[Federal Register Volume 71, Number 72 (Friday, April 14, 2006)]
[Notices]
[Pages 19521-19522]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-5406]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-460, CMS-R-70, CMS-R-209, CMS-R-245, CMS-
10178]


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 minimize the information 
collection burden.
    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare 
Participating Physician or Supplier Agreement; Form No.: CMS-460 
(OMB: 0938-0373); Use: Form number CMS-460 is completed by 
nonparticipating physicians and suppliers if they choose to participate 
in Medicare Part B. By signing the agreement, the physician or supplier 
agrees to take assignment on all Medicare claims. To take assignment 
means to accept the Medicare allowed amount as payment in full for the 
services they furnish and to charge the beneficiary no more than the 
deductible and coinsurance for the covered service. In exchange for 
signing the agreement, the physician or supplier receives a significant 
number of program benefits not available to nonparticipating suppliers. 
The information associated with this collection is needed to identify 
the recipients of the program benefits; Frequency: Reporting, Other--
when starting a new business; Affected Public: Business or other for-
profit, Individuals or Households; Number of Respondents: 6000; Total 
Annual Responses: 6000; Total Annual Hours: 1500.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Information 
Collection Requirements in HSQ-110, Acquisition, Protection and 
Disclosure of Peer review Organization Information and Supporting 
Regulations in 42 CFR 480.104, 480.105, 480.116, and 480.134; Use: The 
Peer Review Improvement Act of 1982 authorizes quality improvement 
organizations (QIOs), formally known as peer review organizations 
(PROs), to acquire information necessary to fulfill their duties and 
functions and places limits on disclosure of the information. The QIOs 
are required to provide notices to the affected parties when disclosing 
information about them. These requirements serve to protect the rights 
of the affected parties. The information provided in these notices is 
used by the patients, practitioners and providers to: Obtain access to 
the data maintained and collected on them by the QIOs; add additional 
data or make changes to existing QIO data; and reflect in the QIO's 
record the reasons for the QIO's disagreeing with an individual's or 
provider's request for amendment; Form Number: CMS-R-70 (OMB: 
0938-0426); Frequency: Reporting--On occasion; Affected Public: 
Business or other for-profit, Individuals or Households, Not-for-profit 
institutions, Federal government, and State, Local or Tribal 
governments; Number of Respondents: 362; Total Annual Responses: 3729; 
Total Annual Hours: 60,919.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare and 
Medicaid Programs: Reporting OASIS Data as Part of the Conditions of 
Participation for Home Health Agencies and Supporting Regulations in 42 
CFR

[[Page 19522]]

484.11 and 484.20; Use: This request is for OMB approval to continue to 
require home health agencies (HHAs) to electronically report the 
Outcome and Assessment Information Set (OASIS) data to CMS. OASIS is a 
requirement of one of the Conditions of Participation (CoP) that HHAs 
must meet in order to participate in the Medicare program. 
Specifically, the aforementioned regulation sections provide guidelines 
for HHAs for the electronic transmission of the OASIS data as well as 
responsibilities of the State agency or OASIS contractor in collecting 
and transmitting this information to CMS. These requirements are 
necessary to achieve broad-based, measurable improvement, in the 
quality of care furnished through Federal programs, and to establish a 
prospective payment system for HHAs; Form Number: CMS-R-209 
(OMB: 0938-761); Frequency: Reporting--Monthly; Affected 
Public: Business or other for-profit, Not-for-profit institutions, 
Federal government, State, Local, or Tribal governments; Number of 
Respondents: 8,277; Total Annual Responses: 102,203; Total Annual 
Hours: 1,374,051.
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare and 
Medicaid Programs OASIS Collection Requirements as Part of the 
Conditions of Participation for Home Health Agencies and Supporting 
Regulations in 42 CFR 484.55, 484.205, 484.245, 484.250; Use: The 
Medicare and Medicaid Programs OASIS Collection Requirements as Part of 
the Conditions of Participation for Home Health Agencies (HHAs) 
information collection requires HHAs to use a standard core assessment 
data set, the Outcome and Assessment Information Set (OASIS), to 
collect information and to evaluate adult non-maternity patients. In 
addition, data from the OASIS will be used for purposes of case mix 
adjusting patients under the home health prospective payment system and 
will facilitate the production of necessary case mix information at 
relevant time points in the patient's home health stay; Form Number: 
CMS-R-245 (OMB: 0938-760); Frequency: Recordkeeping and 
Reporting--Other, upon patient assessment; Affected Public: Business or 
other for-profit, Not-for-profit institutions, Federal government, 
State, Local, or Tribal governments; Number of Respondents: 8,277; 
Total Annual Responses: 11,087,565; Total Annual Hours: 9,339,184.
    5. Type of Information Collection Request: New collection; Title of 
Information Collection: Collection of Medicaid and State Children's 
Health Insurance (SCHIP) Managed Care Claims and Related Information; 
Use: The Improper Payments Information Act (IPIA) of 2002 (Pub. L. 107-
300) requires CMS to produce national error rates in the Medicaid 
program and the State Children's Health Insurance Program (SCHIP). To 
comply with the IPIA, CMS will engage a Federal contractor to produce 
error rates in Medicaid managed care and SCHIP managed care. Beginning 
in 2007, CMS will use a rotational approach to review up to 18 States 
for each program, for a total 36 States each year. CMS has completed 
the State selection process for the Medicaid improper payments 
measurement. States have not yet been selected for the measurement of 
improper payments in SCHIP. CMS expects to select the SCHIP States in 
the fall of 2006; Form Number: CMS-10178 (OMB: 0938-NEW); 
Frequency: Reporting--On occasion, Quarterly; Affected Public: State, 
Local, or Tribal governments; Number of Respondents: 36; Total Annual 
Responses: 23,400; Total Annual Hours: 23,400.
    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/PaperworkReductionActof1995 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.
    Written comments and recommendations for the proposed information 
collections must be mailed or faxed within 30 days of this notice 
directly to the OMB desk officer:
    OMB Human Resources and Housing Branch, Attention: Carolyn Lovett, 
New Executive Office Building, Room 10235, Washington, DC 20503. Fax 
Number: (202) 395-6974.

    Dated: April 4, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-5406 Filed 4-13-06; 8:45 am]
BILLING CODE 4120-01-P