42018 Federal Register / Vol. 79, No. 138 / Friday, July 18, 2014 / Notices 

Æ Devices (Bakri postpartum balloon, 

Foley catheter, SengstakenBlakemore tube, Rusch balloon) 

Æ Procedures (manual removal of 

placenta, manual evacuation of clot, 

uterine tamponade, uterine artery 

embolization, laceration repair) 

Æ Surgeries (curettage, uterine artery 

ligation, uterine hemostatic 

compression suturing, 

hysterectomy) 

Æ Blood and fluid products 

Æ Anti-shock garment 

Æ Systems-level interventions (e.g., 

implementation of protocols, 

training) 

∑ KQ4 

Æ Interventions for acute blood loss 

anemia (e.g., iron replacement, 

erythropoietin) 

Comparator 

∑ Different intervention (any 

intervention compared with any 

other intervention) 

∑ Placebo 

Outcomes 

∑ Intermediate outcomes 

Æ Blood loss 

Æ Transfusion 

Æ ICU admission 

Æ Anemia 

Æ Length of stay 

∑ Final outcomes 

Æ Mortality 

Æ Uterine preservation 

Æ Future fertility 

Æ Breastfeeding 

Æ Psychological impact 

Æ Harms 

Timing 

∑ Immediately post-birth to 12 weeks 

postpartum 

∑ Primary (< 24 hours postpartum) or 

secondary (>= 24 hours postpartum) 

Setting 

All birth settings (hospital, birth 

center, home) 

Dated: July 1, 2014. 

Richard Kronick, 

AHRQ Director. 

[FR Doc. 2014–16667 Filed 7–17–14; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10477, CMS– 

R–185 and CMS–10343] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

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 (the 

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 

60 days for public comment on the 

proposed action. Interested persons are 

invited to send comments regarding our 

burden estimates 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 must be received by 

September 16, 2014. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number (OCN). To be 

assured consideration, comments and 

recommendations must be submitted in 

any one of the following ways: 

1. Electronically. You may send 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) that are 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 ll, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

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/Paperwork

ReductionActof1995. 

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: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–10477 Medicaid Incentives for 

Prevention of Chronic Disease (MIPCD) 

Demonstration 

CMS–R–185 Granting and Withdrawal of 

Deeming Authority to Private Nonprofit 

Accreditation Organizations and of State 

Exemption Under State Laboratory 

Programs and Supporting Regulations 

CMS–10343 State Plan Preprint for 

Medicaid Recovery Audit Contractors 

(RAC) Program 

Under the 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 

requires federal agencies to publish a 

60-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. 

Information Collection 

1. Type of Information Collection 

Request): Revision of a currently 

approved information collection; Title 

of Information Collection: Medicaid 

Incentives for Prevention of Chronic 


sroberts on DSK5SPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 138 / Friday, July 18, 2014 / Notices 42019 

Disease (MIPCD) Demonstration; Use: 

Under section 4108(d)(1) of the 

Affordable Care Act, we are 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 six 

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. 

Subsequent to the initial OMB approval 

issued January 23, 2014, we have added 

two Administrative Cost forms to the 

information collection. The burden 

estimates for this information collection 

have been revised to account for the 

burden associated with the new forms. 

Form Number: CMS–10477 (OMB 

control number: 0938–1219); Frequency: 

Annually; Affected Public: Individuals 

and households, business or other forprofits and not-for-profit institutions, 

State, Local or Tribal Governments; 

Number of Respondents: 4,706; Total 

Annual Responses: 4,706; Total Annual 

Hours: 2,236. (For policy questions 

regarding this collection contact Jean 

Scott at 410–786–6327.) 

2. Type of Information Collection 

Request: Extension of currently 

approved collection; Title of 

Information Collection: Granting and 

Withdrawal of Deeming Authority to 

Private Nonprofit Accreditation 

Organizations and of State Exemption 

Under State Laboratory Programs and 

Supporting Regulations; Use: The 

information required is necessary to 

determine whether a private 

accreditation organization/State 

licensure program standards and 

accreditation/licensure process is at 

least equal to or more stringent than 

those of the Clinical Laboratory 

Improvement Amendments of 1988 

(CLIA). If an accreditation organization 

is approved, the laboratories that it 

accredits are ‘‘deemed’’ to meet the 

CLIA requirements based on this 

accreditation. Similarly, if a State 

licensure program is determined to have 

requirements that are equal to or more 

stringent than those of CLIA, its 

laboratories are considered to be exempt 

from CLIA certification and 

requirements. The information collected 

will be used by HHS to: Determine 

comparability/equivalency of the 

accreditation organization standards 

and policies or State licensure program 

standards and policies to those of the 

CLIA program; to ensure the continued 

comparability/equivalency of the 

standards; and to fulfill certain statutory 

reporting requirements. 

Form No.: CMS–R–185 (OMB control 

number: 0938–0686); Frequency: 

Occasionally; Affected Public: Private 

sector—business or other for-profits and 

not-for-profit institutions; Number of 

Respondents: 12; Total Annual 

Responses: 96; Total Annual Hours: 

384. (For policy questions regarding this 

collection contact Arlene Lopez at 410– 

786–6782.) 

3. Type of Information Collection 

Request: Reinstatement without change 

of a previously approved collection; 

Title of Information Collection: State 

Plan Preprint for Medicaid Recovery 

Audit Contractors (RACs); Use: Under 

section 1902(a)(42)(B)(i) of the Social 

Security Act, States are required to 

establish programs to contract with one 

or more Medicaid Recovery Audit 

Contractors (RACs) for the purpose of 

identifying underpayments and 

recouping overpayments under the State 

plan and any waiver of the State plan 

with respect to all services for which 

payment is made to any entity under 

such plan or waiver. Further, the statute 

requires States to establish programs to 

contract with Medicaid RACs in a 

manner consistent with State law, and 

generally in the same manner as the 

Secretary contracts with Medicare 

RACs. State programs contracted with 

Medicaid RACs were not required to be 

fully operational until after December 

31, 2010. States may submit, to CMS, a 

State Plan Amendment (SPA) attesting 

that they will establish a Medicaid RAC 

program. States have broad discretion 

regarding the Medicaid RAC program 

design and the number of entities with 

which they elect to contract. Many 

States already have experience utilizing 

contingency-fee-based Third Party 

Liability recovery contractors. 

Form Number: CMS–10343 (OMB 

control number: 0938–1126); Frequency: 

Once; Affected Public: State, Local, or 

Tribal Governments; Number of 

Respondents: 56; Total Annual 

Responses: 56; Total Annual Hours: 56. 

(For policy questions regarding this 

collection contact Yolanda Green at 

410–786–0798.) 

Dated: July 15, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–16960 Filed 7–17–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–3287–FN] 

Medicare and Medicaid Programs; 

Initial Approval of The Compliance 

Team’s (TCT’s) Rural Health Clinic 

(RHC) Accreditation Program 

AGENCY: Centers for Medicare and 

Medicaid Services, HHS. 

ACTION: Final notice. 

SUMMARY: This final notice announces 

our decision to approve The 

Compliance Team (TCT) for initial 

recognition as a national accrediting 

organization for Rural Health Clinics 

(RHCs) that wish to participate in the 

Medicare or Medicaid programs. 

DATES: This final notice is effective July 

18, 2014 through July 18, 2018. 

FOR FURTHER INFORMATION CONTACT: 

Valarie Lazerowich, (410) 786–4750, 

Cindy Melanson, (410) 786–0310, or 

Patricia Chmielewski, (410) 786–6899. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Under the Medicare program, eligible 

beneficiaries may receive covered 

services in a RHC provided certain 

requirements are met. Section 1861(aa) 

and 1905(l)(1) of the Social Security Act 

(the Act) establishes distinct criteria for 

facilities seeking designation as a RHC. 

The minimum requirements that a RHC 

must meet to participate in Medicare are 

set forth in regulation at 42 CFR part 

491, subpart A. The conditions for 

Medicare payment for RHCs are set forth 

at 42 CFR 405, subpart X. Regulations 


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