Notice2021-23107
Agency Information Collection Activities: Proposed Collection; Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
October 22, 2021
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Abstract
The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (the PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.
Full Text
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<title>Federal Register, Volume 86 Issue 202 (Friday, October 22, 2021)</title>
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[Federal Register Volume 86, Number 202 (Friday, October 22, 2021)]
[Notices]
[Pages 58664-58666]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-23107]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-2567, CMS-10790 and CMS-10463]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (the PRA), federal agencies are required to publish notice
in the Federal Register concerning each proposed collection of
information (including each proposed extension or reinstatement of an
existing collection of information) and to allow 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our burden estimates or any other aspect of this
collection of information, including the necessity and utility of the
proposed information collection for the proper performance of the
agency's functions, the accuracy of the estimated burden, ways to
enhance the quality, utility, and clarity of the information to be
collected, and the use of automated collection techniques or other
forms of information technology to minimize the information collection
burden.
DATES: Comments must be received by December 21, 2021.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number. To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send your comments electronically to
<a href="http://www.regulations.gov">http://www.regulations.gov</a>. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) that are accepting comments.
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.
[[Page 58665]]
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' website address at website address at <a href="https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html</a>.
FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-2567 Statement of Deficiency and Plan of Correction
CMS-10790 Medicare-Funded GME Residency Positions in accordance with
Section 126 of the Consolidated Appropriations Act, 2020 (Pub. L. 116-
93)
CMS-10463 Cooperative Agreement to Support Navigators in Federally-
facilitated Exchanges
Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain
approval from the Office of Management and Budget (OMB) for each
collection of information they conduct or sponsor. The term
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests or requirements that members of
the public submit reports, keep records, or provide information to a
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies
to publish a 60-day notice in the Federal Register concerning each
proposed collection of information, including each proposed extension
or reinstatement of an existing collection of information, before
submitting the collection to OMB for approval. To comply with this
requirement, CMS is publishing this notice.
Information Collection
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Statement of
Deficiency and Plan of Correction Use: The form CMS-2567 is the means
by which State and CMS surveyors document findings of compliance or
noncompliance (deficiencies) resulting from inspection of Medicare,
Medicaid, and Clinical Laboratory Improvement Amendments (CLIA)
laboratories. The form CMS-2567 is the legal, documentary basis for
CMS' certification of a facility's compliance or noncompliance with the
Medicare/Medicaid Conditions of Participation or Coverage, and the
requirements for Nursing Home participation and CLIA certification.
In December, 2020, Congress passed the Consolidated Appropriations
Act, 2021 (CAA, 2021). Section 407 of CAA, 2021, amended Part A of
Title XVIII of the Social Security Act (the Act) at section 1822
establishing hospice program survey and enforcement requirements. This
amendment, in part, now requires the Accrediting Organizations (AOs)
that accredit hospice programs to include the form CMS-2567 to document
the findings of their hospice program surveys beginning on October 1,
2021. As of June 2021, there are three AOs with CMS-approved hospice
accreditation programs. The AOs survey approximately half of the over
5,000 Medicare-certified hospice programs, while the SAs survey the
remaining half. Form Numbers: CMS-2567 (OMB control number: 0938-0391);
Frequency: Yearly and Occasionally; Affected Public: Private Sector
(Business or for-profits and Not-for-profit institutions); Number of
Respondents: 65,948; Total Annual Responses: 65,948; Total Annual
Hours: 1,187,064. (For policy questions regarding this collection
contact Caroline Gallaher at 410-786-8705.)
2. Type of Information Collection Request: New collection (Request
for a new OMB Control Number); Title of Information Collection:
Medicare-Funded GME Residency Positions in accordance with Section 126
of the Consolidated Appropriations Act, 2020 (Pub. L. 116-93); Use: The
requirements in this rule were announced in CMS-1752-P (FY22 IPPS);
however, the PRA package has been under development until now. The
plan, approved by OMB and CM, is to have the 60-day publish and then
have CMS-1752-F2 serve as the 30-day notice, with the goal of approval
in early January 2022.
Section 126 of the Consolidated Appropriations Act (CAA), 2021
(Pub. L. 116-93), enacted December 20, 2020, included a key provision
affecting Medicare payments for Graduate Medical Education (GME).
Section 126(a) of the CAA amended section 1886(h) of the Act by adding
a new section 1886(h)(9) requiring the distribution of additional
residency positions (slots) to qualifying hospitals. Section
1886(h)(9)(A) makes an additional 1,000 Medicare funded residency slots
available to be phased in beginning in FY 2023 until the aggregate
number of 1,000 full-time equivalent residency positions are
distributed.
This approval request is for CMS to receive electronic applications
for Medicare-Funded GME Residency Positions submitted in accordance
with Section 126 of the Consolidated Appropriations Act, 2021. The
electronic applications will be submitted by the applicants in CMS' new
Medicare Electronic Application Request Information System<SUP>TM</SUP>
(MEARIS<SUP>TM</SUP>). There is no existing, hard copy version of the
application. The applications will provide CMS with the critical
information necessary for CMS to process and score the applications in
accordance with the policies finalized in the upcoming final rule to
determine the disbursement of the slots and to announce the awardees by
the January 31, 2023 required statutory deadline. Form Number: CMS-
10790 (OMB control number: 0938-NEW); Frequency: Yearly; Affected
Public: Private sector (Business or other for-profits and Not-for-
profit institutions), State, Local, or Tribal Governments; Number of
Respondents: 1,325; Total Annual Responses: 1,325; Total Annual Hours:
10,600. (For policy questions regarding this collection contact Noel
Manlove at 410-786-5161.)
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Cooperative
Agreement to Support Navigators in Federally-facilitated Exchanges;
Use: Section 1311(i) of the PPACA requires Exchanges to establish a
Navigator grant program under which it awards grants to eligible
individuals and entities (as described in Section 1311(i)(2) of the
PPACA and 45 CFR 155.210(a) and (c)) applying to serve consumers in
States with a FFE. Navigators assist consumers by providing education
about and facilitating selection of qualified health plans (QHPs)
within the Exchanges, as well as other required duties. Entities and
individuals cannot serve as federally certified Navigators and carry
out the required duties without receiving federal cooperative agreement
funding. On July 1, 2021, HHS published the Updating Payment
Parameters, Section 1332 Waiver Implementing Regulations, and Improving
Health Insurance Markets for 2022 and Beyond Proposed Rule proposed
rule. The proposed regulations would amend federal regulations at 45
CFR 155.210(e)(9) to reinstitute the requirement that FFE Navigators
provide consumers with information and assistance on access,
affordability and certain post-enrollment topics, such
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as the eligibility appeals process, the Exchange-related components of
the Premium Tax Credit (PTC) reconciliation process, and the basic
concepts and rights of health coverage and how to use it.
Under the Terms and Conditions of the Navigator program cooperative
agreements, awardees must provide progress reports on a weekly,
monthly, quarterly and annual basis during the cooperative agreement
period of performance, and a final report at the end of the period of
performance. Awardees will submit their progress reports electronically
to CMS staff for evaluation and analysis. The results of this
evaluation will provide feedback on the effectiveness of the Navigator
program, so that HHS and CMS leadership may evaluate the effectiveness
of the program and address any areas that need revisions. CMS will also
use the information collected from Navigator grant awardees to inform
the public about the availability of application and enrollment
assistance services from designated organizations. Form Number: CMS-
10463 (OMB control number: 0938-1215); Frequency: Annually, Monthly,
Quarterly, Weekly; Affected Public: Private sector; Number of
Respondents: 100; Total Annual Responses: 5,200; Total Annual Hours:
529,000. (For questions regarding this collection contact Gian Johnson
at 301-492-4323.)
Dated: October 19, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2021-23107 Filed 10-21-21; 8:45 am]
BILLING CODE 4120-01-P
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