```

[Federal Register Volume 77, Number 105 (Thursday, May 31, 2012)]
[Notices]
[Pages 32118-32119]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-13207]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10436 and CMS-855B]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & 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: New collection; Title of 
Information Collection: Evaluation of the Multi-Payer Advanced Primary 
Care Practice Demonstration; Use: On September 16, 2009, the Department 
of Health and Human Services announced the establishment of the Multi-
Payer Advanced Primary Care Practice (MAPCP) Demonstration, under which 
Medicare joined Medicaid and private insurers as a payer participant in 
state-sponsored initiatives to promote the principles that characterize 
advanced primary care, often referred to as the ``patient-centered 
medical home'' (PCMH). CMS selected eight states to participate in this 
demonstration: Maine, Vermont, Rhode Island, New York, Pennsylvania, 
North Carolina, Michigan, and Minnesota. These states vary on a number 
of important dimensions, such as features of their public (Medicaid) 
and private insurance markets, delivery system, prior experience with 
medical home initiatives, and nature of their state-sponsored multi-
payer initiative.
    CMS is conducting an evaluation of the demonstration to assess the 
effects of advanced primary care practice when supported by Medicare, 
Medicaid, and

[[Page 32119]]

private health plans. As part of this evaluation, qualitative and 
quantitative data will be collected and analyzed to answer research 
questions focused on: (1) State initiative features and implementation, 
including various payment models; (2) practice characteristics, 
particularly medical home transformation; and (3) outcomes, including 
access to and coordination of care, clinical quality of care and 
patient safety, beneficiary experience with care, patterns of 
utilization, Medicare and Medicaid expenditures, and budget neutrality. 
This information will help CMS decide whether the MAPCP Demonstration 
model should be expanded under Medicare, and if so, what modifications 
and supports would be needed to implement similar innovations in other 
states and practices in the future. Form Number: CMS-10436 (OCN: 0938-
New); Frequency: Yearly; Affected Public: Individuals and households; 
Number of Respondents: 472 ; Total Annual Responses: 472; Total Annual 
Hours: 478 (For policy questions regarding this collection contact 
Suzanne Goodwin at 410-786-0226. For all other issues call 410-786-
1326.)
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Medicare Enrollment Application for Clinics/
Group Practice and Certain Other Suppliers; Use: The primary function 
of the CMS-855B enrollment application for Clinics, Group Practices and 
Certain Other Suppliers is to gather information from the organization 
that tells us what it is, whether it meets certain qualifications to be 
a health care supplier, where it renders services and information 
necessary to establish the correct claims payment. The goal of 
evaluating and revising the CMS-855B enrollment application is to 
simplify and clarify the information collection without jeopardizing 
our need to collect specific information. The majority of the revisions 
are very minor in nature such as spelling and formatting corrections, 
removal of duplicate fields and instruction clarification for the 
organization/group. The Sections and Sub-Sections within the form are 
also being re-numbered and re-sequenced to create a more logical flow 
of the data collection. In addition, CMS is adding a data collection 
for an address to mail the periodic request for the revalidation of 
enrollment information (only if it differs from other addresses 
currently collected). Other than the revalidation mailing address 
described above, new data being collected in this revision package is a 
checkbox indicating whether or not an organization is wholly owned or 
operated by a hospital, the inclusion of a new supplier type 
(Centralized Flu Biller) and information on, if applicable, where the 
supplier stores its patient records electronically. Form Number: CMS-
855B (OCN: 0938-New); Frequency: Yearly; Affected Public: Individuals 
and households; Number of Respondents: 31,000; Total Annual Responses: 
31,000; Total Annual Hours: 103,000 (For policy questions regarding 
this collection contact Kim McPhillips at 410-786-5374. For all other 
issues call 410-786-1326.)
    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/PaperworkReductionActof1995, 
or Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to Paperwork@cms.hhs.gov, or call 
the Reports Clearance Office at (410) 786-1326.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by July 30, 2012:
    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.

    Dated: May 25, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-13207 Filed 5-30-12; 8:45 am]
BILLING CODE 4120-01-P
```