Notice2023-25059
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
November 14, 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
<html>
<head>
<title>Federal Register, Volume 88 Issue 218 (Tuesday, November 14, 2023)</title>
</head>
<body><pre>
[Federal Register Volume 88, Number 218 (Tuesday, November 14, 2023)]
[Notices]
[Pages 78048-78050]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-25059]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10552]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
-----------------------------------------------------------------------
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
[[Page 78049]]
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 January 16, 2024.
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="https://www.regulations.gov">https://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-10552 Implementation of Medicare Programs;--Medicare Promoting
Interoperability Program
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 of a currently
approved collection; Title of Information Collection: Implementation of
Medicare Programs;--Medicare Promoting Interoperability Program; Use:
The Centers for Medicare & Medicaid Services (CMS) is requesting
approval to collect information from eligible hospitals and critical
access hospitals (CAHs). We have finalized changes to this program as
discussed in the FY 2024 Inpatient Prospective Payment System (IPPS)/
Long-term Care Hospital Prospective Payment System (LTCH PPS) final
rule. This is a revision of the information collection request.
The American Recovery and Reinvestment Act of 2009 (Recovery Act)
(Pub. L. 111-5) was enacted on February 17, 2009. Title IV of Division
B of the Recovery Act amended Titles XVIII and XIX of the Social
Security Act (the Act) by establishing incentive payments to eligible
professionals (EPs), eligible hospitals and CAHs, and Medicare
Advantage (MA) organizations participating in the Medicare and Medicaid
programs that adopt and successfully demonstrate meaningful use of
certified EHR technology (CEHRT). These Recovery Act provisions,
together with Title XIII of Division A of the Recovery Act, may be
cited as the ``Health Information Technology for Economic and Clinical
Health Act'' or the ``HITECH Act.''
The HITECH Act created incentive programs for EPs, eligible
hospitals including CAHs, and MA organizations in the Medicare Fee-for-
Service (FFS), and Medicaid programs that successfully demonstrated
meaningful use of CEHRT. In their first payment year, Medicaid EPs,
eligible hospitals including MA organizations and CAHs could adopt,
implement, or upgrade to certified EHR technology. It also allowed for
negative payment adjustments in the Medicare FFS and MA programs
starting in 2015 for EPs, eligible hospitals including MA organizations
and CAHs participating in Medicare that are not meaningful users of
CEHRT. The Medicaid Promoting Interoperability Program did not
authorize negative payment adjustments, but its participants were
eligible for incentive payments until December 31, 2021, when the
program ended.
In CY 2017, we began collecting data from eligible hospitals and
CAHs to determine the application of the Medicare payment adjustments.
This information collection was also used to make incentive payments to
eligible hospitals in Puerto Rico from 2016 through 2021. At this time,
Medicare eligible professionals no longer reported to the EHR Incentive
Program, as they began reporting under the Merit-based Incentive
Payment System's (MIPS) Promoting Interoperability Performance
Category. In 2019, the EHR Incentives Program for eligible hospitals
and CAHs was subsequently renamed the Medicare Promoting
Interoperability Program. In subsequent years, we have focused on
balancing reporting burden for eligible hospitals and CAHs while also
implementing changes designed to incentivize the advanced use of CEHRT
to support health information exchange, interoperability, advanced
quality measurement, and maximizing clinical effectiveness and
efficiencies.
In the FY 2024 IPPS/LTCH PPS final rule, we finalized the following
policy changes for eligible hospitals and CAHs that attest to CMS under
the Medicare Promoting Interoperability Program. None of the policies
we finalized will affect the information collection burden: (i) to
adopt three electronic clinical quality measures (eCQMs) beginning with
the CY 2025 reporting period: (1) Hospital Harm--Pressure Injury eCQM;
(2) Hospital Harm--Acute Kidney Injury eCQM; and (3) Excessive
Radiation Dose or Inadequate Image Quality for Diagnostic Computed
Tomography (CMT) in Adults eCQM; (ii) to modify the Safety Assurance
Factors for EHR Resilience (SAFER) Guides measure to require eligible
hospitals and CAHs to submit a ``yes'' attestation to fulfill the
measure beginning with the EHR reporting period in CY 2024; and (iii)
to establish an EHR reporting period of a minimum of any continuous
180-day period in CY 2025. Form Number: CMS-10552 (OMB control number:
0938-1278); Frequency: Annually; Affected Public: State, Local or
Private Government; Business and for-profit and Not-for-profit; Number
of
[[Page 78050]]
Respondents: 4,500; Total Annual Responses: 4,500; Total Annual Hours:
29,625. (For policy questions regarding this collection, contact
Jessica Warren at 410-786-7519.)
Dated: November 8, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-25059 Filed 11-13-23; 8:45 am]
BILLING CODE 4120-01-P
</pre></body>
</html>Indexed from Federal Register on November 14, 2023.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.