83 FR 49389 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 83, Issue 190 (October 1, 2018)
Centers for Medicare & Medicaid Services
Federal Register Volume 83, Issue 190 (October 1, 2018)
| Page Range | 49389-49390 | |
| FR Document | 2018-20995 |
[Federal Register Volume 83, Number 190 (Monday, October 1, 2018)] [Notices] [Pages 49389-49390] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-20995] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-10142, CMS-R-262, and CMS-179] 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 November 30, 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 the 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) 786-1326. 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-10142 Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) CMS-R-262 Contract Year 2020 Plan Benefit Package (PBP) Software and Formulary Submission CMS-179 Medicaid State Plan Base Plan Pages 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: Revision of a currently approved collection; Title of Information Collection: Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP); Use: The competitive bidding process defined by the ``The Medicare Prescription Drug, Improvement, and Modernization Act'' (MMA) applies to both the MA and Part D programs. It was first used for Contract Year 2006. It is an annual process that encompasses the release of the MA rate book in April, the bid's that plans submit to CMS in June, and the release of the Part D and RPPO benchmarks, which typically occurs in August. CMS requires that Medicare Advantage Organizations (MAOs) and Prescription Drug Plans (PDPs) complete the BPT as part of the annual bidding process. During this process, organizations prepare their proposed actuarial bid pricing for the upcoming contract year and submit them to CMS for review and approval. The purpose of the BPT is to collect the actuarial pricing information for each plan. It is an Excel workbook with multiple worksheets and special functions through which bidders present to CMS their plan pricing information. Bidders enter information, such as plan experience, projected enrollment, and risk profile, and the BPT calculates the plan premiums and other values that [[Page 49390]] drive the bidding process. CMS maintains and updates each BPT file and releases new versions every April. The BPT files may be downloaded from the Health Plan Management System website (or HPMS), which is a restricted-access website, so users must obtain approval from CMS before using it. From HPMS, the BPT files may be downloaded as part of the Plan Benefit Package (or PBP) software, or they may be downloaded as stand-alone blank files. These files are made available to users on the first Monday of April every year and an HPMS memo is released announcing the software availability. Plan sponsors are required to upload the completed BPTs to HPMS by the first Monday in June each year. MAOs and PDPs use the Bid Pricing Tool (BPT) software to develop their actuarial pricing bid. The information provided in the BPT is the basis for the plan's enrollee premiums and CMS payments for each contract year. The tool collects data such as medical expense development (from claims data and/or manual rating), administrative expenses, profit levels, and projected plan enrollment information. By statute, completed BPTs are due to CMS by the first Monday of June each year. Form Number: CMS-10142 (OMB control number: 0938-0944); Frequency: Yearly; Affected Public: Private Sector, Business or other for-profits and Not- for-profit institution; Number of Respondents: 555; Total Annual Responses: 4,995; Total Annual Hours: 149,850. (For policy questions regarding this collection contact Rachel Shevland at 410-786-3026.) 2. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Contract Year 2020 Plan Benefit Package (PBP) Software and Formulary Submission; Use: CMS requires that MA and PDP organizations submit a completed Plan Benefit Package (PBP) and formulary as part of the annual bidding process. During this process, organizations prepare their proposed plan benefit packages for the upcoming contract year and submit them to CMS for review and approval. The plan benefit package submission consists of the Plan Benefit Package (PBP) software, formulary file, and supporting documentation, as necessary. MA and PDP organizations use the PBP software to describe their organization's plan benefit packages, including information on premiums, cost sharing, authorization rules, and supplemental benefits. They also generate a formulary to describe their list of drugs, including information on prior authorization, step therapy, tiering, and quantity limits. Additionally, CMS uses the PBP and formulary data to review and approve the plan benefit packages proposed by each MA and PDP organization. This allows CMS to review the benefit packages in a consistent way across all submitted bids during with incredibly tight timeframes. This data is also used to populate data on Medicare Plan Finder, which allows beneficiaries to access and compare Medicare Advantage and Prescription Drug plans. Form Number: CMS-R-262 (OMB control number 0938-0763); Frequency: Yearly; Affected Public: Private Sector, Business or other for-profits and Not- for-profit institution; Number of Respondents: 570; Total Annual Responses: 6,760; Total Annual Hours: 65,354.50 (For policy questions regarding this collection contact Kristy Holtje at 410-786-2209.) 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicaid State Plan Base Plan Pages; Use: State Medicaid agencies complete the plan pages while we review the information to determine if the state has met all of the requirements of the provisions the states choose to implement. If the requirements are met, we will approve the amendments to the state's Medicaid plan giving the state the authority to implement the flexibilities. For a state to receive Medicaid Title XIX funding, there must be an approved Title XIX state plan. Form Number: CMS-179 (OMB control number 0938-0193); Frequency: Occasionally; Affected Public: State, Local, and Tribal Governments; Number of Respondents: 56; Total Annual Responses: 1,120; Total Annual Hours: 22,400. (For policy questions regarding this collection contact Annette Pearson at 410-786-6958.) Dated: September 21, 2018. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2018-20995 Filed 9-28-18; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 83, No. 190 / Monday, October 1, 2018 / Notices 49389
Accordingly, NIOSH is seeking data and collection of information) and to allow CMS–10142 Bid Pricing Tool (BPT) for
information from all interested 60 days for public comment on the Medicare Advantage (MA) Plans and
stakeholders in response to the proposed action. Interested persons are Prescription Drug Plans (PDP)
following questions: invited to send comments regarding our CMS–R–262 Contract Year 2020 Plan
1. Are users of DOT–CFFC cylinders burden estimates or any other aspect of Benefit Package (PBP) Software and
that have been requalified for service this collection of information, including Formulary Submission
life beyond 15 years, pursuant to the the necessity and utility of the proposed CMS–179 Medicaid State Plan Base
provisions of DOT–SP 16320, exposed information collection for the proper Plan Pages
to any elevated safety or health risk as performance of the agency’s functions, Under the PRA (44 U.S.C. 3501–
a result of either the modal acoustic the accuracy of the estimated burden, 3520), federal agencies must obtain
emission requalification testing itself or ways to enhance the quality, utility, and approval from the Office of Management
the service life extension? If so, identify clarity of the information to be and Budget (OMB) for each collection of
the concern or concerns and provide collected, and the use of automated information they conduct or sponsor.
substantive data, studies, references, collection techniques or other forms of The term ‘‘collection of information’’ is
and information to further characterize information technology to minimize the defined in 44 U.S.C. 3502(3) and 5 CFR
and/or quantify the concern. information collection burden. 1320.3(c) and includes agency requests
2. Does the service-life extension DATES: Comments must be received by or requirements that members of the
offered by DOT–SP 16320 or the modal November 30, 2018. public submit reports, keep records, or
acoustic emission testing itself provide provide information to a third party.
ADDRESSES: When commenting, please
a benefit to either end users or Section 3506(c)(2)(A) of the PRA
reference the document identifier or
institutional users (e.g., fire requires federal agencies to publish a
OMB control number. To be assured
departments)? If so, please provide any 60-day notice in the Federal Register
consideration, comments and
relevant data, studies, references, or concerning each proposed collection of
recommendations must be submitted in
other corroborating information. information, including each proposed
any one of the following ways: extension or reinstatement of an existing
3. What factors do respiratory
1. Electronically. You may send your
protection program managers consider collection of information, before
comments electronically to http://
in determining whether to replace an submitting the collection to OMB for
www.regulations.gov. Follow the
expiring cylinder with a new approval. To comply with this
instructions for ‘‘Comment or
replacement cylinder or requalify the requirement, CMS is publishing this
Submission’’ or ‘‘More Search Options’’ notice.
expiring cylinder using modal acoustic
to find the information collection
emission testing? Information Collection
4. In which industries and operations document(s) that are accepting
are modal acoustic emission-requalified comments. 1. Type of Information Collection
2. By regular mail. You may mail Request: Revision of a currently
cylinders currently being used?
written comments to the following approved collection; Title of
John J. Howard, address: CMS, Office of Strategic Information Collection: Bid Pricing Tool
Director, National Institute for Occupational Operations and Regulatory Affairs, (BPT) for Medicare Advantage (MA)
Safety and Health, Centers for Disease Control Division of Regulations Development, Plans and Prescription Drug Plans
and Prevention. Attention: Document Identifier/OMB (PDP); Use: The competitive bidding
[FR Doc. 2018–21256 Filed 9–28–18; 8:45 am] Control Number ll, Room C4–26–05, process defined by the ‘‘The Medicare
BILLING CODE 4163–19–P 7500 Security Boulevard, Baltimore, Prescription Drug, Improvement, and
Maryland 21244–1850. Modernization Act’’ (MMA) applies to
To obtain copies of a supporting both the MA and Part D programs. It
DEPARTMENT OF HEALTH AND statement and any related forms for the was first used for Contract Year 2006. It
HUMAN SERVICES proposed collection(s) summarized in is an annual process that encompasses
this notice, you may make your request the release of the MA rate book in April,
Centers for Medicare & Medicaid using one of the following: the bid’s that plans submit to CMS in
Services 1. Access CMS’ website address at June, and the release of the Part D and
[Document Identifiers: CMS–10142, CMS– https://www.cms.gov/Regulations-and- RPPO benchmarks, which typically
R–262, and CMS–179] Guidance/Legislation/PaperworkReduct occurs in August.
ionActof1995/PRA-Listing.html. CMS requires that Medicare
Agency Information Collection 2. Email your request, including your Advantage Organizations (MAOs) and
Activities: Proposed Collection; address, phone number, OMB number, Prescription Drug Plans (PDPs)
Comment Request and CMS document identifier, to complete the BPT as part of the annual
AGENCY: Centers for Medicare & Paperwork@cms.hhs.gov. bidding process. During this process,
Medicaid Services, HHS. 3. Call the Reports Clearance Office at organizations prepare their proposed
(410) 786–1326. actuarial bid pricing for the upcoming
ACTION: Notice.
FOR FURTHER INFORMATION CONTACT: contract year and submit them to CMS
SUMMARY: The Centers for Medicare & William Parham at (410) 786–1326. for review and approval. The purpose of
Medicaid Services (CMS) is announcing SUPPLEMENTARY INFORMATION: the BPT is to collect the actuarial
an opportunity for the public to pricing information for each plan. It is
comment on CMS’ intention to collect Contents an Excel workbook with multiple
amozie on DSK3GDR082PROD with NOTICES
information from the public. Under the This notice sets out a summary of the worksheets and special functions
Paperwork Reduction Act of 1995 (the use and burden associated with the through which bidders present to CMS
PRA), federal agencies are required to following information collections. More their plan pricing information. Bidders
publish notice in the Federal Register detailed information can be found in enter information, such as plan
concerning each proposed collection of each collection’s supporting statement experience, projected enrollment, and
information (including each proposed and associated materials (see risk profile, and the BPT calculates the
extension or reinstatement of an existing ADDRESSES). plan premiums and other values that
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![49390 Federal Register / Vol. 83, No. 190 / Monday, October 1, 2018 / Notices
drive the bidding process. CMS Package (PBP) software, formulary file, contact Annette Pearson at 410–786–
maintains and updates each BPT file and supporting documentation, as 6958.)
and releases new versions every April. necessary. MA and PDP organizations Dated: September 21, 2018.
The BPT files may be downloaded use the PBP software to describe their William N. Parham, III,
from the Health Plan Management organization’s plan benefit packages,
Director, Paperwork Reduction Staff, Office
System website (or HPMS), which is a including information on premiums, of Strategic Operations and Regulatory
restricted-access website, so users must cost sharing, authorization rules, and Affairs.
obtain approval from CMS before using supplemental benefits. They also [FR Doc. 2018–20995 Filed 9–28–18; 8:45 am]
it. From HPMS, the BPT files may be generate a formulary to describe their
BILLING CODE 4120–01–P
downloaded as part of the Plan Benefit list of drugs, including information on
Package (or PBP) software, or they may prior authorization, step therapy,
be downloaded as stand-alone blank tiering, and quantity limits. DEPARTMENT OF HEALTH AND
files. These files are made available to Additionally, CMS uses the PBP and HUMAN SERVICES
users on the first Monday of April every formulary data to review and approve
year and an HPMS memo is released the plan benefit packages proposed by Administration for Children and
announcing the software availability. each MA and PDP organization. This Families
Plan sponsors are required to upload the allows CMS to review the benefit
completed BPTs to HPMS by the first packages in a consistent way across all Submission for OMB Review;
Monday in June each year. submitted bids during with incredibly Comment Request
MAOs and PDPs use the Bid Pricing tight timeframes. This data is also used
Proposed Projects:
Tool (BPT) software to develop their to populate data on Medicare Plan
actuarial pricing bid. The information Finder, which allows beneficiaries to Title: Federal Child Support Portal
provided in the BPT is the basis for the access and compare Medicare Registration.
plan’s enrollee premiums and CMS Advantage and Prescription Drug plans. OMB No.: 0970–0370.
payments for each contract year. The Form Number: CMS–R–262 (OMB Description: The federal Office of
tool collects data such as medical control number 0938–0763); Frequency: Child Support Enforcement (OCSE),
expense development (from claims data Yearly; Affected Public: Private Sector, Division of Federal Systems, maintains
and/or manual rating), administrative Business or other for-profits and Not- the Child Support Portal (Portal),
expenses, profit levels, and projected for-profit institution; Number of through which authorized users may
plan enrollment information. By statute, Respondents: 570; Total Annual view, update, or upload information for
completed BPTs are due to CMS by the Responses: 6,760; Total Annual Hours: child support purposes. To securely
first Monday of June each year. Form 65,354.50 (For policy questions access the Portal as an authorized user,
Number: CMS–10142 (OMB control regarding this collection contact Kristy OCSE creates profiles within the Portal
number: 0938–0944); Frequency: Yearly; Holtje at 410–786–2209.) for employers, insurers, and multistate
Affected Public: Private Sector, Business 3. Type of Information Collection financial institutions (MSFIs) using
or other for-profits and Not- for-profit Request: Extension of a currently information provided in the Employer
institution; Number of Respondents: approved collection; Title of Service Profile Form and the Debt
555; Total Annual Responses: 4,995; Information Collection: Medicaid State Inquiry Insurer Profile Form (see OMB
Total Annual Hours: 149,850. (For Plan Base Plan Pages; Use: State No: 0970–0196 for the MSFI Profile
policy questions regarding this Medicaid agencies complete the plan Form). State child support agencies
collection contact Rachel Shevland at pages while we review the information manage and authenticate authorization
410–786–3026.) to determine if the state has met all of for individual users via the state proxy
2. Type of Information Collection the requirements of the provisions the server; therefore, a profile form is not
Request: Revision of a currently states choose to implement. If the required.
approved collection; Title of requirements are met, we will approve The federal Child Support Portal
Information Collection: Contract Year the amendments to the state’s Medicaid Registration information collection
2020 Plan Benefit Package (PBP) plan giving the state the authority to activities are authorized by 42 U.S.C.
Software and Formulary Submission; implement the flexibilities. For a state to 653(m)(2), which requires the Secretary
Use: CMS requires that MA and PDP receive Medicaid Title XIX funding, to establish and implement safeguards
organizations submit a completed Plan there must be an approved Title XIX to restrict access to confidential
Benefit Package (PBP) and formulary as state plan. Form Number: CMS–179 information in the Federal Parent
part of the annual bidding process. (OMB control number 0938–0193); Locator Service to authorized persons,
During this process, organizations Frequency: Occasionally; Affected and to restrict use of such information
prepare their proposed plan benefit Public: State, Local, and Tribal to authorized purposes.
packages for the upcoming contract year Governments; Number of Respondents: Respondents: Employers, Financial
and submit them to CMS for review and 56; Total Annual Responses: 1,120; Institutions, Insurers, and Child Support
approval. The plan benefit package Total Annual Hours: 22,400. (For policy Agencies.
submission consists of the Plan Benefit questions regarding this collection Annual Burden Estimates:
Average
Number of Total
Number of burden
Information collection instrument responses per burden
respondents hours per
amozie on DSK3GDR082PROD with NOTICES
respondent hours
response
Employer Services Profile ................................................................................ 2,144 1 0.08 171.52
Debt Inquiry Insurer Profile .............................................................................. 22 1 0.08 1.76
Portal Registration Screens ............................................................................. 2,338 1 0.15 350.70
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Document Created: 2018-09-29 04:25:51
Document Modified: 2018-09-29 04:25:51
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments must be received by November 30, 2018. | |
| Contact | William Parham at (410) 786-1326. | |
| FR Citation | 83 FR 49389 |
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