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[Federal Register Volume 78, Number 71 (Friday, April 12, 2013)]
[Notices]
[Pages 21955-21956]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-08677]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10003, CMS-10409, and CMS-10461]

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

AGENCY: Centers for Medicare & Medicaid Services, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid 
Services (CMS), Department of Health and Human Services, is publishing 
the following summary of proposed collections for public comment. 
Interested persons are invited to send comments regarding this 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 function; (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.
    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Notice of Denial 
of Medical Coverage (or Payment). Use: Form CMS-10003 is currently 
separated into a Notice of Denial of Medical Coverage (NDMC) and a 
Notice of Denial of Payment (NDP). The revised notice that is the 
subject of this PRA package combines the NDMC and the NDP notices and 
incorporates text to be inserted if the Medicare health plan enrollee 
receives full benefits under a State Medical Assistance (Medicaid) 
program being managed by the plan and the plan denies a service or item 
that is also subject to Medicaid appeal rights. Form Number: CMS-10003 
(OCN: 0938-0829). Frequency: Occasionally; Affected Public: Private 
sector (business or other for-profit and not-for-profit institutions). 
Number of Respondents: 665. Total Annual Responses: 6,960,410. Total 
Annual Hours: 1,159,604. (For policy questions regarding this 
collection contact Kathryn McCann Smith at 410-786-7623. For all other 
issues call 410-786-1326.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Long Term Care 
Hospital (LCTH) Continuity Assessment Record and Evaluation (CARE) Data 
Set; Use: Section 3004 of the Affordable Care Act authorizes the 
establishment of a new quality reporting program for long term care 
hospitals (LTCHs). The LTCHs that fail to submit quality measure data 
may be subject to a 2 percentage point reduction in their annual update 
to the standard Federal rate for discharges occurring during a rate 
year. In the FY 2013 IPPS/LTCH PPS final rule (76 FR 51743 through 
51756), CMS retained three National Quality Forum (NQF) measures (NQF 
0678, NQF 0138 and NQF 0139) and adopted two 
new measure (NQF 0680 and NQF0431) for the FY 2016 
payment determination. The NQF 0680 is the percent of 
residents or patients who were assessed and appropriately given the 
seasonal influenza vaccine (short-stay). The NQF 0431 is 
influenza vaccination coverage among healthcare personnel. The data 
collection for these two NQF endorsed measures will start January 1, 
2014.
    The LTCH CARE Data Set was developed specifically for use in LTCHs 
for data collection of NQF 0678 Pressure Ulcer measures 
beginning October 1, 2012, with the understanding that the data set 
would expand in future rulemaking years with the adoption of additional 
quality measures. Relevant data elements contained in other well-known 
and clinically established data sets, including but not limited to the 
Minimum Data Set 3.0 (MDS 3.0) and CARE, were incorporated into the 
LTCH

[[Page 21956]]

CARE Data Set V1.01. Form Number: CMS-10409 (OCN: 0938-1163); 
Frequency: Occasionally; Affected Public: Private Sector: Business or 
other for-profit and not-for-profit institutions; Number of 
Respondents: 442; Total Annual Responses: 403,988; Total Annual Hours: 
212,160. (For policy questions regarding this collection contact 
Charles Padgett at 410-786-2811. For all other issues call 410-786-
1326.)
    3. Type of Information Collection Request: New collection (request 
for a new OMB control number). Title of Information Collection: 
Emergency Department Patient Experience of Care Survey. Use: This 
survey supports the six national priorities for improving care from the 
National Quality Strategy developed by the U.S. Department of Health 
and Human Services (HHS) that was called for under the Affordable Care 
Act to create national aims and priorities to guide local, state, and 
national efforts to improve the quality of health care. The priorities 
support a three-part aim focusing on better care, better health, and 
lower costs through improvement. In this regard, this survey will 
provide patient experiences with care data that enables making 
comparisons of emergency departments across the nation and promoting 
effective communication and coordination. Form Number: CMS-10461 (OCN: 
0938--New). Frequency: Once. Affected Public: Individuals and 
households. Number of Respondents: Total Annual Responses: 3,360. Total 
Annual Hours: 799. (For policy questions regarding this collection 
contact Sai Ma at 410-786-1479. For all other issues call 410-786-
1326.)
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS Web 
site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, or 
Email your request, including your address, phone number, OMB number, 
and CMS document identifier, to Paperwork@cms.hhs.gov, or call the 
Reports Clearance Office on (410) 786-1326.
    To be assured consideration, comments and recommendations for the 
proposed information collections must be received by the OMB desk 
officer at the address below, no later than 5 p.m. on May 13, 2013. 
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, Email: OIRA_submission@omb.eop.gov.

    Dated: April 9, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-08677 Filed 4-11-13; 8:45 am]
BILLING CODE 4120-01-P
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