[Federal Register Volume 70, Number 236 (Friday, December 9, 2005)]
[Notices]
[Pages 73249-73250]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-23789]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS R-232, CMS 9042, CMS R-244 and CMS 10163]


Agency Information Collection Activities: Submission for OMB 
Review; 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), 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 function; (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

[[Page 73250]]

minimize the information collection burden.
    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare 
Integrity Program Organizational Conflict of Interest Disclosure 
Certificate and Supporting Regulations at 42 CFR 421.300--421.316; Form 
Number: CMS-R-232 (OMB: 0938-0723); Use: Section 1893(d)(1) of 
the Social Security Act requires CMS to establish a process for 
identifying, evaluating, and resolving conflicts of interest. CMS 
proposed a process under Sec.  421.310 to mandate submission of 
pertinent information regarding conflicts of interest. The entities 
providing the information will be organizations that have been awarded, 
or seek award of, a Medicare Integrity Program contract. CMS needs this 
information to assess whether contractors who perform, or who seek to 
perform, Medicare Integrity Program functions, such as medical review, 
fraud review or cost audits, have organizational conflicts of interest 
and whether any conflicts have been resolved. Frequency: Reporting--On 
occasion; Affected Public: Business or other for-profit; Number of 
Respondents: 11; Total Annual Responses: 11; Total Annual Hours: 2,200.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Request for 
Accelerated Payments and Supporting Regulations in 42 CFR, sections 
412.116, 412.632, 413.64, 413.350, and 484.245; Form Number: CMS-9042 
(OMB: 0938-0269); Use: Section 1815(a) of the Social Security 
Act describes payment to providers of services. 42 CFR 412.116, 42 CFR 
412.632, 42 CFR 413.64, 42 CFR 413.350, and 42 CFR 484.245 define the 
conditions under which accelerated payments may be requested. Sections 
2412.2 and 2412.3 of the Provider Reimbursement Manual identify the 
information that providers must supply to their intermediary to request 
an accelerated payment. A request for an accelerated payment can be 
made by a hospital, skilled nursing facility, home health agency, 
inpatient rehabilitation facility, critical access hospital, or hospice 
that is not receiving periodic interim payments. Accelerated payment 
request forms are used by fiscal intermediaries to assess a provider's 
eligibility for accelerated payments. Frequency: Reporting--On 
occasion; Affected Public: Business or other for-profit, Not-for-profit 
institutions; Number of Respondents: 822; Total Annual Responses: 822; 
Total Annual Hours: 411.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare and 
Medicaid: Programs of All-Inclusive Care for the Elderly (PACE) 
contained in 42 CFR 460.12--460.210 / Medicare and Medicaid: Programs 
of All-Inclusive Care for the Elderly (PACE; Program Revisions) 
contained in 42 CFR 460.10--460.210; Form Number: CMS-R-244 
(OMB: 0938-0790); Use: PACE is a pre-paid, capitated plan that 
provides comprehensive health care services to frail, older adults in 
the community, who are eligible for nursing home care according to 
State standards. The Balanced Budget Act (BBA) of 1997 authorized 
coverage of PACE under the Medicare program and as a State option under 
Medicaid. The Medicare, Medicaid, and SCHIP Benefits Improvement Act of 
2000 (BIPA) amended section 1894 and 1943 of Social Security Act to 
provide authority for CMS to modify or waive PACE regulatory 
provisions. Organizations that seek participation under PACE must apply 
for approval and are evaluated in terms of specific criteria. The 
information collection requirement is necessary to ensure that only 
appropriate organizations are selected to become PACE organizations. 
CMS and the State Administering Agencies will use the information to 
select PACE organizations and monitor their performance. Frequency: 
Recordkeeping, Reporting--Quarterly and Annually; Affected Public: Not-
for-profit institutions, Federal Government and State, Local, or Tribal 
Government; Number of Respondents: 54; Total Annual Responses: 54; 
Total Annual Hours: 44,378.
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: 1-800-MEDICARE 
Customer Experience Questionnaire; Form Number: CMS-10163 
(OMB: 0938-0963); Use: Section 923(d) of the Medicare 
Prescription Drug, Improvement and Modernization Act of 2003 
established 1-800 MEDICARE as the primary source of general Medicare 
information and assistance. As part of the Medicare Modernization Act 
(MMA), CMS must provide Part D eligibles and their representatives with 
the information they need to make informed decisions among the 
available choices for Part D coverage. Part D sponsors can start 
marketing their programs on October 1, 2005. The initial enrollment 
period for the general population will occur from November 15, 2005 to 
May 15, 2006. The information collected from this survey will allow CMS 
to monitor callers' satisfaction with various aspects of both the 
Interactive Voice Recognition (IVR) component and live Customer Service 
Representative (CSR) component of the 1-800 MEDICARE line. Timely 
feedback from customers on key satisfaction indicators will be used for 
continuous quality enhancement. Frequency: Reporting--Weekly, Quarterly 
and Monthly; Affected Public: Individuals and Households; Number of 
Respondents: 31,200; Total Annual Responses: 31,200; Total Annual 
Hours: 4940.
    To obtain copies of the supporting statement and any related forms 
for these 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.
    To be assured consideration, comments and recommendations for the 
proposed information collections must be received by the OMB Desk 
Officer at the address below, no later than 5 p.m. on January 9, 2006. 
OMB Human Resources and Housing Branch, Attention: Carolyn Lovett, CMS 
Desk Officer, New Executive Office Building, Room 10235, Washington, DC 
20503.

    Dated: December 1, 2005.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 05-23789 Filed 12-8-05; 8:45 am]
BILLING CODE 4120-01-P