Agency Information Collection Activities: Proposed Collection; Comment Request

Issuing agencies

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 199 (Friday, October 16, 2026)</title>
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[Federal Register Volume 91, Number 199 (Friday, October 16, 2026)]
[Notices]
[Pages 65746-65747]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-21150]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10143]


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 December 15, 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: 
CMS-10143/OMB Control Number: 0938-0958, 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 collection. More detailed information 
can be found in the 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: Revision of a currently 
approved collection; Title of Information Collection: State Data for 
the Medicare Modernization Act (MMA); Use: The Medicare Prescription 
Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173) 
requires CMS to calculate the payment rates for the Phased-Down State 
Contribution (PDSC) for Part D each year using the latest available 
National Health Expenditure (NHE) estimates of per capita drug 
expenditure growth for the period 2003 to 2006, combined with the 
annual percentage increase (API) in average per capita aggregate Part D 
expenditures for 2007 and later years, as defined in section 1860D-
2(b)(6) of the Social Security Act.
    Section 103(a)(2) of the MMA addresses the PDSC process for the 
Medicare program. The PDSC is a partial recoupment from the states of 
ongoing Medicaid drug costs for dually eligible beneficiaries assumed 
by Medicare under the MMA, which (absent the MMA) would have been paid 
for by the states.
    As CMS leverages MMA data on dual eligibility status into systems 
supporting all four parts of the Medicare program (which includes 
Original Medicare, Medicare Advantage, and Part D), it is important 
that dual eligibility status is accurate and up to date. Dual 
eligibility status can change at any time in a month. Daily status 
updates mitigate the risk of a lack of access to the correct level of 
benefit at the correct level of payment. Daily data exchange is 
critical to timely access to affordable benefits; without daily 
exchanges, CMS would experience a lag in its ability to automatically 
enroll these individuals in Medicare drug plans or deem them 
automatically eligible for the low-income subsidy for Part D premiums, 
deductibles, and copayments.
    Since 2005, states have been submitting files at least monthly to 
CMS to identify all dually eligible beneficiaries. This includes full-
benefit dually eligible beneficiaries and partial-benefit dually 
eligible beneficiaries (i.e., those who get Medicaid help with Medicare 
premiums, and often for cost-sharing but are not otherwise eligible for 
Medicaid-covered services). The file is called the ``MMA file'' (after 
the Medicare Prescription Drug,

[[Page 65747]]

Improvement and Modernization Act of 2003) and is occasionally referred 
to as the ``state phase-down file.'' Federal regulations at 42 CFR 
423.910 require states to submit files daily. The Medicare Advantage 
Prescription Drug (MAPD) State User Guide (SUG) contains technical 
guidance for the state and file layouts of the MMA request and response 
files. Regulations governing MMA file data collection require Medicaid 
agencies in each of the fifty states and the District of Columbia 
(hereafter referred to as states) to submit at least one monthly file, 
including all known dually eligible beneficiaries, and subsequent daily 
files that provide updates for changes in dual eligibility status 
(accretions, deletions, and changes).
    This submission is a revision of the currently approved collection 
with technical revisions to the MAPD SUG. Form Number: CMS-10143 (OMB 
control number: 0938-0958); Frequency: Daily; Affected Public: State 
Governments; Number of Respondents: 51; Total Annual Responses: 51; 
Total Annual Hours: 4,896. (For policy questions regarding this 
collection contact Christopher DeYoung at 
<a href="/cdn-cgi/l/email-protection#b7fad8d3d2c5d9decdd2c3dfd2fae4e7c4f7d4dac499dfdfc499d0d8c1"><span class="__cf_email__" data-cfemail="4904262d2c3b2720332c3d212c041a193a092a243a6721213a672e263f">[email&#160;protected]</span></a>.)

William N. Parham, III
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2026-21150 Filed 10-15-26; 8:45 am]
BILLING CODE 4169-69-P


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