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[Federal Register Volume 78, Number 134 (Friday, July 12, 2013)]
[Notices]
[Pages 41932-41933]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-16742]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers CMS-10108, CMS-10115, and CMS-10130]

Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

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 a 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

[[Page 41933]]

technology to minimize the information collection burden.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by August 12, 2013.

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) 395-6974 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: Medicaid Managed 
Care Regulations; Use: The information collection requirements 
contained in this information collection request implement regulations 
that allow states greater flexibility to implement mandatory managed 
care programs, implement new beneficiary protections, and eliminate 
certain requirements viewed by state agencies as impediments to the 
growth of managed care programs. Information collected includes 
information about managed care programs, grievances and appeals, 
enrollment broker contracts, and managed care organizational capacity 
to provide health care services. Medicaid enrollees use the information 
collected and reported to make informed choices regarding health care, 
including how to access health care services and the grievance and 
appeal system. States use the information collected and reported as 
part of its contracting process with managed care entities, as well as 
its compliance oversight role. We use the information collected and 
reported in an oversight role of state Medicaid managed care programs. 
Form Number: CMS-10108 (OCN: 0938-0920); Frequency: Occasionally; 
Affected Public: Individuals or households, Private sector (business or 
other for-profit and not-for-profit institutions), and State, local or 
Tribal Government; Number of Respondents: 1,640,223; Total Annual 
Responses: 5,217,333; Total Annual Hours: 5,872,255. (For policy 
questions regarding this collection contact Amy Gentile at 410-786-
3499.)
    2. Type of Information Collection Request: Reinstatement with 
change of a previously approved collection; Title of Information 
Collection: Federal Reimbursement of Emergency Health Services 
Furnished to Undocumented Aliens, Section 1011 of the Medicare 
Prescription Drug, Improvement and Modernization Act of 2003 (MMA); 
Use: Section 1011 of the Medicare Prescription Drug, Improvement and 
Modernization Act of 2003 (MMA) provides that the Secretary will 
establish a process (i.e., enrollment and claims payment) for eligible 
providers to request payment. The Secretary must directly pay 
hospitals, physicians and ambulance providers (including Indian Health 
Service, Indian Tribe and Tribal organizations) for their otherwise un-
reimbursed costs of providing services required by section 1867 of the 
Social Security Act and related hospital inpatient, outpatient and 
ambulance services. We will use the application information to 
administer this health services program and establish an audit process. 
Form Number: CMS-10115 (OCN: 0938-0929); Frequency: Once and 
occasionally; Affected Public: Private sector (business or other for-
profit and not-for-profit institutions); Number of Respondents: 10,000; 
Total Annual Responses: 10,000; Total Annual Hours: 5,000. (For policy 
questions regarding this collection contact Fred Rooke at 404-562-
7502.)
    3. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Federal Reimbursement of Emergency Health Services 
Furnished to Undocumented Aliens, Section 1011 of the Medicare 
Prescription Drug, Improvement and Modernization Act of 2003 (MMA): 
``Section 1011 Provider Payment Determination'' and ``Request for 
Section 1011 Hospital On-Call Payments to Physicians'' Forms; Use: 
Section 1011 of the MMA requires that the Secretary establish a process 
under which eligible providers (certain hospitals, physicians and 
ambulance providers) may request payment for (claim) their otherwise 
un-reimbursed costs of providing eligible services. The Secretary must 
make quarterly payments directly to such providers. The Secretary must 
also implement measures to ensure that inappropriate, excessive, or 
fraudulent payments are not made under Section 1011, including 
certification by providers of the veracity of their requests for 
payment. Both forms have been established to address the statutory 
requirements outlined above. Form Number: CMS-10130 (OCN: 0938-0952); 
Frequency: Occasionally; Affected Public: Private sector (business or 
other for-profit and not-for-profit institutions); Number of 
Respondents: 12,037; Total Annual Responses: 300,148; Total Annual 
Hours: 75,037. (For policy questions regarding this collection contact 
Fred Rooke at 404-562-7205.)

    Dated: July 9, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-16742 Filed 7-11-13; 8:45 am]
BILLING CODE 4120-01-P
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