[Federal Register Volume 65, Number 171 (Friday, September 1, 2000)]
[Notices]
[Pages 53319-53320]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-22446]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-R-201]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Health Care Financing 
Administration (HCFA), 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 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.
    Type of Information Collection Request: Extension of a currently 
approved collection;
    Title of Information Collection: Incentive Arrangement Disclosure 
Form and Supporting Regulations in 42 CFR 417.479, 417.500, 422.208, 
422.210, 434.44, 434.67, 434.70, 1003.100, 1003.101, 1003.103, 
1003.106;
    Form No.: HCFA-R-201 (OMB #0938-0700);

[[Page 53320]]

    Use: Managed Care Organizations that have contracts to serve 
Medicare/Medicaid beneficiaries are required to disclose payment 
arrangements with medical groups and physicians. If any arrangement 
includes an incentive that places a group or physician at risk for 
referrals that exceeds 25% of total payments and the risk is spread 
over 25,000 or fewer patients, then the provider must have stop-loss 
insurance. This data collection will be used to determine compliance 
with the requirement to disclose incentives and maintain appropriate 
stop-loss.;
    Frequency: Annually;
    Affected Public: Business or other for-profit, Not-for-profit 
institutions, Federal Government, and State, Local or Tribal 
Government;
    Number of Respondents: 450;
    Total Annual Responses: 450;
    Total Annual Hours: 45,000.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access HCFA's 
Web Site address at http://www.hcfa.gov/regs/prdact95.htm, or E-mail 
your request, including your address, phone number, OMB number, and 
HCFA document identifier, to [email protected], or call the Reports 
Clearance Office on (410) 786-1326. Written comments and 
recommendations for the proposed information collections must be mailed 
within 60 days of this notice directly to the HCFA Paperwork Clearance 
Officer designated at the following address:
    HCFA, Office of Information Services, Security and Standards Group, 
Division of HCFA Enterprise Standards, Attention: Dawn Willinghan 
(HCFA-R-201), Room N2-14-26, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.

    Dated: August 22, 2000.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 00-22446 Filed 8-31-00; 8:45 am]
BILLING CODE 4120-03-P