Notice2023-00732
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
January 17, 2023
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 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 88 Issue 10 (Tuesday, January 17, 2023)</title>
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[Federal Register Volume 88, Number 10 (Tuesday, January 17, 2023)]
[Notices]
[Pages 2625-2626]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-00732]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers CMS-10108, CMS-10243, CMS-10275 and CMS-10062]
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 (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 March 20, 2023.
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, 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 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-10108 Medicaid Managed Care and Supporting Regulations
CMS-10243 Testing Experience and Functional Tools (TEFT): Functional
Assessment Standardized Items (FASI) Based on the CARE Tool
CMS-10275 The Home Health Care CAHPS[supreg] Survey (HHCAHPS)
CMS-10062 Collection of Diagnostic Data in the Abbreviated RAPS Format
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: Medicaid Managed
Care and Supporting Regulations; Use: Information collected includes
information about managed care programs, grievances and appeals,
enrollment broker contracts, and managed care organizational capacity
to provide health care services. Medicaid enrollees use the information
collected and reported to make informed choices regarding health care,
including how to access health care services and the grievance and
appeal system. States use the information collected and reported as
part of its contracting process with managed care entities, as well as
its compliance oversight role. We use the information collected and
reported in an oversight role of state Medicaid managed care programs.
Among the proposed changes, this iteration: (1) adds burden for a
new submission process, via online portal, for states to submit
contracts to CMS and to note an omission from prior packages for the
burden for states to submit their managed care plan contracts via
email, and (2) adds burden to provide a reporting template for those
states that implemented COVID-19 specific risk mitigation strategies to
their managed care plan contracts. This template will ensure that
states provide consistent and complete reporting of the outcomes of
these risk mitigation strategies. Form Number: CMS-10108 (OMB control
number: 0938-0920); Frequency: Occasionally; Affected Public: Private
sector (business or other for-profit and not-for-profit institutions),
and State, local or Tribal Government; Number of Respondents: 5,053;
Total Annual Responses: 13,743,255; Total Annual Hours: 1,682,636. (For
policy questions regarding this collection contact Amy Gentile at 410-
786-3499.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Testing
Experience and Functional Tools (TEFT): Functional Assessment
Standardized Items (FASI) Based on the CARE Tool; Use: As part of the
National Testing Experience and Functional Assessment Tools (TEFT)
demonstration, CMS tested the use of functional assessment standardized
items (FASI) among community-based long term services and supports (CB-
LTSS) populations. The TEFT initiative built on the national efforts to
create electronically exchangeable data across providers and the
caregiving team to develop more person-centered services under the
Medicare and Medicaid programs. After conclusion of the field test,
states have begun implementing the related FASI performance measures
and the FASI team continues to recruit additional states. While the
team has not conducted data collection since the FASI field test in
2017, and that there are no concrete immediate plans to collect new
data, new data collection to support measure re-endorsement activities
due in 2025 will be needed. The data collection may also need to be
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conducted sooner if significant changes are made to the measures'
technical specifications, in the interim. Due to the uncertainty on
when data collection may need to be done, an extension of the existing
package and a subsequent revision would facilitate expedient resumption
of the data collection and testing efforts, especially given the quick
turnaround time for activities (such as National Quality Forum measure
endorsement) which depend on the data collection.
FASI is based on a subset of the July 27, 2007 (72 FR 144)
Continuity Assessment Record and Evaluation (CARE) items which are now
included in post-acute setting Federal assessment forms for nursing
facilities--Resident Assessment Instrument (RAI) Minimum Data Set
(MDS), Inpatient Rehabilitation Facilities Patient Assessment
Instrument (IRF-PAI), and Long Term Care Hospitals Continuity
Assessment Record & Evaluation (CARE) Data Set (LCDS) to measure
function in a standardized way. The FASI items include the standardized
mobility and self-care items included in the MDS, IRF-PAI, and, LCDS as
well as some additional mobility items appropriate to measuring
independence in the community and personal preferences or goals items
related to function. Also included are certain instrumental activities
of daily living and some modified caregiver assistance items from the
Home Health Outcome and Assessment Information Set (OASIS) tool. A few
additional items to describe the populations' age, gender, and
geographic area of residence are also included. Use of the same items
to measure functional status in nursing facilities and community-based
programs will help states report on their rebalancing efforts. Also,
because these items will have electronic specifications developed by
CMS, they can assist state efforts to develop exchangeable electronic
data to follow the person across services and estimate total costs as
well as measure functional status across time. The complete FASI set is
included in this information collection request. Form Number: CMS-10243
(OMB control number: 0938-1037); Frequency: On occasion; Affected
Public: Individuals and Households; Number of Respondents: 1,570; Total
Annual Responses: 1,570; Total Annual Hours: 785. (For policy questions
regarding this collection contact Kerry Lida at 410-786-4826.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: The Home Health
Care CAHPS[supreg] Survey (HHCAHPS); Use: The national implementation
of the Home Health Care CAHPS Survey is designed to collect ongoing
data from samples of home health care patients who receive skilled
services from Medicare-certified home health agencies. The survey is
necessary because it fulfills the goal of transparency with the public
about home health patient experiences.
The survey is used by Medicare-certified home health agencies to
improve their internal quality assurance in the care that they provide
in home health. The HHCAHPS survey is also used in a Medicare payment
program. Medicare-certified home health agencies (HHAs) must contract
with CMS-approved survey vendors that conduct the HHCAHPS on behalf of
the HHAs to meet their requirements in the Home Health Quality
Reporting Program. Form Number: CMS-10275 (OMB control number: 0938-
1066); Frequency: Quarterly; Affected Public: Individuals and
Households; Number of Respondents: 1,052,966; Total Annual Responses:
1,149,975; Total Annual Hours: 420,576. (For policy questions regarding
this collection contact Lori Luria at 410-786-6684).
4. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Collection of
Diagnostic Data in the Abbreviated RAPS Format from Medicare Advantage
Organizations for Risk Adjusted Payments; Use: Under section 1894(d) of
the Act, CMS must make prospective monthly capitated payments to PACE
organizations in the same manner and from the same sources as payments
to organizations under section 1853. Section 1894(e)(3)(A)(i) requires
in part that PACE organizations collect data and make available to the
Secretary reports necessary to monitor the cost, operation, and
effectiveness of the PACE program.
CMS makes advance monthly per-enrollee payments to organizations,
and is required to risk-adjust the payments based on predicted relative
health care costs for each enrollee, as determined by enrollee-specific
diagnoses and other factors, such as age. CMS has collected diagnosis
data from organizations in two formats: (1) comprehensive data
equivalent to Medicare fee-for-service claims data (often referred to
as encounter data) and (2) data in an abbreviated format known as RAPS
data, named for the Risk Adjustment Processing System (RAPS). The
subject of this PRA package is collection of RAPS data. Encounter data
collection is addressed in a separate PRA package which is approved
under OMB control number 0938-1152.
Risk adjustment allows CMS to pay plans for the health risk of the
beneficiaries they enroll, instead of paying an identical an average
amount for each enrollee Medicare beneficiaries. By risk adjusting plan
payments, CMS is able to make appropriate and accurate payments for
enrollees with differences in expected costs. Risk adjustment is used
to adjust bidding and payment based on the health status and
demographic characteristics of an enrollee. Risk scores measure
individual beneficiaries' relative risk and the risk scores are used to
adjust payments for each beneficiary's expected expenditures. By risk
adjusting plan bids, CMS is able to also use standardized bids as base
payments to plans. Form Number: CMS-10062 (OMB control number: 0938-
0878); Frequency: Quarterly; Affected Public: Private Sector, Business
or other for-profit and Not-for-profit institutions; Number of
Respondents: 284; Total Annual Responses: 80,235,720; Total Annual
Hours: 2,674,524. (For policy questions regarding this collection
contact Amanda Johnson at 410-786-4161.
Dated: January 11, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-00732 Filed 1-13-23; 8:45 am]
BILLING CODE 4120-01-P
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</html>Indexed from Federal Register on January 17, 2023.
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