Notice2022-17063
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
August 9, 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 152 (Tuesday, August 9, 2022)</title>
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[Federal Register Volume 87, Number 152 (Tuesday, August 9, 2022)]
[Notices]
[Pages 48482-48483]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-17063]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-437A and CMS-437B]
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 October 11, 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
Submission'' or ``More Search Options'' to find the information
collection document(s) that are accepting comments.
[[Page 48483]]
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-437A and CMS-437B Rehabilitation Unit and Hospital Criteria
Worksheet
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: Rehabilitation
Unit and Hospital Criteria Worksheet; Use: Inpatient Rehabilitation
Facility (IRF) hospitals and units must initially attest that they meet
the Inpatient Prospective Payment System (IPPS) exclusion criteria set
forth at 42 CFR 412.20 to Sec. 412.29 prior to being placed into IPPS
exempt status. Form CMS-437A must be completed by IRF units and form
CMS-437B must be completed by IRF hospitals.
For first time verification requests for exclusion from the IPPS,
an IRF unit or hospital must notify the Regional Office (RO) servicing
the State in which it is located that it believes it meets the criteria
for exclusion from the IPPS. Currently, all new IRF units or hospitals
must provide written certification that the inpatient population it
intends to serve will meet the requirements of the IPPS exclusion
criteria for IRFs. The completed CMS-437A and 437B forms are submitted
to the State Agency (SA) no later than 5 months before the date the IRF
unit or hospital would become subject to Inpatient Rehabilitation
Facility Prospective Payment System (IRF-PPS). For IRF units and
hospitals already excluded from the IPPS, annual onsite re-verification
surveys by the SA are no longer required. IRF units and hospitals must
now re-attest to meeting the exclusion criteria every 3 years
thereafter.
IRF units and hospitals that have already been excluded need not
reapply for exclusion. These facilities will automatically be
reevaluated yearly to determine whether they continue to meet the
exclusion criteria. For the tri-annual re-verification, IRF units and
hospitals will be provided with a copy of the appropriate CMS-437
worksheet at least 5-months prior to the beginning of its cost
reporting period, so that the IRF unit or hospital official may
complete and sign an attestation statement and complete and return the
appropriate form CMS-437A or CMS-437B at least 5-months prior to the
beginning of the cost reporting period. However, Fiscal Intermediaries
(FIs) will continue to verify, on an annual basis, compliance with the
60 percent rule (42 CFR 412.29(b)(2)) for IRF units and hospitals
through a sample of medical records and the SA will verify the medical
director requirement.
The SA will notify the RO at least 60 days prior to the end of the
IRF unit's or hospital's cost reporting period of the status of
compliance or non-compliance with the payment requirements. The
information collected on the 437A and 437B forms, along with other
information submitted by the IRF is necessary for determining the IRF's
IPPS exclusion status. We have revised the CMS-437A and 437B forms so
that they more adequately reflect the regulatory requirements of Sec.
412.20 to Sec. 412.29. More specifically, we have updated the text in
the 3rd column of the form, which tells the facility what actions must
be taken and what information must be verified to receive IPPS excluded
status.; Form Number: CMS-437A and CMS-437B (OMB control number: 0938-
0986); Frequency: tri-annually; Affected Public: Private sector
(Business or other for-profits); Number of Respondents: 497; Total
Annual Responses: 497; Total Annual Hours: 497. (For policy questions
regarding this collection contact Caroline Gallaher at 410-786-8705).
Dated: August 4, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-17063 Filed 8-8-22; 8:45 am]
BILLING CODE 4120-01-P
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