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###### Department of Health and Human Services

###### Centers for Medicare & Medicaid Services

          - [Document Identifiers: CMS-10291, CMS-10529, CMS-10722, and CMS-R-148]

# AGENCY:

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

# 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 60 days for public comment on the proposed action. Interested persons are invited to send 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 April 9, 2024.

# ADDRESSES:

When commenting, please reference the document identifier or OMB control number. 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: Document Identifier/OMB Control Number: 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/​PRA-Listing.*

# FOR FURTHER INFORMATION CONTACT:

William N. Parham at (410) 786-4669.

# SUPPLEMENTARY INFORMATION:

## Contents

                    This notice sets out a summary of the use and burden associated with the following information collections. More detailed information can be found in each collection's supporting statement and associated materials (see                     **ADDRESSES**                    ).                

CMS-10291 State Collection and Reporting of Dental Provider and Benefit Package Information on the Insure Kids Now! Website and Hotline

CMS-10529 Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the Medical Assistance Program, Administration and CHIP

CMS-10722 Annual State Report on CMS Value Based Purchasing Arrangements (VBP) Supplemental Rebate Agreements

CMS-R-148 Limitations on Provider Related Donations and Health Care Related Taxes, Medicaid and Supporting Regulations in 42 CFR 433.68 through 433.74

                    Under the 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 requires Federal agencies to publish a 60-day notice in the                     **Federal Register**                     concerning each proposed collection of information, 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.                

## Information Collection

*1. Type of Information Collection Request:*                     Extension without change 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! Website and Hotline;                     *Use:*                     On the Insure Kids Now (IKN) website, the Secretary is required to post a current and accurate list of dentists and providers that provide dental services to children enrolled in the State plan (or waiver) under Medicaid or the State child health plan (or waiver) under CHIP. States collect the information pertaining to their Medicaid and CHIP dental benefits.                     *Form Number:*                     CMS-10291 (OMB control number: 0938-1065);                     *Frequency:*                     Yearly and quarterly;                     *Affected Public:*                     State, Local, or Tribal Governments;                     *Number of Respondents:*                     51; Total Annual Responses: 255;                     *Total Annual Hours:*                     11,781. (For policy questions regarding this collection contact Andrew Snyder at 410-786-1274.)                

*2. Type of Information Collection Request:*                     Extension without change of a currently approved collection;                     *Title of Information Collection:*                     Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the Medical Assistance Program, Administration and CHIP;                     *Use:*                     The Medicaid and CHIP Financial System is a financial reporting system that produces budget estimate statements for Forms CMS-37 and CMS-21B. The Medicaid and CHIP Budget and Expenditure System is a financial reporting system that produces expenditure statements for Forms CMS-64 and CMS-21. All forms are to be filed on a quarterly basis and need to be certified by the States.                     *Form Number:*                     CMS-10529 (OMB control number: 0938-1265);                     *Frequency:*                     Quarterly;                     *Affected Public:*                     State, Local, or Tribal Governments;                     *Number of Respondents:*                     56;                     *Total Annual Responses:*                     672;                     *Total Annual Hours:*                     18,144. (For policy questions regarding this collection contact Robert Lane at 410-786-2015.)                

*3. Type of Information Collection Request:*                     Revision of a currently approved collection;                     *Title of Information Collection:*                     Annual State Report on CMS Value Based Purchasing Arrangements (VBP) Supplemental Rebate Agreements;                     *Use:*                     The reported data is being collected to safeguard against unnecessary utilization of such care and services and to assure that State payments to providers of Medicaid                           ( print page 9156)                        services are consistent with efficiency, economy, and quality of care. CMS will collect this data to ensure that VBP programs adopted by States continue to meet these standards.                     *Form Number:*                     CMS-10722 (OMB control number: 0938-1385);                     *Frequency:*                     Yearly;                     *Affected Public:*                     State, Local, or Tribal Governments;                     *Number of Respondents:*                     51;                     *Total Annual Responses:*                     51;                     *Total Annual Hours:*                     306. (For policy questions regarding this collection contact Abraham Weinschneider at 410-786-5688.)                

*4. Type of Information Collection Request:*                     Extension without change of a currently approved collection;                     *Title of Information Collection:*                     Limitations on Provider Related Donations and Health Care Related Taxes, Medicaid and Supporting Regulations in 42 CFR 433.68 through 433.74;                     *Use:*                     States may elect to submit a waiver to CMS for the broad based and/or uniformity requirements for any health care related tax program which does not conform to the broad based and uniformity requirements. It is also the responsibility of each State to demonstrate that their tax program(s) do not violate the hold harmless provision. For a waiver to be approved and a determination that the hold harmless provision is not violated, States must submit written documentation which satisfies the regulatory requirements. Without this information, the amount of FFP (Federal financial participation) payable to a State cannot be correctly determined.                     *Form Number:*                     CMS-R-148 (OMB control number: 0938-0618);                     *Frequency:*                     Quarterly and occasionally;                     *Affected Public:*                     State, Local, or Tribal Governments;                     *Number of Respondents:*                     50;                     *Total Annual Responses:*                     40;                     *Total Annual Hours:*                     3,200. (For policy questions regarding this collection contact Stuart Goldstein at 410-786-0694.)                

William N. Parham, III

Director, Division of Information Collections and Regulatory Impacts, Office of Strategic Operations and Regulatory Affairs.

[FR Doc. 2024-02662 Filed 2-8-24; 8:45 am]

BILLING CODE 4120-01-P