Federal Register / Vol. 79, No. 75 / Friday, April 18, 2014 / Notices 21933 

funded by determining the amount of 

payments that the federal government 

would have made through the premium 

tax credit (PTC) and cost sharing 

reductions (CSR) for people enrolled in 

BHP had they instead been enrolled in 

an Exchange. To calculate the amounts 

for each state, we need the reference 

premiums for the second lowest cost 

silver plans (SLCSP) in each geographic 

area in a state, as SLCSPs are a basic 

unit in the calculation of PTC and CSRs 

under the Exchanges. To estimate what 

PTC and CSRs would have been paid, 

the reference premiums for these 

SLCSPs are critical components in the 

BHP payment methodology. Similarly, 

we also need to collect reference 

premiums for the lowest cost bronze 

plans to appropriately account for CSR 

calculations for American Indians and 

Alaskan Natives. Reference premiums 

are foundational inputs into the BHP 

payment methodology. We have the 

necessary information to determine 

these reference premiums for states 

whose Exchanges are operated by the 

Federally Facilitated Exchange (FFE) or 

are operated in partnership with the 

FFE. Consequently, this collection only 

pertains to the 17 states that are 

operating State Based Exchanges. Form 

Number: CMS–10510 (OCN: 0938– 

1218); Frequency: Yearly; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

17; Total Annual Responses: 17; Total 

Annual Hours: 68. (For policy questions 

regarding this collection contact Jessica 

Schubel at 410–786–3032.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Durable Medical 

Equipment, Prosthetics, Orthotics and 

Supplies (DMEPOS) Competitive 

Bidding Program; Use: Section 302 of 

the MMA amended section 1847 of the 

Social Security Act (the Act) to require 

the implementation of the DMEPOS 

competitive bidding program. The Act 

provided the program requirements for 

the submission of bids in establishing 

payment rates and the awarding of 

contracts; provided the requirements for 

mergers and acquisitions; and a 

requirement for the Secretary to recompete contracts not less often than 

once every 3 years. The MMA also 

requires the Secretary to recompete 

contracts not less often than once every 

3 years. The Round 1 Rebid contract 

period for all product categories except 

mail-order diabetic supplies expired on 

December 31, 2013. (Round 1 Rebid 

contracts for mail-order diabetic testing 

supplies ended on December 31, 2012.) 

The competition for the Round 1 

Recompete began in August of 2012. 

The Round 1 Recompete contracts and 

prices became effective on January 1, 

2014 and will expire on December 31, 

2016. Round 2 and National Mail-Order 

contracts and prices will expire on June 

30, 2016. 

The most recent approval for this 

information collection request (ICR) was 

issued by OMB on June 10, 2013. That 

ICR included the estimated burden to 

collect the information in bidding 

Forms A and B for the Round 1 

Recompete. We are now seeking 

approval to collect the information in 

Forms A and B for competitions that 

will occur before 2017. For these 

upcoming competitions CMS will 

publish a slightly modified version of 

the RFB instructions and accompanying 

Forms A and B so that suppliers will be 

better able to identify and understand 

the requirements of the program. We 

decided to modify the Request for Bids 

(RFB) instructions and forms based on 

our experience from the last round of 

competition. The end result is expected 

to produce more complete and accurate 

information to evaluate suppliers. No 

new collection requirements have been 

added to the modified RFB instructions 

or Form A or B. Finally, we are retaining 

without change the Change of 

Ownership (CHOW) Purchaser Form 

and the CHOW Contract Supplier 

Notification Form, the Subcontracting 

Disclosure Form, and Forms C, and D 

and their associated burden under this 

ICR. We intend to continue use of these 

Forms on an ongoing basis. Form 

Number: CMS–10169 (OCN: 0938– 

1016); Frequency: Occasionally; 

Affected Public: Private Sector— 

Business or other for-profits and 

Individuals or Households; Number of 

Respondents: 49,625; Total Annual 

Responses: 39,380; Total Annual Hours: 

235,024. (For policy questions regarding 

this collection contact Michael Keane at 

410–786–4495.) 

3. Type of Information Collection 

Request: Extension without change of a 

currently approved collection; Title of 

Information Collection: Home Office 

Cost Statement Form; Use: Providers of 

services participating in the Medicare 

program are required under sections 

1815(a) and 1861(v)(1)(A) of the Social 

Security Act (42 U.S.C. 1395g) to submit 

annual information to achieve 

settlement of costs for health care 

services rendered to Medicare 

beneficiaries. In addition, regulations at 

42 CFR 413.17, 413.20 and 413.24 

require adequate cost data and cost 

reports from providers on an annual 

basis. The home office cost statement 

form is filed annually by chain 

organizations to report costs directly 

related to services furnished to 

individual providers that are related to 

patient care plus an appropriate share of 

indirect costs. Form Number: CMS– 

287–05 (OCN: 0938–0202); Frequency: 

Yearly; Affected Public: Business or 

other for-profit and Not-for-profit 

institutions; Number of Respondents: 

1,686; Total Annual Responses: 1,686; 

Total Annual Hours: 785,676. (For 

policy questions regarding this 

collection contact Yaakov Feinstein at 

410–786–5834.) 

Dated: April 15, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–08898 Filed 4–17–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10509] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

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 

(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 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the 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. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by May 19, 2014. 

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21934 Federal Register / Vol. 79, No. 75 / Friday, April 18, 2014 / Notices 

ADDRESSES: When commenting on the 

proposed information collections, 

please reference the document identifier 

or OMB control number. To be assured 

consideration, comments and 

recommendations must be received by 

the OMB desk officer via one of the 

following transmissions: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–5806, OR, Email: 

OIRA_submission@omb.eop.gov. 

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: Under the 

Paperwork Reduction Act of 1995 (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 (44 U.S.C. 

3506(c)(2)(A)) requires federal agencies 

to publish a 30-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 that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Prospective 

Evaluation of Evidence-Based 

Community Wellness and Prevention 

Programs; Use: Section 4202(b) of the 

Affordable Care Act (ACA) mandated 

that we conduct an evidence review and 

independent evaluation of wellness 

programs focusing on the following six 

intervention areas: chronic disease selfmanagement, increasing physical 

activity, reducing obesity, improving 

diet and nutrition, reducing falls, and 

mental health management. In response 

to the ACA mandate, we adopted a 

three-phase approach to evaluate the 

impact of wellness programs on 

Medicare beneficiary health, utilization, 

and costs to determine whether broader 

Medicare beneficiary participation in 

wellness programs could lower future 

growth in Medicare spending. Phase I 

consisted of a comprehensive literature 

review and environmental scan to 

identify a list of wellness programs for 

further evaluation. Phase II involved a 

retrospective evaluation of 10 wellness 

programs in the targeted intervention 

areas mentioned above. The purpose of 

the Phase II evaluation was to use 

Medicare claims data to assess the 10 

wellness programs’ impact on Medicare 

beneficiary outcomes including health 

service utilization and medical costs. 

The findings in Phase II were promising 

in that several wellness programs 

demonstrated the potential to save 

medical costs among participating 

beneficiaries. 

Phase III of our evaluation, of which 

this work is the key component, aims to 

round out our understanding of how 

wellness programs affect Medicare 

beneficiaries and what cost saving 

opportunities exist for the Medicare 

program. This evaluation effort will (1) 

describe the overall distribution of 

readiness to engage with wellness 

programs in the Medicare population, 

(2) better adjust for selection biases of 

individual programs and interventions 

using beneficiary level survey data, (3) 

evaluate program impacts on health 

behaviors, self-reported health 

outcomes, and claims-based measures of 

utilization and costs, and (4) better 

describe program implementation, 

operations and cost in relation to the 

expected benefits. The results of these 

analyses will be used to inform wellness 

and prevention activities in the future. 

To achieve the goals of this project, 

we will be conducting a nationally 

representative survey of Medicare 

beneficiaries to assess their readiness to 

participate in community-based 

wellness programs. National estimates 

of Medicare beneficiary demand for 

wellness services and benefits will be 

generated from this population-based 

readiness national survey. In addition, 

we will partner with evidence-based 

wellness programs for the purposes of 

enrolling an estimated 2,000 

participants per program. Surveys of 

program participants will be conducted 

to assess program impacts on health and 

behavior. 

The 60-day Federal Register notice 

was published on November 22, 2013 

(78 FR 70059). No public comments 

received. During recent discussions 

with potential wellness programs, it was 

determined that the earlier response rate 

estimate was lower than what will be 

achieved. Thus, the response rate was 

increased, and therefore the total 

number of completed baseline surveys 

was also increased. The total estimated 

burden associated with completing the 

Participant survey has been increased. 

In addition, results from the cognitive 

testing with less than nine Medicare 

beneficiaries suggested that clarification 

for several items would also be 

beneficial. Questions have been added 

and deleted from the surveys. These 

clarifications have been made 

throughout the surveys in response to 

this feedback and documented in Part 

A, Attachment 5. Form Number: CMS– 

10509 (OCN: 0938–NEW); Frequency: 

Semi-annually; Affected Public: 

Individuals and households; Number of 

Respondents: 49,017; Total Annual 

Responses: 49,017; Total Annual Hours: 

20,237. (For policy questions regarding 

this collection contact Benjamin Howell 

at 410–786–4942.) 

Dated: April 15, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–08897 Filed 4–17–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

National Practitioner Data Bank: 

Change in User Fees 

AGENCY: Health Resources and Services 

Administration, HHS. 

ACTION: Notice 

SUMMARY: The Health Resources and 

Services Administration, Department of 

Health and Human Services, is 

announcing a decrease in user fees 

charged to individuals and entities 

authorized to request information from 

the National Practitioner Data Bank 

(NPDB). The new fee will be $3.00 for 

both continuous and one-time queries 

and $5.00 for self-queries. 

SUPPLEMENTARY INFORMATION: The 

current fee structure ($3.25/continuous 

query enrollment, $4.75/one-time query, 

and $8.00/self-query) was last 

announced in the Federal Register on 

March 10, 2006 (71 FR 12367), and 

became effective on May 9, 2006. Onetime queries, continuous query 

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