Notice2022-03727
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
February 22, 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 (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 87 Issue 35 (Tuesday, February 22, 2022)</title>
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[Federal Register Volume 87, Number 35 (Tuesday, February 22, 2022)]
[Notices]
[Pages 9627-9629]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-03727]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10391, CMS-R-74, CMS-R-306, CMS-265-11 and
CMS-10544]
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 April 25, 2022.
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
[[Page 9628]]
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.
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">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing</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-10391--Methods for Assuring Access to Covered Medicaid Services
Under 42 CFR 447.203 and 447.204
CMS-R-74 Income and Eligibility Verification System Reporting and
Supporting Regulations
CMS-R-306 Use of Restraint and Seclusion in Psychiatric Residential
Treatment Facilities (PRTFs) for Individuals Under Age 21 and
Supporting Regulations
CMS-265-11 Independent Renal Dialysis Facility Cost Report
CMS-10544 Good Cause Processes
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: Extension of a currently
approved collection; Title of Information Collection: Methods for
Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and
447.204; Use: Current regulations at 42 CFR 447.203(b) require states
to develop an access monitoring review plan (AMRP) that is updated at
least every three years for: Primary care services, physician
specialist services, behavioral health services, pre and post-natal
obstetric services (including labor and delivery), and home health
services. When states reduce rates for other Medicaid services, they
must add those services to the AMRP and monitor the effects of the rate
reductions for 3 years. If access issues are detected, a state must
submit a corrective action plan to CMS within 90 days and work to
address the issues within 12 months. Section 447.203(b)(7) requires
that states have mechanisms to obtain ongoing beneficiary and provider
feedback. A state is also required to maintain a record of data on
public input and how the state responded to the input. Prior to
submitting proposals to reduce or restructure Medicaid service payment
rates, states must receive input from beneficiaries, providers, and
other affected stakeholders on the extent of beneficiary access to the
affected services.
The information is used by states to document that access to care
is in compliance with section 1902(a)(30)(A) of the Social Security
Act, to identify issues with access within a state's Medicaid program,
and to inform any necessary programmatic changes to address issues with
access to care. CMS uses the information to make informed approval
decisions on State plan amendments that propose to make Medicaid rate
reductions or restructure payment rates and to provide the necessary
information for CMS to monitor ongoing compliance with section
1902(a)(30)(A). Beneficiaries, providers and other affected
stakeholders may use the information to raise access issues to state
Medicaid agencies and work with agencies to address those issues. Form
Number: CMS-10391 (OMB control number: 0938-1134); Frequency: Annually;
Affected Public: State, Local, or Tribal Governments); Number of
Respondents: 51; Total Annual Responses: 212; Total Annual Hours:
12,262. (For questions regarding this collection contact Jeremy
Silanskis at 410-786-1592.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Income and
Eligibility Verification System Reporting and Supporting Regulations;
Use: Section 1137 of the Social Security Act requires that States
verify the income and eligibility information contained on the
applicant's application and in the applicant's case file through data
matches with the agencies and entities identified in this section. The
State Medicaid/CHIP agency will report the existence of a system to
collect all information needed to determine and redetermine eligibility
for Medicaid and CHIP. The State Medicaid/CHIP agency will attest to
using the PARIS system in determining beneficiary eligibility in
Medicaid or CHIP benefit programs. Form Number: CMS-R-74 (OMB control
number: 0938-0467); Frequency: Occasionally; Affected Public: State,
Local, or Tribal Governments; Number of Respondents: 55; Total Annual
Responses: 3,241; Total Annual Hours: 1,071. (For policy questions
regarding this collection contact Stephanie Bell at 410-786-0617.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Use of Restraint
and Seclusion in Psychiatric Residential Treatment Facilities (PRTFs)
for Individuals Under Age 21 and Supporting Regulations; Use:
Psychiatric residential treatment facilities are required to report
deaths, serious injuries and attempted suicides to the State Medicaid
Agency and the Protection and Advocacy Organization. They are also
required to provide residents the restraint and seclusion policy in
writing, and to document in the residents' records all activities
involving the use of restraint and seclusion. Form Number: CMS-R-306
(OMB control number: 0938-0833); Frequency: Occasionally; Affected
Public: Private sector (Business or other for-profits); Number of
Respondents: 390; Total Annual Responses: 1,466,823; Total Annual
Hours: 449,609. (For policy questions regarding this collection contact
Kirsten Jensen at 410-786-8146.)
4. Type of Information Collection Request: Reinstatement with
change; Title of Information Collection: Independent Renal Dialysis
Facility Cost Report; Use: Under the authority of sections 1815(a) and
1833(e) of the Act, CMS requires that providers of services
participating in the Medicare program submit information to determine
costs
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for health care services rendered to Medicare beneficiaries. CMS
requires that providers follow reasonable cost principles under
1861(v)(1)(A) of the Act when completing the Medicare cost report
(MCR). Regulations at 42 CFR 413.20 and 413.24 require that providers
submit acceptable cost reports on an annual basis and maintain
sufficient financial records and statistical data, capable of
verification by qualified auditors.
ESRD facilities participating in the Medicare program submit these
cost reports annually to report cost and statistical data used by CMS
to determine reasonable costs incurred for furnishing dialysis services
to Medicare beneficiaries and to effect the year-end cost settlement
for Medicare bad debts. Form Number: CMS-265-11 (OMB control number:
0938-0236); Frequency: Annually; Affected Public: Private Sector,
Business or other for-profits, State, Local, or Tribal Governments);
Number of Respondents: 7,492; Total Annual Responses: 7,492; Total
Annual Hours: 494,472. (For questions regarding this collection contact
Keplinger, Jill C at 410-786-4550.)
5. Type of Information Collection Request: Reinstatement without
change; Title of Information Collection: Good Cause Processes; Use:
Section 1851(g)(3)(B)(i) of the Act provides that MA organizations may
terminate the enrollment of individuals who fail to pay basic and
supplemental premiums after a grace period established by the plan.
Section 1860D-1(b)(1)(B)(v) of the Act generally directs us to
establish rules related to enrollment, disenrollment, and termination
for Part D plan sponsors that are similar to those established for MA
organizations under section 1851 of the Act. Consistent with these
sections of the Act, subpart B in each of the Parts C and D regulations
sets forth requirements with respect to involuntary disenrollment
procedures at 42 CFR 422.74 and 423.44, respectively. In addition,
section 1876(c)(3)(B) establishes that individuals may be disenrolled
from coverage as specified in regulations. Thus, current regulations at
42 CFR 417.460 specify that a cost plan, specifically a Health
Maintenance Organization (HMO) or competitive medical plan (CMP), may
disenroll a member who fails to pay premiums or other charges imposed
by the plan for deductible and coinsurance amounts.
These good cause provisions authorize CMS to reinstate a
disenrolled individual's enrollment without interruption in coverage if
the non-payment is due to circumstances that the individual could not
reasonably foresee or could not control, such as an unexpected
hospitalization. At its inception, the process of accepting, reviewing,
and processing beneficiary requests for reinstatement for good cause
was carried out exclusively by CMS. Form Number: CMS-10544 (OMB control
number: 0938-1271); Frequency: Annually; Affected Public: Business or
other for-profits State, Local, or Tribal Governments); Number of
Respondents: 312; Total Annual Responses: 41,289; Total Annual Hours:
27,499. (For questions regarding this collection contact Fabayo, Ronke
at (410) 786-4460.)
Dated: February 16, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-03727 Filed 2-18-22; 8:45 am]
BILLING CODE 4120-01-P
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</html>Indexed from Federal Register on February 22, 2022.
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