Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices 29137 

Of those nine comments, three were 

related to the information collection 

request and six were out of scope. 

Specifically, one commenter requested a 

process that would allow web-brokers to 

enroll people without reporting 

individual issuer appointments, and 

CMS made this revision to the 

registration process. We also received 

some questions about how the training 

process will work. We confirmed that 

agents and brokers will only need to 

register for the FFE once and that CMS 

will host the training program, as 

opposed to individual issuers. As a 

result of the comments, we modified 

both the registration process and 

simplified how agents and brokers 

would participate in the Exchanges to 

make it align more closely with how 

issuers, agents, and web-brokers 

currently do business. Form Number: 

CMS–10464 (OCN: 0938–NEW); 

Frequency: Annually; Affected Public: 

Private Sector—Business or Other ForProfit, Non-For-Profit Institutions, or 

Farms; Number of Respondents: 

350,000; Total Annual Responses: 

350,000; Total Annual Hours: 175,000 

hours. (For policy questions regarding 

this collection contact Leigha Basini at 

301–492–4307. For all other issues call 

410–786–1326.) 

6. Type of Information Collection 

Request: Revision of a currently 

approved collection. Title of 

Information Collection: Electronic 

Funds Transfers Authorization 

Agreement; Use: The primary function 

of the Electronic Funds Transfer 

Authorization Agreement (CMS 588) is 

to gather information from a provider/ 

supplier to establish an electronic 

payment process. 

The legal authority to collect this 

information is found in Section 1815(a) 

of the Social Security Act. This section 

provides authority for the Secretary of 

Health and Human Services to pay 

providers/suppliers of Medicare 

services. Under 31 U.S.C. 3332(f)(1), all 

federal payments, including Medicare 

payments to providers and suppliers, 

shall be made by electronic funds 

transfer. 31 U.S.C. 7701 (c) requires that 

any person or entity doing business 

with the federal government must 

provide their Tax Identification Number 

(TIN). 

The goal of this submission is to 

renew the data collection. Only two 

minor revisions for systems 

requirements will be made at this time, 

specifically adding a street address line 

for the location of the financial 

institution and adding an additional 

National Provider Identification (NPI) 

number collection field for those 

providers/suppliers who have more 

than one NPI. Form Number: CMS–588 

(OCN: 0938–0626); Frequency: 

Occasionally; Affected Public: Private 

Sector—Business or other for-profits 

and not-for-profit institutions; Number 

of Respondents: 94,000; Total Annual 

Responses: 94,000; Total Annual Hours: 

23,500. (For policy questions regarding 

this collection contact Kim McPhillips 

at 410–786–5374. 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 17, 2013. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, 

Email: OIRA_submission@omb.eop.gov. 

Dated: May 14, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–11811 Filed 5–16–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10088, CMS– 

10265, CMS–10477 and CMS–R–13] 

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: Extension without change of a 

currently approved collection; Title of 

Information Collection: Notification of 

Fiscal Intermediaries (FIs) and CMS of 

Co-located Medicare Providers and 

Supporting Regulations in 42 CFR 

412.22 and 412.532; Use: Many longterm care hospitals (LTCHs) are colocated with other Medicare providers 

(acute care hospitals, inpatient 

rehabilitation facilities (IRFs), skilled 

nursing facilities (SNFs), and 

psychiatric facilities), which leads to 

potential gaming of the Medicare system 

based on patient shifting. We are 

requiring LTCHs to notify fiscal 

intermediaries (FIs), Medicare 

administrative contractors (MACs), and 

CMS of co-located providers and 

establish policies to limit payment 

abuse that will be based on FIs and 

MACs tracking patient movement 

among these co-located providers 42 

CFR 412.22(e)(6) and (h)(5). 

Based upon being able to identify colocated providers, FIs, MACs, and CMS 

will be able to track patient shifting 

between LTCHs and other in-patient 

providers which will lead to appropriate 

payments under § 412.532. That section 

limits payments to LTCHs where over 5 

percent of admissions represent patients 

who had been sequentially discharged 

by the LTCH, admitted to an on-site 

provider, and subsequently readmitted 

to the LTCH. Since each discharge 

triggers a Medicare payment, we 

implemented this policy to discourage 

payment abuse. 

Form Number: CMS–10088 (OCN: 

0938–0897); Frequency: Occasionally; 

Affected Public: Private Sector— 

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

Respondents: 25; Total Annual 

Responses: 25; Total Annual Hours: 6. 

(For policy questions regarding this 

collection contact Judy Richter at 410– 

786–2590. For all other issues call 410– 

786–1326.) 

2. Type of Information Collection 

Request: Reinstatement with a change of 

a previously approved collection; Title 

of Information Collection: Mandatory 

Insurer Reporting Requirements of 

Section 111 of the Medicare, Medicaid 

and SCHIP Act of 2007; Use: Section 


wreier-aviles on DSK5TPTVN1PROD with NOTICES
29138 Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices 

111 of the Medicare, Medicaid and 

SCHIP Extension Act of 2007 (Pub. L. 

110–173) (MMSEA) amends the 

Medicare Secondary Payer (MSP) 

provisions of the Social Security Act (42 

U.S.C. 1395y(b)) to provide for 

mandatory reporting by group health 

plan arrangements and by liability 

insurance (including self-insurance), nofault insurance, and workers’ 

compensation laws and plans. The law 

provides that, notwithstanding any 

other provision of law, the Secretary of 

Health and Human Services may 

implement this provision by program 

instruction or otherwise. The Secretary 

has elected not to implement the 

provision through rulemaking and will 

implement by publishing instructions 

on a publicly available Web site and 

submitting an information collection 

request to OMB for review and approval 

of the associated information collection 

requirements. 

Effective January 1, 2009, as required 

by the MMSEA, an entity serving as an 

insurer or third party administrator for 

a group health plan and, in the case of 

a group health plan that is self-insured 

and self-administered, a plan 

administrator or fiduciary must: (1) 

Secure from the plan sponsor and plan 

participants such information as the 

Secretary may specify to identify 

situations where the group health plan 

is a primary plan to Medicare; and (2) 

report such information to the Secretary 

in the form and manner (including 

frequency) specified by the Secretary. 

Effective July 1, 2009, as required by 

the MMSEA, ‘‘applicable plans,’’ must: 

(1) Determine whether a claimant is 

entitled to Medicare benefits; and, if so, 

(2) report the identity of such claimant 

and provide such other information as 

the Secretary may require to properly 

coordinate Medicare benefits with 

respect to such insurance arrangements 

in the form and manner (including 

frequency) as the Secretary may specify 

after the claim is resolved through a 

settlement, judgment, award or other 

payment (regardless of whether or not 

there is a determination or admission of 

liability). Applicable plan refers to the 

following laws, plans or other 

arrangements, including the fiduciary or 

administrator for such law, plan or 

arrangement: (1) Liability insurance 

(including self-insurance); (2) No-fault 

insurance; and (3) Workers’ 

compensation laws or plans. As 

indicated, the Secretary has elected to 

implement this provision by publishing 

instructions at a Web site established for 

such purpose. The Web site is (http:// 

www.cms.hhs.gov/MandatoryInsRep/). 

CMS shall use this Web site to publish 

preliminary guidance as well as the 

final instructions. The Web site also 

advises interested parties how to 

comment on the preliminary guidance. 

Form Number: CMS–10265 (OCN: 

0938–1074); Frequency: Yearly; Affected 

Public: Private Sector—Business or 

other for-profits and not-for-profit 

institutions, State, Local or Tribal 

Governments; Number of Respondents: 

22,647; Total Annual Responses: 

22,647; Total Annual Hours: 333,130. 

(For policy questions regarding this 

collection contact Cynthia Ginsburg at 

410–786–2579. For all other issues call 

410–786–1326.) 

3. Type of Information Collection 

Request: New Collection (Request for a 

new control number); Title of 

Information Collection: Medicaid 

Incentives for Prevention of Chronic 

Disease (MIPCD) Demonstration; Use: 

Under section 4108(d)(1) of the 

Affordable Care Act, the Centers for 

Medicare & Medicaid Services (CMS) is 

required to contract with an 

independent entity or organization to 

conduct an evaluation of the Medicaid 

Incentives for Prevention of Chronic 

Disease (MIPCD) demonstration. The 

contractor will conduct state site visits, 

two rounds of focus group discussions, 

interviews with key program 

stakeholders, and field a beneficiary 

satisfaction survey. Both the state site 

visits and interviews with key program 

stakeholders will entail one-on-one 

interviews; however each set will have 

a unique data collection form. Thus, 

each evaluation task listed above has a 

separate data collection form and this 

proposed information collection 

encompasses four data collection forms. 

The purpose of the evaluation and 

assessment includes determining the 

following: 

• The effect of such initiatives on the 

use of health care services by Medicaid 

beneficiaries participating in the 

program; 

• The extent to which special 

populations (including adults with 

disabilities, adults with chronic 

illnesses, and children with special 

health care needs) are able to participate 

in the program; 

• The level of satisfaction of 

Medicaid beneficiaries with respect to 

the accessibility and quality of health 

care services provided through the 

program; and 

• The administrative costs incurred 

by state agencies that are responsible for 

administration of the program. 

Form Number: CMS–10477 (OCN: 

0938–NEW); Frequency: Annually; 

Affected Public: Individuals and 

households, business and not-forprofits, State, Local or Tribal 

Governments; Number of Respondents: 

4,524; Total Annual Responses: 4,524; 

Total Annual Hours: 1,795. (For policy 

questions regarding this collection 

contact Jean Scott at 410–786–6327. For 

all other issues call 410–786–1326.) 

4. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Conditions of 

Coverage for Organ Procurement 

Organizations and Supporting 

Regulations in 42 CFR, Sections 

486.301–.348; Use: Section 1138(b) of 

the Social Security Act, as added by 

section 9318 of the Omnibus Budget 

Reconciliation Act of 1986 (Pub. L. 99– 

509), sets forth the statutory 

qualifications and requirements that 

organ procurement organizations 

(OPOs) must meet in order for the costs 

of their services in procuring organs for 

transplant centers to be reimbursable 

under the Medicare and Medicaid 

programs. An OPO must be certified and 

designated by the Secretary as an OPO 

and must meet performance-related 

standards prescribed by the Secretary. 

The corresponding regulations are 

found at 42 CFR Part 486 (Conditions 

for Coverage of Specialized Services 

Furnished by Suppliers) under subpart 

G (Requirements for Certification and 

Designation and Conditions for 

Coverage: Organ Procurement 

Organizations). 

Since each OPO has a monopoly on 

organ procurement within its designated 

service area (DSA), CMS must hold 

OPOs to high standards. Collection of 

this information is necessary for CMS to 

assess the effectiveness of each OPO and 

determine whether it should continue to 

be certified as an OPO and designated 

for a particular donation service area by 

the Secretary or replaced by an OPO 

that can more effectively procure organs 

within that DSA. Form Number: CMS– 

R–13 (OCN: 0938–0688); Frequency: 

Occasionally; Affected Public: Not-forprofit institutions; Number of 

Respondents: 58; Total Annual 

Responses: 58; Total Annual Hours: 

14,453. (For policy questions regarding 

this collection contact Diane Corning at 

410–786–8486. 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. 


wreier-aviles on DSK5TPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices 29139 

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 16, 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: May 14, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–11812 Filed 5–16–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5504–N3] 

Medicare Program; Bundled Payments 

for Care Improvement Model 1 Open 

Period 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces an 

open period for additional organizations 

to be considered for participation in 

Model 1 of the Bundled Payments for 

Care Improvement initiative. 

DATES: Model 1 of the Bundled 

Payments for Care Improvement 

Deadline: Interested organizations must 

submit a Model 1 Open Period 

Information Intake form by July 31, 

2013. 

FOR FURTHER INFORMATION CONTACT: 

BPModel1@cms.hhs.gov for questions 

regarding Model 1 of the Bundled 

Payments for Care Improvement 

initiative. For additional information on 

this initiative go to the CMS Center for 

Medicare and Medicaid Innovation Web 

site at http://innovation.cms.gov/ 

initiatives/BPCI-Model-1/index.html. 

SUPPLEMENTARY INFORMATION: 

I. Background 

We are committed to achieving better 

health, better care, and lower costs 

through continuous improvement for 

Medicare, Medicaid and Children’s 

Health Insurance Program (CHIP) 

beneficiaries. Beneficiaries can 

experience improved health outcomes 

and encounters in the health care 

system when providers work in a 

coordinated and person-centered 

manner. To this end, we are interested 

in partnering with providers that are 

working to redesign care to meet these 

goals. Payment approaches that reward 

providers that assume payment 

accountability at the individual level for 

a particular ‘‘episode’’ of care are 

potential mechanisms for developing 

these partnerships. 

The CMS Center for Medicare and 

Medicaid Innovation (Innovation 

Center) is testing four episode payment 

models. Testing of the first model, 

Model 1 of the Bundled Payments for 

Care Improvement initiative, began in 

April 2013 following a review of 

applications submitted in response to a 

Request for Application released by the 

Innovation Center in August 2011. For 

additional information about Model 1 of 

the Bundled Payments for Care 

Improvement initiative that began in 

April 2013, please visit the Innovation 

Center Web site as specified in the FOR

FURTHER INFORMATION CONTACT section of 

this notice. 

The Innovation Center is announcing 

an open period for additional 

organizations to be considered for 

participation in Model 1 of the Bundled 

Payments for Care Improvement 

initiative. Interested organizations can 

find information about the intake 

process, eligible organizations, and 

model requirements on the Web site as 

specified in the FOR FURTHER

INFORMATION CONTACT section of this 

notice. 

II. Provisions of the Notice 

We seek to achieve the following 

goals through implementation, 

consistent with the authority under 

section 1115A of the Social Security Act 

(the Act), as added by section 3021 of 

the Affordable Care Act, to test 

innovative payment and service 

delivery models that reduce spending 

under Medicare, Medicaid, or CHIP, 

while preserving or enhancing the 

quality of care: 

• Improve care coordination, 

beneficiary experience, and 

accountability in a person-centered 

manner. 

• Support and encourage providers 

that are interested in continuously 

reengineering care to deliver better care 

and better health at lower costs through 

continuous improvement. 

• Create a cycle that leads to 

continually decreasing the cost of an 

acute or chronic episode of care while 

fostering quality improvement. 

• Develop and test payment models 

that create extended accountability for 

better care, better health at lower costs 

for the full range of health care services. 

• Shorten the cycle time for adoption 

of evidence-based care. 

• Create environments that stimulate 

rapid development of new evidencebased knowledge. 

We are announcing an open period for 

additional organizations to be 

considered for participation in Model 1 

of the Bundled Payments for Care 

Improvement initiative. Acute care 

hospitals paid under the inpatient 

prospective payment systems (IPPS) and 

organizations that wish to convene 

acute care hospitals in a facilitator 

convener role are eligible to be 

considered for participation in Model 1. 

Interested organizations must submit a 

Model 1 Open Period Information Intake 

form for a copy of the form go to the 

CMS Web site as specified in the FOR

FURTHER INFORMATION CONTACT section of 

this notice. Once organizations submit 

the intake form to 

BPModel1@cms.hhs.gov, we will review 

the information provided and screen 

organizations for suitability for 

participation in Model 1. For 

information on the screening process go 

to the CMS Center for Medicare and 

Medicaid Innovation Web site as 

specified in the FOR FURTHER

INFORMATION CONTACT section. We 

expect to offer Model 1 participation 

agreements to those organizations that 

demonstrate their fitness for 

participation in Model 1. More 

information about the participation 

process and model requirements can be 

found on the Web site as specified in 

the FOR FURTHER INFORMATION CONTACT

section of this notice. 

III. Collection of Information 

Requirements 

Section 1115A(d) of the Act waives 

the requirements of the Paperwork 

Reduction Act of 1995 for purposes of 

testing and evaluation of new models or 

expansion of such models under section 

1115A under this section. 

Authority: Section 1115A of the Social 

Security Act (42 U.S.C. 1315a) 

(Catalog of Federal Domestic Assistance No. 

93.773 Medicare—Hospital Insurance 

Program; and No. 93.774, Medicare— 

Supplementary Medical Insurance Program) 


wreier-aviles on DSK5TPTVN1PROD with NOTICES