[Federal Register Volume 87, Number 3 (Wednesday, January 5, 2022)]
[Notices]
[Pages 461-462]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-28527]



[[Page 461]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10410, CMS-10554, CMS-10791 and CMS-10377]


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 (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 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 March 7, 2022.

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, you may make 
your request using one of following:
    1. Access CMS' website address at website address at 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-10410 Medicaid Program; Eligibility Changes under the Affordable 
Care Act of 2010
CMS-10554 Children's Health Insurance Program Managed Care and 
Supporting Regulations
CMS-10791 Requirements Related to Surprise Billing; Part II
CMS-10377 Student Health Insurance Coverage

    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: Extension of a currently 
approved collection; Title of Information Collection: Medicaid Program; 
Eligibility Changes under the Affordable Care Act of 2010; Use: The 
State Medicaid and CHIP agencies will collect all information needed to 
determine and redetermine eligibility for Medicaid and will transmit 
information, as appropriate, to other insurance affordability programs. 
The information collection requirements will assist the public to 
understand information about health insurance affordability programs 
and will assist CMS in ensuring the seamless, coordinated, and 
simplified system of Medicaid and CHIP application, eligibility 
determination, verification, enrollment, and renewal. Form Number: CMS-
10410 (OMB control number: 0938-1147); Frequency: Occasionally; 
Affected Public: Individuals or Households, and State, Local, and 
Tribal Governments; Number of Respondents: 25,500,096; Total Annual 
Responses: 76,500,218; Total Annual Hours: 21,276,302. (For policy 
questions regarding this collection contact Stephanie Bell at 410-786-
0617.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Children's Health 
Insurance Program Managed Care and Supporting Regulations; Use: CHIP 
enrollees use the information collected and reported as a result of 
this regulation to make informed choices regarding health care, 
including how to access health care services and the grievance and 
appeal system. States use the information collected and reported as 
part of contracting processes with managed care entities, as well as 
its compliance oversight role. CMS uses the information collected and 
reported in an oversight role of State CHIP managed care programs and 
CHIP state agencies. Form Number: CMS-10554 (OMB control number: 0938-
1282); Frequency: Yearly; Affected Public: State, Local, and Tribal 
Governments, and the Private Sector (Business or other for-profits and 
Not-for-profit institutions); Number of Respondents: 62; Total Annual 
Responses: 2,735,906; Total Annual Hours: 410,989. (For policy 
questions regarding this collection contact Meg Barry at 410-786-1536.)
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Requirements 
Related to Surprise Billing; Part II; Use: The information requirements 
have two components: Good faith estimates and patient-provider dispute 
resolution for uninsured (or self-pay) individuals. Good Faith 
Estimates. Providers and facilities must furnish a good faith estimate 
of expected items and services beginning on or after January 1, 2022, 
which will allow uninsured (or self-pay) individuals to have access to 
information about health care pricing before receiving care. This 
information will allow uninsured (or self-pay) individuals to evaluate 
options for receiving health care, make cost-

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conscious health care purchasing decisions, and reduce surprises in 
relation to their health care costs for items and services. 
Additionally, uninsured (or self-pay) individuals will need a good 
faith estimate to initiate the patient-provider dispute resolution 
process. Patient-Provider Dispute Resolution Process. HHS will request 
information from uninsured (or self-pay) individuals in order to 
initiate patient-provider dispute resolution process. This information 
will be used to help determine eligibility for the patient-provider 
dispute resolution process and is necessary for determining which 
provider or facility should be contacted for dispute resolution. 
Providers and facilities are required to submit information to SDR 
entities to inform the SDR entity's payment determinations. Form 
Number: CMS-10791 (OMB control number: 0938-NEW); Frequency: Annually; 
Affected Public: Private sector (Business or other for-profits and Not-
for-profit institutions); Number of Respondents: 238,942; Total Annual 
Responses: 398,680; Total Annual Hours: 6,564,413. For policy questions 
regarding this collection contact Janny Frimpong at 301-492-4174.
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Student Health 
Insurance Coverage; Use: Under the Student Health Insurance Coverage 
Final Rule published March 21, 2012 (77 FR 16453), student health 
insurance coverage is a type of individual health insurance coverage 
provided pursuant to a written agreement between an institution of 
higher education (as defined in the Higher Education Act of 1965) and a 
health insurance issuer, and provided to students who are enrolled in 
that institution and their dependents. The Patient Protection and 
Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 
2017 Final Rule provided that, for policy years beginning on or after 
July 1, 2016, student health insurance coverage is exempt from the 
actuarial value (AV) requirements under section 1302(d) of the 
Affordable Care Act, but must provide coverage with an AV of at least 
60 percent. This provision also requires issuers of student health 
insurance coverage to specify in any plan materials summarizing the 
terms of the coverage the AV of the coverage and the metal level (or 
the next lowest metal level) the coverage would otherwise satisfy under 
Sec.  156.140. This disclosure will provide students with information 
that allows them to compare the student health coverage with other 
available coverage options. Form Number: CMS-10377 (OMB control number 
0938-1157); Frequency: Annually; Affected Public: Private Sector; 
Number of Respondents: 48; Total Annual Responses: 953,541; Total 
Annual Hours: 48. For policy questions regarding this collection 
contact Russell Tipps at 301-492-4371.

    Dated: December 29, 2021.
William N. Parham, III
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-28527 Filed 1-4-22; 8:45 am]
BILLING CODE 4120-01-P