Federal Register / Vol. 77, No. 142 / Tuesday, July 24, 2012 / Notices 43289 

1CMS determines annually which Medicare Part 

C and Part D measures are included in the data 

validation program. 

contact Kim McPhillips at 410–786– 

5374. 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 23, 2012. 

OMB, Office of Information and 

Regulatory Affairs, 

Attention: CMS Desk Officer, 

Fax Number: (202) 395–6974, 

Email: OIRA_submission@omb.eop.gov. 

Dated: July 18, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–17924 Filed 7–23–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10305] 

Agency Information Collection 

Activities: Proposed Collection; 

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) 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: Medicare 

Part C and Part D Data Validation (42 

CFR 422.516g and 423.514g); Use: The 

Centers for Medicare and Medicaid 

Services (CMS) established reporting 

requirements for Medicare Part C and 

Part D sponsoring organizations 

(Medicare Advantage Organizations 

[MAOs], Cost Plans, and Medicare Part 

D sponsors) under the authority 

described in 42 CFR 422.516(a) and 

423.514(a), respectively. Under these 

reporting requirements, each sponsoring 

organization must submit Medicare Part 

C, Medicare Part D, or Medicare Part C 

and Part D data (depending on the type 

of contracts they have in place with 

CMS). In order for the reported data to 

be useful for monitoring and 

performance measurement, it must be 

reliable, valid, complete, and 

comparable among sponsoring 

organizations. In 2009, CMS developed 

the data validation program as a 

mechanism to verify the data reported 

are accurate, valid, and reliable. To 

maintain the independence of the 

validation process, sponsoring 

organizations do not use their own staff 

to conduct the data validation. Instead, 

sponsoring organizations are 

responsible for hiring external, 

independent data validation contractors 

(DVCs) who meet a minimum set of 

qualifications and credentials. 

CMS developed standards and data 

validation criteria for specific Medicare 

Part C and Part D reporting 

requirements that the DVCs use in 

validating the sponsoring organizations’ 

data.1 These standards and criteria are 

described in Appendix 1 ‘‘Data 

Validation Standards.’’ The data 

validation standards for each measure 

include standard instructions relating to 

the types of information that should be 

reviewed, and measure-specific criteria 

(MSC) that are aligned with the 

‘‘Medicare Part C and Part D Reporting 

Requirement Technical Specifications.’’ 

Furthermore, the standards and criteria 

describe how the DVCs should validate 

the sponsoring organizations’ 

compilations of reported data, taking 

into account appropriate data 

exclusions, and verifying calculations, 

source code, and algorithms. The data 

validation reviews are conducted at the 

contract level given that the Medicare 

Part C and Part D data are generally 

available at the contract level and the 

contract is the basis of any legal and 

accountability issues concerning the 

rendering of services. 

The review is conducted over a threemonth period following the final 

submission of data by the sponsoring 

organizations. In addition to the ’’Data 

Validation Standards’’ described in 

Appendix 1, the DVCs employ a set of 

information collection tools when 

performing their reviews, which are 

included in the appendices described 

below: 

Appendix 2: Organizational Assessment 

Instrument 

Appendix 3: Data Extraction and 

Sampling Instructions 

Appendix 4: Instructions for the 

Findings Data Collection Form 

Appendix 5: Findings Data Collection 

Form (FDCF) 

Data collected via ‘‘Medicare Part C 

and Part D Reporting Requirements’’ is 

an integral resource for oversight, 

monitoring, compliance and auditing 

activities necessary to ensure quality 

provision of the Medicare benefits to 

beneficiaries. CMS uses the data 

collected through the Medicare data 

validation program to substantiate the 

data collected via Medicare Part C and 

Part D Reporting Requirements. If CMS 

detects data anomalies, the CMS 

division with primary responsibility for 

the applicable reporting requirement 

assists with determining a resolution. 

The hour burden on industry is 

estimated at 179,301 total hours, or 879 

hours for one contract within one 

organization reporting both Part C and 

Part D measures. The validation would 

require 378 hours from the sponsoring 

organization and 501 from the data 

validation contractors. The estimates are 

based on the total number of Part C and/ 

or Part D measures, the average number 

of sponsors, and the average number of 

contracts by type (Part C, Part D, Part C/ 

D) being validated as well as a level of 

effort associated with the individual 

activities associated with the data 

validation process. Form Number: 

CMS–10305 (OCN: 0938–1115); 

Frequency: Reporting—Annually; 

Affected Public: Private sector— 

Business or other for-profits; Number of 

Respondents: 135; Total Annual 

Responses: 657; Total Annual Hours: 

179,301. (For policy questions regarding 

this collection contact Terry Lied at 

410–786–8973. 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/ 


sroberts on DSK5SPTVN1PROD with NOTICES
43290 Federal Register / Vol. 77, No. 142 / Tuesday, July 24, 2012 / Notices 

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 24, 2012: 

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 18, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–17926 Filed 7–23–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–2383–N] 

RIN 0938–AR45 

Children’s Health Insurance Program 

(CHIP); Final Allotments to States, the 

District of Columbia, and U.S. 

Territories and Commonwealths for 

Fiscal Year 2012 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice sets forth the final 

allotments of Federal funding available 

to each State, the District of Columbia, 

and each U.S. Territory and 

Commonwealth for fiscal year 2012 

(with the qualification that potential 

increases in such allotments may be 

available for certain States). Title XXI of 

the Social Security Act (the Act) 

authorizes payment of Federal matching 

funds to States, the District of Columbia, 

and the U.S. Territories and 

Commonwealths to initiate and expand 

health insurance coverage to uninsured, 

low-income children under the 

Children’s Health Insurance Program 

(CHIP). The fiscal year allotments 

contained in this notice were 

determined in accordance with the 

funding provisions and final regulations 

published in the February 17, 2011 

Federal Register. 

DATES: This notice is effective on 

August 23, 2012. Final allotments may 

be available for expenditure by States 

beginning with October 1, 2011. 

FOR FURTHER INFORMATION CONTACT: 

Richard Strauss, (410) 786–2019. 

SUPPLEMENTARY INFORMATION: 

I. Purpose of This Notice 

This notice sets forth the allotments 

available to each State, the District of 

Columbia, and each U.S. Territory and 

Commonwealth for fiscal year (FY) 2012 

under title XXI of the Social Security 

Act (the Act). States may implement 

Children’s Health Insurance Program 

(CHIP) through a separate State program 

under title XXI of the Act, an expansion 

of a State Medicaid program under title 

XIX of the Act, or a combination of both. 

CHIP allotments for FY 2009 and 

subsequent fiscal years are available to 

match expenditures under an approved 

State child health plan for 2 fiscal years, 

including the year for which the 

allotments were provided. As specified 

by the Act, the allotments are available 

to States for FY 2012, and the 

unexpended amounts of such allotments 

for a State may be carried over to FY 

2013 for use by the State. Federal funds 

appropriated for title XXI of the Act are 

limited, and the law specifies a 

methodology to divide the total fiscal 

year appropriation into individual 

allotments available for each State, the 

District of Columbia, and each U.S. 

Territory and Commonwealth with an 

approved child health plan. 

Section 2104(b) of the Act requires 

States, the District of Columbia, and 

U.S. Territories and Commonwealths to 

have an approved child health plan for 

the fiscal year in order for the Secretary 

to provide an allotment for that fiscal 

year. All States, the District of 

Columbia, and U.S. Territories and 

Commonwealths have approved plans 

for FY 2012. Therefore, the FY 2012 

allotments contained in this notice 

pertain to all States, the District of 

Columbia, and U.S. Territories and 

Commonwealths. 

In general, funding is appropriated 

under section 2104(a) of the Act for 

purposes of providing allotments to 

States under CHIP for each fiscal year. 

However, title XXI of the Act as 

amended by section 10203(d)(1) of the 

Patient Protection and Affordable Care 

Act of 2010 (Pub. L. 111–148, enacted 

on March 23, 2010) (the Affordable Care 

Act) appropriates funding for CHIP 

fiscal year allotments through FY 2015. 

II. Methodology for Determining CHIP 

Fiscal Year Allotments for the 50 

States, the District of Columbia, and the 

U.S. Territories and Commonwealths 

A. Funding Authority for the CHIP 

Fiscal Year Allotments 

Section 2104(a)(1) through (18) of the 

Act appropriates Federal funds for 

providing States’ allotments for FYs 

2009 through 2015. In particular, the 

appropriated amounts available for 

allotments for FYs 2009 through 2015, 

are as follows: $10,562,000,000 for FY 

2009; 12,520,000,000 for FY 2010; 

$13,459,000,000 for FY 2011; 

$14,982,000,000 for FY 2012; 

$17,406,000,000 for FY 2013, 

$19,147,000,000 for FY 2014, and 

$2,850,000,000 for each of the first and 

second half of FY 2015. Also, section 

108 of the Children’s Health Insurance 

Program Reauthorization Act of 2009 

(Pub. L. 111–3, enacted on February 4, 

2009) (CHIPRA), as amended by section 

10203(d) of the Affordable Care Act, 

provides for a one-time appropriation of 

$15,361,000,000 for allotments for the 

first half of FY 2015. Therefore, the total 

appropriation for providing allotments 

during FY 2015 is $21,061,000,000 

(determined as the sum of 

$2,850,000,000, $15,361,000,000, and 

$2,850,000,000). 

B. Methodology For Determining State’s 

Fiscal Year Allotments 

1. General 

Section 2104(m) of the Act sets forth 

the methodology for determining States’ 

CHIP allotments for each of FYs 2009 

through 2015. In general, the States’ 

fiscal year allotments are provided from 

the appropriation for the respective 

fiscal year allotment, subject to a 

proration adjustment described in 

section II.B.7. of this notice. 

2. FY 2009 Through FY 2011 Allotments 

On February 17, 2011 we published a 

final rule in the Federal Register (76 FR 

9233), that set forth the methodologies 

and procedures to determine the fiscal 

year allotments of Federal funds under 

title XXI of the Act. In particular, the 

methodologies for determining the CHIP 

allotments for fiscal year FY 2009 

through FY 2011 were contained in the 

final regulations published in that 

Federal Register publication. 


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