[Federal Register Volume 76, Number 151 (Friday, August 5, 2011)]
[Notices]
[Pages 47592-47593]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-19768]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10291]


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

[[Page 47593]]

minimize the information collection burden.
    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: State Collection 
and Reporting of Dental Provider and Benefit Package Information on the 
Insure Kids Now! Web site and Hotline; Use: The Children's Health 
Insurance Program Reauthorization Act of 2009 (CHIPRA) sections 
501(f)(1) and (2), requires that state-specific information on dental 
providers and benefits be posted on the Insure Kids Now (IKN) Web site 
and available on the hotline. States must update the information on the 
dental providers quarterly and the information on their benefit package 
annually. CMS is asking States to submit their dental benefits in a 
revised format that is designed to reduce the amount of time States 
have to spend in compiling the dental benefit information. Although in 
the past we allowed States to only check a box to indicate that the 
Medicaid dental benefits were in compliance with Early and Periodic 
Screening, Diagnostic and Treatment (EPSDT) services, we are also 
modifying the form to ask States to include their Medicaid dental 
benefits in this form so those may also be posted on the Web site. In 
addition, we are asking States to specify if they have a dollar or code 
limit at which point prior authorization is required for any additional 
services and if they have cost sharing requirements for dental 
services; Form Number: CMS-10291 (OMB : 0938-1065); Frequency: 
Yearly (dental benefits) and quarterly (dental providers); Affected 
Public: State, Local, or Tribal Governments; Number of Respondents: 51; 
Total Annual Responses: 255; Total Annual Hours: 190. (For policy 
questions regarding this collection contact Nancy Goetschius at 410-
786-0707. 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.
    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 4, 2011:
    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: August 1, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-19768 Filed 8-4-11; 8:45 am]
BILLING CODE 4120-01-P