[Federal Register Volume 78, Number 205 (Wednesday, October 23, 2013)]
[Notices]
[Pages 63208-63210]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-24854]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-40B, CMS-2088-92, CMS-10260, and CMS-L564 
and CMS-10501]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (the PRA), federal agencies are required to publish notice 
in the Federal Register concerning each proposed collection of 
information (including each proposed extension or reinstatement of an 
existing collection of information) and to allow 60 days for public 
comment on the proposed action. Interested persons are invited to send 
comments regarding our burden estimates or any other aspect of this 
collection of information, including any of the following subjects: the 
necessity and utility of the proposed information collection for the 
proper performance of the agency's functions; the accuracy of the 
estimated burden; ways to enhance the quality, utility, and clarity of 
the information to be collected; and the use of automated collection 
techniques or other forms of

[[Page 63209]]

information technology to minimize the information collection burden.

DATES: Comments must be received by December 23, 2013.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number (OCN). To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send 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) that are 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.

    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, you may make 
your request using one of following:
    1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326

SUPPLEMENTARY INFORMATION: 

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-40B Application for Enrollment in Medicare the Medical Insurance 
Program
CMS-2088-92 Outpatient Rehabilitation Facility, Community Mental Health 
Center Cost Report and Supporting Regulations
CMS-10260 Medicare Advantage and Prescription Drug Program: Final 
Marketing Provisions
CMS-L564 Request for Employment Information
CMS-10501 Healthcare Fraud Prevention Partnership (HFPP): Data Sharing 
and Information Exchange

    Under the Paperwork Reduction Act (PRA) (44 U.S.C. 3501-3520), 
federal agencies must obtain approval from the Office of Management and 
Budget (OMB) for each collection of information they conduct or 
sponsor. The term ``collection of information'' is defined in 44 U.S.C. 
3502(3) and 5 CFR 1320.3(c) and includes agency requests or 
requirements that members of the public submit reports, keep records, 
or provide information to a third party. Section 3506(c)(2)(A) of the 
PRA requires federal agencies to publish a 60-day notice in the Federal 
Register concerning each proposed collection of information, including 
each proposed extension or reinstatement of an existing collection of 
information, before submitting the collection to OMB for approval. To 
comply with this requirement, CMS is publishing this notice.

Information Collections

    1. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Application for Enrollment in Medicare the Medical Insurance Program; 
Use: Form CMS-40B is used to establish entitlement to and enrollment in 
supplementary medical insurance for beneficiaries who already have Part 
A, but not Part B. The form solicits information that is used to 
determine enrollment for individuals who meet the requirements in 
section 1836 of the Social Security Act as well as the entitlement of 
the applicant or a spouse regarding a benefit or annuity paid by the 
Social Security Administration or the Office of Personnel Management 
for premium deduction purposes. The Social Security Administration will 
use the collected information to establish Part B enrollment. Form 
Number: CMS-40B (OCN: 0938-New); Frequency: Once; Affected Public: 
Individuals or households; Number of Respondents: 200,000; Total Annual 
Responses: 200,000; Total Annual Hours: 50,000. (For policy questions 
regarding this collection contact Lindsay Smith at 410-786-6843.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Outpatient 
Rehabilitation Facility, Community Mental Health Center Cost Report and 
Supporting Regulations; Use: The cost reports are required to be filed 
with the provider's Medicare Administrative Contractor (MAC). The MAC 
uses the cost report to calculate the provider's cost to charge ratios 
which are used to compute outlier payments and to determine a 
provider's final cost settlement by comparing the provider's interim 
payments received to the reasonable cost for the fiscal period covered 
by the cost report.
    The collection of data is a secondary function of the cost report. 
We use the data to support program operations, payment refinement 
activities, and to make Medicare Trust Fund projections. The data is 
also used by CMS and other stakeholders to analyze a myriad of health 
care measures on a national level. Stakeholders include the Office of 
Management and Budget, the Congressional Budget Office, Medicare 
Payment Advisory Commission, Congress, researchers, universities, and 
other interested parties. Form Number: CMS-2088-92 (OCN: 0938-0037); 
Frequency: Yearly; Affected Public: Private sector (Business or other 
for-profits and Not-for-profit institutions); Number of Respondents: 
540; Total Annual Responses: 540; Total Annual Hours: 54,000. (For 
policy questions regarding this collection contact Jill Keplinger at 
410-786-4550.)
    3. Type of Information Collection Request: Reinstatement with 
change of a previously approved collection; Title of Information 
Collection: Medicare Advantage and Prescription Drug Program: Final 
Marketing Provisions; Use: We require that Medicare Advantage (MA) 
organizations and Part D sponsors use standardized documents to satisfy 
disclosure requirements mandated by section 1851(d)(3)(A) of the Social 
Security Act (Act) and 42 CFR 422.111(b) for MA organizations, and 
section 1860D-1(c) of the Act and 42 CFR 423.128(a)(3) for Part D 
sponsors. The regulatory provisions require that MA organizations and 
Part D sponsors disclose plan information, including: service area, 
benefits, access, grievance and appeals procedures, and quality 
improvement and quality assurance requirements by September 30th of 
each year. The MA organizations and Part D sponsors use the information 
to comply with the disclosure requirements. We will use the approved 
standardized documents to ensure that correct information is disclosed 
to current and potential enrollees. Form Number: CMS-10260 (OCN: 0938-
1051); Frequency: Yearly; Affected Public: Private sector (Business or 
other for-profits); Number of Respondents: 770; Total Annual Responses: 
770; Total Annual Hours: 9,240. (For policy questions regarding this 
collection contact Timothy Roe at 410-786-2006.)

[[Page 63210]]

    4. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Request for 
Employment Information; Use: Section 1837(i) of the Social Security Act 
provides for a special enrollment period for individuals who delay 
enrolling in Medicare Part B because they are covered by a group health 
plan based on their own or a spouse's current employment status. 
Disabled individuals with Medicare may also delay enrollment because 
they have large group health plan coverage based on their own or a 
family member's current employment status. When these individuals apply 
for Medicare Part B, they must provide proof that the group health plan 
coverage is (or was) based on current employment status. Form Number: 
CMS-L564 (OCN: 0938-0787); Frequency: Once; Affected Public: Private 
sector (Business or other for-profits and Not-for-profit institutions); 
Number of Respondents: 15,000; Total Annual Responses: 15,000; Total 
Annual Hours: 5,000. (For policy questions regarding this collection 
contact Lindsay Smith at 410-786-6843)
    5. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Healthcare Fraud Prevention Partnership (HFPP): Data Sharing and 
Information Exchange; Use: Section 1128C(a)(2) of the Social Security 
Act (42 U.S.C. Sec.  1320a-7c(a)(2)) authorizes the Secretary and the 
Attorney General to consult with, and arrange for the sharing of data 
with representatives of health plans to establish a Fraud and Abuse 
Control Program as specified in Section 1128(C)(a)(1) of the Social 
Security Act. This is known as the Healthcare Fraud Prevention 
Partnership (HFPP). It was officially established by a Charter in fall 
2012 and signed by HHS Secretary Sibelius and U.S. Attorney General 
Holder. The HFPP is a joint initiative established by the Department of 
Health and Human Services (HHS) and Department of Justice (DOJ) to 
detect and prevent the prevalence of healthcare fraud through data and 
information-sharing and applying analytic capabilities by the public 
and private sectors. The HFPP collaboration provides a unique 
opportunity to transition from traditional ``pay and chase'' approaches 
for fraud detection and recovery towards a data-driven model for 
identifying and predicting aberrant activity. A central goal of the 
HFPP is to identify the optimal way to coordinate nationwide sharing of 
health care claims information, including aggregating claims and 
payment information from large public healthcare programs and private 
insurance payers. In addition to sharing data and information, the HFPP 
is focused on advancing analytics, training, outreach, education to 
support anti-fraud efforts and achieving its objectives, primarily 
through goal-oriented, well-designed fraud studies. Form Number: CMS-
10501 (OCN: 0938-New); Frequency: Occasionally; Affected Public: 
Private sector (Business or other for-profits); Number of Respondents: 
75; Total Annual Responses: 75; Total Annual Hours: 180,000. (For 
policy questions regarding this collection contact Johnalyn Lyles at 
410-786-8410.)

    Dated: October 18, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-24854 Filed 10-22-13; 8:45 am]
BILLING CODE 4120-01-P