Federal Register / Vol. 77, No. 225 / Wednesday, November 21, 2012 / Notices 69847 

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. Title of Information Collection: 

Initial Plan Data Collection to Support 

Qualified Health Plan (QHP) 

Certification and Other Financial 

Management and Exchange Operations; 

Type of Information Collection Request: 

New information collection; Use: As 

required by the CMS–9989–F (77 CFR 

18310, March 27, 2012): Establishment 

of Exchanges and Qualified Health 

Plans; Exchange Standards for 

Employers (Exchange rule), each 

Exchange must assume responsibilities 

related to the certification and offering 

of Qualified Health Plans (QHPs). To 

offer insurance through an Exchange, a 

health insurance issuer must have its 

health plans certified as QHPs by the 

Exchange. A QHP must meet certain 

minimum certification standards, such 

as essential community providers, 

essential health benefits, and actuarial 

value. In order to meet those standards, 

the Exchange is responsible for 

collecting data and validating that QHPs 

meet these minimum requirements as 

described in the Exchange rule under 45 

CFR 155 and 156, based on the 

Affordable Care Act, as well as other 

requirements determined by the 

Exchange. In addition to data collection 

for the certification of QHPs, the 

reinsurance and risk adjustment 

programs outlined by the Affordable 

Care Act, detailed in 45 CFR 153, CMS– 

9975–F(77 FR 17220, March 23, 2012): 

Standards for Reinsurance, Risk 

Corridors, and Risk Adjustment, have 

general information reporting 

requirements that apply to non-QHPs 

outside of the Exchanges. 

The original 60-day comment period 

began on July 6, 2012 (77 FR 40061). We 

received a number of public comments 

which addressed multiple issues. Some 

of the commenters were concerned with 

duplicate data collection. CMS is 

working with States to minimize any 

required document submission to 

streamline and reduce duplication, 

especially in future years. CMS has 

oversight and enforcement 

responsibilities unique to Exchanges 

that may require more than verification 

from a state. CMS has also aligned the 

data collection for SBCs, healthcare.gov, 

and EHB. Other commenters asked for 

more clarification on the data elements 

we are collection. We have included 

those data elements in this data 

collection. Furthermore, CMS will 

provide greater clarification on its 

process associated with QHP 

certification, essential community 

providers, and network adequacy among 

other QHP certification requirements. 

We have taken into consideration all of 

the proposed suggestions and have 

made changes to this collection of 

information. In addition, CMS is 

increasing the estimated burden by 21 

hours. 

Form Number: CMS–10433; 

Frequency: Annually; Affected Public: 

States and Private Sector: Business or 

other for-profits and not-for-profit 

institutions; Number of Respondents: 

3490; Number of Responses: 3490; Total 

Annual Hours: 242,190 hours in year 

one and 184,110 hours in years two and 

three. (For policy questions regarding 

the QHP Certification data collection, 

contact Gina Zdanowicz at (301) 492– 

4451. For policy questions regarding 

risk adjustment and reinsurance data 

collection, contact Milan Shah at (301) 

492–4427. 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 December 21, 2012. OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–6974, Email: OIRA_

submission@omb.eop.gov. 

Dated: November 16, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–28379 Filed 11–20–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10451 and CMS– 

10455] 

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: Medicare 

Uniform Institutional Provider Bill and 

Supporting Regulations in 42 CFR 

424.5; Use: Section 42 CFR 424.5(a)(5) 

requires providers of services to submit 

a claim for payment prior to any 

Medicare reimbursement. Charges billed 

are coded by revenue codes. The bill 

specifies diagnoses according to the 

International Classification of Diseases, 

Ninth Edition (ICD–9–CM) code. 

Inpatient procedures are identified by 

ICD–9–CM codes, and outpatient 

procedures are described using the CMS 

Common Procedure Coding System 

(HCPCS). These are standard systems of 

identification for all major health 

insurance claims payers. Submission of 

information on the CMS–1450 permits 

Medicare intermediaries to receive 

consistent data for proper payment. 

Form Numbers: CMS–1450 (UB–04) 

(OMB#: 0938–0997); Frequency: 

Reporting—On occasion; Affected 

Public: Not-for-profit institutions, 

business or other for-profit; Number of 

Respondents: 53,111; Total Annual 

Responses: 181,909,654; Total Annual 

Hours: 1,567,455. (For policy questions 


srobinson on DSK4SPTVN1PROD with 
69848 Federal Register / Vol. 77, No. 225 / Wednesday, November 21, 2012 / Notices 

regarding this collection contact Matt 

Klischer at 410–786–7488. For all other 

issues call 410–786–1326.) 

2. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Report of a 

Hospital Death Associated with 

Restraint or Seclusion; Use: Executive 

Order 13563, Improving Regulation and 

Regulatory Review, was signed on 

January 18, 2011. The order recognized 

the importance of a streamlined, 

effective, and efficient regulatory 

framework designed to promote 

economic growth, innovation, job 

creation, and competitiveness. Each 

agency was directed to establish an 

ongoing plan to reduce or eliminate 

burdensome, obsolete, or unnecessary 

regulations to create a more efficient 

and flexible structure. 

The regulation that was published on 

May, 16, 2012 (77 FR 29034) included 

a reduction in the reporting requirement 

related to hospital deaths associated 

with the use of restraint or seclusion, 

§ 482.13(g). Hospitals are no longer 

required to report to CMS those deaths 

where there was no use of seclusion and 

the only restraint was 2-point soft wrist 

restraints. It is estimated that this will 

reduce the volume of reports that must 

be submitted by 90 percent for 

hospitals. In addition, the final rule 

replaced the previous requirement for 

reporting via telephone to CMS, which 

proved to be cumbersome for both CMS 

and hospitals, with a requirement that 

allows submission of reports via 

telephone, facsimile or electronically, as 

determined by CMS. Finally, the 

amount of information that CMS needs 

for each death report in order for CMS 

to determine whether further on-site 

investigation is needed has been 

reduced. 

The Child Health Act (CHA) of 2000 

established in Title V, Part H, Section 

591 of the Public Health Service Act 

(PHSA) minimum requirements 

concerning the use of restraints and 

seclusion in facilities that receive 

support with funds appropriated to any 

Federal department or agency. In 

addition, the CHA enacted Section 592 

of the PHSA, which establishes 

minimum mandatory reporting 

requirements for deaths in such 

facilities associated with use of restraint 

or seclusion. Provisions implementing 

this statutory reporting requirement for 

hospitals participating in Medicare are 

found at 42 CFR 482.13(g), as revised in 

the final rule that published on May 16, 

2012 (77 FR 29034). Form Number: 

CMS–10455 (OCN: 0938–New); 

Frequency: Occasionally; Affected 

Public: Private Sector. Number of 

Respondents: 4,900. Number of 

Responses: 24,500. Total Annual Hours: 

8,085. (For policy questions regarding 

this collection contact Danielle Miller at 

410–786–8818. 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 January 22, 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 llll, Room C4–26– 

05, 7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: November 16, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–28381 Filed 11–20–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–8046–N] 

RIN 0938–AR14 

Medicare Program; Inpatient Hospital 

Deductible and Hospital and Extended 

Care Services Coinsurance Amounts 

for CY 2013 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

inpatient hospital deductible and the 

hospital and extended care services 

coinsurance amounts for services 

furnished in calendar year (CY) 2013 

under Medicare’s Hospital Insurance 

Program (Medicare Part A). The 

Medicare statute specifies the formulae 

used to determine these amounts. For 

CY 2013, the inpatient hospital 

deductible will be $1,184. The daily 

coinsurance amounts for CY 2013 will 

be: $296 for the 61st through 90th day 

of hospitalization in a benefit period; 

$592 for lifetime reserve days; and $148 

for the 21st through 100th day of 

extended care services in a skilled 

nursing facility in a benefit period. 

DATES: This notice is effective on 

January 1, 2013. 

FOR FURTHER INFORMATION CONTACT: 

Clare McFarland, (410) 786–6390 for 

general information. 

Gregory J. Savord, (410) 786–1521 for 

case-mix analysis. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Section 1813 of the Social Security 

Act (the Act) provides for an inpatient 

hospital deductible to be subtracted 

from the amount payable by Medicare 

for inpatient hospital services furnished 

to a beneficiary. It also provides for 

certain coinsurance amounts to be 

subtracted from the amounts payable by 

Medicare for inpatient hospital and 

extended care services. Section 

1813(b)(2) of the Act requires us to 

determine and publish each year the 

amount of the inpatient hospital 

deductible and the hospital and 

extended care services coinsurance 

amounts applicable for services 

furnished in the following calendar year 

(CY). 

II. Computing the Inpatient Hospital 

Deductible for CY 2013 

Section 1813(b) of the Act prescribes 

the method for computing the amount of 

the inpatient hospital deductible. The 

inpatient hospital deductible is an 

amount equal to the inpatient hospital 

deductible for the preceding CY, 

adjusted by our best estimate of the 

payment-weighted average of the 

applicable percentage increases (as 

defined in section 1886(b)(3)(B) of the 

Act) used for updating the payment 

rates to hospitals for discharges in the 

fiscal year (FY) that begins on October 

1 of the same preceding CY, and 

adjusted to reflect changes in real casemix. The adjustment to reflect real casemix is determined on the basis of the 

most recent case-mix data available. The 

amount determined under this formula 

is rounded to the nearest multiple of $4 


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