Federal Register / Vol. 75, No. 237 / Friday, December 10, 2010 / Notices 76987 

and use of these standards, 

implementation specifications, 

certification criteria and certification 

processes? 

3. Given currently implemented 

information technology (IT) 

architectures and enterprises, what 

challenges will the industry face with 

respect to transitioning to the approach 

discussed in the PCAST report? 

a. Given currently implemented 

provider workflows, what are some 

challenges to populating the metadata 

that may be necessary to implement the 

approach discussed in the PCAST 

report? 

b. Alternatively, what are proposed 

solutions, or best practices from other 

industries, that could be leveraged to 

expedite these transitions? 

4. What technological developments 

and policy actions would be required to 

assure the privacy and security of health 

data in a national infrastructure for HIT 

that embodies the PCAST vision and 

recommendations? 

5. How might a system of Data 

Element Access Services (DEAS), as 

described in the report, be established, 

and what role should the Federal 

government assume in the oversight 

and/or governance of such a system? 

6. How might ONC best integrate the 

changes envisioned by the PCAST 

report into its work in preparation for 

Stage 2 of Meaningful Use? 

7. What are the implications of the 

PCAST report on HIT programs and 

activities, specifically, health 

information exchange and Federal 

agency activities, and how could ONC 

address those implications? 

8. Are there lessons learned regarding 

metadata tagging in other industries that 

ONC should be aware of? 

9. Are there lessons learned from 

initiatives to establish informationsharing languages (‘‘universal 

languages’’) in other sectors? 

Dated: December 7, 2010. 

David Blumenthal, 

National Coordinator, Office of the National 

Coordinator for HIT. 

[FR Doc. 2010–31159 Filed 12–8–10; 11:15 am] 

BILLING CODE 4150–45–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Disease, Disability, and Injury 

Prevention and Control Special 

Emphasis Panel (SEP): Epidemiologic 

and Ecologic Determinants of 

Monkeypox in a Disease-Endemic 

Setting, Funding Opportunity 

Announcement (FOA) CK11–003, Initial 

Review 

In accordance with Section 10(a)(2) of 

the Federal Advisory Committee Act 

(Pub. L. 92–463), the Centers for Disease 

Control and Prevention (CDC) 

announces the aforementioned meeting: 

Time and Date: 12 p.m.–2 p.m., February 

1, 2011 (Closed). 

Place: Teleconference. 

Status: The meeting will be closed to the 

public in accordance with provisions set 

forth in Section 552b(c)(4) and (6), Title 5 

U.S.C., and the Determination of the Director, 

Management Analysis and Services Office, 

CDC, pursuant to Public Law 92–463. 

Matters to Be Discussed: The meeting will 

include the initial review, discussion, and 

evaluation of applications received in 

response to ‘‘Epidemiologic and Ecologic 

Determinants of Monkeypox in a Diseaseendemic Setting, Funding Opportunity 

Announcement FOA CK11–003.’’ 

Contact Person for More Information: Amy 

Yang, PhD, Scientific Review Officer, CDC, 

1600 Clifton Road, NE., Mailstop E60, 

Atlanta, Georgia 30333, Telephone: (404) 

498–2733. 

The Director, Management Analysis and 

Services Office, has been delegated the 

authority to sign Federal Register notices 

pertaining to announcements of meetings and 

other committee management activities, for 

both the Centers for Disease Control and 

Prevention and the Agency for Toxic 

Substances and Disease Registry. 

Dated: December 2, 2010. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2010–31046 Filed 12–9–10; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–1500(08–05)] 

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: Reinstatement of a previously 

approved collection; Title of 

Information Collection: Health 

Insurance Common Claims Form and 

Supporting Regulations at 42 CFR part 

424, Subpart C; Form Number: CMS– 

1500(08–05), CMS–1490–S (OMB#: 

0938–0999); Use: The Form CMS–1500 

answers the needs of many health 

insurers. It is the basic form prescribed 

by CMS for the Medicare program for 

claims from physicians and suppliers. 

The Medicaid State Agencies, 

CHAMPUS/TriCare, Blue Cross/Blue 

Shield Plans, the Federal Employees 

Health Benefit Plan, and several private 

health plans also use it; it is the de facto 

standard ‘‘professional’’ claim form. 

Medicare carriers use the data 

collected on the CMS–1500 and the 

CMS–1490S to determine the proper 

amount of reimbursement for Part B 

medical and other health services (as 

listed in section 1861(s) of the Social 

Security Act) provided by physicians 

and suppliers to beneficiaries. The 

CMS–1500 is submitted by physicians/ 

suppliers for all Part B Medicare. 

Serving as a common claim form, the 

CMS–1500 can be used by other thirdparty payers (commercial and nonprofit 

health insurers) and other Federal 

programs (e.g., CHAMPUS/TriCare, 

Railroad Retirement Board (RRB), and 

Medicaid). 

However, as the CMS–1500 displays 

data items required for other third-party 

payers in addition to Medicare, the form 

is considered too complex for use by 

beneficiaries when they file their own 

claims. Therefore, the CMS–1490S 

(Patient’s Request for Medicare 

Payment) was explicitly developed for 

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76988 Federal Register / Vol. 75, No. 237 / Friday, December 10, 2010 / Notices 

easy use by beneficiaries who file their 

own claims. The form can be obtained 

from any Social Security office or 

Medicare carrier. Frequency: 

Reporting—On occasion; Affected 

Public: State, Local, or Tribal 

Government, Business or other-forprofit, Not-for-profit institutions; 

Number of Respondents: 1,048,243; 

Total Annual Responses: 991,160,925; 

Total Annual Hours: 23,815,541. (For 

policy questions regarding this 

collection contact Brian Reitz at 410– 

786–5001. 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 

e-mail 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 January 10, 2011. 

OMB, Office of Information and 

Regulatory Affairs. 

Attention: CMS Desk Officer. 

Fax Number: (202) 395–6974. 

E-mail: 

OIRA_submission@omb.eop.gov. 

Dated: December 6, 2010. 

Michelle Shortt, 

Director, Regulations Development Group 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–31075 Filed 12–9–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–21 and CMS– 

21B, CMS–37, CMS–64, CMS–10120, CMS– 

10224, CMS–10098, CMS–10292 and CMS– 

10220] 

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: Extension without change of a 

currently approved collection; Title of 

Information Collection: CMS–21 

(Quarterly Children’s Health Insurance 

Program (CHIP) Statement of 

Expenditures for the Title XXI Program) 

and CMS–21B (State Children’s Health 

Insurance Program Budget Report for 

the Title XXI Program State Plan 

Expenditures); Use: Forms CMS–21 and 

–21B provide CMS with the information 

necessary to issue quarterly grant 

awards, monitor current year 

expenditure levels, determine the 

allowability of State claims for 

reimbursement, develop CHIP financial 

management information, provide for 

State reporting of waiver expenditures, 

and ensure that the Federally 

established allotment is not exceeded. 

Further, these forms are necessary in the 

redistribution and reallocation of 

unspent funds over the Federally 

mandated timeframes; Form Numbers: 

CMS–21 and CMS–21B (OMB#: 0938– 

0731); Frequency: Quarterly; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

56; Total Annual Responses: 448; Total 

Annual Hours: 7,840. (For policy 

questions regarding this collection 

contact Jonas Eberly at 410–786–6232. 

For all other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Extension without change of a 

currently approved collection; Title of 

Information Collection: Medicaid 

Program Budget Report; Use: Form 

CMS–37 is prepared and submitted to 

the Centers for Medicare & Medicaid 

Services (CMS) by State Medicaid 

agencies. Form CMS–37 is the primary 

document used by CMS in developing 

the national Medicaid budget estimates 

that are submitted to the Office of 

Management and Budget and the 

Congress; Form Number: CMS–37 

(OMB#: 0938–0101); Frequency: 

Quarterly; Affected Public: State, Local, 

or Tribal Governments; Number of 

Respondents: 56; Total Annual 

Responses: 224; Total Annual Hours: 

7,616. (For policy questions regarding 

this collection contact Jonas Eberly at 

410–786–6232. For all other issues call 

410–786–1326.) 

3. Type of Information Collection 

Request: Extension without change of a 

currently approved collection; Title of 

Information Collection: Quarterly 

Medicaid Statement of Expenditures for 

the Medical Assistance Program; Use: 

Form CMS–64 has been used since 

January 1980 by the Medicaid State 

Agencies to report their actual program 

benefit costs and administrative 

expenses to CMS. CMS uses this 

information to compute the Federal 

financial participation (FFP) for the 

State’s Medicaid Program costs. Certain 

schedules of the CMS–64 form are used 

by States to report budget, expenditure 

and related statistical information 

required for implementation of the 

Medicaid portion of the State Children’s 

Health Insurance Programs; Form 

Number: CMS–64 (OMB#: 0938–0067); 

Frequency: Quarterly; Affected Public: 

State, Local, or Tribal Governments; 

Number of Respondents: 56; Total 

Annual Responses: 224; Total Annual 

Hours: 16,464. (For policy questions 

regarding this collection contact Jonas 

Eberly at 410–786–6232. For all other 

issues call 410–786–1326.) 

4. Type of Information Collection 

Request: Extension without change of a 

currently approved collection; Title of 

Information Collection: 1932 State Plan 

Amendment Template; Use: Section 

1932(a)(1)(A) of the Social Security Act 

(the Act) grants states the authority to 

enroll Medicaid beneficiaries on a 

mandatory basis into managed care 

entities, managed care organizations 

(MCOs) and primary care case managers 

(PCCMs). Under this authority, a state 

can amend its Medicaid state plan to 

require certain categories of Medicaid 

beneficiaries to enroll in managed care 

entities without being out of 

compliance. This template may be used 

by states to easily modify their state 

plans if they choose to implement the 

provisions of section 1932(a)(1)(A). 

The State Medicaid Agencies will 

complete the template. CMS will review 

the information to determine if the state 

has met all the requirements of section 

1932(a)(1)(A) and 42 CFR 438.50. If the 

requirements are met, CMS will approve 

the amendment to the state’s title XIX 

plan giving the state the authority to 

enroll Medicaid beneficiaries on a 

mandatory basis into managed care 

entities MCOs and PCCMs. For a state 

to receive Medicaid funding, there must 

be an approved title XIX state plan; 

Form Number: CMS–10120 (OMB#: 

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