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[Federal Register Volume 76, Number 117 (Friday, June 17, 2011)]
[Notices]
[Pages 35446-35447]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-15071]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-1856 and CMS-1893, CMS-10381 and CMS-10342]

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 
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: Extension of a currently 
approved collection; Title of Information Collection: (CMS-1856) 
Request for Certification in the Medicare and/or Medicaid Program to 
Provide Outpatient Physical Therapy and/or Speech Pathology Services, 
and (CMS-1893) Outpatient Physical Therapy--Speech Pathology Survey 
Report; Use: CMS-1856 is used as an application to be completed by 
providers of outpatient physical therapy and/or speech-language 
pathology services requesting participation in the Medicare and 
Medicaid programs. This form initiates the process for obtaining a 
decision as to whether the conditions of participation are met as a 
provider of outpatient physical therapy and/or speech-language 
pathology services. It is used by the State agencies to enter new 
provider into the Automated Survey Process Environment (ASPEN). CMS-
1893 is used by the State survey agency to record data collected during 
an on-site survey of a provider of outpatient physical therapy and/or 
speech-language pathology services, to determine compliance with the 
applicable conditions of participation, and to report this information 
to the Federal government. The form is primarily a coding worksheet 
designed to facilitate data reduction and retrieval into the ASPEN 
system. The information needed to make certification decisions is 
available to CMS only through the use of information abstracted from 
the form; Form Numbers: CMS-1856 and CMS-1893 (OMB: 0938-
0065); Frequency: Annually, occasionally; Affected Public: Private 
Sector; Business or other for-profit and not-for-profit institutions; 
Number of Respondents: 2,968; Total Annual Responses: 495; Total Annual 
Hours: 866. (For policy questions regarding this collection contact 
Georgia Johnson at 410-786-6859. For all other issues call 410-786-
1326.)
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Version 5010/ICD-10 Industry Readiness 
Assessment, Use: The Health Insurance Portability and Accountability 
Act of 1996 (HIPAA) requires the Secretary of HHS to adopt transaction 
standards that covered entities are required to use when electronically 
conducting certain health care administrative transactions, such as 
claims, remittance, eligibility and claims status requests and 
responses. Accordingly, on January 16, 2009, HHS published final rules 
adopting by regulation two sets of standards for HIPAA transactions: 
Version 5010 standards for eight types of electronic health care 
transactions (claims, eligibility inquiries, remittance advices, etc.) 
and ICD-10 code set standards. The final rules set compliance dates of 
January 1, 2012 for Version 5010 standards and October 1, 2013 for ICD-
10 standards. HIPAA transactions not meeting the standards by those 
dates will be rejected. The final rules also outlined interim 
milestones that organizations should meet in order to achieve 
compliance by the required dates. For Version 5010, these interim 
milestones include completing internal testing and being able to send 
and receive compliant transactions by December 2010, commencing 
external testing with trading partners by January 2011, and completing 
that testing and moving into production by the compliance date of 
January 1, 2012.

[[Page 35447]]

Entities cannot implement ICD-10 standards until they are in compliance 
with Version 5010; the interim milestone for ICD-10 is to begin 
compliance activities (gap analysis, design, development, internal 
testing) by January 2011.
    CMS has developed an education and communication campaign to 
support the adoption of and transition to Version 5010 and ICD-10. The 
education and communication activities will be targeted towards the 
millions of professionals across the health care industry who must take 
steps to prepare for the implementation of the new codes and 
transaction standards. CMS is requesting Office of Management and 
Budget (OMB) approval to conduct survey research to monitor the health 
care industry's awareness of, and preparation for, the transition to 
Version 5010 and ICD-10. The aggregated data obtained through the 
survey will help inform CMS outreach and education efforts to help 
affected entities (health care providers, health plans, clearinghouses, 
and then vendors who service them) meet interim milestones and achieve 
timely compliance so that they can continue to process HIPAA 
transactions without interruption.
    CMS has contracted to conduct a tracking survey of populations 
charged with implementing Version 5010 and ICD-10 electronic 
transaction processing, specifically payers (health insurance plans and 
managed care organizations), providers (hospitals and primary care 
providers), and vendors (software providers, third-party billers and 
clearinghouses). A self-administered web-based survey will be the data 
collection. The data collection field period is expected to be four 
weeks in Summer 2011. Form Number: CMS-10381 (OMB: 0938-NEW); 
Frequency: Once; Affected Public: Business or other for-profits and 
Not-for-profit institutions; Number of Respondents: 600; Total Annual 
Responses: 600; Total Annual Hours: 150. (For policy questions 
regarding this collection contact Rosali Topper at 410-786-7260. For 
all other issues call 410-786-1326.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Annual Limits 
Waiver Online Application Form; Use: Under section 2711(a)(2) of the 
Public Health Service Act, as amended by the Affordable Care Act 
section 1302(b), The Secretary of Health and Human Services is required 
to impose restrictions on the dollar value of essential benefits 
provided by new or existing group health plans or individual policies 
in the market between September 23, 2010 and January 1, 2014. The 
interim final regulations published June 28, 2010 (45 CFR 147.126) give 
the Secretary the authority to waive these restricted annual limits if 
compliance would result in a significant increase in premium or 
significant decrease in access to benefits for those already covered. 
CMS is in the process of evaluating applications for waivers of annual 
limits and seeks to publish an updated Microsoft Excel spreadsheet to 
standardize and simplify the data collection process. Applicants must 
fill out (1) spreadsheet per application. The spreadsheet is a 
mandatory component of each waiver application necessary to fulfill the 
statutory requirements under section 2711(a)(2) of the Public Health 
Service Act. The information collected includes applicant contact 
information; information about the annual limit(s) on the overall plan 
or policy and on essential health benefits (as defined by the 
Affordable Care Act section 1302(b)); information about plan design 
such as copayment, coinsurance, and deductibles; financial projections 
by enrollee tier; and a description of how a significant decrease in 
access to benefits would result from compliance with section 2711(a)(2) 
of the Affordable Care Act. This information is required to accurately 
and objectively assess whether compliance with the restricted annual 
limits would result in the aforementioned significant increase in 
premium or significant decrease in access to benefits, on which the 
grant of a waiver is conditioned in the interim final regulations. The 
updated spreadsheet contains a more detailed description of what values 
should be entered into each cell. This description should save 
applicants time when completing the spreadsheet initially, and it 
should lessen the need for applicants to go back and correct mistakes 
after submission. Form Number: CMS-10342 (OCN: 0938-1105); Frequency: 
Annually; Affected Public: Private Sector; Number of Respondents: 
4,872; Number of Responses: 4,608,372; Total Annual Hours: 178,183. 
(For policy questions regarding this collection, contact Erika 
Kottenmeier at (301) 492-4170. 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 
E-mail 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 July 18, 2011.
    OMB, Office of Information and Regulatory Affairs, Attention: CMS 
Desk Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.

    Dated: June 14, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-15071 Filed 6-16-11; 8:45 am]
BILLING CODE 4120-01-P
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