Notice2024-28857
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
December 9, 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 236 (Monday, December 9, 2024)</title>
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[Federal Register Volume 89, Number 236 (Monday, December 9, 2024)]
[Notices]
[Pages 97619-97620]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-28857]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-319, CMS-2088-17, CMS-224-14 and CMS-R-297/
CMS-L564]
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 January 8, 2025.
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>.
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: Reinstatement without
change of a previously approved collection; Use: Title XIX and title
XXI State agencies are required to submit the MEQC pilot planning
document in accordance with Sec. 431.814(b), and the MEQC case level
and CAP reports based on pilot findings in accordance with Sec. Sec.
431.816 and 431.820, respectively.
[[Page 97620]]
The primary users of this information are State Medicaid (and where
applicable CHIP) agencies and CMS. State agencies are expected to use
the information collected for continuous quality improvement purposes.
They will identify patterns of error in their eligibility processing
operations and systems and take corrective actions to address issues
and improve the eligibility determination process. CMS will use the
data collected to identify and help those States that are most in need
of technical assistance. CMS will also use the data set to identify
potential weaknesses in Federal regulations. It will propose regulatory
modifications designed to ensure that there are more effective quality
controls in the eligibility determination process.; Form Number: CMS-
319 (OMB control number: 0938-0147); Frequency: Occasionally; Affected
Public: State, Local, or Tribal Governments; Number of Respondents: 35;
Number of Responses: 647; Total Annual Hours: 9,840. (For policy
questions regarding this collection contact Camiel Rowe at 410-786-
0069.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Community Mental
Health Center Cost Report Use: CMS requires the Form CMS-2088-17 to
determine a provider's reasonable cost incurred in furnishing medical
services to Medicare beneficiaries and reimbursement due to or from a
provider. In addition, CMHCs may receive reimbursement through the cost
report for Medicare reimbursable bad debts. CMS uses the Form CMS-2088-
17 for rate setting; payment refinement activities, including market
basket analysis; Medicare Trust Fund projections; and to support
program operations. The primary function of the cost report is to
determine provider reimbursement for services rendered to Medicare
beneficiaries. Each CMHC submits the cost report to its contractor for
reimbursement determination. Section 1874A of the Act describes the
functions of the contractor. CMHCs must follow the principles of cost
reimbursement, which require they maintain sufficient financial records
and statistical data for proper determination of costs. The S series of
worksheets collects the provider's location, CBSA, date of
certification, operations, and unduplicated census days. The A series
of worksheets collects the provider's trial balance of expenses for
overhead costs, direct patient care services, and non-revenue
generating cost centers. The B series of worksheets allocates the
overhead costs to the direct patient care and non-revenue generating
cost centers using functional statistical bases. The Worksheet C
computes the apportionment of costs between Medicare beneficiaries and
other patients. The D series of worksheets are Medicare specific and
calculate the reimbursement settlement for services rendered to
Medicare beneficiaries. The Worksheet F collects the provider's
revenues and expenses data from the provider's income statement. Form
Number: CMS-2088-17 (OMB control number: 0938-0378); Frequency:
Annually; Affected Public: Private Sector, Business or other for-
profits, Not-for-profits institutions; Number of Respondents: 191;
Total Annual Responses: 191; Total Annual Hours: 17,190. (For policy
questions regarding this collection contact Jill Keplinger at 410-786-
4550.)
3. Type of Information Collection Request: Extension of a
previously approved collection; Title of Information Collection:
Federally Qualified Health Center Cost Report Form; Use: The Form CMS-
224-14 cost report is needed to determine a provider's reasonable cost
incurred in furnishing medical services to Medicare beneficiaries and
to calculate the FQHC settlement amount. These providers, paid under
the FQHC prospective payment system (PPS), may receive reimbursement
outside of the PPS for Medicare reimbursable bad debts, pneumococcal,
influenza, and COVID-19 vaccines, and monoclonal antibody products. CMS
uses the Form CMS-224-14 for rate setting; payment refinement
activities, including developing a FQHC market basket; Medicare Trust
Fund projections; and to support program operations. Additionally, the
Medicare Payment Advisory Commission (MedPAC) uses the FQHC Medicare
cost report data to calculate Medicare margins; to formulate
recommendations to Congress regarding the FQHC PPS; and to conduct
additional analysis of the FQHC PPS. Form Number: CMS-224-14 (OMB
control number: 0938-1298); Frequency: Yearly; Affected Public: Private
Sector, State, Local, or Tribal Governments, Federal Government,
Business or other for-profits, Not-for-Profit Institutions; Number of
Respondents: 2,967; Total Annual Responses: 2,967; Total Annual Hours:
172,086. (For policy questions regarding this collection contact LuAnn
Piccione at 410-786-5423.)
4. Type of Information Collection Request: Extension of a currently
approved information collection; Title of Information Collection:
Medicare Request for Employment Information; Use: Section 1837(i) of
the Social Security Act (the Act) provides for a SEP for individuals
who delay enrolling in Medicare Part B because they are covered by a
group health plan based on their own or a spouse's current employment
status. Disabled individuals with Medicare may also delay enrollment
because they have large group health plan coverage based on their own
or a family member's current employment status. When these individuals
apply for Medicare Part B, they must provide proof that the group
health plan coverage is (or was) based on current employment status.
Form CMS L564 provides this proof so that SSA can determine eligibility
for the SEP. Individuals eligible for the SEP can enroll in Part B
without incurring a late enrollment penalty (LEP). Individuals may also
use this form to prove that their group health plan coverage is based
on current employment status and to have the assessed Medicare LEP
reduced. Form Number: CMS-R-297/CMS-L564 (OMB control number: 0938-
0787); Frequency: Annually; Affected Public: Individuals or households,
Business or other for-profits and Not-for-profit institutions; Number
of Respondents: 594,998; Total Annual Responses: 594,998; Total Annual
Hours: 243,949. (For policy questions regarding this collection contact
Candace Carter at 410-786-8466 or <a href="/cdn-cgi/l/email-protection#4f0c2e212b2e2c2a610c2e3d3b2a3d0f2c223c6127273c61282039"><span class="__cf_email__" data-cfemail="82c1e3ece6e3e1e7acc1e3f0f6e7f0c2e1eff1aceaeaf1ace5edf4">[email protected]</span></a>).
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-28857 Filed 12-6-24; 8:45 am]
BILLING CODE 4120-01-P
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