75816 Federal Register / Vol. 79, No. 244 / Friday, December 19, 2014 / Notices 

number 0938–0763); Frequency: Yearly; 

Affected Public: Private sector— 

Business or other for-profits and Notfor-profit institutions; Number of 

Respondents: 598; Total Annual 

Responses: 5,872; Total Annual Hours: 

56,411. (For policy questions regarding 

this collection contact Kristy Holtje at 

410–786–2209). 

Dated: December 16, 2014. 

Martique Jones, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2014–29739 Filed 12–18–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10241, CMS– 

R–305 and CMS–224–14] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

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 

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. 

DATES: Comments must be received by 

February 17, 2015. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number (OCN). 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 ll, 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, you may make your request 

using one of following: 

1. Access CMS’ Web site address at 

http://www.cms.hhs.gov/

PaperworkReductionActof1995. 

2. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

3. Call the Reports Clearance Office at 

(410) 786–1326. 

FOR FURTHER INFORMATION CONTACT: 

Reports Clearance Office at (410) 786– 

1326. 

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–10241 Survey of Retail Prices: 

Payment and Utilization Rates, and 

Performance Rankings 

CMS–R–305 External Quality Review 

(EQR) of Medicaid Managed Care 

Organizations (MCOs) and Supporting 

Regulations 

CMS–224–14 Federally Qualified 

Health Center Cost Report Form 

Under the Paperwork Reduction Act 

(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: Extension of a currently 

approved collection; Title of 

Information Collection: Survey of Retail 

Prices: Payment and Utilization Rates, 

and Performance Rankings; Use: This 

study is divided into two parts. Part I 

focuses on the retail community 

pharmacy consumer prices. It also 

includes reporting by the states of 

payment and utilization rates for the 50 

most widely prescribed drugs, and 

comparing state drug payment rates 

with the national retail survey prices. 

(Effective July 1, 2013, CMS has 

suspended Part I of the survey, pending 

funding decisions.) Part II focuses on 

the retail community pharmacy 

ingredient costs. This segment surveys 

the average acquisition costs of all 

covered outpatient drugs purchased by 

retail community pharmacies. The 

prices will be updated on at least a 

monthly basis. Form Number: CMS– 

10241 (OMB control number 0938– 

1041); Frequency: Yearly and 

Occasionally; Affected Public: Private 

sector—Business or other for-profits and 

State, Local, or Tribal Governments; 

Number of Respondents: 30,051; Total 

Annual Responses: 30,051; Total 

Annual Hours: 15,765. (For policy 

questions regarding this collection 

contact: Lisa Ferrandi at 410–786–5445). 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: External Quality 

Review (EQR) of Medicaid Managed 

Care Organizations (MCOs) and 

Supporting Regulations; Use: State 

agencies must provide to the EQR 

organization (EQRO) information 

obtained through methods consistent 

with the protocols specified by CMS. 

This information is used by the EQRO 

to determine the quality of care 

furnished by an MCO. Since the EQR 

results are made available to the general 

public, this allows Medicaid/CHIP 

enrollees and potential enrollees to 

make informed choices regarding the 

selection of their providers. It also 

allows advocacy organizations, 

researchers, and other interested parties 

access to information on the quality of 

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Federal Register / Vol. 79, No. 244 / Friday, December 19, 2014 / Notices 75817 

care provided to Medicaid beneficiaries 

enrolled in Medicaid/CHIP MCOs. 

States use the information during their 

oversight of these organizations. Form 

Number: CMS–R–305 (OMB control 

number 0938–0786); Frequency: Yearly; 

Affected Public: State, Local, or Tribal 

Governments; Number of Respondents: 

43; Total Annual Responses: 76; Total 

Annual Hours: 451,288. (For policy 

questions regarding this collection 

contact Barbara Dailey at 410–786– 

9012). 

3. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Federally 

Qualified Health Center Cost Report 

Form; Use: Providers of services 

participating in the Medicare program 

are required under sections 1815(a) and 

1861(v)(1)(A) of the Act (42 U.S.C. 

1395g) to submit annual information to 

achieve settlement of costs for health 

care services rendered to Medicare 

beneficiaries. In addition, regulations at 

42 CFR 413.20 and 413.24 require 

adequate cost data and cost reports from 

providers on an annual basis. The form 

CMS–224–14 cost report is needed to 

determine a provider’s reasonable costs 

incurred in furnishing medical services 

to Medicare beneficiaries and 

reimbursement due to or from a 

provider. Form Number: CMS–224–14 

(OMB control number 0938-New); 

Frequency: Yearly; Affected Public: 

Private sector—For-profit and Not-forprofit institutions; Number of 

Respondents: 1,296; Total Annual 

Responses: 1,296; Total Annual Hours: 

75,168. (For policy questions regarding 

this collection contact Julie Stankivic at 

410–786–5725). 

Dated: December 16, 2014. 

Martique Jones, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2014–29741 Filed 12–18–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare &Medicaid 

Services 

[CMS–3307–PN] 

Medicare and Medicaid Programs: 

Application from the Joint Commission 

for Continued CMS-Approval of its 

Hospice Accreditation Program 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

ACTION: Proposed Notice. 

SUMMARY: This proposed notice with 

comment period acknowledges the 

receipt of an application from the Joint 

Commission for continued recognition 

as a national accrediting organization 

for hospices that wish to participate in 

the Medicare or Medicaid programs. A 

hospice that participates in Medicaid 

must also meet the Medicare conditions 

for participation as required under 42 

CFR 488.6(b). The statute requires that 

within 60 days of receipt of an 

organization’s complete application, we 

publish a notice that identifies the 

national accrediting body making the 

request, describes the nature of the 

request, and provides at least a 30-day 

public comment period. 

DATES: To be assured consideration, 

comments must be received at one of 

the addresses provided below, no later 

than 5 p.m. on January 19, 2015. 

ADDRESSES: In commenting, please refer 

to file code CMS–3307–PN. Because of 

staff and resource limitations, we cannot 

accept comments by facsimile (FAX) 

transmission. 

You may submit comments in one of 

four ways: 

1. Electronically. You may submit 

electronic comments on specific issues 

in this regulation to http://

www.regulations.gov. Follow the 

‘‘submit a comment’’ instructions. 

2. By regular mail. You may mail 

written comments (one original and two 

copies) to the following address ONLY: 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, Attention: CMS–3307– 

PN, P.O. Box 8010, Baltimore, MD 

21244–8010. 

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 (one 

original and two copies) to the following 

address only: 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, Attention: CMS–3307– 

PN, Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

4. By hand or courier. Alternatively, 

you may deliver (by hand or courier) 

your written comments to the following 

addresses: 

a. For delivery in Washington, DCCenters for Medicare & Medicaid 

Services, Room 445–G, Hubert H. 

Humphrey Building, 200 Independence 

Avenue SW., Washington, DC 20201 

(Because access to the interior of the 

HHS 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.) 

Comments mailed to the addresses 

indicated as appropriate for hand or 

courier delivery may be delayed and 

received after the comment period. 

b. For delivery in Baltimore, MD— 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, 7500 Security 

Boulevard, Baltimore, MD 21244 

If you intend to deliver your 

comments to the Baltimore address, call 

telephone number (410) 786–9994 in 

advance to schedule your arrival with 

one of our staff members. 

For information on viewing public 

comments, see the beginning of the 

SUPPLEMENTARY INFORMATION section. 

FOR FURTHER INFORMATION CONTACT: 

Lillian Williams, (410) 786–8636 

Cindy Melanson, (410) 786–0310 

Patricia Chmielewski, (410) 786–6899 

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 

Services, 7500 Security Boulevard, 

Baltimore, Maryland 21244, Monday 

through Friday of each week from 8:30 

a.m. to 4 p.m. To schedule an 

appointment to view public comments, 

phone 1–800–743–3951. 

I. Background 

Under the Medicare program, eligible 

beneficiaries may receive covered 

services in a hospice provided certain 

requirements are met by the hospice. 

Sections 1861(dd) of the Social Security 

Act (the Act) establish distinct criteria 

for facilities seeking designation as a 

hospice. Regulations concerning 

provider agreements are at 42 CFR part 

489 and those pertaining to activities 

relating to the survey and certification 

of facilities are at 42 CFR part 488. The 

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