[Federal Register: June 5, 2009 (Volume 74, Number 107)]
[Notices]
[Page 27040-27042]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr05jn09-63]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10133, CMS-10279, CMS-250-254, CMS-10277,
CMS-10157 and CMS-10273]
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
[[Page 27041]]
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: Competitive
Acquisition Program (CAP) for Medicare Part B Drugs: Vendor Application
and Bid Form; Use: Section 303(d) of the Medicare Modernization Act
(MMA) requires the implementation of a competitive acquisition program
for Medicare Part B drugs and biologicals not paid on a cost or
prospective payment system basis. The CAP is an alternative to the
Average Sales Price (ASP or ``buy and bill'') method of acquiring many
Part B drugs and biologicals administered incident to a physician's
services. The CAP Vendor Application and Bid Form, is used by bidders
to provide a response to CMS' solicitation for approved CAP vendor bids
and to submit their bid prices for CAP drugs. Though the program is
currently on hold and a timeline for the resumption of the CAP has not
been established, the CAP Vendor Application and Bid Form will be
required to conduct the next round of vendor bidding. Form Number: CMS-
10133 (OMB: 0938-0955); Frequency: Reporting--Occasionally;
Affected Public: Private Sector; Business or other for-profits; Number
of Respondents: 10; Total Annual Responses: 10; Total Annual Hours: 1.
(For policy questions regarding this collection contact Bonny Dahm at
410-786-4006. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: New collection; Title of
Information Collection: Ambulatory Surgical Center Conditions for
Coverage; Form Number: CMS-10279 (OMB: 0938-New); Use: The
Ambulatory Surgical Center (ASC) Conditions for Coverage (CfCs) focus
on a patient-centered, outcome-oriented, and transparent processes that
promote, quality patient care. The CfCs are designed to ensure that
each facility has properly trained staff to provide the appropriate
type and level of care for that facility and provide a safe physical
environment for patients. The CfCs are used by Federal or State
surveyors as a basis for determining whether an ASC qualifies for
approval or re-approval under Medicare. CMS and the healthcare industry
believe that the availability to the facility of the type of records
and general content of records, which this regulation specifies, is
standard medical practice and is necessary in order to ensure the well-
being and safety of patients and professional treatment accountability.
Frequency: Recordkeeping and Reporting--One time; Affected Public:
Business or other for-profit, Not-for-profit institutions; Number of
Respondents: 5,100; Total Annual Responses: 5,100; Total Annual Hours:
193,800. (For policy questions regarding this collection contact
Jacqueline Morgan at 410-786-4282. For all other issues call 410-786-
1326.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare
Secondary Payer Information Collection and Supporting Regulations in 42
CFR 411.25, 489.2, and 489.20; Form Number: CMS 250-254 (OMB:
0938-0214); Use: Medicare Secondary Payer Information (MSP) is
essentially the same concept known in the private insurance industry as
coordination of benefits, and refers to those situations where Medicare
does not have primary responsibility for paying the medical expenses of
a Medicare beneficiary. Medicare Fiscal Intermediaries, Carriers, and
now Part D plans, need information about primary payers in order to
perform various tasks to detect and process MSP cases and make
recoveries. MSP information is collected at various times and from
numerous parties during a beneficiary's membership in the Medicare
Program. Collecting MSP information in a timely manner means that
claims are processed correctly the first time, decreasing the costs
associated with adjusting claims and recovering mistaken payments.
Frequency: Reporting--On occasion; Affected Public: Individuals or
Households, Business or other for-profit, Not-for-profit institutions;
Number of Respondents: 143,070,217; Total Annual Responses:
143,070,217; Total Annual Hours: 1,788,057. (For policy questions
regarding this collection contact John Albert at 410-786-7457. For all
other issues call 410-786-1326.)
4. Type of Information Collection Request: New collection; Title of
Information Collection: Hospice Conditions of Participation and
Supporting Regulations in 42 CFR 418.52, 418.54, 418.56, 418.58,
418.60, 418.64, 418.66, 418.70, 418.72, 418.74, 418.76, 418.78,
418.100, 418.106, 4118.108, 418.110, 418.112, and 418.114; Use: The
Conditions of Participation and accompanying requirements are used by
Federal or State surveyors as a basis for determining whether a hospice
qualifies for approval or re-approval under Medicare. The healthcare
industry and CMS believe that the availability to the hospice of the
type of records and general content of records, which the final rule
(72 FR 32088) specifies, is standard medical practice, and is necessary
in order to ensure the well-being and safety of patients and
professional treatment accountability. Form Number: CMS-10277
(OMB: 0938-New); Frequency: Reporting and Recordkeeping--
Yearly; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 2,872; Total Annual
Responses: 1,808,345; Total Annual Hours: 2,152,396. (For policy
questions regarding this collection contact Danielle Shearer at 410-
786-6617. For all other issues call 410-786-1326.)
5. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: CMS Real-time
Eligibility Agreement and Access Request; Form Number: CMS-10157
(OMB: 0938-0960); Use: Federal law requires that CMS take
precautions to minimize the security risk to Federal information
systems. Accordingly, CMS is requiring that trading partners who wish
to conduct the eligibility transaction on a real-time basis to access
Medicare beneficiary information provide certain assurances as a
condition of receiving access to the Medicare database for the purpose
of conducting eligibility verification. Health care providers,
clearinghouses, and health plans that wish access to the Medicare
database are required to complete this form. The information will be
used to assure that those entities that access the Medicare database
are aware of applicable provisions and penalties. Frequency:
Recordkeeping and Reporting--One time; Affected Public: Business or
other for-profit, Not-for-profit institutions; Number of Respondents:
2,000; Total Annual Responses: 500; Total Annual Hours: 500. (For
policy questions regarding this collection contact Vivian Rogers at
410-786-8142. For all other issues call 410-786-1326.)
6. Type of Information Collection Request: New collection; Title of
[[Page 27042]]
Information Collection: Evaluation of the Medicare Care Management
Performance Demonstration (MCMP) and the Electronic Health Records
Demonstration (EHRD); Use: The MCMP demonstration was authorized under
Section 649 of the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003. This is a three year pay for performance
demonstration with physicians to promote the adoption and use of health
information technology (HIT) to improve the quality of care for
eligible chronically ill Medicare beneficiaries. MCMP targets small to
medium sized primary care practices with up to 10 physicians. Practices
must provide care to at least 50 Medicare beneficiaries. Physicians
will receive payments for meeting or exceeding performance standards
for quality of care. They will also receive an additional incentive
payment for electronic submission of performance measures via their
electronic health record (EHR) system. These payments are in addition
to their normal payments for providing service to Medicare
beneficiaries. The Office System Survey (OSS) will be used to assess
progress of physician practices in implementation and use of EHRs and
related HIT functionalities.
The EHR demonstration is authorized under Section 402 of the
Medicare Waiver Authority. The goal of this five year pay for
performance demonstration is to foster the implementation and adoption
of EHRs and HIT in order to improve the quality of care provided by
physician practices. The EHRD expands upon the MCMP Demonstration and
will test whether performance-based financial incentives (1) increase
physician practices' adoption and use of electronic health records
(EHRs), and (2) improve the quality of care that practices deliver to
chronically ill patients. The EHRD targets small to medium sized
primary care practices with up to 20 physicians. Practices must provide
care to at least 50 Medicare beneficiaries. Approximately 800 practices
will be enrolled in the demonstration across four sites. Practices will
be randomly assigned to a treatment and a control group. The OSS will
be used to assess progress of physician practices in implementation and
use of EHRs and related HIT functionalities, and to determine incentive
payments for treatment practices. In-person and telephone discussions
with community partners and physician practices will be used to learn
about practices' experiences and strategies in adopting and using EHRs,
as well as the factors that help or hinder their efforts. Refer to the
supporting document ``High-Level Summary of Changes'' for a list of
changes. Form Number: CMS-10273 (OMB 0938-New); Frequency:
Annually, Biennially and Once; Affected Public: Business or other for-
profit; Number of Respondents: 4,123; Total Annual Responses: 1,659;
Total Annual Hours: 934. (For policy questions regarding this
collection contact Lorraine Johnson at 410-786-9457. For all other
issues call 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 July 6, 2009.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, E-mail: OIRA_
submission@omb.eop.gov.
Dated: May 28, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-13151 Filed 6-4-09; 8:45 am]
BILLING CODE 4120-01-P