[Federal Register: April 25, 2008 (Volume 73, Number 81)]
[Notices]
[Page 22418-22419]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr25ap08-94]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-1771, CMS-10145, CMS-10204 and CMS-10255]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Department of Health
and Human 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: Extension of a currently
approved collection; Title of Information Collection: Attending
Physicians Statement and Documentation of Medicare Emergency and
Supporting Regulations in 42 CFR 424.103; Use: 42 CFR 424.103(b)
requires that before a nonparticipating hospital may be paid for
emergency services rendered to a Medicare beneficiary, a statement must
be submitted that is sufficiently comprehensive to support that an
emergency existed. Form CMS-1771 contains a series of questions
relating to the medical necessity of the emergency. The attending
physician must attest that the hospitalization was required under the
regulatory emergency definition (42 CFR 424.101) and give clinical
documentation to support the claim. Form Number: CMS-1771 (OMB
0938-0023); Frequency: Yearly; Affected Public: Private sector--
business or other for-profit and not-for-profit institutions; Number of
Respondents: 100; Total Annual Responses: 200; Total Annual Hours: 50.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare Part B
Drug and Biological Competitive Acquisition Program and Supporting
Regulations in 42 CFR Sections 414.906, 414.908, 414.910, 414.914,
414.916, and 414.917; Use: Section 303(d) of the Medicare Prescription
Drug, Improvement, and Modernization Act of 2003 (MMA) provides an
alternative payment methodology for Part B covered drugs that are not
paid on a cost or prospective payment basis. In particular, Section
303(d) of the MMA amends Title XVIII of the Social Security Act by
adding a new section 1847(B), which establishes a competitive
acquisition program for the acquisition of and payment for Part B
covered drugs and biologicals furnished on or after January 1, 2006.
Since its inception, additional legislation has augmented the CAP.
Section 108 of the Medicare Improvements and Extension Act under
Division B, Title I of the Tax Relief Health Care Act of 2006 (MIEA-
TRHCA) amended Section 1847b(a)(3) of the Social Security Act and
requires that CAP implement a post payment review process. This
procedure is done to assure that payment is made for a drug or
biological under this section only if the drug or biological has been
administered to a beneficiary. Form Number: CMS-10145 (OMB
0938-0945); Frequency: Weekly; Affected Public: Private sector--
business or other for-profit and not-for-profit institutions; Number of
Respondents: 3000; Total Annual Responses: 156,000; Total Annual Hours:
31,188.
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Evaluation of the
Medical Adult Day Care Services Demonstration; Use: Section 703 of the
Medicare Prescription Drug, Improvement and Modernization Act of 2003
(Pub. L. 108-173) authorizes a three-year demonstration to conduct an
evaluation of the clinical and cost-effectiveness of providing medical
adult day-care services as a substitute for a portion of home health
services that would otherwise be provided in the beneficiary's home.
Delivering home health services in the adult day-care setting
represents an expansion of coverage under the home health benefit under
Medicare. The Demonstration aims to evaluate both the costs and the
benefits of delivering home health services in the adult day-care
setting. The evaluation will examine the achievements as well as the
difficulties inherent in demonstration implementation.
Telephone survey data from Medicare beneficiary's interviews are to
be completed during Phase II of the Evaluation of the Medical Adult
Day-Care Services Demonstration. The survey was developed based on
collection of data from face-to-face interviews with beneficiaries from
Phase I of the Demonstration evaluation. Form Number: CMS-10204
(OMB 0938-1017); Frequency: Once; Affected Public: Individuals
or households; Number of Respondents: 900; Total Annual Responses: 900;
Total Annual Hours: 150.
[[Page 22419]]
4. Type of Information Collection Request: New collection; Title of
Information Collection: Evaluation of Care and Disease Management Under
Medicare Advantage. Use: CMS is conducting an evaluation of care and
disease management programs under Medicare Advantage (MA), which
includes a survey of all MA plans. The survey will help describe the
structure and operation of these programs. The survey will gather
information about MA health plans' care and disease management programs
that is not available from other sources, such as relations with health
providers, the use of electronic data systems, characteristics of care
and disease management programs, population served, physician
intervention, differences with regular MA plans and special needs
plans, and evidence of effectiveness and assessment of costs.
Information is collected through a one-time, self-administered mail
questionnaire. [Refer to the crosswalk and track changes document for a
list of changes to this information collection request since the last
Federal Register publication.] Form Number: CMS-10255 (OMB
0938-New); Frequency: Once; Affected Public: Private sector--business
or other for-profit and not-for-profit institutions; Number of
Respondents: 475; Total Annual Responses: 475; Total Annual Hours: 435.
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 at (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 May 27, 2008.
OMB Human Resources and Housing Branch, Attention: Carolyn
Raffaelli, New Executive Office Building, Room 10235, Washington, DC
20503, Fax Number: (202) 395-6974.
Dated: April 17, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-9067 Filed 4-24-08; 8:45 am]
BILLING CODE 4120-01-P