[Federal Register Volume 73, Number 178 (Friday, September 12, 2008)]
[Notices]
[Pages 53026-53027]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-21157]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10270, CMS-10136, CMS-10268, and CMS-855(A, 
B, I, R)]


Agency Information Collection Activities: Submission for OMB 
Review; 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), 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: Evaluation of the Home Health Pay for 
Performance Demonstration: Survey instrument; Use: The Home Health Pay 
for Performance Demonstration is part of a change by CMS toward 
performance-based purchasing for a variety of provider types. By 
providing financial incentives for achieving high levels of performance 
on standardized quality measures, CMS hopes to encourage health care 
providers to improve the quality of care provided to Medicare 
beneficiaries. The Home Health Pay for Performance Demonstration 
(HHP4PD) relies on the voluntary participation by home health agencies 
within several States, with random assignment of participating agencies 
to treatment or control groups within each State, where the control 
group will not be eligible for incentive payments. These two groups 
form the primary comparison for determining if the HHP4PD was effective 
in creating improved, targeted outcomes for patients served by home 
health agencies. The information collected will be used as part of the 
evaluation of the Home Health Pay for Performance Demonstration 
sponsored by CMS. Form Number: CMS-10270 (OMB 0938--New); 
Frequency: Once; Affected Public: Business or other for-profits and 
not-for-profit institutions; Number of Respondents: 570; Total Annual 
Responses: 570; Total Annual Hours: 285.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Demonstration Ambulatory Care Quality Measure Performance Assessment 
Tool (``PAT''); Use: CMS is requesting an extension of the currently 
approved tool for the collection of ambulatory care clinical 
performance measure data. The data will be used to continue 
implementation of two Congressionally mandated demonstration projects 
(the Physician Group Practice (PGP) Demonstration and the Medicare Care 
Management Performance (MCMP) Demonstration) and, starting in 2011, 
support data collection under the new Electronic Health Records (EHR) 
Demonstration. Each of these demonstrations, test new payment methods 
for improving the quality and efficiency of health care services 
delivered to Medicare fee-for-service beneficiaries, especially those 
with chronic conditions that account for a disproportionate share of 
Medicare expenditures. In addition, the MCMP and EHR demonstration 
specifically encourage the adoption of electronic health records 
systems as a vehicle for improving how health care is delivered.
    The changes in the estimated burden between this submission and the 
original submission are due to the following changes: Combining the 
Information Collection Request (ICR) application for the PGP and MCMP 
demonstrations into a single ICR application. Reduction in the number 
of practices participating in the MCMP Demonstration. An increase in 
the estimated cost per hour (salary + fringe) for collecting the data. 
The implementation of the new EHR Demonstration which will begin 
collecting clinical quality data starting in 2011 with 400 Phase I 
practices. Form Number: CMS-10136 (OMB 0938-0941); Frequency: 
Yearly; Affected Public: Business or other for-profits and not-for-
profit institutions; Number of Respondents: 1,060; Total Annual 
Responses: 1,060; Total Annual Hours: 25,990.
    3. Type of Information Collection Request: New collection; Title of 
Information Collection: Consolidated Renal Operations in a Web Enabled 
Network (CROWNWeb) Third-party Submission Authorization Form; Use: The 
Consolidated Renal Operations in a Web Enabled Network (CROWNWeb) 
Third-Party Submission Authorization form is to be completed by 
``Facility Administrators'' (administrators of CMS-certified dialysis 
facilities) if they intend to authorize a third party (a business with 
which the facility is associated, or an independent vendor) to submit 
data to CMS to comply with the recently-revised Conditions for Coverage 
of dialysis facilities. The CROWNWeb system is the system used as the 
collection point of data necessary for entitlement of ESRD patients to 
Medicare benefits and for Federal Government monitoring and assessing 
of the quality and types of care provided to renal patients. The 
information collected through the CWTPSA form will allow CMS and its 
contractors to receive data from authorized parties acting on behalf of 
CMS-certified dialysis facilities. CMS anticipates that roughly 3,000 
signed forms will be received by February 2009, and that the total 
number of forms may reach 5,100 by February 2012. Form Number: CMS-
10266 (OMB 0938--New); Frequency: Monthly; Affected Public: 
Business or other for-profits and not-for-profit institutions; Number 
of Respondents: 5,100; Total Annual Responses: 5,100; Total Annual 
Hours: 425.
    4. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Enrollment Application; Form Number: CMS-855 (A, B, I, R) 
(OMB: 0938-0685); Use: The primary function of the Medicare 
enrollment application is to gather information from a provider or 
supplier that tells us who it is, whether it meets certain 
qualifications to be a health care provider or supplier, where it 
practices or renders its services, the identity of the owners of the 
enrolling entity, and information necessary to establish correct claims 
payments. We are revising this currently approved information 
collection. The goal of the revisions to this information collection 
request (ICR) is to adjust the burden associated with this ICR to 
account for the removal of the CMS-855(S) application. Frequency: 
Recordkeeping

[[Page 53027]]

and Reporting--On occasion; Affected Public: Business or other for-
profit and not-for-profit institutions; Number of Respondents: 400,000; 
Total Annual Responses: 400,000; Total Annual Hours: 785,702.
    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 October 14, 2008. 
OMB Human Resources and Housing Branch, Attention: OMB Desk Officer, 
New Executive Office Building, Room 10235, Washington, DC 20503, Fax 
Number: (202) 395-6974.

    Dated: September 5, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E8-21157 Filed 9-10-08; 8:45 am]
BILLING CODE 4120-01-P