[Federal Register Volume 75, Number 95 (Tuesday, May 18, 2010)]
[Notices]
[Pages 27787-27788]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-11774]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10171, CMS-460 and CMS-10318]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.
    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: Revision of a currently 
approved collection; Title of Information Collection: Coordination of 
Benefits between Part D Plans and Other Prescription Coverage 
Providers; Use: Section 1860D-23 and 1860D-24 of the Social Security 
Act requires the Secretary to establish requirements for prescription 
drug plans to ensure the effective coordination between Part D plans, 
State pharmaceutical Assistance programs and other payers. The 
requirements must relate to the following elements: (1) Enrollment file 
sharing; (2) claims processing and payment; (3) claims reconciliation 
reports; (4) application of the protections against high out-of-pocket 
expenditures by tracking True out-of-

[[Page 27788]]

pocket (TrOOP) expenditures; and (5) other processes that the Secretary 
determines. CMS, via the TrOOP facilitation contractor, automated the 
transfer of beneficiary coverage information when a beneficiary changes 
Part D plans. This information is necessary to assist with coordination 
of prescription drug benefits provided to the Medicare beneficiary. 
Refer to the crosswalk document for a list of the current changes. Form 
Number: CMS-10171 (OMB<greek-i>: 0938-0978); Frequency: Yearly; 
Affected Public: Business or other for-profits; Number of Respondents: 
57,227; Total Annual Responses: 248,018; Total Annual Hours: 754,788 
(For policy questions regarding this collection contact Christine Hinds 
at 410-786-4578. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare 
Participating Physician or Supplier Agreement; Form No.: CMS-460 
(OMB<greek-i> 0938-0373); Use: The CMS-460 is the agreement a 
physician, supplier or their authorized official signs to participate 
in Medicare Part B. By signing the agreement to participate in 
Medicare, the physician, supplier or their authorized official agrees 
to accept the Medicare-determined payment for Medicare covered services 
as payment in full and to charge the Medicare Part B beneficiary no 
more than the applicable deductible or coinsurance for the covered 
services. For purposes of this explanation, the term a supplier means 
any person or entity that may bill Medicare for Part B services (e.g. 
DME supplier, nurse practitioner, supplier of diagnostic tests) except 
a Medicare provider of services (e.g. hospital), which must participate 
to be paid by Medicare for covered care.
    There are additional benefits associated with payment for services 
paid under the Medicare fee schedule. Payments made under the Medicare 
fee schedule for physician services to participating physicians and 
suppliers are based on 100 percent of the Medicare fee schedule amount, 
while the Medicare fee schedule payment for physician services by 
nonparticipating physicians and suppliers is based on 95 percent of the 
fee schedule amount. Physicians and suppliers who do not participate in 
Medicare are subject to limits on their actual charges for unassigned 
claims for physician services. These limits, known as limiting charges, 
cannot exceed 115 percent of the non-participant fee schedule, which is 
set at 95 percent of the full fee schedule amount. In addition, if a 
physician or supplier does not accept assignment on a claim for 
Medicare payment, the physician or supplier must collect payment from 
the beneficiary. If the physician or supplier accepts assignment on the 
claim, Medicare pays its share of the payment directly to the physician 
or supplier, resulting in faster and more certain payment. Frequency: 
Reporting, Other--when starting a new business; Affected Public: 
Business or other for-profit; Number of Respondents: 8,000; Total 
Annual Responses: 8,000; Total Annual Hours: 2,000. (For policy 
questions regarding this collection contact April Billingsley at 410-
786-0410. For all other issues call 410-786-1326.)
    3. Type of Information Collection Request: New collection; Title of 
Information Collection: Survey to Inform the Children's Health 
Insurance Program (CHIP) National Outreach & Education Campaign; Form 
No.: CMS-10318 (OMB<greek-i> 0938-New); Use: The Children's Health 
Insurance Program Reauthorization Act of 2009 (CHIPRA or Pub. L. 111-3) 
reauthorized the Children's Health Insurance Program (CHIP) through FY 
2013. It will preserve coverage for the millions of children who rely 
on CHIP today and provide the resources for States to reach millions of 
additional uninsured children. This legislation will help ensure the 
health and well-being of our nation's children. To support this 
legislation and to help people who would benefit from CHIP make more 
informed decisions, CMS will be conducting outreach. The outreach will 
employ numerous communications channels to educate people who would 
benefit from CHIP concerning the program benefits, eligibility and 
enrollment requirements, utilization, and retention. As part of the 
outreach, CMS will seek to increase awareness, enrollment and retention 
in CHIP for the eligible audiences. The primary target audience for the 
outreach includes parents and guardians of potentially eligible 
children as well as pregnant women. Secondary audiences are information 
intermediaries including State, local, and tribal governments, 
educators (including non-parental caregivers), health care providers/
social workers, national and local partners. The challenge is reaching 
the population segments that have access barriers to information 
including language, literacy, location, and culture to understand 
health insurance. To support the outreach and education, CMS needs to 
conduct survey research to be able to effectively reach the target 
audiences. Frequency: Reporting--Once; Affected Public: Individuals or 
Households; Number of Respondents: 1,850; Total Annual Responses: 
1,850; Total Annual Hours: 2,000. (For policy questions regarding this 
collection contact Barbara Allen at 410-786-6716. 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 at http://www.cms.hhs.gov/PaperworkReductionActof1995, or E-
mail your request, including your address, phone number, OMB number, 
and CMS document identifier, to <a href="/cdn-cgi/l/email-protection#f7a7968792858098859cb7949a84d99f9f84d9909881"><span class="__cf_email__" data-cfemail="fcac9d8c998e8b938e97bc9f918fd294948fd29b938a">[email protected]</span></a>, or call the 
Reports Clearance Office on (410) 786-1326.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by July 19, 2010:
    1. Electronically. You may submit 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) 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.

Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2010-11774 Filed 5-17-10; 8:45 am]
BILLING CODE 4120-01-P


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