[Federal Register Volume 75, Number 74 (Monday, April 19, 2010)]
[Notices]
[Pages 20367-20368]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-8900]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[Document Identifier: CMS-10295, CMS-10234, CMS-10303, CMS-10066 and
CMS-R-193]
Centers for Medicare & Medicaid Services
Agency Information Collection Activities: Submission for OMB
Review; 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), 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: Extension of a currently
approved collection; Title of Information Collection: Recovery Act--
Reporting Requirements for States Under FMAP Increase and TMA
Provisions; Use: The American Recovery and Reinvestment Act of 2009
(Recovery Act), Public Law 111-5, requires that States submit quarterly
reports to the Secretary of Health and Human Services in accordance
with section 5001 Temporary Increase of Medicaid Federal Medical
Assistance Percentage (FMAP) and section 5004(d) Extension of
Transitional Medical Assistance (TMA). The reports under section 5001
are required for the period of October 1, 2008-September 30, 2011. The
reports under section 5004 are required beginning on July 1, 2009 until
the Federal authority for TMA coverage sunsets (now scheduled to sunset
on December 31, 2010). Each State Medicaid agency will submit its
quarterly reports to the appropriate Regional Office of CMS. The
reports will be compiled and summarized for annual reports to Congress.
Form Number: CMS-10295 (OMB: 0938-1073); Frequency:
Reporting--Quarterly; Affected Public: State, Local, or Tribal
Governments; Number of Respondents: 50; Total Annual Responses: 200;
Total Annual Hours: 600. (For policy questions regarding this
collection contact Richard Strauss at 410-786-2019. For all other
issues call 410-786-1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: State Plan Pre-
print implementing Section 6087 of the Deficit Reduction Act: Optional
Self-Direction Personal Assistance Services (PAS) Program (Cash and
Counseling); Form Number: CMS-10234 (OMB: 0938-1024); Use:
Information submitted via the State Plan Amendment (SPA) pre-print is
used by CMS and Regional Offices to analyze a State's proposal to
implement Section 6087 of the Deficit Reduction Act (DRA). State
Medicaid Agencies will complete the SPA pre-print, and submit it to CMS
for a comprehensive analysis. The pre-print contains assurances, check-
off items, and areas for States to describe policies and procedures for
subjects such as quality assurance, risk management, and voluntary and
involuntary disenrollment; Frequency: Reporting--Once; Affected Public:
State, Local, or Tribal Government; Number of Respondents: 56; Total
Annual Responses: 20; Total Annual Hours: 400. (For policy questions
regarding this collection contact Carrie Smith at 410-786-4485. For all
other issues call 410-786-1326.)
3. Type of Information Collection Request: New collection; Title of
Information Collection: Medicare Gainsharing Demonstration Evaluation:
Physician Focus Groups; Use: The proposed physician focus groups are
part of an overall evaluation of the Centers for Medicare & Medicaid
Services CMS' congressionally mandated Medicare Gainsharing
Demonstration Evaluation. The Congress, under Section 5007 of the
Deficit Reduction Act (DRA) of 2005, requires CMS to conduct a
qualified gainsharing program to test alternative ways that hospitals
and physicians can share in efficiency gains. The primary goal of the
demonstration is to evaluate gainsharing as a means to align physician
and hospital incentives to improve quality and efficiency. The
demonstration has two mandated Reports to Congress. Results from
physician focus groups will be included in both Reports to Congress.
Form Number: CMS-10303 (OMB: 0938-New); Frequency: Once;
Affected Public: Private Sector, Business or other for profits; Number
of Respondents: 192; Total Annual Responses: 96; Total Annual Hours:
96. (For policy questions regarding this collection contact William
Buczko at 410-786-6593. For all other issues call 410-786-1326.)
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Detailed Notice
of Discharge (DND); Use: A beneficiary/enrollee who wishes to appeal a
determination by a Medicare health plan or hospital that inpatient care
is no longer necessary, may request Quality Improvement Organization
(QIO) review of the determination. On the date the QIO receives the
beneficiary's/enrollee's request, it must notify the plan and hospital
that the beneficiary/enrollee has filed a request for an expedited
determination. The plan (for a managed care enrollee) or hospital (for
an original
[[Page 20368]]
Medicare beneficiary), in turn, must deliver a detailed notice to the
enrollee/beneficiary. Form Number: CMS-10066 (OMB: 0938-1019);
Frequency: Reporting--Yearly; Affected Public: Business or other for-
profits and Not-for-profit institutions; Number of Respondents: 6,163;
Total Annual Responses: 13,218; Total Annual Hours: 13,218. (For policy
questions regarding this collection contact Evelyn Blaemire at 410-786-
1803. For all other issues call 410-786-1326.)
5. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Important Message
from Medicare (IM); Use: Requirements that hospitals notify
beneficiaries in inpatient hospital settings of their rights as a
hospital patient including their discharge appeal rights are referenced
in Section 1866 of the Social Security Act (the Act). The authority for
the right to an expedited determination is set forth at Sections 1869
and 1154 of the Act.
The hospital must deliver valid, written notice (the IM) of a
patient's rights as a hospital patient including the discharge appeal
rights, within 2 calendar days of admission. A follow-up copy of the
signed IM is given again as far as possible in advance of discharge,
but no more than 2 calendar days before. Follow-up notice is not
required if provision of the admission IM falls within 2 calendar days
of discharge. The collection has been revised to include documentation
of the time when the beneficiary signs the document when it is
delivered initially and as a follow-up copy. Form Number: CMS-R-193
(OMB: 0938-1019); Frequency: Reporting--Yearly; Affected
Public: Business or other for-profits and Not-for-profit institutions;
Number of Respondents: 3,193; Total Annual Responses: 13,218; Total
Annual Hours: 19,680,000. (For policy questions regarding this
collection contact Evelyn Blaemire at 410-786-1803. 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 May 19, 2010:
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, E-mail: [email protected].
Dated: April 9, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-8900 Filed 4-16-10; 8:45 am]
BILLING CODE 4120-01-P