Federal Register / Vol. 77, No. 25 / Tuesday, February 7, 2012 / Notices 6123 

DATES: The meeting will be held 

Tuesday, February 28, 2012 and 

Wednesday, February 29, 2012. The 

meeting will be held from 9:30 a.m. to 

approximately 5 p.m. on Tuesday, 

February 28, 2012, and from 10 a.m. to 

approximately 3 p.m. on Wednesday, 

February 29, 2012. 

ADDRESSES: South Court Auditorium, 

Eisenhower Executive Office Building, 

Pennsylvania Avenue and 17th Street 

NW., Washington, DC. 

FOR FURTHER INFORMATION CONTACT: Mr. 

Melvin Joppy, Committee Manager, 

Presidential Advisory Council on HIV/ 

AIDS, Department of Health and Human 

Services, 200 Independence Avenue 

SW., Room 443H, Hubert H. Humphrey 

Building, Washington, DC 20201; (202) 

690–5560. More detailed information 

about PACHA can be obtained by 

accessing the Council’s Web site, 

www.pacha.gov. 

SUPPLEMENTARY INFORMATION: PACHA 

was established by Executive Order 

12963, dated June 14, 1995, as amended 

by Executive Order 13009, dated June 

14, 1996. The Council was established 

to provide advice, information, and 

recommendations to the Secretary 

regarding programs and policies 

intended to promote effective 

prevention of HIV disease and AIDS. 

The functions of the Council are solely 

advisory in nature. 

The Council consists of not more than 

25 members. Council members are 

selected from prominent community 

leaders with particular expertise in, or 

knowledge of, matters concerning HIV 

and AIDS, public health, global health, 

philanthropy, marketing or business, as 

well as other national leaders held in 

high esteem from other sectors of 

society. Council members are appointed 

by the Secretary or designee, in 

consultation with the White House 

Office on National AIDS Policy. The 

agenda for the upcoming meeting will 

be posted on the Council’s Web site at 

www.pacha.gov. 

This meeting of the PACHA will be on 

White House property, thus, each 

person must be screened and cleared by 

the U.S. Secret Service. Pre-registration 

for public attendance is mandatory. 

Please contact: Melvin Joppy, Office of 

HIV/AIDS Policy (202) 690–5560 or 

melvin.joppy@hhs.gov. The second day 

of the meeting, February 29, will be held 

in a different room within the same 

venue; space will be limited. For this 

reason, members of the public will be 

accommodated on a first come, first 

serve basis for this portion of the 

meeting. Mr. Joppy will need your full 

name, social security number, date of 

birth, country of origin, gender, and city 

and state of residence to process public 

access attendance. Registration must be 

submitted by close of business Tuesday, 

February 21, 2012. 

Members of the public will have the 

opportunity to provide comments at the 

meeting. Any individual who wishes to 

participate in the public comment 

session must register with Melvin Joppy 

at melvin.joppy@hhs.gov; registration 

for public comment will not be accepted 

by telephone. Public comment will be 

limited to two minutes per speaker. It is 

requested that any members of the 

public who wish to have printed 

material distributed to PACHA members 

at the meeting submit, at a minimum, 

two copies of the materials to the 

Committee Manager, PACHA, no later 

than close of business Tuesday, 

February 21, 2012. Contact information 

for the PACHA Committee Manager is 

listed above. 

Dated: February 1, 2012. 

Christopher Bates, 

Executive Director, Presidential Advisory 

Council on HIV/AIDS. 

[FR Doc. 2012–2707 Filed 2–6–12; 8:45 am] 

BILLING CODE 4150–43–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10421] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS) is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate 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. 

1. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Fee-for-Service 

Recovery Audit Prepayment Review 

Demonstration and Prior Authorization 

Demonstration; Use: The Centers for 

Medicare & Medicaid Services (CMS) is 

requesting the Office of Management 

and Budget (OMB) approval of the 

collections required for two 

demonstrations of prepayment review 

and prior authorization. The first 

demonstration would allow Medicare 

Recovery Auditors to review claims on 

a pre-payment basis in certain States. 

The second demonstration would 

establish a prior authorization program 

for Power Mobility Device claims in 

certain States. 

For the Recovery Audit Prepayment 

Review Demonstration, CMS and its 

agents will request additional 

documentation, including medical 

records, to support submitted claims. As 

discussed in more detail in Chapter 3 of 

the Program Integrity Manual, 

additional documentation includes any 

medical documentation, beyond what is 

included on the face of the claim that 

supports the item or service that is 

billed. For Medicare to consider 

coverage and payment for any item or 

service, the information submitted by 

the provider or supplier (e.g., claims) 

must be supported by the 

documentation in the patient’s medical 

records. When conducting complex 

medical review, the contractor specifies 

documentation they require in 

accordance with Medicare’s rules and 

policies. In addition, providers and 

suppliers may supply additional 

documentation not explicitly listed by 

the contractor. This supporting 

information may be requested by CMS 

and its agents on a routine basis in 

instances where diagnoses on a claim do 

not clearly indicate medical necessity, 

or if there is a suspicion of fraud. 

For the Prior Authorization of Power 

Mobility Devices (PMDs) 

Demonstration, CMS will pilot prior 

authorization for Power Mobility 

Devices. Prior authorization will allow 

the applicable documentation that 

supports a claim to be submitted before 

the item is delivered. For prior 

authorization, relevant documentation 

for review is submitted before the item 

is delivered or the service is rendered. 

CMS will conduct this demonstration in 

California, Florida, Illinois, Michigan, 

New York, North Carolina and Texas 

based on beneficiary address as reported 

to the Social Security Administration 

and recorded in the Common Working 

File (CWF). For the demonstration, a 

prior authorization request can be 

completed by the (ordering) physician 


tkelley on DSK3SPTVN1PROD with NOTICES
6124 Federal Register / Vol. 77, No. 25 / Tuesday, February 7, 2012 / Notices 

or treating practitioner and submitted to 

the appropriate DME MAC for an initial 

decision. The supplier may also submit 

the request on behalf of the physician or 

treating practitioner. The physician, 

treating practitioner or supplier who 

submits the request on behalf of the 

physician or treating practitioner, is 

referred to as the ‘‘submitter.’’ Under 

this demonstration, the submitter will 

submit to the DME MAC a request for 

prior authorization and all relevant 

documentation to support Medicare 

coverage of the PMD item. 

These demonstrations have been 

designed to develop and demonstrate 

improved methods for the investigation 

and prosecution of fraud in the 

provision of care or services under the 

health programs established by the 

Social Security Act. The information 

required under this information 

collection request is requested by 

Medicare contractors to determine 

proper payment or if there is a suspicion 

of fraud. For the RAC demonstration, 

Medicare contractors may request the 

information from providers or suppliers 

submitting claims for payment from the 

Medicare program when data analysis 

indicates aberrant billing patterns or 

other information which may present a 

vulnerability to the Medicare program. 

Under the prior authorization 

demonstration, for certain PMDs, with a 

history of aberrant billing patterns, this 

information is requested in advance to 

determine appropriate payment or if 

there is a suspicion of fraud. Form 

Number: CMS–10421 (OCN 0938–New); 

Frequency: Occasionally; Affected 

Public: State, Local or Tribal 

Governments; Number of Respondents: 

479,750; Total Annual Responses: 

479,750; Total Annual Hours: 243,060. 

(For policy questions regarding this 

collection contact Debbie Skinner at 

(410) 786–7480. For all other issues call 

(410) 786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web Site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or 

Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by April 9, 2012: 

1. Electronically. You may submit 

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) 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 CMS–10161 (OCN 

0938–0979), Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: February 1, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–2821 Filed 2–3–12; 11:15 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–668B and CMS– 

1557] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS) is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate 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. 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection. Title of 

Information Collection: Post Clinical 

Laboratory Survey Questionnaire and 

Supporting Regulations in 42 CFR 

493.1771, 493.1773, and 493.1777. Use: 

Form CMS–668B is used by a Clinical 

Laboratory Improvement Amendments 

(CLIA) laboratory to express its 

satisfaction with the survey process and 

to make recommendations for 

improvement. Surveyors furnish this 

form to all laboratories that receive 

either an onsite survey or the Alternate 

Quality Assessment Survey (i.e., paper 

survey of quality indicators). CMS 

Central Office performs an overview 

evaluation of the completed forms. Each 

calendar year, a summary of the 

information collected is sent to the State 

and CMS Regional Office. Form 

Number: CMS–668B (OCN 0938–0653). 

Frequency: Biennially; Affected Public: 

Business or other for-profits and not-forprofit institutions. State, Local, or Tribal 

Government, Federal Government. 

Number of Respondents: 21,000. Total 

Annual Responses: 10,500. Total 

Annual Hours: 2,625. (For policy 

questions regarding this collection 

contact Kathleen Todd at (410) 786– 

3385. For all other issues call (410) 786– 

1326.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection. Title of 

Information Collection: Survey Report 

Form for Clinical Laboratory 

Improvement Amendments (CLIA) and 

Supporting Regulations in 42 CFR 

493.1–493.2001. Use: CMS 1557 is used 

to report surveyor findings during a 

CLIA survey. For each type of survey 

conducted (i.e., initial certification, 

recertification, validation, complaint, 

addition/deletion of specialty/ 

subspecialty, transfusion fatality 

investigation, or revisit inspections) the 

Survey Report Form incorporates the 

requirements specified in the CLIA 

regulations. Form Number: CMS–1557 

(OCN 0938–0544). Frequency: 

Biennially. Affected Public: Business or 

other for-profit, Not-for-profit 

institutions, State, Local or Tribal 

Governments and Federal Government. 

Number of Respondents: 21,000. Total 

Annual Responses: 10,500. Total 

Annual Hours: 5,248. (For policy 

questions regarding this collection 

contact Kathleen Todd at (410) 786– 

3385. For all other issues call (410) 786– 

1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web Site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or 

Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 


tkelley on DSK3SPTVN1PROD with NOTICES