83 FR 55891 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 83, Issue 217 (November 8, 2018)
Centers for Medicare & Medicaid Services
Federal Register Volume 83, Issue 217 (November 8, 2018)
| Page Range | 55891-55892 | |
| FR Document | 2018-24478 |
[Federal Register Volume 83, Number 217 (Thursday, November 8, 2018)] [Notices] [Pages 55891-55892] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-24478] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier CMS-10565 and CMS-10325] Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Centers for Medicare & Medicaid Services, Department of Health and Human Services. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (the PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden. DATES: Comments must be received by January 7, 2019. 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 website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html. 2. Email your request, including your address, phone number, OMB number, and CMS document identifier, to [email protected]. 3. Call the Reports Clearance Office at (410) 786-1326. FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669. SUPPLEMENTARY INFORMATION: Contents This notice sets out a summary of the use and burden associated with the following information collections. More detailed information can be found in each collection's supporting statement and associated materials (see ADDRESSES). CMS-10565 Off-cycle Submission of Summaries of Model of Care Changes CMS-10325 Disclosure and Recordkeeping Requirements for Grandfathered Health Plans under the Affordable Care Act 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: Off-cycle Submissions of Summaries of Model of Care Changes; Use: The ACA, Section 3205(e), requires that all SNPs be approved by NCQA. This approval is based on NCQA's evaluation of SNPs' MOC narratives using MOC scoring guidelines. The NCQA and CMS will use information collected in the SNP Application HPMS module to review and approve MOC narratives in order for a Medicare Advantage Organization (MAO) to operate as a new SNP in the upcoming calendar year(s). This information is used by CMS as part of the Medicare Advantage SNP application process. The NCQA and CMS will use information collected in the Renewal Submission section of the HPMS MOC module to review and approve the MOC narrative in order for the SNP to receive a new approval period and operate in the upcoming calendar year(s). Results of the Initial and Renewal MOC review will be made publically available. NCQA and CMS will use information in [[Page 55892]] the Off-Cycle Submission section of the HPMS MOC module to review changes made to an approved MOCs by SNPs. It is the responsibility of SNPs to notify CMS of significant changes to their MOC in HPMS. NCQA will conduct a review for CMS to determine if the changes made to a MOC are consistent with the overall approved MOC before SNPs may implement the changes. The Bipartisan Budget Act (BBA) of 2018 Section 50311 modified the MOC requirements for C-SNPs in section 1859(b)(6)(B)(iii) of the Act. Specifically, section (B)(iv) requires that beginning in 2020 and subsequent years, C-SNPs will submit MOCs annually for evaluation and approval. SNPs are a specific type of Medicare Advantage coordinated care plan that provide targeted care to individuals with unique special needs. Form Number: CMS-10565 (OMB control number: 0938-1296); Frequency: Yearly; Affected Public: Private Sector (Business or other for-profits, Not-for-Profit Institutions); Number of Respondents: 354; Total Annual Responses: 354; Total Annual Hours: 1,856. (For policy questions regarding this collection contact Donna B. Williamson at 410- 786-4647.) 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Disclosure and Recordkeeping Requirements for Grandfathered Health Plans under the Affordable Care Act; Use: Section 1251 of the Affordable Care Act provides that certain plans and health insurance coverage in existence as of March 23, 2010, known as grandfathered health plans, are not required to comply with certain statutory provisions in the Act. The final regulations titled ``Final Rules under the Affordable Care Act for Grandfathered Plans, Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, Dependent Coverage, Appeals, and Patient Protections'' (80 FR 72192, November 18, 2015) require that, to maintain its status as a grandfathered health plan, a plan must maintain records documenting the terms of the plan in effect on March 23, 2010, and any other documents that are necessary to verify, explain or clarify status as a grandfathered health plan. The plan must make such records available for examination upon request by participants, beneficiaries, individual policy subscribers, or a state or federal agency official. A grandfathered health plan is also required to include a statement in any summary of benefits under the plan or health insurance coverage, that the plan or coverage believes it is a grandfathered health plan within the meaning of section 1251 of the Affordable Care Act, and providing contact information for participants to direct questions and complaints. In addition, a grandfathered group health plan that is changing health insurance issuers is required to provide the succeeding health insurance issuer (and the succeeding health insurance issuer must require) documentation of plan terms (including benefits, cost sharing, employer contributions, and annual limits) under the prior health insurance coverage sufficient to make a determination whether the standards of paragraph Sec. 147.140(g)(1) of the final regulations are exceeded. It is also required that, for an insured group health plan (or a multiemployer plan) that is a grandfathered plan, the relevant policies, certificates, or contracts of insurance, or plan documents must disclose in a prominent and effective manner that employers, employee organizations, or plan sponsors, as applicable, are required to notify the issuer (or multiemployer plan) if the contribution rate changes at any point during the plan year. Form Number: CMS-10325 (OMB control number: 0938- 1093); Frequency: On Occasion; Affected Public: State, Local or Tribal Governments; Private Sector; Number of Respondents: 20,973; Number of Responses: 3,831,484; Total Annual Hours: 114. (For policy questions regarding this collection, contact Usree Bandyopadhyay at 410-786- 6650.) Dated: November 5, 2018. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2018-24478 Filed 11-7-18; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 83, No. 217 / Thursday, November 8, 2018 / Notices 55891
Information Collection: Standards comment on CMS’ intention to collect Contents
Related to Reinsurance, Risk Corridors, information from the public. Under the This notice sets out a summary of the
and Risk Adjustment; Use: The data Paperwork Reduction Act of 1995 (the use and burden associated with the
collection and reporting requirements PRA), federal agencies are required to following information collections. More
will be used by HHS to run the publish notice in the Federal Register detailed information can be found in
permanent risk adjustment program, concerning each proposed collection of each collection’s supporting statement
including validation of data submitted information (including each proposed and associated materials (see
by issuers, on behalf of States that extension or reinstatement of an existing ADDRESSES).
requested HHS to run it for them. Risk collection of information) and to allow CMS–10565 Off-cycle Submission of
adjustment is one of 3 market stability 60 days for public comment on the Summaries of Model of Care Changes
programs established by the Patient proposed action. Interested persons are CMS–10325 Disclosure and
Protection and Affordable Care Act and invited to send comments regarding our Recordkeeping Requirements for
is intended to mitigate the impact of burden estimates or any other aspect of Grandfathered Health Plans under the
adverse selection in the individual and this collection of information, including Affordable Care Act
small group health insurance markets the necessity and utility of the proposed
inside and outside of the Health Under the PRA (44 U.S.C. 3501–
information collection for the proper
Insurance Exchanges. HHS will also use 3520), federal agencies must obtain
performance of the agency’s functions,
this data to adjust the payment transfer approval from the Office of Management
the accuracy of the estimated burden,
formula for risk associated with high- and Budget (OMB) for each collection of
ways to enhance the quality, utility, and
cost enrollees. State regulators can use information they conduct or sponsor.
clarity of the information to be
the reporting requirements outlined in The term ‘‘collection of information’’ is
collected, and the use of automated
this collection to request a reduction to defined in 44 U.S.C. 3502(3) and 5 CFR
collection techniques or other forms of
the statewide average premium factor of 1320.3(c) and includes agency requests
information technology to minimize the
the risk adjustment transfer formula, or requirements that members of the
information collection burden.
beginning for the 2019 benefit year, and public submit reports, keep records, or
DATES: Comments must be received by provide information to a third party.
thereby avoid having to establish their January 7, 2019.
own programs. Issuers and providers Section 3506(c)(2)(A) of the PRA
ADDRESSES: When commenting, please requires federal agencies to publish a
can use the alternative reporting
reference the document identifier or 60-day notice in the Federal Register
requirements for mental and behavioral
OMB control number. To be assured concerning each proposed collection of
health records described herein to
consideration, comments and information, including each proposed
comply with State privacy laws. Form
recommendations must be submitted in extension or reinstatement of an existing
Number: CMS–10401 (OMB control
any one of the following ways: collection of information, before
number: 0938–1155); Frequency: 1. Electronically. You may send your
Annually; Affected Public: State, Local, submitting the collection to OMB for
comments electronically to http:// approval. To comply with this
or Tribal Governments; Number of www.regulations.gov. Follow the
Respondents: 700; Total Annual requirement, CMS is publishing this
instructions for ‘‘Comment or notice.
Responses: 17,287; Total Annual Hours: Submission’’ or ‘‘More Search Options’’
5,770,621. (For policy questions to find the information collection Information Collection
regarding this collection contact Ernest document(s) that are accepting 1. Type of Information Collection
Ayukawa at 301–492–5213.) comments. Request: Revision of a currently
Dated: November 5, 2018. 2. By regular mail. You may mail approved collection; Title of
William N. Parham, III, written comments to the following Information Collection: Off-cycle
Director, Paperwork Reduction Staff, Office address: CMS, Office of Strategic Submissions of Summaries of Model of
of Strategic Operations and Regulatory Operations and Regulatory Affairs, Care Changes; Use: The ACA, Section
Affairs. Division of Regulations Development, 3205(e), requires that all SNPs be
[FR Doc. 2018–24479 Filed 11–7–18; 8:45 am] Attention: Document Identifier/OMB approved by NCQA. This approval is
BILLING CODE 4120–01–P Control Number lll, Room C4–26– based on NCQA’s evaluation of SNPs’
05, 7500 Security Boulevard, Baltimore, MOC narratives using MOC scoring
Maryland 21244–1850. guidelines. The NCQA and CMS will
DEPARTMENT OF HEALTH AND To obtain copies of a supporting use information collected in the SNP
HUMAN SERVICES statement and any related forms for the Application HPMS module to review
proposed collection(s) summarized in and approve MOC narratives in order
Centers for Medicare & Medicaid this notice, you may make your request for a Medicare Advantage Organization
Services using one of following: (MAO) to operate as a new SNP in the
[Document Identifier CMS–10565 and CMS– 1. Access CMS’ website address at upcoming calendar year(s). This
10325] website address at https://www.cms.gov/ information is used by CMS as part of
Regulations-and-Guidance/Legislation/ the Medicare Advantage SNP
Agency Information Collection PaperworkReductionActof1995/PRA- application process.
Activities: Proposed Collection; Listing.html. The NCQA and CMS will use
Comment Request 2. Email your request, including your information collected in the Renewal
address, phone number, OMB number, Submission section of the HPMS MOC
AGENCY: Centers for Medicare &
daltland on DSKBBV9HB2PROD with NOTICES
and CMS document identifier, to module to review and approve the MOC
Medicaid Services, Department of
Paperwork@cms.hhs.gov. narrative in order for the SNP to receive
Health and Human Services.
3. Call the Reports Clearance Office at a new approval period and operate in
ACTION: Notice. (410) 786–1326. the upcoming calendar year(s). Results
SUMMARY: The Centers for Medicare & FOR FURTHER INFORMATION CONTACT: of the Initial and Renewal MOC review
Medicaid Services (CMS) is announcing William Parham at (410) 786–4669. will be made publically available.
an opportunity for the public to SUPPLEMENTARY INFORMATION: NCQA and CMS will use information in
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![55892 Federal Register / Vol. 83, No. 217 / Thursday, November 8, 2018 / Notices
the Off-Cycle Submission section of the within the meaning of section 1251 of Trafficking of Children and Youth in the
HPMS MOC module to review changes the Affordable Care Act, and providing United States (Committee) will be held
made to an approved MOCs by SNPs. It contact information for participants to on December 10, 2018. The purpose of
is the responsibility of SNPs to notify direct questions and complaints. In the meeting is for the Committee to
CMS of significant changes to their addition, a grandfathered group health discuss its duties and information for a
MOC in HPMS. NCQA will conduct a plan that is changing health insurance draft outline on recommended best
review for CMS to determine if the issuers is required to provide the practices for States to follow in
changes made to a MOC are consistent succeeding health insurance issuer (and combating the sex trafficking of children
with the overall approved MOC before the succeeding health insurance issuer and youth based on multidisciplinary
SNPs may implement the changes. must require) documentation of plan research and promising, evidence-based
The Bipartisan Budget Act (BBA) of terms (including benefits, cost sharing, models and programs. The Committee
2018 Section 50311 modified the MOC employer contributions, and annual members will remain in Washington,
requirements for C–SNPs in section limits) under the prior health insurance DC, on December 11, 2018, to conduct
1859(b)(6)(B)(iii) of the Act. coverage sufficient to make a internal subcommittee meetings and a
Specifically, section (B)(iv) requires that determination whether the standards of fact-finding site visit.
beginning in 2020 and subsequent years, paragraph § 147.140(g)(1) of the final DATES: The meeting will be held on
C–SNPs will submit MOCs annually for regulations are exceeded. It is also Monday, December 10, 2018, from 9:30
evaluation and approval. SNPs are a required that, for an insured group a.m. to 5:00 p.m. ET.
specific type of Medicare Advantage health plan (or a multiemployer plan) ADDRESSES: The meeting will be held at
coordinated care plan that provide that is a grandfathered plan, the relevant 330 C Street SW, Washington, DC,
targeted care to individuals with unique policies, certificates, or contracts of 20201. Space is limited. Identification
special needs. Form Number: CMS– insurance, or plan documents must will be required at the entrance of the
10565 (OMB control number: 0938– disclose in a prominent and effective facility (e.g., passport, state ID, or
1296); Frequency: Yearly; Affected manner that employers, employee federal ID).
Public: Private Sector (Business or other organizations, or plan sponsors, as To attend the meeting virtually,
for-profits, Not-for-Profit Institutions); applicable, are required to notify the please register for this event online:
Number of Respondents: 354; Total issuer (or multiemployer plan) if the https://www.acf.hhs.gov/otip/resource/
Annual Responses: 354; Total Annual contribution rate changes at any point nacagenda1218.
Hours: 1,856. (For policy questions during the plan year. Form Number:
regarding this collection contact Donna FOR FURTHER INFORMATION CONTACT:
CMS–10325 (OMB control number: Katherine Chon, Director, Office on
B. Williamson at 410–786–4647.) 0938–1093); Frequency: On Occasion;
2. Type of Information Collection Trafficking in Persons, Designated
Affected Public: State, Local or Tribal Federal Officer (DFO) at
Request: Extension of a currently
Governments; Private Sector; Number of EndTrafficking@acf.hhs.gov or (202)
approved collection; Title of
Respondents: 20,973; Number of 205–4554 or 330 C Street SW,
Information Collection: Disclosure and
Responses: 3,831,484; Total Annual Washington, DC, 20201. Additional
Recordkeeping Requirements for
Hours: 114. (For policy questions information is available at https://
Grandfathered Health Plans under the
regarding this collection, contact Usree www.acf.hhs.gov/otip/partnerships/the-
Affordable Care Act; Use: Section 1251
Bandyopadhyay at 410–786–6650.) national-advisory-committee.
of the Affordable Care Act provides that
certain plans and health insurance Dated: November 5, 2018. SUPPLEMENTARY INFORMATION: The
coverage in existence as of March 23, William N. Parham, III, formation and operation of the NAC are
2010, known as grandfathered health Director, Paperwork Reduction Staff, Office governed by the provisions of Public
plans, are not required to comply with of Strategic Operations and Regulatory Law 92–463, as amended (5 U.S.C. App.
certain statutory provisions in the Act. Affairs. 2), which sets forth standards for the
The final regulations titled ‘‘Final Rules [FR Doc. 2018–24478 Filed 11–7–18; 8:45 am] formation and use of federal advisory
under the Affordable Care Act for BILLING CODE 4120–01–P committees.
Grandfathered Plans, Preexisting Purpose of the NAC: The purpose of
Condition Exclusions, Lifetime and the NAC is to advise the Secretary and
Annual Limits, Rescissions, Dependent DEPARTMENT OF HEALTH AND the Attorney General on practical and
Coverage, Appeals, and Patient HUMAN SERVICES general policies concerning
Protections’’ (80 FR 72192, November improvements to the nation’s response
18, 2015) require that, to maintain its Administration for Children and to the sex trafficking of children and
status as a grandfathered health plan, a Families youth in the United States. The NAC is
plan must maintain records established pursuant to Section 121 of
documenting the terms of the plan in Office on Trafficking in Persons;
the Preventing Sex Trafficking and
effect on March 23, 2010, and any other Notice of Meeting
Strengthening Families Act of 2014
documents that are necessary to verify, AGENCY: Administration for Children (Pub. L. 113–183).
explain or clarify status as a and Families (ACF), Department of Tentative Agenda: The agenda can be
grandfathered health plan. The plan Health and Human Services. found at https://www.acf.hhs.gov/otip/
must make such records available for ACTION: Announcement of meeting and resource/nacagenda1218.
examination upon request by call for best practices. To submit written statements or RSVP
participants, beneficiaries, individual to attend in-person or make verbal
daltland on DSKBBV9HB2PROD with NOTICES
policy subscribers, or a state or federal SUMMARY: Notice is hereby given, statements, email Ava.Donald@
agency official. A grandfathered health pursuant to the provisions of the acf.hhs.gov by November 19, 2018.
plan is also required to include a Federal Advisory Committee Act Please include your name, organization,
statement in any summary of benefits (FACA) and the Preventing Sex and phone number. More details on
under the plan or health insurance Trafficking and Strengthening Families these options are below.
coverage, that the plan or coverage Act, that a meeting of the National Public Accessibility to the Meeting:
believes it is a grandfathered health plan Advisory Committee (NAC) on the Sex Pursuant to 5 U.S.C. 552(b) and 41 CFR
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Document Created: 2018-11-08 06:22:53
Document Modified: 2018-11-08 06:22:53
| 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 January 7, 2019. | |
| Contact | William Parham at (410) 786-4669. | |
| FR Citation | 83 FR 55891 |
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