```

[Federal Register Volume 90, Number 2 (Friday, January 3, 2025)]
[Notices]
[Pages 321-322]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-31567]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10565 and CMS-1763]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
Services (HHS).

ACTION: Notice.

-----------------------------------------------------------------------

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 60 days for public comment on 
the proposed action. Interested persons are invited to send comments 
regarding our burden estimates or any other aspect of this collection 
of information, including the necessity and utility of the proposed 
information collection for the proper performance of the agency's 
functions, the accuracy of the estimated burden, ways to enhance the 
quality, utility, and clarity of the information to be collected, and 
the use of automated collection techniques or other forms of 
information technology to minimize the information collection burden.

DATES: Comments must be received by March 4, 2025.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send 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) that are 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: __, Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: 

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-10565 Medicare Advantage Model of Care Submission Requirements
CMS-1763 Request for Termination of Medicare Premium Part A, Part B, or 
Part B Immunosuppressive Drug Coverage (Part B-ID) and Supporting 
Statute and Regulations

    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 Collections

    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Advantage Model of Care Submission Requirements; Use: Section 
1859(f)(7) of the Act and 42 CFR 422.101(f)(3) requires that all SNP 
MOCs be approved by NCQA. This approval is based on NCQA's evaluation 
of SNPs' MOC narratives using MOC scoring guidelines. Section 50311 of 
the BBA of 2018 modified the MOC requirements for C-SNPs in section 
1859 (f)(5)(B)(i-v) of the Act, requiring them to submit on an annual 
basis. The BBA mandated additional changes for C-SNPs related to care 
management, HRAs, individualized care plans, a minimum benchmark for 
scoring, etc., for which CMS has applied these requirements to all SNP 
types.
    SNPs will submit initial and renewal MOCs as well as summaries of 
any substantive off-cycle MOC changes to CMS through HPMS. This is the 
platform that CMS uses to coordinate communication and the collection 
of information from MAOs.
    NCQA and CMS will use information collected in the SNP Application 
HPMS module to review and approve MOC narratives in order for an MAO to 
offer a new SNP in the upcoming calendar year(s). This information is 
used by CMS as part of the MA SNP application process. NCQA and CMS 
will use information collected in the Renewal Submission section of the 
HPMS MOC module to review and approve the MOC narrative for the SNP to 
receive a new approval period and operate in the upcoming calendar 
year(s). Form Number: CMS-10565 (OMB control number 0938-1296); 
Frequency: Occasionally; Affected Public: Private Sector, Business or 
other for-profits; Number of Respondents: 2,088; Total Annual 
Responses: 2,088; Total Annual Hours: 8,638. (For policy questions 
regarding this collection contact Daniel

[[Page 322]]

Lehman at 410-786-8929 or [email protected].)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Request for 
Termination of Medicare Premium Part A, Part B, or Part B 
Immunosuppressive Drug Coverage (Part B-ID) and Supporting Statute and 
Regulations; Use: Sections 1818(c)(5), 1818A(c)(2)(B) and 1838(b)(1) of 
the Act and corresponding regulations at 42 CFR 406.28(a) and 407.27(c) 
require that a Medicare enrollee wishing to voluntarily terminate Part 
B or premium Part A coverage file a written request with CMS or SSA. 
Pursuant to 1838(h) of the Act and the corresponding regulation at 42 
CFR 407.62(a), individuals wishing to terminate their Part B-ID 
coverage must notify SSA. The statute and regulations also specify when 
coverage ends based upon the date the request for termination is filed.
    The CMS-1763 is the form used by individuals who wish to terminate 
their Medicare Part A, Part B or Part B-ID. This 2024 iteration is a 
revision that does not propose any program changes. Per the Office of 
Communication's plain language suggestion, the title has been updated 
to ``Request for Termination of Medicare Premium Part A, Part B, or 
Part B Immunosuppressive Drug Coverage (Part B-ID).'' The 2024 
submission saw an increase in the burden due to utilization of the form 
and improvement in the accuracy of the data exchanges between CMS and 
SSA. Updated wage information for a Federal Government employee is also 
responsible for part of the increase. Form Number: CMS-1763 (OMB 
control number 0938-0025); Frequency: Biennially; Affected Public: 
Private Sector--State, Local, or Tribal Governments; and Federal 
Government; Number of Respondents: 197,518; Total Annual Responses: 
197,518; Total Annual Hours: 33,578. (For policy questions regarding 
this collection contact Tyrissa Woods at 410-786-0286 or 
[email protected].)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-31567 Filed 1-2-25; 8:45 am]
BILLING CODE 4120-01-P
```