[Federal Register Volume 67, Number 5 (Tuesday, January 8, 2002)]
[Notices]
[Pages 901-902]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-423]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-P-0015SPA, CMS-250 through 254, CMS-10008, 
and CMS-287]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare and Medicaid Services, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare and Medicaid 
Services (CMS) (formerly known as the Health Care Financing 
Administration (HCFA)), Department of Health and Human Services, is 
publishing the

[[Page 902]]

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: New Collection; Title 
of Information Collection: Medicare Current Beneficiary Survey--
Supplement on Patient Activation; Form No.: CMS-P-0015SPA (OMB# 0938-
NEW); Use: A primary theme of the NMEP education efforts has been to 
help Medicare beneficiaries make choices. Simply providing uniform 
information to an undifferentiated audience is not sufficient. CMS 
needs to know whether beneficiaries have the communication skills, 
motivation and basic knowledge of their own health status to be 
partners in their own health care. The purpose of this survey 
supplement is to assess the degree to which Medicare beneficiaries 
participate actively in their own health care decisions; Frequency: 
Annually; Affected Public: Individuals or Households; Number of 
Respondents: 16,000; Total Annual Responses: 16,000; Total Annual 
Hours: 2,666.
    (2) Type of Information Request: Revision of a currently approved 
collection; Title of Information Collection: Medicare Secondary Payer 
Information Collection and Supporting Regulations in 42 CFR 411.25, 
489.2, and 489.20; Form Number: CMS-250 through CMS-254 (OMB# 0938-
0214); Use: Medicare Secondary Payer (MSP) is essentially the same 
concept known in the private insurance industry as coordination of 
benefits and refers to those situations where Medicare does not have 
primary responsibility for paying the medical expenses of a Medicare 
beneficiary. CMS contracts with health insuring organizations, herein 
referred to as intermediaries and carriers, to process Medicare claims. 
CMS charges its Medicare intermediaries and carriers with various tasks 
to detect MSP cases; develops and disseminates tools to enable them to 
better perform their tasks; and monitors their performance in 
achievement of their assigned MSP functions. Because intermediaries and 
carriers are also marketing health insurance products that may have 
liability when Medicare is secondary, the MSP provisions create the 
potential for conflict of interest. Recognizing this inherent conflict, 
CMS has taken steps to ensure that its intermediaries and carriers 
process claims in accordance with the MSP provisions, regardless of 
what other insurer is primary.
    These information collection requirements describe the MSP 
requirements and consist of the following:
    1. Initial enrollment questionnaire;
    2. MSP claims investigation, which consists of first claim 
development, trauma code development, self-reporting MSP liability 
development, notice to responsible third party development (411.25 
notice), secondary claims development, and ``08'' development 
(involving claims where information cannot be obtained from the 
beneficiary);
    3. Provider MSP development, which requires the provider to request 
information from the beneficiary or representative during admission and 
other encounters; Frequency: On occasion; Affected Public: Individuals 
or households, Business or other for-profit, and Not-for-profit 
institutions; Number of Respondents: 867,867,540; Total Annual 
Responses: 867,863,540; Total Annual Hours Requested: 2,926,254.
    (3) Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Recognition of 
Pass-Through Payment for Drugs and Biologicals Under the Outpatient 
Prospective Payment System and Supporting Regulations in 42 CFR, 
Section 419.43 formerly known as ``Recognition of New Technology/Pass-
Through Items Under the Prospective Payment System for Hospital 
Outpatient Services'; Form No.: CMS-10008 (OMB# 0938-0802); Use: This 
information is necessary to determine items eligible for payment as new 
technology within the ambulatory payment classification (APC) system as 
well as items eligible for the transitional pass-through payment 
provision as required by section 201 of the BBRA. This collection will 
enable CMS to implement those special payment provisions; Frequency: On 
Occasion; Affected Public: Business or other for-profit; Number of 
Respondents: 55; Total Annual Responses: 55; Total Annual Hours: 193.
    (4) Type of Information Collection Request: Extension of a 
currently approved collection; Title of Information Collection: Home 
Office Cost Statement and Supporting Regulations in 42 CFR 413.17 and 
413.20; Form No.: CMS-287 (OMB# 0938-0202); Use: Medicare law permits 
components of chain organizations to be reimbursed for certain costs 
incurred by the chain home offices. The Home Office Cost Statement is 
required by the fiscal intermediary to verify Home Office Costs claimed 
by the components. Frequency: Annually; Affected Public: Not-for-profit 
institutions and Business or other for-profit; Number of Respondents: 
1,231; Total Annual Responses: 1,231; Total Annual Hours Requested: 
573,646.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS'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 CMS 
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 CMS Paperwork Clearance 
Officer designated at the following address: CMS, Office of Information 
Services, Security and Standards Group, Division of CMS Enterprise 
Standards, Attention: Dawn Willinghan, Room N2-14-26, 7500 Security 
Boulevard, Baltimore, Maryland 21244-1850.

    Dated: December 20, 2001.
Julie Brown,
Acting, Reports Clearance Officer, Security and Standards Group, 
Division of CMS Enterprise Standards.
[FR Doc. 02-423 Filed 1-7-02; 8:45 am]
BILLING CODE 4120-03-P