[Federal Register: September 12, 2008 (Volume 73, Number 178)]
[Notices]
[Page 53026-53027]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr12se08-64]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10270, CMS-10136, CMS-10268, and CMS-855(A,
B, I, R)]
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: New collection; Title of
Information Collection: Evaluation of the Home Health Pay for
Performance Demonstration: Survey instrument; Use: The Home Health Pay
for Performance Demonstration is part of a change by CMS toward
performance-based purchasing for a variety of provider types. By
providing financial incentives for achieving high levels of performance
on standardized quality measures, CMS hopes to encourage health care
providers to improve the quality of care provided to Medicare
beneficiaries. The Home Health Pay for Performance Demonstration
(HHP4PD) relies on the voluntary participation by home health agencies
within several States, with random assignment of participating agencies
to treatment or control groups within each State, where the control
group will not be eligible for incentive payments. These two groups
form the primary comparison for determining if the HHP4PD was effective
in creating improved, targeted outcomes for patients served by home
health agencies. The information collected will be used as part of the
evaluation of the Home Health Pay for Performance Demonstration
sponsored by CMS. Form Number: CMS-10270 (OMB 0938--New);
Frequency: Once; Affected Public: Business or other for-profits and
not-for-profit institutions; Number of Respondents: 570; Total Annual
Responses: 570; Total Annual Hours: 285.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare
Demonstration Ambulatory Care Quality Measure Performance Assessment
Tool (``PAT''); Use: CMS is requesting an extension of the currently
approved tool for the collection of ambulatory care clinical
performance measure data. The data will be used to continue
implementation of two Congressionally mandated demonstration projects
(the Physician Group Practice (PGP) Demonstration and the Medicare Care
Management Performance (MCMP) Demonstration) and, starting in 2011,
support data collection under the new Electronic Health Records (EHR)
Demonstration. Each of these demonstrations, test new payment methods
for improving the quality and efficiency of health care services
delivered to Medicare fee-for-service beneficiaries, especially those
with chronic conditions that account for a disproportionate share of
Medicare expenditures. In addition, the MCMP and EHR demonstration
specifically encourage the adoption of electronic health records
systems as a vehicle for improving how health care is delivered.
The changes in the estimated burden between this submission and the
original submission are due to the following changes: Combining the
Information Collection Request (ICR) application for the PGP and MCMP
demonstrations into a single ICR application. Reduction in the number
of practices participating in the MCMP Demonstration. An increase in
the estimated cost per hour (salary + fringe) for collecting the data.
The implementation of the new EHR Demonstration which will begin
collecting clinical quality data starting in 2011 with 400 Phase I
practices. Form Number: CMS-10136 (OMB 0938-0941); Frequency:
Yearly; Affected Public: Business or other for-profits and not-for-
profit institutions; Number of Respondents: 1,060; Total Annual
Responses: 1,060; Total Annual Hours: 25,990.
3. Type of Information Collection Request: New collection; Title of
Information Collection: Consolidated Renal Operations in a Web Enabled
Network (CROWNWeb) Third-party Submission Authorization Form; Use: The
Consolidated Renal Operations in a Web Enabled Network (CROWNWeb)
Third-Party Submission Authorization form is to be completed by
``Facility Administrators'' (administrators of CMS-certified dialysis
facilities) if they intend to authorize a third party (a business with
which the facility is associated, or an independent vendor) to submit
data to CMS to comply with the recently-revised Conditions for Coverage
of dialysis facilities. The CROWNWeb system is the system used as the
collection point of data necessary for entitlement of ESRD patients to
Medicare benefits and for Federal Government monitoring and assessing
of the quality and types of care provided to renal patients. The
information collected through the CWTPSA form will allow CMS and its
contractors to receive data from authorized parties acting on behalf of
CMS-certified dialysis facilities. CMS anticipates that roughly 3,000
signed forms will be received by February 2009, and that the total
number of forms may reach 5,100 by February 2012. Form Number: CMS-
10266 (OMB 0938--New); Frequency: Monthly; Affected Public:
Business or other for-profits and not-for-profit institutions; Number
of Respondents: 5,100; Total Annual Responses: 5,100; Total Annual
Hours: 425.
4. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare
Enrollment Application; Form Number: CMS-855 (A, B, I, R)
(OMB: 0938-0685); Use: The primary function of the Medicare
enrollment application is to gather information from a provider or
supplier that tells us who it is, whether it meets certain
qualifications to be a health care provider or supplier, where it
practices or renders its services, the identity of the owners of the
enrolling entity, and information necessary to establish correct claims
payments. We are revising this currently approved information
collection. The goal of the revisions to this information collection
request (ICR) is to adjust the burden associated with this ICR to
account for the removal of the CMS-855(S) application. Frequency:
Recordkeeping
[[Page 53027]]
and Reporting--On occasion; Affected Public: Business or other for-
profit and not-for-profit institutions; Number of Respondents: 400,000;
Total Annual Responses: 400,000; Total Annual Hours: 785,702.
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.
To be assured consideration, comments and recommendations for the
proposed information collections must be received by the OMB desk
officer at the address below, no later than 5 p.m. on October 14, 2008.
OMB Human Resources and Housing Branch, Attention: OMB Desk Officer,
New Executive Office Building, Room 10235, Washington, DC 20503, Fax
Number: (202) 395-6974.
Dated: September 5, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-21157 Filed 9-10-08; 8:45 am]
BILLING CODE 4120-01-P