[Federal Register Volume 89, Number 174 (Monday, September 9, 2024)]
[Notices]
[Pages 73097-73098]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-20236]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-1984-14 and CMS-216-94]


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

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

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

[[Page 73098]]

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 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 on the collection(s) of information must be received by 
the OMB desk officer by October 9, 2024.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
    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 Parham at (410) 786-4669.

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 of a currently 
approved collection; Title of Information Collection: Hospice Facility 
Cost Report Form; Use: Under the authority of sections 1815(a) and 
1833(e) of the Social Security Act (the Act), CMS requires that 
providers of services participating in the Medicare program submit 
information to determine costs for health care services rendered to 
Medicare beneficiaries. CMS requires that providers follow reasonable 
cost principles under 1861(v)(1)(A) of the Act when completing the 
Medicare cost report (MCR). The regulations at 42 CFR 413.20 and 413.24 
require that providers submit acceptable cost reports on an annual 
basis and maintain sufficient financial records and statistical data, 
capable of verification by qualified auditors. In addition, regulations 
require that providers furnish such Information to the contractor as 
may be necessary to assure proper payment by the program, receive 
program payments, and satisfy program overpayment determinations.
    CMS regulations at 42 CFR 413.24(f)(4) require that each hospice 
submit an annual cost report to their contractor in a standard American 
Standard Code for Information Interchange (ASCII) electronic cost 
report (ECR) format. A hospice submits the ECR file to contractors 
using a compact disk (CD), flash drive, or the CMS approved Medicare 
Cost Report E-filing (MCREF) portal, [URL: https://mcref.cms.gov]. The 
instructions for submission are included in the hospice cost report 
instructions on page 43-3.
    CMS requires the Form CMS-1984-14 to determine a hospice's 
reasonable costs incurred in furnishing medical services to Medicare 
beneficiaries. CMS uses the Form CMS-1984-14 for rate setting; payment 
refinement activities, including developing a market basket; Medicare 
Trust Fund projections; and program operations support. Additionally, 
the Medicare Payment Advisory Commission (MedPAC) uses the hospice cost 
report data to calculate Medicare margins (a measure of the 
relationship between Medicare's payments and providers' Medicare costs) 
and analyze data to formulate Medicare Program recommendations to 
Congress. Form Number: CMS-1984-14 (OMB control number: 0938-0758); 
Frequency: Yearly; Affected Public: Private Sector, Business or other 
for-profits, Not for profits institutions; Number of Respondents: 
6,430; Total Annual Responses: 6,430; Total Annual Hours: 1,208,840. 
(For policy questions regarding this collection contact Duncan Gail at 
410-786-7278.)
    2. Type of Information Collection: Extension of a currently 
approved collection; Title of Information Collection: Organ Procurement 
Organization Histocompatibility Laboratory Cost Report; Use: The Form 
CMS-216-94 cost report is needed to determine Organ Procurement 
Organization (OPO)/Histocompatibility Lab (HL) reasonable costs 
incurred in procuring and transporting organs for transplant into 
Medicare beneficiaries and reimbursement due to or from the provider. 
The reasonable costs of procuring and transporting organs cannot be 
determined for the fiscal year until the OPO/HL files its cost report 
and costs are verified by the Medicare contractor. During the fiscal 
year, an interim rate is established based on cost report data from the 
previous year. The OPO/HL bills the transplant hospital for services 
rendered. The transplant hospital pays interim payments, approximating 
reasonable cost, to the OPO/HL. The Form CMS-216-94 cost report is 
filed by each OPO/HL at the end of its fiscal year and there is a cost 
report settlement to take into account increases or decreases in costs. 
The cost report reconciliation and settlement take into consideration 
the difference between the total reasonable costs minus the total 
interim payments received or receivable from the transplant centers. 
Form Number: CMS-216-94 (OMB control number: 0938-0102); Frequency: 
Annually; Affected Public: Private Sector--Business or other for-
profits; Number of Respondents: 95; Total Annual Responses: 95; Total 
Annual Hours: 4,275. (For policy questions regarding this collection 
contact Luann Piccione at 410-786-5423.)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-20236 Filed 9-6-24; 8:45 am]
BILLING CODE 4120-01-P