83_FR_13189 83 FR 13130 - Agency Information Collection Activities: Proposed Collection; Comment Request

83 FR 13130 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 83, Issue 59 (March 27, 2018)

Page Range13130-13132
FR Document2018-06081

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 83 Issue 59 (Tuesday, March 27, 2018)
[Federal Register Volume 83, Number 59 (Tuesday, March 27, 2018)]
[Notices]
[Pages 13130-13132]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-06081]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10341, CMS-10538, CMS-R-153, CMS-10561 and 
CMS-10336]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

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 May 29, 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' website 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-10341 Affordable Care Act Information and Collection Requirements 
for Section 1115 Demonstration Projects
CMS-10538 Hospice Information for Medicare Part D Plans
CMS-R-153 Medicaid Drug Use Review (DUR) Program
CMS-10561 Essential Community Provider Data Collection to Support QHP 
Certification for PYs 2021-2023
CMS-10336 Medicare and Medicaid Programs; Electronic Health Record 
Incentive Program

    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: Section 1115 
Demonstration Projects Regulations at 42 CFR 431.408, 431.412, 431.420, 
431.424, and 431.428; Use: This collection is necessary to ensure that 
states comply with regulatory and statutory requirements related to the 
development, implementation and evaluation of demonstration projects. 
States seeking waiver authority under Section 1115 are required to meet 
certain requirements for public notice, the evaluation of demonstration 
projects, and reports to the Secretary on the implementation of 
approved demonstrations. Form Number: CMS-10341 (OMB control number 
0938-1162); Frequency: Yearly and quarterly; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 37; Total Annual 
Responses: 300; Total Annual Hours: 24,092. (For policy questions 
regarding this collection contact Tonya Moore at 410-786-0019.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Hospice 
Information for Medicare Part D Plans; Use: The form would be completed 
by the prescriber or the beneficiary's hospice, or if the prescriber or 
hospice provides the information verbally to the Part D sponsor, the 
form would be completed by the sponsor. Information provided on the 
form would be used by the Part D sponsor to establish coverage of the 
drug under Medicare Part D. Per statute, drugs that are necessary for 
the palliation and management of the terminal illness and related 
conditions are not eligible for payment under Part D. The standard form 
provides a vehicle for the hospice provider, prescriber or sponsor to 
document that the drug prescribed is ``unrelated'' to the

[[Page 13131]]

terminal illness and related conditions. It also gives a hospice 
organization the option to communicate a beneficiary's change in 
hospice status and care plan to Part D sponsors. Form Number: CMS-10538 
(OMB control number 0938-1269); Frequency: Occasionally; Affected 
Public: Private sector (business or other for-profits); Number of 
Respondents: 424; Total Annual Responses: 376,487; Total Annual Hours: 
31,374. (For policy questions regarding this collection contact Shelly 
Winston at 410-786-3694.)
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicaid Drug Use 
Review (DUR) Program; Use: States must provide for a review of drug 
therapy before each prescription is filled or delivered to a Medicaid 
patient. This review includes screening for potential drug therapy 
problems due to therapeutic duplication, drug-disease 
contraindications, drug-drug interactions, incorrect drug dosage or 
duration of drug treatment, drug-allergy interactions, and clinical 
abuse/misuse. Pharmacists must make a reasonable effort to obtain, 
record, and maintain Medicaid patient profiles. These profiles must 
reflect at least the patient's name, address, telephone number, date of 
birth/age, gender, history, e.g., allergies, drug reactions, list of 
medications, and pharmacist's comments relevant to the individual's 
drug therapy.
    The State must conduct RetroDUR which provides for the ongoing 
periodic examination of claims data and other records in order to 
identify patterns of fraud, abuse, inappropriate or medically 
unnecessary care. Patterns or trends of drug therapy problems are 
identified and reviewed to determine the need for intervention activity 
with pharmacists and/or physicians. States may conduct interventions 
via telephone, correspondence, or face-to-face contact.
    Annual reports are submitted to CMS for the purposes of monitoring 
compliance and evaluating the progress of States' DUR programs. The 
information submitted by States is reviewed and results are compiled by 
CMS in a format intended to provide information, comparisons and trends 
related to States' experiences with DUR. The States benefit from the 
information and may enhance their programs each year based on State 
reported innovative practices that are compiled by CMS from the DUR 
annual reports. Form Number: CMS-R-153 (OMB control number: 0938-0659); 
Frequency: Yearly, quarterly, and occasionally; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 51; Total Annual 
Responses: 663; Total Annual Hours: 41,004. (For policy questions 
regarding this collection contact Emeka Egwim at 410-786-1092.)
    4. Type of Information Collection Request: Extension of a currently 
approved information collection; Title of Information Collection: 
Essential Community Provider Data Collection to Support QHP 
Certification for PYs 2021-2023; Use: For plan years beginning on or 
after January 1, 2021, Health and Human Services (HHS) intends to 
continue collecting more complete provider data for inclusion on the 
HHS Essential Community Provider (ECP) list to ensure a more accurate 
reflection of the universe of qualified available ECPs in a given 
service area that can be counted toward an issuer's satisfaction of the 
ECP standard. HHS intends to continue collecting these data on 
qualified and available ECPs directly from providers through the online 
ECP petition. Providers will submit an ECP petition to be added to the 
HHS ECP list or update required data fields to remain on the list. Form 
Number: CMS-10561 (OMB Control Number: 0938-1295); Frequency: Annually; 
Affected Public: Private sector (Business or other for-profits and Not-
for-profit Institutions); Number of Respondents: 14,260; Total Annual 
Responses: 14,260; Total Annual Hours: 7,468. (For policy questions 
regarding this collection contact Deborah Hunter at (202) 309-1098).
    5. Type of Information Collection Request: Extension of a currently 
approved information collection; Title of Information Collection: 
Medicare and Medicaid Programs; Electronic Health Record Incentive 
Program; Use: The American Recovery and Reinvestment Act of 2009 
(Recovery Act) (Pub. L. 111-5) was enacted on February 17, 2009. The 
Recovery Act includes many measures to modernize our nation's 
infrastructure, and improve affordable health care. Expanded use of 
health information technology (HIT) and certified electronic health 
record (EHR) technology will improve the quality and value of America's 
health care. Title IV of Division B of the Recovery Act amends Titles 
XVIII and XIX of the Social Security Act (the Act) by establishing 
incentive payments to eligible professionals (EPs), eligible hospitals 
and critical access hospitals (CAHs), and Medicare Advantage (MA) 
organizations participating in the Medicare and Medicaid programs that 
adopt and successfully demonstrate meaningful use of certified EHR 
technology. These Recovery Act provisions, together with Title XIII of 
Division A of the Recovery Act, may be cited as the ``Health 
Information Technology for Economic and Clinical Health Act'' or the 
``HITECH Act.''
    The HITECH Act creates incentive programs for EPs and eligible 
hospitals, including CAHs, in the Medicare Fee-for-Service (FFS), MA, 
and Medicaid programs that successfully demonstrate meaningful use of 
certified EHR technology. In their first payment year, Medicaid EPs and 
eligible hospitals may adopt, implement or upgrade to certified EHR 
technology. It also, provides for payment adjustments in the Medicare 
FFS and MA programs starting in FY 2015 for EPs and eligible hospitals 
participating in Medicare that are not meaningful users of certified 
EHR technology. These payment adjustments do not pertain to Medicaid 
providers.
    The first final rule for the Medicare and Medicaid EHR Incentive 
Program, which was published in the Federal Register on July 28, 2010 
(CMS-0033-F), specified the initial criteria EPs, eligible hospitals 
and CAHs, and MA organizations must meet in order to qualify for 
incentive payments; calculation of incentive payment amounts; payment 
adjustments under Medicare for covered professional services and 
inpatient hospital services provided by EPs, eligible hospitals and 
CAHs failing to demonstrate meaningful use of certified EHR technology 
beginning in 2015; and other program participation requirements. On the 
same date, the Office of the National Coordinator of Health Information 
Technology (ONC) issued a closely related final rule (45 CFR part 170, 
RIN 0991-AB58) that specified the initial set of standards, 
implementation specifications, and certification criteria for certified 
EHR technology. ONC has also issued a separate final rule on the 
establishment of certification programs for health information 
technology (HIT) (45 CFR part 170, RIN 0991-AB59). The functionality of 
certified EHR technology should facilitate the implementation of 
meaningful use. Subsequently, final rules have been issued by CMS (77 
FR 53968) and ONC (77 FR 72985) to create a Stage 2 of meaningful use 
criteria and other changes to the CMS EHR Incentive Programs and the 
2014 Edition Certification Criteria for EHR technology.
    The information collection requirements contained in this 
information collection request are needed to implement the HITECH Act. 
In order to avoid duplicate payments, all EPs are enumerated through 
their National Provider Identifier (NPI), while all eligible hospitals 
and CAHs are

[[Page 13132]]

enumerated through their CMS Certification Number (CCN). State Medicaid 
agencies and CMS use the provider's tax identification number and NPI 
or CCN combination in order to make payment, validate payment 
eligibility and detect and prevent duplicate payments for EPs, eligible 
hospitals and CAHs. Form Number: CMS-10336 (OMB Control Number: 0938-
1158); Frequency: Occasionally; Affected Public: Private sector; Number 
of Respondents: 214,694; Total Annual Responses: 214,694; Total Annual 
Hours: 2,034,740. (For policy questions regarding this collection 
contact Steven Johnson at (410) 786-3332).

    Dated: March 22, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-06081 Filed 3-26-18; 8:45 am]
 BILLING CODE 4120-01-P



                                             13130                         Federal Register / Vol. 83, No. 59 / Tuesday, March 27, 2018 / Notices

                                             should sunset, or whether the limited                   OMB control number. To be assured                     information they conduct or sponsor.
                                             wraparound pilot program should be                      consideration, comments and                           The term ‘‘collection of information’’ is
                                             made permanent. Form Number: CMS–                       recommendations must be submitted in                  defined in 44 U.S.C. 3502(3) and 5 CFR
                                             10571 (OMB control number: 0938–                        any one of the following ways:                        1320.3(c) and includes agency requests
                                             NEW); Frequency: Once; Affected                           1. Electronically. You may send your                or requirements that members of the
                                             Public: Private Sector; Number of                       comments electronically to http://                    public submit reports, keep records, or
                                             Respondents: 8; Total Annual                            www.regulations.gov. Follow the                       provide information to a third party.
                                             Responses: 8; Total Annual Hours: 24.                   instructions for ‘‘Comment or                         Section 3506(c)(2)(A) of the PRA
                                             (For policy questions regarding this                    Submission’’ or ‘‘More Search Options’’               requires federal agencies to publish a
                                             collection contact Usree                                to find the information collection                    60-day notice in the Federal Register
                                             Bandyopadhyay at 410–786–6650.)                         document(s) that are accepting                        concerning each proposed collection of
                                                Dated: March 22, 2018.                               comments.                                             information, including each proposed
                                                                                                       2. By regular mail. You may mail                    extension or reinstatement of an existing
                                             William N. Parham, III,
                                                                                                     written comments to the following                     collection of information, before
                                             Director, Paperwork Reduction Staff, Office                                                                   submitting the collection to OMB for
                                             of Strategic Operations and Regulatory
                                                                                                     address: CMS, Office of Strategic
                                                                                                     Operations and Regulatory Affairs,                    approval. To comply with this
                                             Affairs.
                                                                                                     Division of Regulations Development,                  requirement, CMS is publishing this
                                             [FR Doc. 2018–06082 Filed 3–26–18; 8:45 am]
                                                                                                     Attention: Document Identifier/OMB                    notice.
                                             BILLING CODE 4120–01–P
                                                                                                     Control Number ll, Room C4–26–05,                     Information Collection
                                                                                                     7500 Security Boulevard, Baltimore,
                                                                                                     Maryland 21244–1850.                                    1. Type of Information Collection
                                             DEPARTMENT OF HEALTH AND                                                                                      Request: Extension of a currently
                                             HUMAN SERVICES                                            To obtain copies of a supporting
                                                                                                     statement and any related forms for the               approved collection; Title of
                                                                                                     proposed collection(s) summarized in                  Information Collection: Section 1115
                                             Centers for Medicare & Medicaid
                                                                                                     this notice, you may make your request                Demonstration Projects Regulations at
                                             Services                                                                                                      42 CFR 431.408, 431.412, 431.420,
                                                                                                     using one of following:
                                             [Document Identifiers: CMS–10341, CMS–                    1. Access CMS’ website address at                   431.424, and 431.428; Use: This
                                             10538, CMS–R–153, CMS–10561 and CMS–                    https://www.cms.gov/Regulations-and-                  collection is necessary to ensure that
                                             10336]
                                                                                                     Guidance/Legislation/                                 states comply with regulatory and
                                                                                                     PaperworkReductionActof1995/PRA-                      statutory requirements related to the
                                             Agency Information Collection                                                                                 development, implementation and
                                             Activities: Proposed Collection;                        Listing.html.
                                                                                                       2. Email your request, including your               evaluation of demonstration projects.
                                             Comment Request                                                                                               States seeking waiver authority under
                                                                                                     address, phone number, OMB number,
                                             AGENCY: Centers for Medicare &                          and CMS document identifier, to                       Section 1115 are required to meet
                                             Medicaid Services.                                      Paperwork@cms.hhs.gov.                                certain requirements for public notice,
                                                                                                       3. Call the Reports Clearance Office at             the evaluation of demonstration
                                             ACTION: Notice.
                                                                                                     (410) 786–1326.                                       projects, and reports to the Secretary on
                                             SUMMARY:    The Centers for Medicare &                                                                        the implementation of approved
                                                                                                     FOR FURTHER INFORMATION CONTACT:
                                             Medicaid Services (CMS) is announcing                                                                         demonstrations. Form Number: CMS–
                                                                                                     William Parham at (410) 786–4669.                     10341 (OMB control number 0938–
                                             an opportunity for the public to                        SUPPLEMENTARY INFORMATION:
                                             comment on CMS’ intention to collect                                                                          1162); Frequency: Yearly and quarterly;
                                             information from the public. Under the                  Contents                                              Affected Public: State, Local, or Tribal
                                             Paperwork Reduction Act of 1995 (the                                                                          Governments; Number of Respondents:
                                                                                                       This notice sets out a summary of the               37; Total Annual Responses: 300; Total
                                             PRA), federal agencies are required to                  use and burden associated with the
                                             publish notice in the Federal Register                                                                        Annual Hours: 24,092. (For policy
                                                                                                     following information collections. More               questions regarding this collection
                                             concerning each proposed collection of                  detailed information can be found in
                                             information (including each proposed                                                                          contact Tonya Moore at 410–786–0019.)
                                                                                                     each collection’s supporting statement                  2. Type of Information Collection
                                             extension or reinstatement of an existing               and associated materials (see                         Request: Extension of a currently
                                             collection of information) and to allow                 ADDRESSES).                                           approved collection; Title of
                                             60 days for public comment on the                       CMS–10341 Affordable Care Act                         Information Collection: Hospice
                                             proposed action. Interested persons are                      Information and Collection                       Information for Medicare Part D Plans;
                                             invited to send comments regarding our                       Requirements for Section 1115                    Use: The form would be completed by
                                             burden estimates or any other aspect of                      Demonstration Projects                           the prescriber or the beneficiary’s
                                             this collection of information, including               CMS–10538 Hospice Information for                     hospice, or if the prescriber or hospice
                                             the necessity and utility of the proposed                    Medicare Part D Plans                            provides the information verbally to the
                                             information collection for the proper                   CMS–R–153 Medicaid Drug Use                           Part D sponsor, the form would be
                                             performance of the agency’s functions,                       Review (DUR) Program                             completed by the sponsor. Information
                                             the accuracy of the estimated burden,                   CMS–10561 Essential Community                         provided on the form would be used by
                                             ways to enhance the quality, utility, and                    Provider Data Collection to Support              the Part D sponsor to establish coverage
                                             clarity of the information to be                             QHP Certification for PYs 2021–                  of the drug under Medicare Part D. Per
                                             collected, and the use of automated                          2023                                             statute, drugs that are necessary for the
                                             collection techniques or other forms of
amozie on DSK30RV082PROD with NOTICES




                                                                                                     CMS–10336 Medicare and Medicaid                       palliation and management of the
                                             information technology to minimize the                       Programs; Electronic Health Record               terminal illness and related conditions
                                             information collection burden.                               Incentive Program                                are not eligible for payment under Part
                                             DATES: Comments must be received by                       Under the PRA (44 U.S.C. 3501–                      D. The standard form provides a vehicle
                                             May 29, 2018.                                           3520), federal agencies must obtain                   for the hospice provider, prescriber or
                                             ADDRESSES: When commenting, please                      approval from the Office of Management                sponsor to document that the drug
                                             reference the document identifier or                    and Budget (OMB) for each collection of               prescribed is ‘‘unrelated’’ to the


                                        VerDate Sep<11>2014   18:07 Mar 26, 2018   Jkt 244001   PO 00000   Frm 00012   Fmt 4703   Sfmt 4703   E:\FR\FM\27MRN1.SGM   27MRN1


                                                                           Federal Register / Vol. 83, No. 59 / Tuesday, March 27, 2018 / Notices                                            13131

                                             terminal illness and related conditions.                51; Total Annual Responses: 663; Total                Division A of the Recovery Act, may be
                                             It also gives a hospice organization the                Annual Hours: 41,004. (For policy                     cited as the ‘‘Health Information
                                             option to communicate a beneficiary’s                   questions regarding this collection                   Technology for Economic and Clinical
                                             change in hospice status and care plan                  contact Emeka Egwim at 410–786–                       Health Act’’ or the ‘‘HITECH Act.’’
                                             to Part D sponsors. Form Number: CMS–                   1092.)                                                   The HITECH Act creates incentive
                                             10538 (OMB control number 0938–                           4. Type of Information Collection                   programs for EPs and eligible hospitals,
                                             1269); Frequency: Occasionally;                         Request: Extension of a currently                     including CAHs, in the Medicare Fee-
                                             Affected Public: Private sector (business               approved information collection; Title                for-Service (FFS), MA, and Medicaid
                                             or other for-profits); Number of                        of Information Collection: Essential                  programs that successfully demonstrate
                                             Respondents: 424; Total Annual                          Community Provider Data Collection to                 meaningful use of certified EHR
                                             Responses: 376,487; Total Annual                        Support QHP Certification for PYs                     technology. In their first payment year,
                                             Hours: 31,374. (For policy questions                    2021–2023; Use: For plan years                        Medicaid EPs and eligible hospitals may
                                             regarding this collection contact Shelly                beginning on or after January 1, 2021,                adopt, implement or upgrade to certified
                                             Winston at 410–786–3694.)                               Health and Human Services (HHS)                       EHR technology. It also, provides for
                                                3. Type of Information Collection                    intends to continue collecting more                   payment adjustments in the Medicare
                                             Request: Revision of a currently                        complete provider data for inclusion on               FFS and MA programs starting in FY
                                             approved collection; Title of                           the HHS Essential Community Provider                  2015 for EPs and eligible hospitals
                                             Information Collection: Medicaid Drug                   (ECP) list to ensure a more accurate                  participating in Medicare that are not
                                             Use Review (DUR) Program; Use: States                   reflection of the universe of qualified               meaningful users of certified EHR
                                             must provide for a review of drug                       available ECPs in a given service area                technology. These payment adjustments
                                             therapy before each prescription is filled              that can be counted toward an issuer’s                do not pertain to Medicaid providers.
                                             or delivered to a Medicaid patient. This                satisfaction of the ECP standard. HHS                    The first final rule for the Medicare
                                             review includes screening for potential                 intends to continue collecting these data             and Medicaid EHR Incentive Program,
                                             drug therapy problems due to                            on qualified and available ECPs directly              which was published in the Federal
                                             therapeutic duplication, drug-disease                   from providers through the online ECP                 Register on July 28, 2010 (CMS–0033–
                                             contraindications, drug-drug                            petition. Providers will submit an ECP                F), specified the initial criteria EPs,
                                             interactions, incorrect drug dosage or                  petition to be added to the HHS ECP list              eligible hospitals and CAHs, and MA
                                             duration of drug treatment, drug-allergy                or update required data fields to remain              organizations must meet in order to
                                             interactions, and clinical abuse/misuse.                on the list. Form Number: CMS–10561                   qualify for incentive payments;
                                             Pharmacists must make a reasonable                      (OMB Control Number: 0938–1295);                      calculation of incentive payment
                                             effort to obtain, record, and maintain                  Frequency: Annually; Affected Public:                 amounts; payment adjustments under
                                             Medicaid patient profiles. These profiles               Private sector (Business or other for-                Medicare for covered professional
                                             must reflect at least the patient’s name,               profits and Not-for-profit Institutions);             services and inpatient hospital services
                                             address, telephone number, date of                      Number of Respondents: 14,260; Total                  provided by EPs, eligible hospitals and
                                             birth/age, gender, history, e.g., allergies,            Annual Responses: 14,260; Total                       CAHs failing to demonstrate meaningful
                                             drug reactions, list of medications, and                Annual Hours: 7,468. (For policy                      use of certified EHR technology
                                             pharmacist’s comments relevant to the                   questions regarding this collection                   beginning in 2015; and other program
                                             individual’s drug therapy.                              contact Deborah Hunter at (202) 309–                  participation requirements. On the same
                                                The State must conduct RetroDUR                      1098).                                                date, the Office of the National
                                             which provides for the ongoing periodic                    5. Type of Information Collection                  Coordinator of Health Information
                                             examination of claims data and other                    Request: Extension of a currently                     Technology (ONC) issued a closely
                                             records in order to identify patterns of                approved information collection; Title                related final rule (45 CFR part 170, RIN
                                             fraud, abuse, inappropriate or medically                of Information Collection: Medicare and               0991–AB58) that specified the initial set
                                             unnecessary care. Patterns or trends of                 Medicaid Programs; Electronic Health                  of standards, implementation
                                             drug therapy problems are identified                    Record Incentive Program; Use: The                    specifications, and certification criteria
                                             and reviewed to determine the need for                  American Recovery and Reinvestment                    for certified EHR technology. ONC has
                                             intervention activity with pharmacists                  Act of 2009 (Recovery Act) (Pub. L. 111–              also issued a separate final rule on the
                                             and/or physicians. States may conduct                   5) was enacted on February 17, 2009.                  establishment of certification programs
                                             interventions via telephone,                            The Recovery Act includes many                        for health information technology (HIT)
                                             correspondence, or face-to-face contact.                measures to modernize our nation’s                    (45 CFR part 170, RIN 0991–AB59). The
                                                Annual reports are submitted to CMS                  infrastructure, and improve affordable                functionality of certified EHR
                                             for the purposes of monitoring                          health care. Expanded use of health                   technology should facilitate the
                                             compliance and evaluating the progress                  information technology (HIT) and                      implementation of meaningful use.
                                             of States’ DUR programs. The                            certified electronic health record (EHR)              Subsequently, final rules have been
                                             information submitted by States is                      technology will improve the quality and               issued by CMS (77 FR 53968) and ONC
                                             reviewed and results are compiled by                    value of America’s health care. Title IV              (77 FR 72985) to create a Stage 2 of
                                             CMS in a format intended to provide                     of Division B of the Recovery Act                     meaningful use criteria and other
                                             information, comparisons and trends                     amends Titles XVIII and XIX of the                    changes to the CMS EHR Incentive
                                             related to States’ experiences with DUR.                Social Security Act (the Act) by                      Programs and the 2014 Edition
                                             The States benefit from the information                 establishing incentive payments to                    Certification Criteria for EHR
                                             and may enhance their programs each                     eligible professionals (EPs), eligible                technology.
                                             year based on State reported innovative                 hospitals and critical access hospitals                  The information collection
amozie on DSK30RV082PROD with NOTICES




                                             practices that are compiled by CMS                      (CAHs), and Medicare Advantage (MA)                   requirements contained in this
                                             from the DUR annual reports. Form                       organizations participating in the                    information collection request are
                                             Number: CMS–R–153 (OMB control                          Medicare and Medicaid programs that                   needed to implement the HITECH Act.
                                             number: 0938–0659); Frequency: Yearly,                  adopt and successfully demonstrate                    In order to avoid duplicate payments,
                                             quarterly, and occasionally; Affected                   meaningful use of certified EHR                       all EPs are enumerated through their
                                             Public: State, Local, or Tribal                         technology. These Recovery Act                        National Provider Identifier (NPI), while
                                             Governments; Number of Respondents:                     provisions, together with Title XIII of               all eligible hospitals and CAHs are


                                        VerDate Sep<11>2014   18:07 Mar 26, 2018   Jkt 244001   PO 00000   Frm 00013   Fmt 4703   Sfmt 4703   E:\FR\FM\27MRN1.SGM   27MRN1


                                             13132                         Federal Register / Vol. 83, No. 59 / Tuesday, March 27, 2018 / Notices

                                             enumerated through their CMS                            FOR FURTHER INFORMATION CONTACT:                      respondents rely to bring information to
                                             Certification Number (CCN). State                       Domini Bean, Office of Operations,                    FDA regarding the development of foods
                                             Medicaid agencies and CMS use the                       Food and Drug Administration, Three                   derived from new plant varieties. All
                                             provider’s tax identification number and                White Flint North, 10A–12M, 11601                     the more reason, the comments said,
                                             NPI or CCN combination in order to                      Landsdown St., North Bethesda, MD                     FDA should identify mechanisms by
                                             make payment, validate payment                          20852, 301–796–5733, PRAStaff@                        which it can better incorporate its
                                             eligibility and detect and prevent                      fda.hhs.gov.                                          experience over time and, where
                                             duplicate payments for EPs, eligible                    SUPPLEMENTARY INFORMATION: In                         possible, implement more efficient,
                                             hospitals and CAHs. Form Number:                        compliance with 44 U.S.C. 3507, FDA                   streamlined review processes for those
                                             CMS–10336 (OMB Control Number:                          has submitted the following proposed                  products similar to those the Agency
                                             0938–1158); Frequency: Occasionally;                    collection of information to OMB for                  has reviewed in the past. The comments
                                             Affected Public: Private sector; Number                 review and clearance.                                 recommended FDA compare efficiencies
                                             of Respondents: 214,694; Total Annual                                                                         with a process at the U.S. Department of
                                             Responses: 214,694; Total Annual                        Guidance on Consultation Procedures:
                                                                                                     Foods Derived From New Plant                          Agriculture regarding the review of
                                             Hours: 2,034,740. (For policy questions                                                                       agricultural biotechnology products. We
                                             regarding this collection contact Steven                Varieties
                                                                                                                                                           appreciate this suggestion. FDA strives
                                             Johnson at (410) 786–3332).                             OMB Control Number 0910–0704—                         to allocate its limited resources in ways
                                                Dated: March 22, 2018.                               Extension                                             that maximize protection to the public
                                             William N. Parham, III,                                    This information collection supports               health and facilitate compliance with
                                             Director, Paperwork Reduction Staff, Office             the above captioned Agency guidance                   existing regulatory requirements
                                             of Strategic Operations and Regulatory                  document. FDA recommends that                         implemented to do so. We also look for
                                             Affairs.                                                producers who use biotechnology in the                ways in which we might coordinate our
                                             [FR Doc. 2018–06081 Filed 3–26–18; 8:45 am]             manufacture or development of foods                   efforts with those by other agencies who
                                             BILLING CODE 4120–01–P                                  and food ingredients work cooperatively               share these objectives.
                                                                                                     with FDA to ensure that products                         Both comments also included the
                                                                                                     derived through biotechnology are safe                suggestion that FDA develop a less
                                             DEPARTMENT OF HEALTH AND                                and comply with all applicable legal                  redundant review process (such as
                                             HUMAN SERVICES                                          requirements and has instituted a                     reciprocity if no material differences are
                                                                                                     voluntary consultation process with
                                             Food and Drug Administration                                                                                  identified) that better coordinates
                                                                                                     industry. To facilitate this process the
                                                                                                                                                           expertise across the Center for Food
                                                                                                     Agency has issued a guidance entitled,
                                             [Docket No. FDA–2010–D–0073]                                                                                  Safety and Nutrition (CFSAN) and the
                                                                                                     ‘‘Guidance on Consultation Procedures:
                                                                                                     Foods Derived From New Plant                          Center for Veterinary Medicine (CVM)
                                             Agency Information Collection                           Varieties,’’ which is available on our                into a single, efficient review. We
                                             Activities; Submission for Office of                    website at https://www.fda.gov/                       appreciate this suggestion as well and,
                                             Management and Budget Review;                           FoodGuidances. The guidance describes                 as discussed in the guidance, note the
                                             Comment Request; Guidance on                            FDA’s consultation process for the                    following:
                                             Consultation Procedures: Foods                          evaluation of information on new plant                   [FDA’s] Office of Premarket Approval
                                             Derived From New Plant Varieties                        varieties provided by developers. The                 of the CFSAN and the Office of
                                             AGENCY:    Food and Drug Administration,                Agency believes this consultation                     Surveillance and Compliance of the
                                             HHS.                                                    process will help ensure that human                   CVM have established a Biotechnology
                                             ACTION:   Notice.                                       food and animal feed safety issues or                 Evaluation Team (BET) to facilitate, and
                                                                                                     other regulatory issues (e.g., labeling)              to ensure consistency in the process by
                                             SUMMARY:   The Food and Drug                            are resolved prior to commercial                      which firms consult under the 1992
                                             Administration (FDA) is announcing                      distribution. Additionally, such                      policy and inform FDA regarding the
                                             that a proposed collection of                           communication will help to ensure that                marketing of bioengineered foods and
                                             information has been submitted to the                   any potential food safety issues                      food ingredients derived from new plant
                                             Office of Management and Budget                         regarding a new plant variety are                     varieties including those developed
                                             (OMB) for review and clearance under                    resolved during development, and will                 using rDNA techniques. The BET
                                             the Paperwork Reduction Act of 1995                     help to ensure that all market entry                  oversees the consultation process,
                                             (PRA).                                                  decisions by the industry are made                    identifies regulatory and scientific
                                                                                                     consistently and in full compliance with              issues that need to be addressed, and
                                             DATES:  Fax written comments on the
                                                                                                     the standards of the Federal Food, Drug,              once all relevant issues have been
                                             collection of information by April 26,
                                                                                                     and Cosmetic Act (FD&C Act).                          adequately addressed, brings the
                                             2018.                                                      In the Federal Register of December                consultation to closure.
                                             ADDRESSES:   To ensure that comments on                 13, 2017 (82 FR 58619), we published a
                                             the information collection are received,                60-day notice requesting public                          At the same time, we have shared the
                                             OMB recommends that written                             comment on the proposed extension of                  comments received in response to this
                                             comments be faxed to the Office of                      this collection of information. Two                   notice under the PRA with the BET.
                                             Information and Regulatory Affairs,                     comments were received in response to                 Consistent with our Good Guidance
                                             OMB, Attn: FDA Desk Officer, Fax: 202–                  the notice. Overall, the comments                     Practice regulations (21 CFR 10.115),
                                                                                                                                                           FDA welcomes comments on our
amozie on DSK30RV082PROD with NOTICES




                                             395–7285, or emailed to oira_                           supported FDA’s need for the
                                             submission@omb.eop.gov. All                             information collection and neither                    guidance documents at any time.
                                             comments should be identified with the                  comment suggested revising our                           In consideration of these comments,
                                             OMB control number 0910–0704. Also                      estimate of the associated burden.                    we have retained the currently approved
                                             include the FDA docket number found                     However, both comments reminded us                    burden estimated associated with the
                                             in brackets in the heading of this                      that significant resources were invested              information collection, which is as
                                             document.                                               into developing data upon which                       follows:


                                        VerDate Sep<11>2014   18:07 Mar 26, 2018   Jkt 244001   PO 00000   Frm 00014   Fmt 4703   Sfmt 4703   E:\FR\FM\27MRN1.SGM   27MRN1



Document Created: 2018-03-27 01:26:51
Document Modified: 2018-03-27 01:26:51
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 May 29, 2018.
ContactWilliam Parham at (410) 786-4669.
FR Citation83 FR 13130 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR