Notice2023-28292
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
December 22, 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 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 245 (Friday, December 22, 2023)</title>
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[Federal Register Volume 88, Number 245 (Friday, December 22, 2023)]
[Notices]
[Pages 88622-88623]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-28292]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10883, CMS-R-64 and CMS-10396]
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 (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 February 20, 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="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-10883 American Dental Association (ADA) Dental Claim Form
CMS-R-64 Indirect Medical Education and Direct Graduate Medical
Education
CMS-10396 Medication Therapy Management Program Improvements--
Standardized Format
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
[[Page 88623]]
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: New collection; Title of
Information Collection: American Dental Association (ADA) Dental Claim
Form; Use: Medicare has traditionally accepted the Professional (CMS-
1500/837P transaction) and Institutional (UB04/837I transaction) claims
forms to provide payment for Medicare-covered services. The Centers for
Medicare & Medicaid Services (CMS) now plans to allow providers to
submit Medicare-covered dental services on the dental claim form, a
similar information collection as the already-approved professional and
institutional claim forms. The ADA Dental Claim Form will be used to
deliver information from dental providers to CMS for CMS to reimburse
for provided dental services. Medicare Part B MACs will use the data
collected on the ADA dental form to determine the proper amount of
reimbursement for Part B dental services provided to Medicare
beneficiaries. Submission of information on the ADA Dental Claim Form
and associated HIPAA-standard 837D transaction format permits Medicare
Part B MACs to receive consistent data for proper benefit payment. Form
Number: CMS-10883 (OMB control number: 0938-New); Frequency:
Occasionally; Affected Public: Private sector, Businesses and other
for-profits; Number of Respondents: 50,000; Total Annual Responses:
50,000; Total Annual Hours: 12,500. (For policy questions regarding
this collection contact Charlene Parks at 410-786-8684.)
2. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Indirect Medical Education and Direct Graduate Medical
Education; Use: Section 1886(d)(5)(B) of the Social Security Act
requires additional payments to be made under the Medicare Prospective
Payment System (PPS) for the indirect medical educational costs a
hospital incurs in connection with interns and residents (IRs) in
approved teaching programs. In addition, title 42, part 413, sections
75 through 83 implement section 1886(d) of the Act by establishing the
methodology for Medicare payment for the costs of direct graduate
medical educational activities.
The information collected on IRs is used by Part-A Medicare
Administrative Contractors (MAC) to verify the number of IRs FTE used
in the calculation of Medicare payments for IME and GME. The IR data
submitted by the hospitals to the MACs is uploaded into CMS' Intern and
Resident Information System (IRIS) database to identify duplicate FTEs
reported for any IR.
The MACs use the information collected on IRs to ensure that all
program payments for IME and GME are accurate and are in accordance
with Medicare regulations. The IR data submitted by the hospitals to
the MACs are used to audit the Medicare cost reports filed by the
hospitals. Form Number: CMS-R-64 (OMB control number: 0938-0456);
Frequency: Monthly; Affected Public: Private sector and Federal
Government; Number of Respondents: 1,245; Total Annual Responses:
1,245; Total Annual Hours: 2,490. (For policy questions regarding this
collection contact Owen Osaghae at 410-786-7550.)
3. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Medication Therapy Management Program Improvements--Standardized
Format; Use: Section 1860D-4(c)(2)(C)(i) of the Act requires plan
sponsors to offer MTM services that include an annual CMR with a
written summary and action plan provided in a standardized format
developed in consultation with stakeholders. This requirement is
codified at Sec. 423.153(d)(1)(vii)(D), which requires that the
standardized action plan and summary comply with requirements specified
by CMS for the standardized format. Components of the CMR summary in
Standardized Format should include a cover letter, personalized
medication list, and action plan if applicable.
Users include members in a Part D sponsors' plan who are eligible
are enrolled in the sponsors' MTM program and offered a CMR. The CMR is
a consultation between the MTM provider (such as a pharmacist) with the
beneficiary to review their medications. The MTM provider is either an
employee/contractor of the plan itself or of a downstream entity
contracted by the plan to provide MTM services. After a CMR is
performed, the sponsor creates and sends a summary of the CMR to the
beneficiary that includes a medication action plan and personal
medication list using the Standardized Format.
Information collected by Part D MTM programs as required by the
Standardized Format for the CMR summary is used by beneficiaries or
their authorized representatives, caregivers, and their healthcare
providers to improve medication use and achieve better healthcare
outcomes. Form Number: CMS-10396 (OMB control number: 0938-1154);
Frequency: Yearly; Affected Public: Private Sector and Business or
other for-profits; Number of Respondents: 842; Total Annual Responses:
2,382,774; Total Annual Hours: 1,588,595. (For policy questions
regarding this collection contact Victoria Dang at 410-786-3991 or
<a href="/cdn-cgi/l/email-protection#54023d37203b263d357a30353a33143739277a3c3c277a333b22"><span class="__cf_email__" data-cfemail="aef8c7cddac1dcc7cf80cacfc0c9eecdc3dd80c6c6dd80c9c1d8">[email protected]</span></a>.)
Dated: December 19, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-28292 Filed 12-21-23; 8:45 am]
BILLING CODE 4120-01-P
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