[Federal Register Volume 75, Number 95 (Tuesday, May 18, 2010)]
[Notices]
[Pages 27785-27786]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-11776]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10088 and CMS-10028]


Agency Information Collection Activities: Submission for OMB 
Review; 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), 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: Notification of 
Fiscal Intermediaries and CMS of co-located Medicare providers and 
Supporting Regulations in 42 CFR 412.22 and 412.533; Use: Many long-
term care hospitals (LTCHs) are co-located with other Medicare 
providers (acute care hospitals, Independent Rehabilitation Facilities 
(IRFs), Skilled Nursing Facilities (SNFs), psychiatric facilities), 
which leads to potential gaming of the Medicare system based on patient 
shifting. CMS is requiring LTCHs to notify fiscal intermediaries K 
(FIs), Medicare Administrative Contractors (MACs) and CMS of co-located 
providers and establish policies to limit payment abuse that will be 
based on FIs tracking patient movement among these co-located 
providers. Form Number: CMS-10088 (OMB<greek-i>: 0938-0897); Frequency: 
Occasionally; Affected Public: Private Sector, Business or other for-
profits and Not-for-profit institutions; Number of Respondents: 25; 
Total Annual Responses: 25; Total Annual Hours: 6.25. (For policy 
questions regarding this collection contact Judith Richter at 410-786-
2590. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: State Health 
Insurance Assistance Program (SHIP) Client Contact Form, Public and 
Media Form, and Resource Report Form; Form Number: CMS-10028 
(OMB<greek-i>: 0938-0850); Use: The current Client Contact form, Public 
and Media Activity Report form, and Resource Report have been used to 
collect data to evaluate program effectiveness and improvement. In 
addition, the 2007-2009 State Health Insurance Program (SHIP) 
Performance Assessment Workgroup (comprised of SHIP Directors and 
representatives from external organizations such as the Administration 
on Aging), in a report to CMS, recommended that changes be made to the 
forms in order to enhance the ability to measure performance and 
program evaluation for each SHIP; add additional data collection 
elements as requested by Congress and SHIPs (Limited English 
Proficiency and Dual Mentally Disabled); and reduce the burden of data 
submission by counselor as a result of the ability to pre-populate 
certain data cells. The information collected is used to fulfill the 
reporting requirements described in Section 4360(f) of OBRA 1990. Also, 
the data will be accumulated and analyzed to measure SHIP performance 
in order to

[[Page 27786]]

determine whether and to what extent the SHIPs have met the goals of 
improved CMS customer service to beneficiaries and better understanding 
by beneficiaries of their health insurance options. Further, the 
information will be used in the administration of the grants, to 
measure performance and appropriate use of the funds by the state 
grantees, to identify gaps in services and technical support needed by 
SHIPs, and to identify and share best practices. Frequency: Yearly; 
Affected Public: State, Tribal and Local governments; Number of 
Respondents: 20,778; Total Annual Responses: 1,672,454; Total Annual 
Hours: 139,475. (For policy questions regarding this collection contact 
Barbara Childers at 410-786-7610. 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 
E-mail your request, including your address, phone number, OMB number, 
and CMS document identifier, to <a href="/cdn-cgi/l/email-protection#2a7a4b5a4f585d4558416a49475904424259044d455c"><span class="__cf_email__" data-cfemail="f1a190819483869e839ab1929c82df999982df969e87">[email protected]</span></a>, 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 June 17, 2010: 
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, E-mail: <a href="/cdn-cgi/l/email-protection#7c33352e3d230f091e11150f0f1513123c13111e5219130c521b130a"><span class="__cf_email__" data-cfemail="f6b9bfa4b7a98583949b9f85859f9998b6999b94d8939986d8919980">[email protected]</span></a>.

Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2010-11776 Filed 5-17-10; 8:45 am]
BILLING CODE 4120-01-P


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