[Federal Register Volume 75, Number 95 (Tuesday, May 18, 2010)]
[Notices]
[Pages 27787-27788]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-11774]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10171, CMS-460 and CMS-10318]
Agency Information Collection Activities: Proposed Collection;
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) 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: Revision of a currently
approved collection; Title of Information Collection: Coordination of
Benefits between Part D Plans and Other Prescription Coverage
Providers; Use: Section 1860D-23 and 1860D-24 of the Social Security
Act requires the Secretary to establish requirements for prescription
drug plans to ensure the effective coordination between Part D plans,
State pharmaceutical Assistance programs and other payers. The
requirements must relate to the following elements: (1) Enrollment file
sharing; (2) claims processing and payment; (3) claims reconciliation
reports; (4) application of the protections against high out-of-pocket
expenditures by tracking True out-of-
[[Page 27788]]
pocket (TrOOP) expenditures; and (5) other processes that the Secretary
determines. CMS, via the TrOOP facilitation contractor, automated the
transfer of beneficiary coverage information when a beneficiary changes
Part D plans. This information is necessary to assist with coordination
of prescription drug benefits provided to the Medicare beneficiary.
Refer to the crosswalk document for a list of the current changes. Form
Number: CMS-10171 (OMB: 0938-0978); Frequency: Yearly;
Affected Public: Business or other for-profits; Number of Respondents:
57,227; Total Annual Responses: 248,018; Total Annual Hours: 754,788
(For policy questions regarding this collection contact Christine Hinds
at 410-786-4578. 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
Participating Physician or Supplier Agreement; Form No.: CMS-460
(OMB 0938-0373); Use: The CMS-460 is the agreement a
physician, supplier or their authorized official signs to participate
in Medicare Part B. By signing the agreement to participate in
Medicare, the physician, supplier or their authorized official agrees
to accept the Medicare-determined payment for Medicare covered services
as payment in full and to charge the Medicare Part B beneficiary no
more than the applicable deductible or coinsurance for the covered
services. For purposes of this explanation, the term a supplier means
any person or entity that may bill Medicare for Part B services (e.g.
DME supplier, nurse practitioner, supplier of diagnostic tests) except
a Medicare provider of services (e.g. hospital), which must participate
to be paid by Medicare for covered care.
There are additional benefits associated with payment for services
paid under the Medicare fee schedule. Payments made under the Medicare
fee schedule for physician services to participating physicians and
suppliers are based on 100 percent of the Medicare fee schedule amount,
while the Medicare fee schedule payment for physician services by
nonparticipating physicians and suppliers is based on 95 percent of the
fee schedule amount. Physicians and suppliers who do not participate in
Medicare are subject to limits on their actual charges for unassigned
claims for physician services. These limits, known as limiting charges,
cannot exceed 115 percent of the non-participant fee schedule, which is
set at 95 percent of the full fee schedule amount. In addition, if a
physician or supplier does not accept assignment on a claim for
Medicare payment, the physician or supplier must collect payment from
the beneficiary. If the physician or supplier accepts assignment on the
claim, Medicare pays its share of the payment directly to the physician
or supplier, resulting in faster and more certain payment. Frequency:
Reporting, Other--when starting a new business; Affected Public:
Business or other for-profit; Number of Respondents: 8,000; Total
Annual Responses: 8,000; Total Annual Hours: 2,000. (For policy
questions regarding this collection contact April Billingsley at 410-
786-0410. For all other issues call 410-786-1326.)
3. Type of Information Collection Request: New collection; Title of
Information Collection: Survey to Inform the Children's Health
Insurance Program (CHIP) National Outreach & Education Campaign; Form
No.: CMS-10318 (OMB 0938-New); Use: The Children's Health
Insurance Program Reauthorization Act of 2009 (CHIPRA or Pub. L. 111-3)
reauthorized the Children's Health Insurance Program (CHIP) through FY
2013. It will preserve coverage for the millions of children who rely
on CHIP today and provide the resources for States to reach millions of
additional uninsured children. This legislation will help ensure the
health and well-being of our nation's children. To support this
legislation and to help people who would benefit from CHIP make more
informed decisions, CMS will be conducting outreach. The outreach will
employ numerous communications channels to educate people who would
benefit from CHIP concerning the program benefits, eligibility and
enrollment requirements, utilization, and retention. As part of the
outreach, CMS will seek to increase awareness, enrollment and retention
in CHIP for the eligible audiences. The primary target audience for the
outreach includes parents and guardians of potentially eligible
children as well as pregnant women. Secondary audiences are information
intermediaries including State, local, and tribal governments,
educators (including non-parental caregivers), health care providers/
social workers, national and local partners. The challenge is reaching
the population segments that have access barriers to information
including language, literacy, location, and culture to understand
health insurance. To support the outreach and education, CMS needs to
conduct survey research to be able to effectively reach the target
audiences. Frequency: Reporting--Once; Affected Public: Individuals or
Households; Number of Respondents: 1,850; Total Annual Responses:
1,850; Total Annual Hours: 2,000. (For policy questions regarding this
collection contact Barbara Allen at 410-786-6716. 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 [email protected], 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 July 19, 2010:
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.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-11774 Filed 5-17-10; 8:45 am]
BILLING CODE 4120-01-P