[Federal Register Volume 89, Number 6 (Tuesday, January 9, 2024)]
[Notices]
[Pages 1095-1097]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-00205]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10398 #43, #45, and #48]


Medicaid and Children's Health Insurance Program (CHIP) Generic 
Information Collection Activities: Proposed Collection; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
Services (HHS).

ACTION: Notice.

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SUMMARY: On May 28, 2010, the Office of Management and Budget (OMB) 
issued Paperwork Reduction Act (PRA) guidance related to the 
``generic'' clearance process. Generally, this is an expedited process 
by which agencies may obtain OMB's approval of collection of 
information requests that are ``usually voluntary, low-burden, and 
uncontroversial collections,'' do not raise any substantive or policy 
issues, and do not require policy or methodological review. The process 
requires the submission of an overarching plan that defines the scope 
of the individual collections that would fall under its umbrella. On 
October 23, 2011, OMB approved our initial request to use the generic 
clearance process under control number 0938-1148 (CMS-10398). It was 
last approved on April 26, 2021, via the standard PRA process which 
included the publication of 60- and 30-day Federal Register notices. 
The scope of the April 2021 umbrella accounts for Medicaid and CHIP 
State plan amendments, waivers, demonstrations, and reporting. This 
Federal Register notice seeks public comment on one or more of our 
collection of information requests that we believe are generic and fall 
within the scope of the umbrella. Interested persons are invited to 
submit comments regarding our burden estimates 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 must be received by January 23, 2024.

ADDRESSES: When commenting, please reference the applicable form number 
(CMS-10398 #see below) and the OMB control number (0938-1148). To be 
assured consideration, comments and recommendations must be submitted 
in any one of the following ways:
    1. Electronically. You may send 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) that are 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: CMS-10398 (#__)/OMB 
control number: 0938-1148, Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRAListing.

FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: Following is a summary of the use and burden 
associated with the subject information collection(s). More detailed 
information can be found in the collection's supporting statement and 
associated materials (see ADDRESSES).

Generic Information Collections

    1. Title of Information Collection: Certified Community Behavioral 
Health Clinic (CCBHC) Cost Report; Type of Information Collection 
Request: Revision of an active collection of information request; Use: 
The CCBHC cost report allows clinics in the demonstration to calculate 
Prospective Payment System (PPS) rates using clinic-specific cost and 
visit data associated with delivery of the nine statutory services as 
outlined under the authorizing Protecting Access to Medicare Act (PAMA) 
(Pub. L. 113-93) at section 223(D) Scope of Services. Currently CCBHCs 
use the cost report to calculate rates based on the existing CC PPS-1 
daily, or CC PPS-2 monthly rate that do not include separate crisis 
rate options. Calculation of the new daily and monthly special crisis 
services PPS rates required CMS to revise the existing CCBHC cost 
report to include addition worksheets to address the new crisis rate 
offerings being finalized in the CCBHC Technical Guide. SCS rates would 
be effective beginning January 1, 2024, for any existing states that 
may be interested in implementing either CC PPS-3 or CC PPS-4, and new 
states entering the program by July 2024 will have the option to choose 
from among the four PPS rate options made available under the updated 
Technical Guide and CCBHC cost report.
    States and clinics selecting either the CC PPS-3 or CC PPS-4 crisis 
rate methodology will require additional time to separate costs and 
visit data for up to three special crisis services rates. CCBHCs in 
states that choose CC PPS-2 rate methodology will require additional 
time to gather data for special populations and account for outlier 
thresholds.
    Because use of this cost report involves participation in the CCBHC 
demonstration program, the information is expected to be collected 
annually, assuming rates are trended forward for the second year of the 
program using the Medicare Economic Index (MEI), rebased in the third 
year of the demonstration and trended forward for the fourth year of 
the demonstration using the MEI. However, if the state requires CCBHCs 
to rebase rates for other years of the demonstration using CCBHC cost 
report data, the provider would be required to complete the cost report 
each time the state rebases the rate. CMS does also require CCBHC 
demonstration states to submit cost reports in trended years although 
rates may only reflect changes based on MEI adjustment for inflationary 
changes. Form Number: CMS-10398 #43 (OMB control number: 0938-1148); 
Frequency: Annual; Affected Public: Private Sector (Businesses or other 
for profits and Not for profit institutions) and State, Local, or 
Tribal Governments; Number of Respondents: 60; Total Annual Responses: 
60; Total Annual Hours: 3,389. (For policy questions regarding this 
collection contact: Beverly Boston at 410-786-4186.)
    2. Title of Information Collection: Certified Community Behavioral 
Health Clinic (CCBHC) 2024 State Proposal Demonstration Application; 
Type of Information Collection Request: Revision of an active 
collection of information request; Use: Based on recent extension and 
expansion of the CCBHC Demonstration under section 11001 of Bipartisan 
Safer Communities Act \1\ (BSCA) of 2022, the State Proposal 
Demonstration Application is required to be completed by existing CCBHC 
grantee states and submitted to the Centers for Medicare & Medicaid 
Services (CMS) and the Substance Abuse and Mental Health Services 
Administration (SAMHSA) to determine state readiness and eligibility to 
be selected as one of the 10 new states added to the CCBHC 
demonstration in 2024 and every two years thereafter per the BSCA 
legislation. The awarding of Planning Grants to states was the first 
phase of a two-phase process. Phase II will consist of participation in 
the demonstration. Form Number: CMS-10398 #45 (OMB control number: 
0938-1148); Frequency: One time and On occasion; Affected Public: 
State, Local, or Tribal Governments; Number of Respondents: 30; Total 
Annual

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Responses: 30; Total Annual Hours: 1,790. (For policy questions 
regarding this collection contact: Beverly Boston at 410-786-4186.)
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    \1\ Bipartisan Safer Communities Act.
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    3. Title of Information Collection: Behavioral Health Clinic 
Quality Data Reporting; Type of Information Collection Request: 
Revision of an active collection of information request; Use: This 
Information Collection concerns the Behavioral Health Clinic Quality 
Data Reporting Template (hereinafter ``Reporting Template'' or 
``Template''), developed in partnership with the Substance Abuse and 
Mental Health Services Administration (SAMHSA) and the Assistant 
Secretary for Planning and Evaluation (ASPE) (collectively, ``the 
Agencies''). The Reporting Template is designed to collect quality 
measure data and to report at the clinic level. The Agencies developed 
the Template to provide states and clinics with a streamlined and 
structured tool to report quality measures data. The Reporting Template 
aims to eliminate the time required for states or clinics to develop 
their own reporting templates for quality measure data reporting and 
minimizes inconsistencies in reporting. Furthermore, the Reporting 
Template, with its accompanying instructions, support an innovative 
approach to improve behavioral health, a key focus of health care 
reform. Form Number: CMS-10398 (#48) (OMB control number: 0938-1148); 
Frequency: Annual; Affected Public: Private Sector (Businesses or other 
for profits and Not for profit institutions) and State, Local, or 
Tribal Governments; Number of Respondents: 429; Total Annual Responses: 
1,009; Total Annual Hours: 6,814. (For policy questions regarding this 
collection contact: Beverly Boston at 410-786-4186.)

    Dated: January 4, 2024.
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-00205 Filed 1-8-24; 8:45 am]
BILLING CODE 4120-01-P