Notice2023-06945
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
April 4, 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 (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 88 Issue 64 (Tuesday, April 4, 2023)</title>
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[Federal Register Volume 88, Number 64 (Tuesday, April 4, 2023)]
[Notices]
[Pages 19956-19957]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-06945]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10003 and CMS-10708]
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
[[Page 19957]]
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 June 5, 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, you may make
your request using one of following:
1. Access CMS' 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-10003 Notice of Denial of Medical Coverage (or Payment)
CMS-10708 Proposed Repetitive, Scheduled Non-Emergent Ambulance
Transport (RSNAT) Prior Authorization Process and Requirements for a
Potential National Model
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: 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.
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: Revision of a currently
approved collection; Title of Information Collection: Proposed
Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior
Authorization Process and Requirements for a Potential National Model;
Use: Section 515(b) of MACRA (Pub. L. 114-10) added paragraph (16) to
section 1834(l) of the Act, which requires that, beginning January 1,
2017, the Secretary expand the RSNAT Prior Authorization Model
nationally to all states if model expansion meets certain statutory
requirements for Innovation Center programs. These requirements are
described in paragraphs (1) through (3) of section 1115A(c) of the Act:
the Secretary determines that such expansion is expected to--reduce
spending under applicable title without reducing the quality of care;
or--(A) improve the quality of patient care without increasing
spending; and (1) the Chief Actuary of the Centers for Medicare &
Medicaid Services certifies that such expansion would reduce (or would
not result in any increase in) net program spending under applicable
titles; and (2) the Secretary determines that such expansion would not
deny or limit the coverage or provision of benefits under the
applicable title for applicable individuals.
Pursuant to the authority in section 515(b) of MACRA (Pub. L. 114-
10), CMS is seeking to renew the necessary approval under the existing
OMB approval for the collection of information to continue operating
the RSNAT Prior Authorization Model. Form Number: CMS-10708 (OMB
control number: 0938-1380); Frequency: Occasionally; Affected Public:
Private Sector (business or other for-profits, not-for-profit
institutions); Number of Respondents: 1,580; Number of Responses:
83,374; Total Annual Hours: 46,427. (For questions regarding this
collection contact Angela Gaston at 410-786-7409.)
Dated: March 30, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-06945 Filed 4-3-23; 8:45 am]
BILLING CODE 4120-01-P
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