Federal Register / Vol. 78, No. 159 / Friday, August 16, 2013 / Notices 50057 

Governors not later than September 12, 

2013. 

A. Federal Reserve Bank of Atlanta 

(Chapelle Davis, Assistant Vice 

President) 1000 Peachtree Street NE., 

Atlanta, Georgia 30309: 

1. First Florida Bancorp, Inc., Destin, 

Florida; to become a bank holding 

company by acquiring 100 percent of 

the voting shares of First Florida Bank, 

Destin, Florida. 

Board of Governors of the Federal Reserve 

System, August 13, 2013. 

Margaret McCloskey Shanks, 

Deputy Secretary of the Board 

[FR Doc. 2013–19936 Filed 8–15–13; 8:45 am] 

BILLING CODE 6210–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of the Secretary 

Delegation of Authorities 

Notice is hereby given that I have 

delegated to the Administrator, Centers 

for Medicare & Medicaid Services 

(CMS), and the Director, Office of 

Intergovernmental and External Affairs 

(OIEA), the authorities under Sections 

1701–1704 of the Public Health Service 

Act (PHSA) [42 U.S.C. 300u—300u–3], 

as amended. 

Notwithstanding actions previously 

taken pursuant to other similar legal 

authorities, I hereby affirm and ratify 

any actions taken by the Administrator, 

CMS and Director, OIEA, which 

involved the exercise of the authorities 

under Sections 1701–1704 of the PHSA 

[42 U.S.C. 300u—300u–3], as amended, 

delegated herein prior to the effective 

date of this delegation of authorities. 

Nothing in this delegation of 

authorities is intended to restrict the 

exercise of concurrent authorities under 

other statutory provisions. 

This delegation of authorities 

excludes the authority to issue 

regulations and to submit reports to 

Congress. 

These authorities shall be exercised 

under the Department’s policy on 

regulations and the existing delegation 

of authority to approve and issue 

regulations. 

This delegation of authorities is 

effective immediately. 

These authorities may be re-delegated. 

Authority: 44 U.S.C. 3101. 

Dated: August 9, 2013. 

Kathleen Sebelius, 

Secretary. 

[FR Doc. 2013–19967 Filed 8–15–13; 8:45 am] 

BILLING CODE 4150–03–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–301, CMS–317, 

CMS–319, CMS–8003, CMS–10219, CMS– 

10242, CMS–10178, CMS–2744, CMS–3070, 

CMS–10479, CMS–10371 and CMS–R–137] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

ACTION: Notice. 

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 16, 

2013: 

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) 395–6974 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: Reinstatement of a previously 

approved collection; Title of 

Information Collection: Certification of 

Medicaid Eligibility Quality Control 

(MEQC) Payment Error Rates; Use: 

These reviews are conducted to 

determine whether or not the sampled 

cases meet applicable State Title XIX or 

XXI eligibility requirements when 

applicable. The reviews are also used to 

assess beneficiary liability, if any, and to 

determine the amounts paid to provide 

Medicaid services for these cases. In the 

Medicaid Eligibility Quality Control 

(MEQC) system, sampling is the only 

practical method of validating eligibility 

of the total caseload and determining 

the dollar value of eligibility liability 

errors. Any attempt to make such 

validations and determinations by 

reviewing every case would be an 

enormous and unwieldy undertaking. 

During each 6-month review period, 

states are required to collect data on 

eligibility payment error dollars and 

paid claims dollars for each case in the 

sample. States must also identify cases 

for which a review cannot be 

conducted. At the conclusion of the 6- 

month review period, states must 

complete the Payment Error Rate form 

which contains aggregate data on 


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50058 Federal Register / Vol. 78, No. 159 / Friday, August 16, 2013 / Notices 

sample size, number of sampled cases 

dropped, and number of sampled cases 

listed in error. 

These data, along with the calculated 

eligibility payment error rate and lower 

limit are certified by the State Medicaid 

Director (or designee) and submitted to 

the Regional Office. The collection of 

information is also necessary to 

implement provisions from the 

Children’s Health Insurance Program 

Reauthorization Act of 2009 (CHIPRA) 

(Pub. L. 111–3) with regard to the MEQC 

and Payment Error Rate Measurement 

(PERM) programs. Form Number: CMS– 

301 (OCN: 0938–0246); Frequency: 

Semi-Annually; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 51; Total Annual 

Responses: 102; Total Annual Hours: 

16,446. (For policy questions regarding 

this collection contact Monetha Dockery 

at 410–786–0155.) 

2. Type of Information Collection 

Request: Reinstatement of previously 

approved collection; Title of 

Information Collection: State Medicaid 

Eligibility Quality Control (MEQC) 

Sample Plans; Use: The Medicaid 

Eligibility Quality Control (MEQC) 

system is based on monthly state 

reviews of Medicaid and Medicaid 

expansion under Title XXI cases by 

states performing the traditional 

sampling process identified through 

statistically reliable statewide samples 

of cases selected from the eligibility 

files. These reviews are conducted to 

determine whether or not the sampled 

cases meet applicable state Title XIX or 

XXI eligibility requirements when 

applicable. The reviews are also used to 

assess beneficiary liability, if any, and to 

determine the amounts paid to provide 

Medicaid services for these cases. In the 

MEQC system, sampling is the only 

practical method of validating eligibility 

of the total caseload and determining 

the dollar value of eligibility liability 

errors. Any attempt to make such 

validations and determinations by 

reviewing every case would be an 

enormous and unwieldy undertaking. In 

1993, we implemented MEQC pilots in 

which states could focus on special 

studies, targeted populations, 

geographic areas or other forms of 

oversight with our approval. States must 

submit a sampling plan, or pilot 

proposal for us to approve before 

implementing their pilot program. The 

Children’s Health Insurance Program 

Reauthorization Act (CHIPRA) was 

enacted February 4, 2009. Sections 203 

and 601 of the CHIPRA relate to MEQC. 

Section 203 of the CHIPRA establishes 

an error rate measurement with respect 

to the enrollment of children under the 

express lane eligibility option. The law 

directs states not to include children 

enrolled using the express lane 

eligibility option in data or samples 

used for purposes of complying with the 

MEQC requirements. Section 601 of the 

CHIPRA, among other things, requires a 

new final rule for the Payment Error 

Rate Measurement (PERM) program and 

aims to harmonize the PERM and MEQC 

programs and provides states with the 

option to apply PERM data resulting 

from its eligibility reviews for meeting 

MEQC requirements and vice versa, 

with certain conditions. We review, 

either directly or through its contractors, 

of the sampling plans helps to ensure 

states are using valid statistical methods 

for sample selection. Form Number: 

CMS–317 (OCN: 0938–0148); 

Frequency: Semi-Annually; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

10; Total Annual Responses: 20; Total 

Annual Hours: 480. (For policy 

questions regarding this collection 

contact Monetha Dockery at 410–786– 

0155.) 

3. Type of Information Collection 

Request: Reinstatement of a previously 

approved collection; Title of 

Information Collection: State Medicaid 

Eligibility Quality Control (MEQC) 

Sample Selection Lists; Use: The 

Medicaid Eligibility Quality Control 

(MEQC) system is based on monthly 

state reviews of Medicaid and Medicaid 

expansion under Title XXI cases by 

states performing the traditional 

sampling process identified through 

statistically reliable statewide samples 

of cases selected from the eligibility 

files. These reviews are conducted to 

determine whether or not the sampled 

cases meet applicable state Title XIX or 

XXI eligibility requirements when 

applicable. The reviews are also used to 

assess beneficiary liability, if any, and to 

determine the amounts paid to provide 

Medicaid services for these cases. In the 

MEQC system, sampling is the only 

practical method of validating eligibility 

of the total caseload and determining 

the dollar value of eligibility liability 

errors. Any attempt to make such 

validations and determinations by 

reviewing every case would be an 

enormous and unwieldy undertaking. 

At the beginning of each month, state 

agencies still performing the traditional 

sample are required to submit sample 

selection lists which identify all of the 

cases selected for review in the states’ 

samples. The sample selection lists 

contain identifying information on 

Medicaid beneficiaries such as: state 

agency review number, beneficiary’s 

name and address, the name of the 

county where the beneficiary resides, 

Medicaid case number, etc. The 

submittal of the sample selection lists is 

necessary for Regional Office validation 

of state reviews. Without these lists, the 

integrity of the sampling results would 

be suspect and the Regional Offices 

would have no data on the adequacy of 

the States’ monthly sample draw or 

review completion status. The authority 

for collecting this information is Section 

1903(u) of the Social Security Act. The 

specific requirement for submitting 

sample selection lists is described in 

regulations at 42 CFR 431.814(h). 

Regional Office staff review the sample 

selection lists to determine that states 

are sampling a sufficient number of 

cases for review. Form Number: CMS– 

319 (OCN: 0938–0147); Frequency: 

Monthly; Affected Public: State, Local, 

or Tribal Governments; Number of 

Respondents: 10; Total Annual 

Responses: 120; Total Annual Hours: 

960. (For policy questions regarding this 

collection contact Monetha Dockery at 

410–786–0155.) 

4. Type of Information Collection 

Request: Reinstatement without change 

of a previously approved collection; 

Title of Information Collection: 1915(c) 

Home and Community Based Services 

(HCBS) Waiver; Use: We will use the 

web-based application to review and 

adjudicate individual waiver actions. 

The web-based application will also be 

used by states to submit and revise their 

waiver requests. Form Number: CMS– 

8003 (OCN: 0938–0449); Frequency: 

Yearly; Affected Public: State, Local, or 

Tribal Governments; Number of 

Respondents: 47; Total Annual 

Responses: 71; Total Annual Hours: 

6,005. (For policy questions regarding 

this collection contact Kathy Poisal at 

410–786–5940.) 

5. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Healthcare 

Effectiveness Data and Information Set 

(HEDIS®) Data Collection for Medicare 

Advantage; Use: We use the data in the 

Healthcare Effectiveness Data and 

Information Set (HEDIS®) to: monitor 

Medicare Advantage organization 

performance, inform audit strategies, 

and inform beneficiary choice through 

their display in our consumer-oriented 

public compare tools and Web sites. 

Medicare Advantage organizations use 

the data for quality assessment and as 

part of their quality improvement 

programs and activities. Quality 

Improvement Organizations and our 

contractors use HEDIS® data in 

conjunction with their statutory 

authority to improve quality of care, and 

consumers who are making informed 

health care choices. In addition, we 


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Federal Register / Vol. 78, No. 159 / Friday, August 16, 2013 / Notices 50059 

make health plan level HEDIS® data 

available to researchers and others as 

public use files at www.cms.hhs.gov. 

Form Number: CMS–10219 (OCN: 

0938–1028); Frequency: Yearly; Affected 

Public: Private sector—Business or other 

for-profit and Not-for-profit institutions; 

Number of Respondents: 576; Total 

Annual Responses: 576; Total Annual 

Hours: 184,320. (For policy questions 

regarding this collection contact Lori 

Teichman at 410–786–6684.) 

6. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Emergency and 

Non-Emergency Ambulance Transports 

and Beneficiary Signature Requirements 

in 42 CFR 424.36(b); Use: Ambulance 

providers and suppliers are the primary 

information users. Specifically, when 

ambulance providers and suppliers sign 

claims on behalf of beneficiaries they 

are required by § 424.36(b)(6) to keep 

certain documentation in their files for 

at least four years from the date of 

service. The purpose of this information 

collection is to document emergency 

and nonemergency ambulance 

transports where the beneficiary was 

incapable of signing the claim and the 

ambulance provider or supplier signed 

the claim on the beneficiary’s behalf. 

The information may also be used by: 

(1) Our Part A and Part B Medicare 

Administrative Contractors that process 

and pay ambulance claims; (2) our staff 

who review and audit claims for 

medical necessity; (3) our staff who 

review claims for overpayments; and (4) 

by others who investigate ambulance 

billing practices to ensure compliance 

under the False Claims Act and antikickback statute. Therefore, besides 

ambulance providers and suppliers, the 

information collected may be used by 

CMS, the Office of the General Counsel, 

the Office of the Inspector General, the 

Department of Justice, and the Federal 

Bureau of Investigations. Form Number: 

CMS–10242 (OCN: 0938–1049). 

Frequency: Occasionally; Affected 

Public: Private sector—Business or other 

for-profit and not-for-profit institutions; 

Number of Respondents: 11,564; Total 

Annual Responses: 15,633,781; Total 

Annual Hours: 1,303,857. (For policy 

questions regarding this collection 

contact David Walczak at 410–786– 

4475.) 

7. Type of Information Collection 

Request: Reinstatement of a previously 

approved collection; Title of 

Information Collection: Medicaid and 

Children’s Health Insurance (CHIP) 

Managed Care Claims and Related 

Information; Use: The Payment Error 

Rate Measurement (PERM) program 

measures improper payments for 

Medicaid and the State Children’s 

Health Insurance Program (SCHIP). The 

program was designed to comply with 

the Improper Payments Information Act 

(IPIA) of 2002 and the Office of 

Management and Budget (OMB) 

guidance. Although OMB guidance 

requires error rate measurement for 

SCHIP, 2009 SCHIP legislation 

temporarily suspended PERM 

measurement for this program and 

changed to Children’s Health Insurance 

Program (CHIP) effective April 01, 2009. 

See Children’s Health Insurance 

Program Reauthorization Act of 2009 

(CHIPRA) Public Law 111–3 for more 

details. There are two phases of the 

PERM program, the measurement phase 

and the corrective action phase. PERM 

measures improper payments in 

Medicaid and CHIP and produces state 

and national-level error rates for each 

program. The error rates are based on 

reviews of Medicaid and CHIP fee-forservice (FFS) and managed care 

payments made in the Federal fiscal 

year under review. States conduct 

eligibility reviews and report eligibility 

related payment error rates also used in 

the national error rate calculation. We 

created a 17 state rotation cycle so that 

each state will participate in PERM once 

every three years. We need to collect 

capitation payment information from 

the selected states so that the federal 

contractor can draw a sample and 

review the managed care capitation 

payments. We will also collect state 

managed care contracts, rate schedules 

and updates to the contracts and rate 

schedules. This information will be 

used by the Federal contractor when 

conducting the managed care claims 

reviews. Sections 1902(a)(6) and 

2107(b)(1) of the Social Security Act 

grants us authority to collect 

information from the States. The IPIA 

requires us to produce national error 

rates in Medicaid and CHIP fee-forservice, including the managed care 

component. The state-specific Medicaid 

managed care and CHIP managed care 

error rates will be based on reviews of 

managed care capitation payments in 

each program and will be used to 

produce national Medicaid managed 

care and CHIP managed care error rates. 

Form Number: CMS–10178 (OCN: 

0938–0994); Frequency: Occasionally; 

Affected Public: State, Local, or Tribal 

Governments; Number of Respondents: 

34; Total Annual Responses: 2040; Total 

Annual Hours: 28,050. (For policy 

questions regarding this collection 

contact Monetha Dockery at 410–786– 

0155.) 

8. Type of Information Collection 

Request: Revision of a previously 

approved collection; Title of 

Information Collection: End Stage Renal 

Disease (ESRD) Medical Information 

Facility Survey; Use: The End Stage 

Renal Disease (ESRD) Medical 

Information Facility Survey form (CMS– 

2744) is completed annually by 

Medicare-approved providers of dialysis 

and transplant services. The CMS–2744 

is designed to collect information 

concerning treatment trends, utilization 

of services and patterns of practice in 

treating ESRD patients. The information 

is used to assess and evaluate the local, 

regional and national levels of medical 

and social impact of ESRD care and is 

used extensively by researchers and 

suppliers of services for trend analysis. 

The information is available on our 

Dialysis Facility Compare Web site and 

will enable patients to make informed 

decisions about their care by comparing 

dialysis facilities in their area. Form 

Number: CMS–2744 (OCN: 0938–0447); 

Frequency: Yearly; Affected Public: 

Business or other for-profit and Not-forprofit institutions; Number of 

Respondents: 5,964; Total Annual 

Responses: 5,964; Total Annual Hours: 

47,712. (For policy questions regarding 

this collection contact Michelle Tucker 

at 410–786–0736.) 

9. Type of Information Collection 

Request: Reinstatement with change of a 

currently approved collection; Title of 

Information Collection: Intermediate 

Care Facility (ICF) for the Mentally 

Retarded (MR) or Persons with Related 

Conditions Survey Report Form; Use: 

This survey form is needed to ensure 

intermediate care facility (ICF) for the 

mentally retarded (MR) provider and 

client characteristics are available and 

updated annually for the federal 

government’s Online Survey 

Certification and Reporting (OSCAR) 

system. It is required for the provider to 

fill out at the time of the annual 

recertification or initial certification 

survey conducted by the state Medicaid 

agency. The team leader for the state 

survey team must review and approve 

the completed form before completion 

of the survey. The state Medicaid survey 

agency is responsible for transferring the 

3070 information into OSCAR. Form 

Number: CMS–3070 (OCN: 0938–0062); 

Frequency: Reporting—Yearly; Affected 

Public: Private Sector: Business or other 

for-profits and Not-for-profit 

institutions; Number of Respondents: 

6,446; Total Annual Responses: 6,446; 

Total Annual Hours: 19,388. (For policy 

questions regarding this collection 

contact Adrienne Rogers at 410–786– 

3411.) 

10. Type of Information Collection 

Request: New Collection (Request for a 

new OMB control number); Title of 


emcdonald on DSK67QTVN1PROD with NOTICES
50060 Federal Register / Vol. 78, No. 159 / Friday, August 16, 2013 / Notices 

Information Collection: Evaluation of 

the Multi-Payer Advanced Primary Care 

Practice (MAPCP) Demonstration Focus 

Group Protocols; Use: On September 16, 

2009, the Department of Health and 

Human Services announced the 

establishment of the Multi-payer 

Advanced Primary Care Practice 

(MAPCP) Demonstration, under which 

Medicare joined Medicaid and private 

insurers as a payer participant in statesponsored patient-centered medical 

home (PCMH) initiatives. We selected 

eight states to participate in this 

demonstration: Maine, Vermont, Rhode 

Island, New York, Pennsylvania, North 

Carolina, Michigan, and Minnesota. We 

are proposing to conduct in-person 

focus groups with Medicare and 

Medicaid beneficiaries and their 

caregivers to more thoroughly 

understand patients’ experiences with 

their PCMHs and how well their PCMHs 

are serving their needs. 

The focus groups will provide us with 

answers to fundamental ‘‘what, how, 

and why’’ questions about beneficiaries’ 

experiences with care and access to and 

coordination of care. We will use the 

information obtained via in-person, 

focus groups for the evaluation of the 

MAPCP Demonstration. The focus group 

data will be collected to supplement 

other qualitative and quantitative 

analyses from primary and secondary 

data sources by providing data on 

context, structure, and process, as well 

as select aspects of the key outcomes. 

The data gathered from the interviews 

will allow for more complete 

interpretation of the quantitative claims 

and other data analysis by taking into 

account the unique perspectives of 

beneficiaries. Subsequent to the 

publication of the 60-day Federal 

Register notice (April 29, 2013; 78 FR 

25089), the protocols have been revised 

by adding, revising and/or deleting 

questions. Form Number: CMS–10479 

(OCN: 0938–NEW); Frequency: 

Annually; Affected Public: Individuals 

and households; Number of 

Respondents: 768; Total Annual 

Responses: 384; Total Annual Hours: 

1,152. (For policy questions regarding 

this collection contact Suzanne Wensky 

at 410–786–0226.) 

11. 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 (OCN: 0938–0119); 

Frequency: Occasionally; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

40; Total Annual Responses: 1,475; 

Total Annual Hours: 64,695. (For policy 

questions regarding this collection 

contact Christina Daw at 301–492– 

4181.) 

12. 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; 

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 we 

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 and Not-forprofit institutions, 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.) 

Dated: August 13, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–20023 Filed 8–15–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10190, CMS–R– 

52, CMS–10492 and CMS–10416] 

Agency Information Collection 

Activities; Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 


emcdonald on DSK67QTVN1PROD with NOTICES