73858 Federal Register / Vol. 88, No. 207 / Friday, October 27, 2023 / Notices 

ADDRESSES: When commenting, please 

reference the applicable form number 

(see below) and the OMB control 

number (0938–1148). 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 https://

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: CMS–10398 (#64)/OMB 

control number: 0938–1148, 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/PRAListing 

FOR FURTHER INFORMATION CONTACT: 

William N. Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: Following 

is a summary of the use and burden 

associated with the subject information 

collection(s). More detailed information 

can be found in the collection’s 

supporting statement and associated 

materials (see ADDRESSES). 

Generic Information Collection 

1. Title of Information Collection: 

CHIP State Plan Eligibility; Type of 

Information Collection Request: 

Revision of a currently approved 

collection; Use: This iteration proposes 

to revise CHIP State Plan template CS27 

to make continuous eligibility 

mandatory for separate CHIPs. 

Additional revisions would: (1) revise 

language in the template to reflect that 

CE for children is mandatory, (2) 

remove age selection for optional CE 

and the drop-down menu for the 

number of months for the CE eligibility 

period, (3) add assurances for a state 

that elects to provide coverage for the 

from-conception-to-end-of pregnancy 

(FCEP) population (otherwise known as 

the ‘‘unborn’’), and (4) change the 

authority of continuous eligibility from 

section 2105(a)(4)(A) to 2107(e)(1)(K). 

Form Number: CMS–10398 (#17) (OMB 

control number: 0938–1148); Frequency: 

Once and on occasion; Affected Public: 

State, Local, or Tribal Governments; 

Number of Respondents: 56; Total 

Annual Responses: 56; Total Annual 

Hours: 2,800. For policy questions 

regarding this collection contact: Joyce 

Jordan at (410) 786–3413. 

Dated: October 24, 2023. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2023–23787 Filed 10–26–23; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10393, CMS– 

10861 and CMS–10146] 

Agency Information Collection 

Activities: Submission for OMB 

Review; 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 

(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 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the burden estimate 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. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by November 27, 

2023. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

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/PRAListing. 

FOR FURTHER INFORMATION CONTACT: 

William Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: Under the 

Paperwork Reduction Act of 1995 (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 (44 U.S.C. 

3506(c)(2)(A)) requires federal agencies 

to publish a 30-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 that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: Revision of a previously 

approved collection; Title of 

Information Collection: Beneficiary and 

Family Centered Data Collection; Use: 

To ensure the QIOs are effectively 

meeting their goals, CMS collects 

information about beneficiary 

experience receiving support from the 

QIOs. This is a request to revise the 

information collection. The revisions to 

this information collection include the 

deletion of the previously approved 

Direct Feedback Survey and associated 

instructions and the General Feedback 

Web Survey and associated instructions. 

The information collection uses both 

qualitative and quantitative strategies to 

ensure CMS and the QIOs understand 

beneficiary experiences through all 

interactions with the QIO including 

initial contact, interim interactions, and 

case closure. Information collection 


ddrumheller on DSK120RN23PROD with NOTICES1
Federal Register / Vol. 88, No. 207 / Friday, October 27, 2023 / Notices 73859 

instruments are tailored to reflect the 

steps in each type of process, as well as 

the average time it takes to complete 

each process. The information 

collection will: 

• Allow beneficiaries to directly 

provide feedback about the services they 

receive under the QIO program; 

• Provide quality improvement data 

for QIOs to improve the quality of 

service delivered to Medicare 

beneficiaries; and 

• Provide evaluation metrics for CMS 

to use in assessing performance of QIO 

contractors. 

To achieve the above goals, 

information collection will include: 

Experience Survey: The Experience 

Survey will be administered via 

telephone and mail to beneficiaries/ 

representatives after the Quality of Care 

(Medical Record Review) complaint/ 

Immediate Advocacy/appeal case has 

been closed. The goal of the Experience 

Survey is to assess beneficiary overall 

and specific experiences with the BFCC 

QIOs. Form Number: CMS–10393 (OMB 

control number: 0938–1177); Frequency: 

Once; Affected Public: Individuals or 

households; Number of Respondents: 

9,000; Number of Responses: 9,000; 

Total Annual Hours: 2,250. (For policy 

questions regarding this collection, 

contact Renee Graves-Dorsey at 410– 

786–7142.) 

2. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Medicare Health 

Outcomes Survey Field Test; Use: CMS 

is required to collect and report quality 

and performance of Medicare health 

plans under provisions of the Social 

Security Act. Specifically, Section 

1851(d) of the Act (Providing 

Information to Promote Informed 

Choice) requires CMS to collect data for 

MA plan comparison, including data on 

enrollee satisfaction and health 

outcomes, and report this information 

and other plan quality and performance 

indicators to Medicare beneficiaries 

prior to the annual enrollment period. 

The HOS meets the requirement for 

collecting and publicly reporting quality 

and other performance indicators, as 

HOS survey measures are incorporated 

into the Medicare Part C Star Ratings 

that are published each fall for 

consumers on the Medicare website. 

This request is to conduct a field test 

with the goal of evaluating the 

measurement properties of new survey 

items, and the effects of new content 

and a web-based mode on response 

patterns and measure scores as 

compared to existing HOS survey items 

and protocols. Within each of the 

proposed field test protocol arms, there 

will be two versions of the 

questionnaire (see Attachments A and 

B) that will be identical except for slight 

differences in selected items where 

empirical data are needed to ascertain 

which of the two versions produces the 

best results (see Attachment C). The two 

versions of the questionnaire will test 

alternatives for selected new survey 

content that will potentially enhance 

and refine existing measures, allow 

CMS to develop new and 

methodologically simpler crosssectional and longitudinal measures, 

expand on CMS’s measurement of 

physical functioning and mental health, 

and add to CMS’s efforts to measure and 

address health equity. 

The data collected in this field test 

will be used by CMS to inform decisions 

on possible changes to HOS content and 

survey administration procedures. The 

items in the questionnaire reflect 

current health priorities and would 

provide CMS with data to study new 

longitudinal PROMs, cross-sectional 

measures, and enhancements to existing 

HOS measures for MA plans to use as 

a focus of their quality improvement 

efforts. Potential new measures derived 

from new HOS items will go through the 

Measures Under Consideration (MUC) 

process and rule-making before they are 

added to Star Ratings. Form Number: 

CMS–10861 (OMB Control Number: 

0938–New); Frequency: Once; Affected 

Public: Individuals and Households; 

Number of Respondents: 136; Number 

of Responses: 6,800; Total Annual 

Hours: 2,267. (For policy questions 

regarding this collection contact 

Kimberly DeMichele at 410–786–4286.) 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Notice of Denial 

of Medicare Prescription Drug Coverage; 

Use: Part D plan sponsors are required 

to issue the Notice of Denial of Medicare 

Prescription Drug Coverage notice when 

a request for a prescription drug or 

payment is denied, in whole or in part. 

The written notice must include a 

statement, in understandable language, 

the reasons for the denial and a 

description of the appeals process. 

The purpose of this notice is to 

provide information to enrollees when 

prescription drug coverage has been 

denied, in whole or in part, by their Part 

D plans. The notice must be readable, 

understandable, and state the specific 

reasons for the denial. The notice must 

also remind enrollees about their rights 

and protections related to requests for 

prescription drug coverage and include 

an explanation of both the standard and 

expedited redetermination processes 

and the rest of the appeal process. Form 

Number: CMS–10146 (OMB control 

number 0938–0976); Frequency: Daily; 

Affected Public: Private sector (Business 

or other for-profits); Number of 

Respondents: 743; Total Annual 

Responses: 2,631,728; Total Annual 

Hours: 657,932. (For policy questions 

regarding this collection contact: Coretta 

Edmondson at 410–786–0512.) 

Dated: October 24, 2023. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2023–23741 Filed 10–26–23; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Registration Requirements in the 340B 

Drug Pricing Program 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services (HHS or 

Department). 

ACTION: Notice. 

SUMMARY: HRSA is issuing this Notice to 

inform and remind stakeholders of the 

registration requirements for off-site, 

outpatient hospital facilities to 

participate in the 340B Drug Pricing 

Program (340B Program). This Notice 

applies to all hospital types that 

participate in the 340B Program. 

FOR FURTHER INFORMATION CONTACT: 

Questions should be directed to 

Michelle Herzog, Deputy Director, 

Office of Pharmacy Affairs, Office of 

Special Health Initiatives, HRSA, 5600 

Fishers Lane, Room 8W12, Rockville, 

MD 20857, or by telephone at 301–594– 

4353. 

SUPPLEMENTARY INFORMATION: Section 

340B(a)(4) of the Public Health Service 

Act (PHS) Act (42 U.S.C. 256b) lists the 

various types of organizations (‘‘covered 

entities’’) eligible to participate in and 

benefit from the 340B Program. Section 

340B(d)(2)(B)(i and ii) of the PHS Act 

requires the development of a system by 

which covered entities can attest to, and 

HRSA can verify, continued accuracy of 

information in the 340B database and 

compliance with 340B Program 

requirements. Section 340B(a)(9) of the 

PHS Act requires the Secretary to notify 

participating manufacturers of the 

identity of those organizations that meet 

the definition of covered entity under 

340B(a)(4). Section 340B(d)(2)(B)(iv) of 

the PHS Act includes requirements for 

the establishment of a standardized 


ddrumheller on DSK120RN23PROD with NOTICES1