 / Tuesday, May 2, 2017 / Notices
burden hour estimates to reflect the SUPPLEMENTARY INFORMATION: A confirmation email will be sent to
actual numbers of submissions, rebates the registrants shortly after completing
I. Purpose
and rebate notices. the registration process.
The 2016 MLR Reporting Form and The Physician-Focused Payment
IV. Special Accommodations
Instructions reflect changes for the 2016 Model Technical Advisory Committee
reporting/benefit year and beyond. In (‘‘the Committee’’) is required by If sign language interpretation or other
2017, it is expected that issuers will Section 101(e) of the Medicare Access reasonable accommodation for a
submit fewer reports and send fewer and CHIP Reauthorization Act of 2015 disability is needed, please contact
notices and rebate checks in the mail to (MACRA). This Committee is also Angela Tejeda, no later than May 19,
policyholders and subscribers, which governed by provisions of the Federal 2017. Please submit your requests by
will reduce burden on issuers. It is Advisory Committee Act, as amended (5 email to Angela.Tejeda@hhs.gov or by
estimated that there will be a net U.S.C. App.), which sets forth standards calling 202–401–8297.
reduction in total burden from 235,148 for the formation and use of federal V. Copies of the PTAC Charter and
to 200,597. Form Number: CMS–10418 advisory committees. In accordance Meeting Material
(OMB Control Number: 0938–1164); with its statutory mandate, the
Frequency: Annually; Affected Public: Committee is to review physician- The Secretary’s Charter for the
Private Sector, Business or other for- focused payment model proposals and Physician-Focused Payment Model
profit and not-for-profit institutions; prepare recommendations regarding Technical Advisory Committee is
Number of Respondents: 545; Number whether such models meet criteria that available on the ASPE Web site at
of Responses: 2,532; Total Annual were established through rulemaking by https://aspe.hhs.gov/charter-physician-
Hours: 200,597. (For policy questions the Secretary of Health and Human focused-payment-model-technical-
regarding this collection contact Services (the Secretary). The Committee advisory-committee.
Christina Whitefield at 301–492–4172.) Additional material for this meeting
is composed of 11 members appointed
can be found on the PTAC Web site. For
Dated: April 27, 2017. by the Comptroller General.
updates and announcements, please use
William N. Parham, III, II. Agenda the link to subscribe to the PTAC email
Director, Paperwork Reduction Staff, Office
At the June 5, 2017 meeting, the listserv.
of Strategic Operations and Regulatory
Committee will hear presentations by Dated: April 24, 2017.
Affairs.
[FR Doc. 2017–08848 Filed 5–1–17; 8:45 am]
PTAC members on proposals for John R. Graham,
Medicare physician-focused payment Acting Assistant Secretary for Planning and
BILLING CODE 4120–01–P
models submitted by members of the Evaluation.
public. Presentations will be followed [FR Doc. 2017–08846 Filed 5–1–17; 8:45 am]
DEPARTMENT OF HEALTH AND by public comments and Committee BILLING CODE 4150–05–P
HUMAN SERVICES deliberation and voting on
recommendations to the Secretary of
Meeting Announcement for the HHS. There will be time allocated for DEPARTMENT OF HEALTH AND
Physician-Focused Payment Model public comment on these agenda items HUMAN SERVICES
Technical Advisory Committee as well as other issues the public would
like to raise. Documents will be posted National Institutes of Health
Required by the Medicare Access and
CHIP Reauthorization Act (MACRA) of on the PTAC Web site prior to the
National Institute on Minority Health
2015 public meeting. The agenda is subject to
and Health Disparities; Notice of
change. If the agenda does change, we
ACTION: Notice of public meeting. Closed Meeting
will inform registrants and update our
Web site to reflect any changes. Pursuant to section 10(d) of the
SUMMARY: This notice announces the Federal Advisory Committee Act, as
next meeting date for the Physician- III. Meeting Attendance
amended (5 U.S.C. App.), notice is
Focused Payment Model Technical The June 5, 2017 meeting is open to hereby given of the following meeting.
Advisory Committee (hereafter referred the public. The public may also attend The meeting will be closed to the
to as ‘‘the Committee’’) which will be via conference call or livestream at public in accordance with the
held in Washington, DC and will be www.hhs.gov/live. The conference call provisions set forth in sections
open to the public. dial-in information will be sent to 552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
DATES: The PTAC meeting will occur on registrants prior to the meeting. as amended. The grant applications and
the following dates: the discussions could disclose
• Monday, June 5, 2017 from 9:00 a.m. Meeting Registration confidential trade secrets or commercial
to 4:00 p.m. ET The public may attend the meeting in- property such as patentable materials,
Please note that times are subject to person or listen by phone via audio and personal information concerning
change. If the times change, registrants teleconference. Space is limited and individuals associated with the grant
will be notified directly via email. registration is preferred in order to applications, the disclosure of which
ADDRESSES: The Hubert H. Humphrey attend in-person or by phone. would constitute a clearly unwarranted
Building Great Hall, 200 Independence Registration may be completed online at invasion of personal privacy.
Ave. SW., Washington, DC 20201. www.regonline.com/PTACMeetings Name of Committee: National Institute on
sradovich on DSK3GMQ082PROD with NOTICES
FOR FURTHER INFORMATION CONTACT: Ann Registration. Minority Health and Health Disparities
Page, Designated Federal Officer, at the The following information is Special Emphasis Panel; NIMHD Research
submitted when registering: Centers in Minority Institutions (RCMI)
Office of Health Policy, Assistant
Name: (U54).
Secretary for Planning and Evaluation, Date: June 21–23, 2017.
U.S. Department of Health and Human Company/organization name: Time: 8:00 a.m. to 5:00 p.m.
Services, 200 Independence Ave. SW., Postal address: Agenda: To review and evaluate grant
Washington, DC 20201 (202) 690–6870. Email address: applications.
VerDate Sep<11>2014 16:36 May 01, 2017 Jkt 241001 PO 00000 Frm 00027 Fmt 4703 Sfmt 4703 E:\FR\FM\02MYN1.SGM 02MYN1](https://thefederalregister.org/doc/82_FR_20564/page/2.svg)
Document Created: 2017-05-02 00:05:00
Document Modified: 2017-05-02 00:05:00
| 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 July 3, 2017. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 82 FR 20481 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR