Federal Register / Vol. 79, No. 63 / Wednesday, April 2, 2014 / Notices 18555 

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: Medicare 

Advantage Chronic Care Improvement 

Program (CCIP) and Quality 

Improvement (QI) Project Reporting 

Tools; Use: Medicare Advantage 

Organizations (MAOs) are required to 

have an ongoing quality improvement 

(QI) program that meets our 

requirements and includes at least one 

chronic care improvement program 

(CCIP) and one QI project. Every MAO 

must have a QI program that monitors 

and identifies areas where 

implementing appropriate interventions 

would improve patient outcomes and 

patient safety. Information collected 

using the CCIP and QIP reporting tools 

is an integral resource for oversight, 

monitoring, compliance, and auditing 

activities necessary to ensure high 

quality value-based health care for 

Medicare beneficiaries. Form Number: 

CMS–10209 (OCN: 0938–1023); 

Frequency: Yearly; Affected Public: 

Private sector (business or other forprofits and not-for-profit institutions); 

Number of Respondents: 1,904; Total 

Annual Responses: 1,904; Total Annual 

Hours: 28,560. (For policy questions 

regarding this collection contact Ellen 

Dieujuste at 410–786–2191). 

2. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved information 

collection; Title of Information 

Collection: Rate Increase Disclosure and 

Review Reporting Requirements; Use: 

Section 1003 of the Affordable Care Act 

adds a new section 2794 of the PHS Act 

which directs the Secretary of the 

Department of Health and Human 

Services (the Secretary), in conjunction 

with the states, to establish a process for 

the annual review of ‘‘unreasonable 

increases in premiums for health 

insurance coverage.’’ The statute 

provides that health insurance issuers 

must submit to the Secretary and the 

applicable state justifications for 

unreasonable premium increases prior 

to the implementation of the increases. 

Section 2794 also specifies that 

beginning with plan years beginning in 

2014, the Secretary, in conjunction with 

the states, shall monitor premium 

increases of health insurance coverage 

offered through an Exchange and 

outside of an Exchange. 

Section 2794 directs the Secretary to 

ensure the public disclosure of 

information and justification relating to 

unreasonable rate increases. The 

regulation therefore develops a process 

to ensure the public disclosure of all 

such information and justification. 

Section 2794 requires that health 

insurance issuers submit justification 

for an unreasonable rate increase to 

CMS and the relevant state prior to its 

implementation. Additionally, section 

2794 requires that rate increases 

effective in 2014 (submitted for review 

in 2013) be monitored by the Secretary, 

in conjunction with the states. To those 

ends the regulation establishes various 

reporting requirements for health 

insurance issuers, including a 

Preliminary Justification for a proposed 

rate increase, a Final Justification for 

any rate increase determined by a state 

or CMS to be unreasonable, and a 

notification requirement for 

unreasonable rate increases which the 

issuer will not implement. 

On November 14, 2013, CMS issued a 

letter to State Insurance Commissioners 

outlining transitional policy for nongrandfathered coverage in the small 

group and individual health insurance 

markets. If permitted by applicable State 

authorities, health insurance issuers 

may choose to continue coverage that 

would otherwise be terminated or 

cancelled, and affected individuals and 

small businesses may choose to reenroll in such coverage. Under this 

transitional policy, non-grandfathered 

health insurance coverage in the 

individual or small group market that is 

renewed for a policy year starting 

between January 1, 2014, and October 1, 

2014, will not be considered to be out 

of compliance with certain market 

reforms if certain specific conditions are 

met. These transitional plans continue 

to be subject to the requirements of 

section 2794, but are not subject to 2701 

(market rating rules), 2702 (guaranteed 

availability), 2704 (prohibition on 

health status rating), 2705 (prohibition 

on health status discrimination) and 

2707 (requirements of essential health 

benefits) and the because the single risk 

pool (1311(e)) is dependent on all of the 

aforementioned sections (2701, 2702, 

2704, 2705 and 2707), the transitional 

plans are also exempt from the single 

risk pool. The Unified Rate Review 

Template and system are exclusively 

designed for use with the single risk 

pool plan, and any attempt to include 

non-single risk pool plans in the Unified 

Rate Review template or system will 

create errors, inaccuracies and 

limitations on submissions that would 

prevent the effectiveness of reviews of 

both sets of non-grandfathered plans 

(single risk pool and transitional). For 

these many reasons, CMS is requiring 

issuers with transitional plans that 

experience rate increases subject to 

review to use the Rate Review 

Justification system and templates 

which were required and utilized prior 

to April 1, 2013. Form Number: CMS– 

10379 (OCN: 0938–1141); Frequency: 

Annual; Affected Public: Private sector, 

State Governments; Number of 

Respondents: 81; Total Annual 

Responses: 358; Total Annual Hours: 

1,879. (For policy questions regarding 

this collection, contact Doug Pennington 

at (410) 786–1553.) 

Dated: March 28, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–07402 Filed 4–1–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–370 and CMS– 

377] 

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 

information from the public. Under the 

Paperwork Reduction Act of 1995 (the 

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 

any of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 


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18556 Federal Register / Vol. 79, No. 63 / Wednesday, April 2, 2014 / Notices 

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 must be received by 

June 2, 2014. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number (OCN). 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 lll, 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, 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: 

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–370 and CMS–377 Health 

Insurance Benefits Agreement and 

Ambulatory Surgical Center Request for 

Certification or Update of Certification 

Information in the Medicare Program 

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 Collection 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Titles of 

Information Collection: Health 

Insurance Benefits Agreement and 

Ambulatory Surgical Request for 

Certification or Update of Certification 

Information in the Medicare Program; 

Use: The CMS–370 is used to establish 

eligibility for payment. This agreement, 

upon submission by the ambulatory 

surgical center (ASC) and acceptance for 

filing by the Secretary of Health & 

Human Services, shall be binding on 

both the ASC and the Secretary. The 

agreement may be terminated by either 

party in accordance with regulations. In 

the event of termination, payment will 

not be available for ASC services 

furnished on or after the effective date 

of termination. 

The CMS–377 is used to collect 

facility-specific characteristics that 

facilitate CMS’ oversight of ambulatory 

surgical centers (ASCs). The CMS–377 

is submitted by ASCs when they request 

initial certification of compliance with 

the ASC conditions for coverage or to 

update an ASC’s existing certification 

information. It is also used by State 

agencies who conduct certification 

surveys on CMS’ behalf to maintain 

information on the facility’s 

characteristics that facilitate conducting 

surveys, e.g., determining the size and 

the composition of the survey team on 

the basis of the number of operating and 

procedure rooms and the types of 

surgical procedures performed in the 

ASC. Form Numbers: CMS–370 and 

CMS–377 (OCN: 0938–0266); 

Frequency: Occasionally; Affected 

Public: Private sector—business or other 

for-profit and not-for-profit institutions; 

Number of Respondents: 5,449; Total 

Annual Responses: 1,833; Total Annual 

Hours: 633. (For policy questions 

regarding this collection contact Erin 

McCoy at 410–786–2337.) 

Dated: March 28, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–07405 Filed 4–1–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Community Living 

National Legal Resource Center 

SUMMARY: The Administration for 

Community Living (ACL) is announcing 

the application deadline and a single 

case deviation from maximum 

competition for the National Legal 

Assistance and Support grants under 

Section 420(a)(1) of the Older 

Americans Act (OAA) that constitute 

the National Legal Resource Center 

(NLRC). The NLRC program provides 

resource support to a national system of 

legal assistance and elder rights 

programs to improve the quality, cost 

effectiveness, and accessibility of legal 

assistance and elder rights protections 

provided to older people. The purpose 

of this deviation is to award a 4th year 

non-competing continuation to the 

NLRC project grantees with a three (3) 

year budget period set to expire May 31, 

2014 so that: (1) Stakeholder input can 

be obtained on the resource support 

needs of legal and aging/disability 

service providers across the country; 

and (2) the current work under the 

NLRC can be better directed to support 

and advance ACL activities anticipated 

in FY15 in the area of elder rights and 

elder abuse prevention. 

Program Name: National Legal 

Assistance and Support—National Legal 

Resource Center. 

Award Amount: $655,462 ($143,347 

to $185,693 per grantee). 

Project Period: 6/1/2011 to 5/31/2015. 

Award Type: Cooperative Agreement. 

Statutory Authority: Title IV, Sections 

420(a)(1) and 420(a)(2), of the OAA (42 

U.S.C. 3032), as amended by the OAA 

Amendments of 2006, Public Law 109–365. 

Catalog of Federal Domestic Assistance 

(CFDA) Number: 93.048 Discretionary 

Projects 


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