Federal Register / Vol. 78, No. 154 / Friday, August 9, 2013 / Notices 48687 

being and safety of patients and 

professional treatment accountability. 

Form Number: CMS–10279 (OCN: 

0938–1071); Frequency: Annual; 

Affected Public: Private sector— 

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

Respondents: 5,300; Total Annual 

Responses: 5,300; Total Annual Hours: 

206,700. (For policy questions regarding 

this collection contact Jacqueline Leach 

at 410–786–4282.) 

4. Type of Information Collection 

Request: New Collection (Request for a 

new control number); Title of 

Information Collection: Evaluation of 

the Multi-Payer Advanced Primary Care 

Practice (MAPCP) Demonstration: 

Conduct Beneficiary Experience with 

Care Surveys; 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 statesponsored patient-centered medical 

home (PCMH) initiatives. We selected 

eight states to participate in this 

demonstration: Maine, Vermont, Rhode 

Island, New York, Pennsylvania, North 

Carolina, Michigan, and Minnesota. We 

are conducting a survey to assess the 

care experiences of beneficiaries 

involved in the MAPCP Demonstration. 

We have chosen to measure patient 

experience using a validated, 

standardized survey questionnaire, the 

PCMH version of the Consumer 

Assessment of Healthcare Providers and 

Systems (PCMH–CAHPS). The PCMH– 

CAHPS is a validated, federally 

developed instrument that measures 

patient experience in 6 domains (access 

to care, provider communication, office 

staff interactions, attention to medical, 

emotional, or both medical and 

emotional health, health care support, 

and medication decisions). Form 

Number: CMS–10483 (OCN: 0938– 

NEW); Frequency: Annually; Affected 

Public: Individuals and households; 

Number of Respondents: 10,038; Total 

Annual Responses: 10,038; Total 

Annual Hours: 3,313. (For policy 

questions regarding this collection 

contact Suzanne Wensky at 410–786– 

0226.) 

Dated: August 6, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–19379 Filed 8–8–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–416, CMS–R–71, 

and CMS–10150] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

ACTION: Notice. 

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 (the 

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 

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. 

DATES: Comments must be received by 

October 8, 2013. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number (OCN). 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 http:// 

www.regulations.gov. 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 ll, 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, you may make your request 

using one of following: 

1. Access CMS’ Web site address at 

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

PaperworkReductionActof1995. 

2. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

3. Call the Reports Clearance Office at 

(410) 786–1326. 

FOR FURTHER INFORMATION CONTACT: 

Reports Clearance Office at (410) 786– 

1326 

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). 

CMS–416 Annual Early and Periodic 

Screening, Diagnostic and Treatment 

(EPSDT) Participation Report 

CMS–R–71 Quality Improvement 

Organization (QIO) Assumption of 

Responsibilities and Supporting 

Regulations 

CMS–10150 Collection of Drug 

Pricing and Network Pharmacy Data 

from Medicare Prescription Drug Plans 

(PDPs and MA–PDs) and Supporting 

Regulations 

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 


pmangrum on DSK3VPTVN1PROD with NOTICES
48688 Federal Register / Vol. 78, No. 154 / Friday, August 9, 2013 / Notices 

Information Collection: Annual Early 

and Periodic Screening, Diagnostic and 

Treatment (EPSDT) Participation 

Report; Use: The baseline data collected 

is used to assess the effectiveness of 

state early and periodic screening, 

diagnostic and treatment (EPSDT) 

programs in reaching eligible children, 

by age group and basis of Medicaid 

eligibility, who are provided initial and 

periodic child health screening services, 

referred for corrective treatment, and 

receiving dental, hearing, and vision 

services. This assessment is coupled 

with the state’s results in attaining the 

participation goals set for the state. The 

information gathered from this report, 

permits federal and state managers to 

evaluate the effectiveness of the EPSDT 

law on the basic aspects of the program. 

Form Number: CMS–416 (OCN: 0938– 

0354); Frequency: Yearly; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

56; Total Annual Responses: 56; Total 

Annual Hours: 1,568. (For policy 

questions regarding this collection 

contact Marsha Lillie-Blanton at 410– 

786–8856.) 

2. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Quality 

Improvement Organization (QIO) 

Assumption of Responsibilities and 

Supporting Regulations; Use: The Peer 

Review Improvement Act of 1982 

amended Title XI of the Social Security 

Act to create the Utilization and Quality 

Control Peer Review Organization (PRO) 

program which replaces the Professional 

Standards Review Organization (PSRO) 

program and streamlines peer review 

activities. The term PRO has been 

renamed Quality Improvement 

Organization (QIO). This information 

collection describes the review 

functions to be performed by the QIO. 

It outlines relationships among QIOs, 

providers, practitioners, beneficiaries, 

intermediaries, and carriers. Form 

Number: CMS–R–71 (OCN#: 0938– 

0445); Frequency: Yearly; Affected 

Public: Business or other for-profit and 

Not-for-profit institutions; Number of 

Respondents: 6,939; Total Annual 

Responses: 50,377; Total Annual Hours: 

158,993. (For policy questions regarding 

this collection contact Coles Mercier at 

410–786–2112.) 

3. Type of Information Collection 

Request: Reinstatement without change 

of a previously approved collection; 

Title of Information Collection: 

Collection of Drug Pricing and Network 

Pharmacy Data from Medicare 

Prescription Drug Plans (PDPs and MA– 

PDs) and Supporting Regulations; Use: 

Both stand alone prescription drug 

plans (PDPs) and Medicare Advantage 

Prescription Drug (MA–PDs) plans are 

required to submit drug pricing and 

pharmacy network data to us. These 

data are made publicly available to 

people with Medicare through the 

Medicare Prescription Drug Plan Finder 

web tool on http://www.medicare.gov. 

Drug prices vary across a plans 

pharmacy network based on the 

contracts that each plan negotiates with 

each pharmacy or pharmacy chain in 

their networks. The pharmacy networks 

can change during the course of the year 

as new pharmacies open, close, change 

ownership, or plans negotiate new 

contracts with pharmacies resulting in 

different dispensing fees for 

prescriptions. Drug prices also change 

frequently due to the daily fluctuation 

of the Average Wholesale Price (AWP), 

thus plans increase or decrease their 

drug prices to reflect these changes. 

The purpose of the data is to enable 

prospective and current Medicare 

beneficiaries to compare, learn, select 

and enroll in a plan that best meets their 

needs. The database structure provides 

the necessary drug pricing and 

pharmacy network information to 

accurately communicate plan 

information in a comparative format. 

Form Number: CMS–10150 (OCN#: 

0938–0951); Frequency: Yearly; Affected 

Public: Business or other for-profit and 

Not-for-profit institutions; Number of 

Respondents: 680; Total Annual 

Responses: 17,680; Total Annual Hours: 

70,720. (For policy questions regarding 

this collection contact Jay Dobbs at 410– 

786–1182.) 

Dated: August 6, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–19321 Filed 8–8–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5506–N3] 

Medicare Program; Comprehensive 

ESRD Care Initiative; Extension of the 

Submission Deadlines for the Letters 

of Intent and Applications 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice of extension of 

deadlines. 

SUMMARY: This notice reopens the 

Comprehensive ESRD Care Initiative 

Letters of Intent submission period and 

extends the deadlines for the 

submission of the Comprehensive ESRD 

Care Initiative Letters of Intent and 

Applications to August 30, 2013. All 

potential applicants must submit a 

Letter of Intent to be eligible to submit 

an application. 

DATES: Letter of Intent Submission 

Deadline: Interested organizations must 

submit a non-binding letter of intent on 

or before August 30, 2013, by an online 

form at: https:// 

cmsgov.secure.force.com/cec. 

Application Submission Deadline: 

Interested organizations must submit an 

application on or before August 30, 

2013, as described on the Innovation 

Center Web site at: http:// 

innovation.cms.gov/initiatives/ 

comprehensive-ESRD-care/apply.html. 

Updates on this initiative will also be 

posted to the Web site. 

FOR FURTHER INFORMATION CONTACT: 

Melissa Cohen, (410) 786–1829 or 

ESRD-CMMI@cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

I. Background 

The Center for Medicare and 

Medicaid Innovation (Innovation 

Center) is interested in identifying 

models designed to improve care for 

beneficiaries with end-stage renal 

disease (ESRD). To promote seamless 

and integrated care for beneficiaries 

with ESRD, we are developing a 

comprehensive care delivery model to 

emphasize coordination of a full-range 

of clinical and non-clinical services 

across providers, suppliers, and settings. 

Through the Comprehensive ESRD Care 

Model, we seek to identify ways to 

improve the coordination and quality of 

care for this population, while lowering 

total per-capita expenditures under the 

Medicare program. We anticipate that 

the Comprehensive ESRD Care Model 

would result in improved health 

outcomes for beneficiaries with ESRD 

regarding the functional status, quality 

of life, and overall well-being, as well as 

increased beneficiary and caregiver 

engagement, and lower costs to 

Medicare through improved care 

coordination. 

On February 6, 2013, we published a 

notice in the Federal Register 

announcing a request for applications 

from organizations to participate in the 

testing of the Comprehensive ESRD Care 

Model, for a period beginning in 2013 

and ending in 2016, with a possible 

extension into subsequent years. 

In that notice, we stated that 

organizations interested in applying to 

participate in the testing of the 

Comprehensive ESRD Care Model must 


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