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[Federal Register Volume 79, Number 172 (Friday, September 5, 2014)]
[Notices]
[Pages 53069-53071]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-21180]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10329, CMS-10422, CMS-10532 and CMS-10394]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid 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 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 must be received by November 4, 2014.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number (OCN). To be assured consideration, comments and

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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' 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-10329 Consumer Operated and Oriented (CO-OP) Program
CMS-10422 Payments for Services Furnished by Certain Primary Care 
Providers and Supporting Regulations in 42 CFR 438.804, 447.400, and 
447.410
CMS-10532 Risk Corridors Transitional Policy
CMS-10394 Application to Be a Qualified Entity to Receive Medicare 
Data for Performance Measurement

    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 information collection; Title of Information Collection: 
Consumer Operated and Oriented (CO-OP) Program; Use: The Consumer 
Operated and Oriented Plan (CO-OP) program was established by Section 
1322 of the Affordable Care Act. This program provides for loans to 
establish at least one consumer-operated, qualified nonprofit health 
insurance issuer in each State. Issuers supported by the CO-OP program 
will offer at least one qualified health plan at the silver level of 
benefits and one at the gold level of benefits in the individual market 
State Health Benefit Exchanges (Exchanges). At least two-thirds of 
policies or contracts offered by a CO-OP will be open to individuals 
and small employers. Profits generated by the nonprofit CO-OPs will be 
used to lower premiums, improve benefits, improve the quality of health 
care delivered to their members, expand enrollment, or otherwise 
contribute to the stability of coverage offered by the CO-OP. By 
increasing competition in the health insurance market and operating 
with a strong consumer focus, the CO-OP program will provide consumers 
more choices, greater plan accountability, increased competition to 
lower prices, and better models of care, benefiting all consumers, not 
just CO-OP members.
    The CO-OP program will provide nonprofits with loans to fund start-
up costs and State reserve requirements, in the form of Start-up Loans 
and Solvency Loans. An applicant may apply for (1) joint Start-up and 
Solvency Loans; or (3) only a Solvency Loan. Planning Loans are 
intended to help loan recipients determine the feasibility of operating 
a CO-OP in a target market. Start-up Loans are intended to assist loan 
recipients with the many start-up costs associated with establishing a 
new health insurance issuer. Solvency Loans are intended to assist loan 
recipients with meeting the solvency requirements of States in which 
the applicant seeks to be licensed to issue qualified health plans. 
Form Number: CMS-10392 (OMB control number: 0938-1139); Frequency: 
Occasionally; Affected Public: Private sector--Not-for-profit 
institutions; Number of Respondents: 23; Total Annual Responses: 583; 
Total Annual Hours: 11,621. (For policy questions regarding this 
collection contact Deepti Loharikar (301-492-4126).
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Payments for 
Services Furnished by Certain Primary Care Providers and Supporting 
Regulations in 42 CFR 438.804, 447.400, and 447.410; Use: The 
information will be used to document expenditures for the specified 
primary care services in the baseline period for the purpose of then 
calculating the expenditure eligible for 100 federal matching funds in 
calendar years 2015 and 2016, should Congress extend the availability 
of such funding and make no additional changes in statutory language 
necessitating programmatic alterations. Form Number: CMS-10422 (OMB 
control number: 0938-1170); Frequency: Yearly, once, and occasionally; 
Affected Public: State, Local, or Tribal Governments; Number of 
Respondents: 51; Total Annual Responses: 126,021; Total Annual Hours: 
63,240. (For policy questions regarding this collection contact Linda 
Tavener at 410-786-3838).
    3. Type of Information Collection Request: New collection (Request 
for a new OMB Control Number); Title of Information Collection: Risk 
Corridors Transitional Policy; Use: Section 1342 of the Patient 
Protection and Affordable Care Act of 2010 (the Affordable Care Act) 
provides for the establishment of a temporary risk corridors program 
that will apply to qualified health plans in the individual and small 
group markets for the first three years of Exchange operation. The 
implementing regulations for this provision are located in Part 153 
Title 45 of the Code of Federal Regulations. A final rule was published 
on March 11, 2014 (79 FR 13834, CMS-9954-F) and is effective May 12, 
2014. Under 45 CFR 153.530(e), each issuer conducting business in the 
individual and small group markets in states that adopted the 
transitional policy is required to submit enrollment data, including 
enrollment in transitional policies (i.e. individual or small group 
health insurance coverage in states that adopted the transitional 
policy announced in the Centers for Medicare and Medicaid (CMS) letter 
dated November 14, 2013), on the ``Transitional Adjustment Reporting 
Form'' prescribed by CMS, for each state in which the issuer conducts 
business.

[[Page 53071]]

    We will use the data collection to amend the risk corridors program 
provisions in 45 CFR Part 153 to mitigate any unexpected losses for 
issuers of plans subject to risk corridors that are attributable to the 
effects of this transitional policy. Specifically, we will use the data 
to calculate the risk corridors adjustment percentage, if any, in 
transitional states. Form Number: CMS-10532 (OMB control number: 0938--
New); Frequency: Once; Affected Public: Private Sector, Business or 
other for-profits and not-for-profit institutions; Number of 
Respondents: 400; Total Annual Responses: 400; Total Annual Hours: 400. 
(For policy questions regarding this collection contact Jaya Ghildiyal 
at (301) 492-5149).
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Application to Be 
a Qualified Entity to Receive Medicare Data for Performance 
Measurement; Use: Section 10332 of the Patient Protection and 
Affordable Care Act (ACA) requires the Secretary to make standardized 
extracts of Medicare claims data under Parts A, B, and D available to 
``qualified entities'' for the evaluation of the performance of 
providers of services and suppliers. The statute provides the Secretary 
with discretion to establish criteria to determine whether an entity is 
qualified to use claims data to evaluate the performance of providers 
of services and suppliers. We are proposing at section 42 CFR 401.703 
to evaluate an organization's eligibility across three areas: 
Organizational and governance capabilities, addition of claims data 
from other sources (as required in the statute), and data privacy and 
security. This is the application through which organizations will 
provide information to CMS to determine whether they will be approved 
as a qualified entity. Form Number: CMS-10394 (OMB control number: 
0938-1144); Frequency: Occasionally; Affected Public: Private sector--
Business or other for-profits and Not-for-profit institutions; Number 
of Respondents: 35; Total Annual Responses: 35; Total Annual Hours: 
6,833. (For policy questions regarding this collection contact Kari 
Gaare at 410-786-8612).

    Dated: September 2, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2014-21180 Filed 9-4-14; 8:45 am]
BILLING CODE 4120-01-P
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