[Federal Register Volume 87, Number 11 (Tuesday, January 18, 2022)]
[Notices]
[Pages 2613-2614]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-00735]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-276 and CMS-10631]


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 21, 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.html.

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-276 Prepaid Health Plan Cost Report
CMS-10631 The PACE Organization Application Process in 42 CFR part 460

    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; Title of Information Collection: Prepaid Health 
Plan Cost Report; Use: This Cost Report outlines the provisions for 
implementing Section 1876 (h) and Section 1833 (a)(1)(A) of the Social 
Security Act. Organizations contracting with the Secretary under 
Section 1876 and Section 1833 of the Social Security Act provide health 
services on a prepayment basis to enrolled members and are required to 
submit adequate cost and statistical data, based on financial records, 
in order to be reimbursed on reasonable cost basis by CMS. These

[[Page 2614]]

organizations include Health Maintenance Organizations (HMOs) and 
Competitive Medical Plans (CMPs) under Section 1876, in addition to, 
Health Care Prepayment Plans (HCPPs) under Section 1833. These entities 
may be collectively referred to as Managed Care Organizations (MCOs). 
The cost and statistical data is submitted to CMS within the cost 
report, Form CMS 276 (OMB No.0938-0165). CMS is responsible for the 
receipt and processing of Form CMS 276. Form CMS 276, provided by CMS 
as excel worksheets, covers the prescribed format for the cost reports.
    The cost report worksheets are designed to be of sufficient 
flexibility to take into account the diversity of operations, yet 
provide the necessary cost and statistical information to enable CMS to 
determine the proper amount of payment to the Plan. Cost-based MCOs 
must submit through HPMS an annual Budget Forecast, semi-annual 
interim, and final cost report to CMS, all of which are included in 
this collection. Additionally, HMOs/CMPs are required to submit fourth 
quarter interim reports annually to CMS; however, the required 
submission of 4th quarter interim reports is waived until further 
notice by CMS. Please note that HCPPs are not required to submit fourth 
quarter interim reports. Form Number: CMS-276 (OMB control number: 
0938-0165); Frequency: Quarterly; Affected Public: Private Sector 
Number of Respondents: 17; Number of Responses: 51; Total Annual Hours: 
1,612. (For questions regarding this collection contact Frank Cisar at 
410-786-7553).
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: The PACE 
Organization Application Process in 42 CFR part 460; Use: The Programs 
of All-Inclusive Care for the Elderly (PACE) consist of pre-paid, 
capitated plans that provide comprehensive health care services to 
frail, older adults in the community who are eligible for nursing home 
care according to State standards. PACE organizations (PO) must provide 
all Medicare and Medicaid covered services; financing of this model is 
accomplished through prospective capitation of both Medicare and 
Medicaid payments. Upon approval of a PACE application, CMS executes a 
3-way program agreement with the applicant entity and the applicable 
State Administering Agency (SAA). CMS regulations at 42 CFR 
460.98(b)(2) require a PO to provide PACE services in at least the PACE 
center, the home, and inpatient facilities. The PACE center is the 
focal point for the delivery of PACE services; the center is where the 
interdisciplinary team (IDT) is located, services are provided, and 
socialization occurs with staff that is consistent and familiar to 
participants.
    Collection of this information is mandated by statute under 
sections 1894(f) and 1934(f) of the Act and at 42 CFR part 460, subpart 
B, which addresses the PO application and waiver process. In general, 
PACE services are provided through a PO. An entity wishing to become a 
PO must submit an application to CMS that describes how the entity 
meets all the requirements in the PACE program. An entity's application 
must be accompanied by an assurance from the SAA of the State in which 
the PO wishes to operate its PACE program. CMS accepts applications on 
a designated date four times per year (i.e., on a quarterly basis, 
generally the last Friday of March, June, September and December). Form 
Number: CMS-10631 (OMB control number: 0938-1326); Frequency: 
Occasionally; Affected Public: Private Sector, State, Local or Tribal 
governments, Business or other for-profits; Number of Respondents: 72; 
Total Annual Responses: 130; Total Annual Hours: 7,271. For policy 
questions regarding this collection contact Debbie Vanhoven at 410-786-
6625.

    Dated: January 11, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2022-00735 Filed 1-14-22; 8:45 am]
BILLING CODE 4120-01-P