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

**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

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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


### 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