[Federal Register Volume 71, Number 92 (Friday, May 12, 2006)]
[Notices]
[Pages 27726-27727]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-7305]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10182, CMS-R-199, CMS-10180, CMS-317, CMS-
319]


Agency Information Collection Activities: Proposed Collection; 
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) 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 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: Extension of a currently 
approved collection; Title of Information Collection: Model Creditable 
Coverage Disclosure Notices; Use: Section 1860D-1 of the MMA requires 
entities that offer prescription drug benefits under any of the types 
of coverage described in 42 CFR 423.56(b) to provide a disclosure of 
creditable coverage status to all Medicare Part D eligible individuals 
covered under the entity's plan. These disclosure notices must be 
provided to Part D eligible individuals, at a minimum, at the following 
times: (1) Prior to an individual's initial enrollment period for Part 
D, (2) prior to the effective date of enrollment in the entity's 
coverage, and upon any change in creditable status; (3) prior to the 
commencement of the Part D Annual Coordinated Election Period (ACEP) 
which begins on November 15 of each year, and (4) upon request by the 
individual. Disclosure of whether prescription drug coverage is 
creditable provides Medicare eligible individuals with important 
information relating to their Medicare Part D enrollment. Form Number: 
CMS-10182 (OMB: 0938-0990); Frequency: Recordkeeping, Third 
party disclosure and Reporting: On occasion, Annually, and Other-As 
requested; Affected Public: Individuals or households, business or 
other for-profit, not-for-profit institutions and Federal, State, local 
or tribal government; Number of Respondents: 450,160; Total Annual 
Responses: 1,225,173; Total Annual Hours: 522,204.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicaid Report 
on Payables and Receivables; Use: The Chief Financial Officers (CFO) 
Act of 1990, as amended by the Government Management Reform Act (GMRA) 
of 1994, requires government agencies to produce auditable financial 
statements. Because the Centers for Medicare & Medicaid Services (CMS) 
fulfills its mission through its contractors and the States, these 
entities are the primary source of information for the financial 
statements. There are three basic categories of data: expenses, 
payables, and receivables. The CMS-64 is used to collect data on 
Medicaid expenses. The CMS-R-199 collects Medicaid payable and 
receivable accounting data from the States.; Form Number: CMS-R-199 
(OMB: 0938-0697); Frequency: Reporting--Annually; Affected 
Public: State, local or tribal governments; Number of Respondents: 57; 
Total Annual Responses: 57; Total Annual Hours: 342.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: State Children's 
Health Insurance Program (SCHIP) Report on Payables and Receivables; 
Use: Collection of SCHIP data and the calculation of the SCHIP Incurred 
But Not Reported (IBNR) estimate are pertinent to CMS' financial audit. 
The CFO auditors have reported the lack of an estimate for SCHIP IBNR 
payables and receivables as a reportable condition in the FY 2005 audit 
of CMS's financial statements. It is essential that CMS collect the 
necessary data from State agencies in FY 2006, so that CMS continues to 
receive an unqualified audit opinion on its financial statements. 
Program expenditures for the SCHIP have increased since its inception; 
as such, SCHIP receivables and payables may materially impact the 
financial statements. The SCHIP Report on Payables and Receivables will 
provide the information needed to calculate the SCHIP IBNR.; Form 
Number: CMS-10180 (OMB: 0938-0988); Frequency: Reporting--
Annually; Affected Public: State, Local or Tribal governments; Number 
of Respondents: 56; Total Annual Responses: 56; Total Annual Hours: 
336.
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: State Medicaid 
Eligibility Quality Control Sampling Plan and Supporting Regulations in 
42 CFR 431.800-431.865; Use: State Medicaid Eligibility Quality Control 
(MEQC) is operated by the State Title XIX agency to monitor and improve 
the administration of its Medicaid system. The MEQC system is based on 
monthly State reviews of Medicaid cases by States performing the 
traditional sampling process identified through statistically reliable 
statewide samples of cases selected from the eligibility files. These 
reviews are conducted to determine whether or not the sampled cases 
meet applicable State Title XIX eligibility requirements. The reviews 
are also used to assess beneficiary liability, if any, and to determine 
the amounts paid to provide Medicaid services for these cases.; Form 
Number: CMS-317 (OMB: 0938-0146); Frequency: Recordkeeping and 
Reporting--Semi-annually; Affected Public: State, Local or Tribal 
governments; Number of Respondents: 10; Total Annual Responses: 20; 
Total Annual Hours: 480.
    5. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: State Medicaid 
Eligibility Quality Control (MEQC) Sample Selection Lists and 
Supporting Regulations in 42 CFR 431.800-431.865; Use: State Medicaid 
Eligibility Quality Control (MEQC) is operated by the State Title XIX 
agency to monitor and improve the administration of its Medicaid 
system. The MEQC system is based on State reviews of Medicaid 
beneficiaries identified through statistically reliable statewide 
samples of cases selected from the eligibility files. These reviews are 
conducted to determine whether or not the sampled cases meet applicable 
State Title XIX eligibility requirements by States performing the 
traditional sample process. The reviews are also used to assess 
beneficiary liability, if any, and to determine the amounts paid to 
provide Medicaid services for these cases. At the

[[Page 27727]]

beginning of each month, State agencies still performing the 
traditional sample are required to submit sample selection lists which 
identify all of the cases selected for review in the States' samples. 
The sample selection lists contain identifying information on Medicaid 
beneficiaries such as: State agency review number; beneficiary's name 
and address; the name of the county where beneficiary resides; Medicaid 
case number, etc. The submittal of the sample selection lists is 
necessary for regional office (RO) validation of State reviews. Without 
these lists, the integrity of the sampling results would be suspect and 
the ROs would have no data on the adequacy of the States' monthly 
sample draw or review completion status.; Form Number: CMS-319 
(OMB: 0938-0147); Frequency: Reporting--Monthly; Affected 
Public: State, Local or Tribal governments; Number of Respondents: 10; 
Total Annual Responses: 120; Total Annual Hours: 960.
    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, 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 at the address below, 
no later than 5 p.m. on July 11, 2006.
    CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development--C, Attention: Bonnie L Harkless, 
Room C4-26-05, 7500 Security Boulevard Baltimore, Maryland 21244-1850.

    Dated: May 5, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-7305 Filed 5-11-06; 8:45 am]
BILLING CODE 4120-01-P