[Federal Register Volume 88, Number 165 (Monday, August 28, 2023)]
[Notices]
[Pages 58588-58590]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-18520]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10553, CMS-10554, CMS-10856 and CMS-R-305]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
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 the necessity and utility of the 
proposed information collection for the proper performance of the 
agency's functions, the accuracy of the estimated burden, ways to 
enhance the quality, utility, and clarity of the information to be 
collected, and the use of automated collection techniques or other 
forms of information technology to minimize the information collection 
burden.

[[Page 58589]]


DATES: Comments must be received by October 27, 2023.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. 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: __, 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, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.

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-10553 Medicaid Managed Care Quality including Supporting 
Regulations.
CMS-10554 Children's Health Insurance Program Managed Care and 
Supporting Regulations.
CMS-10856 Medicaid Managed Care and Supporting Regulations.
CMS-R-305 External Quality Review (EQR) of Medicaid and Children's 
Health Insurance Program (CHIP) Managed Care, EQR Protocols, and 
Supporting Regulations.

    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 collection; Title of Information Collection: Medicaid Managed 
Care Quality including Supporting Regulations; Use: States are required 
to develop quality strategies and quality strategy effectiveness 
evaluations. States use the information from these documents to help 
monitor and assess the performance of their Medicaid managed care 
programs. When developing these documents, States must engage 
stakeholders and make the documents available for public comment. 
Medicaid beneficiaries and stakeholders use the reported information to 
understand the state's quality improvement goals and objectives, and to 
understand how the state is measuring progress of its goals. States 
must submit these documents to CMS for review at least once every three 
years, or when substantial changes are made to their quality 
strategies, or State Medicaid programs. CMS uses this information as a 
part of its oversight responsibilities. The Medicaid and CHIP (MAC) QRS 
requirements currently include public posting of quality ratings on the 
State's website, which is intended to provide beneficiaries and their 
caregivers with a web-based interface to compare Medicaid and CHIP 
managed care plans based on assigned ratings. Form Number: CMS-10553 
(OMB control number: 0938-1281); Frequency: Annually, triennial, and 
one-time.; Affected Public: Private sector (business or other for-
profits) and State, local or Tribal governments; Number of Respondents: 
673; Number of Responses: 6,087; Total Annual Hours: 1,441,211. (For 
policy questions regarding this collection contact Carlye Burd at 720-
853-2780.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Children's Health 
Insurance Program Managed Care and Supporting Regulations; Use: States 
must provide information obtained through methods consistent with the 
Protocols specified by CMS to External Quality Review Organization 
(EQRO). States must post the EQR technical reports on their websites to 
help enrollees and potential enrollees make informed choices when 
selecting providers. It also gives advocacy organizations, researchers, 
and other interested parties access to information pertaining to: the 
quality of care provided to beneficiaries enrolled in CHIP managed care 
organizations (MCO), prepaid inpatient health plans (PIHP), and prepaid 
ambulatory health plans (PAHP). The quality ratings system (QRS) 
provides beneficiaries with information that allows them to make an 
informed choice when comparing and selecting managed care plans. The 
information also provides a better understanding of the state's quality 
improvement goals and objectives, and how the state is measuring the 
progress of its goals. The information may assist states in comparing 
the outcomes of different delivery systems and can assist them in 
identifying future performance improvement subjects. Form Number: CMS-
10554 (OMB control number: 0938-1282); Frequency: Annually and one-
time; Affected Public: Private sector (business or other for-profits 
and not-for-profit institutions) and State, local, and Tribal 
governments; Number of Respondents: 62; Number of Responses: 2,735,906; 
Total Annual Hours: 365,310. (For policy questions regarding this 
collection contact Joshua Bougie at 410-786-8117.)
    3. Type of Information Collection Request: New; Title of 
Information Collection: Medicaid Managed Care and Supporting 
Regulations; Use: Provides reporting and third-party disclosure 
requirements pertaining to State program administration and CMS 
compliance monitoring. Form Number: CMS-10856 (OMB control number: 
0938-TBD); Frequency: Annually and one-time; Affected Public: Private 
sector (business or other for-profits) and State, local or Tribal 
governments; Number of Respondents: 679; Number of Responses: 14,313; 
Total Annual Hours: 255,384. (For policy questions regarding this 
collection contact Amy Gentile at 410-786-3499.)
    4. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: External Quality 
Review (EQR) of Medicaid and Children's Health Insurance Program (CHIP) 
Managed Care, EQR Protocols, and Supporting Regulations; Use: Most 
contracts between a state Medicaid agency and their managed care plan

[[Page 58590]]

must provide for an annual External Quality Review (EQR). The annual 
EQR is conducted by an independent external quality review organization 
(EQRO). States must provide the EQRO with information obtained through 
methods consistent with the protocols specified by CMS. The information 
is used by the EQRO to determine the quality of care furnished by the 
managed care plans in the state. The publicly posted EQR results allows 
Medicaid/CHIP enrollees and potential enrollees to make informed 
choices regarding the selection of their providers. It also provides 
advocacy organizations, researchers, and other interested parties 
access to information on the quality of care provided to Medicaid 
beneficiaries enrolled in Medicaid/CHIP managed care. States use the 
information during their oversight of these organizations. Form Number: 
CMS-R-305 (OMB control number: 0938-0786); Frequency: Annually and one-
time; Affected Public: Private sector (business or other for-profits) 
and State, local or Tribal governments; Number of Respondents: 698; 
Number of Responses: 10,249; Total Annual Hours: 483,784. (For policy 
questions regarding this collection contact Carlye Burd at 720-853-
2780.)

    Dated: August 23, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2023-18520 Filed 8-25-23; 8:45 am]
BILLING CODE 4120-01-P