[Federal Register: February 15, 2008 (Volume 73, Number 32)]
[Notices]
[Page 8877-8878]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr15fe08-60]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10242, CMS-10165, CMS-10251, CMS-R-218 and
CMS-10252]
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: New collection; Title of
Information Collection: Revisions to Payment Policies Under the
Physician Fee Schedule, Other Changes to Payment Under Part B, and
Revisions to Payment Policies for Ambulance Services for CY 2008 (42
CFR 424.36--Signature Requirements); Use: Section 42 CFR 424.33(a)(3)
states that all claims must be signed by the beneficiary or the
beneficiary's representative (in accordance with 42 CFR 424.36(b)).
Section 42 CFR 424.36(a) states that the beneficiary's signature is
required on a claim unless the beneficiary has died or the provisions
of 424.36(b), (c), or (d) apply. The statutory authority requiring a
beneficiary's signature on a claim submitted by a provider is located
in section 1835(a) and in 1814(a) of the Social Security Act (the Act),
for Part B and Part A services, respectively. The authority requiring a
beneficiary's signature for supplier claims is implicit in sections
1842(b)(3)(B)(ii) and in 1848(g)(4) of the Act. Because it is very
difficult to obtain a beneficiary's signature (or the signature of a
person authorized to sign on behalf of the beneficiary) on a claim when
the beneficiary is being transported by ambulance in emergency
situations, CMS is proposing that, for emergency ambulance transport
services, an ambulance provider or supplier may submit the claim
without a beneficiary's signature, as long as certain documentation
requirements are met. The information collected will be used by CMS
contractors (both, fiscal intermediaries and carriers) that process and
pay emergency ambulance transport claims. Form Number: CMS-10242
(OMB: 0938-New); Frequency: Reporting: Hourly, Daily, Weekly,
Monthly and Yearly; Affected Public: Business or other for-profit and
Not-for-profit institutions; Number of Respondents: 9,000; Total Annual
Responses: 6,500,000; Total Annual Hours: 541,667.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Electronic Health
Record; Use: The purpose of this demonstration project is to reward the
delivery of high-quality care supported by the adoption and use of
electronic health records in small to medium-sized primary care
physician practices. While this is separate and distinct from the
Medicare Care Management Performance (MCMP) Demonstration, it expands
upon the foundation created by the MCMP Demonstration, which was
mandated by Section 649 of the Medicare Prescription Drug, Improvement
and Modernization Act of 2003. The electronic health record
demonstration will be operational for a 5-year period and will be
operated
[[Page 8878]]
under section 402 demonstration waiver authority. The information to be
obtained as part of the application form is necessary to document basic
information for physician practices that intend to participate in this
demonstration initiative. Form Number: CMS-10165 (OMB: 0938-
0965); Frequency: Once; Affected Public: Private sector--Business or
other for-profit; Number of Respondents: 2400; Total Annual Responses:
2400; Total Annual Hours: 520.
3. Type of Information Collection Request: New Collection; Title of
Information Collection: State Plan Pre-print for Integrated Medicare
and Medicaid Programs; Use: Information submitted via the State Plan
Amendment (SPA) pre-print will be used by CMS Central and Regional
Offices to analyze a State's proposal to implement integrated Medicare
and Medicaid programs. The pre-print is an optional document for use by
States to highlight the arrangements between a State and Medicare
Advantage Special Needs Plans that are also providing Medicaid
services. State Medicaid Agencies will complete the SPA pre-print and
submit it to CMS for a comprehensive analysis. The pre-print provides
the opportunity for States to confirm that their integrated care model
complies with both Federal statutory and regulatory requirements. The
pre-print contains assurances, check-off items, and areas for States to
describe policies and procedures for subjects such as enrollment,
marketing and quality assurance. Based on comments received during the
60-day comment period, both the instructions and pre-print have been
revised. Form Numbers: CMS-10251 (OMB: 0938-NEW); Frequency:
Reporting--Once; Affected Public: State, Local, or Tribal Governments;
Number of Respondents: 56; Total Annual Responses: 30; Total Annual
Hours: 600.
4. Type of Information Collection Request: Extension of currently
approved collection; Title of Information Collection: Information
Collection Requirements Contained in 45 CFR Part 162; HIPAA Standards
for Electronic Transactions; Use: This submission contains information
collection requirements in HCFA-0149-F, CMS-0003-P, CMS-0005-P, and
CMS-003/005-F. This collection establishes standards for electronic
transactions and for code sets to be used in those transactions. The
collection standardizes the approximately 400 formats of electronic
health care claims used in the United States. The use of these
standards significantly reduces the administrative burden associated
with paper documents, lowers operating costs, and improves data quality
for health care providers and health plans; Form Number: CMS-R-218
(OMB 0938-0866); Frequency: On occasion; Affected Public:
Business or other for-profit; Number of Respondents: 3,400,000; Total
Annual Responses: 3,400,000; Total Annual Hours: 1.
5. Type of Information Collection Request: New collection; Title of
Information Collection: Certificate of Destruction for Data Acquired
from the Centers for Medicare and Medicaid Services; Use: The
Certificate of Destruction will be used by recipients of CMS data to
certify that they have destroyed the data they have received through a
CMS Data Use Agreement (DUA). The DUA requires the destruction of the
data at the completion of the project/expiration of the DUA. The DUA
addresses the conditions under which CMS will disclose and the User
will maintain CMS data that are protected by the Privacy Act of 1974,
Sec. 552a and the Health Insurance Portability Accountability Act of
1996. CMS has developed policies and procedures for such disclosures
that are based on the Privacy Act and the Health Insurance Portability
Act (HIPAA). The Certificate of Destruction is required to close out
the DUA and to ensure the data are destroyed and not used for another
purpose. Form Number: CMS-10252 (OMB 0938-New); Frequency: On
occasion; Affected Public: Business or other for-profit; Number of
Respondents: 500; Total Annual Responses: 500; Total Annual Hours: 84.
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 March 17, 2008.
OMB Human Resources and Housing Branch, Attention: Carolyn Lovett,
New Executive Office Building, Room 10235, Washington, DC 20503, Fax
Number: (202) 395-6974.
Dated: February 8, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-2804 Filed 2-14-08; 8:45 am]
BILLING CODE 4120-01-P