Federal Register / Vol. 78, No. 71 / Friday, April 12, 2013 / Notices 21955 

Occupational Illness Compensation 

Program Act of 2000. On March 6, 2013, 

as provided for under 42 U.S.C. 

7384q(b), the Secretary of HHS 

designated the following class of 

employees as an addition to the SEC: 

All Atomic Weapons Employees who 

worked at the King Avenue facility owned by 

Battelle Laboratories in Columbus, Ohio, 

during the period from April 16, 1943, 

through June 30, 1956, for a number of work 

days aggregating at least 250 work days, 

occurring either solely under this 

employment or in combination with work 

days within the parameters established for 

one or more other classes of employees 

included in the Special Exposure Cohort. 

This designation became effective on 

April 5, 2013, as provided for under 42 

U.S.C. 7384l(14)(C). Hence, beginning 

on April 5, 2013, members of this class 

of employees, defined as reported in 

this notice, became members of the SEC. 

FOR FURTHER INFORMATION CONTACT: 

Stuart L. Hinnefeld, Director, Division 

of Compensation Analysis and Support, 

NIOSH, 4676 Columbia Parkway, MS C– 

46, Cincinnati, OH 45226, Telephone 

877–222–7570. Information requests can 

also be submitted by email to 

DCAS@CDC.GOV. 

John Howard, 

Director, National Institute for Occupational 

Safety and Health. 

[FR Doc. 2013–08577 Filed 4–11–13; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Final Effect of Designation of a Class 

of Employees for Addition to the 

Special Exposure Cohort 

AGENCY: National Institute for 

Occupational Safety and Health 

(NIOSH), Centers for Disease Control 

and Prevention, Department of Health 

and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: HHS gives notice concerning 

the final effect of the HHS decision to 

designate a class of employees from the 

Baker Brothers site in Toledo, Ohio, as 

an addition to the Special Exposure 

Cohort (SEC) under the Energy 

Employees Occupational Illness 

Compensation Program Act of 2000. On 

March 6, 2013, as provided for under 42 

U.S.C. 7384q(b), the Secretary of HHS 

designated the following class of 

employees as an addition to the SEC: 

All Atomic Weapons Employees who 

worked at the Baker Brothers site in Toledo, 

Ohio, during the period from June 1, 1943, 

through December 31, 1944, for a number of 

work days aggregating at least 250 work days, 

occurring either solely under this 

employment, or in combination with work 

days within the parameters established for 

one or more other classes of employees 

included in the Special Exposure Cohort. 

This designation became effective on 

April 5, 2013, as provided for under 42 

U.S.C. 7384l(14)(C). Hence, beginning 

on April 5, 2013, members of this class 

of employees, defined as reported in 

this notice, became members of the SEC. 

FOR FURTHER INFORMATION CONTACT: 

Stuart L. Hinnefeld, Director, Division 

of Compensation Analysis and Support, 

NIOSH, 4676 Columbia Parkway, MS C– 

46, Cincinnati, OH 45226, Telephone 

877–222–7570. Information requests can 

also be submitted by email to 

DCAS@CDC.GOV. 

John Howard, 

Director, National Institute for Occupational 

Safety and Health. 

[FR Doc. 2013–08579 Filed 4–11–13; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10003, CMS– 

10409, and CMS–10461] 

Agency Information Collection 

Activities: Submission for OMB 

Review; 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), Department of Health 

and Human Services, 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 function; 

(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: Revision of a currently 

approved collection; Title of 

Information Collection: Notice of Denial 

of Medical Coverage (or Payment). Use: 

Form CMS–10003 is currently separated 

into a Notice of Denial of Medical 

Coverage (NDMC) and a Notice of 

Denial of Payment (NDP). The revised 

notice that is the subject of this PRA 

package combines the NDMC and the 

NDP notices and incorporates text to be 

inserted if the Medicare health plan 

enrollee receives full benefits under a 

State Medical Assistance (Medicaid) 

program being managed by the plan and 

the plan denies a service or item that is 

also subject to Medicaid appeal rights. 

Form Number: CMS–10003 (OCN: 

0938–0829). Frequency: Occasionally; 

Affected Public: Private sector (business 

or other for-profit and not-for-profit 

institutions). Number of Respondents: 

665. Total Annual Responses: 

6,960,410. Total Annual Hours: 

1,159,604. (For policy questions 

regarding this collection contact 

Kathryn McCann Smith at 410–786– 

7623. For all other issues call 410–786– 

1326.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Long Term Care 

Hospital (LCTH) Continuity Assessment 

Record and Evaluation (CARE) Data Set; 

Use: Section 3004 of the Affordable Care 

Act authorizes the establishment of a 

new quality reporting program for long 

term care hospitals (LTCHs). The LTCHs 

that fail to submit quality measure data 

may be subject to a 2 percentage point 

reduction in their annual update to the 

standard Federal rate for discharges 

occurring during a rate year. In the FY 

2013 IPPS/LTCH PPS final rule (76 FR 

51743 through 51756), CMS retained 

three National Quality Forum (NQF) 

measures (NQF #0678, NQF #0138 and 

NQF #0139) and adopted two new 

measure (NQF #0680 and NQF#0431) 

for the FY 2016 payment determination. 

The NQF #0680 is the percent of 

residents or patients who were assessed 

and appropriately given the seasonal 

influenza vaccine (short-stay). The NQF 

#0431 is influenza vaccination coverage 

among healthcare personnel. The data 

collection for these two NQF endorsed 

measures will start January 1, 2014. 

The LTCH CARE Data Set was 

developed specifically for use in LTCHs 

for data collection of NQF #0678 

Pressure Ulcer measures beginning 

October 1, 2012, with the understanding 

that the data set would expand in future 

rulemaking years with the adoption of 

additional quality measures. Relevant 

data elements contained in other wellknown and clinically established data 

sets, including but not limited to the 

Minimum Data Set 3.0 (MDS 3.0) and 

CARE, were incorporated into the LTCH 

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21956 Federal Register / Vol. 78, No. 71 / Friday, April 12, 2013 / Notices 

CARE Data Set V1.01. Form Number: 

CMS–10409 (OCN: 0938–1163); 

Frequency: Occasionally; Affected 

Public: Private Sector: Business or other 

for-profit and not-for-profit institutions; 

Number of Respondents: 442; Total 

Annual Responses: 403,988; Total 

Annual Hours: 212,160. (For policy 

questions regarding this collection 

contact Charles Padgett at 410–786– 

2811. For all other issues call 410–786– 

1326.) 

3. Type of Information Collection 

Request: New collection (request for a 

new OMB control number). Title of 

Information Collection: Emergency 

Department Patient Experience of Care 

Survey. Use: This survey supports the 

six national priorities for improving care 

from the National Quality Strategy 

developed by the U.S. Department of 

Health and Human Services (HHS) that 

was called for under the Affordable Care 

Act to create national aims and 

priorities to guide local, state, and 

national efforts to improve the quality of 

health care. The priorities support a 

three-part aim focusing on better care, 

better health, and lower costs through 

improvement. In this regard, this survey 

will provide patient experiences with 

care data that enables making 

comparisons of emergency departments 

across the nation and promoting 

effective communication and 

coordination. Form Number: CMS– 

10461 (OCN: 0938—New). Frequency: 

Once. Affected Public: Individuals and 

households. Number of Respondents: 

Total Annual Responses: 3,360. Total 

Annual Hours: 799. (For policy 

questions regarding this collection 

contact Sai Ma at 410–786–1479. 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. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on May 13, 2013. OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–6974, Email: 

OIRA_submission@omb.eop.gov. 

Dated: April 9, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–08677 Filed 4–11–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–460 and CMS– 

10469] 

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: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare 

Participating Physician or Supplier 

Agreement. Use: Section 1842(h) of the 

Social Security Act permits physicians 

and suppliers to voluntarily participate 

in Medicare Part B by agreeing to take 

assignment on all claims for services to 

Medicare beneficiaries. The law also 

requires that the Secretary provide 

specific benefits to the physicians, 

suppliers and other persons who choose 

to participate. The CMS–460 is the 

agreement by which the physician or 

supplier elects to participate in 

Medicare. The information is used by: 

Medicare contractors to provide the 

benefits the law provides for 

participating entities and to enable 

contractors to enforce the Medicare 

limiting charge for physicians, suppliers 

and other persons who do not 

participate; Medicare beneficiaries to 

assist them in locating physicians who 

will accept Medicare assignment on 

claims for services and therefore save 

them money; and CMS to gauge the 

effectiveness of our and contractors 

efforts to increase participation in 

Medicare. Form Number: CMS–460 

(OCN: 0938–0373). Frequency: Yearly. 

Affected Public: Private sector (business 

or other for-profits). Number of 

Respondents: 120,000. Total Annual 

Responses: 120,000. Total Annual 

Hours: 30,000. (For policy questions 

regarding this collection contact April 

Billingsley at 410–786–0140. For all 

other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Issuer Reporting 

Requirements for Selecting a CostSharing Reductions Reconciliation 

Methodology; Use: Under established 

Department of Health and Human 

Services (HHS) regulations, qualified 

health plan (QHP) issuers will receive 

advance payments of the cost-sharing 

reductions throughout the year. Each 

issuer will then be subject to one of two 

reconciliation processes after the year to 

ensure that HHS reimbursed each issuer 

the correct advance cost-sharing 

amount. This information collection 

request establishes the data collection 

requirements for a QHP issuer to report 

to HHS which reconciliation reporting 

option the issuer will be subject to for 

a given benefit year. 

On March 23, 2010, the President 

signed into law H.R. 3590, the Patient 

Protection and Affordable Care Act 

(Affordable Care Act), Public Law 111– 

148. Sections 1402 and 1412 of the 

Affordable Care Act provide for 

reductions in cost sharing on essential 

health benefits for low- and moderateincome enrollees in silver level 

qualified health plans on individual 

market Exchanges. It also provides for 

reductions in cost sharing for Indians 

enrolled in QHPs at any metal level. 

These cost-sharing reductions will help 

eligible individuals and families afford 

the out-of-pocket spending associated 

with health care services provided 

through Exchange-based QHP coverage. 

The law directs QHP issuers to notify 

the Secretary of HHS of cost-sharing 

reductions made under the statute for 

qualified individuals, and directs the 

Secretary to make periodic and timely 

payments to the QHP issuer equal to the 

value of those reductions. Further, the 

law permits advance payment of the 

cost-sharing reduction amounts to QHP 

issuers based upon amounts specified 

by the Secretary. 

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