Notice2022-19316
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
September 7, 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 172 (Wednesday, September 7, 2022)</title>
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[Federal Register Volume 87, Number 172 (Wednesday, September 7, 2022)]
[Notices]
[Pages 54696-54697]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-19316]
[[Page 54696]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10824, CMS-R-131 and CMS-10556]
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 November 7, 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.
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-10824 Annual Notice of Chance and Evidence of Coverage for
Applicable Integrated Plans in States that Require Integrated Materials
CMS-R-131 Advance Beneficiary Notice of Noncoverage (ABN)
CMS-10556 Medical Necessity and Contract Amendments Under Mental Health
Parity
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 previously
approved collection; Title of Information Collection: Annual Notice of
Change and Evidence of Coverage for Applicable Integrated Plans in
States that Require Integrated Materials; Use: CMS requires AIPs to use
the approved standardized documents to ensure that correct information
is disclosed to current and potential enrollees. Additionally, CMS
requires AIPs to submit the completed ANOC and EOC documents to CMS.
CMS stores the completed templates. New and current enrollees can
review the ANOC and EOC upon receipt to find plan benefits, premiums
and cost sharing for the coming year to be in a better position to make
informed and educated plan selections. CMS does not require new and
current enrollees to review the documents or use them in any way.
MA organizations with AIPs in States that require these integrated
documents upload ANOC and EOC documents into the Health Plan Management
System (HPMS) to ensure accuracy and regulatory compliance. Section
422.111(h)(2)(ii) requires that, the ANOC/EOC be available on the
website and 422.111(d)(2) requires that the plan send the ANOC to the
enrollee in hard copy format, upon request. Section 423.128(d)(2)
requires that Part D sponsors post the ANOC and EOC documents on their
website and send the ANOC only to enrollees electronically or in hard
copy. Form Number: CMS-10824 (OMB control number: 0938-New); Frequency:
Annually; Affected Public: Private Sector; Businesses or other for-
profits; Number of Respondents: 47; Total Annual Responses: 47; Total
Annual Hours: 564. (For policy questions regarding this collection
contact Julie Jones at 630-337-5863.)
2. Type of Information Collection Request: Extension of a
previously approved collection; Title of Information Collection:
Advance Beneficiary Notice of Noncoverage (ABN); Use: The use of the
written Advance Beneficiary Notice of Non-coverage (ABN) is to inform
Medicare beneficiaries of their liability under specific conditions.
This has been available since the ``limitation on liability''
provisions in section 1879 of the Social Security Act (the Act) were
enacted in 1972 (Pub. L. 92-603).
The ABNs are not given every time items and services are delivered.
Rather, ABNs are given only when a physician, provider, practitioner,
or supplier anticipates that Medicare will not provide payment in
specific cases. An ABN may be given, and the beneficiary may
subsequently choose not to receive the item or service. An ABN may also
be issued because of other applicable statutory requirements other than
Sec. 1862(a)(1) such as when a beneficiary wants to obtain an item
from a supplier who has not met Medicare supplier number requirements,
as listed in section 1834(j)(1) of the Act or when statutory
requirements for issuance specific to HHAs are applicable. Form Number:
CMS-R-131 (OMB control number: 0938-0566); Frequency:
[[Page 54697]]
Occasionally; Affected Public: Private Sector; Businesses or other for-
profits, Not-for-profits institutions; Number of Respondents:
1,701,558; Total Annual Responses: 323,947,630; Total Annual Hours:
37,794,970. (For policy questions regarding this collection contact
Jennifer McCormick at 410-786-2852.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medical Necessity
and Contract Amendments Under Mental Health Parity; Use: Upon request,
regulated entities must provide a medical necessity disclosure.
Receiving this information will enable potential and current enrollees
to make more educated decisions given the choices available to them
through their plans and may result in better treatment of their mental
health or substance use disorder (MH/SUD) conditions. States use the
information collected and reported as part of its contracting process
with managed care entities, as well as its compliance oversight role.
In states where a Medicaid Managed Care Organization (MCO) is
responsible for providing the full scope of medical/surgical and MH/SUD
services to beneficiaries, the state will review the parity analysis
provided by the MCO to confirm that the MCO benefits are in compliance.
CMS uses the information collected and reported in an oversight role of
State Medicaid managed care programs. Form Number: CMS-10556 (OMB
control number: 0938-1280); Frequency: Once and occasionally; Affected
Public: Individuals and households, the Private sector, and State,
Local, or Tribal Governments; Number of Respondents: 71,104,769; Total
Annual Responses: 426,628; Total Annual Hours: 71,294. (For policy
questions regarding this collection contact Matthew Rodriguez at 303-
844-4724.)
Dated: September 1, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-19316 Filed 9-6-22; 8:45 am]
BILLING CODE 4120-01-P
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