[Federal Register Volume 89, Number 189 (Monday, September 30, 2024)]
[Notices]
[Pages 79612-79613]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-22355]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10598 and CMS-224-14]


Agency Information Collection Activities: Proposed Collection; 
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 60 days for public comment on 
the proposed action. Interested persons are invited to send comments 
regarding our burden estimates 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 must be received by November 29, 2024.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send 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) that are 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.
    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 N. Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION:

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-10598 Evaluation of Stakeholder Training and Program Support
CMS-224-14 Federally Qualified Health Center Cost Report Form

    Under the 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 requires federal agencies 
to publish a 60-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.

Information Collections

    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Evaluation of 
Stakeholder Training and Program Support; Use: The Centers for Medicare 
and Medicaid Services (CMS) provides training and technical assistance 
primarily through weekly, bi-weekly, monthly, or quarterly webinars, 
conferences, and Computer Based Trainings (CBTs). In addition, CMS 
provides one-time web-based training and support sessions as needed. 
Evaluation instruments are electronically sent to participants 
immediately after each session. Current

[[Page 79613]]

data collections include online and onsite training session 
evaluations.
    CMS uses information from the data collection activities to 
determine the extent to which the goals of each training and support 
session were achieved and to help CMS make improvements for future 
training and support sessions. The collected data helps CMS address its 
Government Performance and Results Act (GPRA) requirements, as well as 
CMS and HHS goals for support for, and open dialogue with, 
stakeholders.
    The Affordable Care Act (ACA) was enacted to assist millions of 
Americans in obtaining affordable health care services and to allow 
more employers to offer insurance coverage to their employees in a 
cost-effective manner. Since the implementation of ACA in 2014, 
individuals and small businesses have been able to purchase private 
health insurance through competitive marketplaces called the ``Health 
Insurance Marketplace'' (Marketplace). CMS issued regulations for the 
establishment and practices of Marketplaces in States. The cooperation 
and coordination of States, health insurance issuers, the Federal 
Government and other key stakeholders is essential to the continued 
success of the Marketplace.
    The Consolidated Appropriations Act (CAA) of 2021 became law on 
December 27, 2020. It is a $1.4 trillion omnibus spending agreement 
that encompasses many different provisions. Two (2) acts within the law 
apply to the Centers for Medicare and Medicaid Services (CMS) Center 
for Consumer Information and Insurance Oversight (CCIIO): Title I, ``No 
Surprises Act'' and Title II, ``Transparency'' (NST). Beginning in 
2022, new protections through the No Surprises Act are in place to 
shield millions of consumers from surprise medical bills.
    CMS is strongly committed to providing training, outreach, and 
technical assistance to stakeholders participating in the Marketplace 
and/or programs mandated by the ACA or NST. In addition, CMS recognizes 
that the success of Marketplaces and associated programs relies on the 
cooperation and coordination of States, issuers, Assisters, self-
insured health plans, third-party administrators (TPA) of self-insured 
health plans, agents and brokers, Providers/Facilities, and other 
stakeholders. Therefore, CMS expects to design and conduct various 
consumer satisfaction and feedback surveys, usability tests, and focus 
groups for these respondents to complete. Form Number: CMS-10598 (OMB 
Control Number: 0938-1331); Frequency: Annually; Affected Public: 
Individuals and Households, Private Sector, State, Local, and Tribal 
Governments, Federal Government, Business or other for-profit, and not-
for-profit institutions; Number of Respondents: 9,588; Number of 
Responses: 9,588 Total Annual Hours: 2,397 hours. (For policy questions 
regarding this collection contact Sonia Henderson at 301-492-4320.)
    2. Type of Information Collection Request: Extension without change 
of a previously approved collection; Title of Information Collection: 
Federally Qualified Health Center Cost Report Form; Use: The Form CMS-
224-14 cost report is needed to determine a provider's reasonable cost 
incurred in furnishing medical services to Medicare beneficiaries and 
to calculate the FQHC settlement amount. These providers, paid under 
the FQHC prospective payment system (PPS), may receive reimbursement 
outside of the PPS for Medicare reimbursable bad debts, pneumococcal, 
influenza, and COVID-19 vaccines, and monoclonal antibody products. CMS 
uses the Form CMS-224-14 for rate setting; payment refinement 
activities, including developing a FQHC market basket; Medicare Trust 
Fund projections; and to support program operations. Additionally, the 
Medicare Payment Advisory Commission (MedPAC) uses the FQHC Medicare 
cost report data to calculate Medicare margins; to formulate 
recommendations to Congress regarding the FQHC PPS; and to conduct 
additional analysis of the FQHC PPS. Form Number: CMS-224-14 (OMB 
control number: 0938-1298); Frequency: Yearly; Affected Public: Private 
Sector, State, Local, or Tribal Governments, Federal Government, 
Business or other for-profits, Not-for-Profit Institutions; Number of 
Respondents: 2,967; Total Annual Responses: 2,967; Total Annual Hours: 
172,086. (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. 2024-22355 Filed 9-27-24; 8:45 am]
BILLING CODE 4120-01-P