83 FR 50099 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 83, Issue 193 (October 4, 2018)

Page Range		50099-50100
FR Document		2018-21587

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 193 (Thursday, October 4, 2018)

[Federal Register Volume 83, Number 193 (Thursday, October 4, 2018)]
[Notices]
[Pages 50099-50100]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-21587]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10391]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Department of Health 
and Human Services.

ACTION: Notice.

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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

[[Page 50100]]

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 December 3, 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) 786-1326.

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-10391 Methods for Assuring Access to Covered Medicaid Services 
Under 42 CFR 447.203 and 447.204

    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. Title of Information Collection: Methods for Assuring Access to 
Covered Medicaid Services Under 42 CFR 447.203 and 447.204; Type of 
Information Collection Request: Extension of a currently approved 
collection; Use: Current regulations at 42 CFR 447.203(b) require 
states to develop an access monitoring review plan (AMRP) that is 
updated at least every three years for: Primary care services, 
physician specialist services, behavioral health services, pre and 
post-natal obstetric services (including labor and delivery), and home 
health services. When states reduce rates for other Medicaid services, 
they must add those services to the AMRP and monitor the effects of the 
rate reductions for 3 years. If access issues are detected, a state 
must submit a corrective action plan to CMS within 90 days and work to 
address the issues within 12 months. Section 447.203(b)(7) requires 
that states have mechanisms to obtain ongoing beneficiary and provider 
feedback. A state is also required to maintain a record of data on 
public input and how the state responded to the input. Prior to 
submitting proposals to reduce or restructure Medicaid service payment 
rates, states must receive input from beneficiaries, providers, and 
other affected stakeholders on the extent of beneficiary access to the 
affected services.
    The information is used by states to document that access to care 
is in compliance with section 1902(a)(30)(A) of the Social Security 
Act, to identify issues with access within a state's Medicaid program, 
and to inform any necessary programmatic changes to address issues with 
access to care. CMS uses the information to make informed approval 
decisions on State plan amendments that propose to make Medicaid rate 
reductions or restructure payment rates and to provide the necessary 
information for CMS to monitor ongoing compliance with section 
1902(a)(30)(A). Beneficiaries, providers and other affected 
stakeholders may use the information to raise access issues to state 
Medicaid agencies and work with agencies to address those issues. Form 
Number: CMS-10391 (OMB control number: 0938-1134); Frequency: Annually; 
Affected Public: State, Local, or Tribal Governments); Number of 
Respondents: 51; Number of Responses: 212; Total Annual Hours: 12,262. 
(For questions regarding this collection contact Jeremy Silanskis at 
410-786-1592.)

    Dated: September 28, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-21587 Filed 10-3-18; 8:45 am]
 BILLING CODE 4120-01-P

Federal Register / Vol. 83, No. 193 / Thursday, October 4, 2018 / Notices 50099

evaluation findings and lessons learned recognized organizations in underserved improvement for each year of the
to provide data-driven technical areas and to enroll both general and cooperative agreement. A number of
assistance to the grantees and other priority populations in new or existing changes to the evaluation forms are
organizations delivering the National CDC-recognized organizations. The proposed to ensure that reporting and
DPP lifestyle change program. The data DP17–1705 grantees will work on evaluation requirements are consistent
and lessons learned from DP12–1212 activities designed to accomplish three with the aims of the new cooperative
were also used to inform decision- main goals: agreement and reflect the lessons
making and policy, including the (1) Build the infrastructure in learned from the original funded
development of the Centers for underserved areas necessary to deliver national organizations and their affiliate
Medicare & Medicaid Services (CMS) the National DPP lifestyle change delivery sites. Evaluation data elements
Medicare Diabetes Prevention Program program to the general population and have been added or modified
(MDPP). As of April 1, 2018, the MDPP to priority populations, including accordingly. Also, the method of data
Expanded Model provides coverage for Medicare beneficiaries, men, African- collection has converted from using an
the National DPP lifestyle change Americans, Asian-Americans, Excel spreadsheet to a web-based data
program for eligible Medicare Hispanics, American Indians, Alaska system to allow for real-time feedback
beneficiaries. Natives, Pacific Islanders, and non- and technical assistance.
Despite the fact that over 1800 CDC- institutionalized people with visual or The reporting burden of this
recognized organizations in 50 states, physical disabilities; collection of information is estimated to
the District of Columbia, Puerto Rico, (2) Tailor and adapt the program to vary between two and four hours with
and the Virgin Islands offer the National address the unique needs and an average of three hours per grantee
DPP lifestyle change program, there are challenges of the enrolled participants; response (decreased from 12 hours), and
still many geographic areas with few or and between four and six hours with an
no in-person delivery programs. In (3) Provide participants with average of five hours per affiliate
addition, some populations, including specialized support needed to delivery site response (increased from
Medicare beneficiaries, men, African- successfully complete the program and an average of 45 minutes per response).
Americans, Asian-Americans, achieve 5–7% weight loss. Through this These estimated burden hours include
Hispanics, American Indians, Alaska new cooperative agreement, it is the time for reviewing instructions,
Natives, Pacific Islanders, and people anticipated that enrollment, retention, searching existing data sources,
with visual impairment or physical and achievement of 5–7% weight loss gathering and maintaining the data
disabilities, are under-enrolled relative goals for the targeted populations will needed, and completing and reviewing
to their estimated numbers and disease increase. the collection of information by the
burden. To address these gaps, CDC At this time, CDC requests an grantee and affiliate delivery site to
funded a new, five-year cooperative additional three years of OMB approval submit information directly to the web-
agreement with ten new national to continue collecting information based data system. The number of
organizations in September 2017, needed to evaluate the effectiveness of respondents will increase with the
‘‘Scaling the National DPP in CDC’s funding for the new grantees. The increased number of grantees. These
Underserved Areas’’ (DP17–1705). CDC data collection will allow CDC to changes result in a net increase of 368
funded ten national organizations with continue to provide data-driven, annualized burden hours. There are no
affiliate program delivery sites in at tailored programmatic technical costs to respondents other than their
least three states, each to start new CDC- assistance to ensure continuous quality time.

ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of
Type of Number of burden per Total burden
Form name responses per
respondents respondents respondent response (in hours)
(in hours)

National DPP Affiliate Delivery Sites Evaluation Form for Sites ................. 100 1 5 500
National DPP Grantees .................... Evaluation Form for Grantees .......... 10 1 3 30

Total ........................................... ........................................................... ........................ ........................ ........................ 530

Jeffrey M. Zirger, DEPARTMENT OF HEALTH AND SUMMARY: The Centers for Medicare &
Acting Chief, Information Collection Review HUMAN SERVICES Medicaid Services (CMS) is announcing
Office, Office of Scientific Integrity, Office an opportunity for the public to
of the Associate Director for Science, Office Centers for Medicare & Medicaid comment on CMS’ intention to collect
of the Director, Centers for Disease Control Services information from the public. Under the
and Prevention. Paperwork Reduction Act of 1995 (the
[Document Identifier: CMS–10391]
[FR Doc. 2018–21571 Filed 10–3–18; 8:45 am] PRA), federal agencies are required to
BILLING CODE 4163–18–P Agency Information Collection publish notice in the Federal Register
daltland on DSKBBV9HB2PROD with NOTICES

Activities: Proposed Collection; concerning each proposed collection of
Comment Request information (including each proposed
AGENCY: Centers for Medicare & extension or reinstatement of an existing
Medicaid Services, Department of collection of information) and to allow
Health and Human Services. 60 days for public comment on the
proposed action. Interested persons are
ACTION: Notice.
invited to send comments regarding our

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Document Created: 2018-10-04 02:02:40
Document Modified: 2018-10-04 02:02:40

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 December 3, 2018.
Contact		William Parham at (410) 786-1326.
FR Citation		83 FR 50099

83 FR 50099 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services

Federal Register Volume 83, Issue 193 (October 4, 2018)

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