82_FR_52521 82 FR 52304 - Agency Information Collection Activities: Proposed Collection; Comment Request

82 FR 52304 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 82, Issue 217 (November 13, 2017)

Page Range52304-52305
FR Document2017-24524

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 217 (Monday, November 13, 2017)
[Federal Register Volume 82, Number 217 (Monday, November 13, 2017)]
[Notices]
[Pages 52304-52305]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-24524]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-R-48 and CMS-10421]


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 January 12, 2018.

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 http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: 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-R-48 Hospital Conditions of Participation and Supporting 
Regulations
CMS-10421 Fee-for-Service Recovery Audit Prepayment Review

[[Page 52305]]

Demonstration and Prior Authorization Demonstration

    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: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Hospital Conditions of Participation and Supporting 
Regulations; Use: The information collection requirements described in 
this information collection request are needed to implement the 
Medicare and Medicaid conditions of participation (CoP) for 4,890 
accredited and non-accredited hospitals and an additional 101 critical 
access hospitals (CAHs) that have distinct part psychiatric or 
rehabilitation units (DPUs). CAHs that have DPUs must comply with all 
of the hospital CoPs on these units. Thus, this package reflects the 
burden for a total of 4,991 hospitals (that is, 4,890 accredited/non-
accredited hospitals and 101 CAHs which include 81 CAHs that have 
psychiatric DPUs and 20 CAHs that have rehabilitation DPUs). The 
information collection requirements for the remaining 1,183 CAHs have 
been approved in a separate package under CMS-10239 (OMB control 
number: 0938-1043).
    The CoPs and accompanying regulatory requirements are used by our 
surveyors as a basis for determining whether a hospital qualifies for a 
provider agreement under Medicare and Medicaid. CMS and the health care 
industry believe that the availability to the facility of the type of 
records and general content of records is standard medical practice and 
is necessary to ensure the well-being and safety of patients and 
professional treatment accountability. Form Number: CMS-R-48 (OMB 
control number: 0938-0328); Frequency: Yearly; Affected Public: Private 
sector (Business or other for-profit); Number of Respondents: 4,991; 
Total Annual Responses: 1,342,424; Total Annual Hours: 18,840,617. (For 
policy questions regarding this collection contact Scott Cooper at 410-
786-9465.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Fee-for-Service 
Recovery Audit Prepayment Review Demonstration and Prior Authorization 
Demonstration; Use: OMB approved the collections required for two 
demonstrations of prepayment review and prior authorization. The first 
demonstration allows Medicare Recovery Auditors to review claims on a 
pre-payment basis in certain States. The second demonstration 
established a prior authorization program for Power Mobility Device 
claims in certain States. The first demonstration has ended, so we are 
only extending the collection of information for the second 
demonstration, prior authorization of power mobility devices.
    For the Prior Authorization of Power Mobility Devices (PMDs) 
Demonstration, we are piloting prior authorization for PMDs. Prior 
authorization will allow the applicable documentation that supports a 
claim to be submitted before the item is delivered. For prior 
authorization, relevant documentation for review is submitted before 
the item is delivered or the service is rendered. CMS will conduct this 
demonstration in California, Florida, Illinois, Michigan, New York, 
North Carolina, Texas, Pennsylvania, Ohio, Louisiana, Missouri, 
Maryland, New Jersey, Indiana, Kentucky, Georgia, Tennessee, 
Washington, and Arizona based on beneficiary address as reported to the 
Social Security Administration and recorded in the Common Working File 
(CWF). For the demonstration, a prior authorization request can be 
completed by the (ordering) physician or treating practitioner and 
submitted to the appropriate Durable Medical Equipment Medicare 
Administrative Contractor (DME MAC) for an initial decision. The 
supplier may also submit the request on behalf of the physician or 
treating practitioner. The physician, treating practitioner or supplier 
who submits the request on behalf of the physician or treating 
practitioner, is referred to as the ``submitter.'' Under this 
demonstration, the submitter will submit to the DME MAC a request for 
prior authorization and all relevant documentation to support Medicare 
coverage of the PMD item.
    Form Number: CMS-10421 (OMB control number: 0938-1169); Frequency: 
Occasionally; Affected Public: State, Local or Tribal Governments; 
Number of Respondents: 50,500; Total Annual Responses: 50,500; Total 
Annual Hours: 25,125. (For policy questions regarding this collection 
contact Daniel Schwartz at 410-786-4197.)

    Dated: November 7, 2017.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2017-24524 Filed 11-9-17; 8:45 am]
 BILLING CODE 4120-01-P



                                                    52304                             Federal Register / Vol. 82, No. 217 / Monday, November 13, 2017 / Notices

                                                      This project aligns with National HIV/                                 The study will enroll 1,000                                                 If eligible and interested in
                                                    AIDS Strategy 2020 and Health People                                   participants over 12 months to reach                                          participating, individuals will complete
                                                    2020 objectives. This structural                                       adequate power calculations (500 into                                         the Participant Enrollment Form, which
                                                    intervention aligns with the OMB’s                                     the intervention arm, and 500 into the                                        will take approximately 35 minutes to
                                                    emphasis on application of behavioral                                  control arm).                                                                 complete. Researchers then will offer in-
                                                    insights in that it restructures the                                     After an HIV testing session at an                                          person health insurance enrollment to
                                                    context (i.e., after HIV testing) in which                             outreach event or clinic visit, a partner-                                    randomized intervention arm
                                                    health-related decision-making (i.e.,                                  agency staff person will invite an                                            participants. This enrollment will take a
                                                                                                                           individual to participate in the study. If
                                                    health insurance enrollment) occurs in                                                                                                               maximum of 60 minutes to complete.
                                                                                                                           interested, participants will complete a
                                                    order to promote the selection of                                                                                                                    The study’s in-person health insurance
                                                                                                                           consent form. Staff will screen
                                                    beneficial options. The proposed health                                                                                                              enrollment assistance will take the same
                                                                                                                           individuals using the Eligibility Form,
                                                    insurance enrollment assistance project                                which will take approximately five                                            amount of time as standard practice
                                                    has the potential for widespread health                                minutes to complete. Researchers would                                        health insurance enrollment assistance.
                                                    improvements for Black and Hispanic                                    need to screen approximately 1,500                                               The total estimated annualized hourly
                                                    MSM and Transgender persons                                            individuals in order to identify and                                          burden anticipated for this study is
                                                    regardless of their HIV status.                                        enroll 1,000 eligible study participants.                                     1,458 hours.
                                                                                                                          ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                                     Average
                                                                                                                                                                                                       Number of
                                                                                                                                                                            Number of                                              burden per              Total burden
                                                               Type of respondent                                               Form name                                                            responses per
                                                                                                                                                                           respondents                                              response                  hours
                                                                                                                                                                                                       respondent                   (in hours)

                                                    Study participant ................................       Consent Form ..................................                            1,500                             1                   10/60                 250
                                                    Study participant ................................       Eligibility Form .................................                         1,500                             1                    5/60                 125
                                                    Study participant ................................       Participant Enrollment Form ............                                   1,000                             1                   35/60                 583
                                                    Study participant (Intervention arm                      ACTIVITY: In-person health insur-                                            500                             1                       1                 500
                                                      ONLY).                                                    ance enrollment assistance.

                                                         Total ...........................................   ..........................................................   ........................   ........................   ........................          1,458



                                                    Leroy A. Richardson,                                                   collection of information) and to allow                                       Division of Regulations Development,
                                                    Chief, Information Collection Review Office,                           60 days for public comment on the                                             Attention: Document Identifier/OMB
                                                    Office of Scientific Integrity, Office of the                          proposed action. Interested persons are                                       Control Number __, Room C4–26–05,
                                                    Associate Director for Science, Office of the                          invited to send comments regarding our                                        7500 Security Boulevard, Baltimore,
                                                    Director, Centers for Disease Control and                              burden estimates or any other aspect of                                       Maryland 21244–1850.
                                                    Prevention.                                                            this collection of information, including                                       To obtain copies of a supporting
                                                    [FR Doc. 2017–24473 Filed 11–9–17; 8:45 am]                            the necessity and utility of the proposed                                     statement and any related forms for the
                                                    BILLING CODE 4163–18–P                                                 information collection for the proper                                         proposed collection(s) summarized in
                                                                                                                           performance of the agency’s functions,                                        this notice, you may make your request
                                                                                                                           the accuracy of the estimated burden,                                         using one of following:
                                                    DEPARTMENT OF HEALTH AND                                               ways to enhance the quality, utility, and                                       1. Access CMS’ Web site address at
                                                    HUMAN SERVICES                                                         clarity of the information to be                                              http://www.cms.hhs.gov/
                                                                                                                           collected, and the use of automated                                           PaperworkReductionActof1995.
                                                    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,
                                                    [Document Identifiers: CMS–R–48 and                                    information collection burden.                                                and CMS document identifier, to
                                                    CMS–10421]                                                             DATES: Comments must be received by                                           Paperwork@cms.hhs.gov.
                                                                                                                           January 12, 2018.                                                               3. Call the Reports Clearance Office at
                                                    Agency Information Collection                                                                                                                        (410) 786–1326.
                                                                                                                           ADDRESSES: When commenting, please
                                                    Activities: Proposed Collection;                                                                                                                     FOR FURTHER INFORMATION CONTACT:
                                                                                                                           reference the document identifier or
                                                    Comment Request                                                                                                                                      William Parham at (410) 786–4669.
                                                                                                                           OMB control number. To be assured
                                                    AGENCY: Centers for Medicare &                                         consideration, comments and                                                   SUPPLEMENTARY INFORMATION:
                                                    Medicaid Services, HHS.                                                recommendations must be submitted in                                          Contents
                                                    ACTION: Notice.                                                        any one of the following ways:
                                                                                                                             1. Electronically. You may send your                                          This notice sets out a summary of the
                                                    SUMMARY:  The Centers for Medicare &                                   comments electronically to http://                                            use and burden associated with the
                                                    Medicaid Services (CMS) is announcing                                  www.regulations.gov. Follow the                                               following information collections. More
                                                                                                                                                                                                         detailed information can be found in
asabaliauskas on DSKBBXCHB2PROD with NOTICES




                                                    an opportunity for the public to                                       instructions for ‘‘Comment or
                                                    comment on CMS’ intention to collect                                   Submission’’ or ‘‘More Search Options’’                                       each collection’s supporting statement
                                                    information from the public. Under the                                 to find the information collection                                            and associated materials (see
                                                    Paperwork Reduction Act of 1995 (the                                   document(s) that are accepting                                                ADDRESSES).
                                                    PRA), federal agencies are required to                                 comments.                                                                     CMS–R–48 Hospital Conditions of
                                                    publish notice in the Federal Register                                   2. By regular mail. You may mail                                              Participation and Supporting
                                                    concerning each proposed collection of                                 written comments to the following                                               Regulations
                                                    information (including each proposed                                   address: CMS, Office of Strategic                                             CMS–10421 Fee-for-Service Recovery
                                                    extension or reinstatement of an existing                              Operations and Regulatory Affairs,                                              Audit Prepayment Review


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                                                                               Federal Register / Vol. 82, No. 217 / Monday, November 13, 2017 / Notices                                                  52305

                                                      Demonstration and Prior                               Frequency: Yearly; Affected Public:                      Form Number: CMS–10421 (OMB
                                                      Authorization Demonstration                           Private sector (Business or other for-                control number: 0938–1169); Frequency:
                                                      Under the PRA (44 U.S.C. 3501–                        profit); Number of Respondents: 4,991;                Occasionally; Affected Public: State,
                                                    3520), federal agencies must obtain                     Total Annual Responses: 1,342,424;                    Local or Tribal Governments; Number of
                                                    approval from the Office of Management                  Total Annual Hours: 18,840,617. (For                  Respondents: 50,500; Total Annual
                                                    and Budget (OMB) for each collection of                 policy questions regarding this                       Responses: 50,500; Total Annual Hours:
                                                    information they conduct or sponsor.                    collection contact Scott Cooper at 410–               25,125. (For policy questions regarding
                                                    The term ‘‘collection of information’’ is               786–9465.)                                            this collection contact Daniel Schwartz
                                                    defined in 44 U.S.C. 3502(3) and 5 CFR                     2. Type of Information Collection                  at 410–786–4197.)
                                                    1320.3(c) and includes agency requests                  Request: Extension of a currently
                                                                                                                                                                    Dated: November 7, 2017.
                                                    or requirements that members of the                     approved collection; Title of
                                                                                                                                                                  Martique Jones,
                                                    public submit reports, keep records, or                 Information Collection: Fee-for-Service
                                                                                                            Recovery Audit Prepayment Review                      Director, Regulations Development Group,
                                                    provide information to a third party.                                                                         Office of Strategic Operations and Regulatory
                                                    Section 3506(c)(2)(A) of the PRA                        Demonstration and Prior Authorization
                                                                                                                                                                  Affairs.
                                                                                                            Demonstration; Use: OMB approved the
                                                    requires federal agencies to publish a                                                                        [FR Doc. 2017–24524 Filed 11–9–17; 8:45 am]
                                                                                                            collections required for two
                                                    60-day notice in the Federal Register                                                                         BILLING CODE 4120–01–P
                                                                                                            demonstrations of prepayment review
                                                    concerning each proposed collection of
                                                                                                            and prior authorization. The first
                                                    information, including each proposed
                                                                                                            demonstration allows Medicare
                                                    extension or reinstatement of an existing                                                                     DEPARTMENT OF HEALTH AND
                                                                                                            Recovery Auditors to review claims on
                                                    collection of information, before                                                                             HUMAN SERVICES
                                                                                                            a pre-payment basis in certain States.
                                                    submitting the collection to OMB for
                                                                                                            The second demonstration established a                Administration for Community Living
                                                    approval. To comply with this
                                                                                                            prior authorization program for Power
                                                    requirement, CMS is publishing this
                                                                                                            Mobility Device claims in certain States.             Agency Information Collection
                                                    notice.                                                 The first demonstration has ended, so                 Activities; Proposed Collection; Public
                                                    Information Collection                                  we are only extending the collection of               Comment Request; Semiannual
                                                                                                            information for the second                            Performance Measures for the ACL
                                                       1. Type of Information Collection
                                                                                                            demonstration, prior authorization of                 Traumatic Brain Injury State
                                                    Request: Reinstatement without change
                                                                                                            power mobility devices.                               Partnership Program (ICR New)
                                                    of a previously approved collection;                       For the Prior Authorization of Power
                                                    Title of Information Collection: Hospital               Mobility Devices (PMDs)                               AGENCY:  Administration for Community
                                                    Conditions of Participation and                         Demonstration, we are piloting prior                  Living, HHS.
                                                    Supporting Regulations; Use: The                        authorization for PMDs. Prior                         ACTION: Notice.
                                                    information collection requirements                     authorization will allow the applicable
                                                    described in this information collection                documentation that supports a claim to                SUMMARY:   The Administration for
                                                    request are needed to implement the                     be submitted before the item is                       Community Living (ACL) is announcing
                                                    Medicare and Medicaid conditions of                     delivered. For prior authorization,                   an opportunity for the public to
                                                    participation (CoP) for 4,890 accredited                relevant documentation for review is                  comment on the proposed collection of
                                                    and non-accredited hospitals and an                     submitted before the item is delivered or             certain information by the agency.
                                                    additional 101 critical access hospitals                the service is rendered. CMS will                     Under the Paperwork Reduction Act of
                                                    (CAHs) that have distinct part                          conduct this demonstration in                         1995 (PRA), federal agencies are
                                                    psychiatric or rehabilitation units                     California, Florida, Illinois, Michigan,              required to publish a notice in the
                                                    (DPUs). CAHs that have DPUs must                        New York, North Carolina, Texas,                      Federal Register concerning each
                                                    comply with all of the hospital CoPs on                 Pennsylvania, Ohio, Louisiana,                        proposed collection of information,
                                                    these units. Thus, this package reflects                Missouri, Maryland, New Jersey,                       including each proposed extension of an
                                                    the burden for a total of 4,991 hospitals               Indiana, Kentucky, Georgia, Tennessee,                existing collection of information, and
                                                    (that is, 4,890 accredited/non-accredited               Washington, and Arizona based on                      to allow 60 days for public comment in
                                                    hospitals and 101 CAHs which include                    beneficiary address as reported to the                response to the notice.
                                                    81 CAHs that have psychiatric DPUs                      Social Security Administration and                      This notice solicits comments on
                                                    and 20 CAHs that have rehabilitation                    recorded in the Common Working File                   proposed semiannual performance
                                                    DPUs). The information collection                       (CWF). For the demonstration, a prior                 measures for the ACL Traumatic Brain
                                                    requirements for the remaining 1,183                    authorization request can be completed                Injury State Partnership program as
                                                    CAHs have been approved in a separate                   by the (ordering) physician or treating               reauthorized under the Traumatic Brain
                                                    package under CMS–10239 (OMB                            practitioner and submitted to the                     Injury Reauthorization Act of 2014.
                                                    control number: 0938–1043).                             appropriate Durable Medical Equipment                 DATES: Submit written or electronic
                                                       The CoPs and accompanying                            Medicare Administrative Contractor
                                                    regulatory requirements are used by our                                                                       comments on the collection of
                                                                                                            (DME MAC) for an initial decision. The
                                                    surveyors as a basis for determining                                                                          information by January 12, 2018.
                                                                                                            supplier may also submit the request on
                                                    whether a hospital qualifies for a                      behalf of the physician or treating                   ADDRESSES: Submit electronic
                                                    provider agreement under Medicare and                   practitioner. The physician, treating                 comments on the collection of
                                                                                                                                                                  information to: TBI@acl.gov. Submit
asabaliauskas on DSKBBXCHB2PROD with NOTICES




                                                    Medicaid. CMS and the health care                       practitioner or supplier who submits the
                                                    industry believe that the availability to               request on behalf of the physician or                 written comments to: U.S. Department
                                                    the facility of the type of records and                 treating practitioner, is referred to as the          of Health and Human Services,
                                                    general content of records is standard                  ‘‘submitter.’’ Under this demonstration,              Administration for Community Living,
                                                    medical practice and is necessary to                    the submitter will submit to the DME                  Washington, DC 20201, Attention:
                                                    ensure the well-being and safety of                     MAC a request for prior authorization                 Thom Campbell.
                                                    patients and professional treatment                     and all relevant documentation to                     FOR FURTHER INFORMATION CONTACT:
                                                    accountability. Form Number: CMS–R–                     support Medicare coverage of the PMD                  Thom Campbell by telephone: (202)
                                                    48 (OMB control number: 0938–0328);                     item.                                                 795–7263 or by email: TBI@acl.gov.


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Document Created: 2017-11-10 01:18:26
Document Modified: 2017-11-10 01:18:26
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 January 12, 2018.
ContactWilliam Parham at (410) 786-4669.
FR Citation82 FR 52304 

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