13058 Federal Register / Vol. 78, No. 38 / Tuesday, February 26, 2013 / Notices 

Total Annual Responses: 1,000. 

Average hours per response: 0.02. 

Total Burden Hours: 20. 

Obtaining Copies of Proposals: 

Requesters may obtain a copy of the 

information collection documents from 

the General Services Administration, 

Regulatory Secretariat (MVCB), 1275 

First Street NE., Washington, DC 20417, 

telephone (202) 501–4755. Please cite 

OMB Control Number 3090–0285, IT 

Dashboard Feedback Mechanism, in all 

correspondence. 

Dated: February 14, 2013. 

Casey Coleman, 

Chief Information Officer. 

[FR Doc. 2013–04372 Filed 2–25–13; 8:45 am] 

BILLING CODE 6820–34–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10451, CMS– 

1450 (UB–04), CMS–R–131 and CMS–10280] 

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: New collection; Title of 

Information Collection: Evaluation and 

Development of Outcome Measures for 

Quality Assessment in Medicare 

Advantage and Special Needs Plans; 

Use: Quality improvement is a major 

initiative for the Centers for Medicare 

and Medicaid Services (CMS). With the 

passing of the Patient Protection and 

Affordable Care Act in March 2010, 

there is a focused interest in providing 

quality and value-based healthcare for 

Medicare beneficiaries. In addition, it is 

critical to develop criteria not only for 

quality improvement but also as a 

means for beneficiaries to compare 

healthcare plans to make the choice that 

is right for them. 

It is critical to the CMS mission to 

expand its quality improvement efforts 

from collection of structure and process 

measures to include outcome measures. 

However, the development of outcome 

measures appropriate for the programs 

serving older and/or disabled patients 

has been somewhat limited. The 

development and subsequent 

implementation of outcome measures as 

part of the overall quality improvement 

program for CMS is crucial to ensuring 

that beneficiaries obtain high quality 

healthcare. In addition, process of care 

measures are needed that focus on the 

care needs of Medicare beneficiaries, 

such as factors affecting continuity of 

care and transitions. 

This request is for data collection to 

test the use of new tools available to 

CMS to measure care pertinent to 

vulnerable beneficiaries where quality 

of care provided by Medicare Advantage 

Organizations (MAOs) should be closely 

monitored. The measures to be 

evaluated and developed upon approval 

of this request relate to (1) Continuity of 

information and care from hospital 

discharge to the outpatient setting, (2) 

continuity between mental health 

provider and primary care provider 

(PCP), and (3) items that may be added 

to the Consumer Assessment of 

Healthcare Providers and Systems 

(CAHPS) survey addressing languagecentered care, cultural competence, 

physical activity, healthy eating, and 

caregiver strain. 

Since the publication of the 60-day 

notice (77 FR 65391), the information 

collection request has been revised. The 

order of questions has been changed in 

some locations of the instrument. In 

addition, we have revised items to 

collect documentation about refusal to 

permit communication between the 

mental health provider and the primary 

care provider. Form Number: CMS– 

10451 (OCN: 0938-New); Frequency: 

Yearly, occasionally; Affected Public: 

Individuals or Households, Private 

sector—Business or other for-profits ; 

Number of Respondents: 2,012; Total 

Annual Responses: 2,360; Total Annual 

Hours: 4,630. (For policy questions 

regarding this collection contact Susan 

Radke at 410–786–4450. For all other 

issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare 

Uniform Institutional Provider Bill and 

Supporting Regulations in 42 CFR 

424.5; Use: Section 42 CFR 424.5(a)(5) 

requires providers of services to submit 

a claim for payment prior to any 

Medicare reimbursement. Charges billed 

are coded by revenue codes. The bill 

specifies diagnoses according to the 

International Classification of Diseases, 

Ninth Edition (ICD–9–CM) code. 

Inpatient procedures are identified by 

ICD–9–CM codes, and outpatient 

procedures are described using the CMS 

Common Procedure Coding System 

(HCPCS). These are standard systems of 

identification for all major health 

insurance claims payers. Submission of 

information on the CMS–1450 permits 

Medicare intermediaries to receive 

consistent data for proper payment. 

Form Numbers: CMS–1450 (UB–04) 

(OCN: 0938–0997); Frequency: 

Reporting—On occasion; Affected 

Public: Not-for-profit institutions, 

Business or other for-profit; Number of 

Respondents: 53,111; Total Annual 

Responses: 181,909,654; Total Annual 

Hours: 1,567,455. (For policy questions 

regarding this collection contact Matt 

Klischer at 410–786–7488. For all other 

issues call 410–786–1326.) 

3. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Advance 

Beneficiary Notice of Noncoverage 

(ABN); Use: The use of written notices 

to inform beneficiaries of their liability 

under specific conditions has been 

available since Title XVIII of the Social 

Security Act (the Act), section 1879, 

Limitation On Liability, was enacted in 

1972 (Pub. L. 92–603). Similar required 

notification and liability protections are 

available under other sections of the 

Act: section 1834(a)(18) refund 

requirements for certain items when 

unsolicited telephone contacts are 

made, section 1834(j)(4) for the same 

types of items when there is neither a 

required advance coverage 

determination nor required supplier 

number; section 1834(a)(15) also for 

advance determinations for these items 

and section 1842(l) applicable to 

physicians not accepting assignment. 

Implementing regulations are found at 

42 CFR 411.404(b) and (c), and 

411.408(d)(2) and (f), on written notice 

requirements. These statutory 

requirements apply only to Original 

Medicare, not Medicare Advantage 

plans. 

Under section 1879 of the Act, 

Medicare beneficiaries may be held 

financially responsible for items or 

services usually covered under 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 38 / Tuesday, February 26, 2013 / Notices 13059 

Medicare, but denied in an individual 

case under specific statutory exclusions, 

if the beneficiary is informed prior to 

furnishing the issues or services that 

Medicare is likely to deny payment. 

When required, the ABN is delivered 

by Part B paid physicians, providers 

(including institutional providers like 

outpatient hospitals) practitioners (such 

as chiropractors), and suppliers, as well 

as hospice providers and Religious Nonmedical Health Care Institutions paid 

under Part A. Other Medicare 

institutional providers paid under Part 

A use other approved notice for this 

purpose. 

The revised ABN in this information 

collection request incorporates 

expanded use by Home Health Agencies 

(HHAs). There have been no substantive 

changes to the form. There are no 

changes that will affect existing ABN 

users. Form Number: CMS–R–131 

(OMB#: 0938–0566); Frequency: 

Reporting—Occasionally; Affected 

Public: Private Sector—Business or 

other for-profits and Not-for-profit 

institutions; Number of Respondents: 

1,288,837; Total Annual Responses: 

52,967,771; Total Annual Hours: 

6,177,101. (For policy questions 

regarding this collection contact Evelyn 

Blaemire at 410–786–1803. For all other 

issues call 410–786–1326.) 

4. Type of Information Collection 

Request: New collection; Title: Home 

Health Change of Care Notice (HHCCN); 

Use: Home health agencies (HHAs) are 

required to provide written notice to 

original Medicare beneficiaries under 

various circumstances involving the 

initiation, reduction, or termination of 

services. The notice used in these 

situations has been the Home Health 

Advance Beneficiary Notice (HHABN), 

CMS–R–296. 

The HHABN, originally a liability 

notice specifically for HHA issuance, 

was first approved for use and 

implementation in 2000 with the home 

health prospective payment system 

transition. In 2006, the notice 

underwent significant modifications 

subsequent to the decision of the U.S. 

Court of Appeals (2nd Circuit) in Lutwin 

v. Thompson. HHABN content and 

formatting were revised so that it could 

be used to provide beneficiaries with 

change of care notification consistent 

with HHA Conditions of Participation 

(COPs) in addition to its liability notice 

function. Three interchangeable option 

boxes were introduced to the HHABN to 

support the added notification 

purposes. Option Box 1 addressed 

liability, Option Box 2 addressed change 

of care for agency reasons, and Option 

Box 3 addressed change of care due to 

provider orders. HHABN Collection 

0938–0781 last received PRA approval 

in 2009 following minor notice changes 

such as accessibility reformatting for 

compliance with Section 508 of the 

Rehabilitation Act of 1973, as amended 

in 1998, and removal of the 

beneficiary’s health insurance claim 

number (HICN). 

In an effort to streamline, reduce, and 

simplify notices issued to Medicare 

beneficiaries, HHABN Option Box 1, the 

liability notice portion, will be replaced 

by the existing Advanced Beneficiary 

Notice of Noncoverage (ABN) which is 

approved by OMB (0938–0566), for 

conveying information on beneficiary 

liability. Written notices to inform 

beneficiaries of their liability under 

specific conditions have been available 

since the ‘‘limitation on liability’’ 

provisions in section 1879 of the Social 

Security Act were enacted in 1972 (Pub. 

L. 92–603). The ABN (CMS–R–131) is 

presently used by providers and 

suppliers other than HHAs to inform fee 

for service (FFS) Medicare beneficiaries 

of potential liability for certain items/ 

services that might be billed to 

Medicare. The HHABN was developed 

specifically as the liability notice for 

HHA issuance. Since 2006, the HHABN 

has evolved to serve both liability and 

change of care notification purposes. 

Pursuant to a separate PRA package 

revising the use of the ABN, HHAs will 

now use the ABN for liability 

notification, and the HHCCN will be 

introduced as a separate, distinct 

document to give change of care notice 

in compliance with HHA conditions of 

participation. The HHCCN will replace 

both Option Box 2 and Option Box 3 

formats of the HHABN. The single page 

format of the HHCCN is designed to 

specify whether the change of care is 

due to agency reasons or provider 

orders. Form Number: CMS–10280 

(OCN: 0938-New); Frequency: 

Occasionally; Affected Public: Private 

Sector—Business or other for-profits 

and not-for-profit institutions; Number 

of Respondents: 10,914; Total Annual 

Responses: 14,126,428; Total Annual 

Hours: 941,385. (For policy questions 

regarding this collection contact Evelyn 

Blaemire at 410–786–1803. 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 

Email 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 March 28, 2013. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS 

Desk Officer, Fax Number: (202) 395– 

6974, Email: 

OIRA_submission@omb.eop.gov. 

Dated: February 20, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–04313 Filed 2–25–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–3283–N] 

Medicare Program; Meeting of the 

Medicare Evidence Development and 

Coverage Advisory Committee—May 1, 

2013 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice of meeting. 

SUMMARY: This notice announces that a 

public meeting of the Medicare 

Evidence Development & Coverage 

Advisory Committee (MEDCAC) 

(‘‘Committee’’) will be held on 

Wednesday, May 1, 2013. The 

Committee generally provides advice 

and recommendations concerning the 

adequacy of scientific evidence needed 

to determine whether certain medical 

items and services can be covered under 

the Medicare statute. This meeting will 

focus on selected genetic tests for cancer 

diagnosis (for cancers of unknown 

primary site and for cervical cytology 

findings of uncertain clinical 

significance). This meeting is open to 

the public in accordance with the 

Federal Advisory Committee Act (5 

U.S.C. App. 2, section 10(a)). 

DATES: Meeting Date: The public 

meeting will be held on Wednesday, 

May 1, 2013 from 7:30 a.m. until 4:30 

p.m., Eastern Daylight Time (EDT). 

Deadline for Submission of Written 

Comments: Written comments must be 

received at the address specified in the 

ADDRESSES section of this notice by 5 

p.m., EDT, Monday, March 25, 2013. 

Once submitted, all comments are final. 

Deadlines for Speaker Registration 

and Presentation Materials: The 


tkelley on DSK3SPTVN1PROD with NOTICES