Agency Information Collection Activities: Proposed Collection; 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 (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.
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<title>Federal Register, Volume 87 Issue 178 (Thursday, September 15, 2022)</title>
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[Federal Register Volume 87, Number 178 (Thursday, September 15, 2022)]
[Notices]
[Pages 56678-56680]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-20007]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-379, CMS-10344, CMS-10594, CMS-10415 and CMS-
1957]
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 14, 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 access
the CMS PRA website by copying and pasting the following web address
into your web browser: <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-379 Financial Statement of Debtor
CMS-10344 Elimination of Cost-Sharing for full benefit dual-eligible
Individuals Receiving Home and Community-Based Services
CMS-10594 Provider Network Coverage Data Collection
[[Page 56679]]
CMS-10415 Generic Clearance for the Collection of Qualitative Feedback
on Agency Service Delivery
CMS-1957 Social Security Office (SSO) Report of State Buy-In Problem
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: Financial
Statement of Debtor; Use: CMS is authorized to collect the information
requested on this form by sections 1124(a)(1), 1124A(a)(3), 1128, 1814,
1815, 1833(e), and 1842(r) of the Social Security Act [42 U.S.C. 1320a-
3(a)(1), 1320a-7, 1395f, 1395g, 1395(l)(e), and 1395u(r)] and section
31001(1) of the Debt Collection Improvement Act [31 U.S.C. 7701(c)].
Section 1893(f) (1)) of the Social Security Act and 42 CFR 401.607
provides the authority for collection of this information. Section 42
CFR 405.607 requires that, CMS recover amounts of claims due from
debtors including interest where appropriate by direct collections in
lump sums or in installments. The physician/supplier may be unable to
refund a large overpaid amount in a single payment. The MAC cannot
recover the overpayment by recoupment if the physician/supplier does
not accept assignment of future claims, or is not expected to file
future claims because of going out of business, illness or death. In
these unusual circumstances, the MAC has authority to approve or deny
extended repayment schedules up to 12 months, or may recommend to the
Centers for Medicare and Medicaid Services (CMS) to approve up to 60
months. Before the MAC takes these actions, the MAC will require full
documentation of the physician's/supplier's financial situation. Thus,
the physician/supplier must complete the CMS-379, Financial Statement
of Debtor. Form Number: CMS-379 (OMB control number 0938-0270);
Frequency: Annually; Affected Public: Private Sector (business or other
for-profits, not-for-profit institutions); Number of Respondents: 500;
Number of Responses: 500; Total Annual Hours: 1,000. (For policy
questions regarding this collection contact Monica Thomas at 410-786-
4292).
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Elimination of
Cost-Sharing for full benefit dual-eligible Individuals Receiving Home
and Community-Based Services; Use: Section 1860 D-14 of the Social
Security Act sets forth requirements for premium and cost-sharing
subsidies for low-income beneficiaries enrolled in Medicare Part D.
Based on this statute, 42 CFR 423.771, provides guidance concerning
limitations for payments made by and on behalf of low-income Medicare
beneficiaries who enroll in Part D plans. 42 CFR 423.771 (b)
establishes requirements for determining a beneficiary's eligibility
for full subsidy under the Part D program. Regulations set forth in
423.780 and 423.782 outline premium and cost sharing subsidies to which
full subsidy eligible are entitled under the Part D program.
Each month CMS deems individuals automatically eligible for the
full subsidy, based on data from State Medicaid Agencies and the Social
Security Administration (SSA). The SSA sends a monthly file of
Supplementary Security Income-eligible beneficiaries to CMS. Similarly,
the State Medicaid agencies submit Medicare Modernization Act files to
CMS that identify full subsidy beneficiaries. CMS deems the
beneficiaries as having full subsidy and auto-assigns these
beneficiaries to bench mark Part D plans. Part D plans receive premium
amounts based on the monthly assessments. Form Number: CMS-10344 (OMB
control number 0938-1127); Frequency: Monthly; Affected Public: Private
Sector (business or other for-profits, not-for-profit institutions);
Number of Respondents: 51; Number of Responses: 612; Total Annual
Hours: 621. (For policy questions regarding this collection contact
Roland Herrera at 410-786-0668).
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Provider Network
Coverage Data Collection; Use: The Patient Protection and Affordable
Care Act (Pub. L. 111-148) was signed into law on March 23, 2010. On
March 30, 2010, the Health Care and Education Reconciliation Act of
2010 (Pub. L. 111-152) was signed into law. The two laws are
collectively referred to as the Affordable Care Act (ACA). The ACA
established competitive private health insurance markets called
Marketplaces, or Exchanges, which gave millions of Americans and small
businesses access to affordable, quality insurance options that meet
certain requirements. These requirements include ensuring sufficient
choice of providers and providing information to enrollees and
prospective enrollees on the availability of in-network and out-of-
network providers.
In the final rule, the Patient Protection and Affordable Care Act;
HHS Notice of Benefit and Payment Parameters for 2017 (CMS-9937-P), we
finalized network adequacy standards for qualified health plan (QHP)
issuers, including stand-alone dental plans (SADPs) mostly focused on
issuers in QHPs in the Federally-facilitated Exchanges (FFEs). This
information collection notice is for two of the standards from the
rule: one applying in the FFE and one applying to all QHPs.
Specifically, under 45 CFR 156.230(d) and 156.230(e), we require
notification requirements for enrollees in cases where a provider
leaves the network and for cases where an enrollee might be seen by an
out of network ancillary provider in an in-network setting. These
standards will help inform consumers about his or her health plan
coverage to better make cost effective choices. The Centers for
Medicare and Medicaid Services (CMS) is updating an information
collection request (ICR) in connection with these standards. The burden
estimates for this ICR included in this package reflects the additional
time and effort for QHP issuers to provide these notifications to
enrollees. Form Number: CMS-10594 (OMB control number 0938-1302);
Frequency: Annually; Affected Public: Private Sector (business or other
for-profits, not-for-profit institutions); Number of Respondents: 374;
Number of Responses: 374; Total Annual Hours: 551,276. (For policy
questions regarding this collection contact Nicole Levesque at
<a href="/cdn-cgi/l/email-protection#0c62656f6360692260697a697f7d79694c6f617f2264647f226b637a"><span class="__cf_email__" data-cfemail="254b4c464a49400b4940534056545040654648560b4d4d560b424a53">[email protected]</span></a>).
4. Type of Information Collection Request: Revision of a currently
approved colleciton; Title of Information Collection: Generic Clearance
for the Collection of Qualitative Feedback on Agency Service Delivery;
Use: This collection of information is necessary to enable the
[[Page 56680]]
Agency to garner customer and stakeholder feedback in an efficient,
timely manner, in accordance with our commitment to improving service
delivery. The information collected from our customers and stakeholders
will help ensure that users have an effective, efficient, and
satisfying experience with the Agency's programs. This feedback will
provide insights into customer or stakeholder perceptions, experiences
and expectations, provide an early warning of issues with service, or
focus attention on areas where communication, training or changes in
operations might improve delivery of products or services. These
collections will allow for ongoing, collaborative and actionable
communications between the Agency and its customers and stakeholders.
It will also allow feedback to contribute directly to the improvement
of program management. Collecting voluntary customer feedback is the
least burdensome, most effective way for the Agency to determine
whether or not its public websites are useful to and used by its
customers. Generic clearance is needed to ensure that the Agency can
continuously improve its websites through regular surveys developed
from these pre-defined questions. Surveying the Agency websites on a
regular, ongoing basis will help ensure that users have an effective,
efficient, and satisfying experience on any of the websites, maximizing
the impact of the information and resulting in optimum benefit for the
public. The surveys will ensure that this communication channel meets
customer and partner priorities, builds the Agency's brands, and
contributes to the Agency's health and human services impact goals.
Form Number: CMS-10415 (OMB control number 0938-1185); Frequency:
Occasionally; Affected Public: Individuals and Households; Number of
Respondents: 2,000,000; Number of Responses: 2,000,000; Total Annual
Hours: 50,000. (For policy questions regarding this collection contact
Aaron Lartey at 410-786-7866.)
5. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Social Security
Office (SSO) Report of State Buy-In Problem; Use: The statutory
authority for the State Buy-in program is Section 1843 of the Social
Security Act, amended through 1989. Under section 1843, a State can
enter into an agreement to provide Medicare protection to individuals
who are members of a Buyin coverage group, as specified in the State's
Buy-in agreement. The Code of Federal Regulations at 42 CFR 407.40
provides for States to enroll in Medicare and pay the premiums for all
eligible members covered under a Buyin coverage group. Individuals
enrolled in Medicare through the Buy-in program must be eligible for
Medicare and be an eligible member of a Buy-in coverage group. The day
to day operations of the State Buy-in program is accomplished through
an automated data exchange process. The automated data exchange process
is used to exchange Medicare and Buy-in entitlement information between
the Social Security District Offices, State Medicaid Agencies and the
Centers for Medicare & Medicaid Services (CMS). When problems arise
that cannot be resolved though the normal data exchange process,
clerical actions are required. The CMS-1957, ``SSO Report of State Buy-
In Problem'' is used to report Buy-in problems cases. The CMS-1957 is
the only standardized form available for communications between the
aforementioned agencies for the resolution of beneficiary complaints
and inquiries regarding State Buy-in eligibility. Form Number: CMS-1957
(OMB control number 0938-0035); Frequency: Occasionally; Affected
Public: Individuals and Households; Number of Respondents: 1,400;
Number of Responses: 1,400; Total Annual Hours: 467. (For policy
questions regarding this collection contact Keith Johnson at 410-786-
2262.)
Dated: September 12, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-20007 Filed 9-14-22; 8:45 am]
BILLING CODE 4120-01-P
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