Notice2023-09400
Agency Information Collection Activities: Submission for OMB Review; 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
May 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 (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 88 Issue 86 (Thursday, May 4, 2023)</title>
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[Federal Register Volume 88, Number 86 (Thursday, May 4, 2023)]
[Notices]
[Pages 28554-28556]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-09400]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-855A, CMS-R-246 and CMS-10823]
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
[[Page 28555]]
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 June 5, 2023.
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: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Medicare Enrollment Application for Institutional
Providers; Use: The primary function of the CMS-855A Medicare
enrollment application is to gather information from a certified
provider or certified supplier (hereafter occasionally and collectively
referenced as ``provider(s)'') that tells us who it is, whether it
meets certain qualifications to be a health care provider, where it
practices or renders services, the identity of its owners, and other
information necessary to establish correct claims payments. This
collection of information reinstatement request is associated in part
with our December 28, 2020 (85 FR 84472) final rule (CMS-1734-F, RIN
0938-AU10). The collection of information changes stemming from this
final rule were approved by OMB on September 28, 2021 (ICR Reference
No.: 202103-0938-010).
Existing Sec. 424.67 outlines a number of enrollment requirements
for opioid treatment programs (OTPs). One requirement, addressed in
Sec. 424.67(b)(1)(i), is that OTPs must maintain and submit to CMS a
list of all physicians, other eligible professionals, and pharmacists
who are legally authorized to prescribe, order, or dispense controlled
substances on the OTP's behalf; the list must include the person's
first and last name and middle initial, social security number,
National Provider Identifier, and license number (if applicable). This
reinstatement request will add these data elements to the CMS-855A,
which OTPs must complete if they wish to bill for OTP services via an
institutional claim form (specifically, the 837I).
On November 23, 2022, CMS published in the Federal Register a final
rule with comment period rule titled ``Medicare Program: Hospital
Outpatient Prospective Payment and Ambulatory Surgical Center Payment
Systems and Quality Reporting Programs; Organ Acquisition; Rural
Emergency Hospitals: Payment Policies, Conditions of Participation,
Provider Enrollment, Physician Self-Referral; New Service Category for
Hospital Outpatient Department Prior Authorization Process; Overall
Hospital Quality Star Rating; COVID-19'' (CMS-1772-FC) (87 FR 71748).
This final rule with comment period outlined requirements that rural
emergency hospitals (REHs)--a new Medicare provider type established
pursuant to Section 125 of Division CC of the Consolidated
Appropriations Act, 2021--must meet in order to bill Medicare for REH
services; in accordance with new section 1861(kkk) of the Social
Security Act, a facility is eligible to convert to an REH if it was a
critical access hospital (CAH) or rural hospital with less than 50 beds
as of December 27, 2020. CMS-1772-FC's REH requirements include those
necessary to enroll as an REH. The most pertinent of these is that a
CAH or rural hospital seeking REH enrollment submits a CMS-855A change
of information application and need not submit a full, initial CMS-855A
application. This reinstatement request will address the expected REH
burden associated with completing these CMS-855A changes of
information.
As part of this request, and as described in the supporting
statement, we also seek approval for additional changes to the CMS-
855A. These changes principally (though not exclusively) involve the
collection of information related to the provider's ownership.
Form Number: CMS-855A (OMB control number: 0938-0685); Frequency:
On occasion; Affected Public: Business or other for-profits, not-for-
profit institutions; Number of Respondents: 1,340; Total Annual
Responses: 5,881; Total Annual Hours: 72,147. (For policy questions
regarding this collection contact Frank Whelan at 410-786-1302.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare
Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer
Assessment of Healthcare Providers and Systems (CAHPS) Survey; Use: CMS
is required to collect and report information on the quality of health
care services and prescription drug coverage available to persons
enrolled in a Medicare health or prescription drug plan under
provisions in the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA). Specifically, the MMA under Sec.
1860D-4 (Information to Facilitate Enrollment) requires CMS to conduct
consumer satisfaction surveys regarding Medicare prescription drug
plans and Medicare Advantage plans and report this information to
Medicare beneficiaries prior to the Medicare annual enrollment period.
The Medicare CAHPS survey meets the requirement of collecting and
publicly reporting consumer satisfaction information. The Balanced
Budget Act of 1997 also requires the collection of information about
fee-for-service plans.
The primary purpose of the Medicare CAHPS surveys is to provide
information to Medicare beneficiaries to help them make more informed
choices among health and prescription drug plans available to them.
Survey results are reported by CMS in the Medicare &
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You Handbook published each fall and on the Medicare Plan Finder
website. Beneficiaries can compare CAHPS scores for each health and
drug plan as well as compare MA and FFS scores when making enrollment
decisions. The Medicare CAHPS also provides data to help CMS and others
monitor the quality and performance of Medicare health and prescription
drug plans and identify areas to improve the quality of care and
services provided to enrollees of these plans. CAHPS data are included
in the Medicare Part C & D Star Ratings and used to calculate MA
Quality Bonus Payments. Form Number: CMS-R-246 (OMB control number:
0938-0732); Frequency: Yearly; Affected Public: Individuals and
Households; Number of Respondents: 794,500; Total Annual Responses:
794,500; Total Annual Hours: 192,265. (For policy questions regarding
this collection contact Lauren Fuentes at 410-786-2290).
3. Type of Information Collection Request: New collection (Request
for new OMB control number); Title of Information Collection: End-stage
Renal Disease (ESRD) Quality Incentive Program (QIP): Study of Quality
and Patient Experience; Use: The Centers for Medicare & Medicaid
Services (CMS) oversees the quality of care provided by dialysis
facilities by administering the Quality Incentive Program (QIP). As
part of the evaluation of this program, CMS seeks to gain a deeper
understanding of emerging trends observed across the dialysis landscape
by conducting qualitative data collection and analysis. These primary
qualitative data collection activities seek to answer the following
research questions related to dialysis quality, access to care, health
equity, and quality of life:
1. What aspects of patient dialysis care do patients report as a
priority?
2. How, if at all, do dialysis facilities evaluate the quality of
care they provide?
3. What strategies do providers and dialysis facilities use to
improve access to care for underserved populations?
4. What do patients, providers, and stakeholder organizations
believe contributes to high quality of life for patients with ESRD? Do
perceptions vary by respondent type or respondent characteristics?
5. How do dialysis facilities measure patient satisfaction and
quality of life?
6. How do dialysis providers and stakeholder organizations think
quality of life for dialysis patients has changed over time? What was
the impetus for that change?
We are requesting to collect information through in depth
interviews with stakeholders of the CMS end-stage renal disease (ESRD)
Quality Incentive Program (QIP). The interviews will collect data from
individuals with ESRD, dialysis facility administrators, dialysis
social workers, transplant center administrators, corporate
representatives from dialysis organizations, and patient advocacy
organizations.
This data collection seeks to answer several research questions
specific to health outcomes for dialysis patients, as measured by the
QIP, that are not available through current literature or secondary
data collection. In preparation for this study, the evaluation team
conducted a scan of peer-reviewed literature and document review of
previous ESRD QIP monitoring and evaluation reports and policy
documents describing CMS priorities. Based on the results from this
scan, the study team identified persistent knowledge gaps and
opportunities for primary data collection. Drawing on high-quality
data, empirical rigor, and knowledge of nonprogrammatic factors, the
evaluation will benefit CMS by providing data-driven findings and
recommendations to improve patient care, reduce health disparities, and
promote health equity.
This primary data collection will allow CMS to more comprehensively
understand the data being compiled and analyzed quantitatively and will
provide more context related to dialysis quality, quality of life of
individuals with ESRD, access to dialysis care, and the patient
experience, which are current CMS priorities. Form Number: CMS-10823
(OMB control number: 0938-NEW); Frequency: Once; Affected Public:
Private Sector (Business or other for-profits, Not-for-Profit
Institutions), Individuals and Households; Number of Respondents:
1,945; Total Annual Responses: 1,945; Total Annual Hours: 604. (For
policy questions regarding this collection contact Christopher King at
(410) 786-6972).
Dated: April 28, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-09400 Filed 5-3-23; 8:45 am]
BILLING CODE 4120-01-P
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</html>Indexed from Federal Register on May 4, 2023.
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