[Federal Register Volume 76, Number 249 (Wednesday, December 28, 2011)]
[Notices]
[Pages 81503-81504]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-33321]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10249 and CMS-10409]


Agency Information Collection Activities: Submission for OMB 
Review; 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), 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: Administrative 
Requirements for Section 6071 of the Deficit Reduction Act; Use: Under 
section 6071 of the Deficit Reduction Act of 2005 (Pub. L. 109-171) 
subsection (c), the Secretary may require States to meet requirements 
and provide additional information, provisions, and assurances. Through 
the Operational Protocol, States provide the requirements, information, 
provisions and assurances which, following CMS approval, States may 
enroll individuals in the State's demonstration program or begin to 
claim for service dollars. The Act also requires the Money Follows the 
Person Rebalancing Demonstration (MFP) program be evaluated to 
determine program effectiveness. One aspect of the evaluation is 
determining participant quality of life and how the program affects 
quality of life. Medicaid enrollees who participate in the MFP program 
are expected to have need for long-term care services for the rest of 
their lives and are a particularly vulnerable population if the 
community setting cannot adequately meet their

[[Page 81504]]

needs or does not provide them a suitable quality of life.
    State Operational Protocols should provide enough information that: 
the CMS Project Officer and other Federal officials may use it to 
understand the operation of the demonstration and/or prepare for 
potential site visits without needing additional information; the State 
Project Director can use it as the manual for program implementation; 
and external stakeholders may use it to understand the operation of the 
demonstration. The financial information collection will be used in CMS 
financial statements and shared with the auditors who validate CMS' 
financial position. The Maintenance of Effort forms as well as the MFP 
Budget Form are required each year. Submissions of MFP Demonstration 
Financial Forms are 90 days after the end of each Federal fiscal 
quarter. The MFP Finders File, MFP Program Participation Data file, and 
MFP Services File will be used by the national evaluation contractor to 
assess program outcomes. The MFP Quality of Life data will be used by 
the national evaluation contractor to assess program outcomes. 
Specifically, the evaluation will determine how participants' quality 
of life changes after transitioning to the community. The semi-annual 
progress reports will be used by the national evaluation contractor and 
CMS to monitor program implementation at the grantee level; Form 
Number: CMS-10249 (OCN: 0938-1053); Frequency: Yearly, Semi-annually, 
Quarterly, Once; Affected Public: State, Local, or Tribal Governments; 
Number of Respondents: 43; Total Annual Responses: 360; Total Annual 
Hours: 9,360. (For policy questions regarding this collection contact 
Marybeth Ribar at (410) 786-1121. For all other issues call (410) 786-
1326.)
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Long Term Care Hospital (LCTH) Quality 
Reporting Program--Pressure Ulcer Measure Data Set; Use: Section 3004 
of the Affordable Care Act authorizes the establishment of a new 
quality reporting program for Long Term Care Hospitals (LTCHs). LTCHs 
that fail to submit quality measure data may be subject to a 2 
percentage point reduction in their annual update to the standard 
Federal rate for discharges occurring during a rate year, beginning in 
FY 2014. One of the quality measures LTCHs are required to collect and 
submit data on is the Percent of Residents with Pressure Ulcers That 
Are New or Have Worsened.
    Currently, there are no mandatory standardized data sets being used 
in LTCHs. Therefore, we have created a new data set to be used in 
LTCHs, which incorporates data items contained in other, well known and 
clinically established pressure ulcer data sets, including but not 
limited to the Minimum Data Set 3.0 (MDS 3.0) and CARE data set 
(Continuity Assessment Records & Evaluation).
    Beginning on October 1, 2012, LTCHs will begin to use a data 
collection document entitled the ``LTCH CARE Data Set'' as the vehicle 
by which to collect the pressure ulcer data for the LTCH quality 
reporting program. This data set consists of the following components: 
(1) Pressure ulcer documentation; (2) selected covariates related to 
pressure ulcers; (3) patient demographic information; and; (4) a 
provider attestation section. The use of the LTCH CARE Data Set is 
necessary in order to allow CMS to collect LTCH quality measures data 
in compliance with Section 3004 of the Affordable Care Act. There are 
no other reasonable alternatives available to CMS for the collection 
and submission of pressure ulcer data.
    The 60 day Federal Notice published on Friday, September 2, 2011 
(76 FR 54776). Since September 2, 2011, CMS has worked on the 
operational aspects of the LTCH Quality Reporting Program. While 
performing this work, CMS determined that several non-material changes 
were needed on the LTCH CARE Data Set. These changes have been made 
merely to correct minor errors and do not increase the burden to the 
provider. Form Number: CMS-10409 (OCN: 0938-New); Frequency: 
Occasionally; Affected Public: Private Sector: Business or other for-
profit and not-for-profit institutions; Number of Respondents: 3,531; 
Total Annual Responses: 3,531; Total Annual Hours: 883. (For policy 
questions regarding this collection contact Caroline Gallaher at (410) 
786-8705. 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 
Email 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 January 27, 2012.
    OMB, Office of Information and Regulatory Affairs, Attention: CMS 
Desk Officer, Fax Number: (202) 395-6974,
    Email: [email protected].

    Dated: December 21, 2011.
Martique Jones,
Director, Regulations Development Group, Division-B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-33321 Filed 12-27-11; 8:45 am]
BILLING CODE 4120-01-P