[Federal Register Volume 75, Number 195 (Friday, October 8, 2010)]
[Notices]
[Pages 62401-62403]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-25053]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-18F5, CMS-R-262, CMS-10142 and CMS-R-26]
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
[[Page 62402]]
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: Extension of a currently
approved collection; Title of Information Collection: Application for
Hospital Insurance; Use: Individuals who are not entitled to or
eligible for railroad retirement board (RRB) or Social Security
Administration benefits must file an application for Part A. This group
includes individuals who defer filing an application for monthly
benefits, individuals who are transitionally insured, government
employees who pay only the Hospital Insurance portion of the Federal
Insurance Contributions Act tax and individuals eligible for Premium
Part A for the Working Disabled. The Application for Hospital Insurance
CMS-18F5 was designed to capture all the information needed to make a
determination of an individual's entitlement to Part A and
Supplementary Medical Insurance (Part B). Form Number: CMS-18F5
(OMB: 0938-0251); Frequency: Once; Affected Public:
Individuals or households; Number of Respondents: 50,000; Total Annual
Responses: 50,000; Total Annual Hours: 12,495. (For policy questions
regarding this collection contact Naomi Rappaport at 410-786-2175. For
all other issues call 410-786-1326.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: CY 2012 Plan
Benefit Package (PBP) Software and Formulary Submission; Use: Under the
Medicare Modernization Act (MMA), Medicare Advantage (MA) and
Prescription Drug Plan (PDP) organizations are required to submit plan
benefit packages for all Medicare beneficiaries residing in their
service area. The plan benefit package submission consists of the Plan
Benefit Package (PBP) software, formulary file, and supporting
documentation, as necessary. MA and PDP organizations use the PBP
software to describe their organization's plan benefit packages,
including information on premiums, cost sharing, authorization rules,
and supplemental benefits. They also generate a formulary to describe
their list of drugs, including information on prior authorization, step
therapy, tiering, and quantity limits. Additionally, CMS uses the PBP
and formulary data to review and approve the plan benefit packages
proposed by each MA and PDP organization.
CMS requires that MA and PDP organizations submit a completed PBP
and formulary as part of the annual bidding process. During this
process, organizations prepare their proposed plan benefit packages for
the upcoming contract year and submit them to CMS for review and
approval. Refer to the supporting document ``Appendix B'' for a list of
changes. Form Number: CMS-R-262 (OMB: 0938-0763); Frequency:
Yearly; Affected Public: Business or other for-profits and not-for-
profit institutions; Number of Respondents: 655; Total Annual
Responses: 6,878; Total Annual Hours: 18,020. (For policy questions
regarding this collection contact Kristy Holtje at 410-786-2209. For
all other issues call 410-786-1326.)
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: CY 2012 Bid
Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription
Drug Plans (PDP); Use: Under the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003 (MMA), and implementing
regulations at 42 CFR, Medicare Advantage organizations (MAO) and
Prescription Drug Plans are required to submit an actuarial pricing
``bid'' for each plan offered to Medicare beneficiaries for approval by
CMS.
MAOs and PDPs use the Bid Pricing Tool (BPT) software to develop
their actuarial pricing bid. The information provided in the BPT is the
basis for the plan's enrollee premiums and CMS payments for each
contract year. The tool collects data such as medical expense
development (from claims data and/or manual rating), administrative
expenses, profit levels, and projected plan enrollment information. By
statute, completed BPTs are due to CMS by the first Monday of June each
year. CMS reviews and analyzes the information provided on the Bid
Pricing Tool. Ultimately, CMS decides whether to approve the plan
pricing (i.e., payment and premium) proposed by each organization. Form
Number: CMS-10142 (OMB: 0938-0944); Frequency: Yearly;
Affected Public: Business or other for-profits and not-for-profit
institutions; Number of Respondents: 550; Total Annual Responses:
4,950; Total Annual Hours: 34,650. (For policy questions regarding this
collection contact Diane Spitalnic at 410-786-5745. For all other
issues call 410-786-1326.)
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Clinical
Laboratory Improvement Amendment (CLIA) of 1988 and Supporting
Regulations in 42 CFR 493.1-.2001; Use: The information collection
requirements in 42 CFR 493 outline the requirements necessary to
determine an entity's compliance with CLIA. CLIA requires laboratories
that perform testing on human beings to meet performance requirements
(quality standards) in order to be certified by the Department of
Health and Human Services (DHHS). DHHS conducts inspections to
determine a laboratory's compliance with CLIA requirements. CLIA
implements the certificate, laboratory standards and inspection
requirements. Form Number: CMS-R-26 (OMB: 0938-0612);
Frequency: Occasionally; Affected Public: Federal Government; State,
Local, or Tribal Governments; Private Sector: Business or other for-
profits and Not-for-profit institutions; Number of Respondents:
168,688; Total Annual Responses: 756,240; Total Annual Hours:
11,363,280. (For policy questions regarding this collection contact
Raelene Perfetto at 410-786-6876. 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 December 7, 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.
[[Page 62403]]
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: September 30, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-25053 Filed 10-7-10; 8:45 am]
BILLING CODE 4120-01-P