Notice2023-27033
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
December 8, 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 235 (Friday, December 8, 2023)</title>
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[Federal Register Volume 88, Number 235 (Friday, December 8, 2023)]
[Notices]
[Pages 85622-85623]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-27033]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: Document Identifiers: CMS-10453 and CMS-10592]
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 January 8, 2024.
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 85623]]
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 the previously approved collection; Title of Information
Collection: Medicare Advantage and Prescription Drug Programs: Part C
and Part D Explanation of Benefits; Use: Sections 1852(k)(2)(C)(i) and
1860D-(4)(a)(4) of the Act give CMS authority to require EOBs in MA and
Part D, respectively. Corresponding MA and Part D regulations at 42 CFR
422.111(k) and 423.128(e) further specify the requirements to provide a
written EOB directly to enrollees following their use of benefits.
These requirements and the CMS model documents help ensure that MA
and Part D enrollees receive consistent and timely information about
costs associated with their medical claims. Part C and Part D EOBs
allow enrollees to track their out-of-pocket expenses and benefit
utilization in relation to their plan's deductible and out-of-pocket
threshold. This customized information positions enrollees to make
informed decisions about their healthcare options. It also enables them
to make a more practical use of the information found in plans' Annual
Notice of Change and Evidence of Coverage documents, as well as
information available through tools such as the Medicare Plan Finder.
MAOs and Part D sponsors use the model documents attached to this
information collection to set up the EOB templates in their systems and
ensure that EOBs conform with the requirements at 42 CFR 422.111(k) and
423.128(e). MAOs and Part D sponsors populate EOBs to reflect
individual enrollee benefits under the plan. CMS issues model EOBs
annually through the Health Plan Management System (HPMS). Form Number:
CMS-10453 (OMB control number: 0938-1228); Frequency: Monthly; Affected
Public: Private Sector, Business or other for-profits and Not-for-
profit institutions; Number of Respondents: 1,065; Total Annual
Responses: 1,065; Total Annual Hours: 10,650. (For policy questions
regarding this collection contact Valerie Yingling at 667-290-8657.)
2. Type of Information Collection Request: Extension of a currently
collection; Title of Information Collection: Establishment of Exchanges
and Qualified Health Plans; Exchange Standards for Employers; Use:
Section 1321(a) requires HHS to issue regulations setting standards for
meeting the requirements under title I of the Affordable Care Act
including the offering of Qualified Health Plans (QHPs) through the
Exchanges. On March 27, 2012, HHS published the rule CMS-9989-F:
Establishment of Exchanges and Qualified Health Plans; Exchange
Standards for Employers. The Exchange rule contains provisions that
mandate reporting and data collections necessary to ensure that health
insurance issuers are meeting the requirements of the Affordable Care
Act. These information collection requirements are set forth in 45 CFR
part 156. The reporting requirements and data collection in the
Exchange rule address minimum requirements that health insurance
issuers must meet in order to comply with provisions in the Affordable
Care Act with respect to participation in a State-based or the
federally-facilitated Exchange (FFE).
Information collected by the Exchanges or Medicaid and CHIP
agencies will be used to determine eligibility for coverage through the
Exchange and insurance affordability programs (i.e., Medicaid, CHIP,
and advance payment of the premium tax credits); evaluate how CMS can
best communicate eligibility and enrollment updates to issuers; and
assist consumers in enrolling in a QHP if eligible. Applicants include
anyone who may be eligible for coverage through any of these programs.
Form Number: CMS-10592 (OMB control number: 0938-1341); Frequency:
Annually; Affected Public: Private Sector: Business or other for-
profits; Number of Respondents: 302; Number of Responses: 302; Total
Annual Hours: 148,584. (For policy questions regarding this collection,
contact Anne Pesto at 410-786-3492.)
Dated: December 5, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-27033 Filed 12-7-23; 8:45 am]
BILLING CODE 4120-01-P
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