83 FR 43690 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 83, Issue 166 (August 27, 2018)
Centers for Medicare & Medicaid Services
Federal Register Volume 83, Issue 166 (August 27, 2018)
| Page Range | 43690-43691 | |
| FR Document | 2018-18437 |
[Federal Register Volume 83, Number 166 (Monday, August 27, 2018)] [Notices] [Pages 43690-43691] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-18437] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS-10416 and CMS-10540] Agency Information Collection Activities: Submission for OMB Review; 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 (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 a second opportunity for public comment on the notice. Interested persons are invited to send comments regarding the burden estimate 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 on the collection(s) of information must be received by the OMB desk officer by September 26, 2018. ADDRESSES: When commenting on the proposed information collections, please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be received by the OMB desk officer via one of the following transmissions: OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk Officer, Fax Number: (202) 395-5806 OR Email: [email protected]. 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: Reports Clearance Office at (410) 786- 1326. SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 (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 (44 U.S.C. 3506(c)(2)(A)) requires federal agencies to publish a 30-day notice in the Federal Register concerning each proposed collection of information, [[Page 43691]] 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 that summarizes the following proposed collection(s) of information for public comment: Information Collection 1. Type of Information Collection Request: Reinstatement with change of a previously approved collection; Title of Information Collection: Blueprint for Approval of State-Based Health Insurance Exchanges; Use: All States (including the 50 States, the Territories, and the District of Columbia herein referred to as States) have the opportunity under Section 1311(b) of the Affordable Care Act to establish Exchanges, subject to certification (or ``Approval'') that the Exchange meets Federal standards and will be able to offer health care coverage for the following plan year, beginning January 1, 2014. The original information collection request for the State Exchange Blueprint Data Collection Tool specified a single reporting tool for all the various exchange types and was partially paper based. Subsequent revisions simplified the tool by having separate collection tools for each type of exchange and on-line implementation of the tool to reduce the burden. This revision updates the tool to reflect current State Exchange model options (a State-based Exchange (SBE) or a State- based Exchange on the Federal Platform (SBE-FP,)) program requirements, updated regulatory requirements promulgated through the 2017, 2018 and the 2019 Payment Notice, as well as through the Marketplace Stabilization Rule, and replaces the requirement for document and evidence submissions with attestations across all sections to further reduce the burden. Given the innovative nature of Exchanges and the statutorily- prescribed relationship between the secretary and States in their development and operation, it is critical that the Secretary work closely with States to provide necessary guidance and technical assistance to ensure that States can meet the prescribed timelines, federal requirements, and goals of the statute. States seeking to establish a SBE or SBE-FP must build an Exchange that meets the requirements set out in Section 1311(d) of the Affordable Care Act and pursuant to CFR 155.105, FFE states that seek to operate an SBE or SBE-FP must complete and submit an Exchange Blueprint Application. The Blueprint Application documents that an Exchange will meet the legal and operational requirements associated with the Exchange model a state chooses to pursue. As part of its Blueprint submission, a state will also agree to demonstrating operational readiness to implement and execute the required Exchange activities described in the Blueprint Application. Form Number: CMS- 10416 (OMB control number: 0938-1172); Frequency: Once; Affected Public: State, Local, or Tribal governments; Number of Respondents: 21; Total Annual Responses: 7; Total Annual Hours: 221. (For policy questions regarding this collection contact Christy Woods at 301-492- 5140.) 2. Type of Information Collection Request: Revision of a currently approved collection. Title of Information Collection: Quality Improvement Strategy Implementation Plan and Progress Form. Use: Section 1311(c)(1)(E) of the Patient Protection and Affordable Care Act requires qualified health plans (QHPs) offered through an Exchange must implement a quality improvement strategy (QIS) as described in section 1311(g)(1). Section 1311(g)(3) of the Patient Protection and Affordable Care Act specifies the guidelines under Section 1311(g)(2) shall require the periodic reporting to the applicable Exchange the activities that a qualified health plan has conducted to implement a strategy as described in section 1311(g)(1). CMS intends to have eligible QHP issuers complete the QIS Implementation Plan and Progress Form annually for initial certification and subsequent annual updates of progress in implementation of their strategy. The form will include topics to assess an issuer's compliance in creating a payment structure that provides increased reimbursement or other incentives to improve the health outcomes of plan enrollees, prevent hospital readmissions, improve patient safety and reduce medical errors, promote wellness and health, and reduce health and health care disparities, as described in Section 1311(g)(1) of the Patient Protection and Affordable Care Act. The QIS Implementation Plan and Progress Form will allow: (1) The Department of Health & Human Services (HHS) to evaluate the compliance and adequacy of QHP issuers' quality improvement efforts, as required by Section 1311(c) of the Patient Protection and Affordable Care Act, and (2) HHS will use the issuers' validated information to evaluate the issuers' quality improvement strategies for compliance with the requirements of Section 1311(g) of the Patient Protection and Affordable Care Act. Form Number: CMS-10540 (OMB Control Number: 0938- 1286); Frequency: Annually; Affected Public: Public sector (Individuals and Households), Private sector (Business or other for-profits and Not- for-profit institutions); Number of Respondents: 250; Total Annual Responses: 250; Total Annual Hours: 12,000. (For policy questions regarding this collection contact Nidhi Singh Shah at 301-492-5110). Dated: August 21, 2018. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2018-18437 Filed 8-24-18; 8:45 am] BILLING CODE 4120-01-P
![43690 Federal Register / Vol. 83, No. 166 / Monday, August 27, 2018 / Notices
Modernization Act of 2003 (MMA) in related to contract award. This comment on the notice. Interested
Subpart 3. The application requirements collection process is the only persons are invited to send comments
are codified in Subpart K of 42 CFR 423 mechanism for organizations to regarding the burden estimate or any
entitled ‘‘Application Procedures and complete the required MA application other aspect of this collection of
Contracts with PDP Sponsors.’’ The process. CMS will collect and review information, including the necessity and
information will be collected under the information under the solicitation of utility of the proposed information
solicitation of proposals from PDP, MA– Part C applications for the various collection for the proper performance of
PD, Cost Plan, Program of All Inclusive health plan product types described in the agency’s functions, the accuracy of
Care for the Elderly (PACE), and EGWP the Background section above. CMS will the estimated burden, ways to enhance
applicants. The collected information use the information to determine the quality, utility, and clarity of the
will be used by CMS to: (1) Ensure that whether the applicants meet the information to be collected and the use
applicants meet CMS requirements for requirements to become an MA of automated collection techniques or
offering Part D plans (including network organization and are qualified to other forms of information technology to
adequacy, contracting requirements, and provide a particular type of MA plan. minimize the information collection
compliance program requirements, as The application process is open to all burden.
described in the application), (2) health plans that want to participate in
DATES:Comments on the collection(s) of
support the determination of contract the MA program. The application is
information must be received by the
awards. Form Number: CMS–10137 distinct and separate from the bid
OMB desk officer by September 26,
(OMB control number: 0938–0936); process, and CMS issues a
Frequency: Annually; Affected Public: determination on the application prior 2018.
Private Sector (Business or other for- to bid submissions, or before the first ADDRESSES: When commenting on the
profits, Not-for-Profit Institutions); Monday in June. Form Number: CMS– proposed information collections,
Number of Respondents: 243; Total 10137 (OMB control number: 0938– please reference the document identifier
Annual Responses: 256; Total Annual 0935); Frequency: Annually; Affected or OMB control number. To be assured
Hours: 2,351.08. (For policy questions Public: Private Sector (Business or other consideration, comments and
regarding this collection contact for-profits, Not-for-Profit Institutions); recommendations must be received by
Arianne Spaccarelli, at 410–786–5715.) Number of Respondents: 380; Total the OMB desk officer via one of the
2. Type of Information Collection Annual Responses: 400; Total Annual following transmissions: OMB, Office of
Request: Revision of a currently Hours: 6,106. (For policy questions Information and Regulatory Affairs,
approved collection; Title of regarding this collection contact Keith Attention: CMS Desk Officer, Fax
Information Collection: Medicare Penn-Jones, at 410–786–3104.) Number: (202) 395–5806 OR Email:
Advantage Application—Part C and OIRA_submission@omb.eop.gov.
Dated: August 22, 2018.
1876 Cost Plan Expansion Application To obtain copies of a supporting
William N. Parham, III,
Regulations under 42 CFR 422 (Subpart statement and any related forms for the
K) & 417.400; Use: The Medicare Director, Paperwork Reduction Staff, Office
proposed collection(s) summarized in
of Strategic Operations and Regulatory
Prescription Drug, Improvement, and this notice, you may make your request
Affairs.
Modernization Act of 2003 (MMA) using one of following:
[FR Doc. 2018–18523 Filed 8–24–18; 8:45 am]
Public Law 108–173 established the 1. Access CMS’ website address at
BILLING CODE 4120–01–P
Medicare Prescription Drug Benefit https://www.cms.gov/Regulations-and-
Program (Part D) and made revisions to Guidance/Legislation/Paperwork
the provisions of Medicare Part C, ReductionActof1995/PRA-Listing.html.
DEPARTMENT OF HEALTH AND
governing what is now called the 2. Email your request, including your
HUMAN SERVICES
Medicare Advantage (MA) program address, phone number, OMB number,
(formerly Medicare+Choice). The MMA Centers for Medicare & Medicaid and CMS document identifier, to
directed that important aspects of the Services Paperwork@cms.hhs.gov.
new Medicare Prescription Drug Benefit 3. Call the Reports Clearance Office at
Program under Part D be similar to and [Document Identifier: CMS–10416 and CMS– (410) 786–1326.
coordinated with regulations for the MA 10540]
FOR FURTHER INFORMATION CONTACT:
program. The MMA changes made Reports Clearance Office at (410) 786–
Agency Information Collection
managed care more accessible, efficient, 1326.
Activities: Submission for OMB
and attractive to beneficiaries seeking
Review; Comment Request SUPPLEMENTARY INFORMATION: Under the
options to meet their needs.
This information collection includes AGENCY: Centers for Medicare & Paperwork Reduction Act of 1995 (PRA)
the process for organizations wishing to Medicaid Services. (44 U.S.C. 3501–3520), federal agencies
provide healthcare services under MA ACTION: Notice. must obtain approval from the Office of
plans. These organizations must Management and Budget (OMB) for each
complete an application annually (if SUMMARY: The Centers for Medicare & collection of information they conduct
required), file a bid, and receive final Medicaid Services (CMS) is announcing or sponsor. The term ‘‘collection of
approval from CMS. The MA an opportunity for the public to information’’ is defined in 44 U.S.C.
application process has two options for comment on CMS’ intention to collect 3502(3) and 5 CFR 1320.3(c) and
applicants that include (1) request for information from the public. Under the includes agency requests or
new MA product or (2) request for Paperwork Reduction Act of 1995 requirements that members of the public
amozie on DSK3GDR082PROD with NOTICES1
expanding the service area of an existing (PRA), federal agencies are required to submit reports, keep records, or provide
product. CMS utilizes the application publish notice in the Federal Register information to a third party. Section
process as the means to review, assess concerning each proposed collection of 3506(c)(2)(A) of the PRA (44 U.S.C.
and determine if applicants are information, including each proposed 3506(c)(2)(A)) requires federal agencies
compliant with the current extension or reinstatement of an existing to publish a 30-day notice in the
requirements for participation in the collection of information, and to allow Federal Register concerning each
MA program and to make a decision a second opportunity for public proposed collection of information,
VerDate Sep<11>2014 17:51 Aug 24, 2018 Jkt 244001 PO 00000 Frm 00057 Fmt 4703 Sfmt 4703 E:\FR\FM\27AUN1.SGM 27AUN1](https://thefederalregister.org/doc/83_FR_43856/page/1.svg)
![Federal Register / Vol. 83, No. 166 / Monday, August 27, 2018 / Notices 43691
including each proposed extension or states that seek to operate an SBE or improvement efforts, as required by
reinstatement of an existing collection SBE–FP must complete and submit an Section 1311(c) of the Patient Protection
of information, before submitting the Exchange Blueprint Application. The and Affordable Care Act, and (2) HHS
collection to OMB for approval. To Blueprint Application documents that will use the issuers’ validated
comply with this requirement, CMS is an Exchange will meet the legal and information to evaluate the issuers’
publishing this notice that summarizes operational requirements associated quality improvement strategies for
the following proposed collection(s) of with the Exchange model a state compliance with the requirements of
information for public comment: chooses to pursue. As part of its Section 1311(g) of the Patient Protection
Blueprint submission, a state will also and Affordable Care Act. Form Number:
Information Collection
agree to demonstrating operational CMS–10540 (OMB Control Number:
1. Type of Information Collection readiness to implement and execute the 0938–1286); Frequency: Annually;
Request: Reinstatement with change of a required Exchange activities described Affected Public: Public sector
previously approved collection; Title of in the Blueprint Application. Form (Individuals and Households), Private
Information Collection: Blueprint for Number: CMS–10416 (OMB control sector (Business or other for-profits and
Approval of State-Based Health number: 0938–1172); Frequency: Once; Not-for-profit institutions); Number of
Insurance Exchanges; Use: All States Affected Public: State, Local, or Tribal Respondents: 250; Total Annual
(including the 50 States, the Territories, governments; Number of Respondents: Responses: 250; Total Annual Hours:
and the District of Columbia herein 21; Total Annual Responses: 7; Total 12,000. (For policy questions regarding
referred to as States) have the Annual Hours: 221. (For policy this collection contact Nidhi Singh Shah
opportunity under Section 1311(b) of questions regarding this collection at 301–492–5110).
the Affordable Care Act to establish contact Christy Woods at 301–492–
Exchanges, subject to certification (or Dated: August 21, 2018.
5140.)
‘‘Approval’’) that the Exchange meets 2. Type of Information Collection William N. Parham, III,
Federal standards and will be able to Request: Revision of a currently Director, Paperwork Reduction Staff, Office
offer health care coverage for the approved collection. Title of of Strategic Operations and Regulatory
following plan year, beginning January Information Collection: Quality Affairs.
1, 2014. The original information Improvement Strategy Implementation [FR Doc. 2018–18437 Filed 8–24–18; 8:45 am]
collection request for the State Exchange Plan and Progress Form. Use: Section BILLING CODE 4120–01–P
Blueprint Data Collection Tool specified 1311(c)(1)(E) of the Patient Protection
a single reporting tool for all the various and Affordable Care Act requires
exchange types and was partially paper qualified health plans (QHPs) offered DEPARTMENT OF HEALTH AND
based. Subsequent revisions simplified through an Exchange must implement a HUMAN SERVICES
the tool by having separate collection quality improvement strategy (QIS) as
Administration for Children and
tools for each type of exchange and on- described in section 1311(g)(1). Section
Families
line implementation of the tool to 1311(g)(3) of the Patient Protection and
reduce the burden. This revision Affordable Care Act specifies the Submission for OMB Review;
updates the tool to reflect current State guidelines under Section 1311(g)(2) Comment Request
Exchange model options (a State-based shall require the periodic reporting to
Exchange (SBE) or a State-based the applicable Exchange the activities Title: Administration for Native
Exchange on the Federal Platform (SBE– that a qualified health plan has Americans Annual Data Report.
FP,)) program requirements, updated conducted to implement a strategy as OMB No.: 0970–0475: Renewal.
regulatory requirements promulgated described in section 1311(g)(1). CMS
intends to have eligible QHP issuers Description: The Administration for
through the 2017, 2018 and the 2019
complete the QIS Implementation Plan Native Americans is seeking renewal of
Payment Notice, as well as through the
and Progress Form annually for initial the Annual Data Report (ADR). The
Marketplace Stabilization Rule, and
certification and subsequent annual ADR is an annual report to be
replaces the requirement for document
updates of progress in implementation completed at the end of every budget
and evidence submissions with
of their strategy. The form will include period of an ANA discretionary grant.
attestations across all sections to further
topics to assess an issuer’s compliance The purpose of this information
reduce the burden.
Given the innovative nature of in creating a payment structure that collection is to annually collect grantee
Exchanges and the statutorily- provides increased reimbursement or data on outcome indicators, youth and
prescribed relationship between the other incentives to improve the health elder engagement, partnerships,
secretary and States in their outcomes of plan enrollees, prevent community participation, benefits and
development and operation, it is critical hospital readmissions, improve patient lessons learned. At the end of the
that the Secretary work closely with safety and reduce medical errors, project period, ANA will also collect
States to provide necessary guidance promote wellness and health, and data on beneficiaries, the overall
and technical assistance to ensure that reduce health and health care achievement of the project goal, and
States can meet the prescribed disparities, as described in Section project sustainability.
timelines, federal requirements, and 1311(g)(1) of the Patient Protection and This information collection will be
goals of the statute. Affordable Care Act. housed in the On-Line Data Collection
States seeking to establish a SBE or The QIS Implementation Plan and (OLDC) with in GrantSolutions.gov.
SBE–FP must build an Exchange that Progress Form will allow: (1) The Respondents: Tribal Government,
amozie on DSK3GDR082PROD with NOTICES1
meets the requirements set out in Department of Health & Human Services Native non-profit organizations, Tribal
Section 1311(d) of the Affordable Care (HHS) to evaluate the compliance and Colleges & Universities receiving ANA
Act and pursuant to CFR 155.105, FFE adequacy of QHP issuers’ quality discretionary funding.
VerDate Sep<11>2014 17:51 Aug 24, 2018 Jkt 244001 PO 00000 Frm 00058 Fmt 4703 Sfmt 4703 E:\FR\FM\27AUN1.SGM 27AUN1](https://thefederalregister.org/doc/83_FR_43856/page/2.svg)
Document Created: 2018-08-25 01:48:09
Document Modified: 2018-08-25 01:48:09
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments on the collection(s) of information must be received by the OMB desk officer by September 26, 2018. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 83 FR 43690 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR