Federal Register / Vol. 78, No. 86 / Friday, May 3, 2013 / Notices 26035 

name, dates of service, date first bill 

sent to beneficiary, and date the 

collection effort ceased. Supplying the 

MAC with this information may be all 

that is required for the MAC to 

determine whether or not the bad debt 

is allowable. This too may eliminate a 

visit to the provider to gather this 

needed data. Form Number: CMS–339 

(OCN 0938–0301); Frequency: Yearly; 

Affected Public: Private Sector— 

Business or other for-profits and not-forprofit institutions; Number of 

Respondents: 23,391; Total Annual 

Responses: 23,391; Total Annual Hours: 

75,625. (For policy questions regarding 

this collection contact Christine 

Dobrzycki at 410–786–3389. For all 

other issues call 410–786–1326.) 

3. Type of Information Collection 

Request: Extension. Title of Information 

Collection: Medicare Advantage 

Appeals and Grievance Data Disclosure 

Requirements (42 CFR 422.111). Use: 

Section 1852(c)(2)(C) of the Social 

Security Act and 42 CFR 422.111(c)(3) 

require that Medicare Advantage (MA) 

organizations and demonstrations 

disclose information pertaining to the 

number of disputes, and their 

disposition in the aggregate, with the 

categories of grievances and appeals to 

any individual eligible to elect an MA 

organization who requests this 

information. MA organizations and 

demonstrations remain under a 

requirement to collect and provide this 

information to individuals eligible to 

elect an MA organization, we continue 

to need the same format and form for 

reporting. Form Number: CMS–R–282 

(OCN 0938–0778). Frequency: Annually 

and semi-annually. Affected Public: 

Private Sector (business or other forprofit and not-for-profit institutions). 

Number of Respondents: 51,370. Total 

Annual Responses: 52,260. Total 

Annual Hours: 5,414. (For policy 

questions regarding this collection 

contact Stephanie Simons at 206–615– 

2420. 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 on (410) 786– 

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on June 3, 2013. OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–6974, Email: 

OIRA_submission@omb.eop.gov. 

Dated: April 30, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–10530 Filed 5–2–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10146, CMS– 

10286, CMS–10308, and CMS–10339] 

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: Revision of a currently 

approved collection. Title of 

Information Collection: Notice of Denial 

of Medicare Prescription Drug Coverage. 

Use: Section 1860D–4(g)(1) of the Social 

Security Act, requires that Part D plan 

sponsors who deny prescription drug 

coverage must provide a written notice 

of the denial to the enrollee. The written 

notice must include a statement, in 

understandable language, of the reasons 

for the denial and a description of the 

appeals process. The Part D denial 

notice has been revised for clarity and 

includes new optional language for Part 

D plan sponsors to use when explaining 

their denial rationale. Specifically, CMS 

has added optional language in the 

denial rationale section of the notice to 

allow plans to populate text explaining 

that a drug denied under Part D may be 

(or is) covered under a different benefit, 

such as Part B. The instructions have 

also been changed to guide plans on 

when to use this optional text. CMS 

solicits feedback on this new addition as 

well as other situations where another 

benefit may cover a drug (i.e. employer 

group benefits) and what changes to the 

denial notice may be helpful in 

addressing those situations. CMS also 

seeks comment regarding the potential 

viability and usefulness of developing a 

combined notice for Part C and Part D, 

which would allow MA–PD plans that 

deny a drug under Part D to 

simultaneously issue an approval letter 

under Part B. Form Number: CMS– 

10146 (OCN 0938–0976). Frequency: 

Occasionally. Affected Public: Private 

sector (business or other for-profits). 

Number of Respondents: 596. Total 

Annual Responses: 1,497,929. Total 

Annual Hours: 374,482. (For policy 

questions regarding this collection 

contact Caroline L Baker at 410–786– 

0116. For all other issues call 410–786– 

1326.) 

2. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved information 

collection; Title of Information 

Collection: Notice of Research Exception 

under the Genetic Information 

Nondiscrimination Act; Use: Under the 

Genetic Information Nondiscrimination 

Act of 2008 (GINA), a plan or issuer may 

request (but not require) a genetic test in 

connection with certain research 

activities so long as such activities 

comply with specific requirements, 

including: (i) The research complies 

with 45 CFR part 46 or equivalent 

federal regulations and applicable state 

or local law or regulations for the 

protection of human subjects in 

research; (ii) the request for the 

participant or beneficiary (or in the case 

of a minor child, the legal guardian of 

such beneficiary) is made in writing and 

clearly indicates that compliance with 

the request is voluntary and that noncompliance will have no effect on 

eligibility for benefits or premium or 

contribution amounts; and (iii) no 

genetic information collected or 

acquired will be used for underwriting 

purposes. The Secretary of Labor or the 

Secretary of Health and Human Services 

is required to be notified if a group 

health plan or health insurance issuer 

intends to claim the research exception 

permitted under Title I of GINA. 

Nonfederal governmental group health 

plans and issuers solely in the 


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26036 Federal Register / Vol. 78, No. 86 / Friday, May 3, 2013 / Notices 

individual health insurance market or 

Medigap market will be required to file 

with the Centers for Medicare & 

Medicaid Services (CMS). The Notice of 

Research Exception under the Genetic 

Information Nondiscrimination Act is a 

model notice that can be completed by 

group health plans and health insurance 

issuers and filed with either the 

Department of Labor or CMS to comply 

with the notification requirement. Form 

Number: CMS–10286 (OCN: 0938– 

1077); Frequency: On Occasion; 

Affected Public: state, Local, or Tribal 

Governments, Private Sector; Number of 

Respondents: 2; Number of Responses: 

2; Total Annual Hours: 0.5. (For policy 

questions regarding this collection, 

contact Usree Bandyopadhyay at 410– 

786–6650. For all other issues call (410) 

786–1326.) 

3. Type of Information Collection 

Request: Revision of a currently 

approved collection. Title of 

Information Collection: Parts C and D 

Complaints Resolution Performance 

Measures. Use: CMS seeks to conduct a 

survey as part of the Part C and D 

Complaints Resolution Performance 

Measure project. The purpose of the 

project is to develop and support 

implementation of internal monitoring 

tools for the Medicare Advantage (Part 

C) and Prescription Drug (Part D) 

program that represents, from the 

beneficiary’s perspective, the way in 

which plans handle complaints. The 

data collection is necessary because a 

survey is the only way to collect 

information about the resolution process 

from the beneficiary’s perspective. 

Currently, there is no other data source 

that collects such information for Part C 

and Part D Medicare plans. Form 

Number: CMS–10308 (OCN 0938–1107). 

Frequency: Yearly. Affected Public: 

Individuals or households. Number of 

Respondents: 18,210. Total Annual 

Responses: 18,210. Total Annual Hours: 

3,035. (For policy questions regarding 

this collection contact Carolyn Scott at 

410–786–1190. For all other issues call 

410–786–1326.) 

4. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Pre-Existing 

Health Insurance Plan and Supporting 

Regulations; Use: On March 23, 2010, 

the President signed into law H.R. 3590, 

the Patient Protection and Affordable 

Care Act (Affordable Care Act), Public 

Law 111–148. Section 1101 of the law 

establishes a ‘‘temporary high risk 

health insurance pool program’’ (which 

has been named the Pre-Existing 

Condition Insurance Plan, or PCIP) to 

provide health insurance coverage to 

currently uninsured individuals with 

pre-existing conditions. The law 

authorizes HHS to carry out the program 

directly or through contracts with states 

or private, non-profit entities. 

We are requesting an extension of this 

package because this information is 

needed to assure that PCIP programs are 

established timely and effectively. This 

request is being made based on 

regulations and guidance that have been 

issued and contracts which have been 

executed by HHS with states or an 

entity on their behalf participating in 

the PCIP program. PCIP is also referred 

to as the temporary qualified high risk 

insurance pool program, as it is called 

in the Affordable Care Act, but we have 

adopted the term PCIP to better describe 

the program and avoid confusion with 

the existing state high risk pool 

programs. Form Number: CMS–10339 

(OMB#: 0938–1100); Frequency: 

Reporting—On occasion; Affected 

Public: state governments; Number of 

Respondents: 51; Total Annual 

Responses: 2,652; Total Annual Hours: 

36,924. (For policy questions regarding 

this collection contact Laura Dash at 

410–786–8623. 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 on (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 2, 2013: 

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: April 30, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–10522 Filed 5–2–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–3110–PN] 

Medicare and Medicaid Programs: 

Application From the Accreditation 

Commission for Health Care for 

Continued CMS-Approval of Its 

Hospice Accreditation Program 

AGENCY: Centers for Medicare and 

Medicaid Services, HHS. 

ACTION: Proposed notice. 

SUMMARY: This proposed notice 

acknowledges the receipt of an 

application from the Accreditation 

Commission for Health Care (ACHC) for 

continued recognition as a national 

accrediting organization for hospices 

that wish to participate in the Medicare 

or Medicaid programs. 

DATES: To be assured consideration, 

comments must be received at one of 

the addresses provided below, no later 

than 5 p.m. on June 3, 2013. 

ADDRESSES: In commenting, please refer 

to file code CMS–3110–PN. Because of 

staff and resource limitations, we cannot 

accept comments by facsimile (FAX) 

transmission. 

You may submit comments in one of 

four ways: 

1. Electronically. You may submit 

electronic comments on specific issues 

in this regulation to http:// 

www.regulations.gov.. Follow the 

‘‘submit a comment’’ instructions. 

2. By regular mail. You may mail 

written comments (one original and two 

copies) to the following address ONLY: 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, Attention: CMS–3110– 

PN, P.O. Box 8016, Baltimore, MD 

21244–8010. 

Please allow sufficient time for mailed 

comments to be received before the 

close of the comment period. 

3. By express or overnight mail. You 

may send written comments to the 

following address ONLY: Centers for 

Medicare & Medicaid Services, 

Department of Health and Human 

Services, Attention: CMS–3110–PN, 

Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 


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