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[Federal Register Volume 78, Number 76 (Friday, April 19, 2013)]
[Notices]
[Pages 23566-23567]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-09267]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10108, CMS-10268, CMS-10316, and CMS-10478]

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 of a currently 
approved collection; Title of Information Collection: Medicaid Managed 
Care Regulations; Use: Medicaid enrollees use the information collected 
and reported to make informed choices regarding health care, including 
how to access health care services and the grievance and appeal system. 
States use the information collected and reported as part of its 
contracting process with managed care entities, as well as its 
compliance oversight role. The CMS uses the information collected and 
reported in an oversight role of state Medicaid managed care programs. 
Form Number: CMS-10108 (OCN: 0938-0920); Frequency: Occasionally; 
Affected Public: Individuals or households, Private sector (business or 
other for-profit and not-for-profit institutions), and State, local or 
Tribal Government; Number of Respondents: 1,640,223; Total Annual 
Responses: 5,217,333; Total Annual Hours: 5,872,255. (For policy 
questions regarding this collection contact Amy Gentile at 410-786-
3499. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: Reinstatement of a 
currently approved collection; Title of Information Collection: 
Consolidated Renal Operations in a Web Enabled Network (CROWNWeb) 
Third-party Submission Authorization Form Use: The Consolidated Renal 
Operations in a Web Enabled Network (CROWNWeb) Third-Party Submission 
Authorization (CWTPSA) form is to be completed by ``Facility 
Administrators'' (administrators of CMS-certified dialysis facilities) 
if they intend to authorize a third party (a business with which the 
facility is associated, or an independent vendor) to submit data to CMS 
to comply with the recently-revised Conditions for Coverage of dialysis 
facilities. The CROWNWeb system is the system used as the collection 
point of data necessary for entitlement of ESRD patients to Medicare 
benefits and for Federal Government monitoring and assessing of the 
quality and types of care provided to renal patients. The information 
collected through the CWTPSA form will allow CMS and its contractors to 
receive data from authorized parties acting on behalf of CMS-certified 
dialysis facilities. Since February 2009, CMS has received 4,160 CWTPSA 
forms and anticipates that they will continue to receive no more than 
400 new CWTPSA forms annually to address the creation of new facilities 
under the current participating ``third party submitters.'' Form 
Number: CMS-10268 (OCN: 0938-1052); Frequency: Occasionally; Affected 
Public: Private Sector; Business or other for-profits and Not-for-
profit institutions; Number of Respondents: 400; Total Annual 
Responses: 400; Total Annual Hours: 34. (For policy questions regarding 
this collection contact Michelle Tucker at 410-786-0736. For all other 
issues call 410-786-1326.)
    3. Type of Information Collection Request: Revision of a currently 
approved collection. Title of Information Collection: Implementation of 
the Medicare Prescription Drug Plan (PDP) and Medicare Advantage (MA) 
Plan Disenrollment Reasons Survey. Use: This data collection 
complements the satisfaction data collected through the Medicare 
Consumer Assessment of Healthcare Providers and Systems survey by 
providing dissatisfaction data in the form of reasons for disenrollment

[[Page 23567]]

from a Prescription Drug Plan. The data collected in this survey can be 
used to improve the operation of Medicare Advantage (both MA and MA-PD) 
contracts and standalone PDPs through the identification of beneficiary 
disenrollment reasons. Plans can use the information to guide quality 
improvement efforts. The data can also be used by beneficiaries who 
need to choose among the different MA and PDP options. To the extent 
that these data identify areas for improvement at the contract level 
they can be used to inform CMS contract oversight. Form Number: CMS-
10316 (OCN: 0938-1113). Frequency: Yearly; Affected Public: Individuals 
or households; Number of Respondents: 88,492; Total Annual Responses: 
88,492; Total Annual Hours: 22,887. (For policy questions regarding 
this collection contact Sai Ma at 410-786-1479. For all other issues 
call 410-786-1326.)
    4. Type of Information Collection Request: New collection (request 
for a new OMB control number). Title of Information Collection: 
National Implementation of In-Center Hemodialysis CAHPS Survey. Use: 
Data collected in the national implementation of the In-center 
Hemodialysis Consumer Assessment of Healthcare Providers and Systems 
(CAHPS) Survey will be used for the following purposes: (1) To provide 
a source of information from which selected measures can be publicly 
reported to beneficiaries as a decision aid for dialysis facility 
selection; (2) to aid facilities with their internal quality 
improvement efforts and external benchmarking with other facilities; 
(3) to provide CMS with information for monitoring and public reporting 
purposes; and (4) to support the end-stage renal disease value-based 
purchasing program. Form Number: CMS-10478 (OCN: 0938-New); Frequency: 
Semi-annually and once; Affected Public: Individuals or households; 
Number of Respondents: 165,000; Total Annual Responses: 165,000; Total 
Annual Hours: 87,750. (For policy questions regarding this collection 
contact Elizabeth Goldstein at 410-786-6665. 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 June 18, 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: April 16, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-09267 Filed 4-18-13; 8:45 am]
BILLING CODE 4120-01-P
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