[Federal Register Volume 76, Number 6 (Monday, January 10, 2011)]
[Notices]
[Pages 1435-1436]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-243]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10142 and CMS-R-262]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
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: 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.
[[Page 1436]]
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:
148,500. (For policy questions regarding this collection contact Diane
Spitalnic at 410-786-5745. 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; 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: 651; Total Annual
Responses: 6,159; Total Annual Hours: 45,407. (For policy questions
regarding this collection contact Kristy Holtje at 410-786-2209. 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 February 9, 2011,
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer. Fax Number: (202) 395-6974. E-mail: [email protected].
Martique Jones,
Director, Regulations Development Division-B, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2011-243 Filed 1-7-11; 8:45 am]
BILLING CODE 4120-01-P