Notice2022-24098
Agency Information Collection Activities: Submission for OMB Review; Comment Request
Primary source
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Published
November 4, 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 (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.
Full Text
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<title>Federal Register, Volume 87 Issue 213 (Friday, November 4, 2022)</title>
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[Federal Register Volume 87, Number 213 (Friday, November 4, 2022)]
[Notices]
[Pages 66709-66711]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-24098]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10003, CMS-1771, CMS-10789 and CMS-10379]
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 December 5, 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, please 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 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: Notice of Denial of Medical Coverage (or
Payment); Use: Section 1852(g)(1)(B) of the Social Security Act (the
Act) requires Medicare health plans to provide enrollees with a written
notice in understandable language of the reasons for the denial and a
description of the applicable appeals processes.
[[Page 66710]]
Medicare health plans, including Medicare Advantage plans, cost
plans, and Health Care Prepayment Plans (HCPPs), are required to issue
the Notice of Denial of Medical Coverage (or Payment) (NDMCP) when a
request for either a medical service or payment is denied, in whole or
in part. Additionally, the notices inform Medicare enrollees of their
right to file an appeal, outlining the steps and timeframes for filing.
All Medicare health plans are required to use these standardized
notices. Form Number: CMS-10003 (OMB Control Number: 0938-0829);
Frequency: Annually; Affected Public: Private Sector, Business or other
for-profit and not-for-profit institutions; Number of Respondents: 937;
Number of Responses: 16,191,812; Total Annual Hours: 2,697,556. (For
policy questions regarding this collection contact Sabrina Edmonston at
410-786-3209.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title: Emergency and Foreign Hospital Services and
Supporting Regulation in 42 CFR Section 424.103; Use: Section 1866 of
the Social Security Act states that any provider of services shall be
qualified to participate in the Medicare program and shall be eligible
for payments under Medicare if it files an agreement with the Secretary
to meet the conditions outlined in this section of the Act. Section
1814(d)(1) of the Social Security Act and 42 CFR 424.100, allows
payment of Medicare benefits for a Medicare beneficiary to a
nonparticipating hospital that does not have an agreement in effect
with the Centers for Medicare and Medicaid Services. These payments can
be made if such services were emergency services and if CMS would be
required to make the payment if the hospital had an agreement in effect
and met the conditions of payment. This form is used in connection with
claims for emergency hospital services provided by hospitals that do
not have an agreement in effect under Section 1866 of the Social
Security Act.
42 CFR 424.103 (b) requires that before a non-participating
hospital may be paid for emergency services rendered to a Medicare
beneficiary, a statement must be submitted that is sufficiently
comprehensive to support that an emergency existed. Form CMS- 1771
contains a series of questions relating to the medical necessity of the
emergency. The attending physician must attest that the hospitalization
was required under the regulatory emergency definition (42 CFR 424.101
attached) and give clinical documentation to support the claim. A
photocopy of the beneficiary's hospital records may be used in lieu of
the CMS-1771 if the records contain all the information required by the
form.; Form Number: CMS-1771 (OMB Control Number: 0938-0023);
Frequency: Annually; Affected Public: Private Sector, Business or other
for-profit and not-for-profit institutions; Number of Respondents: 100;
Number of Responses: 200; Total Annual Hours: 50. (For policy questions
regarding this collection contact Shauntari Cheely at 410-786-1818.)
3. Type of Information Collection Request: New Collection; Title of
Information Collection: Customer Satisfaction Survey for Enterprise
Portal Services (EPS) Users; Use: This EPS customer satisfaction survey
will support EADG's goal of promoting improvements in the quality of
EPS for all end-users and business owners. The collection of this
information is necessary to enable EADG to obtain feedback in an
efficient, timely manner, in accordance to our commitment to improving
the quality and usability of our system. It will also allow for
ongoing, collaborative, and actionable communications between EADG and
all customers, stakeholders, and end-users.
The goal of this Generic clearance and its survey is to capture
feedback from actual users of the system immediately after they finish
using the system, while their user experience, negative or positive, is
still fresh in their minds. This user feedback will allow our team to
discover areas of improvement within EPS. It will help us improve the
user experience, provide better service/support, improve marketing
strategies, and identify gaps/issues that require resolution. For
example, if we get several responses through the collection instrument
stating that users feel that the EPS system is slow, we can use that
feedback to invest efforts into increasing the EPS response times. As
the feedback is analyzed and implemented over time, the survey
questions will evolve to support implemented changes, providing the EPS
team with the most up-to-date feedback on system improvement.
By using a Generic Instrument Collection, the survey will evolve
over time. Within the CMS EPS, features are frequently added, and
sometimes even removed. The team needs to be able to add new survey
questions, specific to those new features, in order to capture valuable
feedback on the effectiveness, ease-of-use, pain points, and areas of
improvement for the 2 feature. When features are removed from the CMS
EPS, questions relevant to those features must be modified or removed
from the survey as well. In general, given that the CMS EPS is a
dynamic system, designed to meet enterprise needs that change over
time, a Generic Instrument Collection will allow the survey to evolve
as the system evolves, and remain relevant, capturing up-to-date
feedback on the system. Form Number: CMS-10789 (OMB control number:
0938-New); Frequency: Quarter; Affected Public: Individuals and
Households, Private Sector (Business or other for-profits, Not-for-
Profit Institutions); Number of Respondents: 300,000; Total Annual
Responses: 360,000; Total Annual Hours: 90,000. (For policy questions
regarding this collection contact Corey L. Redden at 410-279-5152.)
4. Type of Information Collection Request: Revision of a previously
approved information collection; Title of Information Collection: Rate
Increase Disclosure and Review Reporting Requirements; Use: 45 CFR part
154 implements the annual review of unreasonable increases in premiums
for health insurance coverage called for by section 2794. The
regulation established a rate review program to ensure that all rate
increases that meet or exceed an established threshold are reviewed by
a state or the Centers for Medicare and Medicaid Services (CMS) to
determine whether the rate increases are unreasonable. Accordingly,
issuers offering non-grandfathered health insurance coverage in the
individual and/or small group markets are required to submit Rate
Filing Justifications to CMS. Section 154.103 exempts grandfathered
health plan coverage as defined in 45 CFR 147.140, excepted benefits as
described in section 2791(c) of the PHS Act and student health
insurance coverage, as defined in Sec. 147.145, from Federal rate
review requirements.
The Rate Filing Justification consists of three parts. All issuers
must continue to submit a Uniform Rate Review Template (URRT) (Part I
of the Rate Filing Justification) for all single risk pool plans.
Section 154.200(a)(1) establishes a 15 percent federal default
threshold for reasonableness review. Issuers that submit a rate filing
that includes a plan that meets or exceeds the threshold must include a
written description justifying the rate increase, also known as the
consumer justification narrative (Part II of the Rate Filing
Justification). We note that the threshold set by CMS constitutes a
minimum standard and most states currently employ stricter rate review
standards and may continue to do so. Issuers offering a QHP or any
single risk pool submission containing a rate
[[Page 66711]]
increase of any size must continue to submit an actuarial memorandum
(Part III of the Rate Filing Justification). Form Number: CMS-10379
(OMB control number: 0938-1141); Frequency: Annually; Affected Public:
Private Sector; Businesses or other for-profits, Not-for-profit
institutions; Number of Respondents: 626; Total Annual Responses: 820;
Total Annual Hours: 17,788. (For policy questions regarding this
collection contact Lisa Cuozzo at 410-786-1746.)
Dated: November 1, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-24098 Filed 11-3-22; 8:45 am]
BILLING CODE 4120-01-P
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