Federal Register / Vol. 76, No. 58 / Friday, March 25, 2011 / Notices 16789 

be employed full-time by a hospital, 

hospital system, or other Medicare 

provider subject to payment under the 

OPPS. All members must have technical 

expertise to enable them to participate 

fully in the Panel’s work. Such expertise 

encompasses hospital payment systems; 

hospital medical care delivery systems; 

provider billing systems; APC groups; 

Current Procedural Terminology codes; 

and alpha-numeric Health Care 

Common Procedure Coding System 

codes; and the use of, and payment for, 

drugs, medical devices, and other 

services in the outpatient setting, as 

well as other forms of relevant expertise. 

It is not necessary for a nominee to 

possess expertise in all of the areas 

listed, but each must have a minimum 

of 5 years experience and currently have 

full-time employment in his or her area 

of expertise. Generally, members of the 

Panel serve overlapping terms up to 4 

years, based on the needs of the Panel 

and contingent upon the rechartering of 

the Panel. 

Any interested person or organization 

may nominate one or more qualified 

individuals. Self-nominations will also 

be accepted. Each nomination must 

include the following: 

• Letter of Nomination. 

• Curriculum Vita of the nominee. 

• Written statement from the nominee 

that the nominee is willing to serve on 

the Panel under the conditions 

described in this notice and further 

specified in the Charter. 

III. Copies of the Charter 

To obtain a copy of the Panel’s 

Charter, submit a written request to 

Paula Smith at the address provided in 

the ADDRESSES section or by e-mail at 

APCPanel@cms.hhs.gov, or by 

telephone at 410–786–3985. 

IV. Collection of Information 

Requirements 

This document does not impose 

information collection and 

recordkeeping requirements. 

Consequently, it need not be reviewed 

by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. 35). 

(Catalog of Federal Domestic Assistance 

Program No. 93.774, Medicare— 

Supplementary Medical Insurance Program) 

Dated: March 10, 2011. 

Donald M. Berwick, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2011–6811 Filed 3–24–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare and Medicaid 

Services 

[Document Identifier CMS–10373] 

Emergency Clearance: Public 

Information Collection Requirements 

Submitted to the Office of Management 

and Budget (OMB) 

AGENCY: Center for Medicare and 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare and Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

We are, however, requesting an 

emergency review of the information 

collection referenced below. In 

compliance with the requirement of 

section 3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, we have 

submitted to the Office of Management 

and Budget (OMB) the following 

requirements for emergency review. We 

are requesting an emergency review 

because the collection of this 

information is needed before the 

expiration of the normal time limits 

under OMB’s regulations at 5 CFR 

1320(a)(2)(ii). This is necessary to 

ensure compliance with an initiative of 

the Administration. 

1. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Medical Loss 

Ratio Quarterly Reporting; Use: Under 

Section 2718 of the Affordable Care Act 

and implementing regulations at 45 CFR 

part 158 (75 FR 74865, December 1, 

2010), a health insurance issuer (issuer) 

offering group or individual health 

insurance coverage must submit a report 

to the Secretary concerning the amount 

the issuer spends each year on claims, 

quality improvement expenses, nonclaims costs, Federal and State taxes 

and licensing or regulatory fees, and the 

amount of earned premium. An issuer 

must provide an annual rebate to 

enrollees if the amount it spends on 

certain costs compared to its premium 

revenue (excluding Federal and States 

taxes and licensing or regulatory fees) 

does not meet a certain ratio, referred to 

as the medical loss ratio (MLR). An 

interim final rule (IFR) implementing 

the MLR was published on December 1, 

2010 (75 FR 74865), which added part 

158 to Title 45 of the Code of Federal 

Regulations. The IFR is effective January 

1, 2011. Issuers are required to submit 

annual MLR reporting data for each 

large group market, small group market, 

and individual market within each State 

in which the issuer conducts business. 

For policies that have a total annual 

limit of $250,000 or less (sometimes 

referred to as ‘‘mini-med plans’’) and for 

policies that primarily cover employees 

working outside the United States 

(referred to as ‘‘expatriate plans’’), the 

IFR applies a special circumstance 

adjustment to the MLR data for the 2011 

MLR reporting year. In order to evaluate 

the appropriateness of this special 

circumstance adjustment for years 2012 

and beyond, issuers that provide such 

policies are required to submit quarterly 

MLR data to the Secretary for the 2011 

MLR reporting year. Form Number: 

CMS–10373; Frequency: Quarterly 

submissions for each respondent; 

Affected Public: Private Sector: Business 

or other for-profits and Not-for-profit 

institutions; Number of Respondents: 

75; Number of Responses: 1,125; Total 

Annual Hours: 70,200. (For policy 

questions regarding this collection, 

contact Carol Jimenez at (301) 492– 

4109. For all other issues call (410) 786– 

1326.) 

CMS is requesting OMB review and 

approval of this collection by May 1, 

2011, with a 180-day approval period. 

Written comments and 

recommendations will be considered 

from the public if received by the 

individuals designated below by April 

25, 2011. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web site 

address at http://www.cms.hhs.gov/ 

regulations/pra or E-mail your request, 

including your address, phone number, 

OMB number, and CMS document 

identifier, to Paperwork@cms.hhs.gov, 

or call the Reports Clearance Office on 

(410) 786–1326. 

Interested persons are invited to send 

comments regarding the burden or any 

other aspect of these collections of 

information requirements. However, as 

noted above, comments on these 


erowe on DSK5CLS3C1PROD with NOTICES
16790 Federal Register / Vol. 76, No. 58 / Friday, March 25, 2011 / Notices 

information collection and 

recordkeeping requirements must be 

mailed and/or faxed to the designees 

referenced below by April 25, 2011. 

1. Electronically. You may submit 

your comments electronically to http:// 

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) 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. 

3. By Facsimile or E-mail to OMB. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov. 

Dated: March 18, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–7106 Filed 3–24–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare and Medicaid 

Services 

[Document Identifier CMS–370, CMS–377, 

CMS–378; CMS–10145, CMS–10362, CMS– 

10384, CMS–10342 and CMS–10338] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare and 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS) is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Titles of 

Information Collection: (CMS–370) 

Health Insurance Benefits Agreement, 

(CMS–377) ASC Request for 

Certification or Update of Certification 

Information in the Medicare Program, 

and (CMS–378) Ambulatory Surgical 

Center (ASC) Survey Report Form; Use: 

CMS–370 has not been revised and will 

continue to be used to establish 

eligibility for payment under Title XVIII 

of the Social Security Act (the ‘‘Act’’). As 

revised, CMS–377 will be used to 

collect facility-specific characteristics 

that facilitate CMS’ oversight of ASCs. 

The data also enables CMS to respond 

to inquiries from the Congress, GAO, 

and the OIG concerning the 

characteristics of Medicare-participating 

ASCs. The data base that supports 

survey and certification activities will 

be revised to reflect changes in the data 

fields on this revised form, such as the 

data on the types of surgical procedures 

performed in the ASC. CMS–378 will be 

discontinued since it duplicates 

information collected by other means; 

Form Numbers: CMS–370, –377 and 

–378 (OCN: 0938–0266); Frequency: 

Occasionally (initially an then every 

three years); Affected Public: Private 

Sector: Business or other for-profit and 

Not-for-profit institutions; Number of 

Respondents: 7,213; Total Annual 

Responses: 1,795; Total Annual Hours: 

648. (For policy questions regarding this 

collection contact Gail Vong at 410– 

786–0787. For all other issues call 410– 

786–1326.) 

2. Type of Information Collection 

Request: Extension without change of a 

currently approved collection; Title of 

Information Collection: Medicare Part B 

Drug and Biological Competitive 

Acquisition Program (CAP) and 

Supporting Regulations in 42 CFR 

Sections 414.906, 414.908, 414.910, 

414.914, 414.916, and 414.917; Use: 

Section 303(d) of the Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003 (MMA) 

provides an alternative payment 

methodology for Part B covered drugs 

that are not paid on a cost or 

prospective payment basis. In 

particular, Section 303(d) of the MMA 

amends Title XVIII of the Social 

Security Act by adding a new section 

1847B, which establishes a competitive 

acquisition program for the acquisition 

of and payment for Part B covered drugs 

and biologicals furnished on or after 

January 1, 2006. Since its inception, 

additional legislation has augmented the 

CAP. Section 108 of the Medicare 

Improvements and Extension Act under 

Division B, Title I of the Tax Relief 

Health Care Act of 2006 (MIEA–TRHCA) 

amended Section 1847b(a)(3) of the 

Social Security Act and requires that 

CAP implement a post payment review 

process. This procedure is done to 

assure that payment is made for a drug 

or biological under this section only if 

the drug or biological has been 

administered to a beneficiary. Form 

Number: CMS–10145 (OCN: 0938– 

0945); Frequency: Weekly, quarterly and 

occasionally; Affected Public: Private 

sector—Business or other for-profit and 

Not-for-profit institutions; Number of 

Respondents: 3000; Total Annual 

Responses: 156,020; Total Annual 

Hours: 31,208. 

3. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Autism 

Spectrum Disorders (ASD): State of the 

States Services and Supports for People 

with ASD; Use: The information that is 

collected in the interviews will be used 

to communicate additional information 

about services available to people with 

ASD and the public policy issues that 

affect people with ASD to key 

stakeholder audiences. The format of 

the report will include data tables from 

various state programs and narrative 

about the data being presented based on 

the interviews with state agency staff. 

We propose interviewing multiple staff 

in each state because several state 

agencies have an impact on services and 

supports for people with ASD; Form 

Number: CMS–10362 (OCN: 0938– 

New); Frequency: Once; Affected Public: 

State, local, or Tribal Governments; 

Number of Respondents: 459; Total 

Annual Responses: 459; Total Annual 

Hours: 803. (For policy questions 

regarding this collection contact Ellen 

Blackwell at 410–786–4498. For all 

other issues call 410–786–1326.) 

4. Type of Information Collection 

Request: New Collection; Title of 

Information Collection: Health 

Insurance Assistance Database; Use: In 

October 2010, the Office of Consumer 

Support began to take and respond to 

direct consumer inquiries related to the 

Affordable Care Act. As of February 

15th 2011, CCIIO has received 906 

consumer inquiries. Consumer inquiries 

continue to come in to CCIIO at a rate 

of 30 to 35 inquiries per week. Starting 

in January 2011, the HHS Hotline will 

begin to refer ACA calls to CCIIO. To 

date, the HHS Hotline receives, on 

average, 400 calls per month pertaining 

to ACA. 

Accordingly, a system to collect, track 

and store consumer information is 

urgently needed in order to accomplish 


erowe on DSK5CLS3C1PROD with NOTICES