[Federal Register Volume 73, Number 32 (Friday, February 15, 2008)]
[Notices]
[Pages 8877-8878]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-2804]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10242, CMS-10165, CMS-10251, CMS-R-218 and 
CMS-10252]


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: New collection; Title of 
Information Collection: Revisions to Payment Policies Under the 
Physician Fee Schedule, Other Changes to Payment Under Part B, and 
Revisions to Payment Policies for Ambulance Services for CY 2008 (42 
CFR 424.36--Signature Requirements); Use: Section 42 CFR 424.33(a)(3) 
states that all claims must be signed by the beneficiary or the 
beneficiary's representative (in accordance with 42 CFR 424.36(b)). 
Section 42 CFR 424.36(a) states that the beneficiary's signature is 
required on a claim unless the beneficiary has died or the provisions 
of 424.36(b), (c), or (d) apply. The statutory authority requiring a 
beneficiary's signature on a claim submitted by a provider is located 
in section 1835(a) and in 1814(a) of the Social Security Act (the Act), 
for Part B and Part A services, respectively. The authority requiring a 
beneficiary's signature for supplier claims is implicit in sections 
1842(b)(3)(B)(ii) and in 1848(g)(4) of the Act. Because it is very 
difficult to obtain a beneficiary's signature (or the signature of a 
person authorized to sign on behalf of the beneficiary) on a claim when 
the beneficiary is being transported by ambulance in emergency 
situations, CMS is proposing that, for emergency ambulance transport 
services, an ambulance provider or supplier may submit the claim 
without a beneficiary's signature, as long as certain documentation 
requirements are met. The information collected will be used by CMS 
contractors (both, fiscal intermediaries and carriers) that process and 
pay emergency ambulance transport claims. Form Number: CMS-10242 
(OMB: 0938-New); Frequency: Reporting: Hourly, Daily, Weekly, 
Monthly and Yearly; Affected Public: Business or other for-profit and 
Not-for-profit institutions; Number of Respondents: 9,000; Total Annual 
Responses: 6,500,000; Total Annual Hours: 541,667.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Electronic Health 
Record; Use: The purpose of this demonstration project is to reward the 
delivery of high-quality care supported by the adoption and use of 
electronic health records in small to medium-sized primary care 
physician practices. While this is separate and distinct from the 
Medicare Care Management Performance (MCMP) Demonstration, it expands 
upon the foundation created by the MCMP Demonstration, which was 
mandated by Section 649 of the Medicare Prescription Drug, Improvement 
and Modernization Act of 2003. The electronic health record 
demonstration will be operational for a 5-year period and will be 
operated

[[Page 8878]]

under section 402 demonstration waiver authority. The information to be 
obtained as part of the application form is necessary to document basic 
information for physician practices that intend to participate in this 
demonstration initiative. Form Number: CMS-10165 (OMB: 0938-
0965); Frequency: Once; Affected Public: Private sector--Business or 
other for-profit; Number of Respondents: 2400; Total Annual Responses: 
2400; Total Annual Hours: 520.
    3. Type of Information Collection Request: New Collection; Title of 
Information Collection: State Plan Pre-print for Integrated Medicare 
and Medicaid Programs; Use: Information submitted via the State Plan 
Amendment (SPA) pre-print will be used by CMS Central and Regional 
Offices to analyze a State's proposal to implement integrated Medicare 
and Medicaid programs. The pre-print is an optional document for use by 
States to highlight the arrangements between a State and Medicare 
Advantage Special Needs Plans that are also providing Medicaid 
services. State Medicaid Agencies will complete the SPA pre-print and 
submit it to CMS for a comprehensive analysis. The pre-print provides 
the opportunity for States to confirm that their integrated care model 
complies with both Federal statutory and regulatory requirements. The 
pre-print contains assurances, check-off items, and areas for States to 
describe policies and procedures for subjects such as enrollment, 
marketing and quality assurance. Based on comments received during the 
60-day comment period, both the instructions and pre-print have been 
revised. Form Numbers: CMS-10251 (OMB: 0938-NEW); Frequency: 
Reporting--Once; Affected Public: State, Local, or Tribal Governments; 
Number of Respondents: 56; Total Annual Responses: 30; Total Annual 
Hours: 600.
    4. Type of Information Collection Request: Extension of currently 
approved collection; Title of Information Collection: Information 
Collection Requirements Contained in 45 CFR Part 162; HIPAA Standards 
for Electronic Transactions; Use: This submission contains information 
collection requirements in HCFA-0149-F, CMS-0003-P, CMS-0005-P, and 
CMS-003/005-F. This collection establishes standards for electronic 
transactions and for code sets to be used in those transactions. The 
collection standardizes the approximately 400 formats of electronic 
health care claims used in the United States. The use of these 
standards significantly reduces the administrative burden associated 
with paper documents, lowers operating costs, and improves data quality 
for health care providers and health plans; Form Number: CMS-R-218 
(OMB 0938-0866); Frequency: On occasion; Affected Public: 
Business or other for-profit; Number of Respondents: 3,400,000; Total 
Annual Responses: 3,400,000; Total Annual Hours: 1.
    5. Type of Information Collection Request: New collection; Title of 
Information Collection: Certificate of Destruction for Data Acquired 
from the Centers for Medicare and Medicaid Services; Use: The 
Certificate of Destruction will be used by recipients of CMS data to 
certify that they have destroyed the data they have received through a 
CMS Data Use Agreement (DUA). The DUA requires the destruction of the 
data at the completion of the project/expiration of the DUA. The DUA 
addresses the conditions under which CMS will disclose and the User 
will maintain CMS data that are protected by the Privacy Act of 1974, 
Sec.  552a and the Health Insurance Portability Accountability Act of 
1996. CMS has developed policies and procedures for such disclosures 
that are based on the Privacy Act and the Health Insurance Portability 
Act (HIPAA). The Certificate of Destruction is required to close out 
the DUA and to ensure the data are destroyed and not used for another 
purpose. Form Number: CMS-10252 (OMB 0938-New); Frequency: On 
occasion; Affected Public: Business or other for-profit; Number of 
Respondents: 500; Total Annual Responses: 500; Total Annual Hours: 84.
    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 by the OMB desk 
officer at the address below, no later than 5 p.m. on March 17, 2008.
    OMB Human Resources and Housing Branch, Attention: Carolyn Lovett, 
New Executive Office Building, Room 10235, Washington, DC 20503, Fax 
Number: (202) 395-6974.

    Dated: February 8, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E8-2804 Filed 2-14-08; 8:45 am]
BILLING CODE 4120-01-P