44970 Federal Register / Vol. 75, No. 146 / Friday, July 30, 2010 / Notices 

Agreement; Form No.: CMS–460 (OMB# 

0938–0373); Use: The CMS–460 is the 

agreement a physician, supplier or their 

authorized official signs to participate in 

Medicare Part B. By signing the 

agreement to participate in Medicare, 

the physician, supplier or their 

authorized official agrees to accept the 

Medicare-determined payment for 

Medicare covered services as payment 

in full and to charge the Medicare Part 

B beneficiary no more than the 

applicable deductible or coinsurance for 

the covered services. For purposes of 

this explanation, the term a supplier 

means any person or entity that may bill 

Medicare for Part B services (e.g. DME 

supplier, nurse practitioner, supplier of 

diagnostic tests) except a Medicare 

provider of services (e.g. hospital), 

which must participate to be paid by 

Medicare for covered care. 

There are additional benefits 

associated with payment for services 

paid under the Medicare fee schedule. 

Payments made under the Medicare fee 

schedule for physician services to 

participating physicians and suppliers 

are based on 100 percent of the 

Medicare fee schedule amount, while 

the Medicare fee schedule payment for 

physician services by nonparticipating 

physicians and suppliers is based on 95 

percent of the fee schedule amount. 

Physicians and suppliers who do not 

participate in Medicare are subject to 

limits on their actual charges for 

unassigned claims for physician 

services. These limits, known as 

limiting charges, cannot exceed 115 

percent of the non-participant fee 

schedule, which is set at 95 percent of 

the full fee schedule amount. In 

addition, if a physician or supplier does 

not accept assignment on a claim for 

Medicare payment, the physician or 

supplier must collect payment from the 

beneficiary. If the physician or supplier 

accepts assignment on the claim, 

Medicare pays its share of the payment 

directly to the physician or supplier, 

resulting in faster and more certain 

payment. Frequency: Reporting, Other— 

when starting a new business; Affected 

Public: Business or other for-profit; 

Number of Respondents: 8,000; Total 

Annual Responses: 8,000; Total Annual 

Hours: 2,000. (For policy questions 

regarding this collection contact April 

Billingsley at 410–786–0410. For all 

other issues call 410–786–1326.) 

3. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Survey to 

Inform the Children’s Health Insurance 

Program (CHIP) National Outreach & 

Education Campaign; Form No.: CMS– 

10318 (OMB# 0938–New); Use The 

Children’s Health Insurance Program 

Reauthorization Act of 2009 (CHIPRA or 

Pub. L. 111–3) reauthorized the 

Children’s Health Insurance Program 

(CHIP) through FY 2013. It will preserve 

coverage for the millions of children 

who rely on CHIP today and provide the 

resources for States to reach millions of 

additional uninsured children. This 

legislation will help ensure the health 

and well-being of our nation’s children. 

To support this legislation and to help 

people who would benefit from CHIP 

make more informed decisions, CMS 

will be conducting outreach. The 

outreach will employ numerous 

communications channels to educate 

people who would benefit from CHIP 

concerning the program benefits, 

eligibility and enrollment requirements, 

utilization, and retention. As part of the 

outreach, CMS will seek to increase 

awareness, enrollment and retention in 

CHIP for the eligible audiences. The 

primary target audience for the outreach 

includes parents and guardians of 

potentially eligible children as well as 

pregnant women. Secondary audiences 

are information intermediaries 

including State, local, and tribal 

governments, educators (including nonparental caregivers) health care 

providers/social workers, national and 

local partners. The challenge is reaching 

the population segments that have 

access barriers to information including 

language, literacy, location, and culture 

to understand health insurance. To 

support the outreach and education, 

CMS needs to conduct survey research 

to be able to effectively reach the target 

audiences. Frequency: Reporting—Once; 

Affected Public: Individuals or 

Households; Number of Respondents: 

1,850; Total Annual Responses: 1,850; 

Total Annual Hours: 2,000. (For policy 

questions regarding this collection 

contact Barbara Allen at 410–786–6716. 

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 August 30, 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: July 26, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–18610 Filed 7–29–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–244] 

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: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare and 

Medicaid Programs: Programs of AllInclusive Care for the Elderly (PACE); 

Use: PACE organizations must 

demonstrate their ability to provide 

quality community-based care for the 

frail elderly who meet their State’s 

nursing home eligibility standards using 

capitated payments from Medicare and 

the state. The model of care includes as 

core services the provision of adult day 

health care and multidisciplinary team 

case management, through which access 

to and allocation of all health services 

is controlled. Physician, therapeutic, 

ancillary, and social support services 

are provided in the participant’s 

residence or on-site at the adult day 

health center. PACE programs must 


srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 75, No. 146 / Friday, July 30, 2010 / Notices 44971 

provide all Medicare and Medicaid 

covered services including hospital, 

nursing home, home health, and other 

specialized services. Financing of this 

model is accomplished through 

prospective capitation of both Medicare 

and Medicaid payments. The 

information collection requirements are 

necessary to ensure that only 

appropriate organizations are selected to 

become PACE organizations and that 

CMS has the information necessary to 

monitor the care provided to the frail, 

vulnerable population served. Form 

Number: CMS–R–244 (OMB#: 0938– 

0790); Frequency: Once and 

Occasionally; Affected Public: State, 

Local, or Tribal Governments and Notfor-profit institutions; Number of 

Respondents: 99; Total Annual 

Responses: 99; Total Annual Hours: 

81,911.5. (For policy questions 

regarding this collection contact 

Daniella Stanley at 410–786–3723. 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 September 28, 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: July 26, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–18611 Filed 7–29–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–2480–NC] 

Medicaid Program; Request for 

Comments on Legislative Changes To 

Provide Quality of Care to Children 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice with Comments. 

SUMMARY: This notice requests 

comments from the public for our 

consideration in developing the 

Secretary’s recommendations for 

legislative changes to improve the 

quality of care provided to children 

under Medicaid and the Children’s 

Health Insurance Program, including 

recommendations for quality reporting 

by the States. The Children’s Health 

Insurance Program Reauthorization Act 

of 2009 (CHIPRA) requires the Secretary 

of Health and Human Services to 

provide to Congress recommendations 

for legislative changes to improve the 

quality of care provided to children 

under Medicaid and the Children’s 

Health Insurance Program. 

DATES: Comment Date: To be assured 

consideration, comments must be 

received at one of the addresses 

provided below, no later than 5 p.m. on 

August 30, 2010. 

ADDRESSES: In commenting, please refer 

to file code CMS–2480–NC. Because of 

staff and resource limitations, we cannot 

accept comments by facsimile (FAX) 

transmission. 

You may submit comments in one of 

four ways (please choose only one of the 

ways listed): 

1. Electronically. You may submit 

electronic comments on this regulation 

to http://www.regulations.gov. Follow 

the instructions under the ‘‘More Search 

Options’’ tab. 

2. By regular mail. You may mail 

written comments to the following 

address ONLY: Centers for Medicare & 

Medicaid Services, Department of 

Health and Human Services, Attention: 

CMS–2480–NC, P.O. Box 8010, 

Baltimore, MD 21244–1850. 

Please allow sufficient time for mailed 

comments to be received before the 

close of the comment period. 

3. By express or overnight mail. You 

may send written comments to the 

following address only: Centers for 

Medicare & Medicaid Services, 

Department of Health and Human 

Services, Attention: CMS–2480–NC, 

Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

[Note: This zip code for express mail or 

courier delivery only. This zip code 

specifies the agency’s physical location.] 

4. By hand or courier. If you prefer, 

you may deliver (by hand or courier) 

your written comments before the close 

of the comment period to either of the 

following addresses: a. For delivery in 

Washington, DC—Centers for Medicare 

& Medicaid Services, Department of 

Health and Human Services, Room 445– 

G, Hubert H. Humphrey Building, 200 

Independence Avenue, SW., 

Washington, DC 20201. 

(Because access to the interior of the Hubert 

H. Humphrey Building is not readily 

available to persons without Federal 

government identification, commenters are 

encouraged to leave their comments in the 

CMS drop slots located in the main lobby of 

the building. A stamp-in clock is available for 

persons wishing to retain a proof of filing by 

stamping in and retaining an extra copy of 

the comments being filed.) 

b. For delivery in Baltimore, MD— 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

[Note: This zip code for express mail or 

courier delivery only. This zip code 

specifies the agency’s physical location.] 

If you intend to deliver your 

comments to the Baltimore address, 

please call telephone number (410) 786– 

7195 in advance to schedule your 

arrival with one of our staff members. 

Comments mailed to the addresses 

indicated as appropriate for hand or 

courier delivery may be delayed and 

received after the comment period. 

For information on viewing public 

comments, see the beginning of the 

SUPPLEMENTARY INFORMATION section. 

FOR FURTHER INFORMATION CONTACT: 

Charles K. MacKay (410) 786–2106. 

SUPPLEMENTARY INFORMATION: Inspection 

of Public Comments: All comments 

received before the close of the 

comment period are available for 

viewing by the public, including any 

personally identifiable or confidential 

business information that is included in 

a comment. We post all comments 

received before the close of the 

comment period on the following Web 

site as soon as possible after they have 

been received: http:// 

www.regulations.gov. Follow the search 

instructions on that Web site to view 

public comments. 

Comments received timely will also 

be available for public inspection as 

they are received, generally beginning 

approximately 3 weeks after publication 

of a document, at the headquarters of 

the Centers for Medicare & Medicaid 


srobinson on DSKHWCL6B1PROD with NOTICES