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[Federal Register Volume 76, Number 229 (Tuesday, November 29, 2011)]
[Notices]
[Pages 73649-73650]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-30732]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10411, CMS-10114 and CMS-10390]

Agency Information Collection Activities: Submission for OMB 
Review; 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), Department of Health and Human Services, 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 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. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: State Balancing 
Incentive Payments Program (BIPP); Use: The Balancing Incentive Program 
requires that States undertake three structural changes to their long-
term services and supports (LTSS) systems to increase nursing home 
diversions and access to community-based care: implementation of a No 
Wrong Door/Single Entry Point System, conflict-free case management, 
and the use of a core standardized assessment for supporting 
eligibility determination and service planning. In addition, grantee 
States must increase their community-based LTSS expenditures relative 
to their overall expenditures on LTSS to a minimum of 25% or 50%. State 
Medicaid agencies are responsible for developing the submissions to CMS 
in order to participate in this opportunity. If the statutory 
requirements are met, CMS will approve the State's submission, giving 
the State the authority to implement the changes in the program and to 
draw down the increased FMAP funds. Form Number: CMS-10411 (OCN 0938-
1145); Frequency: Once; Affected Public: State, Local, or Tribal 
Government; Number of Respondents: 56; Total Annual Responses: 56; 
Total Annual Hours: 2,240. (For policy questions regarding this 
collection contact Effie George at (410) 786-8639. For all other issues 
call (410) 786-1326.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: National Provider 
Identifier (NPI) Application and Update Form and Supporting Regulations 
in 45 CFR 142.408, 45 CFR 162.406, 45 CFR 162.408; Use: The National 
Provider Identifier (NPI) Application and Update Form is used by health 
care providers to apply for NPIs and furnish updates to the information 
they supplied on their initial applications. The form is also used to 
deactivate their NPIs if necessary. The NPI Application/Update form has 
been revised to provide additional guidance on how to accurately 
complete the form. This collection includes clarification on 
information that is required on initial applications. Minor changes 
include adding a `delete' check box for removal of information. This 
collection also includes revisions to the instructions. In addition, we 
have adjusted the burden downward from the estimate provided in the 60-
day Federal Register notice to correct an arithmetic error. Form 
Number: CMS-10114 (OCN: 0938-0931); Frequency: Reporting--On occasion; 
Affected Public: Business or other for-profit, Not-for-profit 
institutions, and Federal government; Number of Respondents: 481,440; 
Total Annual Responses: 481,440; Total Annual Hours: 89,080. (For 
policy questions regarding this collection contact Leslie Jones at 
(410) 786-6599. For all other issues call (410) 786-1326.)
    3. Type of Information Collection Request: New collection; Title of 
Information Collection: Hospice Voluntary Quality Data Reporting 
Program; Use: Section 1814(i)(5) of the Social Security Act (Act) added 
by section 3004 of Patient Protection and Affordable Care Act, Public 
Law 111-148, enacted on March 23, 2010 (Affordable Care Act), 
authorizes the Secretary to establish a quality reporting program for 
hospices. Section 1814(i)(5)(A)(i) of the Act requires that the 
Secretary, beginning with FY 2014, reduce the market basket update by 2 
percentage points for any hospice that does not comply with the quality 
data submission requirements with respect to that fiscal year.
    To meet the quality reporting requirements for hospices, as set 
forth in the proposed Hospice Wage Index for Fiscal Year 2012 rule, we 
propose that there shall be a voluntary hospice quality reporting cycle 
which will consist of data collection cycle beginning on October 1, 
2011 and continuing through December 31, 2011. This data shall be 
reported to CMS by no later than January 31, 2012. There shall be a 
mandatory hospice quality reporting cycle which will consist of data 
collected from October 1, 2012 through December 31, 2012. This data 
shall be reported to CMS by no later than April 1, 2013. Thereafter, it 
is proposed that all subsequent hospice quality reporting cycles will 
be based on the calendar-year basis (that is, January 1, 2013 through 
December 31, 2013 for determination of the Hospice market basket 
increase factor for each Hospice in FY 2015, etc.).
    We are requesting an initial approval of a data collection 
instrument entitled ``Quality Data Submission Form'' that hospice 
providers will use to submit quality measures data to CMS during the 
proposed voluntary reporting period of 10/01/2011 through 12/31/2011. 
This form shall be used by hospices to report

[[Page 73650]]

quality data pertaining to one structural measure, which is entitled: 
Participation in a Quality Assessment and Performance Improvement 
(QAPI) Program that Includes at Least Three Quality Indicators Related 
to Patient Care.
    Since the publication of the 60-day Federal Register notice, there 
have been some revision made to the Supporting Statement A and B of 
this PRA package. These revisions have been made in order to: (1) 
Correct several very minor errors; (2) make the content of the document 
more descriptive; and (3) to add additional information about the 
program that has become available since publication of the 60-day 
notice. The operational details of the program have progressed and been 
finalized. Therefore, these changes will reflect information pertaining 
to operational details of the program that was not available at the 
time that the PRA package documents were published. There have been no 
changes to the Information Collection Request that is the subject of 
this PRA package. There has been no change in the estimated burden that 
will be required of providers. Form Number: CMS-10390 (OCN: 0938-New); 
Frequency: Occasionally; Affected Public: Private Sector: Business or 
other for-profit and not-for-profit institutions; Number of 
Respondents: 3,531; Total Annual Responses: 3,531; Total Annual Hours: 
883. (For policy questions regarding this collection contact Robin 
Dowell at (410) 786-0060. 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 29, 
2011.
    OMB, Office of Information and Regulatory Affairs,
    Attention: CMS Desk Officer.
    Fax Number: (202) 395-6974.
    Email: OIRA_submission@omb.eop.gov.

    Dated: November 21, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-30732 Filed 11-28-11; 8:45 am]
BILLING CODE 4120-01-P
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