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[Federal Register Volume 76, Number 204 (Friday, October 21, 2011)]
[Notices]
[Pages 65514-65515]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-27300]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10291 and CMS-10403]

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: Revision of a currently 
approved collection; Title of Information Collection: State Collection 
and Reporting of Dental Provider and Benefit Package Information on the 
Insure Kids Now! Web site and Hotline; Use: The Children's Health 
Insurance Program Reauthorization Act of 2009 (CHIPRA) sections 
501(f)(1) and (2), requires that state-specific information on dental 
providers and benefits be posted on the Insure Kids Now (IKN) Web site 
and available on the hotline. States must update the information on the 
dental providers quarterly and the information on their benefit package 
annually. CMS is asking States to submit their dental benefits in a 
revised format that is designed to reduce the amount of time States 
have to spend in compiling the dental benefit information. Although in 
the past we allowed States to only check a box to indicate that the 
Medicaid dental benefits were in compliance with Early and Periodic 
Screening, Diagnostic and Treatment (EPSDT) services, we are also 
modifying the form to ask States to include their Medicaid dental 
benefits in this form so those may also be posted on the Web site. In 
addition, we are asking States to specify if they have a dollar or code 
limit at which point prior authorization is required for any additional 
services and if they have cost sharing requirements for dental 
services; Form Number: CMS-10291 (OMB : 0938-1065); Frequency: 
Yearly (dental benefits) and quarterly (dental providers); Affected 
Public: State, Local, or Tribal Governments; Number of Respondents: 51; 
Total Annual Responses: 255; Total Annual Hours: 190. (For policy 
questions regarding this collection contact Nancy Goetschius at 410-
786-0707. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Community-

[[Page 65515]]

based Care Transitions Program (CCTP) Implementation and Monitoring; 
Use: The Medicare Community-Based Care Transitions Program (CCTP), 
authorized by Section 3026 of the 2010 Affordable Care Act, is a major 
component of the Partnership for Patients initiative, one goal of which 
is to decrease preventable complications during transition from a care 
setting, such as a hospital, to home, community, or another care 
setting. Appendix A contains a copy of the relevant portion of the 
legislation.
    The CCTP will provide funding to test models for improving care 
transitions from the hospital to the community for high-risk Medicare 
beneficiaries. The Centers for Medicare & Medicaid Services (CMS) 
initiated the CCTP in early 2011 and will operate the program for five 
years. Congress has authorized $500 million to cover the cost of the 
program. CMS expects that program agreements will be in place to 
authorize community-based organizations (CBOs), in partnership with 
acute care hospitals, to begin providing care transition services in 
November 2011 and, if successful, continue doing so for up to five 
years. The planned collection of a participant experience survey is 
part of the implementation and monitoring strategy that will review the 
performance of organizations contracted to provide transitional care 
services under the CCTP. This clearance package seeks approval for the 
participant experience survey.
    Form Number: CMS-10403 (OMB  0938-New); Frequency: Once; 
Affected Public: Individuals or Households; Number of Respondents: 
50,000; Total Annual Responses: 50,000; Total Annual Hours: 12,500. 
(For policy questions regarding this collection contact Juliana 
Tiongson at 410-786-0342. 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 November 21, 
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: October 18, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-27300 Filed 10-20-11; 8:45 am]
BILLING CODE 4120-01-P
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