[Federal Register Volume 75, Number 180 (Friday, September 17, 2010)]
[Notices]
[Pages 57035-57037]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-23160]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10267, CMS-10137, CMS-10237, CMS-R-240, CMS-
10316 and CMS-10305]
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: QualityNet
Identity Management System (QIMS) Account Form; Use: The QualityNet
Identity Management System (QIMS) account registration form must be
completed by any new persons needing access to Consolidated Renal
Operations in a Web Enabled Network (CROWNWeb.) The 8,561 existing
accounts owners will not have to reregister for new user accounts. The
CROWNWeb user community is composed of CMS employees, ESRD Network
Organization staff and dialysis facilities staff. The CROWNWeb system
is the system used as the collection point of data necessary for
entitlement of ESRD patients to Medicare benefits and Federal
Government monitoring and assessing of quality and type of care
provided to renal patients. The data collected in QIMS will provide the
necessary security measures for creating and maintaining active
CROWNWeb user accounts and collection of audit trail information
required by the CMS Information Security Officers (ISSO). Form Number:
CMS-10267 (OMB: 0938-1050); Frequency: Occasionally; Affected
Public: Business or other for-profits and Not-for-profit institutions;
Number of Respondents: 7,439; Total Annual Responses: 7,439; Total
Annual Hours: 3,720. (For policy questions regarding this collection
contact Michelle Tucker at 410-786-0376. For all other issues call 410-
786-1326.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Application for
Prescription Drug Plans (PDP); Application for Medicare Advantage
Prescription Drug (MA-PD); Application for Cost Plans to Offer
Qualified Prescription Drug Coverage; Application for Employer Group
Waiver Plans to Offer Prescription Drug Coverage; Service Area
Expansion Application for Prescription Drug Coverage; Use: The
Applications for Part D sponsors to offer qualified prescription drug
coverage are completed by entities seeking approval to offer Part D
benefits under the Medicare Prescription Drug Benefit
[[Page 57036]]
program established by section 101 of the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003 (MMA) and is codified in
section 1860D of the Social Security Act.
Effective January 1, 2006, the Part D program established an
optional prescription drug benefit for individuals who are entitled to
Medicare Part A or enrolled in Part B. In general, coverage for the
prescription drug benefit is provided through PDPs that offer drug-only
coverage, or through MA organizations that offer integrated
prescription drug and health care coverage (MA-PD plans). PDPs must
offer a basic drug benefit. Medicare Advantage Coordinated Care Plans
(MA-CCPs) must offer either a basic benefit or may offer broader
coverage for no additional cost. Medicare Advantage Private Fee for
Service Plans (MA-PFFS) may choose to offer a Part D benefit. Cost
Plans that are regulated under Section 1876 of the Social Security Act,
and Employer Group Plans may also provide a Part D benefit. If any of
the contracting organizations meet basic requirements, they may also
offer supplemental benefits through enhanced alternative coverage for
an additional premium.
The information will be collected under the solicitation of
proposals from PDP, MA-PD, Cost Plan, PACE, and EGWP applicants. The
collected information will be used by CMS to: (1) ensure that
applicants meet CMS requirements, (2) support the determination of
contract awards. Form Number: CMS-10137 (OMB: 0938-0936);
Frequency: Once; Affected Public: Business or other for-profits and
Not-for-profit institutions; Number of Respondents: 295; Total Annual
Responses: 295; Total Annual Hours: 3,576. (For policy questions
regarding this collection contact Linda Anders at 410-786-0459. For all
other issues call 410-786-1326.)
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Part C Medicare
Advantage Application and 1876 Cost Plan Expansion Application; Use:
The Balanced Budget Act of 1997 (BBA) established a new ``Part C'' in
the Medicare statute (sections 1851 through 1859 of the Social Security
Act (the Act) which provided for a Medicare+Choice (M+C) program. Under
section 1851(a)(1) of the Act, every individual entitled to Medicare
Part A and enrolled under Part B, except for most individuals with end-
stage renal disease (ESRD), could elect to receive benefits either
through the Original Medicare Program or an M+C plan, if one was
offered where he or she lived. The Medicare Prescription Drug,
Improvement, and Modernization Act of 2003 (MMA), established the
Medicare Prescription Drug Benefit Program (Part D) and made revisions
to the provisions of Medicare Part C, governing what is now called the
Medicare Advantage (MA) program (formerly Medicare+Choice)
Organizations wishing to provide healthcare services under MA and/or
MA-PD plans must complete an application, file a bid, and receive final
approval from CMS. Existing MA plans may expand their contracted area
by completing the Service Area Expansion (SAE) application. Any current
Cost Plan Contractor that wants to expand its Medicare cost-based
contract with CMS under Section 1876 of the Act, as amended by the Tax
Equity and Fiscal Responsibility Act of 1982 (TEFRA) and subsequent
legislation can complete the application. Form Number: CMS-10237
(OMB: 0938-0935); Frequency: Yearly; Affected Public: Business
or other for-profits and Not-for-profit institutions; Number of
Respondents: 870; Total Annual Responses: 870; Total Annual Hours:
15,696. (For policy questions regarding this collection contact
Letticia Ramsey at 410-786-5262. For all other issues call 410-786-
1326.)
4. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Prospective
Payments for Hospital Outpatient Service and Supporting Regulations is
42 CFR 413.65; Use: Section 1833(t) of the Social Security Act (the
Act) requires the Secretary to establish a prospective payment system
(PPS) for hospital outpatient services. Successful implementation of an
outpatient PPS requires that CMS distinguish facilities or
organizations that function as departments of hospitals from those that
are freestanding, so that CMS can determine which services should be
paid under the outpatient prospective payment system (OPPS), the
clinical laboratory fee schedule, or other payment provisions
applicable to services furnished to hospital outpatients.
CMS will use the information from sections 413.65(b)(3) and (c) to
determine whether a facility or organization acquired by a main
provider should be treated as provider-based for Medicare
certification, coverage, and payment purposes or whether a main
provider has had a material change in its relationship to a provider-
based facility or organization that affects the provider-based status
of the facility or organization. In addition, section 1866(b)(2) of the
Act authorizes hospitals and other providers to impose deductible and
coinsurance charges for facility services, but does not allow such
charges by facilities or organizations which are not provider-based.
Implementation of this provision requires that CMS have information
from the required reports, so it can determine which facilities are
provider-based. Form Number: CMS-R-240 (OMB: 0938-0798);
Frequency: Occasionally; Affected Public: Business or other for-profits
and Not-for-profit institutions; Number of Respondents: 905; Total
Annual Responses: 500,405; Total Annual Hours: 26,563 (For policy
questions regarding this collection contact Daniel Schroder at 410-786-
7452. For all other issues call 410-786-1326.)
5. Type of Information Collection Request: New collection; Title of
Information Collection: Medicare Prescription Drug Plan (PDP) and
Medicare Advantage Prescription Drug Plan (MA-PD) Disenrollment Reasons
Survey; Use: The Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA) requires the collection and reporting
performance data for Part D prescription drug plans. Specifically, the
MMA under section 1860D-4 (Beneficiary Protections for Qualified
Prescription Drug Coverage) requires CMS to conduct consumer
satisfaction surveys regarding PDPs and MA-PDs. CMS will use the survey
to obtain information regarding beneficiaries' reasons for disenrolling
from their chosen Part D plan, and their expectations relative to
provided benefits and services. Determining the reasons for
disenrollment from Part D plans will provide important information
regarding potential dissatisfaction with some aspect of the plan, such
as access, service, cost, quality of care, or the benefits provided.
This information can be used by CMS to improve the design and
functioning of the Part D program. Form Number: CMS-10316
(OMB: 0938-New); Frequency: Yearly; Affected Public:
Individuals and households; Number of Respondents: 120,000; Total
Annual Responses: 120,000; Total Annual Hours: 34,800. (For policy
questions regarding this collection contact Phyllis Nagy at 410-786-
6646. For all other issues call 410-786-1326.)
6. Type of Information Collection Request: New collection; Title of
Information Collection: Medicare Part C and Part D Data Validation (42
CFR 422.516g and 423.514g); Use: Organizations contracted to offer
Medicare Part C and Part D benefits are required to report data to the
Centers for
[[Page 57037]]
Medicare & Medicaid Services on a variety of measures. In order for the
data to be useful for monitoring and performance measurement, the data
must be reliable, valid, complete, and comparable among sponsoring
organizations. To meet this goal, CMS is developing reporting standards
and data validation specifications with respect to the Part C and Part
D reporting requirements. These standards will provide a review process
for Medicare Advantage Organizations (MAOs), Cost Plans, and Part D
sponsors to use to conduct data validation checks on their reported
Part C and Part D data. Form Number: CMS-10305 (OMB: 0938-
NEW); Frequency: Yearly; Affected Public: Business or other for-profit;
Number of Respondents: 634; Total Annual Responses: 634; Total Annual
Hours: 237,127. (For policy questions regarding this collection contact
Terry Lied at 410-786-8973. 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 October 18, 2010.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, E-mail: [email protected].
Dated: September 13, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-23160 Filed 9-16-10; 8:45 am]
BILLING CODE 4120-01-P