[Federal Register Volume 87, Number 60 (Tuesday, March 29, 2022)]
[Notices]
[Pages 18023-18024]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-06591]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10433 and CMS-276]


Agency Information Collection Activities: Submission for OMB 
Review; 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 (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

[[Page 18024]]

a second opportunity for public comment on the notice. Interested 
persons are invited to send comments regarding the burden estimate 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 on the collection(s) of information must be received by 
the OMB desk officer by April 28, 2022.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
    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 Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(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 (44 U.S.C. 3506(c)(2)(A)) requires 
federal agencies to publish a 30-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 that 
summarizes the following proposed collection(s) of information for 
public comment:
    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Continuation of 
Data Collection to Support QHP Certification and other Financial 
Management and Exchange Operations; Use: As directed by the rule 
Establishment of Exchanges and Qualified Health Plans; Exchange 
Standards for Employers (77 FR 18310) (Exchange rule), each Exchange is 
responsible for the certification and offering of Qualified Health 
Plans (QHPs). To offer insurance through an Exchange, a health 
insurance issuer must have its health plans certified as QHPs by the 
Exchange. A QHP must meet certain necessary minimum certification 
standards, such as network adequacy, inclusion of Essential Community 
Providers (ECPs), and non-discrimination. The Exchange is responsible 
for ensuring that QHPs meet these minimum certification standards as 
described in the Exchange rule under 45 CFR 155 and 156, based on the 
Patient Protection and Affordable Care Act (PPACA), as well as other 
standards determined by the Exchange. Issuers can offer individual and 
small group market plans outside of the Exchanges that are not QHPs. 
Form Number: CMS-10433 (OMB control number: 0938-1187); Frequency: 
Annually; Affected Public: Private sector, State, Local, or Tribal 
Governments, Business or other for-profits; Number of Respondents: 
2,925; Number of Responses: 2,925; Total Annual Hours: 71,660. (For 
questions regarding this collection contact Nikolas Berkobien at (301) 
492-4400.)
    2. 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 
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).

    Dated: March 24, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2022-06591 Filed 3-28-22; 8:45 am]
BILLING CODE 4120-01-P