[Federal Register Volume 70, Number 140 (Friday, July 22, 2005)]
[Notices]
[Pages 42324-42325]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-14155]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10166]


Agency Information Collection Activities: Proposed Collection; 
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) 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

[[Page 42325]]

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: Payment Error Rate Measurement in Medicaid and 
State Children's Health Insurance Program (SCHIP); Form No.: CMS-10166 
(OMB  0938-NEW); Use: The information collected will be used 
by CMS for, among other purposes, estimating improper payments in 
Medicaid and SCHIP as required by the Improper Payments Information Act 
(IPIA) of 2002. To implement the IPIA in Medicaid and SCHIP, CMS will 
engage a Federal contractor to produce Medicaid and SCHIP error rates. 
CMS plans to adopt this approach based on a recommendation made during 
public comment on the proposed rule entitled ``Medicaid Program and 
State Children's Health Insurance Program (SCHIP): Payment Error Rate 
Measurement'' which published on August 27, 2004 (69 FR 52620), that 
contained provisions for all states to produce error rates in Medicaid 
and SCHIP.
    Each year, based on States' annual medical expenditures from the 
previous year, the Federal contractor will group all States into three 
equal strata of small, medium and large and select a random sample of 
an estimated 18 States to be reviewed for each program. The States 
selected for review would submit to the Federal contractor, annual 
expenditures, quarterly claims data, medical policies, and other 
information so that the contractor can determine the specific State 
sample sizes and conduct medical and data processing reviews on the 
sampled claims. In addition, the contractor will request medical 
records from providers whose claims were sampled; the medical records 
are needed to support the medical reviews. CMS is not requiring States 
and providers to use a specific form, e.g., facsimile, electronic to 
transmit the information. Based on the reviews, the contractor will 
calculate State-specific error rates which will serve as the basis for 
calculating national Medicaid and SCHIP error rates. Each State 
reviewed also will submit a corrective action plan to CMS that is 
designed to address error causes for purposes of reducing the State's 
error rate; Frequency: Reporting--on occasion and quarterly; Affected 
Public: State, local or tribal government; Number of Respondents: 36; 
Total Annual Responses: 5076; Total Annual Hours: 29,880.
    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/regulations/pra/, 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 30 days of the date of display, July 
15, 2005, and must be mailed directly to the CMS Paperwork Reduction 
Act Reports Clearance Officer designated at the address below: CMS, 
Office of Strategic Operations and Regulatory Affairs, Division of 
Regulations Development, Attention: William N. Parham, III, Room C4-26-
05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: July 12, 2005.
Michelle Shortt,
Acting Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 05-14155 Filed 7-15-05; 9:13 am]
BILLING CODE 4120-01-P