Notice2022-01495
Agency Information Collection Activities: Submission for OMB Review; 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
January 26, 2022
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 (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 a second opportunity for public comment on the notice. Interested persons are invited to send comments regarding the burden estimate 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 87 Issue 17 (Wednesday, January 26, 2022)</title>
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[Federal Register Volume 87, Number 17 (Wednesday, January 26, 2022)]
[Notices]
[Pages 4031-4032]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-01495]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10157 and CMS-R-262]
Agency Information Collection Activities: Submission for OMB
Review; 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 (PRA), federal agencies are required to publish notice in
the Federal Register concerning each proposed collection of
information, including each proposed
[[Page 4032]]
extension or reinstatement of an existing collection of information,
and to allow a second opportunity for public comment on the notice.
Interested persons are invited to send comments regarding the burden
estimate 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 on the collection(s) of information must be received by
the OMB desk officer by February 25, 2022.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
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 <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 Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(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 (44 U.S.C. 3506(c)(2)(A)) requires
federal agencies to publish a 30-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 that
summarizes the following proposed collection(s) of information for
public comment:
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: The HIPAA
Eligibility Transaction System (HETS); Use: CMS created the HETS
application to provide Health Insurance Portability and Accountability
Act of 1996 (HIPAA) compliant 270/271 health care eligibility inquiries
(270) and responses (271) on a real-time basis. In creating the HETS
application, federal law requires that CMS take precautions to minimize
the security risk to federal information systems. Accordingly, CMS is
requiring that trading partners who wish to connect to the HETS 270/271
application via the CMS Extranet and/or internet agree to specific
trading partner terms as a condition of receiving access to Medicare
eligibility information. Applicants will complete the entire Trading
Partner Agreement form to indicate agreement with CMS trading partner
terms and provide sufficient information to establish connectivity to
the service and assure that those entities that access the Medicare
eligibility information are aware of applicable provisions and
penalties for the misuse of information.
CMS uses the Trading Partner Agreement Form to capture certain
information whereby a person certifies that they are fully aware of any
and all penalties related to the use of PHI and their access to this
data from the HETS application. The information is an attestation by
the authorized representative of an entity that wishes to access the
Medicare eligibility information to conduct real-time eligibility
transactions. The authorized representative is a person responsible for
business decisions on behalf of the Organization who is submitting the
access request. The data captured includes the authorized
representative's name, title contact number and the name of the
submitting entity. Other data captured is the submitter's National
Provider Identifier (NPI), business name, billing address, physical
address, and telephone number. Form Number: CMS-10157 (OMB control
number: 0938-0960); Frequency: Annually; Affected Public: Private
Sector, Businesses or other for-profits; Number of Respondents: 1,000;
Total Annual Responses: 1,000; Total Annual Hours: 250. (For policy
questions regarding this collection contact Rupinder Singh at 410-786-
7484.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Contract Year
2023 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.
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. CMS uses this data to review and approve the benefit packages
that the plans will offer to Medicare beneficiaries. This allows CMS to
review the benefit packages in a consistent way across all submitted
bids during with incredibly tight timeframes. This data is also used to
populate data on Medicare Plan Finder, which allows beneficiaries to
access and compare Medicare Advantage and Prescription Drug plans. Form
Number: CMS-R-262 (OMB control number: 0938-0763); Frequency: Yearly;
Affected Public: Private sector (Business or other for-profits and Not-
for-profit institutions), State, Local, or Tribal Governments; Number
of Respondents: 785; Total Annual Responses: 8,405; Total Annual Hours:
76,378. (For policy questions regarding this collection contact Kristy
L Holtje at 410-786-2209.)
Dated: January 21, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-01495 Filed 1-25-22; 8:45 am]
BILLING CODE 4120-01-P
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