[Federal Register Volume 73, Number 81 (Friday, April 25, 2008)]
[Notices]
[Pages 22418-22419]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-9067]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1771, CMS-10145, CMS-10204 and CMS-10255]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Department of Health 
and Human 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), 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: Attending 
Physicians Statement and Documentation of Medicare Emergency and 
Supporting Regulations in 42 CFR 424.103; Use: 42 CFR 424.103(b) 
requires that before a nonparticipating hospital may be paid for 
emergency services rendered to a Medicare beneficiary, a statement must 
be submitted that is sufficiently comprehensive to support that an 
emergency existed. Form CMS-1771 contains a series of questions 
relating to the medical necessity of the emergency. The attending 
physician must attest that the hospitalization was required under the 
regulatory emergency definition (42 CFR 424.101) and give clinical 
documentation to support the claim. Form Number: CMS-1771 (OMB 
0938-0023); Frequency: Yearly; Affected Public: Private sector--
business or other for-profit and not-for-profit institutions; Number of 
Respondents: 100; Total Annual Responses: 200; Total Annual Hours: 50.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare Part B 
Drug and Biological Competitive Acquisition Program and Supporting 
Regulations in 42 CFR Sections 414.906, 414.908, 414.910, 414.914, 
414.916, and 414.917; Use: Section 303(d) of the Medicare Prescription 
Drug, Improvement, and Modernization Act of 2003 (MMA) provides an 
alternative payment methodology for Part B covered drugs that are not 
paid on a cost or prospective payment basis. In particular, Section 
303(d) of the MMA amends Title XVIII of the Social Security Act by 
adding a new section 1847(B), which establishes a competitive 
acquisition program for the acquisition of and payment for Part B 
covered drugs and biologicals furnished on or after January 1, 2006. 
Since its inception, additional legislation has augmented the CAP. 
Section 108 of the Medicare Improvements and Extension Act under 
Division B, Title I of the Tax Relief Health Care Act of 2006 (MIEA-
TRHCA) amended Section 1847b(a)(3) of the Social Security Act and 
requires that CAP implement a post payment review process. This 
procedure is done to assure that payment is made for a drug or 
biological under this section only if the drug or biological has been 
administered to a beneficiary. Form Number: CMS-10145 (OMB 
0938-0945); Frequency: Weekly; Affected Public: Private sector--
business or other for-profit and not-for-profit institutions; Number of 
Respondents: 3000; Total Annual Responses: 156,000; Total Annual Hours: 
31,188.
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Evaluation of the 
Medical Adult Day Care Services Demonstration; Use: Section 703 of the 
Medicare Prescription Drug, Improvement and Modernization Act of 2003 
(Pub. L. 108-173) authorizes a three-year demonstration to conduct an 
evaluation of the clinical and cost-effectiveness of providing medical 
adult day-care services as a substitute for a portion of home health 
services that would otherwise be provided in the beneficiary's home. 
Delivering home health services in the adult day-care setting 
represents an expansion of coverage under the home health benefit under 
Medicare. The Demonstration aims to evaluate both the costs and the 
benefits of delivering home health services in the adult day-care 
setting. The evaluation will examine the achievements as well as the 
difficulties inherent in demonstration implementation.
    Telephone survey data from Medicare beneficiary's interviews are to 
be completed during Phase II of the Evaluation of the Medical Adult 
Day-Care Services Demonstration. The survey was developed based on 
collection of data from face-to-face interviews with beneficiaries from 
Phase I of the Demonstration evaluation. Form Number: CMS-10204 
(OMB 0938-1017); Frequency: Once; Affected Public: Individuals 
or households; Number of Respondents: 900; Total Annual Responses: 900; 
Total Annual Hours: 150.

[[Page 22419]]

    4. Type of Information Collection Request: New collection; Title of 
Information Collection: Evaluation of Care and Disease Management Under 
Medicare Advantage. Use: CMS is conducting an evaluation of care and 
disease management programs under Medicare Advantage (MA), which 
includes a survey of all MA plans. The survey will help describe the 
structure and operation of these programs. The survey will gather 
information about MA health plans' care and disease management programs 
that is not available from other sources, such as relations with health 
providers, the use of electronic data systems, characteristics of care 
and disease management programs, population served, physician 
intervention, differences with regular MA plans and special needs 
plans, and evidence of effectiveness and assessment of costs. 
Information is collected through a one-time, self-administered mail 
questionnaire. [Refer to the crosswalk and track changes document for a 
list of changes to this information collection request since the last 
Federal Register publication.] Form Number: CMS-10255 (OMB 
0938-New); Frequency: Once; Affected Public: Private sector--business 
or other for-profit and not-for-profit institutions; Number of 
Respondents: 475; Total Annual Responses: 475; Total Annual Hours: 435.
    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 at (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 May 27, 2008.
    OMB Human Resources and Housing Branch, Attention: Carolyn 
Raffaelli, New Executive Office Building, Room 10235, Washington, DC 
20503, Fax Number: (202) 395-6974.

    Dated: April 17, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E8-9067 Filed 4-24-08; 8:45 am]
BILLING CODE 4120-01-P