Notice2024-05712
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
March 18, 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 53 (Monday, March 18, 2024)</title>
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[Federal Register Volume 89, Number 53 (Monday, March 18, 2024)]
[Notices]
[Pages 19314-19315]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-05712]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10340 and CMS-10396]
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
[[Page 19315]]
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 April 17, 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: Collection of
Encounter Data from MA Organizations, Section 1876 Cost HMOs/CMPs,
MMPs, and PACE Organizations; Use: Section 1853(a)(3)(B) of the Act
directs CMS to require MA organizations and eligible organizations with
risk-sharing contracts under 1876 to ``submit data regarding inpatient
hospital services . . . and data regarding other services and other
information as the Secretary deems necessary'' in order to implement a
methodology for ``risk adjusting'' payments made to MA organizations
and other entities. Risk adjustments to enrollee monthly payments are
made in order to take into account ``variations in per capita costs
based on [the] health status'' of the Medicare beneficiaries enrolled
in an MA plan.
CMS uses encounter data to develop individual risk scores for risk
adjusted payment to MA organizations, PACE organizations, and MMPs.
Starting with Payment Year (PY) 2016, CMS began to blend risk scores
calculated with Risk Adjustment Processing Data and Medicare Fee-For-
Service (FFS) data with risk scores calculated with encounter data and
FFS data, for risk scores calculated under both the CMS-HCC and the
RxHCC models. In PY 2022, we will move to calculating risk scores under
both the CMS-HCC and the RxHCC models using 100 percent of the risk
score calculated using encounter data and FFS data.
All organizations required to submit encounter data use an
electronic connection between the organization and CMS to submit
encounter data and to receive information in return. CMS collects the
data from MA organizations, 1876 Cost Plans, MMPs and PACE
organizations in the X12N 837 5010 format for professional, DME, and
institutional, and dental services or items provided to MA enrollees.
Form Number: CMS-10340 (OMB control number: 0938-1152); Frequency:
Daily; Affected Public: Private Sector, Business or other for-profits
and Not-for-profits institutions; Number of Respondents:284; Total
Annual Responses: 1,467,645,179; Total Annual Hours: 48,936,279. (For
policy questions regarding this collection contact Raymond Mierwald at
410 446-5449).
2. Type of Information Collection Request: Reinstatement without
change of previously 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: 849; 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#ebbd82889f8499828ac58f8a858cab888698c5838398c58c849d"><span class="__cf_email__" data-cfemail="61370802150e1308004f05000f0621020c124f0909124f060e17">[email protected]</span></a>.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-05712 Filed 3-15-24; 8:45 am]
BILLING CODE 4120-01-P
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