Agency Information Collection Activities: Submission for OMB Review; Comment Request
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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.
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<title>Federal Register, Volume 88 Issue 129 (Friday, July 7, 2023)</title>
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[Federal Register Volume 88, Number 129 (Friday, July 7, 2023)]
[Notices]
[Pages 43355-43356]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-14306]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10488, CMS-10708 and CMS-10846]
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 August 7, 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: Revision of currently
approved collection; Title of Information Collection: Consumer
Experience Survey Data Collection; Use: Section 1311(c)(4) of the
Affordable Care Act requires the Department of Health and Human
Services (HHS) to develop an enrollee satisfaction survey system that
assesses consumer experience with qualified health plans (QHPs) offered
through an Exchange. It also requires public display of enrollee
satisfaction information by the Exchange to allow individuals to easily
compare enrollee satisfaction levels between comparable plans. HHS
established the QHP Enrollee Experience Survey (QHP Enrollee Survey) to
assess consumer experience with the QHPs offered through the
Marketplaces. The survey includes topics to assess consumer experience
with the health care system such as communication skills of providers
and ease of access to health care services.
CMS developed the survey using the Consumer Assessment of Health
Providers and Systems (CAHPS[supreg]) principles (<a href="https://www.ahrq.gov/cahps/about-cahps/principles/index.html">https://www.ahrq.gov/cahps/about-cahps/principles/index.html</a>) and established an application
and approval process for survey vendors who want to participate in
collecting QHP enrollee experience data. The QHP Enrollee Survey, which
is based on the CAHPS[supreg] Health Plan Survey, will be used to (1)
help consumers choose among competing health plans, (2) provide
actionable information that the QHPs can use to improve performance,
(3) provide information that regulatory and accreditation organizations
can use to regulate and accredit plans, and (4) provide a longitudinal
database for consumer research. CMS completed two rounds of
developmental testing including 2014 psychometric testing and 2015 beta
testing of the QHP Enrollee Survey.
The psychometric testing helped determine psychometric properties
and
[[Page 43356]]
provided an initial measure of performance for Marketplaces and QHPs to
use for quality improvement. Based on psychometric test results, CMS
further refined the questionnaire and sampling design to conduct the
2015 beta test of the QHP Enrollee Survey. CMS previously obtained
clearance for the 2016-2023 administrations of the QHP Enrollee Survey.
At this time, CMS is requesting to renew approval for the information
collection related to the QHP Enrollee Experience Survey in 2024-2026.
These activities are necessary to ensure that CMS fulfills legislative
mandates established by section 1311(c)(4) of the Affordable Care Act
to develop an ``enrollee satisfaction survey system'' and provide such
information on Marketplace websites. CMS is also seeking approval to
remove the flu vaccine question and revise the race and ethnicity
questions to align with the 2011 HHS Data Collection Standard for the
QHP Enrollee Survey 2024 administration. Form Number: CMS-10488 (OMB
control number: 0938-1221); Frequency: Annually; Affected Public
Sector: (Individuals and households), private sector (business or other
for-profits and not-for-profit institutions); Number of Respondents:
97,505; Total Annual Responses: 97,505; Total Annual Hours: 16,290.
(For policy questions regarding this collection contact Nidhi Singh
Shah at 301-492-5110.)
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.)
3. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection:
Medicare Part D Manufacturer Discount Program Agreement; Use: Congress
enacted the Inflation Reduction Act of 2022, Public Law 117-169 (IRA).
Section 11201 of the IRA eliminates the coverage gap phase of the Part
D benefit. It also sunsets the coverage gap discount program (CGDP)
after December 31, 2024, and amends the Social Security Act (the Act)
to add section 1860D-14C, requiring the Secretary to establish a new
Medicare Part D manufacturer discount program (MDP) beginning January
1, 2025. Under the MDP, participating manufacturers are required to
provide discounts on their ``applicable drugs'' (brand drugs,
biologics, and biosimilars) both in the initial coverage phase and in
the catastrophic coverage phase of the Part D benefit.
Information in this collection is needed to set up agreements
between manufacturers and CMS. Under section 1860D-14C(a) of the Act,
such agreements are required for manufacturers in order to participate
in the MDP and, under section 1860D43(a) of the Act, for their
applicable drugs to be covered under Part D beginning in 2025. The
information collected from manufacturers in the Health Plan Management
System (HPMS) (Appendix A) is needed to create and execute MDP
agreements and to determine which manufacturers qualify as a specified
manufacturer or specified small manufacturer for phased-in discounts
under section 1860D-14C(g)(4) of the Act. Banking information collected
by the TPA from manufacturers and plan sponsors (Appendix B) is needed
to prepare invoices and process financial transactions (deposits and
payments) through the ACH. Form Number: CMS-10846 (OMB control number:
0938-New); Frequency: Once; Affected Public: Private Sector: Business
or other for-profit and not-for-profit institutions; Number of
Respondents: 659; Total Annual Responses: 659; Total Annual Hours:
4,613. (For policy questions regarding this collection contact Beckie
Peyton at 410-786-1572.)
Dated: June 30, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-14306 Filed 7-6-23; 8:45 am]
BILLING CODE 4120-01-P
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