22810 Federal Register / Vol. 75, No. 83 / Friday, April 30, 2010 / Notices 

programs; and be consistent with the 

beginning of the new fiscal year for 

Federal agencies. Given the imminence 

of the current effective date, seeking 

prior public comment on this temporary 

delay would be impractical. Further, 

given the risk of inconsistency and 

confusion from the imposition of 

divergent requirements across federal 

agencies, it has been determined that 

seeking prior comment on this 

temporary delay would be contrary to 

the public interest. The imminence of 

the effective date is also good cause for 

making this rule effective immediately 

upon publication. 

DOT’s rule is expected to issue in 

time to go into effect by October 1, 2010; 

however, should it later appear that 

DOT regulations may not issue in time 

for an October 1, 2010 implementation, 

SAMHSA will undertake notice and 

comment rulemaking to delay the 

effective date further. 

No other changes to the Mandatory 

Guidelines have been made. The new 

effective date for the revisions to the 

HHS Mandatory Guidelines is October 

1, 2010. 

Dated: April 26, 2010. 

Pamela S. Hyde, 

Administrator, Substance Abuse and Mental 

Health Services Administration. 

Kathleen Sebelius, 

Secretary. 

[FR Doc. 2010–10118 Filed 4–29–10; 8:45 am] 

BILLING CODE 4160–20–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–2552–10] 

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: Revision of a currently 

approved collection; Title of 

Information Collection: Hospital and 

Health Care Complexes Cost Report and 

supporting Regulations in 42 CFR 

413.20 and 413.24; Use: Part A 

institutional providers must provide 

adequate cost data to receive Medicare 

reimbursement (42 CFR 413.24(a)). 

Providers must submit the cost data to 

their Medicare Fiscal Intermediary (FI)/ 

Medicare Administrative Contractor 

(MAC) through the Medicare cost report 

(MCR). The primary function of the cost 

report is to determine the 

reimbursement of providers for services 

rendered to program beneficiaries. The 

FI/MAC uses the cost report to make 

settlement with the provider for the 

fiscal period covered by the cost report. 

Furthermore, the FI/MAC uses the cost 

report to determine the necessity and 

scope of an audit of the records of the 

provider. CMS uses the data collected 

on the MCR to project future Medicare 

expenditures, determine adequate 

deductibles and premiums, and develop 

and update provider market baskets 

mandated for use in updating Medicare 

payment rates. CMS also uses the data 

to offer public use data files. Revisions 

made to update the forms currently in 

use are incorporated within this request 

for approval. Form Number: CMS– 

2552–10 (OMB#: 0938–0050); 

Frequency: Yearly; Affected Public: 

Business or other for-profits and not-forprofit institutions; Number of 

Respondents: 6,174; Total Annual 

Responses: 6,174; Total Annual Hours: 

4,155,102. (For policy questions 

regarding this collection contact Nadia 

Massuda at 410–786–5834. 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 June 1, 2010. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS 

Desk Officer. 

Fax Number: (202) 395–6974. 

E-mail: 

OIRA_submission@omb.eop.gov. 

Dated: April 23, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–10041 Filed 4–29–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10165, CMS– 

10095 and CMS–10003] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

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: Revision of a currently 

approved collection; Title of 

Information Collection: Electronic 

Health Records Demonstration System 

(EHRDS)—practice application and 

profile update system; Use: In 2008, the 

Secretary of the Department of Health 

and Human Services directed the 

Centers for Medicare & Medicaid 

Services to develop a new 

demonstration initiative using Medicare 

waiver authority to reward the delivery 

of high-quality care supported by the 


wwoods2 on DSK1DXX6B1PROD with NOTICES_PART 1
Federal Register / Vol. 75, No. 83 / Friday, April 30, 2010 / Notices 22811 

adoption and use of electronic health 

records (EHRs). This continues to be a 

critical priority under the current 

administration. The goal of this 

demonstration is to foster the 

implementation and adoption of EHRs 

and health information technology (HIT) 

more broadly as effective vehicles to 

improve the quality of care provided 

and transform the way medicine is 

practiced and delivered. Adoption of 

HIT has the potential to provide 

significant savings to the Medicare 

program and improve the quality of care 

rendered to Medicare beneficiaries. 

The new electronic EHR 

demonstration system was first 

developed with the intention of having 

practices applying to participate in 

Phase 2 of the demonstration use an online application form, rather than the 

currently approved paper application 

form that was used for Phase 1. 

However, with the cancellation of Phase 

2, the system will not be used to collect 

new applications at this time. Instead, 

existing data on Phase 1 applications 

that was collected through the paper 

form and manually keyed into a PC 

based Access database will be 

transferred to the new system. Practices 

participating in Phase 1 of the 

demonstration will be requested to use 

the new system to provide periodic 

updates to their practice information. 

The EHR demonstration system will 

enable practices to update critical 

demonstration information on line in a 

secure, Web-enabled environment, 

thereby facilitating timely and more 

accurate updates and processing of 

information. Thus, the EHR 

demonstration system (EHRDS) does not 

reflect a request for new or additional 

data beyond what practices are already 

providing to CMS and its contractors. 

Rather it represents an effort to 

streamline and improve what has been 

a more ‘ad hoc’ process for providing 

the same information. Form Number: 

CMS–10165 (OMB#: 0938–0965); 

Frequency: Occasionally; Affected 

Public: Business or other for-profits and 

not-for-profit institutions; Number of 

Respondents: 400; Total Annual 

Responses: 313; Total Annual Hours: 

52.3 (For policy questions regarding this 

collection contact Jody Blatt at 410– 

786–6921. For all other issues call 410– 

786–1326.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Detailed 

Explanation of Non-Coverage (42 CFR 

422.626(e)(1)), and Notice of Medicare 

Non-Coverage (42 CFR 422.624(b)(1)); 

Use: Under section 42 CFR 

422.624(b)(1), skilled nursing facilities 

(SNFs), home health agencies (HHAs), 

and comprehensive outpatient 

rehabilitation facilities (CORFs) must 

deliver to Medicare health plan 

enrollees a 2-day advance notice of 

termination of services. Per 

requirements at 42 CFR 422.626(e)(1), 

plans must deliver detailed notices to 

the Quality Improvement Organization 

(QIO) and enrollees whenever an 

enrollee appeals a termination of 

services. The Notice of Medicare NonCoverage (NOMNC) and the Detailed 

Explanation of Non-Coverage (DENC) 

fulfill these regulatory requirements. 

Additionally, 42 CFR 417.600(b) 

provides that cost plans must follow 

these same fast track appeal notification 

procedures for their enrollees in SNFs, 

HHAs and CORFs. Refer to the 

crosswalk document for a list of 

changes. Form Number: CMS–10095 

(OMB#: 0938–0910); Frequency: Yearly; 

Affected Public: Business or other forprofits and not-for-profit institutions; 

Number of Respondents: 25,655; Total 

Annual Responses: 100,785; Total 

Annual Hours: 45,353.25 (For policy 

questions regarding this collection 

contact Stephanie Simons at 206–615– 

2420. For all other issues call 410–786– 

1326.) 

3. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Notice of Denial 

of Medical Coverage (NDMC) and Notice 

of Denial of Payment (NDP)—42 CFR 

422.568; Use: Medicare health plans, 

including Medicare Advantage plans, 

cost plans, and Health Care Prepayment 

Plans (HCPPs), are required to issue the 

NDMC and NDP when a request for 

either a medical service or payment is 

denied in whole or in part. 

Additionally, the notices inform 

Medicare enrollees of their right to file 

an appeal. All Medicare health plans are 

required to use these standardized 

notices. Medicare health plans provide 

an NDMC to enrollees upon denial, in 

whole or in part, of an enrollee’s 

coverage request. This denial may be 

subject to a series of administrative 

review levels, involving defined steps 

and timeframes. The NDMC was 

developed to ensure Medicare enrollees 

have access to information needed to 

navigate the Medicare beneficiary 

appeals process. The NDMC meets 

requirements for both Medicare’s 

standard and expedited appeals 

processes. 

Medicare health plans provide an 

NDP to enrollees upon denial, in whole 

or in part, of payment for a service or 

item that the enrollee received. This 

denial may be subject to a series of 

administrative review levels, involving 

defined steps and timeframes. The NDP 

was developed to ensure Medicare 

enrollees have access to information 

needed to navigate the Medicare 

beneficiary appeals process. The NDP 

meets requirements for Medicare’s 

standard appeals process. Form 

Number: CMS–10003 (OMB#: 0938– 

0829); Frequency: Yearly; Affected 

Public: Business or other for-profits and 

not-for-profit institutions; Number of 

Respondents: 740; Total Annual 

Responses: 1,168,368; Total Annual 

Hours: 194,728 (For policy questions 

regarding this collection contact 

Stephanie Simons at 206–615–2420. 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 

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 June 29, 2010: 

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, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: April 23, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–10038 Filed 4–29–10; 8:45 am] 

BILLING CODE 4120–01–P 


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