Notice2024-16425
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
July 26, 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 144 (Friday, July 26, 2024)</title>
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[Federal Register Volume 89, Number 144 (Friday, July 26, 2024)]
[Notices]
[Pages 60640-60641]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-16425]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10157]
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 September 24, 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-10157 The HIPAA Eligibility Transaction System (HETS)
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 Collections
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: The HIPAA
Eligibility Transaction System (HETS); Use: CMS created the HIPAA
(Health Insurance Portability and Accountability Act of 1996)
Eligibility Transaction System (HETS) to provide
[[Page 60641]]
HIPAA Accredited Standards Committee X12 270/271 health care
eligibility inquiries (270) and responses (271) on a real-time basis.
HETS allows health care providers or their designees to check Medicare
beneficiary eligibility data in real-time. They use HETS to prepare
accurate Medicare claims, determine beneficiary liability, or check
eligibility for specific services. HETS allows users to submit HIPAA
compliant 270 eligibility request over a secure connection and receive
271 responses in real-time. In creating the HETS system, Federal law
requires that CMS take precautions to minimize the security risk to
Federal information systems. Accordingly, CMS requires that trading
partners who wish to connect to the HETS 270/271 system via the CMS
Extranet and/or internet to agree to the HETS Rules of Behavior and the
HETS Authorized Representative Roles and Responsibilities terms as a
condition of receiving Medicare eligibility information. Applicants
complete the entire Trading Partner Agreement form to indicate
agreement with CMS trading partner terms and provide sufficient
information to establish connectivity to the service and assure that
those entities that access the Medicare eligibility information are
aware of applicable provisions and penalties for the misuse of
information.
CMS uses the Trading Partner Agreement Form to capture certain
information whereby a person certifies that they are fully aware of all
penalties related to the use of PHI and their access to this data from
the HETS application. The information is an attestation by the
authorized representative of an entity that wishes to access the
Medicare eligibility information to conduct real-time eligibility
transactions. The authorized representative is a person responsible for
business decisions on behalf of the Organization who is submitting the
access request. The data captured includes the authorized
representative's name, title contact number and the name of the
submitting entity. Other data captured is the submitter's National
Provider Identifier, business name, billing address, physical address,
and telephone number.
The Trading Partner Agreement Form is also used by CMS to capture
certain information whereby a person identifies the particular
connectivity protocol that they will use to connect to CMS and specific
organization information which is reviewed and authorized prior to the
access being granted. Form Number: CMS-10157 (OMB control number: 0938-
0960); Frequency: Yearly; Affected Public: Private Sector, State,
Local, or Tribal Governments, Federal Government, Business or other
for-profits, Not-for-profits institutions; Number of Respondents:
1,000; Total Annual Responses: 1,000; Total Annual Hours: 250. (For
policy questions regarding this collection contact William Mooney at
410-786-1956).
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-16425 Filed 7-25-24; 8:45 am]
BILLING CODE 4120-01-P
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