Notice2023-12013
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
June 6, 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 108 (Tuesday, June 6, 2023)</title>
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[Federal Register Volume 88, Number 108 (Tuesday, June 6, 2023)]
[Notices]
[Pages 37065-37066]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-12013]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10716 and CMS-1450]
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 July 6, 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>.
[[Page 37066]]
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: Revision of a currently
approved collection; Title of Information Collection: Applicable
Integrated Plan Coverage Decision Letter; Use: Sections 1859(f)(8) of
the Act require development of unified grievance and appeals processes
for D-SNPs, to the extent feasible. We finalized the implementation of
this regulation for integrated organization determinations at Sec.
422.631, effective January 1, 2021. This rule requires applicable
integrated plans to send an enrollee a written notice of any adverse
decision on an integrated organization determination using a notice
that is written in plain language and contains the information detailed
at Sec. 422.631(d)(1)(iii).
Applicable integrated plans as defined at Sec. 422.561 are
required to issue form CMS-10716 when a request for either a medical
service or payment is denied in whole or in part after considering both
the Medicare or Medicaid benefit. Applicable integrated plans issue
this form to enrollees when the plan reduces, stops, suspends, or
denies, in whole or in part, a request for a service or item (including
a Part B drug) or a request for payment of a service or item (including
a Part B drug) that the enrollee has already received. The form
provides the enrollee with information regarding their right to an
appeal of the applicable integrated plan's decision and the enrollee
will use the instructions to navigate the appeal process. Form Number:
CMS-10716 (OMB control number: 0938-1386); Frequency: Occasionally;
Affected Public: Private sector (Business or other for-profits); Number
of Respondents: 112; Total Annual Responses: 24,716; Total Annual
Hours: 4,120. (For policy questions regarding this collection contact
Kristi Sugarman Coats at 415-744-3629.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Uniform
Institutional Providers Form; Use: The UB-04 CMS-1450 is managed by the
National Uniform Billing Committee (NUBC), sponsored by the American
Hospital Association. Most payers are represented on this body, and the
UB-04 is widely used in the industry. Medicare Part A MACs use the
information on the UB-04 CMS-1450 to determine whether to make Medicare
payment for the services provided, the payment amount, and whether or
not to apply deductibles to the claim. The same method is also used by
other payers. CMS is also a secondary user of data. CMS uses the
information to develop a database, which is used to update, and revise
established payment schedules and other payment rates for covered
services. CMS also uses the information to conduct studies and reports.
Form Number: CMS-1450 (OMB control number: 0938-0997); Frequency:
Annually; Affected Public: State, Local, or Tribal Governments; Number
of Respondents: 53,111; Total Annual Responses: 193,535,941; Total
Annual Hours: 1,617,010. (For policy questions regarding this
collection contact Charlene Parks at 410-786-8684.)
Dated: June 1, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-12013 Filed 6-5-23; 8:45 am]
BILLING CODE 4120-01-P
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