[Federal Register Volume 72, Number 8 (Friday, January 12, 2007)]
[Notices]
[Page 1536]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-216]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10095, CMS-10028 A, B and C and CMS-10108]


Agency Information Collection Activities: Proposed Collection; 
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) 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: Detailed 
Explanation of Non-Coverage and Notice of Medicare Non-Coverage and 
Supporting Regulations in 42 CFR 422.624 and 42 CFR 422.626; Use: 
Providers will deliver a Notice of Medicare Non-Coverage to enrollees 
at least two days prior to the end of covered services in skilled 
nursing facilities, home health agencies, and comprehensive outpatient 
rehabilitation facilities. Enrollees will use this information to 
determine whether they wish to appeal the service termination to the 
Quality Improvement Organization (QIO) in their State. If the enrollee 
decides to appeal, the Medicare Health organization will send the QIO 
and the enrollee a Detailed Explanation of Non-Coverage detailing the 
rationale for the termination decision. Form Number: CMS-10095 
(OMB: 0938-0910); Frequency: Reporting: Yearly; Affected 
Public: Business or other for-profit and Not-for-profit institutions; 
Number of Respondents: 454; Total Annual Responses: 47,558; Total 
Annual Hours: 23,780.52.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: State Health 
Insurance Assistance Program (SHIP) Client Contact Form, Public and 
Media Activity Form, and Resource Report Form; Use: The information 
collected is used to fulfill the reporting requirements described in 
Section 4360(f) of OBRA 1990. Also, the data will be accumulated and 
analyzed to measure State Health Insurance Assistance Program (SHIP) 
performance in order to determine whether and to what extent the SHIPs 
have met the goals of improved CMS customer service to beneficiaries 
and better understanding by beneficiaries of their health insurance 
options. Further, the information will be used in the administration of 
the grants, to measure performance and appropriate use of the funds by 
the state grantees, to identify gaps in services and technical support 
needed by SHIPs, and to identify and share best practices. Form Number: 
CMS-10028-A, B and C (OMB: 0938-0850); Frequency: Reporting: 
Quarterly and Semi-annually; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 12,000; Total Annual Responses: 
1,056,000; Total Annual Hours: 87,965.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicaid Managed 
Care Regulations for 42 CFR 438.6, 438.8, 438.10, 438.12, 438.50, 
438.56, 438.102, 438.114, 438.202, 438.204, 438.206, 438.207, 438.240, 
438.242, 438.402, 438.404, 438.406, 438.408, 438.410, 438.414, 438.416, 
438.604, 437.710, 438.722, 438.724, and 438.810; Use: These information 
collection requirements implement regulations that allow States greater 
flexibility to implement mandatory managed care programs, implement new 
beneficiary protections, and eliminate certain requirements viewed by 
State agencies as impediments to the growth of managed care programs. 
Information collected includes information about managed care programs, 
grievances and appeals, enrollment broker contracts, and managed care 
organizational capacity to provide health care services. Form Number: 
CMS-10108 (OMB: 0938-0920); Frequency: Reporting: 
Occasionally; Affected Public: State, Local, or Tribal Government; 
Number of Respondents: 39,114,558; Total Annual Responses: 4,640,344; 
Total Annual Hours: 3,930,093.5.
    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 March 13, 2007. 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: January 5, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E7-216 Filed 1-11-07; 8:45 am]
BILLING CODE 4120-01-P