83_FR_5453 83 FR 5427 - Agency Information Collection Activities: Proposed Collection; Comment Request

83 FR 5427 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 83, Issue 26 (February 7, 2018)

Page Range5427-5428
FR Document2018-02433

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 26 (Wednesday, February 7, 2018)
[Federal Register Volume 83, Number 26 (Wednesday, February 7, 2018)]
[Notices]
[Pages 5427-5428]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-02433]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10453 and CMS-1856]


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 April 9, 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 http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
    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

[[Page 5428]]

and associated materials (see ADDRESSES).

CMS-10453 The Medicare Advantage and Prescription Drug Program: Part C 
Explanation of Benefits and Supporting Regulations
CMS-1856 Request for Certification in the Medicare/Medicaid Program for 
Providers of Outpatient Physical Therapy and/or Speech-Language 
Pathology

    Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain 
approval from the Office of Management and Budget (OMB) for each 
collection of information they conduct or sponsor. The term 
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies 
to publish a 60-day notice in the Federal Register concerning each 
proposed collection of information, including each proposed extension 
or reinstatement of an existing collection of information, before 
submitting the collection to OMB for approval. To comply with this 
requirement, CMS is publishing this notice.

Information Collection

    1. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: The Medicare Advantage and Prescription Drug Program: Part 
C Explanation of Benefits and Supporting Regulations; Use: The Medicare 
Advantage disclosure requirements in 42 CFR 422.111(b) sets out the 
authority for CMS to require that Medicare Advantage Organizations 
(MAOs) furnish a written explanation of benefits (EOB) directly to 
enrollees, in a manner specified by CMS and in a form easily 
understandable to enrollees, when benefits are provided under part 422. 
In Sec.  422.216(d)(1), all Medicare Advantage plan types that offer an 
M+C fee-for-service plan must provide to plan enrollees, for each claim 
filed by the enrollee or the provider that furnished the service, an 
appropriate explanation of benefits. The explanation must include a 
clear statement of the enrollee's liability for deductibles, 
coinsurance, copayment, and balance billing. Plans must disclose the 
information specified in Sec.  422.111(b), as specified in Sec.  
422.111(a)(3), at the time of enrollment and at least annually 
thereafter, 15 days before the annual coordinated election period. Form 
Number: CMS-10453 (OMB control number: 0938-1228); Frequency: On 
occasion; Affected Public: Private sector (Business or other for-
profits); Number of Respondents: 468; Number of Responses: 5,616; Total 
Annual Hours: 74,880. (For policy questions regarding this collection 
contact Natalie Albright at 410-786-1671.)
    2. Type of Information Collection Request: Reinstatement of a 
previously approved collection; Title of Information Collection: 
Request for Certification in the Medicare/Medicaid Program for 
Providers of Outpatient Physical Therapy and/or Speech-Language 
Pathology; Use: The form is used as an application to be completed by 
providers of outpatient physical therapy and/or speech-language 
pathology services requesting participation in the Medicare and 
Medicaid programs. This form initiates the process for obtaining a 
decision as to whether the conditions of participation are met as a 
provider of outpatient physical therapy, speech-language pathology 
services, or both. It is used by the State agencies to enter new 
providers into the Automated Survey Process Environment (ASPEN). Form 
Number: CMS-1856 (OMB control number: 0938-0065); Frequency: Annually, 
occasionally; Affected Public: Private sector--Business or other for-
profit and Not-for-profit institutions; Number of Respondents: 350; 
Total Annual Responses: 350; Total Annual Hours: 88. (For policy 
questions regarding this collection contact Peter Ajuonuma at 410-786-
3580.)

    Dated: February 2, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-02433 Filed 2-6-18; 8:45 am]
 BILLING CODE 4120-01-P



                                                                           Federal Register / Vol. 83, No. 26 / Wednesday, February 7, 2018 / Notices                                            5427

                                                  2. Email your request, including your                 California, Florida, Illinois, Michigan,              concerning each proposed collection of
                                                address, phone number, OMB number,                      New York, North Carolina, Texas,                      information (including each proposed
                                                and CMS document identifier, to                         Pennsylvania, Ohio, Louisiana,                        extension or reinstatement of an existing
                                                Paperwork@cms.hhs.gov.                                  Missouri, Maryland, New Jersey,                       collection of information) and to allow
                                                  3. Call the Reports Clearance Office at               Indiana, Kentucky, Georgia, Tennessee,                60 days for public comment on the
                                                (410) 786–1326.                                         Washington, and Arizona based on                      proposed action. Interested persons are
                                                FOR FURTHER INFORMATION CONTACT:                        beneficiary address as reported to the                invited to send comments regarding our
                                                William Parham at (410) 786–4669.                       Social Security Administration and                    burden estimates or any other aspect of
                                                SUPPLEMENTARY INFORMATION: Under the                    recorded in the Common Working File                   this collection of information, including
                                                Paperwork Reduction Act of 1995 (PRA)                   (CWF). For the demonstration, a prior                 the necessity and utility of the proposed
                                                (44 U.S.C. 3501–3520), federal agencies                 authorization request can be completed                information collection for the proper
                                                must obtain approval from the Office of                 by the (ordering) physician or treating               performance of the agency’s functions,
                                                Management and Budget (OMB) for each                    practitioner and submitted to the                     the accuracy of the estimated burden,
                                                collection of information they conduct                  appropriate Durable Medical Equipment                 ways to enhance the quality, utility, and
                                                or sponsor. The term ‘‘collection of                    Medicare Administrative Contractor                    clarity of the information to be
                                                information’’ is defined in 44 U.S.C.                   (DME MAC) for an initial decision. The                collected, and the use of automated
                                                3502(3) and 5 CFR 1320.3(c) and                         supplier may also submit the request on               collection techniques or other forms of
                                                                                                        behalf of the physician or treating                   information technology to minimize the
                                                includes agency requests or
                                                                                                        practitioner. The physician, treating                 information collection burden.
                                                requirements that members of the public
                                                                                                        practitioner or supplier who submits the              DATES: Comments must be received by
                                                submit reports, keep records, or provide
                                                                                                        request on behalf of the physician or                 April 9, 2018.
                                                information to a third party. Section
                                                                                                        treating practitioner, is referred to as the
                                                3506(c)(2)(A) of the PRA (44 U.S.C.                                                                           ADDRESSES: When commenting, please
                                                                                                        ‘‘submitter.’’ Under this demonstration,
                                                3506(c)(2)(A)) requires federal agencies                                                                      reference the document identifier or
                                                                                                        the submitter will submit to the DME
                                                to publish a 30-day notice in the                                                                             OMB control number. To be assured
                                                                                                        MAC a request for prior authorization
                                                Federal Register concerning each                                                                              consideration, comments and
                                                                                                        and all relevant documentation to
                                                proposed collection of information,                                                                           recommendations must be submitted in
                                                                                                        support Medicare coverage of the PMD
                                                including each proposed extension or                                                                          any one of the following ways:
                                                                                                        item. Form Number: CMS–10421 (OMB                       1. Electronically. You may send your
                                                reinstatement of an existing collection
                                                                                                        control number: 0938–1169); Frequency:                comments electronically to http://
                                                of information, before submitting the
                                                                                                        Occasionally; Affected Public: State,                 www.regulations.gov. Follow the
                                                collection to OMB for approval. To
                                                                                                        Local or Tribal Governments; Number of                instructions for ‘‘Comment or
                                                comply with this requirement, CMS is
                                                                                                        Respondents: 50,500; Total Annual                     Submission’’ or ‘‘More Search Options’’
                                                publishing this notice that summarizes
                                                                                                        Responses: 50,500; Total Annual Hours:                to find the information collection
                                                the following proposed collection(s) of
                                                                                                        25,125. (For policy questions regarding               document(s) that are accepting
                                                information for public comment:
                                                  1. Type of Information Collection                     this collection contact Daniel Schwartz               comments.
                                                Request: Extension of a currently                       at 410–786–4197.)                                       2. By regular mail. You may mail
                                                approved collection; Title of                              Dated: February 2, 2018.                           written comments to the following
                                                Information Collection: Fee-for-Service                 William N. Parham, III,                               address: CMS, Office of Strategic
                                                Recovery Audit Prepayment Review                        Director, Paperwork Reduction Staff, Office           Operations and Regulatory Affairs,
                                                Demonstration and Prior Authorization                   of Strategic Operations and Regulatory                Division of Regulations Development,
                                                Demonstration; Use: The Office of                       Affairs.                                              Attention: Document Identifier/OMB
                                                Management and Budget approved the                      [FR Doc. 2018–02467 Filed 2–6–18; 8:45 am]            Control Number ll, Room C4–26–05,
                                                collections required for two                            BILLING CODE 4120–01–P                                7500 Security Boulevard, Baltimore,
                                                demonstrations of prepayment review                                                                           Maryland 21244–1850.
                                                and prior authorization. The first                                                                              To obtain copies of a supporting
                                                demonstration allows Medicare                           DEPARTMENT OF HEALTH AND                              statement and any related forms for the
                                                Recovery Auditors to review claims on                   HUMAN SERVICES                                        proposed collection(s) summarized in
                                                a pre-payment basis in certain States.                                                                        this notice, you may make your request
                                                The second demonstration established a                  Centers for Medicare & Medicaid                       using one of following:
                                                prior authorization program for Power                   Services                                                1. Access CMS’ website address at
                                                Mobility Device claims in certain States.               [Document Identifier: CMS–10453 and CMS–              http://www.cms.hhs.gov/Paperwork
                                                The first demonstration has ended, so                   1856]                                                 ReductionActof1995.
                                                we are only extending the collection of                                                                         2. Email your request, including your
                                                information for the second                              Agency Information Collection                         address, phone number, OMB number,
                                                demonstration, prior authorization of                   Activities: Proposed Collection;                      and CMS document identifier, to
                                                power mobility devices.                                 Comment Request                                       Paperwork@cms.hhs.gov.
                                                  For the Prior Authorization of Power                  AGENCY: Centers for Medicare &                          3. Call the Reports Clearance Office at
                                                Mobility Devices (PMDs)                                 Medicaid Services, HHS.                               (410) 786–1326.
                                                Demonstration, we are piloting prior                    ACTION: Notice.
                                                                                                                                                              FOR FURTHER INFORMATION CONTACT:
                                                authorization for PMDs. Prior                                                                                 William Parham at (410) 786–4669.
                                                authorization will allow the applicable                 SUMMARY:  The Centers for Medicare &
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                                                                                                                                                              SUPPLEMENTARY INFORMATION:
                                                documentation that supports a claim to                  Medicaid Services (CMS) is announcing
                                                be submitted before the item is                         an opportunity for the public to                      Contents
                                                delivered. For prior authorization,                     comment on CMS’ intention to collect                    This notice sets out a summary of the
                                                relevant documentation for review is                    information from the public. Under the                use and burden associated with the
                                                submitted before the item is delivered or               Paperwork Reduction Act of 1995 (the                  following information collections. More
                                                the service is rendered. CMS will                       PRA), federal agencies are required to                detailed information can be found in
                                                conduct this demonstration in                           publish notice in the Federal Register                each collection’s supporting statement


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                                                5428                       Federal Register / Vol. 83, No. 26 / Wednesday, February 7, 2018 / Notices

                                                and associated materials (see                           Number: CMS–10453 (OMB control                        SUMMARY:   The Food and Drug
                                                ADDRESSES).                                             number: 0938–1228); Frequency: On                     Administration (FDA) is announcing
                                                CMS–10453 The Medicare Advantage                        occasion; Affected Public: Private sector             that a proposed collection of
                                                  and Prescription Drug Program: Part C                 (Business or other for-profits); Number               information has been submitted to the
                                                  Explanation of Benefits and                           of Respondents: 468; Number of                        Office of Management and Budget
                                                  Supporting Regulations                                Responses: 5,616; Total Annual Hours:                 (OMB) for review and clearance under
                                                CMS–1856 Request for Certification in                   74,880. (For policy questions regarding               the Paperwork Reduction Act of 1995.
                                                  the Medicare/Medicaid Program for                     this collection contact Natalie Albright              DATES: Fax written comments on the
                                                  Providers of Outpatient Physical                      at 410–786–1671.)                                     collection of information by March 9,
                                                  Therapy and/or Speech-Language                           2. Type of Information Collection                  2018.
                                                  Pathology                                             Request: Reinstatement of a previously                ADDRESSES: To ensure that comments on
                                                  Under the PRA (44 U.S.C. 3501–                        approved collection; Title of                         the information collection are received,
                                                3520), federal agencies must obtain                     Information Collection: Request for                   OMB recommends that written
                                                approval from the Office of Management                  Certification in the Medicare/Medicaid                comments be faxed to the Office of
                                                and Budget (OMB) for each collection of                 Program for Providers of Outpatient                   Information and Regulatory Affairs,
                                                information they conduct or sponsor.                    Physical Therapy and/or Speech-                       OMB, Attn: FDA Desk Officer, Fax: 202–
                                                The term ‘‘collection of information’’ is               Language Pathology; Use: The form is                  395–7285, or emailed to oira_
                                                defined in 44 U.S.C. 3502(3) and 5 CFR                  used as an application to be completed                submission@omb.eop.gov. All
                                                1320.3(c) and includes agency requests                  by providers of outpatient physical                   comments should be identified with the
                                                or requirements that members of the                     therapy and/or speech-language                        OMB control number 0910–0389. Also
                                                public submit reports, keep records, or                 pathology services requesting                         include the FDA docket number found
                                                provide information to a third party.                   participation in the Medicare and                     in brackets in the heading of this
                                                Section 3506(c)(2)(A) of the PRA                        Medicaid programs. This form initiates                document.
                                                requires federal agencies to publish a                  the process for obtaining a decision as
                                                                                                        to whether the conditions of                          FOR FURTHER INFORMATION CONTACT:
                                                60-day notice in the Federal Register                                                                         Domini Bean, Office of Operations,
                                                concerning each proposed collection of                  participation are met as a provider of
                                                                                                        outpatient physical therapy, speech-                  Food and Drug Administration, Three
                                                information, including each proposed                                                                          White Flint North, 10A–12M, 11601
                                                extension or reinstatement of an existing               language pathology services, or both. It
                                                                                                        is used by the State agencies to enter                Landsdown St., North Bethesda, MD
                                                collection of information, before                                                                             20852, 301–796–5733, PRAStaff@
                                                submitting the collection to OMB for                    new providers into the Automated
                                                                                                        Survey Process Environment (ASPEN).                   fda.hhs.gov.
                                                approval. To comply with this
                                                requirement, CMS is publishing this                     Form Number: CMS–1856 (OMB control                    SUPPLEMENTARY INFORMATION: In
                                                notice.                                                 number: 0938–0065); Frequency:                        compliance with 44 U.S.C. 3507, FDA
                                                                                                        Annually, occasionally; Affected Public:              has submitted the following proposed
                                                Information Collection                                  Private sector—Business or other for-                 collection of information to OMB for
                                                  1. Type of Information Collection                     profit and Not-for-profit institutions;               review and clearance.
                                                Request: Reinstatement without change                   Number of Respondents: 350; Total
                                                                                                                                                              Guidance for Industry: ‘‘Expedited
                                                of a previously approved collection;                    Annual Responses: 350; Total Annual
                                                                                                                                                              Programs for Serious Conditions—
                                                Title of Information Collection: The                    Hours: 88. (For policy questions
                                                                                                                                                              Drugs and Biologics’’
                                                Medicare Advantage and Prescription                     regarding this collection contact Peter
                                                Drug Program: Part C Explanation of                     Ajuonuma at 410–786–3580.)                            OMB Control Numbers 0910–0389 and
                                                Benefits and Supporting Regulations;                       Dated: February 2, 2018.
                                                                                                                                                              0910–0765—Revision
                                                Use: The Medicare Advantage                             William N. Parham, III,                                  This information collection supports
                                                disclosure requirements in 42 CFR                       Director, Paperwork Reduction Staff, Office           the previous captioned Agency
                                                422.111(b) sets out the authority for                   of Strategic Operations and Regulatory                guidance. The guidance provides a
                                                CMS to require that Medicare                            Affairs.                                              single resource for information on
                                                Advantage Organizations (MAOs)                          [FR Doc. 2018–02433 Filed 2–6–18; 8:45 am]            FDA’s policies and procedures related
                                                furnish a written explanation of benefits               BILLING CODE 4120–01–P
                                                                                                                                                              to the following expedited programs for
                                                (EOB) directly to enrollees, in a manner                                                                      serious conditions: (1) Fast track
                                                specified by CMS and in a form easily                                                                         designation, (2) breakthrough therapy
                                                understandable to enrollees, when                       DEPARTMENT OF HEALTH AND                              designation, (3) accelerated approval,
                                                benefits are provided under part 422. In                HUMAN SERVICES                                        and (4) priority review designation. The
                                                § 422.216(d)(1), all Medicare Advantage                                                                       guidance describes threshold criteria
                                                plan types that offer an M+C fee-for-                   Food and Drug Administration                          generally applicable to expedited
                                                service plan must provide to plan                                                                             programs, including what is meant by
                                                enrollees, for each claim filed by the                  [Docket No. FDA–2013–D–0575]                          serious condition, unmet medical need,
                                                enrollee or the provider that furnished                                                                       and available therapy. The guidance
                                                the service, an appropriate explanation                 Agency Information Collection                         addresses the applicability of expedited
                                                of benefits. The explanation must                       Activities; Submission for Office of                  programs to rare diseases, clarification
                                                include a clear statement of the                        Management and Budget Review;                         on available therapy, and additional
                                                enrollee’s liability for deductibles,                   Comment Request; Guidance for                         detail on possible flexibility in
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                                                coinsurance, copayment, and balance                     Industry on Expedited Programs for                    manufacturing and product quality. The
                                                billing. Plans must disclose the                        Serious Conditions—Drugs and                          guidance also clarifies the qualifying
                                                information specified in § 422.111(b), as               Biologics                                             criteria for breakthrough therapy
                                                specified in § 422.111(a)(3), at the time               AGENCY:    Food and Drug Administration,              designation and provides examples of
                                                of enrollment and at least annually                     HHS.                                                  surrogate endpoints and intermediate
                                                thereafter, 15 days before the annual                                                                         clinical endpoints used to support
                                                                                                        ACTION:   Notice.
                                                coordinated election period. Form                                                                             accelerated approval.


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Document Created: 2018-10-26 13:55:41
Document Modified: 2018-10-26 13:55:41
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 April 9, 2018.
ContactWilliam Parham at (410) 786-4669.
FR Citation83 FR 5427 

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