Notice2024-00657
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
January 16, 2024
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 89 Issue 10 (Tuesday, January 16, 2024)</title>
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[Federal Register Volume 89, Number 10 (Tuesday, January 16, 2024)]
[Notices]
[Pages 2622-2623]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-00657]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10450, CMS-10652 and CMS-10540]
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 February 15, 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>.
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: Extension of a currently
approved Information Collection; Title of Information Collection:
Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey
for Merit-based Incentive Payment Systems (MIPS); Use: The CAHPS for
MIPS survey is used in the Quality Payment Program (QPP) to collect
data on fee-for-service Medicare beneficiaries' experiences of care
with eligible clinicians participating in MIPS and is designed to
gather only the necessary data that CMS needs for assessing physician
quality performance, and related public reporting on physician
performance, and should complement other data collection efforts. The
survey consists of the core Agency for Healthcare Research and Quality
(AHRQ) CAHPS Clinician & Group Survey, version 3.0, plus additional
survey questions to meet CMS's information and program needs. The
survey information is used for quality reporting, the compare tool on
the <a href="http://Medicare.gov">Medicare.gov</a> website, and annual statistical experience reports
describing MIPS data for all MIPS eligible clinicians.
This 2024 information collection request addresses the requirements
related to the statutorily required quality measurement. The CAHPS for
MIPS survey results in burden to three different types of entities:
groups, virtual groups, and subgroups; vendors; and beneficiaries
associated with administering the survey. Virtual groups are subject to
the same requirements as groups and subgroups; therefore, we will refer
only to ``groups'' as an inclusive term for all entities unless
otherwise noted. Form Number: CMS-10450 (OMB control number: 0938-
1222); Frequency: Yearly; Affected Public: Business or other for-
profits and Not-for-profit institutions and Individuals and Households;
Number of Respondents: 25,536; Total Annual Responses: 25,536; Total
Annual Hours: 5,867 (For policy questions regarding this collection
contact Renee Oneill at 410-786-8821.)
2. Type of Information Collection Request: Extension of currently
approved Information Collection; Title of Information Collection:
Virtual Groups for Merit-Based Incentive Payment System (MIPS); Use:
Section 1848(q)(5)(I)(ii) of the 2018 Quality Payment Program final
rule establishes that a process must be in place to allow an individual
MIPS eligible clinician or group consisting of not more than 10 MIPS
eligible clinicians to elect, with respect to a performance period for
a year, to be in a virtual group with at least one other such
individual MIPS eligible clinician or group. Section 1848(q)(5)(I)(iii)
of the Act establishes the following requirements that pertain to an
election process: (1) individual eligible clinicians and groups forming
virtual groups are required to make the election prior to the start of
the applicable performance period under MIPS and cannot change their
election during the performance period; (2) an individual eligible
clinician or group may elect to be in no more than one virtual group
for a performance period and in the case of the group electing to be in
a virtual group for the performance period, the election applies to all
eligible clinicians in the group; (3) a virtual group is a combination
of TINs; (4) formal written agreements are required among the eligible
clinicians (includes individual eligible clinicians and eligible
clinicians within the groups) electing to be a virtual group; and (5)
the Secretary has the authority to include other requirements
determined appropriate.
Section 1848(q)(5)(I)(i) of the Act also provides that MIPS
eligible clinicians electing to be a virtual group must: (1) have their
performance assessed for the
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quality and cost performance categories in a manner that applies the
combined performance of all the MIPS eligible clinicians in the virtual
group to each MIPS eligible clinician in the virtual group for the
applicable performance period; and (2) be scored for the quality and
cost performance categories based on such assessment. Form Number: CMS-
10652 (OMB control number: 0938-1343); Frequency: Yearly; Affected
Public: Individuals and Households, Private Sector, Business or other
for-profits and Not-for-profit institutions; Number of Respondents: 16;
Total Annual Responses: 16; Total Annual Hours: 160 (For policy
questions regarding this collection contact Renee O'Neill at 410-786-
8821.)
3. Type of Information Collection Request: Revision of a currently
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.
The 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; Annual Hours: 4,933. (For policy questions regarding
this collection, contact Preeti Hans at 301-492-1444).
Dated: January 10, 2024.
William N. Parham, III
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-00657 Filed 1-12-24; 8:45 am]
BILLING CODE 4120-01-P
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