[Federal Register Volume 78, Number 40 (Thursday, February 28, 2013)]
[Notices]
[Pages 13678-13679]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-04551]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-64 and CMS-1957]


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.

[[Page 13679]]

    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Indirect Medical 
Education (IME) and Supporting Regulations at 42 CFR 412.105; Direct 
Graduate Medical Education (GME) and Supporting Regulations at 412 CFR 
413.75 through 83; Use: Section 1886(d)(5)(B) of the Social Security 
Act (the Act) requires additional payments to be made under the 
Medicare Prospective Payment System (PPS) for the indirect medical 
educational costs a hospital incurs in connection with interns and 
residents (IRs) in approved teaching programs. In addition, Title 42, 
Part 413, sections 75 through 83 implement section 1886(d) of the Act 
by establishing the methodology for Medicare payment of the cost of 
direct graduate medical educational activities. These payments, which 
are adjustments (add-ons) to other payments made to a hospital under 
the PPS, are largely determined by the number of full-time equivalent 
(FTE) IRs that work at a hospital during its cost reporting period. In 
Federal fiscal year (FY) 2011, the estimated Medicare program payments 
for indirect medical education (IME) costs amounted to $6.59 billion. 
Medicare program payments for direct graduate medical education (GME) 
are also based upon the number of FTE-IRs that work at a hospital. In 
FY 2011, the estimated Medicare program payments for GME costs amounted 
to $2.57 billion. Form Number: CMS-R-64 (OCN: 0938-0456); Frequency: 
Reporting--Annually; Affected Public: Private Sector--Business or other 
for-profits and Not-for-profit institutions; Number of Respondents: 
1,075; Total Annual Responses: 1075; Total Annual Hours: 2,150. (For 
policy questions regarding this collection contact Milton Jacobson at 
410-786-7553. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: Reinstatement of a 
previously approved collection; Title of Information Collection: Social 
Security Office (SSO) Report of State Buy-in Problem; Use: Under 
Section 1843 of the Social Security Act, States may enter into an 
agreement with the Department of Health and Human Services to enroll 
eligible individuals in Medicare and pay their premiums. The purpose of 
the State Buy-in' program is to assure that Medicaid is the payer of 
last resort by permitting a State to provide Medicare protection to 
certain groups of needy individuals, as part of the State's total 
assistance plan. State Buy-in also has the effect of transferring some 
medical costs for this population from the Medicaid program, which is 
partially State funded to the Medicare program, which is funded by the 
federal government and individual premiums. Generally, the States Buy-
in for individuals who meet the eligibility requirements for Medicare 
and are cash recipients or deemed cash recipients or categorically 
needy under Medicaid. In some cases, States may also include 
individuals who are not cash assistance recipients under the Medical 
Assistance Only group. The day-to-day operations of the State Buy-in 
program is accomplished through an automated data exchange process. The 
automated data exchange process is used to exchange Medicare and Buy-in 
entitlement information between the Social Security District Offices, 
Medicaid State Agencies and the Centers for Medicare & Medicaid 
Services. When problems arise however that cannot be resolved though 
the normal data exchange process, clerical actions are required. The 
CMS-1957, ``SSO Report of State Buy-In Problem'' is used to report Buy-
in problems cases. The CMS-1957 is the only standardized form available 
for communications between the aforementioned agencies for the 
resolution of beneficiary complaints and inquiries regarding State Buy-
in eligibility. Form Number: CMS-1957 (OCN: 0938-0035); Frequency: 
Reporting--Annually; Affected Public: Individuals and Households; 
Number of Respondents: 3,802; Total Annual Responses: 3,802; Total 
Annual Hours: 1,266. (For policy questions regarding this collection 
contact Lucia Diaz-Robinson at 410-247-6843. 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.
    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 April 29, 2013:
    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: February 22, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-04551 Filed 2-27-13; 8:45 am]
BILLING CODE 4120-01-P