57090 Federal Register / Vol. 77, No. 180 / Monday, September 17, 2012 / Notices 

trade association information, such as 

trade secrets or other proprietary 

information should be excluded from 

any materials submitted. If you wish to 

remain anonymous the document must 

specify this. 

We will confirm your time for public 

comment via email by September 28, 

2012. Each speaker will be limited to 

five minutes per speaker; no exceptions 

will be made. We will give priority to 

individuals who have not provided 

public comment within the previous 

year. 

Persons who wish to distribute 

printed materials to CFSAC members 

should submit one copy to Designated 

Federal Officer at cfsac@hhs.gov, prior 

to Friday, September 28, 2012. 

Submissions are limited to five 

typewritten pages. 

Dated: September 4, 2012 

Nancy C. Lee, 

Designated Federal Officer, Chronic Fatigue 

Syndrome Advisory Committee. 

[FR Doc. 2012–22874 Filed 9–14–12; 8:45 am] 

BILLING CODE 4150–42–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10445, CMS– 

10164, CMS–10143 and CMS–838] 

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: Medicare 

Advantage Quality Bonus Payment 

Demonstration; Use: In response to the 

provision of the Affordable Care Act, 

beginning in 2012, quality bonus 

payments (QBPs) are given to all plans 

earning four or five stars in Medicare’s 

Star Rating program. As an extension of 

this legislation, CMS launched the 

Medicare Advantage Quality Bonus 

Payment Demonstration, which 

accelerates the phase-in of QBPs by 

extending bonus payments to three-star 

plans and eliminating the cap on 

blended county benchmarks that would 

otherwise limit QBPs. Through this 

demonstration, CMS seeks to 

understand how incentive payments 

impact plan quality across a broader 

spectrum of plans. 

The data collection effort will be 

conducted in the form of a survey of 

Medicare Advantage Organizations 

(MAOs) and up to 10 case studies with 

MAOs in order to supplement what can 

be learned from the analyses of 

administrative and financial data for 

MAOs, and from an environmental and 

literature scan. The data collected is 

needed to evaluate the QBP 

demonstration to better understand 

what impact the demonstration has had 

on MAO operations and their efforts to 

improve quality. The data collection 

instrument is a survey questionnaire 

designed to capture information on how 

MAOs perceive the demonstration and 

are planning for or implementing 

changes in quality initiatives and to 

identify factors that help or hinder the 

capacity to achieve quality 

improvement and that influence the 

decision calculus to make changes. 

Specifically, the information is expected 

to provide a detailed picture to CMS of 

the kinds of quality initiatives utilized 

by MAOs and some preliminary 

information on how they assess the 

effectiveness of these programs. The 

survey is designed to provide an overall 

picture of the QBP that can be used for 

national comparisons across plans as 

part of the larger evaluation of the QBP 

demonstration. 

The case studies will be conducted as 

a series of open-ended discussions with 

MAO staff that will be guided by a 

discussion protocol. The case studies 

will supplement the information 

gathered from the survey and data 

analysis, providing valuable context and 

details about successful quality 

improvement activities. The case 

studies are particularly well suited to 

exploring the detailed characteristics of 

the plans’ quality improvement 

activities, emphasizing the decisionmaking and thought processes 

underlying the structure and direction 

of their efforts and capturing the 

contextual factors that impact the 

nature, structure, and scope of the 

programs. Form Number: CMS–10445 

(OCN: 0938–New); Frequency: Annual; 

Affected Public: Private Sector— 

Business or other for-profits; Number of 

Respondents: 730; Total Annual 

Responses: 1,280; Total Annual Hours: 

683. (For policy questions regarding this 

collection contact Gerald Riley at 410– 

786–6699. 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 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 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-today 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: 

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Federal Register / Vol. 77, No. 180 / Monday, September 17, 2012 / Notices 57091 

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: Monthly 

State File of Medicaid/Medicare Dual 

Eligible Enrollees. Use: The monthly 

data file is provided to CMS by states on 

dually eligible Medicaid and Medicare 

beneficiaries, listing the individuals on 

the Medicaid eligibility file, their 

Medicare status and other information 

needed to establish subsidy level, such 

as income and institutional status. The 

file will be used to count the exact 

number of individuals who should be 

included in the phased-down state 

contribution calculation that month. 

CMS will be able to merge the data with 

other data files and establish Part D 

enrollment for those individuals on the 

file. The file may be used by CMS 

partners to obtain accurate counts of 

duals on a current basis. Form Number: 

CMS–10143 (OCN 0938–0958). 

Frequency: Monthly. Affected Public: 

State, Local, or Tribal Governments. 

Number of Respondents: 51. Total 

Annual Responses: 612. Total Annual 

Hours: 6,120. (For policy questions 

regarding this collection contact Goldy 

Austen at 410–786–6450. For all other 

issues call 410–786–1326.) 

4. 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 

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, 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 November 16, 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 llll , Room C4– 

26–05, 7500 Security Boulevard, 

Baltimore, Maryland 21244–1850. 

Dated: September 11, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–22726 Filed 9–14–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Community Living 

Administration on Intellectual and 

Developmental Disabilities (AIDD); 

Notice of Meeting 

AGENCY: President’s Committee for 

People with Intellectual Disabilities 

(PCPID), HHS. 

ACTION: Notice of Meeting. 

DATES: Tuesday, October 16, 2012, from 

8:30 a.m. to 3:15 p.m. (EST); and 

Wednesday, October 17, 2012, from 8:30 

a.m. to 4:30 p.m. (EST). The meeting 

will be open to the public. 

ADDRESSES: The meeting will be held in 

Conference Room 800 of the Hubert H. 

Humphrey Building, U.S. Department of 

Health and Human Services, 200 

Independence Avenue SW., 

Washington, DC 20201. Individuals who 

would like to participate via conference 

call may do so by dialing 888–730– 

9135, pass code: 6725139. Individuals 

whose full participation in the meeting 

will require special accommodations 

(e.g., sign language interpreting services, 

assistive listening devices, materials in 

alternative format such as large print or 

Braille) should notify MJ Karimi, PCPID 

Program Analyst, via email at 

MJ.Karimie@acf.hhs.gov, or via 

telephone at 202–619–3165, no later 

than Monday, October 08, 2012. PCPID 

will attempt to meet requests for 

accommodations made after that date, 

but cannot guarantee ability to grant 

requests received after this deadline. All 

meeting sites are barrier free, consistent 

with the Americans with Disabilities 

Act (ADA), and the Federal Advisory 

Committee Act (FACA). 

Agenda: Committee members will 

discuss preparation of the PCPID 2012 

Report to the President, including its 

content and format, and related data 

collection and analysis required to 

complete the writing of the Report. 

Additional Information: For further 

information, please contact Laverdia 

Taylor Roach, Senior Advisor, 

President’s Committee for People with 

Intellectual Disabilities, 200 

Independence Avenue SW., Room 637D, 

Washington, DC 20201. Telephone: 

202–205–5970. Fax: 202–260–3053. 

Email: Laverdia.Roach@acf.hhs.gov. 

SUPPLEMENTARY INFORMATION: PCPID 

acts in an advisory capacity to the 

President and the Secretary of Health 

and Human Services, through the 

Administration on Intellectual and 

Developmental Disabilities, on a broad 

range of topics relating to programs, 

services and supports for persons with 

intellectual disabilities. The PCPID 

Executive Order stipulates that the 

Committee shall: (1) Provide such 

advice concerning intellectual 

disabilities as the President or the 

Secretary of Health and Human Services 

may request; and (2) provide advice to 

the President concerning the following 

for people with intellectual disabilities: 

(A) Expansion of educational 

opportunities; (B) promotion of 

homeownership; (C) assurance of 

workplace integration; (D) improvement 

of transportation options; (E) expansion 

of full access to community living; and 

(F) increasing access to assistive and 

universally designed technologies. 

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