Notice2022-03936
Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request
Primary source
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Published
February 24, 2022
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Abstract
On May 28, 2010, the Office of Management and Budget (OMB) issued Paperwork Reduction Act (PRA) guidance related to the "generic" clearance process. Generally, this is an expedited process by which agencies may obtain OMB's approval of collection of information requests that are "usually voluntary, low- burden, and uncontroversial collections," do not raise any substantive or policy issues, and do not require policy or methodological review. The process requires the submission of an overarching plan that defines the scope of the individual collections that would fall under its umbrella. On October 23, 2011, OMB approved our initial request to use the generic clearance process under control number 0938-1148 (CMS- 10398). It was last approved on April 26, 2021, via the standard PRA process which included the publication of 60- and 30-day Federal Register notices. The scope of the April 2021 umbrella accounts for Medicaid and CHIP State plan amendments, waivers, demonstrations, and reporting. This Federal Register notice seeks public comment on one or more of our collection of information requests that we believe are generic and fall within the scope of the umbrella. Interested persons are invited to submit 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 37 (Thursday, February 24, 2022)</title>
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[Federal Register Volume 87, Number 37 (Thursday, February 24, 2022)]
[Notices]
[Pages 10367-10369]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-03936]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10398 #57]
Medicaid and Children's Health Insurance Program (CHIP) Generic
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: On May 28, 2010, the Office of Management and Budget (OMB)
issued Paperwork Reduction Act (PRA) guidance related to the
``generic'' clearance process. Generally, this is an expedited process
by which agencies may obtain OMB's approval of
[[Page 10368]]
collection of information requests that are ``usually voluntary, low-
burden, and uncontroversial collections,'' do not raise any substantive
or policy issues, and do not require policy or methodological review.
The process requires the submission of an overarching plan that defines
the scope of the individual collections that would fall under its
umbrella. On October 23, 2011, OMB approved our initial request to use
the generic clearance process under control number 0938-1148 (CMS-
10398). It was last approved on April 26, 2021, via the standard PRA
process which included the publication of 60- and 30-day Federal
Register notices. The scope of the April 2021 umbrella accounts for
Medicaid and CHIP State plan amendments, waivers, demonstrations, and
reporting. This Federal Register notice seeks public comment on one or
more of our collection of information requests that we believe are
generic and fall within the scope of the umbrella. Interested persons
are invited to submit 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 March 10, 2022.
ADDRESSES: When commenting, please reference the applicable form number
(see below) and the OMB control number (0938-1148). 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: CMS-10398 (#74)/OMB
control number: 0938-1148, 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
access CMS' website 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: Following is a summary of the use and burden
associated with the subject information collection(s). More detailed
information can be found in the collection's supporting statement and
associated materials (see ADDRESSES).
Generic Information Collection
1. Title of Information Collection: Medicaid Section 1115 Substance
Use Disorder (SUD) Demonstration: Monitoring Reports Documents and
Templates; Type of Information Collection Request: Revision of a
currently approved collection; Use: On November 1, 2017, CMS released a
letter #17-003 to all state Medicaid Directors announcing new
directions on how CMS would like to work with states on section 1115(a)
demonstrations to improve access to and quality of treatment for
Medicaid beneficiaries as part of a Department-wide effort to combat
the ongoing opioid crisis. The letter also announced that CMS is now
offering a more flexible, streamlined approach to accelerate states'
ability to respond to the national opioid crisis while enhancing
states' monitoring and reporting of the impact of any changes
implemented through these demonstrations.
Medicaid Section 1115 demonstration monitoring and evaluation
Special Terms and Conditions (STC), and the letter #17-003, make clear
that CMS remains committed to ensuring state accountability for the
health and well-being of Medicaid enrollees and that monitoring and
evaluation are important for understanding the outcomes and impacts of
approaches to Medicaid SUD demonstrations. For this purpose, CMS is
undertaking efforts to help states monitor the elements of these
demonstrations, while giving them the flexibility to adapt to changing
conditions in their states. States with approved SUD demonstrations are
required to develop implementation and monitoring plans, including
monitoring metrics, a monitoring protocol, and regular monitoring
reports describing their implementation progress.
In addition, the STCs for these section 1115 demonstrations address
that states are required to submit in their regular monitoring reports,
information on milestones and performance measures that they elected to
represent key indicators of progress toward meeting the goals for the
demonstrations.
Furthermore, to improve the quality and efficiency of the reporting
requirements for SUD demonstrations, CMS in conjunction with state
advisory groups developed a set of standardized monitoring tools for
states to use for their regular reporting, including:
<bullet> The Medicaid section 1115 SUD demonstration monitoring
protocol template (this is a one-time submission);
<bullet> The Medicaid section 1115 SUD demonstration monitoring
protocol workbook (this is a one-time submission);
<bullet> The Medicaid section 1115 SUD demonstration monitoring
report template, and;
<bullet> The Medicaid Section 1115 SUD demonstration monitoring
report workbook.
As specified in official 1115 policy communications to states:
In accordance with 42 CFR 431.428 states must submit all post-
approval deliverables as stipulated by CMS and within the timeframes
outlined within the STCs for the specific Medicaid 1115 State
Demonstration.
The State Medicaid Director Letter, #17-003, entitled, Strategies
Addressing the Opioid Epidemic, provides a framework for SUD
demonstrations under Medicaid Section 1115 Authority. This letter
indicates that a state's application should confirm its commitment to
assuring the necessary resources to support robust monitoring protocol
and evaluation, and that the state will provide an implementation plan
subject to CMS approval. The letter further states that information
about the specific measures and reporting will be detailed in a
monitoring protocol agreed upon by CMS and the state after approval of
the demonstration which will demonstrate progress toward meeting the
goals for this demonstration initiative.
In addition, the STCs for the Medicaid section 1115 SUD
demonstrations require that approved states submit an SUD
implementation plan subject to CMS approval, and an SUD monitoring
protocol to be developed in cooperation with CMS and which is subject
to CMS approval. The SUD monitoring protocol, reporting templates, and
associated monitoring metrics flow down from the OMB-approved SUD
implementation plan, which aligns with the goals and objectives of the
demonstration as expressed in SMDL #17-003.
The STCs also require approved states to submit three quarterly and
one annual monitoring reports consistent with the elements provided in
42 CFR
[[Page 10369]]
431.428 and in accordance with a framework to be provided by CMS. The
STCs also provide that the monitoring framework be subject to change as
monitoring systems are developed and evolve, and that states are
required to report in a structured manner that supports federal
tracking and analysis.
In this 2022 information collection request, we have revised the
following monitoring tools:
<bullet> Monitoring protocol tools:
[cir] Monitoring protocol workbook (updated to Version 6.0)
[cir] Monitoring protocol template (updated to Version 4.0)
<bullet> Monitoring report tools:
[cir] Monitoring report template (updated to Version 4.0)
[cir] Monitoring report workbook (updated to Version 6.0)
This 2022 release incorporates updated guidance on reporting
metrics, narrative information, and other clarifications. This release
also reflects modifications to align with the Medicaid Section 1115
Substance Use Disorder Demonstrations: Technical Specifications for
Monitoring Metrics Manual Version 4.0 (released September 2021).
In addition, this release incorporates updated functionality in the
Performance Metrics Database & Analytics (PMDA) system aimed to
automate aspects of reporting and customize tools to ease state burden.
Updated functionality includes:
<bullet> Auto-population of certain fields within the monitoring
report tools in alignment with the state's CMS-approved monitoring
protocol.
<bullet> Reporting flagged items early in the process to reduce
resubmission and allow CMS to engage with the state faster and on a
more detailed level.
<bullet> Ensuring the latest version of the monitoring tools are
utilized by sending an email notification to all designated
demonstration contacts when customized monitoring report tools are
available.
Form Number: CMS-10398 (#57) (OMB control number: 0938-1148);
Frequency: Once, yearly, and quarterly; Affected Public: State, Local,
or Tribal Governments; Number of Respondents: 35; Total Annual
Responses: 596; Total Annual Hours: 6,394. For policy questions
regarding this collection contact: Danielle Daly at 410-786-0897.
Dated: February 18, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-03936 Filed 2-23-22; 8:45 am]
BILLING CODE 4120-01-P
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