82 FR 28852 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 82, Issue 121 (June 26, 2017)
Centers for Medicare & Medicaid Services
Federal Register Volume 82, Issue 121 (June 26, 2017)
| Page Range | 28852-28853 | |
| FR Document | 2017-13198 |
[Federal Register Volume 82, Number 121 (Monday, June 26, 2017)] [Notices] [Pages 28852-28853] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-13198] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS-10292, CMS-10332 and CMS-10239] 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 25, 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-10292 State Medicaid HIT Plan, Planning Advance Planning Document, and Implementation Advance Planning Document for Section 4201 of the Recovery Act CMS-10332 Disclosure Requirement for the In-Office Ancillary Services Exception CMS-10239 Conditions of Participation for Critical Access Hospitals (CAH) and Supporting Regulations 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: Extension of a currently approved collection; Title of Information Collection: State Medicaid HIT Plan, Planning Advance Planning Document, and Implementation Advance Planning Document for Section 4201 of the Recovery Act; Use: To assess the appropriateness of state requests for the administrative Federal financial participation for expenditures under their Medicaid Electronic Health Record Incentive Program related to health information exchange, our staff will review the submitted information and documentation to make an approval determination of the state advance planning document. Form Number: CMS-10292 (OMB control number: 0938-1088); Frequency: Once and occasionally; Affected Public: State, Local, and Tribal Governments; Number of Respondents: 56; Total Annual Responses: 56; Total Annual Hours: 896. (For policy questions regarding this collection contact Marty Rice at 410-786-2417.) 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Disclosure Requirement for the In-Office Ancillary Services Exception; Use: Section 6003 of the ACA established a disclosure requirement for the in-office ancillary services exception to the prohibition of physician self-referral for certain imaging services. This section of the ACA amended section 1877(b)(2) of the Social Security Act by adding a requirement that the referring physician informs the patient, at the time of the referral and in writing, that the patient may receive the imaging service from another supplier. The implementing regulations are at 42 CFR 411.355(b)(7). [[Page 28853]] Physicians who provide certain imaging services (MRI, CT, and PET) under the in-office ancillary services exception to the physician self- referral prohibition are required to provide the disclosure notice as well as the list of other imaging suppliers to the patient. The patient will then be able to use the disclosure notice and list of suppliers in making an informed decision about his or her course of care for the imaging service. CMS would use the collected information for enforcement purposes. Specifically, if we were investigating the referrals of a physician providing advanced imaging services under the in-office ancillary services exception, we would review the written disclosure in order to determine if it satisfied the requirement. Form Number: CMS-10332 (OMB control number: 0938-1133); Frequency: Occasionally; Affected Public: State, Local, and Tribal Governments; Number of Respondents: 7,100; Total Annual Responses: 759,700; Total Annual Hours: 19,638. (For policy questions regarding this collection contact Laura Dash at 410-786-8623.) 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Conditions of Participation for Critical Access Hospitals (CAH) and Supporting Regulations; Use: At the outset of the critical access hospital (CAH) program, the information collection requirements for all CAHs were addressed together under the following information collection request: CMS-R-48 (OCN: 0938-0328). As the CAH program has grown in both scope of services and the number of providers, the burden associated with CAHs with distinct part units (DPUs) was separated from the CAHs without DPUs. Section 1820(c)(2)(E)(i) of the Social Security Act provides that a CAH may establish and operate a psychiatric or rehabilitation DPU. Each DPU may maintain up to10 beds and must comply with the hospital requirements specified in 42 CFR subparts A, B, C, and D of part 482. Presently, 105 CAHs have rehabilitation or psychiatric DPUs. The burden associated with CAHs that have DPUs continues to be reported under CMS-R-48, along with the burden for all 4,890 accredited and non-accredited hospitals. The CAH conditions of participation and accompanying information collection requirements specified in the regulations are used by surveyors as a basis for determining whether a CAH meets the requirements to participate in the Medicare program. We, along with the healthcare industry, believe that the availability to the facility of the type of records and general content of records, which this regulation specifies, 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-10239 (OMB Control number: 0938-1043); Frequency: Yearly; Affected Public: Private sector-- Business or other for-profit; Number of Respondents: 1,215; Total Annual Responses: 144,585; Total Annual Hours: 24,183. (For policy questions regarding this collection contact Mary Collins at 410-786- 3189.) Dated: June 20, 2017. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2017-13198 Filed 6-23-17; 8:45 am] BILLING CODE 4120-01-P
![28852 Federal Register / Vol. 82, No. 121 / Monday, June 26, 2017 / Notices
the Medicare Program Form (CMS–377) collected, and the use of automated approval from the Office of Management
is used by State agencies who conduct collection techniques or other forms of and Budget (OMB) for each collection of
certification surveys on CMS’ behalf to information technology to minimize the information they conduct or sponsor.
maintain information on the facility’s information collection burden. The term ‘‘collection of information’’ is
characteristics that facilitate conducting DATES: Comments must be received by defined in 44 U.S.C. 3502(3) and 5 CFR
surveys, e.g., determining the size and August 25, 2017. 1320.3(c) and includes agency requests
the composition of the survey team on ADDRESSES: When commenting, please or requirements that members of the
the basis of the number of ORs/ reference the document identifier or public submit reports, keep records, or
procedure rooms and the types of OMB control number. To be assured provide information to a third party.
surgical procedures performed in the consideration, comments and Section 3506(c)(2)(A) of the PRA
ASC. Form Numbers: CMS–370 and recommendations must be submitted in requires federal agencies to publish a
CMS–377 (OMB control number: 0938– any one of the following ways: 60-day notice in the Federal Register
0266); Frequency: Occasionally; 1. Electronically. You may send your concerning each proposed collection of
Affected Public: Private Sector— comments electronically to http:// information, including each proposed
Business or other for-profit and Not-for- www.regulations.gov. Follow the extension or reinstatement of an existing
profit institutions; Number of instructions for ‘‘Comment or collection of information, before
Respondents: 5,694; Total Annual Submission’’ or ‘‘More Search Options’’ submitting the collection to OMB for
Responses: 1,898; Total Annual Hours: to find the information collection approval. To comply with this
627. (For policy questions regarding this document(s) that are accepting requirement, CMS is publishing this
collection contact Erin McCoy at 410– comments. notice.
786–2337.) 2. By regular mail. You may mail
Information Collection
Dated: June 21, 2017. written comments to the following
William N. Parham, III, address: CMS, Office of Strategic 1. Type of Information Collection
Director, Paperwork Reduction Staff, Office Operations and Regulatory Affairs, Request: Extension of a currently
of Strategic Operations and Regulatory Division of Regulations Development, approved collection; Title of
Affairs. Attention: Document Identifier/OMB Information Collection: State Medicaid
[FR Doc. 2017–13321 Filed 6–23–17; 8:45 am] Control Number _________, Room C4– HIT Plan, Planning Advance Planning
BILLING CODE 4120–01–P 26–05, 7500 Security Boulevard, Document, and Implementation
Baltimore, Maryland 21244–1850. Advance Planning Document for
To obtain copies of a supporting Section 4201 of the Recovery Act; Use:
DEPARTMENT OF HEALTH AND statement and any related forms for the To assess the appropriateness of state
HUMAN SERVICES proposed collection(s) summarized in requests for the administrative Federal
this notice, you may make your request financial participation for expenditures
Centers for Medicare & Medicaid using one of following: under their Medicaid Electronic Health
Services 1. Access CMS’ Web site address at Record Incentive Program related to
https://www.cms.gov/Regulations-and- health information exchange, our staff
[Document Identifier: CMS–10292, CMS–
10332 and CMS–10239] Guidance/Legislation/ will review the submitted information
PaperworkReductionActof1995/PRA- and documentation to make an approval
Agency Information Collection Listing.html. determination of the state advance
Activities: Proposed Collection; 2. Email your request, including your planning document. Form Number:
Comment Request address, phone number, OMB number, CMS–10292 (OMB control number:
and CMS document identifier, to 0938–1088); Frequency: Once and
AGENCY: Centers for Medicare & Paperwork@cms.hhs.gov.
Medicaid Services, HHS. occasionally; Affected Public: State,
3. Call the Reports Clearance Office at Local, and Tribal Governments; Number
ACTION: Notice. (410) 786–1326. of Respondents: 56; Total Annual
FOR FURTHER INFORMATION CONTACT: Responses: 56; Total Annual Hours:
SUMMARY: The Centers for Medicare &
Medicaid Services (CMS) is announcing William Parham at (410) 786–4669. 896. (For policy questions regarding this
an opportunity for the public to SUPPLEMENTARY INFORMATION: collection contact Marty Rice at 410–
comment on CMS’ intention to collect Contents 786–2417.)
information from the public. Under the 2. Type of Information Collection
This notice sets out a summary of the
Paperwork Reduction Act of 1995 (the Request: Extension of a currently
use and burden associated with the
PRA), federal agencies are required to approved collection; Title of
following information collections. More
publish notice in the Federal Register Information Collection: Disclosure
detailed information can be found in
concerning each proposed collection of Requirement for the In-Office Ancillary
each collection’s supporting statement
information (including each proposed Services Exception; Use: Section 6003 of
and associated materials (see
extension or reinstatement of an existing the ACA established a disclosure
ADDRESSES).
collection of information) and to allow requirement for the in-office ancillary
60 days for public comment on the CMS–10292 State Medicaid HIT Plan, services exception to the prohibition of
proposed action. Interested persons are Planning Advance Planning Document, physician self-referral for certain
and Implementation Advance Planning
invited to send comments regarding our Document for Section 4201 of the Recovery
imaging services. This section of the
burden estimates or any other aspect of ACA amended section 1877(b)(2) of the
sradovich on DSK3GMQ082PROD with NOTICES
Act
this collection of information, including CMS–10332 Disclosure Requirement for the Social Security Act by adding a
the necessity and utility of the proposed In-Office Ancillary Services Exception requirement that the referring physician
information collection for the proper CMS–10239 Conditions of Participation for informs the patient, at the time of the
performance of the agency’s functions, Critical Access Hospitals (CAH) and referral and in writing, that the patient
the accuracy of the estimated burden, Supporting Regulations may receive the imaging service from
ways to enhance the quality, utility, and Under the PRA (44 U.S.C. 3501– another supplier. The implementing
clarity of the information to be 3520), federal agencies must obtain regulations are at 42 CFR 411.355(b)(7).
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![Federal Register / Vol. 82, No. 121 / Monday, June 26, 2017 / Notices 28853
Physicians who provide certain availability to the facility of the type of 489 and those pertaining to the survey
imaging services (MRI, CT, and PET) records and general content of records, and certification for Medicare
under the in-office ancillary services which this regulation specifies, is participation of providers and certain
exception to the physician self-referral standard medical practice and is types of suppliers are at 42 CFR part
prohibition are required to provide the necessary in order to ensure the well- 488. The regulations at 42 CFR part 482
disclosure notice as well as the list of being and safety of patients and specify the specific conditions that a
other imaging suppliers to the patient. professional treatment accountability. provider must meet to participate in the
The patient will then be able to use the Form Number: CMS–10239 (OMB Medicare program as a hospital.
disclosure notice and list of suppliers in Control number: 0938–1043); Hospitals that wish to be paid under the
making an informed decision about his Frequency: Yearly; Affected Public: Medicaid program must be approved to
or her course of care for the imaging Private sector—Business or other for- participate in Medicare, in accordance
service. CMS would use the collected profit; Number of Respondents: 1,215; with 42 CFR 440.10(a)(3)(iii).
information for enforcement purposes. Total Annual Responses: 144,585; Total
Specifically, if we were investigating the Generally, to enter into a Medicare
Annual Hours: 24,183. (For policy
referrals of a physician providing questions regarding this collection hospital provider agreement, a facility
advanced imaging services under the in- contact Mary Collins at 410–786–3189.) must first be certified as complying with
office ancillary services exception, we the conditions set forth in part 482 and
Dated: June 20, 2017. recommended to the Centers for
would review the written disclosure in
William N. Parham, III, Medicare & Medicaid Services (CMS) for
order to determine if it satisfied the
requirement. Form Number: CMS– Director, Paperwork Reduction Staff, Office participation by a State survey agency.
of Strategic Operations and Regulatory Thereafter, the hospital is subject to
10332 (OMB control number: 0938–
Affairs. periodic surveys by a State survey
1133); Frequency: Occasionally;
[FR Doc. 2017–13198 Filed 6–23–17; 8:45 am] agency to determine whether it
Affected Public: State, Local, and Tribal
Governments; Number of Respondents: BILLING CODE 4120–01–P continues to meet these conditions.
7,100; Total Annual Responses: However, there is an alternative to
759,700; Total Annual Hours: 19,638. certification surveys by State agencies.
(For policy questions regarding this DEPARTMENT OF HEALTH AND
Accreditation by a nationally recognized
collection contact Laura Dash at 410– HUMAN SERVICES
Medicare accreditation program
786–8623.) Centers for Medicare & Medicaid approved by CMS may substitute for
3. Type of Information Collection both initial and ongoing state review.
Services
Request: Extension of a currently
approved collection; Title of [CMS–3338–FN] Section 1865(a)(1) of the Act provides
Information Collection: Conditions of that, if the Secretary of the Department
Participation for Critical Access Medicare and Medicaid Programs: of Health and Human Services (the
Hospitals (CAH) and Supporting Approval of an Application From the Secretary) finds that accreditation of a
Regulations; Use: At the outset of the Center for Improvement in Healthcare provider entity by an approved national
critical access hospital (CAH) program, Quality for Continued CMS Approval of accrediting organization meets or
the information collection requirements Its Hospital Accreditation Program exceeds all applicable Medicare
for all CAHs were addressed together conditions, we may treat the provider
AGENCY: Centers for Medicare and entity as having met those conditions,
under the following information Medicaid Services, HHS.
collection request: CMS–R–48 (OCN: that is, we may ‘‘deem’’ the provider
ACTION: Final notice. entity to be in compliance.
0938–0328). As the CAH program has
grown in both scope of services and the SUMMARY: This final notice announces Accreditation by an accrediting
number of providers, the burden our decision to approve the Center for organization is voluntary and is not
associated with CAHs with distinct part Improvement in Healthcare Quality required for Medicare participation.
units (DPUs) was separated from the (CIHQ) for continued recognition as a Part 488 subpart A implements the
CAHs without DPUs. Section national accrediting organization for provisions of section 1865 of the Act
1820(c)(2)(E)(i) of the Social Security hospitals that wish to participate in the and requires that a national accrediting
Act provides that a CAH may establish Medicare or Medicaid programs. organization applying for approval of its
and operate a psychiatric or Medicare accreditation program must
DATES: This final notice is effective July
rehabilitation DPU. Each DPU may provide CMS with reasonable assurance
maintain up to10 beds and must comply 26, 2017 through July 26, 2023.
FOR FURTHER INFORMATION CONTACT: that the accrediting organization
with the hospital requirements specified
Lillian Williams (410) 786–8638, Monda requires its accredited provider entities
in 42 CFR subparts A, B, C, and D of
Shaver, (410) 786–3410, or Patricia to meet requirements that are at least as
part 482. Presently, 105 CAHs have
Chmielewski, (410) 786–6899. stringent as the Medicare conditions.
rehabilitation or psychiatric DPUs. The
burden associated with CAHs that have SUPPLEMENTARY INFORMATION:
Our regulations concerning the approval
DPUs continues to be reported under of accrediting organizations are set forth
I. Background at § 488.5. The regulations at
CMS–R–48, along with the burden for
all 4,890 accredited and non-accredited A healthcare provider may enter into § 488.5(e)(2)(i) require an accrediting
hospitals. an agreement with Medicare to organization to reapply for continued
participate in the program as a hospital approval of its Medicare accreditation
sradovich on DSK3GMQ082PROD with NOTICES
The CAH conditions of participation
and accompanying information provided certain requirements are met. program every 6 years or sooner as
collection requirements specified in the Section 1861(e) of the Social Security determined by CMS. The Center for
regulations are used by surveyors as a Act (the Act) establishes criteria for Improvement in Healthcare Quality’s
basis for determining whether a CAH providers seeking participation in (CIHQ’s) term of approval as a
meets the requirements to participate in Medicare as a hospital. Regulations recognized Medicare accreditation
the Medicare program. We, along with concerning Medicare provider program for hospitals expires July 26,
the healthcare industry, believe that the agreements in general are at 42 CFR part 2017.
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Document Created: 2018-11-14 10:10:26
Document Modified: 2018-11-14 10:10:26
| 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 August 25, 2017. | |
| Contact | William Parham at (410) 786-4669. | |
| FR Citation | 82 FR 28852 |
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