[Federal Register Volume 69, Number 171 (Friday, September 3, 2004)]
[Notices]
[Pages 53924-53925]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-20242]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifier: CMS-10115]
Emergency Clearance: Public Information Collection Requirements
Submitted to the Office of Management and Budget (OMB)
AGENCY: Center for Medicare and Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare and Medicaid
Services (CMS), Department of Health and Human Services, submitted the
following collection for emergency review and approval.
We requested an emergency review because the collection of this
information is needed before the expiration of the normal time limits
under OMB's regulations at 5 CFR part 1320. This is necessary to ensure
compliance with provisions of section 1011 of the Medicare Prescription
Drug, Improvement, and Modernization Act of 2003 (MMA). We cannot
reasonably comply with the normal clearance procedures because of the
statutory implementation date of September 1, 2004.
OMB evaluated the collection for 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.
OMB approved the collection emergency review of the information
collection referenced below on August 31, 2004. OMB approved CMS's
request of this collection for a 180-day approval period.
Note: CMS will issue its payment methodology shortly.
Background
Section 1011 provides $250 million per year for fiscal years (FY)
2005-2008 for payments to eligible providers for emergency health
services provided to undocumented aliens and other specified aliens.
Two-thirds of the funds will be divided among all 50 States and the
District of Columbia based on their relative percentages of
undocumented aliens. One-third will be divided among the six States
with the largest number of undocumented alien apprehensions.
From the respective State allotments, payments will be made
directly to hospitals, certain physicians, and ambulance providers for
some or all of the costs of providing emergency health care required
under section 1867 and related hospital inpatient, outpatient and
ambulance services to eligible individuals. Eligible providers may
include an Indian Health Service facility whether operated by the
Indian Health Service or by an Indian tribe or tribal organization. A
Medicare critical access hospital (CAH) is also a hospital under the
statutory definition. Payments under section 1011 may only be made to
the extent that care was not otherwise reimbursed (through insurance or
otherwise) for such services during that fiscal year.
Payments may be made for services furnished to certain individuals
described in the statute as: (1) Undocumented aliens; (2) aliens who
have been paroled into the United States at a port of entry for the
purpose of receiving eligible services; and (3)
[[Page 53925]]
Mexican citizens permitted to enter the United States for not more than
72 hours under the authority of a biometric machine readable border
crossing identification card (also referred to as a ``laser visa'')
issued in accordance with the requirements of regulations prescribed
under a specific section of the Immigration and Nationality Act.
Type of Information Collection Request: New collection; Title of
Information Collection: Federal Funding of Emergency Health Services
(Section 1011): Enrollment Application; Use: This enrollment
application will: identify a provider's potential interest in seeking
payment under section 1011, but does not require the hospital to seek
that payment; will allow hospitals to make a payment election, as
required by section 1011(c)(3)(C); allow CMS to obtain necessary
financial information to effectuate payments and issue the appropriate
tax information; establish the State of service for each provider;
allow CMS to verify that the hospital, physician or provider of
ambulance services is currently enrolled as a Medicare provider;
require hospitals to notify physicians of its election under (c)(3)(C)
of section 1011; require hospitals electing hospital and physician
payments to provide reimbursement to physicians in a prompt manner;
prohibit hospitals electing to receive both hospital and physician
payments from charging an administrative or other fee to physicians for
the purpose of transferring reimbursement to physicians (see section
1011(c)(3)(D)); establishes the provider's obligation to repay any
assessed overpayment within 30 days of notification by CMS; and,
informs a provider that applicable Federal laws apply to submission of
false claims.
Form Number: CMS-10115 (OMB: 0938--New); Frequency: Other:
as needed; Affected Public: Business or other for-profit, Not-for-
profit institutions, and State, local or tribal govt.; Number of
Respondents: 62,500; Total Annual Responses: 62,500; Total Annual
Hours: 31,250.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS's
Web site address at http://www.cms.hhs.gov/regulations/pra/, or e-mail
your request, including your address, phone number, OMB number, and CMS
document identifier, to [email protected], or call the Reports
Clearance Office on (410) 786-1326.
Dated: August 31, 2004.
John P. Burke, III,
Reports Clearance Officer, Office of Strategic Operations and Strategic
Affairs, Division of Regulations Development and Issuances.
[FR Doc. 04-20242 Filed 9-1-04; 1:58 pm]
BILLING CODE 4120-03-P