Notice2024-06439
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 27, 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 60 (Wednesday, March 27, 2024)</title>
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[Federal Register Volume 89, Number 60 (Wednesday, March 27, 2024)]
[Notices]
[Pages 21254-21255]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-06439]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10883 and CMS-10558]
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 April 26, 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: New collection (Request
for a new OMB control number); Title of Information Collection: ADA
Dental Claim Form; Use: The ADA Dental Claim form and corresponding
HIPAA-compliant electronic transaction, known as the 837D, are used
widely in the US dental industry to submit claims for health or dental
insurance reimbursement.
Medicare has traditionally accepted the Professional (CMS-1500/837P
transaction) and Institutional (UB04/837I transaction) claims 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.
CMS issued policy clarifications as part of its annual Medicare
Physician Fee Schedule (MPFS) Rule that further
[[Page 21255]]
define when dental services are inextricably linked to a covered
medical service. Additional clarifications were included in the CY2024
MPFS final rule. CMS further established a process by which the agency
will consider clinical evidence for future policy clarification
consideration. CMS anticipates that these regulatory policy
clarifications will result in more dental provider participation in the
Medicare program. As a result, the Agency's General Counsel has advised
that CMS should begin to accept dental claim formats to remain in
compliance with the Health Insurance Portability and Accountability Act
(HIPAA) (Pub. L. 104-191). Therefore, CMS through its Part B Medicare
Administrative Contractors (MACs) will begin accepting and processing
claims submitted by dental providers on the ADA Dental Claim form and
HIPAA-standard electronic format equivalent (837D). Form Number: CMS-
10883; Frequency: Occasionally; Affected Public: Private Sector,
Business or 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: Extension of currently
approved Information Collection; Title of Information Collection:
Machine Readable Data for Provider Network and Prescription Formulary
Content for FFM QHPs; Use: Under 45 CFR 156.122(d)(1)(2), 156.230(b),
and 156.230(c), as finalized in the rule, the Patient Protection and
Affordable Care Act; HHS Notice of Benefit and Payment Parameters for
2018 (CMS-9934-F), established standards for qualified health plan
(QHP) issuers for the submission of provider and formulary data in a
machine-readable format to the Department of Health and Human Services
(HHS) and for posting the data on issuer websites. These standards
provide greater transparency for consumers, including by allowing
software developers to access formulary and provider data to create
innovative and informative tools. On September 30, 2015, the Office of
Management and Budget (OMB) granted approval to the data collection
Information Collection for Machine Readable Data for Provider Network
and Prescription Formulary Content for FFE QHPs under OMB control
number 0938-1284. OMB approval was granted again on November 3, 2017,
and March 22, 2021. The Centers for Medicare and Medicaid Services
(CMS) is continuing that information collection request (ICR) in
connection with these machine-readable standards. This ICR serves as a
formal request for the renewal of the data collection clearance. The
burden estimate for the ICR included in this package reflects the time
and effort for QHP and SADP issuers to update and publish the
appropriate data and submit it to CMS. No comments were received in
response to the 60-day Federal Register notice. Form Number: CMS-10558
(OMB control number: 0938-1284); Frequency: Annually; Affected Public:
Private Sector, State, Business, and Not-for-Profits; Number of
Respondents: 434; Number of Responses: 434; Total Annual Hours: 39,126.
(For questions regarding this collection, contact Ana Alza at (667)
290-8569, ext. 70008569).
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-06439 Filed 3-26-24; 8:45 am]
BILLING CODE 4120-01-P
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