43690 Federal Register / Vol. 83, No. 166 / Monday, August 27, 2018 / Notices 

Modernization Act of 2003 (MMA) in 

Subpart 3. The application requirements 

are codified in Subpart K of 42 CFR 423 

entitled ‘‘Application Procedures and 

Contracts with PDP Sponsors.’’ The 

information will be collected under the 

solicitation of proposals from PDP, MA– 

PD, Cost Plan, Program of All Inclusive 

Care for the Elderly (PACE), and EGWP 

applicants. The collected information 

will be used by CMS to: (1) Ensure that 

applicants meet CMS requirements for 

offering Part D plans (including network 

adequacy, contracting requirements, and 

compliance program requirements, as 

described in the application), (2) 

support the determination of contract 

awards. Form Number: CMS–10137 

(OMB control number: 0938–0936); 

Frequency: Annually; Affected Public: 

Private Sector (Business or other forprofits, Not-for-Profit Institutions); 

Number of Respondents: 243; Total 

Annual Responses: 256; Total Annual 

Hours: 2,351.08. (For policy questions 

regarding this collection contact 

Arianne Spaccarelli, at 410–786–5715.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Medicare 

Advantage Application—Part C and 

1876 Cost Plan Expansion Application 

Regulations under 42 CFR 422 (Subpart 

K) & 417.400; Use: The Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003 (MMA) 

Public Law 108–173 established the 

Medicare Prescription Drug Benefit 

Program (Part D) and made revisions to 

the provisions of Medicare Part C, 

governing what is now called the 

Medicare Advantage (MA) program 

(formerly Medicare+Choice). The MMA 

directed that important aspects of the 

new Medicare Prescription Drug Benefit 

Program under Part D be similar to and 

coordinated with regulations for the MA 

program. The MMA changes made 

managed care more accessible, efficient, 

and attractive to beneficiaries seeking 

options to meet their needs. 

This information collection includes 

the process for organizations wishing to 

provide healthcare services under MA 

plans. These organizations must 

complete an application annually (if 

required), file a bid, and receive final 

approval from CMS. The MA 

application process has two options for 

applicants that include (1) request for 

new MA product or (2) request for 

expanding the service area of an existing 

product. CMS utilizes the application 

process as the means to review, assess 

and determine if applicants are 

compliant with the current 

requirements for participation in the 

MA program and to make a decision 

related to contract award. This 

collection process is the only 

mechanism for organizations to 

complete the required MA application 

process. CMS will collect and review 

information under the solicitation of 

Part C applications for the various 

health plan product types described in 

the Background section above. CMS will 

use the information to determine 

whether the applicants meet the 

requirements to become an MA 

organization and are qualified to 

provide a particular type of MA plan. 

The application process is open to all 

health plans that want to participate in 

the MA program. The application is 

distinct and separate from the bid 

process, and CMS issues a 

determination on the application prior 

to bid submissions, or before the first 

Monday in June. Form Number: CMS– 

10137 (OMB control number: 0938– 

0935); Frequency: Annually; Affected 

Public: Private Sector (Business or other 

for-profits, Not-for-Profit Institutions); 

Number of Respondents: 380; Total 

Annual Responses: 400; Total Annual 

Hours: 6,106. (For policy questions 

regarding this collection contact Keith 

Penn-Jones, at 410–786–3104.) 

Dated: August 22, 2018. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2018–18523 Filed 8–24–18; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10416 and CMS– 

10540] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

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 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 September 26, 

2018. 

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) 395–5806 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’ website address at 

https://www.cms.gov/Regulations-andGuidance/Legislation/Paperwork

ReductionActof1995/PRA-Listing.html. 

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, 


amozie on DSK3GDR082PROD with NOTICES1
Federal Register / Vol. 83, No. 166 / Monday, August 27, 2018 / Notices 43691 

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: 

Information Collection 

1. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Blueprint for 

Approval of State-Based Health 

Insurance Exchanges; Use: All States 

(including the 50 States, the Territories, 

and the District of Columbia herein 

referred to as States) have the 

opportunity under Section 1311(b) of 

the Affordable Care Act to establish 

Exchanges, subject to certification (or 

‘‘Approval’’) that the Exchange meets 

Federal standards and will be able to 

offer health care coverage for the 

following plan year, beginning January 

1, 2014. The original information 

collection request for the State Exchange 

Blueprint Data Collection Tool specified 

a single reporting tool for all the various 

exchange types and was partially paper 

based. Subsequent revisions simplified 

the tool by having separate collection 

tools for each type of exchange and online implementation of the tool to 

reduce the burden. This revision 

updates the tool to reflect current State 

Exchange model options (a State-based 

Exchange (SBE) or a State-based 

Exchange on the Federal Platform (SBE– 

FP,)) program requirements, updated 

regulatory requirements promulgated 

through the 2017, 2018 and the 2019 

Payment Notice, as well as through the 

Marketplace Stabilization Rule, and 

replaces the requirement for document 

and evidence submissions with 

attestations across all sections to further 

reduce the burden. 

Given the innovative nature of 

Exchanges and the statutorilyprescribed relationship between the 

secretary and States in their 

development and operation, it is critical 

that the Secretary work closely with 

States to provide necessary guidance 

and technical assistance to ensure that 

States can meet the prescribed 

timelines, federal requirements, and 

goals of the statute. 

States seeking to establish a SBE or 

SBE–FP must build an Exchange that 

meets the requirements set out in 

Section 1311(d) of the Affordable Care 

Act and pursuant to CFR 155.105, FFE 

states that seek to operate an SBE or 

SBE–FP must complete and submit an 

Exchange Blueprint Application. The 

Blueprint Application documents that 

an Exchange will meet the legal and 

operational requirements associated 

with the Exchange model a state 

chooses to pursue. As part of its 

Blueprint submission, a state will also 

agree to demonstrating operational 

readiness to implement and execute the 

required Exchange activities described 

in the Blueprint Application. Form 

Number: CMS–10416 (OMB control 

number: 0938–1172); Frequency: Once; 

Affected Public: State, Local, or Tribal 

governments; Number of Respondents: 

21; Total Annual Responses: 7; Total 

Annual Hours: 221. (For policy 

questions regarding this collection 

contact Christy Woods at 301–492– 

5140.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection. Title of 

Information Collection: Quality 

Improvement Strategy Implementation 

Plan and Progress Form. Use: Section 

1311(c)(1)(E) of the Patient Protection 

and Affordable Care Act requires 

qualified health plans (QHPs) offered 

through an Exchange must implement a 

quality improvement strategy (QIS) as 

described in section 1311(g)(1). Section 

1311(g)(3) of the Patient Protection and 

Affordable Care Act specifies the 

guidelines under Section 1311(g)(2) 

shall require the periodic reporting to 

the applicable Exchange the activities 

that a qualified health plan has 

conducted to implement a strategy as 

described in section 1311(g)(1). CMS 

intends to have eligible QHP issuers 

complete the QIS Implementation Plan 

and Progress Form annually for initial 

certification and subsequent annual 

updates of progress in implementation 

of their strategy. The form will include 

topics to assess an issuer’s compliance 

in creating a payment structure that 

provides increased reimbursement or 

other incentives to improve the health 

outcomes of plan enrollees, prevent 

hospital readmissions, improve patient 

safety and reduce medical errors, 

promote wellness and health, and 

reduce health and health care 

disparities, as described in Section 

1311(g)(1) of the Patient Protection and 

Affordable Care Act. 

The QIS Implementation Plan and 

Progress Form will allow: (1) The 

Department of Health & Human Services 

(HHS) to evaluate the compliance and 

adequacy of QHP issuers’ quality 

improvement efforts, as required by 

Section 1311(c) of the Patient Protection 

and Affordable Care Act, and (2) HHS 

will use the issuers’ validated 

information to evaluate the issuers’ 

quality improvement strategies for 

compliance with the requirements of 

Section 1311(g) of the Patient Protection 

and Affordable Care Act. Form Number: 

CMS–10540 (OMB Control Number: 

0938–1286); Frequency: Annually; 

Affected Public: Public sector 

(Individuals and Households), Private 

sector (Business or other for-profits and 

Not-for-profit institutions); Number of 

Respondents: 250; Total Annual 

Responses: 250; Total Annual Hours: 

12,000. (For policy questions regarding 

this collection contact Nidhi Singh Shah 

at 301–492–5110). 

Dated: August 21, 2018. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2018–18437 Filed 8–24–18; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Administration for Native 

Americans Annual Data Report. 

OMB No.: 0970–0475: Renewal. 

Description: The Administration for 

Native Americans is seeking renewal of 

the Annual Data Report (ADR). The 

ADR is an annual report to be 

completed at the end of every budget 

period of an ANA discretionary grant. 

The purpose of this information 

collection is to annually collect grantee 

data on outcome indicators, youth and 

elder engagement, partnerships, 

community participation, benefits and 

lessons learned. At the end of the 

project period, ANA will also collect 

data on beneficiaries, the overall 

achievement of the project goal, and 

project sustainability. 

This information collection will be 

housed in the On-Line Data Collection 

(OLDC) with in GrantSolutions.gov. 

Respondents: Tribal Government, 

Native non-profit organizations, Tribal 

Colleges & Universities receiving ANA 

discretionary funding. 


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