Federal Register / Vol. 79, No. 31 / Friday, February 14, 2014 / Notices 8973 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–21 and –21B CMS–21 (Quarterly 

Children’s Health Insurance Program 

(CHIP) Statement of Expenditures for 

the Title XXI Program) and CMS–21B 

(State Children’s Health Insurance 

Program Budget Report for the Title 

XXI Program State Plan Expenditures) 

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: Quarterly 

Children’s Health Insurance Program 

(CHIP) Statement of Expenditures for 

the Title XXI Program (CMS–21) and 

State Children’s Health Insurance 

Program Budget Report for the Title XXI 

Program State Plan Expenditures (CMS– 

21B); Use: Forms CMS–21 and –21B 

provide CMS with the information 

necessary to issue quarterly grant 

awards, monitor current year 

expenditure levels, determine the 

allowability of state claims for 

reimbursement, develop CHIP financial 

management information, provide for 

state reporting of waiver expenditures, 

and ensure that the federally established 

allotment is not exceeded. Further, 

these forms are necessary in the 

redistribution and reallocation of 

unspent funds over the federally 

mandated timeframes. Form Number: 

CMS–21 and CMS–21B (OCN: 0938– 

0731); Frequency: Quarterly; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

56; Total Annual Responses: 448; Total 

Annual Hours: 7,840. (For policy 

questions regarding this collection 

contact Abraham John at 410–786– 

4519). 

Dated: February 11, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–03293 Filed 2–13–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–18F5, CMS– 

10120, and CMS–10512] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request and 

Correction 

ACTION: Notice; correction. 

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 

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 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. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by March 17, 2014. 

ADDRESSES: When commenting on the 

proposed information collections, 

please reference the document identifier 

or OMB control number. To be assured 

consideration, comments and 

recommendations must be received by 

the OMB desk officer via one of the 

following transmissions: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–5806 or Email: 

OIRA_submission@omb.eop.gov. 

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’ Web site address at 

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

PaperworkReductionActof1995. 

2. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

3. Call the Reports Clearance Office at 

(410) 786–1326. 

FOR FURTHER INFORMATION CONTACT: 

Reports Clearance Office at (410) 786– 

1326 

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: Extension of a currently 

approved collection; Title of 

Information Collection: Application for 

Hospital Insurance and Supporting 

Regulations; Use: Regulations at 42 CFR 

406.6 specify the individuals who must 

file an application for Medicare Hospital 

Insurance (Part A) and those who need 

not file an application for Part A. 

Section 406.7 lists CMS–18F5 as the 

application form. The form elicits 

information that the Social Security 

Administration and CMS need to 

determine entitlement to Part A and 

Supplementary Medical Insurance (Part 

B); Form Number: CMS–18F5 (OCN: 

0938–0251); Frequency: Once; Affected 

Public: Individuals or households; 

Number of Respondents: 50,000; Total 

Annual Responses: 50,000; Total 

Annual Hours: 12,500. (For policy 

questions regarding this collection 

contact Naomi Rappaport at 410–786– 

2175). 

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8974 Federal Register / Vol. 79, No. 31 / Friday, February 14, 2014 / Notices 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: 1932(a) State 

Plan Amendment Template, State Plan 

Requirements and Supporting 

Regulations; Use: Section 1932(a)(1)(A) 

of the Social Security Act (the Act) 

grants states the authority to enroll 

Medicaid beneficiaries on a mandatory 

basis into managed care entities and 

primary care case managers. Under this 

authority, a state can amend its 

Medicaid state plan to require certain 

categories of Medicaid beneficiaries to 

enroll in managed care entities without 

being out of compliance with provisions 

of section 1902 of the Act on statewideness (42 CFR 431.50), freedom of 

choice (42 CFR 431.51) or comparability 

(42 CFR 440.230). The template may be 

used by states to easily modify their 

state plans if they choose to implement 

the provisions of section 1932(a)(1)(A); 

Form Number: CMS–10120 (OCN: 

0938–0933); Frequency: Once and 

occasionally; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 56; Total Annual 

Responses: 15; Total Annual Hours: 65. 

(For policy questions regarding this 

collection contact Camille Dobson at 

410–786–7062). 

3. Title of Information Collection: 

Direct Service Workforce (DSW) 

Resource Center (RC) Core 

Competencies (CC) Survey Instrument. 

Form Number: CMS–10512 (OCN: 

0938—New). 

The 30-day PRA notice published in 

the Federal Register on February 7, 

2014, as a correction. While the 

requirements, burden estimates, and 

public comment information that were 

set out in that notice and in the 

associated supporting materials were 

correct, the notice inadvertently 

published as a correction. 

Correction 

In the Federal Register of February 7, 

2014, in FR Doc. 2014–02630, on page 

7462, in the first column, correct the 

document as follows: 

a. Correct the subject heading to read: 

Agency Information Collection 

Activities: Submission for OMB Review; 

Comment Request 

b. Correct the ‘‘Action’’ caption to 

read: ACTION: Notice. 

Dated: February 11, 2014. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2014–03290 Filed 2–13–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5504–N4] 

Medicare Program; Bundled Payments 

for Care Improvement Models 2, 3, and 

4 2014 Winter Open Period 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces an 

open period for additional organizations 

to be considered for participation in 

Models 2, 3, and 4 of the Bundled 

Payments for Care Improvement 

initiative. 

DATES: Submission Deadline: Models 2, 

3, and 4 Open Period intake forms must 

be submitted by April 18, 2014. 

ADDRESSES: Interested organizations 

must submit their Models 2, 3, and 4 

Open Period intake forms via email at 

BundledPayments@cms.hhs.gov. All 

forms must be in a searchable word or 

PDF format. 

FOR FURTHER INFORMATION CONTACT: For 

questions regarding Models 2, 3, and 4 

of the Bundled Payments for Care 

Improvement initiative send an email to 

BundledPayments@cms.hhs.gov. For 

additional information on this initiative 

go to the CMS Center for Medicare and 

Medicaid Innovation (Innovation 

Center) Web site at http://

innovation.cms.gov/initiatives/BundledPayments/Models2-4OpenPeriod.html. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Section 1115A of the Social Security 

Act (the Act), as added by section 3021 

of the Affordable Care Act, authorized 

the Center for Medicare and Medicaid 

Innovation to test innovative payment 

and service delivery models that reduce 

spending under Medicare, Medicaid, or 

CHIP, while preserving or enhancing the 

quality of care. Consistent with that 

authority, we seek to achieve the 

following goals: 

• Improve care coordination, 

beneficiary experience, and 

accountability in a person-centered 

manner. 

• Support and encourage providers 

that are interested in continuously 

reengineering care to deliver better care 

and better health at lower costs through 

continuous improvement. 

• Create a cycle that leads to 

continually decreasing the cost of an 

acute or chronic episode of care while 

fostering quality improvement. 

• Develop and test payment models 

that create extended accountability for 

better care, better health at lower costs 

for the full range of health care services. 

• Shorten the cycle time for adoption 

of evidence-based care. 

• Create environments that stimulate 

rapid development of new evidencebased knowledge. 

We are committed to achieving better 

health, better care, and lower costs 

through continuous improvement for 

Medicare, Medicaid and Children’s 

Health Insurance Program (CHIP) 

beneficiaries. Beneficiaries can 

experience improved health outcomes 

and encounters in the health care 

system when providers work in a 

coordinated and person-centered 

manner. To this end, we are interested 

in partnering with providers that are 

working to redesign care to meet these 

goals. Payment approaches that reward 

providers that assume payment 

accountability for a particular ‘‘episode’’ 

of care are potential mechanisms for 

developing these partnerships. 

The Innovation Center is testing four 

episode payment models through the 

Bundled Payments for Care 

Improvement initiative. The current 

participants in the initiative were 

selected following a review of the 

applications submitted in response to a 

Request for Application, http://

innovation.cms.gov/Files/x/BundledPayment-Request-for-Application.pdf 

released by the Innovation Center in 

August 2011. On January 31, 2013, the 

first set of BPCI Phase 1 participants 

were announced. Phase 2 began either 

on October 1, 2013 or January 1, 2014 

for Awardees that have entered into 

Model 2 Awardee Agreements with 

CMS, at which point Awardees began 

the risk-bearing phase for some or all of 

their episodes. The complete transition 

of all episodes for all episode initiators 

to Phase 2 will be completed by October 

2014. During the transition period, 

Awardees may transition episodes and/ 

or Episode Initiators that have remained 

in Phase 1 to Phase 2 on a quarterly 

basis. 

We began testing Model 1 of the 

initiative in April 2013. Model 1 is a 

retrospective payment model for the 

acute inpatient hospital stay. In the May 

17, 2013 Federal Register (78 FR 

29139), we published a notice 

announcing an open period for 

additional organizations to be 

considered for participation in Model 1 

of the initiative. 

Phase 2 of Models 2 through 4 began 

testing in October 2013. Models 2, 3, 

and 4 are described as follows: 

• Model 2—Retrospective bundled 

payment models for hospitals, 

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