Notice2024-21063
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
September 17, 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 180 (Tuesday, September 17, 2024)</title>
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[Federal Register Volume 89, Number 180 (Tuesday, September 17, 2024)]
[Notices]
[Pages 76113-76115]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-21063]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10003, CMS-10146, CMS-R-234 and CMS-222-17]
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 October 17, 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>.
[[Page 76114]]
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: Revision 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 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 without
change of a previously approved collection; Title of Information
Collection: Subpart D-Private Contracts and Supporting Regulations;
Use: Section 4507 of the Balanced Budget Act of 1997 (BBA 1997) amended
section 1802 of the Social Security Act (the Act) to permit certain
physicians and practitioners to opt-out of Medicare and to provide--
through private contracts--services that Medicare would otherwise
cover. Under such contracts, the mandatory claims submission and
limiting charge rules of section 1848(g) of the Act would not apply.
CMS-R-234 allows certain physicians and practitioners to opt out of
Medicare and furnish covered services to Medicare beneficiaries through
private contracts. Physicians and practitioners use this information
collection to comply with the applicable regulations. Physicians and
practitioners entering private contracts with beneficiaries must file
an affidavit with Medicare in which they agree to opt-out of Medicare
for 2 years and to meet certain other criteria. In general, the
applicable regulations require that during that 2-year period,
physicians and practitioners who have filed affidavits opting out of
Medicare must sign private contracts with all Medicare beneficiaries to
whom they furnish services that Medicare would otherwise cover (except
those who need emergency or urgently needed care). In addition,
Medicare Administrative Contractors (MACs) use this information to
determine if benefits should be paid or continued. Form Number: CMS-R-
234 (OMB control number: 0938-0730); Frequency: Occasionally; Affected
Public: Business or other for-profit and not-for-profit institutions;
Number of Respondents; 78,258; Total Annual Responses; 78,258; Total
Annual Hours: 22,780. (For policy questions regarding this collection
contact Frank Whelan at 410-786-1302.)
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Rural Health
Clinic Cost Report; Use: Under the authority of sections 1815(a) and
1833(e) of the Social Security Act, CMS requires that providers of
services participating in the Medicare program submit information to
determine costs for health care services rendered to Medicare
beneficiaries. CMS requires that providers follow reasonable cost
principles under 1861(v)(1)(A) of the Act when completing the Medicare
cost report. Regulations at 42 CFR 413.20 and 413.24 require that
providers submit acceptable cost reports on an annual basis and
maintain sufficient financial records and statistical data, capable of
verification by qualified auditors. CMS requires Form CMS-222-17 to
determine an RHC's reasonable costs incurred in furnishing medical
services to Medicare beneficiaries and reimbursement due to or from an
RHC. Each RHC submits the cost report to its contractor for a
reimbursement determination. Section 1874A of the Act describes the
functions of the contractor.
CMS regulations at 42 CFR 413.24(f)(4)(ii) require each RHC submit
an annual cost report to their contractor in American Standard Code for
Information Interchange (ASCII) electronic cost report (ECR) format.
RHCs submit the ECR file to contractors using a compact disk (CD),
flash drive, or the CMS approved Medicare Cost Report E-filing (MCREF)
portal. Form Number: CMS-222-17 (OMB control number: 0938-0107);
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: 2,101; Total
Annual Responses: 2,101; Total Annual Hours: 115,555. (For policy
questions
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regarding this collection contact LuAnn Piccione at (410) 786-5423.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-21063 Filed 9-16-24; 8:45 am]
BILLING CODE 4120-01-P
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</html>Indexed from Federal Register on September 17, 2024.
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