[Federal Register: October 14, 2005 (Volume 70, Number 198)]
[Notices]
[Page 60092-60093]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr14oc05-49]
[[Page 60092]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-193, CMS-10079, CMS-2567, CMS-10149, CMS-
10165]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & 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 & Medicaid
Services (CMS) 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 functions; (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: Important Message
from Medicare Title XVII Section 1866(a)(1)(M), 42 CFR Sections 466.78,
489,20, and 489.27; Form Number: CMS-R-193 (OMB: 0938-0692);
Use: Hospitals participating in the Medicare program are required to
distribute the ``Important Message From Medicare'' to all Medicare
beneficiaries (including those enrolled in a Medicare managed care
health plan). Hospitals must distribute this notice at or about the
same time of a Medicare beneficiary's admission or during the course of
his or her hospital stay. Receiving this information will provide all
Medicare beneficiaries with some ability to participate and/or initiate
discussions concerning actions that may affect their Medicare coverage,
payment, and appeal rights in response to a hospital's or Medicare
managed care plan's notification that their care will no longer
continue; Frequency: Recordkeeping and Reporting--Other: Distribution;
Affected Public: Individuals or Households, Business or other for-
profit, Not-for-profit institutions, Federal, State, Local or Tribal
Government; Number of Respondents: 6,051; Total Annual Responses:
12,500,000; Total Annual Hours: 208,333.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Hospital Wage
Index--Occupational Mix Survey and Supporting Regulations in 42 CFR
412.230, 412.304, and 413.65; Form Number: CMS-10079 (OMB:
0938-0907); Use: Section 304 of the Medicare, Medicaid, and State
Children's Health Insurance Program (SCHIP) Benefits Improvement and
Protection Act of 2000 requires CMS to collect wage data on hospital
employees by occupational category, at least once every 3 years in
order to construct an occupational mix adjustment to the wage index.
CMS first collected occupational mix survey data in 2003 for the FY
2005 wage index. In response to industry comments suggesting ways to
improve the occupational mix survey, CMS has revised the survey for the
next data collection period, 2006, to be used in calculating the FY
2008 wage index. The purpose of the occupational mix adjustment is to
control for the effect of hospitals' employment choices on the wage
index. For example, hospitals may choose to employ different
combinations of registered nurses, licensed practical nurses, nursing
aides, and medical assistants for the purpose of providing nursing care
to their patients. The varying labor costs associated with these
choices reflect hospital management decisions rather than geographic
differences in the costs of labor. Each of the approximately 3,800
acute care hospital inpatient prospective payment system (IPPS)
providers participating in the Medicare program will be required to
complete the 2006 Medicare Wage Index Occupational Mix Survey. The
initial survey will be forwarded via e-mail to all of CMS's fiscal
intermediaries; Frequency: Reporting--Other, Triennially; Affected
Public: Business or other for-profit and Not-for-profit institutions;
Number of Respondents: 3,800; Total Annual Responses: 3,800; Total
Annual Hours: 608,000.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Statement of
Deficiencies and Plan of Correction contained under 42 CFR 488.18,
488.26, and 488.28; Form Number: CMS-2567 (OMB: 0938-0391);
Use: Section 1864(a) of the Social Security Act requires that the
Secretary use State survey agencies to conduct surveys. The surveys are
used to determine if health care facilities meet Medicare, Medicaid,
and Clinical Laboratory Improvement Amendments (CLIA) participation
requirements. The Statement of Deficiencies and Plan of Correction
form, is used to record each deficiency discovered during an
inspection. Providers, suppliers and CLIA laboratories also utilize
this form to outline a corrective action plan for each deficiency. The
States and CMS regional offices use this form to document and certify
compliance, and to disclose information to the public; Frequency:
Recordkeeping, Third party disclosure and Reporting--Annually and
Biennially; Affected Public: Business or other for-profit, Not-for-
profit institutions, Federal, State, Local or Tribal Government; Number
of Respondents: 60,000; Total Annual Responses: 60,000; Total Annual
Hours: 120,000.
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Health Insurance
Reform: Security Standards Final Rule; Form Number: CMS-10149
(OMB: 0938-0949); Use: The Department of Health and Human
Services (HHS) Medicare Program, other Federal agencies operating
health plans or providing health care, State Medicaid agencies, private
health plans, health care providers, and health care clearinghouses
must assure their customers (for example, patients, insured
individuals, providers, and health plans) that the integrity,
confidentiality, and availability of the protected electronic health
information they collect, maintain, use, or transmit is protected. The
confidentiality of health information is threatened not only by the
risk of improper access to stored information, but also by the risk of
interception during electronic transmission of the information. The use
of the security standards will improve the Medicare and Medicaid
programs, other Federal health programs, and private health programs;
in addition, it will improve the effectiveness and efficiency of the
health care industry in general by establishing a level of protection
for certain electronic health information; Frequency: Recordkeeping and
Reporting--On occasion; Affected Public: Business or other for-profit,
Not-for-profit institutions, Federal Government, and State, Local or
Tribal Government; Number of Respondents: 4,000,000; Total Annual
Responses: 4,000,000; Total Annual Hours: 64,539,263.
5. Type of Information Collection Request: Extension of a currently
approved collection; Title of
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Information Collection: Application for Participation in the Medicare
Care Management Performance Demonstration; Form Number: CMS-10165
(OMB: 0938-0965); Use: The Medicare Care Management
Performance (MCMP) Demonstration and its corresponding Report to
Congress are mandated by the section 649 of the Medicare Prescription
Drug, Improvement, and Modernization Act of 2003 (MMA). Section 649 of
the MMA provides for the implementation of a ``pay for performance''
demonstration under which Medicare would pay incentive payments to
physicians who (1) adopt and use health information technology; and (2)
meet established standards on clinical performance measures. This
demonstration will be held in four states, Arkansas, California,
Massachusetts, and Utah. Providers that are enrolled in the Doctors'
Office Quality--Information Technology (DOQ-IT) project are eligible to
participate in the demonstration. To enroll in the MCMP Demonstration,
a physician/provider must submit an application form. The information
collected will be used to assess eligibility for the demonstration;
Frequency: Reporting--One-time only; Affected Public: Business or other
for-profit; Number of Respondents: 800; Total Annual Responses: 800;
Total Annual Hours: 133.
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.
To be assured consideration, comments and recommendations for the
proposed information collections must be received at the address below,
no later than 5 p.m. on December 13, 2005. CMS, Office of Strategic
Operations and Regulatory Affairs, Division of Regulations Development,
Attention: Melissa Musotto, Room C4-26-05, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
Dated: October 6, 2005.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 05-20517 Filed 10-13-05; 8:45 am]
BILLING CODE 4120-01-P