Agency Information Collection Activities: Proposed Collection; Comment Request
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Issuing agencies
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 188 (Friday, September 29, 2023)</title>
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[Federal Register Volume 88, Number 188 (Friday, September 29, 2023)]
[Notices]
[Pages 67298-67299]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-21523]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10718, CMS-10142 and CMS-10540]
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 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 November 28, 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-10718 Model Medicare Advantage and Medicare Prescription Drug Plan
Individual Enrollment Request Form
CMS-10142 Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and
Prescription Drug Plans (PDP)
CMS-10540 Quality Improvement Strategy Implementation Plan, Progress
Report, and Modification Summary Supplement Forms
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 with change to
the currently approved collection; Title of Information Collection:
Model Medicare Advantage and Medicare Prescription Drug Plan Individual
Enrollment Request Form; Use: The enrollment form is considered a
``model'' under Medicare regulations at Sec. Sec. 422.2262 and
423.2262, for purposes of
[[Page 67299]]
communication and marketing review and approval; therefore, MA and Part
D plans are able to modify the language, content, format, or order of
the enrollment form. The model enrollment form includes the minimal
amount of information to process the enrollment, located in Section 1
of the MA/PDP enrollment form, and other limited information, in
Section 2, that the sponsor is required (i.e. race and ethnicity data,
accessible format preference) or chooses (i.e. premium payment
information) to provide to the beneficiary.
CMS expects MA and PDP organizations to ensure the enrollment form
complies with CMS' instructions regarding content and format. New and
current enrollees that utilize the enrollment form to elect an MA or
Part D plan must acknowledge the requirement to: (1) maintain Medicare
Part A and B to stay in MA, or Part A or B to stay in Part D; (2)
reside in the plan's service area; (3) make a valid request during a
valid election period; (4) follow plan rules; (5) consent to the
disclosure and exchange of information between the plan and CMS; and
(6) enroll in only one Medicare health plan and that enrollment in the
MA or Part D plan automatically disenrolls them from any other Medicare
health plan and prescription drug plan.
CMS will use this information to: track beneficiary enrollment,
including tracking patterns in enrollment by race and ethnicity, sexual
orientation, and gender identity over time; to identify, monitor, and
develop effective and efficient strategies and incentives to reduce and
eliminate health and health care inequities; to validate existing race
and ethnicity imputation methods; and to ensure that clinically
appropriate and equitable care (in terms of payment, access and
quality) is consistently provided to all Medicare beneficiaries. Form
Number: CMS-10718 (OMB control number: 0938-0832); Frequency:
Occasionally; Affected Public: Individuals and Households, Private
sector--(Business or other for-profits and Not-for-profit
institutions); Number of Respondents: 19,815,897; Total Annual
Responses: 39,632,597; Total Annual Hours: 10,557,541. (For policy
questions regarding this collection contact AnhViet Nguyen at 410-786-
4548).
2. Type of Information Collection Request: Revision with change to
the currently approved collection; Title of Information Collection: Bid
Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription
Drug Plans (PDP; Use: Medicare Advantage organizations (MAO) and
Prescription Drug Plans (PDP) are required to submit an actuarial
pricing ``bid'' for each plan offered to Medicare beneficiaries for
approval by CMS. The MAOs and PDPs use the Bid Pricing Tool (BPT)
software to develop their actuarial pricing bid. The competitive
bidding process defined by the ``The Medicare Prescription Drug,
Improvement, and Modernization Act'' (MMA) applies to both the MA and
Part D programs. It is an annual process that encompasses the release
of the MA rate book in April, the bid's that plans submit to CMS in
June, and the release of the Part D and RPPO benchmarks, which
typically occurs in August. Form Number: CMS-10142 (OMB control number:
0938-0832); Frequency: Annually; Affected Public: Private sector--
(Business or other for-profits and Not-for-profit institutions); 555;
Total Annual Responses: 4,995; Total Annual Hours: 149,850 (For policy
questions regarding this collection contact Rachel Shevland at 410-786-
3026).
3. Type of Information Collection Request: Extension of a
previously approved collection; Title of Information Collection:
Quality Improvement Strategy Implementation Plan, Progress Report, and
Modification Summary Supplement Forms; Use: Section 1311(c)(1)(E) of
the Affordable Care Act requires qualified health plans (QHPs) offered
through an Exchange must implement a quality improvement strategy (QIS)
as described in section 1311(g)(1). Section 1311(g)(3) of the
Affordable Care Act specifies the guidelines under Section 1311(g)(2)
shall require the periodic reporting to the applicable Exchange the
activities that a qualified health plan has conducted to implement a
strategy as described in section 1311(g)(1). CMS intends to have QHP
issuers complete the appropriate QIS forms annually for implementation
and progress reporting of their quality improvement strategies. The QIS
forms will include topics to assess an issuer's compliance in creating
a payment structure that provides increased reimbursement or other
incentives to improve the health outcomes of plan enrollees, prevent
hospital readmissions, improve patient safety and reduce medical
errors, promote wellness and health, and reduce health and health care
disparities, as described in Section 1311(g)(1) of the Affordable Care
Act.
QIS forms will allow: (1) the Department of Health & Human Services
(HHS) to evaluate the compliance and adequacy of QHP issuers' quality
improvement efforts, as required by Section 1311(c) of the Affordable
Care Act, and (2) HHS will use the issuers' validated information to
evaluate the issuers' quality improvement strategies for compliance
with the requirements of Section 1311(g) of the Affordable Care Act.
Form Number: CMS-10540 (OMB control number: 0938-1286); Frequency:
Annually; Affected Public: Public sector (Individuals and Households),
Private sector (Business or other for-profits and not-for-profit
institutions); Number of Respondents: 250; Total Annual Responses: 250;
Total Annual Hours: 4,933. (For policy questions regarding this
collection contact Preeti Hans at 301.492.5144).
Dated: September 26, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-21523 Filed 9-28-23; 8:45 am]
BILLING CODE 4120-01-P
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