63210 Federal Register / Vol. 78, No. 205 / Wednesday, October 23, 2013 / Notices 

4. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Request for 

Employment Information; Use: Section 

1837(i) of the Social Security Act 

provides for a special enrollment period 

for individuals who delay enrolling in 

Medicare Part B because they are 

covered by a group health plan based on 

their own or a spouse’s current 

employment status. Disabled 

individuals with Medicare may also 

delay enrollment because they have 

large group health plan coverage based 

on their own or a family member’s 

current employment status. When these 

individuals apply for Medicare Part B, 

they must provide proof that the group 

health plan coverage is (or was) based 

on current employment status. Form 

Number: CMS–L564 (OCN: 0938–0787); 

Frequency: Once; Affected Public: 

Private sector (Business or other forprofits and Not-for-profit institutions); 

Number of Respondents: 15,000; Total 

Annual Responses: 15,000; Total 

Annual Hours: 5,000. (For policy 

questions regarding this collection 

contact Lindsay Smith at 410–786– 

6843) 

5. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Healthcare 

Fraud Prevention Partnership (HFPP): 

Data Sharing and Information Exchange; 

Use: Section 1128C(a)(2) of the Social 

Security Act (42 U.S.C. § 1320a–7c(a)(2)) 

authorizes the Secretary and the 

Attorney General to consult with, and 

arrange for the sharing of data with 

representatives of health plans to 

establish a Fraud and Abuse Control 

Program as specified in Section 

1128(C)(a)(1) of the Social Security Act. 

This is known as the Healthcare Fraud 

Prevention Partnership (HFPP). It was 

officially established by a Charter in fall 

2012 and signed by HHS Secretary 

Sibelius and U.S. Attorney General 

Holder. The HFPP is a joint initiative 

established by the Department of Health 

and Human Services (HHS) and 

Department of Justice (DOJ) to detect 

and prevent the prevalence of 

healthcare fraud through data and 

information-sharing and applying 

analytic capabilities by the public and 

private sectors. The HFPP collaboration 

provides a unique opportunity to 

transition from traditional ‘‘pay and 

chase’’ approaches for fraud detection 

and recovery towards a data-driven 

model for identifying and predicting 

aberrant activity. A central goal of the 

HFPP is to identify the optimal way to 

coordinate nationwide sharing of health 

care claims information, including 

aggregating claims and payment 

information from large public healthcare 

programs and private insurance payers. 

In addition to sharing data and 

information, the HFPP is focused on 

advancing analytics, training, outreach, 

education to support anti-fraud efforts 

and achieving its objectives, primarily 

through goal-oriented, well-designed 

fraud studies. Form Number: CMS– 

10501 (OCN: 0938-New); Frequency: 

Occasionally; Affected Public: Private 

sector (Business or other for-profits); 

Number of Respondents: 75; Total 

Annual Responses: 75; Total Annual 

Hours: 180,000. (For policy questions 

regarding this collection contact 

Johnalyn Lyles at 410–786–8410.) 

Dated: October 18, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–24854 Filed 10–22–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–240] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

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 any of the 

following subjects: 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 22, 

2013. 

ADDRESSES: When commenting on the 

proposed information collections, 

please reference the document identifier 

or OMB control number. To be assured 

consideration, comments and 

recommendations must be received by 

the OMB desk officer via one of the 

following transmissions: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–6974 or Email: 

OIRA_submission@omb.eop.gov 

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: 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: Extension of a currently 

approved collection; Title of 

Information Collection: Prospective 

Payments for Hospital Outpatient 

Services and Supporting Regulations; 


emcdonald on DSK67QTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 205 / Wednesday, October 23, 2013 / Notices 63211 

Use: The Secretary is required to 

establish a prospective payment system 

(PPS) for hospital outpatient services. 

Successful implementation of an 

outpatient PPS (OPPS) requires that we 

distinguish facilities or organizations 

that function as departments of 

hospitals from those that are 

freestanding. In this regard, we will be 

able to determine: Which services 

should be paid under the OPPS, the 

clinical laboratory fee schedule, or other 

payment provisions applicable to 

services furnished to hospital 

outpatients. Information from 42 CFR 

413.65(b)(3) and (c) reports is needed to 

make these determinations. 

Additionally, hospitals and other 

providers are authorized to impose 

deductible and coinsurance charges for 

facility services, but it does not allow 

such charges by facilities or 

organizations which are not providerbased. This provision requires that we 

collect information from the required 

reports so it can determine which 

facilities are provider-based. Form 

Number: CMS–R–240 (OCN: 0938– 

0798); Frequency: Occasionally; 

Affected Public: Private sector (business 

or other for-profits and not-for-profit 

institutions); Number of Respondents: 

905; Total Annual Responses: 500,405; 

Total Annual Hours: 26,563. (For policy 

questions regarding this collection 

contact Daniel Schroder at 410–786– 

7452.) 

Dated: October 18, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–24851 Filed 10–22–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

Privacy Act of 1974; Report of an 

Altered CMS System of Records Notice 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), Department 

of Health and Human Services (HHS). 

ACTION: Altered System of Records 

Notice (SORN). 

SUMMARY: In accordance with the 

requirements of the Privacy Act of 1974 

(5 U.S.C. 552a), CMS proposes several 

alterations to the existing system of 

records titled, ‘‘Health Insurance 

Exchanges (HIX) Program’’ (No. 09–70– 

0560), published at 78 FR 8538 

(February 6, 2013) and amended and 

published at 78 FR 32256 (May 29, 

2013). The alterations affect the 

‘‘Purposes of the System’’, ‘‘Categories 

of Individuals Covered by the System’’, 

‘‘Categories of Records in the System’’, 

‘‘Authority for Maintenance of the 

System’’, ‘‘System Location’’, 

‘‘Retention and Disposal’’, ‘‘System 

Manager and Address’’, ‘‘Routine Uses 

of Records Maintained in the System’’, 

and ‘‘Record Source Categories’’ 

sections of the accompanying System of 

Records Notice, as more fully explained 

in the Supplementary Information 

section. 

DATES: The proposed modifications will 

be effective immediately, with 

exception of the new and revised 

Routine Uses which will be effective 30 

days after publication of this notice in 

the Federal Register unless comments 

received on or before that date result in 

revisions to this notice. 

ADDRESSES: The public should send 

comments to: CMS Privacy Officer, 

Division of Privacy Policy, Privacy 

Policy and Compliance Group, Office of 

E-Health Standards & Services, Office of 

Enterprise Management, CMS, Room 

S2–24–25, 7500 Security Boulevard, 

Baltimore, Maryland 21244–1850. 

Comments received will be available for 

review at this location, by appointment, 

during regular business hours, Monday 

through Friday from 9:00 a.m.–3:00 

p.m., Eastern Time zone. 

For Information on Health Insurance 

Exchanges Contact: Karen Mandelbaum, 

JD, MHA, Office of Health Insurance 

Exchanges, Exchange Policy and 

Operations Group, Center for Consumer 

Information and Insurance Oversight, 

7210 Ambassador Road, Baltimore, MD 

21244, Office Phone: (410) 786–1762, 

Facsimile: (301) 492–4353, Email: 

karen.mandelbaum@cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

I. Proposed Alterations 

By way of background, this system of 

records was established to be a global 

system of records to cover all data 

activities in support of the HIX Program 

at the Federal level. The Health 

Insurance Exchanges (HIX) Program is a 

new way to find health insurance 

coverage for people who do not 

currently have coverage or who want to 

find options for health insurance 

coverage. The HIX Program includes 

Federally-facilitated Exchanges (FFEs) 

operated by CMS, CMS support and 

services provided to all Exchanges and 

state agencies administering Medicaid 

programs, Children’s Health Insurance 

Programs (CHIPs) and Basic Health 

Programs (BHPs), and CMS 

administration of advance payments of 

the premium tax credit and cost-sharing 

reductions associated with enrollment 

in QHPs through an Exchange. The 

system stores personal, financial, 

employment and demographic 

information about individuals who 

participate in or are involved with the 

HIX Program. The proposed 

modifications to the system of records 

and the affected sections of the System 

of Records Notice are identified and 

described below. 

Use Limitations on Federal Tax Return 

Information 

CMS proposes to amend item No. 1 in 

the Categories of Records section to 

clarify that Federal tax return 

information may be used or disclosed 

only as authorized by 26 U.S.C. 6103. 

Discussion of Reporting 

CMS proposes to amend the Purpose 

of the System section to explicitly 

mention the oversight and reporting 

functions required by the Patient 

Protection and Affordable Care Act 

(PPACA) (Pub. L. 111–148) as amended 

by the Health Care and Education 

Reconciliation Act of 2010 (Pub. L. 111– 

152), collectively referred to as the 

Affordable Care Act. 

Individuals Providing Consumer 

Assistance 

CMS proposes to include, in the 

Purpose and Categories of Records 

sections, a description of the 

information resulting from registering, 

training and/or certifying individuals 

who will assist consumers, applicants 

and enrollees in states where an FFE 

and/or an FF–SHOP will operate. Such 

individuals include Navigators (as 

defined by 45 CFR155.210), nonNavigator Assistance Personnel (as 

allowed for under 45 CFR155.205; also 

known as In-Person Assisters), Certified 

application counselors (as defined by 45 

CFR155.225), Agents and Brokers, and 

any other individuals that are required 

to register with an Exchange prior to 

assisting qualified individuals, 

employees and employers to enroll in 

QHPs through the Exchange. Upon 

completing the registration form and 

successfully completing the training and 

testing program and certification 

process, CMS will certify these 

individuals to provide consumers, 

applicants, and enrollees with outreach, 

education, and assistance in obtaining 

access to health care coverage through 

an FFE or FF–SHOP. 

CMS proposes to amend Routine Use 

No. 2 to clarify that CMS may disclosure 

information about Navigators, nonNavigator Assistance Personnel, 

Certified application counselors, and 


emcdonald on DSK67QTVN1PROD with NOTICES