[Federal Register: December 2, 2005 (Volume 70, Number 231)]
[Notices]
[Page 72303-72304]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr02de05-41]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10001, CMS-10009, CMS-10167, and CMS-10062]
Agency Information Collection Activities: Proposed Collection;
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) 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: HIPAA
Nondiscrimination Provisions (Regulation HCFA 2022-IFC); Form
[[Page 72304]]
Number: CMS-10001 (OMB: 0938-827); Use: The provisions of
Title I of the Health Insurance Portability and Accountability Act of
1996 (HIPAA) are designed to make it easier for people to access health
care coverage; to reduce the limitations that can be put on the
coverage; and to make it more difficult for issuers to terminate the
coverage. Title I provisions are divided into group and individual
market protections. The group provisions apply to employment-related
group health plans and to the issuers who sell insurance in connection
with group health plans. Section 2702 of the Public Health Service Act
(PHS Act) (the HIPAA nondiscrimination provisions) establish rules
generally prohibiting group health plans and group health insurance
issuers from discriminating against individual participants or
beneficiaries based on any health factor of such participants or
beneficiaries.; Frequency: Third party disclosure, Reporting--Annually;
Affected Public: Business or other-for-profit, Individuals or
Households, Not-for-profit institutions, Federal government, and State,
Local, or Tribal Government; Number of Respondents: 18; Total Annual
Responses: 18; Total Annual Hours: 194.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: HIPAA
Nondiscrimination Provisions (Regulation HCFA 2078-P); Form Number:
CMS-10009 (OMB: 0938-819); Use: The provisions of Title I of
the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
are designed to make it easier for people to access health care
coverage, to reduce the limitations that can be put on the coverage,
and to make it more difficult for issuers to terminate the coverage.
Title I provisions are divided into group and individual market
protections. The group provisions apply to employment-related group
health plans and to the issuers who sell insurance in connection with
group health plans. Section 2702 of the Public Health Service Act (PHS
Act--the HIPAA nondiscrimination provisions) establish rules generally
prohibiting group health plans and group health insurance issuers from
discriminating against individual participants or beneficiaries based
on any health factor of such participants or beneficiaries.; Frequency:
Third party disclosure, Reporting--Annually; Affected Public: Business
or other-for-profit, Individuals or Households, Not-for-profit
institutions, Federal government, and State, Local, or Tribal
Government; Number of Respondents: 2600; Total Annual Responses: 2600;
Total Annual Hours: 100.
3. Type of Information Collection Request: New collection; Title of
Information Collection: Competitive Acquisition Program (CAP) for
Medicare Part B Drugs: CAP Physician Election Agreement; Form Number:
CMS-10167 (OMB: 0938-NEW); Use: Beginning in 2006, physicians
will have a choice between acquiring and billing for Part B covered
drugs under the Average Sales Price (ASP) drug payment methodology or
electing to receive these drugs from vendors/suppliers selected for the
CAP through a competitive bidding process. The provisions for this new
payment system are described in the proposed rule entitled, ``Medicare
Program; Competitive Acquisition of Outpatient Drugs and Biologicals
Under Part B,'' that published March 4, 2005 (70 FR 10746), the interim
final rule entitled, ``Medicare Program; Competitive Acquisition of
Outpatient Drugs and Biologicals Under Part B,'' that published July 6,
2005 (70 FR 39022), and the final rule entitled, ``Revisions to Payment
Policies Under the Physician Fee Schedule for Calendar Year 2006,''
that published on November 21, 2005. Competitive bidding is seen as a
means of using the dynamics of the marketplace to provide incentives
for suppliers to provide reasonably priced products and services of
high quality in an efficient manner. The CAP's objectives include the
following: 1) to provide an alternative method for physicians to obtain
Part B drugs to administer to Medicare beneficiaries; and 2) to reduce
drug acquisition and billing burdens for physicians; Frequency:
Reporting--Annually; Affected Public: Business or other-for-profit;
Number of Respondents: 10,000; Total Annual Responses: 10,000; Total
Annual Hours: 20,000.
4. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Collection of
Diagnostic Data from Medicare Advantage Organizations for Risk Adjusted
Payments Supporting Regulations 42 CFR Part 422 Subparts F and G and 42
CFR Part 423 Subparts F and G; Form Number: CMS-10062 (OMB:
0938-0878); Use: Under the Medicare Prescription Drug Benefit,
Improvement and Modernization Act of 2003 (MMA), the Congress
restructured the M+C program into the Medicare Advantage (MA) program,
Part C, and added an outpatient prescription drug benefit, Part D. In
accordance with mandates in these laws, the Secretary of the Department
of Health and Human Services must implement health status risk
adjustment, a payment methodology for Parts C and D that takes into
account the health status of plan enrollees. CMS collects inpatient and
outpatient data. Part C data is collected using the CMS-HCC
(hierarchical condition category) model. Part D data will be collected
using the CMS Rx-HCC model. The Rx-HCC model is different from the CMS-
HCC model primarily in that it predicts plan liability for drug costs
instead of medical/surgical costs for service under Parts A and B. CMS
will use the data to make risk adjusted payment under Parts C and D. MA
plans, Medicare Advantage Prescription Drug (MA-PD) plans, and stand-
alone Prescription Drug Plans (PDP's) will use the data to develop
their Parts C and D bids.; Frequency: Reporting--Quarterly; Affected
Public: Business or other-for-profit and Not-for-profit institutions;
Number of Respondents: 505; Total Annual Responses: 14,091,370; Total
Annual Hours: 8,351.
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 January 31, 2006.
CMS, Office of Strategic Operations and Regulatory Affairs, Division of
Regulations Development--B, Attention: William N. Parham, III, Room C4-
26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: November 17, 2005.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 05-23414 Filed 12-01-05; 8:45 am]
BILLING CODE 4120-01-P