[Federal Register Volume 75, Number 146 (Friday, July 30, 2010)]
[Notices]
[Pages 44969-44970]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-18610]
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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: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
In compliance with the requirement of section 3506I(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: 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-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
[[Page 44970]]
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 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 [email protected], 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 August 30, 2010.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, E-mail: [email protected].
Dated: July 26, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-18610 Filed 7-29-10; 8:45 am]
BILLING CODE 4120-01-P