[Federal Register Volume 75, Number 146 (Friday, July 30, 2010)]
[Notices]
[Pages 44969-44970]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-18610]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10171, CMS-460 and CMS-10318]


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

AGENCY: Centers for Medicare & Medicaid Services.
    In compliance with the requirement of section 3506I(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: Revision of a currently 
approved collection; Title of Information Collection: Coordination of 
Benefits between Part D Plans and Other Prescription Coverage 
Providers; Use: Section 1860D-23 and 1860D-24 of the Social Security 
Act requires the Secretary to establish requirements for prescription 
drug plans to ensure the effective coordination between Part D plans, 
State pharmaceutical Assistance programs and other payers. The 
requirements must relate to the following elements: (1) Enrollment file 
sharing; (2) claims processing and payment; (3) claims reconciliation 
reports; (4) application of the protections against high out-of-pocket 
expenditures by tracking True out-of-pocket (TrOOP) expenditures; and 
(5) other processes that the Secretary determines. CMS, via the TrOOP 
facilitation contractor, automated the transfer of beneficiary coverage 
information when a beneficiary changes Part D plans. This information 
is necessary to assist with coordination of prescription drug benefits 
provided to the Medicare beneficiary. Refer to the crosswalk document 
for a list of the current changes. Form Number: CMS-10171 
(OMB: 0938-0978); Frequency: Yearly; Affected Public: Business 
or other for-profits; Number of Respondents: 57,227 Total Annual 
Responses: 248,018; Total Annual Hours: 754,788 (For policy questions 
regarding this collection contact Christine Hinds at 410-786-4578. For 
all other issues call 410-786-1326.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare 
Participating Physician or Supplier

[[Page 44970]]

Agreement; Form No.: CMS-460 (OMB 0938-0373); Use: The CMS-460 
is the agreement a physician, supplier or their authorized official 
signs to participate in Medicare Part B. By signing the agreement to 
participate in Medicare, the physician, supplier or their authorized 
official agrees to accept the Medicare-determined payment for Medicare 
covered services as payment in full and to charge the Medicare Part B 
beneficiary no more than the applicable deductible or coinsurance for 
the covered services. For purposes of this explanation, the term a 
supplier means any person or entity that may bill Medicare for Part B 
services (e.g. DME supplier, nurse practitioner, supplier of diagnostic 
tests) except a Medicare provider of services (e.g. hospital), which 
must participate to be paid by Medicare for covered care.
    There are additional benefits associated with payment for services 
paid under the Medicare fee schedule. Payments made under the Medicare 
fee schedule for physician services to participating physicians and 
suppliers are based on 100 percent of the Medicare fee schedule amount, 
while the Medicare fee schedule payment for physician services by 
nonparticipating physicians and suppliers is based on 95 percent of the 
fee schedule amount. Physicians and suppliers who do not participate in 
Medicare are subject to limits on their actual charges for unassigned 
claims for physician services. These limits, known as limiting charges, 
cannot exceed 115 percent of the non-participant fee schedule, which is 
set at 95 percent of the full fee schedule amount. In addition, if a 
physician or supplier does not accept assignment on a claim for 
Medicare payment, the physician or supplier must collect payment from 
the beneficiary. If the physician or supplier accepts assignment on the 
claim, Medicare pays its share of the payment directly to the physician 
or supplier, resulting in faster and more certain payment. Frequency: 
Reporting, Other--when starting a new business; Affected Public: 
Business or other for-profit; Number of Respondents: 8,000; Total 
Annual Responses: 8,000; Total Annual Hours: 2,000. (For policy 
questions regarding this collection contact April Billingsley at 410-
786-0410. For all other issues call 410-786-1326.)
    3. Type of Information Collection Request: New collection; Title of 
Information Collection: Survey to Inform the Children's Health 
Insurance Program (CHIP) National Outreach & Education Campaign; Form 
No.: CMS-10318 (OMB 0938-New); Use The Children's Health 
Insurance Program Reauthorization Act of 2009 (CHIPRA or Pub. L. 111-3) 
reauthorized the Children's Health Insurance Program (CHIP) through FY 
2013. It will preserve coverage for the millions of children who rely 
on CHIP today and provide the resources for States to reach millions of 
additional uninsured children. This legislation will help ensure the 
health and well-being of our nation's children. To support this 
legislation and to help people who would benefit from CHIP make more 
informed decisions, CMS will be conducting outreach. The outreach will 
employ numerous communications channels to educate people who would 
benefit from CHIP concerning the program benefits, eligibility and 
enrollment requirements, utilization, and retention. As part of the 
outreach, CMS will seek to increase awareness, enrollment and retention 
in CHIP for the eligible audiences. The primary target audience for the 
outreach includes parents and guardians of potentially eligible 
children as well as pregnant women. Secondary audiences are information 
intermediaries including State, local, and tribal governments, 
educators (including non-parental caregivers) health care providers/
social workers, national and local partners. The challenge is reaching 
the population segments that have access barriers to information 
including language, literacy, location, and culture to understand 
health insurance. To support the outreach and education, CMS needs to 
conduct survey research to be able to effectively reach the target 
audiences. Frequency: Reporting--Once; Affected Public: Individuals or 
Households; Number of Respondents: 1,850; Total Annual Responses: 
1,850; Total Annual Hours: 2,000. (For policy questions regarding this 
collection contact Barbara Allen at 410-786-6716. 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 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 August 30, 2010. 
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, E-mail: [email protected].

    Dated: July 26, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2010-18610 Filed 7-29-10; 8:45 am]
BILLING CODE 4120-01-P