Federal Register / Vol. 87, No. 35 / Tuesday, February 22, 2022 / Notices 9627 

Department of Health and Human 

Services (DHHS) Assistant Secretary for 

Planning and Evaluation (ASPE), the 

Office of Enterprise Data and Analytics 

(OEDA) in CMS has been designated as 

the lead participant for the U.S. 

The PaRIS Survey will help to close 

critical policy gaps by focusing on: (1) 

Patient Reported Experience Measures 

(PREMS) which measure how patients 

experience health care, and (2) Patient 

Reported Outcome Measures (PROMS) 

which measure how patients assess the 

results of the care they receive. The 

PaRIS survey includes both PREMS and 

PROMS items and aims to collect vital 

information about primary health care, 

by asking about topics such as the 

respondent’s health, health behaviors, 

patient activation and confidence in 

managing their health care, experiences 

with health care and health providers 

including access to health care, quality 

of life, physical functioning, and 

psychological well-being. 

OECD and its member countries will 

use data collected by the PaRIS Survey 

to shed light on key questions about 

how well care in each country is 

organized around the needs of patients. 

Results from the survey will show how 

key outcomes and experiences vary 

across and within countries. This will 

allow countries to benchmark and learn 

from each other’s approaches. The 

survey will also help policy makers in 

OECD member countries understand 

how health systems are addressing the 

needs of persons with chronic health 

conditions. Findings will foster a 

dialogue with service providers about 

how to further improve the performance 

and people-centeredness of primary 

health care services. 

To facilitate U.S. participation in this 

important initiative, CMS will leverage 

the existing sample for the Medicare 

Current Beneficiary Survey (MCBS). The 

MCBS is a continuous, multi-purpose 

survey of a representative national 

sample of the Medicare population; it is 

conducted under OMB clearance 

number 0938–0568. While the MCBS 

sample includes the population of 

beneficiaries aged 65 and over and 

beneficiaries aged 64 and below with 

certain disabling conditions residing in 

the U.S., selection for the PaRIS Survey 

will be limited to beneficiaries aged 65 

and over who have seen a medical 

provider in the last six months to 

provide a comparable population to 

survey respondents selected in other 

participating OECD countries. 

Interviewers will telephone MCBS 

respondents and administer the PaRIS 

Survey by phone as a one-time 

standalone survey during January 

through April 2023. Non-response 

follow-up will be conducted by 

telephone and in-person as needed. It is 

estimated that 5,144 Medicare 

beneficiaries will participate in this 40- 

minute survey. CMS plans to release a 

disclosure protected public use file with 

accompanying methodological 

documentation. This public use file will 

also be made available to OECD for 

analysis and released with data from 

other participating countries. Form 

Number: CMS–10792 (OMB: 0938-New); 

Frequency: One-time collection; 

Affected Public: Individuals residing in 

households; Total Number of 

Respondents: 10,498; Total Number of 

Responses: 10,498; Total Hours: 3,814 

(For policy questions regarding this 

collection contact William Long at 410– 

786–7927.) 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Generic 

Clearance for the Health Care Payment 

Learning and Action Network; Use: The 

Center for Medicare and Medicaid 

Services (CMS), through the Center for 

Medicare and Medicaid Innovation, 

develops and tests innovative new 

payment and service delivery models in 

accordance with the requirements of 

section 1115A and in consideration of 

the opportunities and factors set forth in 

section 1115A(b)(2) of the Act. To date, 

CMS has built a portfolio of models (in 

operation or recently announced) that 

have attracted participation from a 

broad array of health care providers, 

states, payers, and other stakeholders. 

To more effectively partner with 

stakeholders across the health care 

system and accelerate system 

transformation, CMS launched the 

Health Care Payment Learning and 

Action Network (LAN) to accelerate the 

transition to Medicare and nonMedicare alternative payment models 

by collaborating with a broad array of 

health care delivery stakeholders, 

identifying best practices in their 

implementation, and monitoring the 

adoption of value-based alternative 

payment models across the U.S. health 

care system—to include the percentage 

of Medicare, Medicaid, and nonMedicare payments tied to (and U.S. 

lives covered by) alternative payment 

models that reward the quality of care 

delivered. Form Number: CMS–10575 

(OMB control number: 0938–1297); 

Frequency: Occasionally; Affected 

Public: Individuals and Households, 

State, Local, or Tribal Governments, 

Federal Government, Private Sector 

(Business or other for-profits and Notfor-profits); Number of Respondents: 

30,110; Number of Responses: 23,110; 

Total Annual Hours: 26,467. (For 

questions regarding this collection 

contact Dustin Allison (303) 437–6123.) 

Dated: February 16, 2022. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2022–03725 Filed 2–18–22; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10391, CMS– 

R–74, CMS–R–306, CMS–265–11 and CMS– 

10544] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

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 

April 25, 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 


lotter on DSK11XQN23PROD with NOTICES1
9628 Federal Register / Vol. 87, No. 35 / Tuesday, February 22, 2022 / Notices 

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: lll, 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/PRAListing. 

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–10391—Methods for Assuring 

Access to Covered Medicaid 

Services Under 42 CFR 447.203 and 

447.204 

CMS–R–74 Income and Eligibility 

Verification System Reporting and 

Supporting Regulations 

CMS–R–306 Use of Restraint and 

Seclusion in Psychiatric Residential 

Treatment Facilities (PRTFs) for 

Individuals Under Age 21 and 

Supporting Regulations 

CMS–265–11 Independent Renal 

Dialysis Facility Cost Report 

CMS–10544 Good Cause Processes 

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: Methods for 

Assuring Access to Covered Medicaid 

Services Under 42 CFR 447.203 and 

447.204; Use: Current regulations at 42 

CFR 447.203(b) require states to develop 

an access monitoring review plan 

(AMRP) that is updated at least every 

three years for: Primary care services, 

physician specialist services, behavioral 

health services, pre and post-natal 

obstetric services (including labor and 

delivery), and home health services. 

When states reduce rates for other 

Medicaid services, they must add those 

services to the AMRP and monitor the 

effects of the rate reductions for 3 years. 

If access issues are detected, a state 

must submit a corrective action plan to 

CMS within 90 days and work to 

address the issues within 12 months. 

Section 447.203(b)(7) requires that states 

have mechanisms to obtain ongoing 

beneficiary and provider feedback. A 

state is also required to maintain a 

record of data on public input and how 

the state responded to the input. Prior 

to submitting proposals to reduce or 

restructure Medicaid service payment 

rates, states must receive input from 

beneficiaries, providers, and other 

affected stakeholders on the extent of 

beneficiary access to the affected 

services. 

The information is used by states to 

document that access to care is in 

compliance with section 1902(a)(30)(A) 

of the Social Security Act, to identify 

issues with access within a state’s 

Medicaid program, and to inform any 

necessary programmatic changes to 

address issues with access to care. CMS 

uses the information to make informed 

approval decisions on State plan 

amendments that propose to make 

Medicaid rate reductions or restructure 

payment rates and to provide the 

necessary information for CMS to 

monitor ongoing compliance with 

section 1902(a)(30)(A). Beneficiaries, 

providers and other affected 

stakeholders may use the information to 

raise access issues to state Medicaid 

agencies and work with agencies to 

address those issues. Form Number: 

CMS–10391 (OMB control number: 

0938–1134); Frequency: Annually; 

Affected Public: State, Local, or Tribal 

Governments); Number of Respondents: 

51; Total Annual Responses: 212; Total 

Annual Hours: 12,262. (For questions 

regarding this collection contact Jeremy 

Silanskis at 410–786–1592.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Income and 

Eligibility Verification System Reporting 

and Supporting Regulations; Use: 

Section 1137 of the Social Security Act 

requires that States verify the income 

and eligibility information contained on 

the applicant’s application and in the 

applicant’s case file through data 

matches with the agencies and entities 

identified in this section. The State 

Medicaid/CHIP agency will report the 

existence of a system to collect all 

information needed to determine and 

redetermine eligibility for Medicaid and 

CHIP. The State Medicaid/CHIP agency 

will attest to using the PARIS system in 

determining beneficiary eligibility in 

Medicaid or CHIP benefit programs. 

Form Number: CMS–R–74 (OMB control 

number: 0938–0467); Frequency: 

Occasionally; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 55; Total Annual 

Responses: 3,241; Total Annual Hours: 

1,071. (For policy questions regarding 

this collection contact Stephanie Bell at 

410–786–0617.) 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Use of Restraint 

and Seclusion in Psychiatric Residential 

Treatment Facilities (PRTFs) for 

Individuals Under Age 21 and 

Supporting Regulations; Use: 

Psychiatric residential treatment 

facilities are required to report deaths, 

serious injuries and attempted suicides 

to the State Medicaid Agency and the 

Protection and Advocacy Organization. 

They are also required to provide 

residents the restraint and seclusion 

policy in writing, and to document in 

the residents’ records all activities 

involving the use of restraint and 

seclusion. Form Number: CMS–R–306 

(OMB control number: 0938–0833); 

Frequency: Occasionally; Affected 

Public: Private sector (Business or other 

for-profits); Number of Respondents: 

390; Total Annual Responses: 

1,466,823; Total Annual Hours: 449,609. 

(For policy questions regarding this 

collection contact Kirsten Jensen at 410– 

786–8146.) 

4. Type of Information Collection 

Request: Reinstatement with change; 

Title of Information Collection: 

Independent Renal Dialysis Facility 

Cost Report; Use: Under the authority of 

sections 1815(a) and 1833(e) of the Act, 

CMS requires that providers of services 

participating in the Medicare program 

submit information to determine costs 


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Federal Register / Vol. 87, No. 35 / Tuesday, February 22, 2022 / Notices 9629 

for health care services rendered to 

Medicare beneficiaries. CMS requires 

that providers follow reasonable cost 

principles under 1861(v)(1)(A) of the 

Act when completing the Medicare cost 

report (MCR). Regulations at 42 CFR 

413.20 and 413.24 require that providers 

submit acceptable cost reports on an 

annual basis and maintain sufficient 

financial records and statistical data, 

capable of verification by qualified 

auditors. 

ESRD facilities participating in the 

Medicare program submit these cost 

reports annually to report cost and 

statistical data used by CMS to 

determine reasonable costs incurred for 

furnishing dialysis services to Medicare 

beneficiaries and to effect the year-end 

cost settlement for Medicare bad debts. 

Form Number: CMS–265–11 (OMB 

control number: 0938–0236); Frequency: 

Annually; Affected Public: Private 

Sector, Business or other for-profits, 

State, Local, or Tribal Governments); 

Number of Respondents: 7,492; Total 

Annual Responses: 7,492; Total Annual 

Hours: 494,472. (For questions regarding 

this collection contact Keplinger, Jill C 

at 410–786–4550.) 

5. Type of Information Collection 

Request: Reinstatement without change; 

Title of Information Collection: Good 

Cause Processes; Use: Section 

1851(g)(3)(B)(i) of the Act provides that 

MA organizations may terminate the 

enrollment of individuals who fail to 

pay basic and supplemental premiums 

after a grace period established by the 

plan. Section 1860D–1(b)(1)(B)(v) of the 

Act generally directs us to establish 

rules related to enrollment, 

disenrollment, and termination for Part 

D plan sponsors that are similar to those 

established for MA organizations under 

section 1851 of the Act. Consistent with 

these sections of the Act, subpart B in 

each of the Parts C and D regulations 

sets forth requirements with respect to 

involuntary disenrollment procedures at 

42 CFR 422.74 and 423.44, respectively. 

In addition, section 1876(c)(3)(B) 

establishes that individuals may be 

disenrolled from coverage as specified 

in regulations. Thus, current regulations 

at 42 CFR 417.460 specify that a cost 

plan, specifically a Health Maintenance 

Organization (HMO) or competitive 

medical plan (CMP), may disenroll a 

member who fails to pay premiums or 

other charges imposed by the plan for 

deductible and coinsurance amounts. 

These good cause provisions 

authorize CMS to reinstate a disenrolled 

individual’s enrollment without 

interruption in coverage if the nonpayment is due to circumstances that 

the individual could not reasonably 

foresee or could not control, such as an 

unexpected hospitalization. At its 

inception, the process of accepting, 

reviewing, and processing beneficiary 

requests for reinstatement for good 

cause was carried out exclusively by 

CMS. Form Number: CMS–10544 (OMB 

control number: 0938–1271); Frequency: 

Annually; Affected Public: Business or 

other for-profits State, Local, or Tribal 

Governments); Number of Respondents: 

312; Total Annual Responses: 41,289; 

Total Annual Hours: 27,499. (For 

questions regarding this collection 

contact Fabayo, Ronke at (410) 786– 

4460.) 

Dated: February 16, 2022. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2022–03727 Filed 2–18–22; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

OMB No. 0970–0502 

Proposed Information Collection 

Activity; Behavioral Interventions To 

Advance Self-Sufficiency Next 

Generation 

AGENCY: Office of Planning, Research, 

and Evaluation, Administration for 

Children and Families, HHS. 

ACTION: Request for public comment. 

SUMMARY: The Office of Planning, 

Research, and Evaluation (OPRE) in the 

Administration for Children and 

Families (ACF), U.S. Department of 

Health and Human Services (HHS), 

requests Office of Management and 

Budget (OMB) approval to extend 

approval of the ACF Behavioral 

Interventions to Advance SelfSufficiency Next Generation (BIAS–NG) 

Project Overarching Generic (OMB #: 

0970–0502; Expiration date: 8/31/2022). 

Under this overarching generic, ACF 

collects data as part of rapid cycle 

testing and evaluation, in order to 

inform the design of interventions 

informed by behavioral science and to 

better understand the mechanisms and 

effects of such interventions. 

Interventions have been and will 

continue to be developed in the program 

area domains of Temporary Assistance 

for Needy Families (TANF), child 

welfare, and Early Head Start/Head Start 

(EHS/HS). These interventions are 

intended to improve outcomes for 

participants in these programs. No 

changes are proposed. 

DATES: Comments due within 60 days of 

publication. In compliance with the 

requirements of the Paperwork 

Reduction Act of 1995, ACF is soliciting 

public comment on the specific aspects 

of the information collection described 

above. 

ADDRESSES: You can obtain copies of the 

proposed collection of information and 

submit comments by emailing 

OPREinfocollection@acf.hhs.gov. 

Identify all requests by the title of the 

information collection. 

SUPPLEMENTARY INFORMATION: 

Description: OPRE is conducting the 

BIAS–NG project, which uses 

behavioral insights to design and test 

interventions intended to improve the 

efficiency, operations, and efficacy of 

human services programs. The BIAS– 

NG project is applying and testing 

behavioral insights to ACF programs 

including TANF, Child Welfare, and 

EHS/HS. This notice is a request for 

comments on ACF’s proposal to extend 

approval of the overarching generic. 

Under the approved pilot generic 

clearance, OPRE has already completed 

work with five sites and has conducted 

five tests. The extended approval would 

allow OPRE to continue to work with at 

least three additional sites, conducting 

one or more tests of behavioral 

interventions. The design and testing of 

BIAS–NG interventions is rapid and, to 

the extent possible, iterative. Each 

specific intervention is designed in 

consultation with agency leaders and 

launched as quickly as possible. To 

maximize the likelihood that the 

intervention produces measurable, 

significant, and positive effects on 

outcomes of interest, rapid cycle 

evaluation techniques will be employed 

in which proximate outcomes will be 

measured to allow the research team to 

more quickly iterate and adjust the 

intervention design, informing 

subsequent tests. Due to the rapid and 

iterative nature of this work, OPRE 

sought and received generic clearance to 

conduct this research. Following 

standard OMB requirements for generic 

clearances, once instruments requiring 

burden are tailored to a specific site and 

the site’s intervention, OPRE submits an 

individual generic information 

collection request under this umbrella 

clearance. Each request includes the 

individual instrument(s), a justification 

specific to the individual information 

collection, a description of the proposed 

intervention, and any supplementary 

documents. Each specific information 

collection includes up to two 

submissions—one submission for the 

formative stage research and another 

submission for any further data 


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