Agency Information Collection Activities: Submission for OMB Review; Comment Request
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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.
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<title>Federal Register, Volume 87 Issue 82 (Thursday, April 28, 2022)</title>
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[Federal Register Volume 87, Number 82 (Thursday, April 28, 2022)]
[Notices]
[Pages 25273-25274]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-09112]
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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, and CMS-10791]
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 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 May 31, 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 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: 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
[[Page 25274]]
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: New collection (Request
for a new OMB control number); Title of Information Collection:
Requirements Related to Surprise Billing; Part II; Use: On December 27,
2020, the Consolidated Appropriations Act, 2021 (CAA), which includes
the No Surprises Act, was signed into law. The No Surprises Act
provides Federal protections against surprise billing and limits out-
of-network cost sharing under many of the circumstances in which
surprise bills arise most frequently. The information requirements of
the October 2021 interim final rules included in CMS-10791 have two
components: Good Faith Estimates. Providers and facilities must furnish
a good faith estimate of expected items and services beginning on or
after January 1, 2022, which will allow uninsured (or self-pay)
individuals to have access to information about health care pricing
before receiving care. This information will allow uninsured (or self-
pay) individuals to evaluate options for receiving health care, make
cost-conscious health care purchasing decisions, and reduce surprises
in relation to their health care costs for items and services.
Additionally, uninsured (or self-pay) individuals will need a good
faith estimate to initiate the patient-provider dispute resolution
process. HHS will request information from entities seeking to be
certified or recertified as an SDR entity. This information will be
used to assess whether or not the entity satisfies the requirements for
certification. Form Number: CMS-10791 (OMB control number: 0938-NEW);
Frequency: Annually; Affected Public: Private sector (Business or other
for-profits and Not-for-profit institutions); Number of Respondents:
4,010,691; Total Annual Responses: 4,010,691; Total Annual Hours:
6,242,227. For policy questions regarding this collection contact Janny
Frimpong at 301-492-4174.
Dated: April 25, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-09112 Filed 4-27-22; 8:45 am]
BILLING CODE 4120-01-P
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