[Federal Register Volume 86, Number 103 (Tuesday, June 1, 2021)]
[Notices]
[Pages 29265-29266]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-11490]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-179 and CMS-10775]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

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

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 (the PRA), federal agencies are required to publish notice 
in the Federal Register

[[Page 29266]]

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 August 2, 2021.

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, you may make 
your request using one of following:
    1. Access CMS' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.

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-179--Medicaid State Plan Base Plan Pages
CMS-10775--Medicare Severity Diagnosis Related Groups Reclassification 
Request (MS-DRGs)

    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 Collection

    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicaid State 
Plan Base Plan Pages; Use: State Medicaid agencies complete the plan 
pages while we review the information to determine if the state has met 
all of the requirements of the provisions the states choose to 
implement. If the requirements are met, we will approve the amendments 
to the state's Medicaid plan giving the state the authority to 
implement the flexibilities. For a state to receive Medicaid Title XIX 
funding, there must be an approved Title XIX state plan. Form Number: 
CMS-179 (OMB control number 0938-0193); Frequency: Occasionally; 
Affected Public: State, Local, and Tribal Governments; Number of 
Respondents: 56; Total Annual Responses: 1,120; Total Annual Hours: 
22,400. (For policy questions regarding this collection contact Gary 
Knight at 304-347-5723.)
    2. Type of Information Collection Request: New Collection; Title of 
Information Collection: Medicare Severity Diagnosis Related Groups 
Reclassification Request (MS-DRGs); Use: Section 1886(d)(4) of the Act 
establishes a classification system, referred to as DRGs, for inpatient 
discharges and adjusts payments under the IPPS based on appropriate 
weighting factors assigned to each MS-DRG. Section 1886(d)(4)(C)(i) of 
the Act specifies adjustments to the classification and weighting 
factors shall occur ``at least annually to reflect changes in treatment 
patterns, technology, and other factors which may change the relative 
use of hospital resources.''
    The requests are evaluated in the Division of Coding and DRGs 
(DCDRG) by the DRG and Coding Team and the clinical advisors (medical 
officers) in both the Technology, Coding and Pricing Group (TCPG) and 
the Hospital and Ambulatory Policy Group (HAPG), along with the CMS 
contractor(s). This team participates via conference calls in the 
review of MedPAR claims data to analyze and perform clinical review of 
the requested changes. Based on the examination of claims data and 
clinical judgment, the team provides recommendations to CMS and HHS 
leadership for proposed changes. Per the statue, proposed MS-DRG 
changes and payment adjustments must go through notice and comment 
rulemaking giving the opportunity for the public to comment. Finalized 
MS-DRG changes are effective with discharges on and after October 1, 
consistent with the beginning of the fiscal year. CMS makes the updated 
MS-DRG Grouper software and related materials that reflects the changes 
available to the public for free via download at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software.
    When an application is submitted in MEARIS<SUP>TM</SUP>, the DRG 
and Coding Team in DCDRG will have instant access to the application 
request and accompanying materials to facilitate a more timely review 
of the request, including the ability to efficiently inform other team 
members involved in the process that information is available for their 
review and input. Form Number: CMS-10775 (OMB control number 0938-New); 
Frequency: Occasionally; Affected Public: Private Sector, Business or 
other for-profits, Not-for-profits institutions; Number of Respondents: 
50; Total Annual Responses: 50; Total Annual Hours: 48,000. (For policy 
questions regarding this collection contact Marilu Hue at 410-786-
4510.)

    Dated: May 26, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-11490 Filed 5-28-21; 8:45 am]
BILLING CODE 4120-01-P