[Federal Register Volume 74, Number 156 (Friday, August 14, 2009)]
[Notices]
[Pages 41142-41143]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-19539]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-284 and CMS-10190]


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: Extension without change 
of a currently approved collection; Title of Information Collection: 
Medicaid Statistical Information System; Use: State data are reported 
by the Federally mandated electronic process, known as (MSIS) Medical 
Statistical Information System. These data are the basis of actuarial 
forecasts for Medicaid service utilization and costs; of analysis and 
cost savings estimates required for legislative initiatives relating to 
Medicaid and for responding to requests for information from CMS 
components, the Department, Congress and other customers.
    Form Number: CMS-R-284 (OMB: 0938-0345); Frequency: 
Reporting--Quarterly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 51; Total Annual Responses: 204; 
Total Annual Hours: 2,040. (For policy questions regarding this 
collection contact Denise Franz 410-786-6117. For all other issues call 
410-786-1326.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Section 1901 of 
the Act (42 U.S.C. 1396) requires that States must establish a State 
plan for medical assistance that are approved by the Secretary to carry 
out the purposes of title XIX. The DRA provides States with numerous 
flexibilities in operating their State Medicaid programs. The intent of 
these flexibilities is to provide States with program alternatives that 
allow them to provide the most appropriate health care coverage that 
meets beneficiary needs, while at the same time curtailing State and 
Federal spending. Except for the documentation of citizenship 
requirements, States can submit SPAs to CMS to effectuate these changes 
to their Medicaid programs. CMS provided State Medicaid Directors 
letters providing guidance on these provisions and the implementation 
of the DRA and associated SPA templates for use by States to modify 
their Medicaid State plans if they choose to implement these 
flexibilities. Under this process, the end result is the State burden 
will be reduced significantly. To implement these flexibilities, a 
collection of information to effectuate these changes is required. 
Therefore, State Medicaid agencies will complete the templates to 
effectuate the changes. CMS will review the information to determine if 
the State has met all of the requirements of the DRA provisions the 
States choose to implement. If the requirements are met, CMS will 
approve the amendments to the State's Title XIX plan giving the State 
the authority to implement the flexibilities. For a State to receive 
Medicaid Title XIX funding, there must be an approved Title XIX State 
plan. Five templates were created to assist States in effectuating 
these flexibilities through modifications to the State plan. The 
Children's Health Insurance Program Reauthorization Act (CHIPRA) of 
2009, enacted on February 4, 2009, corrected language in section 6044 
(Alternative Benefit Packages) of the DRA as if these amendments were 
included in the DRA, and subsequently amended section 1937 ``State 
Flexibility for Medicaid Benefit Packages.'' We have modified the 
preprints to reflect these statutory changes. Form Number: CMS-10190 
(OMB: 0938-0993); Frequency: Reporting--Yearly; Affected 
Public: State, Local, or Tribal Governments; Number of Respondents: 56; 
Total Annual Responses: 16; Total

[[Page 41143]]

Annual Hours: 699. (For policy questions regarding this collection 
contact Fran Crystal at 410-786-1195. 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 October 13, 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 (CMS-R-284 and CMS-10190), Room C4-26-05, 7500 Security 
Boulevard, Baltimore, Maryland 21244-1850.

    Dated: August 7, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E9-19539 Filed 8-13-09; 8:45 am]
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