[Federal Register: September 22, 2006 (Volume 71, Number 184)]
[Notices]
[Page 55478-55479]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr22se06-99]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10182, CMS-10194, CMS-R-136 and CMS-10185]
Agency Information Collection Activities: Submission for OMB
Review; 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), 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: Revision of a currently
approved collection; Title of Information Collection: Model Creditable
Coverage Disclosure Notices; Use: Section 1860D--1 of the MMA requires
entities that offer prescription drug benefits under any of the types
of coverage described in 42 CFR 423.56(b) to provide a disclosure of
creditable coverage status to all Medicare Part D eligible individuals
covered under the entity's plan. These disclosure notices must be
provided to Part D eligible individuals, at a minimum, at the following
times: (1) Prior to an individual's initial enrollment period for Part
D, (2) prior to the effective date of enrollment in the entity's
coverage, and upon any change in creditable status; (3) prior to the
commencement of the Part D Annual Coordinated Election Period (ACEP)
which begins on November 15 of each year, and (4) upon request by the
individual. Disclosure of whether prescription drug coverage is
creditable provides Medicare eligible individuals with important
information relating to their Medicare Part D enrollment. Form Number:
CMS-10182 (OMB: 0938-0990); Frequency:
[[Page 55479]]
Reporting: Yearly and Semi-annually Affected Public: Business or other
for-profit, Not-for-profit institutions and Federal, State, local or
tribal government; Number of Respondents: 450,160; Total Annual
Responses: 1,225,173; Total Annual Hours: 522,204.
2. Type of Information Collection Request: New collection; Title of
Information Collection: Mail Survey of Medicare Advantage Special Needs
Plans (SNPs)/Focus Groups with Enrollees of Medicare Advantage SNPs;
Use: CMS is conducting an evaluation of Medicare Advantage Special
Needs Plans (SNPs), which includes developing profiles of all SNPs that
describe the structure and operation of these plans. A one-time short
mail questionnaire will gather information about SNPs that is not
available from other sources, such as reason for becoming a SNP, and
information on care coordination. One-time 90-minute focus groups
conducted during site visits to 15 SNPs will provide information on
beneficiary experiences in SNPs, including decision to enroll and use
of special services. Form Number: CMS-10194 (OMB: 0938-NEW);
Frequency: Reporting--One-time; Affected Public: Business or other for-
profit, Not-for-profit institutions; Number of Respondents: 350; Total
Annual Responses: 350; Total Annual Hours: 395.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Proper Claim Not
Filed and Supporting Regulation in 42 CFR 411.32(c); Use: Section
411.32(c) requires physicians, providers, other suppliers, and
beneficiaries, in case where they failed to submit a proper claim with
a third party payer to report these situations on the current Medicare
forms. The primary payer will notify the physician, provider, other
supplier, or beneficiary of the amount normally payable, the amount of
the reduction payable because the claim was not filed properly, and the
amount the physician, provider, other supplier, or beneficiary is being
paid under the ``primary plan'' due to the reduction. The information
is transmitted on an explanation of benefits or remittance advice
determination that third party payers provide to all covered
individuals and physicians, providers and other suppliers as part of an
industry practice. The information contained in this explanation,
whether or not it concerns improperly filed claims, is submitted to
Medicare as part of the claims process. Form Number: CMS-R-136
(OMB: 0938-0564); Frequency: Reporting--On occasion; Affected
Public: Business or other for-profit, Not-for-profit institutions, and
Individuals or Households; Number of Respondents: 1,129,000; Total
Annual Responses: 1,129,000; Total Annual Hours: 1.
4. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare Part D
Reporting Requirements and Supporting Regulations under 42 CFR 423.505;
Use: Data collected via Medicare Part D Reporting Requirements will be
an integral resource for oversight, monitoring, compliance and auditing
activities necessary to ensure quality provision of the Medicare
Prescription Drug Benefit to beneficiaries. Data will be validated,
analyzed, and utilized for trend reporting by CMS. If outliers or other
data anomalies are detected, CMS will work in collaboration with other
CMS divisions for follow-up and resolution. Form Number: CMS-10185
(OMB: 0938-0992); Frequency: Reporting: Quarterly and Semi-
annually; Affected Public: Business or other for-profit; Number of
Respondents: 3,203; Total Annual Responses: 179,368; Total Annual
Hours: 122,902.
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/PaperworkReductionActof1995, 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 must be mailed or faxed within 30 days of this notice
directly to the OMB desk officer: OMB Human Resources and Housing
Branch, Attention: Carolyn Lovett, New Executive Office Building, Room
10235, Washington, DC 20503, Fax Number: (202) 395-6974.
Dated: September 15, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 06-8072 Filed 9-21-06; 8:45 am]
BILLING CODE 4120-01-P