18924 Federal Register / Vol. 63, No. 73 /Thursday, April 16, 1998 / Notices

and ‘‘Specific Instructions’’ in the

application kit should be followed with

the exception of the receipt dates and

the mailing label address. Do not send

applications to CSR, NIH. Applications

from State and local Governments may

be submitted on Form PHS 5161 (Rev.

7/92) or Form PHS 398 (Rev. 5/95).

The face page of the application

should reflect the RFA number RFA–

FDA–CVM–98–1.

Data included in the application, if

restricted with the legend specified

below, may be entitled to confidential

treatment as trade secret or confidential

commercial information within the

meaning of the Freedom of Information

Act (FOIA) (5 U.S.C. 552(b)(4)) and

FDA’s implementing regulations (21

CFR 20.61).

Information collection requirements

requested on Form PHS 398 and the

instructions have been submitted by

PHS to the Office of Management and

Budget (OMB) and were approved and

assigned OMB control number 0925–

0001.

C. Legend

Unless disclosure is required by FOIA

as amended as determined by the

freedom of information officials of the

Department of Health and Human

Services or by a court, data contained in

the portions of this application which

have been specifically identified by

page number, paragraph, etc., by the

applicant as containing restricted

information shall not be used or

disclosed except for evaluation

purposes.

Dated: April 10, 1998.

William K. Hubbard,

Associate Commissioner for Policy

Coordination.

[FR Doc. 98–10069 Filed 4–15–98; 8:45 am]

BILLING CODE 4160–01–F

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Form #HCFA–R–224]

Emergency Clearance: Public

Information Collection Requirements

Submitted to the Office of Management

and Budget (OMB)

In compliance with the requirement

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

Paperwork Reduction Act of 1995, the

Health Care Financing Administration

(HCFA), Department of Health and

Human Services (DHHS), has submitted

to the Office of Management and Budget

(OMB) the following request for

Emergency review. We are requesting an

emergency review because the

collection of this information is needed

prior to the expiration of the normal

time limits under OMB’s regulations at

5 CFR, part 1320. The Agency cannot

reasonably comply with the normal

clearance procedures because of a

statutory deadline imposed by section

1853(a)(3) of the Balanced Budget Act of

1997. Without this information, HCFA

would not be able to properly

implement the requirements set forth in

the statute.

HCFA is requesting OMB review and

approval of this collection by 5/8/98,

with a 180-day approval period. Written

comments and recommendations will be

accepted from the public if received by

the individual designated below, by 5/

6/98.

During this 180-day period HCFA will

pursue OMB clearance of this collection

as stipulated by 5 CFR 1320.5.

Type of Information Collection

Request: Extension of a currently

approved collection;

Title of Information Collection:

Collection of Managed Care Data Using

the Uniform Institutional Providers

Form (HCFA–1450/UB–92) and

Supporting Statute Section 1853(a)(3) of

the Balanced Budget Act of 1997;

Form No.: HCFA–R–224;

Use: Section 1853(a)(3) of the

Balanced Budget Act (BBA) requires

Medicare+Choice organizations, as well

as eligible organizations with risksharing contracts under section 1876, to

submit encounter data. Data regarding

inpatient hospital services are required

for periods beginning on or after July 1,

1997. These data may be collected

starting January 1, 1998. Other data (as

the Secretary deems necessary) may be

required beginning July 1, 1998.

The BBA also requires the Secretary

to implement a risk adjustment

methodology that accounts for variation

in per capita costs based on health

status. This payment method must be

implemented no later than January 1,

2000. The encounter data are necessary

to implement a risk adjustment

methodology.

Hospital data from the period, July 1,

1997–June 30, 1998, will serve as the

basis for plan-level estimates of risk

adjusted payments. These estimates will

be provided to plans by March, 1999.

Encounter data collected from

subsequent time periods will serve as

the basis for actual payments to plans

for CY 2000 and beyond.

In implementing the requirements of

the BBA, hospitals will submit data to

the managed care plan for enrollees who

have a hospital discharge using the

HCFA–1450 (UB–92), Uniform

Institutional Provider Claim Form.

Encounter data for hospital discharges

occurring on or after July 1, 1997 are

required. While submission from the

hospital to the plan is required, plans

are provided with a start-up period

during which time an alternate

submission route is permitted.

The six month start up period,

beginning January 1, 1998 will enable

plans to accomplish the requirements of

the BBA by the end of the start-up

period, or June 30, 1998. Special

procedures have been identified to

ensure that hospital encounter data are

submitted for discharges occurring on or

after July 1, 1997 and before June 30,

1998. The special procedures for the

start up period include the following:

1. In order to provide plans with an

estimate of their Average Payment Rate

(APR) by March, 1999, HCFA must

receive data on hospital discharges that

occurred on or after July 1, 1997 and

before December 31, 1997, as well as

encounter data on discharges that occur

during the start up period, or January 1,

1998 through June 30, 1998. Currently,

most plans do not have the capacity to

submit data electronically to a fiscal

intermediary (FI), and the FIs are not

capable of receiving these data.

Therefore, during this period only,

unless an alternative approach is

approved by HCFA, hospitals must

submit completed UB–92s for the Plan’s

enrollees. These pseudo-claims must be

submitted to the hospital’s regular fiscal

intermediary. This is a current

requirement for hospitals, and they are

expected to comply with this

requirement throughout this period.

Plans must provide hospitals with the

Medicare identification number of all

enrollees admitted who have Medicare

coverage.

If hospitals are unable to submit these

data on behalf of the plan during the

start-up period, an alternate method of

submitting the data may be developed

by HCFA. If such a method is

developed, it would require the plans to

submit a subset of data elements that are

found on the UB–92. Possible data

elements include the following: Plan

Contract Number; HIC (or Medicare

Identification Number); enrollee’s name;

enrollee’s state and county of residence;

enrollee’s birthdate and gender;

Medicare Provider Number for the

Hospital; claim from and thru date;

admission date; and principal and

secondary diagnoses codes. HCFA will

specify the data elements, submission

route, and format for these data.

2. During the start up period, the plan

is expected to establish an electronic

data linkage to a FI to be determined by

HCFA. By June 30, 1998, the Plan is

expected to have completed this
Federal Register / Vol. 63, No. 73 /Thursday, April 16, 1998 / Notices 18925

linkage, including testing of the linkage,

and to be capable of transmitting

hospital encounter data to an FI. All

data submitted after July 1, 1998 will be

transmitted using this linkage. (See

Attachment 1 for additional information

on the transmission of data to HCFA.)

Each plan and/or contract will use a

single FI.

HCFA will establish a series of

interim deadlines to ensure that plans

are making sufficient progress toward

accomplishing this linkage no later than

June 30, 1998. HCFA will assist plans in

initiating discussions with their FI.

After plans have established linkages

to a FI, hospitals will submit HCFA–

1450 (UB–92) forms to the managed care

plan. The HCFA–1450 (UB92) form is

identical to the one used by hospitals in

billing for Medicare fee-for-service

claims. After receiving the pseudo claim

from the hospital, the plan attaches the

plan identifier, which is the HCFA

assigned managed care organization

(MCO) Contract Number, and submits

the pseudo-claim electronically to the

fiscal intermediary (FI). The data

processing flow by the FI is very similar

to current claims processing for the feefor-service system, except that no

payment is authorized to the plan.

Pseudo claims will flow though the FI

to our Common Working File (CWF) and

will be retained by HCFA;

Frequency: On occasion;

Affected Public: Business or other forprofit, Not-for-profit institutions, and

Federal government;

Number of Respondents: 1.9 million;

Total Annual Responses: 1.9 million;

Total Annual Hours: 13,310.

To obtain copies of the supporting

statement and any related forms for the

proposed paperwork collections

referenced above, access HCFA’s Web

Site address at http://www.hcfa.gov/

regs/prdact95.htm, or E-mail your

request, including your address, phone

number, OMB number, and HCFA

document identifier, to

Paperwork@hcfa.gov, or call the Reports

Clearance Office on (410) 786–1326.

Interested persons are invited to send

comments regarding the burden or any

other aspect of these collections of

information requirements. However, as

noted above, comments on these

information collection and

recordkeeping requirements must be

mailed and/or faxed to the designee

referenced below, by 5/6/98:

Office of Information and Regulatory

Affairs, Office of Management and

Budget, Room 10235, New Executive

Office Building, Washington, DC

20503, Fax Number: (202) 395–6974

or (202) 395–5167, Attn: Allison

Herron Eydt, HCFA Desk Officer.

Dated: April 9, 1998.

John P. Burke III,

HCFA Reports Clearance Officer, HCFA,

Office of Information Services, Information

Technology Investment Management Group,

Division of HCFA Enterprise Standards.

[FR Doc. 98–10105 Filed 4–15–98; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Substance Abuse and Mental Health

Services Administration

Agency Information Collection

Activities: Submission for OMB

Review; Comment Request

Periodically, the Substance Abuse and

Mental Health Services Administration

(SAMHSA) will publish a list of

information collection requests under

OMB review, in compliance with the

Paperwork Reduction Act (44 U.S.C.

Chapter 35). To request a copy of these

documents, call the SAMHSA Reports

Clearance Officer on (301) 443–8005.

Proposed Project: Community Mental

Health Services (CMHS) Block Grant

Application—Revision—The ADAMHA

Reorganization Act 42 USC 300x1–9

established the Community Mental

Health Services Block Grant program

which authorized block grants to States

to provide community based mental

health services. The name of the

program was changed in the Spring of

1997 to The Performance Partnership

Block Grants (PPBG) for Community

Mental Health Services. Under

provision of the law, States may receive

allotments only after an application is

approved by the Secretary. Further, the

Act requires States to submit to the

Secretary a plan for providing

comprehensive community mental

health services to adults with a serious

mental illness and to children with a

serious emotional disturbance and an

annual implementation report on the

block grant fund activities for the

previous year.

This block grant program is

administered by SAMHSA’s Center for

Mental Health Services (CMHS).

Through an iterative process of

consultation with State mental health

planners, representatives of the National

Association of State Mental Health

Program Directors, and the National

Governors Association, CMHS revised

the recommended voluntary format and

content. The proposed application for

FY 1999–2001 reflects the criteria,

assurances, and requirements set forth

in Public Law 102–321. The proposed

application provides maximum

flexibility to the States while providing

performance measures as required by

the Government Performance and

Results Act. It includes a multi-year

option for the State Plan, the option for

consolidation of the 12 criteria for

application to 5 criteria, and reduced

respondent burden. Based on feedback

from States that might exercise the

multi-year planning option and the

consolidation of the criteria, the annual

burden estimates are as follows:

ESTIMATES OF ANNUALIZED BURDEN

Number of

States responding

Responses

per respondent (over 3

year period)

Hours per

response

Annualized response burden

(hours)

State Plan:

12 Criteria:

1 year ................................................................................................. 7 3 210 1470

2 year ................................................................................................. 3 2 180 360

3 year ................................................................................................. 4 1 150 200

5 Criteria:

1 year ................................................................................................. 15 3 180 2700

2 year ................................................................................................. 15 2 150 1500

3 year ................................................................................................. 15 1 110 550

Implementation Report ..................................................................................... 59 3 80 4720