82_FR_27370 82 FR 27257 - Agency Information Collection Activities: Proposed Collection; Comment Request

82 FR 27257 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 82, Issue 113 (June 14, 2017)

Page Range27257-27258
FR Document2017-12229

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.

Federal Register, Volume 82 Issue 113 (Wednesday, June 14, 2017)
[Federal Register Volume 82, Number 113 (Wednesday, June 14, 2017)]
[Notices]
[Pages 27257-27258]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-12229]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10652]


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 August 14, 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-10652 Virtual Groups for Merit-Based Incentive Payment System 
(MIPS)

    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: New collection of 
information request; Title of Information Collection: Virtual Groups 
for Merit-Based Incentive Payment System (MIPS); Use: CMS acknowledges 
the unique challenges that small practices and practices in rural areas 
may face with the implementation of the Quality Payment Program. To 
help support these practices and provide them with additional 
flexibility, CMS has created a virtual group reporting option starting 
with the 2018 MIPS performance period. CMS held webinars and small, 
interactive feedback sessions to gain insight from clinicians as we 
developed our policies on virtual groups. During these sessions, 
participants expressed a strong interest in virtual groups, and 
indicated that the right policies could minimize clinician burden and 
bolster clinician success.
    This information collection request is related to the statutorily 
required virtual group election process proposed in the CY 2018 Quality 
Payment Program proposed rule. A virtual group is a combination of Tax 
Identification Numbers (TINs), which would include at least two 
separate TINs associated with a solo practitioner TIN and National 
Provider Identifier (TIN/NPI) or group with 10 or fewer MIPS eligible 
clinicians and another solo practitioner (TIN/NPI) or group with 10 or 
fewer MIPS eligible clinicians.
    Section 1848(q)(5)(I) of the Act requires that CMS establish and 
have in place a process to allow an individual MIPS eligible clinician 
or group consisting of not more than 10 MIPS eligible clinicians to 
elect, with respect to a performance period for a year to be in a 
virtual group with at least one other such individual MIPS eligible 
clinician or group. The Act also provides for the use of voluntary 
virtual groups for certain assessment purposes, including the election 
of practices to be a virtual group and the requirements for the 
election process.
    Section 1848(q)(5)(I)(i) of the Act also provides that MIPS 
eligible clinicians electing to be a virtual group must: (1) Have their 
performance assessed for the quality and cost performance categories in 
a manner that applies the combined performance of all the MIPS eligible 
clinicians in the virtual group to each MIPS eligible clinician in the 
virtual group for the applicable performance period; and (2) be scored 
for the quality and cost performance categories based on such 
assessment.
    CMS will use the data collected from virtual group representatives 
to determine eligibility to participate in a virtual group, approve the 
formation of that virtual group, based on determination of each TIN 
size, and assign a virtual group identifier to the virtual group. The 
data collected will

[[Page 27258]]

also be used to assign a performance score to each TIN/NPI in the 
virtual group. Form Number: CMS-10652 (OMB control number: 0938-NEW); 
Frequency: Annually; Affected Public: Private Sector: Business or other 
for-profits and Not-for-profit institutions and Individuals; Number of 
Respondents: 16; Total Annual Responses: 16; Total Annual Hours: 160. 
(For policy questions regarding this collection contact Michelle 
Peterman at 410-786-2591.)

    Dated: June 8, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-12229 Filed 6-13-17; 8:45 am]
 BILLING CODE 4120-01-P



                                                                               Federal Register / Vol. 82, No. 113 / Wednesday, June 14, 2017 / Notices                                             27257

                                                  Leroy A. Richardson,                                      2. By regular mail. You may mail                     Incentive Payment System (MIPS); Use:
                                                  Chief, Information Collection Review Office,            written comments to the following                      CMS acknowledges the unique
                                                  Office of Scientific Integrity, Office of the           address: CMS, Office of Strategic                      challenges that small practices and
                                                  Associate Director for Science, Office of the           Operations and Regulatory Affairs,                     practices in rural areas may face with
                                                  Director, Centers for Disease Control and               Division of Regulations Development,                   the implementation of the Quality
                                                  Prevention.                                             Attention: Document Identifier/OMB                     Payment Program. To help support
                                                  [FR Doc. 2017–12272 Filed 6–13–17; 8:45 am]             Control Number lll, Room C4–26–                        these practices and provide them with
                                                  BILLING CODE 4163–18–P                                  05, 7500 Security Boulevard, Baltimore,                additional flexibility, CMS has created a
                                                                                                          Maryland 21244–1850.                                   virtual group reporting option starting
                                                                                                            To obtain copies of a supporting                     with the 2018 MIPS performance
                                                  DEPARTMENT OF HEALTH AND                                statement and any related forms for the                period. CMS held webinars and small,
                                                  HUMAN SERVICES                                          proposed collection(s) summarized in                   interactive feedback sessions to gain
                                                                                                          this notice, you may make your request                 insight from clinicians as we developed
                                                  Centers for Medicare & Medicaid                         using one of following:                                our policies on virtual groups. During
                                                  Services                                                  1. Access CMS’ Web site address at                   these sessions, participants expressed a
                                                                                                          https://www.cms.gov/Regulations-and-                   strong interest in virtual groups, and
                                                  [Document Identifier: CMS–10652]                        Guidance/Legislation/                                  indicated that the right policies could
                                                                                                          PaperworkReductionActof1995/PRA-                       minimize clinician burden and bolster
                                                  Agency Information Collection                           Listing.html.                                          clinician success.
                                                  Activities: Proposed Collection;                          2. Email your request, including your                   This information collection request is
                                                  Comment Request                                         address, phone number, OMB number,                     related to the statutorily required virtual
                                                  AGENCY: Centers for Medicare &                          and CMS document identifier, to                        group election process proposed in the
                                                  Medicaid Services, HHS.                                 Paperwork@cms.hhs.gov.                                 CY 2018 Quality Payment Program
                                                                                                            3. Call the Reports Clearance Office at              proposed rule. A virtual group is a
                                                  ACTION: Notice.
                                                                                                          (410) 786–1326.                                        combination of Tax Identification
                                                  SUMMARY:    The Centers for Medicare &                  FOR FURTHER INFORMATION CONTACT:                       Numbers (TINs), which would include
                                                  Medicaid Services (CMS) is announcing                   William Parham at (410) 786–4669.                      at least two separate TINs associated
                                                  an opportunity for the public to                        SUPPLEMENTARY INFORMATION:                             with a solo practitioner TIN and
                                                  comment on CMS’ intention to collect                                                                           National Provider Identifier (TIN/NPI)
                                                                                                          Contents                                               or group with 10 or fewer MIPS eligible
                                                  information from the public. Under the
                                                  Paperwork Reduction Act of 1995 (the                      This notice sets out a summary of the                clinicians and another solo practitioner
                                                  PRA), federal agencies are required to                  use and burden associated with the                     (TIN/NPI) or group with 10 or fewer
                                                  publish notice in the Federal Register                  following information collections. More                MIPS eligible clinicians.
                                                  concerning each proposed collection of                  detailed information can be found in                      Section 1848(q)(5)(I) of the Act
                                                  information (including each proposed                    each collection’s supporting statement                 requires that CMS establish and have in
                                                  extension or reinstatement of an existing               and associated materials (see                          place a process to allow an individual
                                                  collection of information) and to allow                 ADDRESSES).                                            MIPS eligible clinician or group
                                                  60 days for public comment on the                                                                              consisting of not more than 10 MIPS
                                                                                                          CMS–10652 Virtual Groups for Merit-                    eligible clinicians to elect, with respect
                                                  proposed action. Interested persons are                 Based Incentive Payment System
                                                  invited to send comments regarding our                                                                         to a performance period for a year to be
                                                                                                          (MIPS)                                                 in a virtual group with at least one other
                                                  burden estimates or any other aspect of
                                                  this collection of information, including                 Under the PRA (44 U.S.C. 3501–                       such individual MIPS eligible clinician
                                                  the necessity and utility of the proposed               3520), federal agencies must obtain                    or group. The Act also provides for the
                                                  information collection for the proper                   approval from the Office of Management                 use of voluntary virtual groups for
                                                  performance of the agency’s functions,                  and Budget (OMB) for each collection of                certain assessment purposes, including
                                                  the accuracy of the estimated burden,                   information they conduct or sponsor.                   the election of practices to be a virtual
                                                  ways to enhance the quality, utility, and               The term ‘‘collection of information’’ is              group and the requirements for the
                                                  clarity of the information to be                        defined in 44 U.S.C. 3502(3) and 5 CFR                 election process.
                                                                                                          1320.3(c) and includes agency requests                    Section 1848(q)(5)(I)(i) of the Act also
                                                  collected, and the use of automated
                                                                                                          or requirements that members of the                    provides that MIPS eligible clinicians
                                                  collection techniques or other forms of
                                                                                                          public submit reports, keep records, or                electing to be a virtual group must: (1)
                                                  information technology to minimize the
                                                                                                          provide information to a third party.                  Have their performance assessed for the
                                                  information collection burden.
                                                                                                          Section 3506(c)(2)(A) of the PRA                       quality and cost performance categories
                                                  DATES: Comments must be received by                                                                            in a manner that applies the combined
                                                                                                          requires federal agencies to publish a
                                                  August 14, 2017.                                        60-day notice in the Federal Register                  performance of all the MIPS eligible
                                                  ADDRESSES: When commenting, please                      concerning each proposed collection of                 clinicians in the virtual group to each
                                                  reference the document identifier or                    information, including each proposed                   MIPS eligible clinician in the virtual
                                                  OMB control number. To be assured                       extension or reinstatement of an existing              group for the applicable performance
                                                  consideration, comments and                             collection of information, before                      period; and (2) be scored for the quality
                                                  recommendations must be submitted in                    submitting the collection to OMB for                   and cost performance categories based
                                                  any one of the following ways:                          approval. To comply with this                          on such assessment.
                                                    1. Electronically. You may send your                  requirement, CMS is publishing this                       CMS will use the data collected from
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                                                  comments electronically to http://                      notice.                                                virtual group representatives to
                                                  www.regulations.gov. Follow the                                                                                determine eligibility to participate in a
                                                  instructions for ‘‘Comment or                           Information Collection                                 virtual group, approve the formation of
                                                  Submission’’ or ‘‘More Search Options’’                   1. Type of Information Collection                    that virtual group, based on
                                                  to find the information collection                      Request: New collection of information                 determination of each TIN size, and
                                                  document(s) that are accepting                          request; Title of Information Collection:              assign a virtual group identifier to the
                                                  comments.                                               Virtual Groups for Merit-Based                         virtual group. The data collected will


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                                                  27258                        Federal Register / Vol. 82, No. 113 / Wednesday, June 14, 2017 / Notices

                                                  also be used to assign a performance                    Program (MSP), and to assist those                       Priority Area 3—Grants to State Units
                                                  score to each TIN/NPI in the virtual                    beneficiaries in applying for benefits.                on Aging that administer the Aging and
                                                  group. Form Number: CMS–10652                           ACL will provide MIPPA program                         Disability Resource Centers to provide
                                                  (OMB control number: 0938–NEW);                         funding to State Health Insurance                      outreach to individuals regarding
                                                  Frequency: Annually; Affected Public:                   Assistance Programs (SHIPs), Area                      Medicare Part D benefits, benefits
                                                  Private Sector: Business or other for-                  Agencies on Aging (AAAs), and Aging                    available under the LIS and MSP, and
                                                  profits and Not-for-profit institutions                 and Disability Resource Center                         for the purposes of conducting outreach
                                                  and Individuals; Number of                              programs (ADRCs) to inform Medicare                    activities aimed at preventing disease
                                                  Respondents: 16; Total Annual                           beneficiaries about available Medicare                 and promoting wellness.
                                                  Responses: 16; Total Annual Hours:                      program benefits. ACL seeks plans from
                                                                                                                                                                 2. Anticipated Total Priority Area
                                                  160. (For policy questions regarding this               states that will describe how the MIPPA
                                                                                                                                                                 Funding per Budget Period
                                                  collection contact Michelle Peterman at                 program funds will be used for
                                                  410–786–2591.)                                          beneficiary outreach, education, and                      ACL intends to make available, under
                                                                                                          one-on-one application assistance over                 this program announcement, grant
                                                     Dated: June 8, 2017.
                                                                                                          the next year.                                         awards for the three MIPPA priority
                                                  William N. Parham, III,
                                                                                                             ACL requests that states submit a one               areas. Funding will be distributed
                                                  Director, Paperwork Reduction Staff, Office                                                                    through a formula as identified in
                                                  of Strategic Operations and Regulatory                  (1) year state plan with specific project
                                                                                                          strategies to expand, extend, or enhance               statute. The amounts allocated are based
                                                  Affairs.
                                                                                                          their one-on-one assistance, education,                upon factors defined in statute and will
                                                  [FR Doc. 2017–12229 Filed 6–13–17; 8:45 am]
                                                                                                          and group outreach efforts to Medicare                 be distributed to each priority area
                                                  BILLING CODE 4120–01–P
                                                                                                          beneficiaries on Medicare and                          based on the formula. ACL will fund
                                                                                                          assistance programs for those with                     total project periods of up to one (1)
                                                                                                          limited incomes. States should describe                year contingent upon availability of
                                                  DEPARTMENT OF HEALTH AND
                                                                                                          how the SHIP, AAA, and ADRC efforts                    federal funds.
                                                  HUMAN SERVICES
                                                                                                          will be coordinated to provide outreach                   Priority Area 1—SHIP: $11.5 million
                                                  Administration for Community Living                     to beneficiaries with limited incomes                  in FY 2017 for state agencies that
                                                                                                          statewide. States that are eligible to                 administer the SHIP Program.
                                                  Availability of Program Application                                                                               Priority Area 2—AAA: $7.9 million in
                                                                                                          apply are asked to review previous
                                                  Instructions for MIPPA Program Funds                                                                           FY 2017 for State Units on Aging for
                                                                                                          MIPPA plans and update these plans to
                                                                                                                                                                 Area Agencies on Aging and for Native
                                                    Title: Medicare Improvements for                      reflect successes achieved to date and
                                                                                                                                                                 American programs. Funding for Native
                                                  Patients and Providers Act: State Plans                 direct their efforts to enhance and
                                                                                                                                                                 American Programs ($270,000) is
                                                  for Medicare Savings Program, Low                       expand their MIPPA outreach activities.
                                                                                                                                                                 deducted from Priority 2 and is being
                                                  Income Subsidy & Prescription Drug                      State agencies may prepare either one
                                                                                                                                                                 allocated through a separate process.
                                                  Enrollment Outreach and Assistance.                     statewide plan or separate plans for
                                                                                                                                                                    Priority Area 3—ADRC: $6 million in
                                                    Announcement Type: Initial.                           each eligible State agency.
                                                                                                                                                                 FY 2017 for State Agencies that received
                                                    Funding Opportunity Number: CIP–                      II. Award Information                                  an ACL, Centers for Medicare and
                                                  MI–17–001.                                                                                                     Medicaid Services (CMS), Veterans
                                                    Statutory Authority: The statutory                    1. Funding Instrument Type
                                                                                                                                                                 Health Administration (VHA) Aging and
                                                  authority for grants under this program                    These awards will be made in the                    Disability Resource Center (ADRC)/No
                                                  announcement is contained in the 2006                   form of grants to State Agencies for each              Wrong Door System (NWD) grant to
                                                  Reauthorization of the Older Americans                  MIPPA Priority Area:                                   support the development of their ADRC/
                                                  Act—Section 202 and the Medicare                                                                               NWD Systems.
                                                  Improvements for Patients and                              Priority Area 1—Grants to State
                                                  Providers Act of 2008—Section 119,                      Agencies (the State Unit on Aging or the               III. Eligibility Criteria and Other
                                                  Public Law (PL) 110–275 as amended by                   State Department of Insurance) that                    Requirements
                                                  the Patient Protection and Affordable                   administer the State Health Insurance
                                                                                                                                                                    1. Eligible Applicants for MIPPA
                                                  Care Act of 2010 (Affordable Care Act),                 Assistance Program (SHIP) to provide
                                                                                                                                                                 Priority Areas 1, 2 and 3: Awards made
                                                  reauthorized by the American Taxpayer                   enhanced outreach to eligible Medicare
                                                                                                                                                                 under this announcement, by statute,
                                                  Relief Act of 2012 (ATRA), the                          beneficiaries regarding their benefits,
                                                                                                                                                                 will be made only to agencies of State
                                                  Protecting Access to Medicare Act of                    enhanced outreach and application
                                                                                                                                                                 Governments.
                                                  2014, and the Medicare Access and                       assistance to individuals who may be
                                                                                                                                                                    Priority Area 1: Only existing SHIP
                                                  CHIP Reauthorization Act of 2015                        eligible for the Medicare Low Income
                                                                                                                                                                 grant recipients are eligible to apply.
                                                  (MACRA).                                                Subsidy (LIS) or the Medicare Savings                     Priority Area 2: Only State Units on
                                                    Catalog of Federal Domestic                           Program (MSP), and for the purposes of                 Aging are eligible to apply.
                                                  Assistance (CFDA) Number: 93.071.                       conducting outreach activities aimed at                   Priority Area 3: Only State Agencies
                                                    Dates: The deadline date for the                      preventing disease and promoting                       that received an ACL, CMS, VHA Aging
                                                  submission of MIPPA Program State                       wellness.                                              and Disability Resource Center (ADRC)/
                                                  Plans is 11:59PM EST August 14, 2017.                      Priority Area 2—Grants to State Units               No Wrong Door System (NWD) grant to
                                                                                                          on Aging for Area Agencies on Aging to                 support the development of their ADRC/
                                                  I. Funding Opportunity Description                      provide enhanced outreach to eligible                  NWD Systems are eligible for MIPPA
                                                     The purpose of MIPPA funding is to                   Medicare beneficiaries regarding their                 funding in FY 2017.
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                                                  enhance state efforts to provide                        Medicare benefits, enhanced outreach                      Eligibility may change if future
                                                  assistance to Medicare beneficiaries                    and one-on-one application assistance                  funding is available.
                                                  through statewide and local coalition                   to individuals who may be eligible for                    2. Cost Sharing or Matching is not
                                                  building focused on intensified outreach                the LIS or the MSP, and for the purposes               required.
                                                  activities to beneficiaries likely to be                of conducting outreach activities aimed                   3. DUNS Number.
                                                  eligible for the Low Income Subsidy                     at preventing disease and promoting                       All grant applicants must obtain and
                                                  program (LIS) or the Medicare Savings                   wellness.                                              keep current a D–U–N–S number from


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Document Created: 2017-06-14 01:24:08
Document Modified: 2017-06-14 01:24:08
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments must be received by August 14, 2017.
ContactWilliam Parham at (410) 786-4669.
FR Citation82 FR 27257 

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