Notice2024-15882
Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request
Primary source
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Published
July 19, 2024
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Abstract
On May 28, 2010, the Office of Management and Budget (OMB) issued Paperwork Reduction Act (PRA) guidance related to the "generic" clearance process. Generally, this is an expedited process by which agencies may obtain OMB's approval of collection of information requests that are "usually voluntary, low-burden, and uncontroversial collections," do not raise any substantive or policy issues, and do not require policy or methodological review. The process requires the submission of an overarching plan that defines the scope of the individual collections that would fall under its umbrella. This Federal Register notice seeks public comment on one or more of our collection of information requests that we believe are generic and fall within the scope of the umbrella. Interested persons are invited to submit 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 139 (Friday, July 19, 2024)</title>
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[Federal Register Volume 89, Number 139 (Friday, July 19, 2024)]
[Notices]
[Pages 58741-58743]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-15882]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10434 #66]
Medicaid and Children's Health Insurance Program (CHIP) Generic
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: On May 28, 2010, the Office of Management and Budget (OMB)
issued Paperwork Reduction Act (PRA) guidance related to the
``generic'' clearance process. Generally, this is an expedited process
by which agencies may obtain OMB's approval of collection of
information requests that are ``usually voluntary, low-burden, and
uncontroversial collections,'' do not raise any substantive or policy
issues, and do not require policy or methodological review. The process
requires the submission of an overarching plan that defines the scope
of the individual collections that would fall under its umbrella. This
Federal Register notice seeks public comment on one or more of our
collection of information requests that we believe are generic and fall
within the scope of the
[[Page 58742]]
umbrella. Interested persons are invited to submit 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 2, 2024.
ADDRESSES: When commenting, please reference the applicable form number
(CMS-10434 #66) and the OMB control number (0938-1188). 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: CMS-10434 #66/OMB
control number: 0938-1188, 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/PRAListing">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRAListing</a>.
FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION: Because of system limitations, we are
submitting this generic collection of information request on an interim
basis under CMS-10434 (OMB 0938-1188). At the appropriate time we will
move this request under its proper place (CMS-10398, OMB 0938-1148) and
subsequently remove it from CMS-10434 to prevent duplication. The
public can monitor the status of such activities at <a href="http://reginfo.gov">reginfo.gov</a>.
Following is a summary of the use and burden associated with the
subject information collection(s). More detailed information can be
found in the collection's supporting statement and associated materials
(see ADDRESSES).
Generic Information Collection
1. Title of Information Collection: Medicaid and Children's Health
Insurance Program Eligibility Processing Data Report; Type of
Information Collection Request: Revision of a previously approved
collection of information request; Use: The COVID-19 outbreak and
implementation of federal policies to address the public health
emergency disrupted routine Medicaid, Children's Health Insurance
Program (CHIP), and Basic Health Program eligibility and enrollment
operations. Medicaid and CHIP enrollment grew to historic levels due in
large part to the Medicaid continuous enrollment condition that states
implemented as a condition of receiving a temporary federal medical
assistance percentage (FMAP) increase under section 6008 of the
Families First Coronavirus Response Act (Pub. L. 116-127). In March
2022, CMS announced that states were required to submit a one-time
baseline report and an ongoing monthly report on renewal activities for
their total caseload of Medicaid and CHIP enrollees prior to unwinding,
including the dispositions of renewals, for a minimum of 14 months
through the submission of the ``Unwinding Data Report'', hereinafter
referred to as the ``Eligibility Processing Data Report.''
The Consolidated Appropriations Act of 2023 (Pub. L. 117-238) (CAA,
2023) ended the continuous enrollment condition on March 31, 2023, and
required states to meet additional conditions, including conducting
renewals consistent with federal requirements or CMS approved
strategies, as a condition of receiving increased FMAP through December
2023. The CAA, 2023 also required states to submit and CMS to publicly
report data related to redeterminations conducted between April 2023
through June 2024. Some of the data outlined in the CAA, 2023 are
collected through the Eligibility Processing Data Report.
States have faced challenges completing the volume of work during
unwinding and restoring routine operations, and many states continue to
process unwinding related renewals. This package describes the
Eligibility Processing Data Report that states will continue to submit
to CMS on an ongoing basis to support monitoring and oversight efforts
for the remainder of states' unwinding periods and to ensure on-going
compliance with federal eligibility renewal requirements beyond
unwinding.
CMS is requiring mandatory state reporting of their efforts to
restore and maintain eligibility and enrollment operations and
understand coverage retention under the authority in sections
1902(a)(4)(A), 1902(a)(6) and 1902(a)(75) of the Social Security Act
(the Act), 42 CFR 431.16 to ensure proper and efficient administration
of the Medicaid program, and section 2101(a) of the Act to promote the
administration of CHIP in an effective and efficient manner. CMS
announced that the Eligibility Processing Data Report collection will
continue beyond unwinding in State Health Official Letter #24-002.
The Eligibility Processing Data Report is a monthly report
containing metrics on application processing, renewals initiated and
the dispositions of those renewals and fair hearings that states submit
using the existing Performance Indicators portal for submission. States
can correct their data as needed. Given that some renewals remain
pending at the end of a reporting month, states also submit an update
to each monthly report to CMS in the fourth month after the report is
first due to provide more complete renewal outcome data for the renewal
cohort reflected in the initial report month. States started submitted
the monthly Eligibility Processing Data Report to CMS in 2023 when they
began their unwinding periods.
In addition to changing the title of this collection of information
request, in this July 2024 iteration we are also extending the existing
monthly data collection and one-time update to the renewal outcome data
in each report for the remainder of unwinding as well as beyond
unwinding. States will continue to submit a monthly report in the
Eligibility Processing Data Report in the submission portal. States
will also continue to provide a one-time update to the data captured in
the monthly report concerning renewal outcomes (metrics 5a, 5a(1),
5a(2), 5b, 5c, 5d) in the submission portal. To provide the updated
report, states replace renewal outcome data in the initial monthly
report in the portal and overwrite their previously submitted data.
The Eligibility Processing Data Report is accompanied by an excel
workbook that states may use for planning purposes and a separate
instruction document (data specifications). The excel workbook is a
planning tool that was provided to states in 2022 so they could see all
metrics in the report before they had access to the Eligibility
Processing Data Report forms in the submission portal. This workbook is
not submitted to CMS, nor are states required to use it. While this
workbook is still available on <a href="http://www.Medicaid.gov">www.Medicaid.gov</a>
[[Page 58743]]
for states, it is not updated for this 2024 iteration as states have
access to the metrics in the submission portal. The data specifications
document is updated to reflect the changes made in this 2024 iteration
of the Eligibility Processing Data Report.
States submit the application processing data in the Eligibility
Processing Data Report until states complete working on pending
applications received before unwinding began and report to CMS that
zero applications remain pending. When the Eligibility Processing Data
Report was first launched, states previously submitted a one-time
baseline report prior to submitting the monthly reports and could make
corrections to this report as needed. The baseline report form has
remained available in the submission portal. CMS is not extending the
use of the baseline report in this 2024 iteration since it was intended
to be a one-time submission. The baseline report form will also be
removed from the submission portal in late summer/early fall 2024.
Additionally, states submitted to CMS a one-time State Report on
Plans for Prioritizing and Distributing Renewals Following the End of
the Medicaid Continuous Enrollment Provisions (``State Renewals
Report'') that was used to assess state's plans for processing renewals
and mitigating against inappropriate beneficiary coverage losses when
states begin restoring routine Medicaid and CHIP operations after the
public health emergency. CMS is not extending the use of this report in
this 2024 iteration.
Form Number: CMS-10434 #66 (OMB control number: 0938-1188);
Frequency: Monthly; Affected Public: State, Local, or Tribal
Governments; Number of Respondents: 56; Total Annual Responses: 1,344;
Total Annual Hours: 18,816. (For policy questions regarding this
collection contact: Shannon Lovejoy at (410) 786-1718.)
William N. Parham III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-15882 Filed 7-18-24; 8:45 am]
BILLING CODE 4120-01-P
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