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[Federal Register Volume 79, Number 164 (Monday, August 25, 2014)]
[Notices]
[Pages 50655-50656]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-20041]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1856 and CMS-1893, and CMS-10380]

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 September 24, 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: Revision of a currently 
approved collection; Title of Information Collection: (CMS-1856) 
Request for Certification in the Medicare and/or Medicaid Program to 
Provide Outpatient Physical Therapy and/or Speech Pathology Services, 
and (CMS-1893) Outpatient Physical Therapy--Speech Pathology Survey 
Report; Use: Form CMS-1856 is used as an application to be completed by 
providers of outpatient physical therapy and/or speech-language 
pathology services requesting participation in the Medicare and 
Medicaid programs. This form initiates the process for obtaining a 
decision as to whether the conditions of participation are met as a 
provider of outpatient physical therapy, speech-language pathology 
services, or both. It is used by the State agencies to enter new 
providers into the Automated Survey Process Environment (ASPEN). Form 
CMS-1893 is used by the State survey agency to record data collected 
during an on-site survey of a provider of outpatient physical therapy 
and/or speech-language pathology services, to determine compliance with 
the applicable conditions of participation, and to report this 
information to the Federal government. The form is

[[Page 50656]]

primarily a coding worksheet designed to facilitate data reduction and 
retrieval into the ASPEN system. The information needed to make 
certification decisions is available to us only through the use of 
information abstracted from the form.
    Form Numbers: CMS-1856 and CMS-1893 (OMB control number: 0938-
0065); Frequency: Annually, occasionally; Affected Public: Private 
sector--Business or other for-profit and Not-for-profit institutions; 
Number of Respondents: 700; Total Annual Responses: 700; Total Annual 
Hours: 613. (For policy questions regarding this collection contact 
James Cowher at 410-786-1948.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Reporting 
Requirements for Grants to States for Rate Review Cycle I, Cycle II, 
Cycle III, and Cycle IV and Effective Rate Review Program; Use: Under 
the section 1003 of the Affordable Care Act (ACA) (section 2794 of the 
Public Health Service Act), the Secretary, in conjunction with the 
states and territories, is required to establish a process for the 
annual review, beginning with the 2010 plan year, of unreasonable 
increases in premiums for health insurance coverage. Section 2794(c) 
requires the Secretary to establish the Rate Review Grant Program to 
states to assist states to implement this provision. In addition, 
section 2794(c) requires the Rate Review Grant Program to assist states 
in the establishment and enhancement of ``Data Centers'' that collect, 
analyze, and disseminate health care pricing data to the public.
    Concurrent with this information collection request (ICR), HHS 
released Cycle IV of the Rate Review Grants, ``Grants to States to 
Support Health Insurance Rate Review and Increase Transparency in the 
Pricing of Medical Services.'' The purpose of Cycle IV of the Rate 
Review Grant Program is to continue the rate review successes of Cycles 
I, II, and III, as well as to provide greater support to Data Centers, 
thereby enhancing medical pricing transparency. States and territories 
that apply for funds are required to complete the grant application. 
States and territories that are awarded funds under this funding 
opportunity are required to provide the Secretary with rate review 
data, four quarterly reports, and one annual report per year until the 
end of the grant period detailing the state's progression towards a 
more comprehensive and effective rate review process. A final report is 
due at the end of the grant period. This information collection is 
required for effective monitoring of grantees and to fulfill statutory 
requirements under section 2794(b)(1)(A) of the ACA that requires 
grantees, as a condition of receiving a grant authorized under section 
2794(c), to report to the Secretary information about premium 
increases.
    On May 23, 2011, CMS published a final rule with comment period (76 
FR 29964) to implement the annual review of unreasonable increases in 
premiums for health insurance coverage called for by section 2794. 
Under the regulation, if CMS determines that a state has an Effective 
Rate Review Program in a given market, using the criteria set forth in 
the rule, CMS will adopt that state's determinations regarding whether 
rate increases in that market are unreasonable, provided that the state 
reports its final determinations to CMS and explains the bases of its 
determinations. The final rule titled ``Patient Protection and 
Affordable Care Act; Health Insurance Market Rules; Rate Review'' (78 
FR 13406; February 27, 2013) amends the standards under the Effective 
Rate Review Program. Currently, CMS relies on publicly available 
information and annual calls with individual states to obtain the 
information needed to evaluate whether a state has begun to or 
continues to satisfy the Effective Rate Review Program criteria. CMS is 
proposing to instead collect the information in writing from all states 
that would like to request effective status. No comments were received 
in response to the 60-day Federal Register notice published on June 2, 
2014 (79 FR 31336). Form Number: CMS-10380 (OMB control number: 0938-
1121); Frequency: Annually and On occasion; Affected Public: Public 
Sector and State and Territory Governments; Number of Respondents: 50; 
Total Annual Responses: 553; Total Annual Hours: 20,951. (For policy 
questions regarding this collection contact Susie Lorden at 301-492-
4162.)

    Dated: August 19, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2014-20041 Filed 8-22-14; 8:45 am]
BILLING CODE 4120-01-P
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