[Federal Register Volume 72, Number 96 (Friday, May 18, 2007)]
[Notices]
[Page 28056]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-9472]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10233, CMS-10234 and CMS-10236]


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: New collection; Title of 
Information Collection: Regional Preferred Provider Organization (RPPO) 
Reconciliation Cost Report; Form Number: CMS-10233 (OMB: 0938-
New); Use: The Medicare Prescription Drug, Improvement, and 
Modernization Act of 2003 (MMA), Title II, Subtitle C (Offering of 
Medicare Advantage Regional Plans; Medicare Advantage Competition) 
provided for the establishment of Medicare Advantage Regional Plans. 
Subsequently, the Regional Preferred Provider Organization (RPPO) 
program was developed and began contracting with Managed Care 
Organizations (MCOs) and enrolling beneficiaries for the 2006 contract 
year. Section 1858 of the Social Security Act provides for risk sharing 
with RPPOs to be in place for contract years 2006 and 2007. The Code of 
Federal Regulations at 42 CFR 422.458 provides specific direction with 
respect to how the Centers for Medicare and Medicaid Services (CMS) 
will share risk with the RPPOs. The regulations require CMS to collect 
Allowable Cost data, and to compare this data to Target Amounts. If the 
comparison demonstrates that there were either savings or losses in the 
contract year, the regulations provide specific risk corridors to be 
used in determining the Risk Sharing Reconciliation amount due to 
either the plan or CMS. The Risk Sharing Reconciliation cost report 
will be used to collect the information necessary to accurately 
reconcile the payments made to RPPOs for the 2006 and 2007 contract 
years. Frequency: Reporting--Annually; Affected Public: Business or 
other for-profit and Not-for-profit institutions; Number of 
Respondents: 14; Total Annual Responses: 14; Total Annual Hours: 1,120.
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: State Plan Pre-print implementing Section 6087 
of the Deficit Reduction Act: Optional Self-Direction Personal 
Assistance Services (PAS) Program (Cash and Counseling); Form Number: 
CMS-10234 (OMB: 0938-New); Use: Information submitted via the 
State Plan Amendment (SPA) pre-print will be used by the Centers for 
Medicare & Medicaid Services (CMS) Central and Regional Offices to 
analyze a State's proposal to implement Section 6087 of the Deficit 
Reduction Act (DRA). State Medicaid Agencies will complete the SPA pre-
print, and submit it to CMS for a comprehensive analysis. The pre-print 
contains assurances, check-off items, and areas for States to describe 
policies and procedures for subjects such as quality assurance, risk 
management, and voluntary and involuntary disenrollment; Frequency: 
Reporting--Once; Affected Public: State, Local, or Tribal Government; 
Number of Respondents: 56; Total Annual Responses: 30; Total Annual 
Hours: 600.
    3. Type of Information Collection Request: New collection; Title of 
Information Collection: Disclosure of Financial Relationships Report 
(``DFRR''); Form Number: CMS-10236 (OMB: 0938-New); Use: 
Section 1877(f) of the Social Security Act requires that each entity 
providing covered items or services for which payment may be made shall 
provide the Secretary with information concerning the entity's 
ownership, investment, and compensation arrangements, in such form, 
manner, and at such times as the Secretary shall specify. DFRR is a new 
collection instrument that will be used by CMS to obtain information 
necessary to analyze each hospital's compliance with Section 1877 of 
the Social Security Act (``the physician self-referral law''), and 
implementing regulations (42 Code of Federal Regulations, Subpart J). 
Frequency: Reporting--Once; Affected Public: Business or other for-
profit and Not-for-profit institutions; Number of Respondents: 500; 
Total Annual Responses: 500; Total Annual Hours: 2,000.
    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.
    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 17, 2007.
    CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development--B, Attention: William N. Parham, 
III, Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-
1850.

    Dated: May 11, 2007.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E7-9472 Filed 5-17-07; 8:45 am]
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