Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request
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Abstract
On May 28, 2010, the Office of Management and Budget (OMB) issued Paperwork Reduction Act (PRA) guidance related to the "generic" clearance process. Generally, this is an expedited process by which agencies may obtain OMB's approval of collection of information requests that are "usually voluntary, low-burden, and uncontroversial collections," do not raise any substantive or policy issues, and do not require policy or methodological review. The process requires the submission of an overarching plan that defines the scope of the individual collections that would fall under its umbrella. On October 23, 2011, OMB approved our initial request to use the generic clearance process under control number 0938-1148 (CMS-10398). It was last approved on April 26, 2021, via the standard PRA process which included the publication of 60- and 30-day Federal Register notices. The scope of the April 2021 umbrella accounts for Medicaid and CHIP State plan amendments, waivers, demonstrations, and reporting. This Federal Register notice seeks public comment on one or more of our collection of information requests that we believe are generic and fall within the scope of the umbrella. Interested persons are invited to submit 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 89 Issue 6 (Tuesday, January 9, 2024)</title>
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[Federal Register Volume 89, Number 6 (Tuesday, January 9, 2024)]
[Notices]
[Pages 1095-1097]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-00205]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10398 #43, #45, and #48]
Medicaid and Children's Health Insurance Program (CHIP) Generic
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: On May 28, 2010, the Office of Management and Budget (OMB)
issued Paperwork Reduction Act (PRA) guidance related to the
``generic'' clearance process. Generally, this is an expedited process
by which agencies may obtain OMB's approval of collection of
information requests that are ``usually voluntary, low-burden, and
uncontroversial collections,'' do not raise any substantive or policy
issues, and do not require policy or methodological review. The process
requires the submission of an overarching plan that defines the scope
of the individual collections that would fall under its umbrella. On
October 23, 2011, OMB approved our initial request to use the generic
clearance process under control number 0938-1148 (CMS-10398). It was
last approved on April 26, 2021, via the standard PRA process which
included the publication of 60- and 30-day Federal Register notices.
The scope of the April 2021 umbrella accounts for Medicaid and CHIP
State plan amendments, waivers, demonstrations, and reporting. This
Federal Register notice seeks public comment on one or more of our
collection of information requests that we believe are generic and fall
within the scope of the umbrella. Interested persons are invited to
submit 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 January 23, 2024.
ADDRESSES: When commenting, please reference the applicable form number
(CMS-10398 #see below) and the OMB control number (0938-1148). 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: CMS-10398 (#__)/OMB
control number: 0938-1148, 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/PRAListing">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRAListing</a>.
FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION: Following is a summary of the use and burden
associated with the subject information collection(s). More detailed
information can be found in the collection's supporting statement and
associated materials (see ADDRESSES).
Generic Information Collections
1. Title of Information Collection: Certified Community Behavioral
Health Clinic (CCBHC) Cost Report; Type of Information Collection
Request: Revision of an active collection of information request; Use:
The CCBHC cost report allows clinics in the demonstration to calculate
Prospective Payment System (PPS) rates using clinic-specific cost and
visit data associated with delivery of the nine statutory services as
outlined under the authorizing Protecting Access to Medicare Act (PAMA)
(Pub. L. 113-93) at section 223(D) Scope of Services. Currently CCBHCs
use the cost report to calculate rates based on the existing CC PPS-1
daily, or CC PPS-2 monthly rate that do not include separate crisis
rate options. Calculation of the new daily and monthly special crisis
services PPS rates required CMS to revise the existing CCBHC cost
report to include addition worksheets to address the new crisis rate
offerings being finalized in the CCBHC Technical Guide. SCS rates would
be effective beginning January 1, 2024, for any existing states that
may be interested in implementing either CC PPS-3 or CC PPS-4, and new
states entering the program by July 2024 will have the option to choose
from among the four PPS rate options made available under the updated
Technical Guide and CCBHC cost report.
States and clinics selecting either the CC PPS-3 or CC PPS-4 crisis
rate methodology will require additional time to separate costs and
visit data for up to three special crisis services rates. CCBHCs in
states that choose CC PPS-2 rate methodology will require additional
time to gather data for special populations and account for outlier
thresholds.
Because use of this cost report involves participation in the CCBHC
demonstration program, the information is expected to be collected
annually, assuming rates are trended forward for the second year of the
program using the Medicare Economic Index (MEI), rebased in the third
year of the demonstration and trended forward for the fourth year of
the demonstration using the MEI. However, if the state requires CCBHCs
to rebase rates for other years of the demonstration using CCBHC cost
report data, the provider would be required to complete the cost report
each time the state rebases the rate. CMS does also require CCBHC
demonstration states to submit cost reports in trended years although
rates may only reflect changes based on MEI adjustment for inflationary
changes. Form Number: CMS-10398 #43 (OMB control number: 0938-1148);
Frequency: Annual; Affected Public: Private Sector (Businesses or other
for profits and Not for profit institutions) and State, Local, or
Tribal Governments; Number of Respondents: 60; Total Annual Responses:
60; Total Annual Hours: 3,389. (For policy questions regarding this
collection contact: Beverly Boston at 410-786-4186.)
2. Title of Information Collection: Certified Community Behavioral
Health Clinic (CCBHC) 2024 State Proposal Demonstration Application;
Type of Information Collection Request: Revision of an active
collection of information request; Use: Based on recent extension and
expansion of the CCBHC Demonstration under section 11001 of Bipartisan
Safer Communities Act \1\ (BSCA) of 2022, the State Proposal
Demonstration Application is required to be completed by existing CCBHC
grantee states and submitted to the Centers for Medicare & Medicaid
Services (CMS) and the Substance Abuse and Mental Health Services
Administration (SAMHSA) to determine state readiness and eligibility to
be selected as one of the 10 new states added to the CCBHC
demonstration in 2024 and every two years thereafter per the BSCA
legislation. The awarding of Planning Grants to states was the first
phase of a two-phase process. Phase II will consist of participation in
the demonstration. Form Number: CMS-10398 #45 (OMB control number:
0938-1148); Frequency: One time and On occasion; Affected Public:
State, Local, or Tribal Governments; Number of Respondents: 30; Total
Annual
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Responses: 30; Total Annual Hours: 1,790. (For policy questions
regarding this collection contact: Beverly Boston at 410-786-4186.)
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\1\ Bipartisan Safer Communities Act.
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3. Title of Information Collection: Behavioral Health Clinic
Quality Data Reporting; Type of Information Collection Request:
Revision of an active collection of information request; Use: This
Information Collection concerns the Behavioral Health Clinic Quality
Data Reporting Template (hereinafter ``Reporting Template'' or
``Template''), developed in partnership with the Substance Abuse and
Mental Health Services Administration (SAMHSA) and the Assistant
Secretary for Planning and Evaluation (ASPE) (collectively, ``the
Agencies''). The Reporting Template is designed to collect quality
measure data and to report at the clinic level. The Agencies developed
the Template to provide states and clinics with a streamlined and
structured tool to report quality measures data. The Reporting Template
aims to eliminate the time required for states or clinics to develop
their own reporting templates for quality measure data reporting and
minimizes inconsistencies in reporting. Furthermore, the Reporting
Template, with its accompanying instructions, support an innovative
approach to improve behavioral health, a key focus of health care
reform. Form Number: CMS-10398 (#48) (OMB control number: 0938-1148);
Frequency: Annual; Affected Public: Private Sector (Businesses or other
for profits and Not for profit institutions) and State, Local, or
Tribal Governments; Number of Respondents: 429; Total Annual Responses:
1,009; Total Annual Hours: 6,814. (For policy questions regarding this
collection contact: Beverly Boston at 410-786-4186.)
Dated: January 4, 2024.
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-00205 Filed 1-8-24; 8:45 am]
BILLING CODE 4120-01-P
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