[Federal Register: March 20, 2009 (Volume 74, Number 53)]
[Notices]
[Page 11958-11960]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr20mr09-72]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10133, CMS-250-254, CMS-R-5, CMS-10157 and
CMS-10279]
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
[[Page 11959]]
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: 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: 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.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Physician
Certification/Recertification in Skilled Nursing Facilities (SNFs)
Manual Instructions and Supporting Regulation in 42 CFR 424.20; Use:
The Medicare program requires, as a condition for Medicare Part A
payment for posthospital skilled nursing facility (SNF) services that a
physician must certify and periodically recertify that a beneficiary
requires an SNF level of care. The physician certification and
recertification is intended to ensure that the beneficiary's need for
services has been established and then reviewed and updated at
appropriate intervals. Form Number: CMS-R-5 (OMB: 0938-0454);
Frequency: Recordkeeping--Occasionally; Affected Public: Private
Sector; Business or other for-profits and Not-for-profit institutions;
Number of Respondents: 5,167,993; Total Annual Responses: 5,167,993;
Total Annual Hours: 661,265. (For policy questions regarding this
collection contact Kia Sidbury at 410-786-7816. For all other issues
call 410-786-1326.)
4. Type of Information Collection Request: Revision 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:
2000; 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.)
5. 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.)
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
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be submitted in one of the following ways by May 19, 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: March, 13, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-6038 Filed 3-19-09; 8:45 am]
BILLING CODE 4120-01-P