[Federal Register Volume 82, Number 217 (Monday, November 13, 2017)]
[Notices]
[Pages 52304-52305]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-24524]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-R-48 and CMS-10421]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid 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 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 January 12, 2018.

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' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to <a href="/cdn-cgi/l/email-protection#c898a9b8adbabfa7baa388aba5bbe6a0a0bbe6afa7be"><span class="__cf_email__" data-cfemail="b6e6d7c6d3c4c1d9c4ddf6d5dbc598dedec598d1d9c0">[email protected]</span></a>.
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: William 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-R-48 Hospital Conditions of Participation and Supporting 
Regulations
CMS-10421 Fee-for-Service Recovery Audit Prepayment Review

[[Page 52305]]

Demonstration and Prior Authorization Demonstration

    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: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Hospital Conditions of Participation and Supporting 
Regulations; Use: The information collection requirements described in 
this information collection request are needed to implement the 
Medicare and Medicaid conditions of participation (CoP) for 4,890 
accredited and non-accredited hospitals and an additional 101 critical 
access hospitals (CAHs) that have distinct part psychiatric or 
rehabilitation units (DPUs). CAHs that have DPUs must comply with all 
of the hospital CoPs on these units. Thus, this package reflects the 
burden for a total of 4,991 hospitals (that is, 4,890 accredited/non-
accredited hospitals and 101 CAHs which include 81 CAHs that have 
psychiatric DPUs and 20 CAHs that have rehabilitation DPUs). The 
information collection requirements for the remaining 1,183 CAHs have 
been approved in a separate package under CMS-10239 (OMB control 
number: 0938-1043).
    The CoPs and accompanying regulatory requirements are used by our 
surveyors as a basis for determining whether a hospital qualifies for a 
provider agreement under Medicare and Medicaid. CMS and the health care 
industry believe that the availability to the facility of the type of 
records and general content of records is standard medical practice and 
is necessary to ensure the well-being and safety of patients and 
professional treatment accountability. Form Number: CMS-R-48 (OMB 
control number: 0938-0328); Frequency: Yearly; Affected Public: Private 
sector (Business or other for-profit); Number of Respondents: 4,991; 
Total Annual Responses: 1,342,424; Total Annual Hours: 18,840,617. (For 
policy questions regarding this collection contact Scott Cooper at 410-
786-9465.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Fee-for-Service 
Recovery Audit Prepayment Review Demonstration and Prior Authorization 
Demonstration; Use: OMB approved the collections required for two 
demonstrations of prepayment review and prior authorization. The first 
demonstration allows Medicare Recovery Auditors to review claims on a 
pre-payment basis in certain States. The second demonstration 
established a prior authorization program for Power Mobility Device 
claims in certain States. The first demonstration has ended, so we are 
only extending the collection of information for the second 
demonstration, prior authorization of power mobility devices.
    For the Prior Authorization of Power Mobility Devices (PMDs) 
Demonstration, we are piloting prior authorization for PMDs. Prior 
authorization will allow the applicable documentation that supports a 
claim to be submitted before the item is delivered. For prior 
authorization, relevant documentation for review is submitted before 
the item is delivered or the service is rendered. CMS will conduct this 
demonstration in California, Florida, Illinois, Michigan, New York, 
North Carolina, Texas, Pennsylvania, Ohio, Louisiana, Missouri, 
Maryland, New Jersey, Indiana, Kentucky, Georgia, Tennessee, 
Washington, and Arizona based on beneficiary address as reported to the 
Social Security Administration and recorded in the Common Working File 
(CWF). For the demonstration, a prior authorization request can be 
completed by the (ordering) physician or treating practitioner and 
submitted to the appropriate Durable Medical Equipment Medicare 
Administrative Contractor (DME MAC) for an initial decision. The 
supplier may also submit the request on behalf of the physician or 
treating practitioner. The physician, treating practitioner or supplier 
who submits the request on behalf of the physician or treating 
practitioner, is referred to as the ``submitter.'' Under this 
demonstration, the submitter will submit to the DME MAC a request for 
prior authorization and all relevant documentation to support Medicare 
coverage of the PMD item.
    Form Number: CMS-10421 (OMB control number: 0938-1169); Frequency: 
Occasionally; Affected Public: State, Local or Tribal Governments; 
Number of Respondents: 50,500; Total Annual Responses: 50,500; Total 
Annual Hours: 25,125. (For policy questions regarding this collection 
contact Daniel Schwartz at 410-786-4197.)

    Dated: November 7, 2017.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2017-24524 Filed 11-9-17; 8:45 am]
 BILLING CODE 4120-01-P


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