Notice2025-14210
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
July 28, 2025
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
<html>
<head>
<title>Federal Register, Volume 90 Issue 142 (Monday, July 28, 2025)</title>
</head>
<body><pre>
[Federal Register Volume 90, Number 142 (Monday, July 28, 2025)]
[Notices]
[Pages 35529-35530]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-14210]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-138, CMS-10882 and CMS-10716]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
-----------------------------------------------------------------------
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 August 27, 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
[[Page 35530]]
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 with
change of a previously approved collection; Title of Information
Collection: Medicare Geographic Classification Review Board Procedures
and Criteria; Use: During the first few years of IPPS, hospitals were
paid strictly based on their physical geographic location concerning
the wage index (Metropolitan Statistical Areas (MSAs)) and the
standardized amount (rural, other urban, or large urban). However, a
growing number of hospitals became concerned that their payment rates
were not providing accurate compensation. The hospitals argued that
they were not competing with the hospitals in their own geographic
area, but instead that they were competing with hospitals in
neighboring geographic areas.
At that point, Congress enacted Section 1886(d)(10) of the Act
which enabled hospitals to apply to be considered part of neighboring
geographic areas for payment purposes based on certain criteria. The
application and decision process are administered by the MGCRB which is
not a part of CMS so that CMS could not be accused of any untoward
action. However, CMS needs to remain apprised of any potential payment
changes. Hospitals are required to provide CMS with a copy of any
applications that they made to the MGCRB. CMS also developed the
guidelines for the MGCRB that were the interim final issue of the
Federal Register and must ensure that the MGCRB properly applied the
guidelines. This check and balance process also contributes to limiting
the number of hospitals that ultimately need to appeal their MGCRB
decisions to the CMS Administrator. Form Number: CMS-R-138 (OMB control
number: 0938-0573); Frequency: Occasionally; Affected Public:
Businesses or other for-profits and Not-for-profit institutions; Number
of Respondents: 850; Total Annual Responses: 850; Total Annual Hours:
850. (For policy questions regarding this collection contact Noel
Manlove at 410-786-5161.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Part C and Part D
Medicare Prescription Payment Plan Model Documents; Use: Sections
1860D-2(b)(2)(E)(v)(II)-(IV) of the Act state the requirements for Part
D plan sponsors in implementing the program, which include the
processes for outreach to enrollees identified as likely to benefit,
election, and termination. Subsection II states that any Part D
enrollee may elect into the program prior to or during the plan year.
Subsection III details that Part D plan sponsors and MA organizations
must have a mechanism in place to inform enrollees that they are likely
to benefit from electing into the program at the point of sale (POS).
Subsection IV(aa) states that plans must terminate a beneficiary's
participation in the program when the beneficiary fails to pay the
amounts owed under this program.
CMS has developed the seven model notices to provide standardized
and consistent language for potential and active program participants,
regardless of which Part D plan they may be enrolled in. The seven
model notices and their content serve as an example of how to convey
information on the Medicare Prescription Payment Plan to Part D
enrollees and program participants, as applicable. Though Part D plan
sponsors are not required to use the model materials and content
verbatim, use of the model materials will satisfy the communications
requirements included in Sec. 423.137. If a Part D plan sponsor
chooses not to use a model material, they must meet the content
requirements in Sec. 423.137 for the alternate notices they develop.
CMS notes that the ``Medicare Prescription Payment Plan Likely to
Benefit Notice,'' is a standardized material that Part D plan sponsors
are required to use in the form and manner provided by CMS. Form
Number: CMS-10882 (OMB control number: 0938-1475); Frequency: Yearly;
Affected Public: Individuals and Households, Private Sector, Federal
Government, Businesses or other for-profits and Not-for-profit
institutions; Number of Respondents: 234,227; Total Annual Responses:
39,514,987; Total Annual Hours: 135,080. (For policy questions
regarding this collection contact Deven Gosalia at (410)786-8264 or
<a href="/cdn-cgi/l/email-protection#77331201121959101804161b1e1637141a04591f1f0459101801"><span class="__cf_email__" data-cfemail="387c5d4e5d56165f574b59545159785b554b1650504b165f574e">[email protected]</span></a>.)
3. Type of Information Collection Request: Revision with change of
a currently approved collection; Title of Information Collection:
Applicable Integrated Plan Coverage Decision Letter; Use: Section
1859(f)(8) of the Act requires development of unified grievance and
appeals processes for D-SNPs, to the extent feasible. We finalized
regulations for integrated organization determinations at Sec.
422.631, affecting D-SNP administration for January 1, 2021 and beyond.
The rule requires applicable integrated plans to send an enrollee a
written notice of any adverse decision on an integrated organization
determination using a notice that is written in plain language and
contains the information detailed at Sec. 422.631(d)(1)(iii).
Applicable integrated plans as defined at Sec. 422.561 issue form
CMS-10716 when a request for either a medical service or payment is
denied in whole or in part after considering both the Medicare and
Medicaid benefit. Applicable integrated plans issue this form to
enrollees when the plan reduces, stops, suspends, changes, or denies,
in whole or in part, a request for a service or item (including a Part
B drug) or a request for payment of a service or item (including a Part
B drug) that the enrollee has already received. The form provides the
enrollee with information regarding their right to an appeal of the
applicable integrated plan's decision and the enrollee will use the
instructions to navigate the appeal process. Form Number: CMS-10716
(OMB control number 0938-1386); Frequency: Occasionally; Affected
Public: Private Sector and Business or other for-profits; Number of
Respondents: 129; Number of Responses: 10,468; Total Annual Hours:
1,745. (For questions regarding this collection contact Kristi Sugarman
at 415-744-3629.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2025-14210 Filed 7-25-25; 8:45 am]
BILLING CODE 4120-01-P
</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>Indexed from Federal Register on July 28, 2025.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.