Notice2024-12583
Agency Information Collection Activities: Proposed Collection; 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
June 10, 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 112 (Monday, June 10, 2024)</title>
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[Federal Register Volume 89, Number 112 (Monday, June 10, 2024)]
[Notices]
[Pages 48901-48902]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-12583]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10003, CMS-10146 and CMS-R-240]
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 August 9, 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="http://www.regulations.gov">http://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>.
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-10003 Notice of Denial of Medical Coverage (or Payment)--NDMCP
CMS-10146 Notice of Denial of Medicare Prescription Drug Coverage
CMS-R-240 Prospective Payments for Hospital Outpatient Services and
Supporting Regulations in 42 CFR 413.65
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.
[[Page 48902]]
Information Collection
1. Type of Information Collection Request: Revision with change of
a previously approved collection; Title of Information Collection:
Notice of Denial of Medical Coverage (or Payment)--NDMCP; Use: Section
1852(g)(1)(B) of the Social Security Act (the Act) requires Medicare
health plans to provide enrollees with a written notice in
understandable language of the reasons for the denial and a description
of the applicable appeals processes. Regulatory authority for this
notice is set forth in Subpart M of Part 422 at 42 CFR 422.568,
422.572, 417.600(b), and 417.840.
Medicare health plans, including Medicare Advantage plans, cost
plans, and Health Care Prepayment Plans (HCPPs), are required to issue
form CMS-10003 to Medicare Advantage plan enrollees when a request for
either a medical service or payment is denied in whole or in part. The
notice explains to the enrollee why the plan denied the service or
payment and informs Medicare enrollees of their appeal rights. Form
Number: CMS-10003 (OMB control number: 0938-0829); Frequency: Yearly;
Affected Public: Private Sector; Business or other for-profits, Not-
for-profit institutions; Number of Respondents: 970; Total Annual
Responses: 18,232,560; Total Annual Hours: 3,037,544. (For policy
questions regarding this collection contact Sabrina Edmonston at (410)
786-3209.)
2. Type of Information Collection Request: Revision with change of
a previously approved collection; Title of Information Collection:
Notice of Denial of Medicare Prescription Drug Coverage; Use: Part D
plan sponsors are required to issue the Notice of Denial of Medicare
Prescription Drug Coverage notice when a request for a prescription
drug or payment is denied, in whole or in part. The written notice must
include a statement, in understandable language, the reasons for the
denial and a description of the appeals process.
The purpose of this notice is to provide information to enrollees
when prescription drug coverage has been denied, in whole or in part,
by their Part D plans. The notice must be readable, understandable, and
state the specific reasons for the denial. The notice must also remind
enrollees about their rights and protections related to requests for
prescription drug coverage and include an explanation of both the
standard and expedited redetermination processes and the rest of the
appeal process. Form Number: CMS-10146 (OMB control number: 0938-0976);
Frequency: Yearly; Affected Public: Private Sector; Business or other
for-profits, Not-for-profit institutions; Number of Respondents: 772;
Total Annual Responses: 2,962,857; Total Annual Hours: 740,714. (For
policy questions regarding this collection contact Coretta Edmonston at
(410) 786-0512.)
3. Type of Information Collection Request: Reinstatement of a
previously approved collection; Title of Information Collection:
Prospective Payments for Hospital Outpatient Services and Supporting
Regulations in 42 CFR 413.65; Use: Section 1833(t) of the Act, as added
by section 4523 of the Balanced Budget Act of 1997 (the BBA) requires
the Secretary to establish a prospective payment system (PPS) for
hospital outpatient services. Successful implementation of an
outpatient PPS requires that CMS distinguish facilities or
organizations that function as departments of hospitals from those that
are freestanding, so that CMS can determine which services should be
paid under the OPPS, the clinical laboratory fee schedule, or other
payment provisions applicable to services furnished to hospital
outpatients. Information from the reports required under sections
413.65(b)(3) and (c) is needed to make these determinations. In
addition, section 1866(b)(2) of the Act authorizes hospitals and other
providers to impose deductible and coinsurance charges for facility
services but does not allow such charges by facilities or organizations
which are not provider-based. Implementation of this provision requires
that CMS have information from the required reports, so it can
determine which facilities are provider-based. Form Number: CMS-R-240
(OMB control number: 0938-0798); Frequency: Occasionally; Affected
Public: Private Sector (Business or other for-profits, Not-for-Profit
Institutions); Number of Respondents: 2032; Total Annual Responses:
15,138,400; Total Annual Hours: 683,670. (For policy questions
regarding this collection contact Emily Lipkin at 410-786-3633.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-12583 Filed 6-7-24; 8:45 am]
BILLING CODE 4120-01-P
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