Notice2024-07202
Agency Information Collection Activities: Proposed Collection; Comment Request
Primary source
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Published
April 5, 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 60 days for public comment on the proposed action. Interested persons are invited to send 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 67 (Friday, April 5, 2024)</title>
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[Federal Register Volume 89, Number 67 (Friday, April 5, 2024)]
[Notices]
[Pages 24008-24010]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-07202]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10545, CMS-R-246, CMS-43 and CMS-10842]
Agency 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: 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 60 days for public comment on
the proposed action. Interested persons are invited to send 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 June 4, 2024.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number. 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="https://www.regulations.gov">https://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: Document Identifier/OMB
Control Number: __, 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/PRA-Listing">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing</a>.
[[Page 24009]]
FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-10545 Outcome and Assessment Information Set OASIS-E1
CMS-R-246 Medicare Advantage, Medicare Part D, and Medicare Fee-For-
Service Consumer Assessment of Healthcare Providers and Systems (CAHPS)
Survey
CMS-43 Application for Part A (Hospital Insurance) and Part B (Medical
Insurance) for People with End-Stage Renal Disease
CMS-10842 End Stage Renal Disease (ESRD) Annual Home Dialysis within
Nursing Home Survey Form
Under the 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 requires federal agencies
to publish a 60-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.
Information Collection
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Outcome and
Assessment Information Set OASIS-E1; Use: This request is to modify the
Outcome and Assessment Information Set (OASIS) that home health
agencies (HHAs) are required to collect to participate in the Medicare
program. The current OASIS version, OASIS-E, OMB control number 0938-
1279, was approved by the OMB on November 30, 2022, and implemented on
January 1, 2023. We are seeking OMB approval for the proposed revised
OASIS data set, referred to hereafter as OASIS-E1, scheduled for
implementation in the HH QRP on January 1, 2025. The OASIS-E1 includes
changes related to addition of one item supporting an assessment-based
quality measure (QM), removal of one item due to retirement of a QM,
and removal of two data elements no longer used in the HH QRP or for
other purposes in CMS programs. Form Number: CMS-10545 (OMB control
number: 0938-1279); Frequency: Occasionally; Affected Public: Private
Sector (Business or other for-profit and Not-for-profit institutions);
Number of Respondents: 11,866; Total Annual Responses: 18,017,056;
Total Annual Hours: 16,683,290. (For policy questions regarding this
collection contact Jermama Keys at 410-786-7778).
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare
Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer
Assessment of Healthcare Providers and Systems (CAHPS) Survey; Use: CMS
is required to collect and report information on the quality of health
care services and prescription drug coverage available to persons
enrolled in a Medicare health or prescription drug plan under
provisions in the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA). Specifically, the MMA under Sec.
1860D-4 (Information to Facilitate Enrollment) requires CMS to conduct
consumer satisfaction surveys regarding Medicare prescription drug
plans and Medicare Advantage plans and report this information to
Medicare beneficiaries prior to the Medicare annual enrollment period.
The Medicare CAHPS survey meets the requirement of collecting and
publicly reporting consumer satisfaction information. The Balanced
Budget Act of 1997 also requires the collection of information about
fee-for-service plans. The CAHPS survey measures are incorporated into
the Part C and D Star Ratings that are published on <a href="http://www.medicare.gov">www.medicare.gov</a>
each fall to help consumers choose a Medicare plan. A subset of the
CAHPS measures is also included in the Medicare & You Handbook. CAHPS
information from MA contracts also feeds into the calculation of MA
Quality Bonus Payment Ratings that are required by statute and
regulation.
The primary purpose of the Medicare CAHPS surveys is to provide
information to Medicare beneficiaries to help them make more informed
choices among health and prescription drug plans available to them.
Survey results are reported by CMS in the Medicare & You Handbook
published each fall and on the Medicare Plan Finder website.
Beneficiaries can compare CAHPS scores for each health and drug plan as
well as compare MA and FFS scores when making enrollment decisions. The
Medicare CAHPS also provides data to help CMS and others monitor the
quality and performance of Medicare health and prescription drug plans
and identify areas to improve the quality of care and services provided
to enrollees of these plans. CAHPS data are included in the Medicare
Part C & D Star Ratings and used to calculate MA Quality Bonus
Payments. Form Number: CMS-R-246 (OMB control number: 0938-0732);
Frequency: Yearly; Affected Public: Individuals and Households Number
of Respondents: 794,500; Total Annual Responses: 794,500; Total Annual
Hours: 192,265. (For policy questions regarding this collection contact
Lauren Fuentes at 410-786-2290 or <a href="/cdn-cgi/l/email-protection#6f030e1a1d0a0141091a0a011b0a1c2f0c021c4107071c41080019"><span class="__cf_email__" data-cfemail="a8c4c9dddacdc686ceddcdc6dccddbe8cbc5db86c0c0db86cfc7de">[email protected]</span></a>).
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Application for
Part A (Hospital Insurance) and Part B (Medical Insurance) for People
with End-Stage Renal Disease; Use: Form CMS-43 (Application for Part A
(Hospital Insurance) and Part B (Medical Insurance) for People with
End-Stage Renal Disease) supports section 226A(a) of the Social
Security Act (the Act) and corresponding regulations at 42 CFR
406.7(c)(3) and 406.13.
Individuals with End-Stage Renal Disease (ESRD) have the
opportunity to apply for Medicare benefits and obtain premium-free Part
A if they meet certain criteria outlined in statute. Sections 226A of
the Act authorizes entitlement for Medicare Hospital Insurance (Part A)
if the individual with ESRD files an application for benefits and meets
the requisite contributions through one's own employment or the
employment of a related individual to meet the statutory definition of
a ``currently insured'' individual outlined in section 214 of the Act.
Further, for individuals who meet the requirements for premium-free
Part A entitlement, Medicare coverage starts based on the dates in
which the individual started dialysis treatment or had a kidney
transplant. These statutory provisions are codified at 42 CFR
406.7(c)(3) and 407.13. Form Number: CMS-43 (OMB control number: 0938-
0080); Frequency: Once; Affected Public: Individuals and Households
Number of Respondents: 45,200; Total Annual Responses: 45,200; Total
Annual Hours: 18,984. (For policy questions regarding this collection
contact Candace Carter at
[[Page 24010]]
410-786-8466 or <a href="/cdn-cgi/l/email-protection#92d1f3fcf6f3f1f7bcd1f3e0e6f7e0d2f1ffe1bcfafae1bcf5fde4"><span class="__cf_email__" data-cfemail="26654748424745430865475452435466454b55084e4e5508414950">[email protected]</span></a>).
4. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection: End
Stage Renal Disease (ESRD) Annual Home Dialysis within Nursing Home
Survey Form; Use: The End Stage Renal Disease (ESRD) Network program is
responsible to collect, validate, and analyze data as well as to
evaluate the process by which facilities determine the appropriateness
of patients for a treatment modality. Additional responsibilities of
the ESRD Network program include encouraging participation in the
placement of patients in a self-care setting, such as home hemodialysis
or peritoneal dialysis, as described in Sec. 1881. [42 U.S.C. 1395rr]
(c)(1)(A)(i)(2) of the Social Security Act. On September 21, 2018, CMS
clarified guidance that residents in a nursing home facility can
receive dialysis either administered and/or supervised by personnel who
meet the criteria for training, and competency verification at 42 CFR
494.100(a) and (b) for providing dialysis. The provision of dialysis
within a nursing home requires that the dialysis facility have an
agreement with the nursing home. This guidance was reinforced and
updated on March 22, 2023, in a memo to the State Survey Agency
Directors titled, ``Guidance and Survey Process for Reviewing Home
Dialysis Services in a Nursing Home REVISED''. Since the provision of
dialysis within nursing homes is relatively new, CMS designed the CMS-
10842 form to capture home modality information from dialysis
facilities that provide dialysis within the nursing home in alignment
with the Centers for Disease Control and Prevention (CDC).
The care provided to residents of a nursing home is of particular
interest because of the fragile health state of the patient and the
susceptibility to infection. Each facility certification/survey record
represents one provider. CMS-10842 collects information on dialysis
facilities providing home dialysis services within the nursing home
related to the number of patients, setting of dialysis services
provided, who is providing dialysis services, who is providing dressing
changes to dialysis access, staff education and use of CDC Core
Interventions used. The aggregate patient information is collected from
each Medicare-approved home dialysis provider to identify the
specialized needs of the ESRD community where home dialysis is provided
in Long Term Care facilities. Form Number: CMS-10842 (OMB control
number: 0938-NEW); Frequency: Yearly; Affected Public: Private Sector
(Business or other for-profit and Not-for-profit institutions); Number
of Respondents: 7,726; Total Annual Responses: 7,726; Total Annual
Hours: 5,795. (For policy questions regarding this collection contact
Christina Goatee at 410-786-6689).
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-07202 Filed 4-4-24; 8:45 am]
BILLING CODE 4120-01-P
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