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[Federal Register Volume 76, Number 190 (Friday, September 30, 2011)]
[Notices]
[Pages 60843-60845]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-25271]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-9042, CMS-10374, CMS-10385, CMS-10402 and 
CMS-10396]

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: Accelerated 
Payments and Supporting Regulations 42 CFR, Section 412.116(f), 
412.632(e), 413.64(g), 413.350(d), and 484.245; Use: This information 
is used by the contractor to determine the provider's eligibility for 
accelerated payments. If this information were not furnished with an 
accelerated payment request, the contractor would not be able to assess 
whether the provider's financial difficulties justified the accelerated 
payment; Form Number: CMS-9042 (OMB  0938-0269); Frequency: 
Yearly; Affected Public: Private Sector; Business or other for-profit 
and not-for-profit institutions; Number of Respondents: 37,804; Total 
Annual Responses: 945; Total Annual Hours: 473. (For policy

[[Page 60844]]

questions regarding this collection contact Leonard Fisher at 410-786-
4574 TTY. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: New collection of 
information; Title of Information Collection: Training Needs 
Assessment, Evaluation/Survey--Question Compilation; Use: The intent of 
this information collection is to assist in the creation and 
enhancement of training for Federal and State health care surveyors and 
certification specialists. The purpose of the collection is to gather 
information for training needs assessment, training analysis, related 
demographic, psychographics and technographics to support the 
development and enhancement of training and training aids; Form Number: 
CMS-10374 (OMB  0938-New); Frequency: Half-year (2 per year); 
Affected Public: State, Local, or Tribal Governments; Number of 
Respondents: 2,161; Total Annual Responses: 4,322; Total Annual Hours: 
1,430. (For policy questions regarding this collection contact Etolia 
Biggs at 410-786-8664. For all other issues call 410-786-1326.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Expedited 
Checklist: Medicaid Eligibility & Enrollment Systems--Advance Planning 
Document (E&E-APD); Use: Under sections 1903(a)(3)(A)(i) and 
1903(a)(3)(B) of the Social Security Act, CMS has issued new standards 
and conditions that must be met by States for Medicaid technology 
investments (including traditional claims processing systems, as well 
as eligibility systems) to be eligible for enhanced match funding. The 
Checklist will be submitted by States to the E&E APD National 
Coordinator for review and coordination in the Eligibility/Enrollment 
Systems APD approval assignment. The information requested on the 
Checklist will be used to determine and approve enhanced FFP to States 
and to determine how States are complying with the seven standards and 
conditions; Form Number: CMS-10385 (OMB: 0938-1125); 
Frequency: Occasionally; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 56; Total Annual Responses: 168; 
Total Annual Hours: 204. (For policy questions regarding this 
collection contact Richard Friedman at 410-786-4451. For all other 
issues call 410-786-1326.)
    4. Type of Information Collection Request: New collection; Title of 
Information Collection: Medicaid State Plan Preprint for Use by States 
When Implementing Section 6401 of the Patient Protection and Affordable 
Care Act under the Medicaid Program; Use: The Secretary, in 
consultation with the Department of Health of Human Services' Office of 
the Inspector General, is required to establish procedures under which 
screening is conducted with respect to providers of medical or other 
items or services and suppliers under Medicare, Medicaid, and CHIP. The 
Secretary is also required to impose a fee on each institutional 
provider of medical or other items or services or supplier that would 
be used by the Secretary for program integrity efforts. States are 
required to comply with the process of screening providers and 
suppliers as established by the Secretary under 1866(j)(2) of the 
Affordable Care Act. The Office of General Counsel through guidance, is 
requiring that States use the Medicaid State Plan Preprint to assure 
CMS compliance with the law. CMS will use the information to review and 
approve the State plan. States would refer to the State plan on an as 
needed basis to manage and operate their Medicaid programs under Title 
XIX of the Social Security Act; Form Number: CMS-10402 (OMB  
0938-New); Frequency: Once; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 56; Total Annual Responses: 56; 
Total Annual Hours: 14. (For policy questions regarding this collection 
contact Richard Friedman. at 410-786-4451. For all other issues call 
410-786-1326.)
    5. Type of Information Collection Request: New collection; Title of 
Information Collection: Medication Therapy Management Program 
Improvements--Standardized Format. Use: The Medicare Modernization Act 
of 2003 (MMA) under title 42 CFR Part 423, Subpart D, established the 
requirements that Part D sponsors must meet with regard to medication 
therapy management (MTM) programs. Beginning in 2010, sponsors must 
offer an interactive, person-to-person comprehensive medication review 
(CMR) by a pharmacist or other qualified provider at least annually. A 
CMR is a review of a beneficiary's medications, including prescription 
and over-the-counter (OTC) medications, herbal therapies, and dietary 
supplements, which is intended to aid in assessing medication therapy 
and optimizing patient outcomes. Sponsors must summarize the CMR and 
provide an individualized written or printed summary to the 
beneficiary. The burden associated with the time and effort necessary 
for Part D sponsors to conduct CMRs with written summaries was 
estimated previously under OMB Control Number 0938-0964 as 937,500 
hours with total labor cost of $112.5 million.
    The Affordable Care Act (ACA) under Section 10328 specifies that 
the Secretary, in consultation with relevant stakeholders, develop a 
standardized format for the action plan and written or printed summary 
that are given to beneficiaries as a result of their CMRs. The 
standardized format will replace whatever formats Part D sponsors are 
using for their written CMR summaries and action plans prior to 2013. 
Beginning in January, 2013, Part D sponsors will collect information 
required by the new standardized format, and provide that information 
to Medicare beneficiaries after their CMRs on forms that comply with 
the requirements specified by CMS for the standardized format. The use 
of the standardized format will increase the burden associated with 
providing the CMRs with written summaries and action plans as described 
in this submission. The use of the standardized format will support a 
uniform and consistent level of MTMP communications with beneficiaries, 
improve the ability of beneficiaries to understand and manage their 
medications safely and effectively, and support improved healthcare 
outcomes and lower overall healthcare costs. The final standardized 
format will be posted in the 2013 Call Letter for implementation by 
Part D sponsors in January 2013. Form Number: CMS-10396 (OCN: 0938-
New); Frequency: Yearly; Affected Public: Private Sector--Business or 
other For-profits; Number of Respondents: 673; Number of Responses: 
1,875,000; Total Annual Hours: 1,179,894. (For policy questions 
regarding this collection, contact Gary Wirth at 410-786-3997. 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 for the proposed information 
collections must be received by the OMB desk officer at the address 
below, no later than 5 p.m. on October 31, 2011.

[[Page 60845]]

OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.

    Dated: September 27, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-25271 Filed 9-29-11; 8:45 am]
BILLING CODE 4120-01-P
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