[Federal Register Volume 71, Number 140 (Friday, July 21, 2006)]
[Notices]
[Pages 41447-41448]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-11576]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10180, CMS-319, CMS-317, CMS-R-199, and CMS-
588]


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 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: 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.
    2. 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 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.
    3. 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: 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.
    4. 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.
    5. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Electronic Funds 
Transfer Authorization Agreement; Use: Section 1815(a) of the Social 
Security Act provides the authority for the Secretary of Health and 
Human Services to pay providers/suppliers of Medicare services at such 
time or times as the Secretary determines appropriate (but no less 
frequently than monthly). Under Medicare, CMS, acting for the 
Secretary, contracts with Fiscal Intermediaries and Carriers to pay 
claims submitted by providers/suppliers who furnish services to 
Medicare beneficiaries. Under CMS' payment policy, Medicare providers/
suppliers have the option of receiving payments electronically. Form 
number CMS-588 authorizes the use of electronic fund transfers (EFTs).; 
Form Number: CMS-588 (OMB : 0938-0626); Frequency: 
Recordkeeping and Reporting--On occasion; Affected

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Public: Business or other for-profit, Not-for-profit institutions, and 
State, local or tribal governments; Number of Respondents: 100,000; 
Total Annual Responses: 100,000; Total Annual Hours: 100,000.
    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.
    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: July 14, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E6-11576 Filed 7-20-06; 8:45 am]
BILLING CODE 4120-01-P