Notice2026-07583
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 20, 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 75 (Monday, April 20, 2026)</title>
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[Federal Register Volume 91, Number 75 (Monday, April 20, 2026)]
[Notices]
[Pages 20999-21000]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-07583]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10950]
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 June 22, 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 OMB control number); Title of Information Collection: Submissions
of Acute Hospital Care at Home (AHCAH) Waiver Submission and Data
Collection; Use: This information collection request was approved under
OMB control number of 0938-1384. The AHCAH information collection
request is being separated from the 1135 waiver information collection
request. The Acute Hospital Care at Home initiative has been codified
in legislation, Consolidate Appropriations Act, 2025, and is no longer
under the 1135 waiver authority. Any changes to this document would be
based on the legislative authority and not based on an 1135 waiver.
Acute Hospital Care at Home is a waiver initiative established by
CMS on November 23, 2020 in response to the unprecedented strain on
hospital capacity due to the severe national increase in coronavirus
disease 2019 (COVID-19) witnessed. This waiver, which is granted at the
individual hospital/CMS Certification Number (CCN) level, waives Sec.
482.23(b) and (b)(1) of the Hospital Conditions of Participation (CoPs)
which require nursing services to be provided on premises 24 hours a
day, 7 days a week and the immediate availability of a registered nurse
for care of any patient. In exchange for this flexibility, hospitals
will utilize models of at-home hospital care that have seen prior
success in several leading hospital institutions and networks. This
care and its results have been reported in leading academic
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journals, including a major study funded by a Healthcare Innovation
Award from the Center for Medicare and Medicaid Innovation (CMMI). This
extensive research has shown that quality and safety are at least as
high as that received by similar patients admitted to traditional brick
and mortar hospitals.
This program clearly differentiates the delivery of acute hospital
care at home from traditional home health services. Home health care
provides important skilled nursing and other services, Acute Hospital
Care at Home is for beneficiaries who require acute inpatient admission
to a hospital and who require at least daily rounding by a physician
and medical team monitoring their care needs on an ongoing basis. A
minimum of two in-person visits will occur daily by either registered
nurses or mobile integrated health paramedics, based on the patient's
nursing plan and hospital policies. Hospitals may only treat patients
with this waiver if they are admitted from their Emergency Department
or if they are transferred from inpatient hospital beds. There is no
payment change, and hospitals are not permitted to bill Medicare or its
beneficiaries for any costs outside of a typical inpatient admission.
CMS is seeking to obtain continued OMB approval for information.
All approved hospitals have submitted this information via an online
portal at CMS QualityNet the previously mentioned website. To date, 433
hospitals individual hospitals/CCNs have submitted waiver requests and
396 of these hospitals have been approved. At this time, 65 hospitals
have completed the online expedited waiver request, and 331 hospitals
have completed the online detailed waiver request. When a hospital
submits a waiver request, it completes one of two online forms found on
the waiver landing page, depending on its level of experience with this
type of care. Experienced hospitals, defined as treating at least 25
patients with acute hospital care at home previously, have an expedited
submission that is based on a series of attestations. Additionally, all
hospitals with an approved waiver are asked to submit data for patient
admissions and discharges, escalations of care back to the brick-and-
mortar hospital, and unexpected patient mortalities to CMS on a monthly
(Tier 1) or weekly (Tier 2). This data is submitted voluntarily through
the same online portal as the waiver submission and is not a
requirement of ongoing participation in the Waiver. Of note, without
further Congressional action, this waiver submission process will end
September 30, 2030. Form Number: CMS-10950 (OMB control number: 0938-
NEW); Frequency: Occasionally; Affected Public: Private Sector:
Business or other for-profits and Not-for-profit institutions and
State, Local or Tribal Governments; Number of Respondents: 1,947; Total
Annual Responses: 1,947; Total Annual Hours: 1,947. (For policy
questions regarding this collection, contact Danielle Adams at 410-786-
8818.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2026-07583 Filed 4-17-26; 8:45 am]
BILLING CODE 4120-01-P
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</html>Indexed from Federal Register on April 20, 2026.
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