[Federal Register: July 22, 2005 (Volume 70, Number 140)]
[Notices]
[Page 42326]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr22jy05-53]
[[Page 42326]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10060, CMS-37, and CMS-10117, 10118, 10119,
10135, 10136]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS), Department of Health and Human Services, is publishing
the following summary of proposed collections for public comment.
Interested persons are invited to send comments regarding this burden
estimate or any other aspect of this collection of information,
including any of the following subjects: (1) The necessity and utility
of the proposed information collection for the proper performance of
the Agency's function; (2) the accuracy of the estimated burden; (3)
ways to enhance the quality, utility, and clarity of the information to
be collected; and (4) the use of automated collection techniques or
other forms of information technology to minimize the information
collection burden.
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Quality
Assessment and Performance Improvement (QAPI) Project Completion Report
and Supporting Regulations in 42 CFR 422.152; Use: This project
completion report derives from the Quality Improvement System for
Managed Care (QISMC) Standards and Guidelines as required by the
Balanced Budget Act of 1997 (as amended by Balanced Budget Refinement
Act of 1999) and the related regulations, 42 CFR 422.152. These
regulations established QISMC as a requirement for Medicare Advantage
Organizations (MAOs) by requiring improved health outcomes for enrolled
beneficiaries. The provisions of QISMC specify that MAOs will implement
and evaluate quality improvement projects. The form submitted herein
will permit MAOs to report their completed projects to CMS in a
standardized fashion for evaluation by CMS of the MAO's compliance with
regulatory provisions. This form will improve consistency and
reliability in the CMS evaluation process, as well as provide a
standardized structure for public use and review; Form Number: CMS-
10060 (OMB No.: 0938-0873); Frequency: Annually; Affected Public:
Business or other for-profit and Not-for-profit institutions; Number of
Respondents: 155; Total Annual Responses: 155; Total Annual Hours: 620.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicaid Program
Budget Report; Form Nos.: CMS-37 (OMB No. 0938-0101); Use: The Medicaid
Program Budget Report is prepared by the State Medicaid Agencies and is
used by the Centers for Medicare & Medicaid Services (CMS) for (1)
developing National Medicaid Budget estimates, (2) qualification of
Budget Estimate Changes, and (3) the issuance of quarterly Medicaid
Grant Awards. The structure of the currently approved CMS-37 was
revised based on CMS experience with budget information provided by the
States. (Note: Details are outlined in the Addendum which can be found
on the CMS Web site address below.) Frequency: Quarterly; Affected
Public: State, local or tribal government; Number of Respondents: 56;
Total Annual Responses: 224; Total Annual Hours: 7,616.
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare
Advantage Application for Coordinated Care, Private Fee-for-Service,
Regional Preferred Provider Organization, Service Area Expansion for
Coordinated Care and Private Fee-for-Service Plans, Medical Savings
Account Plans; Form Nos.: CMS-10117, 10118, 10119, 10135, 10136 (OMB
No. 0938-0935); Use: Health plans must meet certain regulatory
requirements to enter into a contract with CMS to provide health
benefits to Medicare beneficiaries. These applications are the
collection forms to obtain the information from a health plan that will
allow CMS staff to determine compliance with the regulations;
Frequency: Other--one-time submission; Affected Public: Business or
other for-profit, Not-for-profit institutions, and State, local or
tribal government; Number of Respondents: 370; Total Annual Responses:
520; Total Annual Hours: 20,100.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS 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 Paperwork@cms.hhs.gov, or call the Reports
Clearance Office on (410) 786-1326.
Written comments and recommendations for the proposed information
collections will be considered if they are mailed within 30 days of
this notice directly to the OMB desk officer:
OMB Human Resources and Housing Branch, Attention: Christopher Martin,
New Executive Office Building, Room 10235, Washington, DC 20503.
Dated: July 15, 2005.
Michelle Shortt,
Acting Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 05-14474 Filed 7-21-05; 8:45 am]
BILLING CODE 4120-01-P