[Federal Register Volume 71, Number 77 (Friday, April 21, 2006)]
[Notices]
[Pages 20695-20697]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-5832]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-359, 360, R-55; CMS-368, R-144; CMS-643, CMS-
R-305, CMS 10174, and CMS-10097]


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 
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

[[Page 20696]]

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: Comprehensive 
Outpatient Rehabilitation Facility (CORF) Eligibility and Survey Forms 
and Information Collection Requirements at 42 CFR 485.56, 485.58, 
485.60, 485.64, 485.66 and 410.105; Use: In order for a provider to 
participate in the Medicare program as a CORF, a provider must meet the 
Federal conditions of participation. The form CMS-359 is utilized as an 
application for facilities wishing to participate in the Medicare/
Medicaid program as CORFs. This form initiates the process of obtaining 
a decision as to whether the conditions of participation are met. The 
form CMS-360 is an instrument used by the State survey agency to record 
data collected in order to determine the provider compliance with 
individual conditions of participation and to report it to the Federal 
Government; Form Numbers: CMS-359, 360, R-55 (OMB: 0938-0267); 
Frequency: Reporting--On occasion; Affected Public: State, local, or 
tribal government and business or other for-profit; Number of 
Respondents: 630; Total Annual Responses: 630; Total Annual Hours: 
300,046.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: State Medicaid 
Drug Rebate; Use: Section 1927 of the Social Security Act requires each 
State Medicaid agency to report quarterly prescription drug utilization 
information to drug manufacturers and to the Centers for Medicare and 
Medicaid Services. As part of this information, the State Medicaid 
agencies are required to report the total Medicaid rebate amount they 
claim they are owed by each drug manufacturer for each covered 
prescription drug product each quarter; Form Numbers: CMS-368, R-144 
(OMB: 0938-0582); Frequency: Reporting--Quarterly; Affected 
Public: State, Local, or Tribal government; Number of Respondents: 51; 
Total Annual Responses: 204; Total Annual Hours: 9,389.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Hospice Survey 
and Deficiencies Report Form and Supporting Regulations at 42 CFR 
442.30 and 488.26; Use: In order to participate in the Medicare 
program, a hospice must meet certain Federal health and safety 
conditions of participation. This form is used by State surveyors to 
record data about a hospice's compliance with these conditions of 
participation in order to initiate the certification or recertification 
process; Form Number: CMS-643 (OMB: 0938-0379); Frequency: 
Reporting--Annually; Affected Public: Not-for-profit institutions and 
Business or other for-profit; Number of Respondents: 2,293; Total 
Annual Responses: 475; Total Annual Hours: 238.
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: External Quality 
Review for Medicaid Managed Care Organizations (MCOs); Form Number: 
CMS-R-305 (OMB: 0938-0786); Use: The results of Medicare 
reviews, Medicare accreditation surveys, and Medicaid external quality 
reviews will be used by States in assessing the quality of care 
provided to Medicaid beneficiaries provided by MCOs and to provide 
information on the quality of the care provided to the general public 
upon request; Frequency: Annually; Affected Public: Business or other 
for-profit, State, Local and or Tribal Government; Number of 
Respondents: 542; Total Annual Responses: 14,266; Total Annual Hours: 
648,877.
    5. Type of Information Collection Request: Extension Collection; 
Title of Information Collection: Collection of Prescription Drug Data 
from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D 
Payments; Use: The Medicare Prescription Drug Improvement and 
Modernization Act (MMA) requires Medicare payment to Medicare Advantage 
(MA) organizations, prescription drug plans (PDP) sponsors, Fallbacks, 
and other plan sponsors offering coverage of outpatient prescription 
drugs under the new Medicare Part D benefit. The MMA provided four 
summary mechanisms for paying plans: Direct subsidies, subsidized 
coverage for qualifying low-income individuals, Federal reinsurance 
subsidies, and risk corridor payments. In order to make payment in 
accordance with these provisions, CMS has determined it needs to 
collect a limited set of data elements for 100 percent of prescription 
drug claims or events from plans offering Part D coverage. The 
transmission of the statutorily required data will be in an electronic 
format. The information users will be Pharmacy Benefit Managers (PBM), 
third party administrators and pharmacies, and the PDPs, MA-PDs, 
Fallbacks, and other plan sponsors that offer coverage of outpatient 
prescription drugs under the new Medicare Part D benefit to Medicare 
beneficiaries. The statutorily required data will be used primarily for 
payment, claims validation, quality monitoring, and program integrity 
and oversight; Form Number: CMS-10174 (OMB: 0938-0982); 
Frequency: Monthly, Quarterly and Annually; Affected Public: Business 
or other for-profit, and Not-for-profit institutions; Number of 
Respondents: 455; Total Annual Responses: 2,418,000,000; Total Annual 
Hours: 4,836.
    6. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare 
Contractor Provider Satisfaction Survey (MCPSS); Form No.: CMS-10097 
(OMB 0938-0915); Use: The Centers for Medicare & Medicaid 
Services will obtain feedback from over 30,000 Medicare providers via a 
survey about satisfaction, attitudes and perceptions regarding the 
services provided by Medicare Fee-for-Service (FFS) Carriers, Fiscal 
Intermediaries, Durable Medical Equipment Suppliers, and Regional Home 
Health Intermediaries and Medicare Administrative Contractors. The 
survey focuses on basic business functions provided by the Medicare 
Contractors such as inquiries, provider communications, claims 
processing, appeals, provider enrollment, medical review and provider 
audit & reimbursement. Providers will receive a notice requesting they 
use a specially constructed Web site to respond to a set of questions 
customized for their contractor's responsibilities. The survey will be 
conducted yearly and annual reports of the survey results will be 
available via an online reporting system for use by CMS, Medicare 
Contractors, and the general public; Frequency: Reporting--Anually; 
Affected Public: Business or other for-profit, Not-for-profit 
institutions; Number of Respondents: 20,514; Total Annual Responses: 
20,514; Total Annual Hours: 7209.
    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, or 
e-mail your request, including your address, phone number, OMB number,

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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 12, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-5832 Filed 4-20-06; 8:45 am]
BILLING CODE 4120-01-P