Federal Register / Vol. 76, No. 180 / Friday, September 16, 2011 / Notices 57745 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on October 17, 2011. OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–6974, E-mail: 

OIRA_submission@omb.eop.gov. 

Dated: September 13, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–23807 Filed 9–15–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–246 and 

CMS–10147] 

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: Medicare 

Advantage, Medicare Part D and 

Medicare Fee For Service Consumer 

Assessment of Healthcare Providers and 

Systems Survey. Use: CMS has fielded 

the MA Consumer Assessment of Health 

Care Providers and Systems (CAHPS) 

Survey annually since 1998, the 

Medicare FFS CAHPS Survey annually 

since 2000, and the MA DP and Stand 

Alone PDP CAHPS survey annually 

since 2006. The Medicare CAHPS is a 

national survey of health and 

prescription drug plans conducted at 

the contract level for MA, MA PD and 

Stand Alone PDP plans and at the state 

level for Medicare fee-for-service. 

Medicare CAHPS provides data to 

permit preparation of plan performance 

measures to assist Medicare 

beneficiaries in their selection of a 

health plan, prescription drug plan or 

both, and help policymakers and others 

assist the Medicare program and 

Medicare plans design and monitor 

patient-centered quality improvement 

initiatives. The 2009 Call letter for MA 

and MA PD plans requires these plans 

to contract with private vendors from a 

list selected by CMS to conduct the 

2011 Medicare CAHPS survey for their 

plan at the contract level and provide 

the collected data to CMS for analyses 

and preparation of CAHPS measures for 

use in consumer and plan reports and 

for quality improvement purposes for 

MA, MA PD, and Stand Alone PDP 

plans. CMS will continue to collect the 

Medicare FFS CAHPS data from surveys 

at the state and some sub-state levels. 

This revision to a currently approved 

collection is to add questions focusing 

on care coordination. Form Number: 

CMS–R–246 (OCN: 0938–0732) 

Frequency: Yearly; Affected Public: 

Private Sector—Business or other Forprofits; Number of Respondents: 

598,200; Number of Responses: 598,200; 

Total Annual Hours: 216,555. (For 

policy questions regarding this 

collection, contact Sarah Gaillot at 410– 

786–4637. For all other issues call (410) 

786–1326.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Standardized 

Pharmacy Notice: Your Prescription 

Cannot be Filled (f/k/a Medicare 

Prescription Drug Coverage and Your 

Rights) Use: This is a request for 

approval of changes to a currently 

approved collection under 42 CFR 

423.562(a)(3). This regulatory provision 

has recently been modified to eliminate 

the previously available option of 

posting the standardized notice at the 

pharmacy. Revised 423.562(a)(3) and an 

associated regulatory provision at 

§ 423.128(b)(7)(iii) require the pharmacy 

to provide the Part D enrollee with a 

printed copy of this standardized notice 

if the prescription cannot be filled. 

The purpose of this notice is to 

provide enrollees with information 

about how to contact their Part D plans 

to request a coverage determination, 

including a request for an exception to 

the Part D plan’s formulary. The notice 

reminds enrollees about certain rights 

and protections related to their 

Medicare prescription drug benefits, 

including the right to receive a written 

explanation from the drug plan about 

why a prescription drug is not covered. 

A Part D plan sponsor’s network 

pharmacies are in the best position to 

notify enrollees about how to contact 

their Part D plan if the prescription 

cannot be filled. 

As noted in a final rule published 

April 15, 2011 (76 FR 21432), the option 

of posting this notice at the pharmacy 

has been eliminated. If a prescription 

cannot be filled, the pharmacy must 

provide the enrollee with a printed copy 

of this notice. Form Number: CMS– 

10147 (OCN: 0938–0975) Frequency: 

Yearly; Affected Public: Private Sector— 

Business or other For-profits; Number of 

Respondents: 42,000; Number of 

Responses: 37,087,402; Total Annual 

Hours: 617,876. (For policy questions 

regarding this collection, contact 

Kathryn McCann Smith at 410–786– 

7623. 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 October 17, 2011: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer. Fax 

Number: (202) 395–6974. E-mail: OIRA_

submission@omb.eop.gov. 

Dated: September 13, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–23801 Filed 9–15–11; 8:45 am] 

BILLING CODE 4120–01–P 

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