Notice2025-22478
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
December 11, 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 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 90 Issue 236 (Thursday, December 11, 2025)</title>
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[Federal Register Volume 90, Number 236 (Thursday, December 11, 2025)]
[Notices]
[Pages 57472-57473]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-22478]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10062 and CMS-10942]
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 February 9, 2026.
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).
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: Extension of currently
approved collection; Title of Information Collection: Collection of
Diagnostic Data in the Abbreviated RAPS Format from Medicare Advantage
Organizations for Risk Adjusted Payments; Use: Section 1853 of the
Social Security Act, hereafter referred to as ``the Act,'' requires CMS
to make advance monthly payments to a Medicare Advantage (MA)
organization for each beneficiary enrolled in an MA plan offered by the
organization for coverage of Medicare Part A and Part B benefits.
Section 1853(a)(1)(C) of the Act requires CMS to adjust the monthly
payment amount for each enrollee to take into account the health status
of MA plan enrollees. Under the CMS Hierarchical Condition Category
(HCC) risk adjustment payment methodology,
[[Page 57473]]
CMS determines risk scores for MA enrollees for a year and uses the
appropriate enrollee risk score to adjust the monthly payment amount.
CMS used RAPS data, in combination with encounter data and Fee-For-
Service (FFS) data, to develop the diagnosis-based portion of the risk
scores for risk adjusted payment to MA organizations, PACE
organizations, and MMPs. Form Number: CMS-10662 (OMB control number:
0938-0878); Frequency: Annually; Affected Public: Private Sector,
Business or other for-profits, Not-for-profit institutions; Number of
Respondents: 189; Total Annual Responses: 29,729,927; Total Annual
Hours: 990,007. (For policy questions regarding this collection contact
Sage Pasquale at 410-786-0091)
2. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection: State
Exchange Improper Payment Measurement (SEIPM); Use: The Payment
Integrity Information Act of 2019 (PIIA) requires Federal agencies to
annually identify, review, measure, and report on the programs they
administer that have been determined to be susceptible to significant
improper payments. In 2016, HHS determined that payments of APTC are
susceptible to significant improper payments and, as a result, are
subject to the requirements of PIIA. In accordance with 45 CFR part
155, FFEs, SBE-FPs, and state Exchanges that operate their own
eligibility and enrollment systems, determine the amount of APTC to be
paid to qualified applicants. Starting in the FY22 Agency Financial
Report (AFR), HHS began annually reporting improper payments of APTC
administered through FFEs and SBE-FPs as part of the Exchange Improper
Payment Measurement (EIPM) program. In 2024, HHS required State
Exchanges to participate in the Improper Payment Pre-Testing and
Assessment (IPPTA) to prepare State Exchanges for the future
implementation of the SEIPM program.
HHS proposes to require state Exchanges to submit to HHS, a sample
of tax household information from Qualified Health Plans (QHPs) that
have associated APTC payments, for the purpose of being reviewed for
improper payments. HHS proposes that the sample size would be of a
sufficient quantity to produce a statistically valid estimate of
improper payments and in accordance with requirements established by
the Office of Management and Budget (OMB). HHS proposes that the
measurement of all state Exchanges would occur on an annual basis
unless otherwise determined by HHS. The calculated estimate of improper
payments would be reported annually in the HHS Agency Financial Report
(AFR) as an aggregate rate across all state Exchanges. At HHS'
discretion, contractors would be used to support these activities. The
burden associated with completion and return of the proposed required
information will be the time it will take each state Exchange to meet
with HHS to review the information. We estimate that the burden
associated with this data collection and transfer will be no more than
8 hours for each sample collected. Form Number: CMS-10942 (OMB control
number: 0938-NEW); Frequency: Annually; Affected Public: State, Local,
or Tribal Governments; Number of Respondents: 20; Total Annual
Responses: 20; Total Annual Hours: 800. (For policy questions regarding
this collection contact Halina DeSantis at
<a href="/cdn-cgi/l/email-protection#452d24292c2b246b212036242b312c36052628366b2d2d366b222a33"><span class="__cf_email__" data-cfemail="c3aba2afaaada2eda7a6b0a2adb7aab083a0aeb0edababb0eda4acb5">[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. 2025-22478 Filed 12-10-25; 8:45 am]
BILLING CODE 4120-01-P
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