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[Federal Register Volume 78, Number 101 (Friday, May 24, 2013)]
[Notices]
[Pages 31557-31558]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-12469]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers CMS-R-137, CMS-10371 and CMS-10471]

Agency Information Collection Activities: Proposed Collection; 
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) 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 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.
    1. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Internal Revenue Service (IRS)/Social Security 
Administration (SSA)/Centers for Medicare and Medicaid Services (CMS) 
Data Match and Supporting Regulations in 42 CFR 411.20-491.206 Use: 
Medicare Secondary Payer (MSP) is essentially the same concept known in 
the private insurance industry as coordination of benefits; it refers 
to those situations where Medicare assumes a secondary payer role to 
certain types of private insurance for covered services provided to a 
Medicare beneficiary.
    Congress sought to reduce the losses to the Medicare program by 
requiring in 42 U.S.C. 1395y(b)(5) that the Internal Revenue Service 
(IRS), the Social Security Administration (SSA), and CMS perform an 
annual data match (the IRS/SSA/CMS Data Match, or ``Data Match'' for 
short). We use the information obtained through Data Match to contact 
employers concerning possible application of the MSP provisions by 
requesting information about specifically identified employees (either 
a Medicare beneficiary or the working spouse of a Medicare 
beneficiary). This statutory data match and employer information 
collection activity enhances our ability to identify both past and 
present MSP situations. Form Number: CMS-R-137 (OCN: 0938-0565); 
Frequency: Annually; Affected Public: Business or other for-profit, 
Not-for-profit institutions, Farms, State, Local or Tribal Governments; 
Number of Respondents: 280,028; Total Annual Responses: 280,028; Total 
Annual Hours: 1,629,763. (For policy questions regarding this 
collection contact Rick Mazur at 410-786-1418. For all other issues 
call 410-786-1326.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Cooperative 
Agreement to Support Establishment of State-Operated Health Insurance 
Exchanges; Use: All States (including the 50 states, consortia of 
states, territories, and the District of Columbia herein referred to as 
states) that received a State Planning and Establishment Grant for 
Affordable Care Act's (ACA) Exchanges are eligible for the Cooperative 
Agreement to Support Establishment of State Operated Insurance 
Exchanges. Section 1311 of the Affordable Care Act offers the 
opportunity for each state to establish an Exchange [now referred to as 
Marketplace], and provides for grants to states for the planning and 
establishment of these Exchanges. Given the innovative nature of 
Exchanges and the statutorily-prescribed 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.
    In order to provide appropriate and timely guidance and technical 
assistance, the Secretary must have access to timely, periodic 
information regarding state progress. Consequently, the information 
collection associated with these grants is essential to facilitating 
reasonable and appropriate federal monitoring of funds, providing 
statutorily-mandated assistance to states to implement Exchanges in 
accordance with federal requirements, and to ensure that states have 
all necessary information required to proceed, such that retrospective 
corrective action can be minimized.
    The submitted revision adds sets of Outcomes and Operational 
Metrics to States' data collection requirements; we will use the 
resulting data to evaluate Marketplace performance and overall 
effectiveness of the ACA. Key areas of measurement are the 
effectiveness of eligibility determination and enrollment processes, 
impact on affordability for consumers, and the effect of Marketplace 
participation on health insurances markets. Furthermore, these metrics 
facilitate actionable feedback and technical assistance to states for 
quality improvement efforts during the critical early period of 
operations. This funding opportunity was first released on January 20, 
2011. Form Number: CMS-10371; Frequency: Occasionally; Affected Public: 
State, Local, or Tribal governments; Number of Respondents: 40; Total 
Annual Responses: 1475; Total Annual Hours: 64,695. (For policy 
questions regarding this collection contact Christina Daw at 301-492-
4181. For all other issues call 410-786-1326.)
    3. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Medicare Prior Authorization of Power Mobility Devices (PMDs) 
Demonstration; Use: The purpose of the Medicare Prior Authorization of 
Power Mobility Devices Demonstration (the Demonstration) is to ensure 
that payments for PMDs are appropriate before the claims are paid, 
thereby preventing the fraud, waste, and abuse in the seven states 
participating in the Demonstration: California, Florida, Illinois, 
Michigan, New York, North Carolina and Texas. Additional benefits of 
the Demonstration include ensuring that a beneficiary's medical 
condition warrants their medical equipment under existing coverage 
guidelines and preserving their ability to receive quality products 
from accredited suppliers. In order to gather qualitative information 
for analysis, the evaluation team will use semi-structured interview 
guides that focus on the direct impact of the Demonstration on 
stakeholder groups. Stakeholders will be drawn from advocacy 
organizations, power mobility device supply companies, state and local 
government, and healthcare practitioners. This information collection 
request explains the research methodology and data collection 
strategies designed to minimize the burden placed on research 
participants, while effectively gathering the data needed for the 
evaluation of the

[[Page 31558]]

Demonstration. Form Number: CMS-10471 (OCN: 0938-NEW); Frequency: 
Yearly; Affected Public: Private sector (business or other for-profit 
and not-for-profit institutions) and State and Local Governments; 
Number of Respondents: 285; Total Annual Responses: 285; Total Annual 
Hours: 324. (For policy questions regarding this collection contact 
Andrea Glasgow at 410-786-4695. 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.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by July 23, 2013:
    1. Electronically. You may submit 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) 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.

    Dated: May 21, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-12469 Filed 5-23-13; 8:45 am]
BILLING CODE 4120-01-P
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