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[Federal Register Volume 78, Number 245 (Friday, December 20, 2013)]
[Notices]
[Pages 77133-77134]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-30334]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10052, CMS-10142, CMS-10311, CMS-10344, and 
CMS-R-244]

Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

ACTION: Notice.

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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 any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper performance of the agency's functions; (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.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by January 21, 2014.

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' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    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, 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:
    1. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Recognition of

[[Page 77134]]

Pass-Through Payment for Additional (New) Categories of Devices Under 
the Outpatient Prospective Payment System and Supporting Regulations; 
Use: Interested parties such as hospitals, device manufacturers, 
pharmaceutical companies, and physicians apply for transitional pass-
through payment for certain items used with services covered in the 
outpatient prospective payment system (PPS). After we receive all 
requested information, we evaluate the information to determine if the 
creation of an additional category of medical devices for transitional 
pass-through payments is justified. We may request additional 
information related to the proposed new device category, as needed. We 
advise the applicant of our decision, and update the outpatient PPS 
during its next scheduled quarterly payment update cycle to reflect any 
newly approved device categories. We list below the information that we 
require from all applicants. Form Number: CMS-10052 (OCN: 0938-0857); 
Frequency: Once; Affected Public: Private sector--Business or other 
for-profits; Number of Respondents: 10; Total Annual Responses: 10; 
Total Annual Hours: 160. (For policy questions regarding this 
collection contact Barry Levi at 410-786-4529.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Bid Pricing Tool 
(BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans 
(PDP); Use: We require Medicare Advantage organizations (MAOs) and 
prescription drug plans (PDPs) to complete the BPT as part of the 
annual bidding process. During this process, organizations prepare 
their proposed actuarial bid pricing for the upcoming contract year and 
submit them to us for review and approval. The purpose of the BPT is to 
collect the actuarial pricing information for each plan. The BPT 
calculates the plan's bid, enrollee premiums, and payment rates. We 
publish beneficiary premium information using a variety of formats 
(www.medicare.gov, the Medicare & You Handbook, Summary of Benefits 
marketing information) for the purpose of beneficiary education and 
enrollment. Form Number: CMS-10142 (OCN-0938-0944); Frequency: Yearly; 
Affected Public: Private sector--Business or other for-profits and Not-
for-profit institutions; Number of Respondents: 555; Total Annual 
Responses: 4,995; Total Annual Hours: 149,850. (For policy questions 
regarding this collection contact Rachel Shevland at 410-786-3026.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare 
Program--Home Health Prospective Payment System Rate Update for 
Calendar Year 2010: Physician Narrative Requirement and Supporting 
Regulation; Use: The conditions of participation and accompanying 
requirements specified in the regulations are used by federal or state 
surveyors as a basis for determining whether a home health agency 
qualifies for approval or re-approval under Medicare. The Physician's 
certification and recertification of each patient's need for skilled 
care services; homebound status and the physician's clinical 
justification for skilled nursing management and evaluation of the care 
plan specified in the regulations at 42 CFR 424.22 are to be used by 
contractors and by us when reviewing the patient's medical record as a 
basis for determining whether the patient is eligible for the Medicare 
home health benefit and whether the medical record meets the criteria 
for coverage and Medicare payment. We, along with the healthcare 
industry believe that the availability to the home health agency of the 
type of records and general content of records, which this regulation 
specifies, is standard medical practice, and is necessary in order to 
ensure the well-being and safety of patients and professional treatment 
accountability. Form Number: CMS-10311 (OCN: 0938-1083; Frequency: 
Occasionally; Affected Public: Private sector--Business or other for-
profits and Not-for-profit institutions); Number of Respondents: 9,354; 
Total Annual Responses: 345,600; Total Annual Hours: 28,800. (For 
policy questions regarding this collection contact Randy Throndset at 
410-786-0131.)
    4. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Elimination of Cost-Sharing for full benefit dual-eligible Individuals 
Receiving Home and Community-Based Services; Use: This provision 
eliminates Part D cost-sharing for full benefit dual-eligible 
beneficiaries who are receiving home and community based services. To 
implement this provision, states are required to identify the affected 
beneficiaries in their monthly Medicare Modernization Act Phase Down 
reports. Form Number: CMS-10344 (OCN: 0938-1127); Frequency: Monthly; 
Affected Public: Private sector--Business or other for-profits and Not-
for-profit institutions; Number of Respondents: 51; Total Annual 
Responses: 612; Total Annual Hours: 612. (For policy questions 
regarding this collection contact Katherine Pokrzywa at 410-786-5530.)
    5. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Programs for All-
inclusive Care of the Elderly (PACE) and Supporting Regulations; Use: 
The Program for All-inclusive Care of the Elderly (PACE) organizations 
must demonstrate their ability to provide quality community-based care 
for the frail elderly who meet their state's nursing home eligibility 
standards using capitated payments from Medicare and the state. The 
model of care includes as core services the provision of adult day 
health care and multidisciplinary team case management, through which 
access to and allocation of all health services is controlled. 
Physician, therapeutic, ancillary, and social support services are 
provided in the participant's residence or on-site at the adult day 
health center. The PACE programs must provide all Medicare and Medicaid 
covered services including hospital, nursing home, home health, and 
other specialized services. Financing of this model is accomplished 
through prospective capitation of both Medicare and Medicaid payments. 
The information collection requirements are necessary to ensure that 
only appropriate organizations are selected to become PACE 
organizations and that we have the information necessary to monitor the 
care provided to the frail, vulnerable population served. Form Number: 
CMS-R-244 (OCN: -0938-0790; Frequency: Once and occasionally; Affected 
Public: Private Sector--Not-for-profit institutions; Number of 
Respondents: 99; Total Annual Responses: 99; Total Annual Hours: 
81,912. (For policy questions regarding this collection contact Anitra 
Johnson at 410-786-0609.)

    Dated: December 17, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-30334 Filed 12-19-13; 8:45 am]
BILLING CODE 4120-01-P
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