[Federal Register Volume 71, Number 33 (Friday, February 17, 2006)]
[Notices]
[Pages 8588-8589]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-2302]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10062, CMS-10177, and CMS-10044]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the

[[Page 8589]]

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 minimize the information 
collection burden.
    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Collection of 
Diagnostic Data from Medicare Advantage Organizations for Risk Adjusted 
Payments Supporting Regulations 42 CFR part 422 subparts F and G and 42 
CFR part 423 subparts F and G; Form Number: CMS-10062 (OMB: 
0938-0878); Use: Under the Medicare Prescription Drug Benefit, 
Improvement and Modernization Act of 2003 (MMA), the Congress 
restructured the M+C program into the Medicare Advantage (MA) program, 
Part C, and added an outpatient prescription drug benefit, Part D. In 
accordance with mandates in these laws, the Secretary of the Department 
of Health and Human Services must implement health status risk 
adjustment, a payment methodology for Parts C and D that takes into 
account the health status of plan enrollees. CMS collects inpatient and 
outpatient data. Part C data is collected using the CMS-HCC 
(hierarchical condition category) model. Part D data will be collected 
using the CMS Rx-HCC model. The Rx-HCC model is different from the CMS-
HCC model primarily in that it predicts plan liability for drug costs 
instead of medical/surgical costs for service under Parts A and B. CMS 
will use the data to make risk adjusted payment under Parts C and D. MA 
plans, Medicare Advantage Prescription Drug (MA-PD) plans, and stand-
alone Prescription Drug Plans (PDP's) will use the data to develop 
their Parts C and D bids.; Frequency: Reporting--Quarterly; Affected 
Public: Business or other-for-profit and not-for-profit institutions; 
Number of Respondents: 505; Total Annual Responses: 14,091,370; Total 
Annual Hours: 8,351.
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Survey of Contract Labor in Selected Health 
Industries; Form Number: CMS-10177(OMB: 0938-NEW); Use: CMS 
Medicare reimbursement to hospitals and skilled nursing facilities is 
based, in part, on the portion of costs which are related to, are 
influenced by, or vary with the local labor markets. This portion is 
known as the labor-related share. Currently, contract labor costs for 
accounting and auditing services, engineering services, legal services, 
and management consulting services are included in the labor-related 
share. These costs are calculated based on data published in the 
Medicare cost reports and the Input-Output tables published by the 
Bureau of Economic Analysis (BEA). At this time, the labor-related 
share is not used to reimburse end-stage renal disease centers (ESRDs) 
for providing Medicare services. However, there is a possibility that 
this circumstance may change; therefore CMS will include ESRDs in the 
survey. It is assumed that these professional services contract labor 
costs are purchased in the local labor market and thus should be 
included in the labor-related share. A search of the literature reveals 
no existing work on this subject. Therefore, CMS will survey hospitals, 
skilled nursing facilities, and kidney dialysis centers to determine if 
their professional service contract labor is hired from local or 
national labor markets.; Frequency: Reporting--One-time; Affected 
Public: Not-for-profit institutions, Business or other for-profit, 
Federal Government, State, Local, or Tribal Government; Number of 
Respondents: 4,000; Total Annual Responses: 4,000; Total Annual Hours: 
4,000.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare 
Lifestyle Modification Program Demonstration; Form Number: CMS-
10044(OMB: 0938-0871); Use: The Medicare Lifestyle 
Modification Program Demonstration will focus on two Medicare-
sponsored, lifestyle modification programs designed to reverse, reduce, 
or ameliorate the progression of coronary artery disease (CAD) at risk 
for significant morbidity and mortality. Lifestyle modification 
programs are an increasingly important approach to the secondary 
prevention of coronary morbidity. Research has provided evidence that 
lifestyle changes decrease cardiovascular risk factors, resulting in 
lower morbidity and mortality associated with coronary artery disease 
(CAD). Such programs may reduce the incidence of hospitalizations and 
invasive procedures among patients with substantial coronary occlusion. 
Consequently, lifestyle modification may also reduce the need for 
revascularization procedures (coronary artery bypass graft (CABG) and 
percutaneous coronary angioplasty (PTCA)) as well as the use of 
ambulatory and inpatient services for this disease. This demonstration 
will test the cost effectiveness and feasibility of providing payment 
for cardiovascular lifestyle modification program services to Medicare 
beneficiaries.; Frequency: Reporting--Monthly; Affected Public: 
Individuals or Households; Number of Respondents: 2,240; Total Annual 
Responses: 1,680; Total Annual Hours: 1106.
    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/PaperworkReductionActof1995, 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 March 20, 2006.
    OMB Human Resources and Housing Branch, Attention: Carolyn Lovett, 
CMS Desk Officer, New Executive Office Building, Room 10235, 
Washington, DC 20503.

    Dated: February 9, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-2302 Filed 2-16-06; 8:45 am]
BILLING CODE 4120-01-P