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[Federal Register Volume 78, Number 36 (Friday, February 22, 2013)]
[Notices]
[Pages 12322-12323]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-04135]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10430, CMS-10164 and CMS-838]

Agency Information Collection Activities: OMB Review; 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), 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 function; (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: Reinstatement of a 
previously approved collection; Title: Information Collection 
Requirements for Compliance with Individual and Group Market Reforms 
under Title XXVII of the Public Health Service Act; Use: The provisions 
of title XXVII of the Public Health Service Act (PHS Act) are designed 
to make it easier for people to get access to health care coverage and 
to reduce the limitations that can be put on the coverage. Sections 
2723 and 2761 of the PHS Act direct CMS to enforce a provision (or 
provisions) of title XXVII of the PHS Act with respect to health 
insurance issuers when a state has notified CMS that it has not enacted 
legislation to enforce or that it is not otherwise enforcing a 
provision (or provisions) of the individual and group market reforms 
with respect to health insurance issuers, or when CMS has determined 
that a state is not substantially enforcing one or more of those 
provisions. This collection also pertains to notices issued by 
individual and group health insurance issuers and self-funded non-
Federal governmental plans. This collection includes the issuance of 
certificates of creditable coverage; notification of preexisting 
condition exclusions; notification of special enrollment rights; and 
review of issuers' filings of individual and group market products or 
similar Federal review in cases in which a state is not enforcing a 
title XXVII individual or group market provision. This information 
collection is a reinstatement of a previously approved collection 
(which expired on September 30, 2012 (OMB: 0938-0702 and 
OMB: 0938-0703)) with minimal changes to reflect

[[Page 12323]]

laws passed since the previous collection document was approved. While 
the OMB control number for this proposed collection will remain the 
same as the previously approved collection, this proposed collection 
will be given a new CMS Form Number. Form Number: CMS-10430 (OCN: 0938-
0702); Frequency: Annually; Occasionally; Affected Public: Private 
Sector; Business or other for-profits and Not-for-profit institutions, 
and State, Local, or Tribal Governments; Number of Respondents: 8,716; 
Total Annual Responses: 39,831,442; Total Annual Hours: 3,760,422 
hours. (For policy questions regarding this collection contact Lisa 
Campbell at 301-492-4114. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: Reinstatement with a 
change of a previously approved collection; Title: Medicare Electronic 
Data Interchange (EDI) Registration and Electronic Data Interchange 
(EDI) Enrollment Form; Use: The purpose of this collection is to obtain 
information that will be subsequently used during transaction exchange 
for identification of Medicare providers/suppliers and authorization of 
requested Electronic Data Interface (EDI) functions. The EDI Enrollment 
and the Medicare Registration Forms are completed by Medicare 
providers, suppliers, or both suppliers and submitted to Medicare 
contractors. Authorization is needed for providers and suppliers to 
send and receive HIPAA standard transactions directly (or through a 
designated 3rd party) to and from Medicare contractors. Medicare 
contractors would use the information for initial set-up and 
maintenance of the access privileges. The use of the standard form 
provides an efficient uniform means by which Medicare captures 
information necessary to drive Medicare EDI security and EDI access 
privileges. All EDI providers will complete and sign the EDI Enrollment 
Form along with the Medicare EDI Registration Form. They will also 
reconfirm their access privileges annually.
    The information collected will be uploaded into Medicare contractor 
computer systems. Medicare contractors will store this information in a 
database accessed at the time of provider connection to the Medicare 
Data Contractor Network (MDCN). When authentication is successful and 
connectivity is established, transactions may be exchanged. The 
information will be stored in a computer data base and used to 
authenticate the user on day-to-day electronic commerce, support the 
submitter and password administration function, and validate access 
relationships between providers/suppliers and their designated EDI 
submitter/receiver on a per transaction basis. Form Number: CMS-10164 
(OCN: 0938-0983); Frequency: Once; Affected Public: Private Sector--
Business or other for-profits, Not for-profit institutions; Number of 
Respondents: 240,000; Total Annual Responses: 240,000; Total Annual 
Hours: 80,000. (For policy questions regarding this collection contact 
Claudette Sikora at 410-786-5618. For all other issues call 410-786-
1326.)
    3. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection. Title of Information 
Collection: Medicare Credit Balance Reporting Requirements and 
Supporting Regulations in 42 CFR 405.371, 405.378 and 413.20; Use: 
Section 1815(a) of the Social Security Act authorizes the Secretary to 
request information from providers which is necessary to properly 
administer the Medicare program. Quarterly credit balance reporting is 
needed to monitor and control the identification and timely collection 
of improper payments. The information obtained from Medicare credit 
balance reports will be used by the contractors to identify and recover 
outstanding Medicare credit balances and by Federal enforcement 
agencies to protect Federal funds. The information will also be used to 
identify the causes of credit balances and to take corrective action. 
Form Number: CMS-838 (OCN: 0938-0600); Frequency: Yearly; Affected 
Public: Private sector--Business or other for-profits; Number of 
Respondents: 45,838; Total Annual Responses: 183,352; Total Annual 
Hours: 550,056. (For policy questions regarding this collection contact 
Milton Jacobson at 410-786-7553. 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, and phone number as well 
the 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 March 25, 2013.

OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, Email: OIRA_submission@omb.eop.gov.

    Dated: February 19, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-04135 Filed 2-21-13; 8:45 am]
BILLING CODE 4120-01-P
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