Notice2026-07016
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
April 10, 2026
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 91 Issue 69 (Friday, April 10, 2026)</title>
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[Federal Register Volume 91, Number 69 (Friday, April 10, 2026)]
[Notices]
[Pages 18462-18464]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-07016]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10952A-D]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
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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 June 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 Collection
1. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection: Self-
Attestation for Recertification of CORFs, OPT/SLP, and RHCs Providers
and PXR Suppliers; Use: We are requesting OMB approval for the Self-
Attestation for Recertification of Comprehensive Outpatient
Rehabilitation Facility (CORFs), Outpatient Physical Therapy/Speech
Language Pathology (OPT/SLP), and Rural Health Clinics (RHCs) Providers
and Portable X-Ray (PXR) Suppliers which consists of 4 new collection
instruments. A CORF, or ``facility'' is defined as a nonresidential
facility that is established and operated exclusively for the purpose
of providing diagnostic, therapeutic, and restorative services to
outpatients for the rehabilitation of injured, disabled, or sick
persons, at a single fixed location, by or under the supervision of a
physician. CORFs must meet all requirements set forth at 42 CFR 481.50
to Sec. 485.74 titled ``Conditions of Participation: Comprehensive
Outpatient Rehabilitation Facilities''.
OPT/SLP services can be provided by a clinic, health care
organization, public health agency or rehabilitation agency. In
addition, providers of OPT/SLP services may have extension locations.
The location or site from which an OPT/SLP provider provides services
within a specific geographic area is referred to as the ``primary
site.'' Additional locations from which the same OPT/SLP provider
provides services to another geographic areas are referred to as
``extension locations.'' The extension location is part of the
rehabilitation agency. The extension location should be located
sufficiently close to the main location to allow it to share
administration, supervision, and services in a manner that renders it
unnecessary for the extension location to independently meet the
conditions of participation as a rehabilitation agency.
OPT/SLP providers must meet the CMS requirements set forth at Sec.
485.701 to Sec. 485.729, and titled ``Conditions of Participation for
Clinics, Rehabilitation Agencies, and Public Health Agencies as
Providers of Outpatient Physical Therapy and Speech-Language Pathology
Services''.
RHCs or ``clinics'' are clinics that are in rural areas designated
as shortage areas. An RHC is not a rehabilitation agency or a facility
primarily for the care and treatment of mental diseases. RHCs must meet
all the CMS requirements of 42 CFR 491.1 through 491.12 titled ``Rural
Health Clinics: Conditions for Certification; and FQHCs Conditions for
Coverage.''
PXR suppliers are entities that provide portable diagnostic x-ray
services at the patients' locations. This is most often the patient's
residences, including private homes and group living facilities, such
as nursing homes, rather than in a traditional clinical setting, such
as a doctor's office or hospital. PXR suppliers must meet all the
Medicare requirements set forth at 42 CFR 486.100 to Sec. 486.110
titled ``Conditions for Coverage: Portable X-Ray Services''.
Currently, the above-stated provider and supplier types are
certified for participation or enrollment in the Medicare/Medicaid
program by State Survey Agencies (SAs). Certification is a process in
which a determination is made by the State Survey Agency that a
provider or supplier is in compliance with the applicable conditions of
participation (42 CFR 488.1). We note that a portion of OPT/SLP
providers opt to be surveyed by accrediting organizations and deemed as
meeting CMS' requirements.
The current CMS certification process requires that an initial
certification survey be performed when a CORF, OPT/SLP, RHC, or PXR
provider/supplier first applies for participation/enrollment in the
Medicare/Medicaid program. After being approved for participation or
enrollment in the Medicare/Medicaid program, the
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CORFs, OPT/SLPs, RHC, and PXR provider/supplier must undergo periodic
recertification surveys to ensure that they continue to meet the
applicable CMS requirements. The SAs perform recertification surveys
every 6 years for CORFs, OPT/SLPs, RHC, and PXR providers/suppliers.
We plan to implement a program whereby the CORF, RHC OPT/SLP and
PXR providers/suppliers may attest to meeting the applicable CMS CoPs
in lieu of undergoing a SA recertification surveys every 6 years. We
have developed separate attestation forms for CORF, OPT/SLP, RHC, and
PXR providers/suppliers. We anticipate that these providers and
suppliers would complete and submit the attestation form for their
provider/supplier type prior to their recertification due date. A
properly completed and timely submitted attestation form would be
accepted by the applicable SA for the purpose of the recertification of
each individual provider and supplier.
There are no statutory or regulatory provisions that require states
to conduct onsite recertification surveys for PXR suppliers. In fact,
CMS already uses the attestation process for certification of Federally
Qualified Health Centers (FQHCs). Form Number: CMS-10952A-D (OMB
control number: 0938-NEW); Frequency: Annually; Affected Public:
Individuals and Households; Private Sector--Not-for-profit institutions
and Business or other for-profits; Federal Government and State, Local
or Tribal Governments; Number of Respondents: 1,360; Total Annual
Responses: 1,360; Total Annual Hours: 1,360. (For policy questions
regarding this collection contact Caroline Gallaher at (410) 786-8705.)
William N. Parham, III
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2026-07016 Filed 4-9-26; 8:45 am]
BILLING CODE 4120-01-P
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</html>Indexed from Federal Register on April 10, 2026.
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