[Federal Register Volume 74, Number 136 (Friday, July 17, 2009)]
[Notices]
[Pages 34758-34759]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-17079]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10260, CMS-R-72, CMS-10180 and CMS-R-199]


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: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Advantage and Prescription Drug Program: Final Marketing Provisions CFR 
422.111(a)(3) and 423.128(a)(3) Use: Medicare Advantage (MA) plans must 
provide notice to plan members of impending changes to plan benefits, 
premiums and copays in the coming year so that members will be in the 
best position to make an informed choice on continued enrollment or 
disenrollment from that plan at least 15 days before the Annual 
Election Period (AEP). Beginning 2009, organizations will be required 
to notify plan members of the coming year changes using a combined 
standardized document at the time of enrollment and annually 
thereafter.
    Section 422.111 requires, to the extent that a MA plan has a 
website, annual notification through the Web site of written, hard copy 
notification sent to the beneficiaries. Section 423.128 requires that a 
Part D plan have mechanisms for providing specific information on a 
timely basis to current and prospective enrollees upon request. These 
mechanisms include, Internet website that includes information on Part 
D plan description. MA organizations (formerly M+C organizations) and 
Prescription Drug Plan Sponsors use the information to comply with the 
eligibility requirements and the MA and Part D contract requirements. 
CMS will use this information to ensure that correct information is 
disclosed to Medicare beneficiaries, both potential enrollees and 
enrollees. Form Number: CMS-10260 (OMB: 0938-1051); Frequency: 
Reporting--Yearly; Affected Public: Business or other for-profits ; 
Number of Respondents: 740; Total Annual Responses: 740; Total Annual 
Hours: 8,880. (For policy questions regarding this collection contact 
Camille Brown at 410-786-0274. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Information 
Collection Requirements in 42 CFR

[[Page 34759]]

478.18, 478.34, 478.36, 478.42, QIO Reconsiderations and Appeals; Use: 
In the event that a beneficiary, provider, physician, or other 
practitioner does not agree with the initial determination of a Quality 
Improvement Organization (QIO) or a QIO subcontractor, it is within 
that party's rights to request reconsideration. The information 
collection requirements 42 CFR 478.18, 478.34, 478.36, and 478.42, 
contain procedures for QIOs to use in reconsideration of initial 
determinations. The information requirements contained in these 
regulations are on QIOs to provide information to parties requesting 
the reconsideration. These parties will use the information as 
guidelines for appeal rights in instances where issues are actively 
being disputed.; Form Number: CMS-R-72 (OMB: 0938-0443); 
Frequency: Reporting--On occasion; Affected Public: Individuals or 
Households and Business or other for-profit institutions; Number of 
Respondents: 2,590; Total Annual Responses: 5,228; Total Annual Hours: 
2,822. (For policy questions regarding this collection contact Tom 
Kessler at 410-786-1991. For all other issues call 410-786-1326.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Children's Health 
Insurance Program (CHIP) Report on Payables and Receivables; Use: 
Collection of CHIP data and the calculation of the CHIP Incurred But 
Not Reported (IBNR) estimate are pertinent to CMS' financial audit. The 
CFO auditors have reported the lack of an estimate for CHIP IBNR 
payables and receivables as a reportable condition in the FY 2005 audit 
of CMS's financial statements. It is essential that CMS collect the 
necessary data from State agencies in FY 2006, so that CMS continues to 
receive an unqualified audit opinion on its financial statements. 
Program expenditures for the CHIP have increased since its inception; 
as such, CHIP receivables and payables may materially impact the 
financial statements. The CHIP Report on Payables and Receivables will 
provide the information needed to calculate the CHIP IBNR.; Form 
Number: CMS-10180 (OMB: 0938-0988); Frequency: Reporting--
Annually; Affected Public: State, Local or Tribal governments; Number 
of Respondents: 56; Total Annual Responses: 56; Total Annual Hours: 
336. (For policy questions regarding this collection contact Deborah 
McCleod at 410-786-0013. For all other issues call 410-786-1326.)
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicaid Report 
on Payables and Receivables; Use: The Chief Financial Officers (CFO) 
Act of 1990, as amended by the Government Management Reform Act (GMRA) 
of 1994, requires government agencies to produce auditable financial 
statements. Because the Centers for Medicare & Medicaid Services (CMS) 
fulfills its mission through its contractors and the States; these 
entities are the primary source of information for the financial 
statements. There are three basic categories of data: expenses, 
payables, and receivables. The CMS-64 is used to collect data on 
Medicaid expenses. The CMS-R-199 collects Medicaid payable and 
receivable accounting data from the States.; Form Number: CMS-R-199 
(OMB: 0938-0697); Frequency: Reporting--Annually; Affected 
Public: State, Local or Tribal governments; Number of Respondents: 56; 
Total Annual Responses: 56; Total Annual Hours: 336. (For policy 
questions regarding this collection contact Deborah McCleod at 410-786-
0013. For all other issues call 410-786-1326.)
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web Site 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.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by September 15, 2009:
    1. Electronically. You may submit your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number, Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.

    Dated: July 9, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E9-17079 Filed 7-16-09; 8:45 am]
BILLING CODE 4120-01-P