[Federal Register: November 14, 2008 (Volume 73, Number 221)]
[Notices]
[Page 67518-67519]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr14no08-91]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-74, CMS-R-107, CMS-2786U, CMS-R-285 and
CMS-R-245]
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: Income and
Eligibility Verification System; Use: This collection is necessary to
verify income and eligibility requirements for Medicaid beneficiaries,
as required by Section 1137 of the Social Security Act. Form Number:
CMS-R-74 (OMB
[[Page 67519]]
0938-0467); Frequency: Monthly; Affected Public: State, Local or Tribal
Governments; Number of Respondents: 54; Total Annual Responses: 54;
Total Annual Hours: 124,054.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicaid-
Determining Third Party Liability (TPL) State Plan Preprint and
Supporting Regulations in 42 CFR 433.138; Use: The information
collected from Medicaid applicants and beneficiaries as well as from
State and local agencies is necessary to determine the legal liability
of third parties to pay for medical services in lieu of Medicaid
payment. Form Number: CMS-R-107 (OMB 0938-0502); Frequency: On
occasion; Affected Public: Individuals or households and State, Local
or Tribal Government; Number of Respondents: 2,900,000; Total Annual
Responses: 2,900,000; Total Annual Hours: 510,968.
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Fire Safety
Survey Reports; Use: The Life Safety Code (LSC) is a compilation of
fire safety requirements for new and existing buildings and is updated
and published every 3 years by the National Fire Protection Association
(NFPA), a private, non-profit organization dedicated to reducing loss
of life due to fire. The Medicare regulations have historically
incorporated by reference these requirements along with Secretarial
waiver authority. The statutory basis for incorporating NFPA's LSC for
our providers is under the Secretary's general rulemaking authority at
Sections 1102 and 1871 of the Social Security Act. These forms are used
by the State Agencies to record data collected to determine compliance
with standards specified in 416.44(b) for ambulatory surgical centers
(ASCs), and 494.60(e) for End-Stage Renal Disease (ESRD) facilities.
The Medicare Health Insurance Program is authorized by Title XVIII of
the Social Security Act. The CMS-2786U form is being revised to include
ESRD information. Form Number: 2786U (OMB 0938-0242);
Frequency: Weekly; Affected Public: Individuals or households and
State, Local or Tribal Government; Number of Respondents: 54; Total
Annual Responses: 2442; Total Annual Hours: 4884.
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Request For
Retirement Benefit Information; Use: Section 1818 of the Social
Security Act provides that former State and local government employees
who are age 65 or older, that have been entitled to Premium Part A for
at least 7 years, and did not have the premium paid for by a State or a
political subdivision of a State, may have the Part A premium reduced
to zero. This collection will assist in determining whether individuals
currently paying a monthly premium for Medicare Part A coverage are
eligible to have their premium reduced to zero. Form Number: CMS-R-285
(OMB 0938-0769); Frequency: Monthly; Affected Public: State,
Local or Tribal Governments; Number of Respondents: 1,500; Total Annual
Responses: 1,500; Total Annual Hours: 375.
5. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare and
Medicaid Programs OASIS Collection Requirements as Part of the CoPs for
HHAs and Supporting Regulations in 42 CFR, Sections 484.55, 484.205,
484.245, 484.250; Use: The Centers for Medicare and Medicaid Services
is requesting OMB approval to modify the Outcome and Assessment
Information Set (OASIS) data set that home health agencies (HHAs) are
required to collect in order to participate in the Medicare program.
Proposed revisions to the OASIS data set include: (1) Issues raised by
stakeholders, including removing items that are not currently used by
CMS for payment or quality, adding items to address clinical domains
not currently covered, and modifying item wording or response
categories for selected items; and (2) the addition of process items
that support measurement of evidence-based practices. Proposed
revisions to OASIS items address issues raised by stakeholders,
including removing items that are not currently used by CMS for payment
or quality, adding items to address clinical domains not currently
covered, and modifying item wording or response categories for selected
items. These changes and item deletions are and considered to be high
priority by CMS and have implications for outcome measurement, risk
adjustment of outcome reports, case mix adjustment for prospective
payment, data submission procedures and specifications, reporting
systems, and provider paperwork burden.
In addition, adopting measures of efficient and high-quality care
is central to the direction that CMS would like to take in its Quality
Initiative. In concordance with long-standing federal objectives, CMS
ultimately plans to create a standard patient assessment instrument
that can be used across all post-acute care settings. The revision of
the OASIS instrument is an opportunity to consider various components
of quality care and how patients might be better served as they (and
information about them and their care) move among health care settings.
For this reason, the OASIS C includes process items that support
measurement of evidence-based practices across the post-acute care
spectrum that have been shown to prevent exacerbation of serious
conditions, can improve care received by individual patients, and can
provide guidance to agencies on how to improve care and avoid adverse
events. Form Number: CMS-R-245 (OMB 0938-0760); Frequency:
Occasionally; Affected Public: Business or other for-profit and not-
for-profit institutions; Number of Respondents: 10,170; Total Annual
Responses: 14,960,070; Total Annual Hours: 15,590,610.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'
Web Site 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.
In commenting on the proposed information collections please
reference the document identifier or OMB control number. To be assured
consideration, comments and recommendations must be submitted in one of
the following ways by January 13, 2009:
1. Electronically. You may submit your comments electronically to
http://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: Document Identifier/OMB
Control Number--------, Room C4-26-05, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
Dated: November 6, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-27060 Filed 11-13-08; 8:45 am]
BILLING CODE 4120-01-P