Agency Information Collection Activities: Submission for OMB Review; Comment Request
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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.
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<title>Federal Register, Volume 89 Issue 25 (Tuesday, February 6, 2024)</title>
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[Federal Register Volume 89, Number 25 (Tuesday, February 6, 2024)]
[Notices]
[Pages 8202-8203]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-02306]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10552]
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 March 7, 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: 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
[[Page 8203]]
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 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.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-02306 Filed 2-5-24; 8:45 am]
BILLING CODE 4120-01-P
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