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[Federal Register Volume 78, Number 81 (Friday, April 26, 2013)]
[Notices]
[Pages 24752-24754]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-09913]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers CMS-685, CMS-10436, CMS-10452, CMS-10180 and CMS-
R-199]

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

[[Page 24753]]

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 previously 
approved collection; Title of Information Collection: End Stage Renal 
Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting 
Regulations in 42 CFR section 405.2110 and 42 CFR 405.2112; Use: 
Section 1881(c) of the Social Security Act establishes End Stage Renal 
Disease (ESRD) Network contracts. The regulations found at 42 CFR 
405.2110 and 405.2112 designated 18 ESRD Networks which are funded by 
renewable contracts. These contracts are on 3-year cycles. To better 
administer the program, CMS is requiring contractors to submit semi-
annual cost reports. The purpose of the cost reports is to enable the 
ESRD Networks to report costs in a standardized manner. This will allow 
CMS to review, compare and project ESRD Network costs during the life 
of the contract. Since the last collection, the survey instrument has 
been revised. The burden has not changed. Form Number: CMS-685 
(OMB: 0938-0657); Frequency: Reporting--Semi-annually; 
Affected Public: Not-for-profit institutions; Number of Respondents: 
18; Total Annual Responses: 36; Total Annual Hours: 108. (For policy 
questions regarding this collection contact Benjamin Bernstein at 410-
786-6570. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Evaluation of the Multi-Payer Advanced Primary 
Care Practice Demonstration; Use: On September 16, 2009, the Department 
of Health and Human Services announced the establishment of the Multi-
Payer Advanced Primary Care Practice (MAPCP) Demonstration, under which 
Medicare joined Medicaid and private insurers as a payer participant in 
state-sponsored initiatives to promote the principles that characterize 
advanced primary care, often referred to as the ``patient-centered 
medical home'' (PCMH). The CMS selected eight states to participate in 
this demonstration: Maine, Vermont, Rhode Island, New York, 
Pennsylvania, North Carolina, Michigan, and Minnesota. These states 
vary on a number of important dimensions, such as features of their 
public (Medicaid) and private insurance markets, delivery system, prior 
experience with medical home initiatives, and nature of their state-
sponsored multi-payer initiative.
    CMS is conducting an evaluation of the demonstration to assess the 
effects of advanced primary care practice when supported by Medicare, 
Medicaid, and private health plans. As part of this evaluation, 
qualitative and quantitative data will be collected and analyzed to 
answer research questions focused on: (1) State initiative features and 
implementation, including various payment models; (2) practice 
characteristics, particularly medical home transformation; and (3) 
outcomes, including access to and coordination of care, clinical 
quality of care and patient safety, beneficiary experience with care, 
patterns of utilization, Medicare and Medicaid expenditures, and budget 
neutrality.
    Subsequent to the publication of the 60-day Federal Register notice 
(May 31, 2012; 77 FR 32118), the interview protocols have been revised 
by adding, revising and/or deleting questions. Also, there have been 
protocols added to the information collection request. Form Number: 
CMS-10436 (OCN: 0938-New); Frequency: Yearly; Affected Public: 
Individuals and households; Number of Respondents: 472; Total Annual 
Responses: 472; Total Annual Hours: 478 (For policy questions regarding 
this collection contact Suzanne Goodwin at 410-786-0226. For all other 
issues call 410-786-1326.)
    3. Type of Information Collection Request: New collection; Title of 
Information Collection: CMS Enterprise Identity Management System; Use: 
The Enterprise Identity Management (EIDM) solution will provide an 
enterprise-wide solution that will also support CMS' senior management 
goal to improve the Provider and Health Information Exchange experience 
by providing an enterprise-wide set of credentials and single sign-on 
capability for multiple CMS applications. In order to prove the 
identity of an individual requesting electronic access to CMS protected 
information or services, CMS will collect a core set of attributes 
about that individual. These core attributes will be used to:
    1. Provide the identity proofing service sufficient data to 
establish that the individual's identity is provable to a NIST 
assurance level;
    2. Store the approval information returned by the identity proofing 
service;
    3. Provide CMS with additional data for multi-factor identification 
(personal questions and answers);
    4. Provide the user a single sign-on, federated CMS EIDM ID and 
Password;
    5. Authenticate the user; and
    6. Authorize the user for application access.

The information collected will be gathered and used solely by CMS and 
approved contractor(s) and state health insurance exchanges. 
Information confidentiality will conform to HIPAA and FISMA 
requirements. Respondents may also access CMS Terms of Service and CMS 
Privacy Statement on the Web. Form Numbers: CMS-10452 (OCN: 0938-New); 
Frequency: Reporting--On occasion; Affected Public: Individuals and 
households; Number of Annual Respondents: 26,000,000; Total Annual 
Responses: 26,000,000; Total Annual Hours: 8,666,667. (For policy 
questions regarding this collection contact Robert Burger at 410-786-
2125. For all other issues call 410-786-1326.)
    4. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Children's Health Insurance Program (CHIP) Report on 
Payables and Receivables; Use: Collection of Children's Health 
Insurance Program (CHIP) data and the calculation of the CHIP Incurred 
But Not Reported (IBNR) estimate are pertinent to CMS' financial audit. 
The Chief Financial Officer auditors have reported the lack of an 
estimate for CHIP IBNR payables and receivables as a reportable 
condition in the FY 2005 audit of CMS's financial statements. It is 
essential that CMS collect the necessary data from State agencies in FY 
2006, so that CMS continues to receive an unqualified audit opinion on 
its financial statements. Program expenditures for the CHIP have 
increased since its inception; as such, CHIP receivables and payables 
may materially impact the financial statements. The CHIP Report on 
Payables and Receivables will provide the information needed to 
calculate the CHIP IBNR; Form Number: CMS-10180 (OCN: 0938-0988); 
Frequency: Reporting--Annually; Affected Public: State, Local or Tribal 
governments; Number of Respondents: 56; Total Annual Responses: 56; 
Total Annual Hours: 392. (For policy questions regarding this 
collection contact Michele Myers at 410-786-7911. For all other issues 
call 410-786-1326.)

[[Page 24754]]

    5. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Medicaid Report on Payables and Receivables; Use: The Chief 
Financial Officers (CFO) Act of 1990, as amended by the Government 
Management Reform Act (GMRA) of 1994, requires government agencies to 
produce auditable financial statements. Because the Centers for 
Medicare & Medicaid Services (CMS) fulfills its mission through its 
contractors and the States; these entities are the primary source of 
information for the financial statements. There are three basic 
categories of data: Expenses, payables, and receivables. The CMS-64 is 
used to collect data on Medicaid expenses. The CMS-R-199 collects 
Medicaid payable and receivable accounting data from the States. Form 
Number: CMS-R-199 (OCN: 0938-0697); Frequency: Reporting--Annually; 
Affected Public: State, Local or Tribal governments; Number of 
Respondents: 56; Total Annual Responses: 56; Total Annual Hours: 336. 
(For policy questions regarding this collection contact Michele Myers 
at 410-786-7911. 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 May 28, 2013. 
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, Email: OIRA_submission@omb.eop.gov.

    Dated: April 23, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-09913 Filed 4-25-13; 8:45 am]
BILLING CODE 4120-01-P
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