[Federal Register Volume 79, Number 70 (Friday, April 11, 2014)]
[Notices]
[Pages 20209-20211]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-08208]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-37, CMS-64, CMS-10320, CMS-10396, CMS-102 
and CMS-105, and CMS-367]


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

ACTION: Notice.

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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

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(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 a second opportunity for public comment on 
the notice. Interested persons are invited to send comments regarding 
the 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.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by May 12, 2014.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions: OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-5806 or Email: [email protected].
    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: Under the Paperwork Reduction Act of 1995 
(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 (44 U.S.C. 3506(c)(2)(A)) requires 
federal agencies to publish a 30-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 that 
summarizes the following proposed collection(s) of information for 
public comment:
    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Quarterly 
Statement of Budget for Medical Assistance; Use: We require that each 
State Medicaid agency quarterly submit the Form CMS-37 via the web-
based Medicaid and State Children's Health Insurance Program Budget and 
Expenditure System (MBES/CBES). Due dates are November 15, February 15, 
May 15 and August 15 of each fiscal year. The addendum provides a 
description of forms contained in this package. All submissions 
represent equally important components of the grant award cycle, but 
the May and November submissions are particularly significant for 
budget formulation. The November submission introduces a new fiscal 
year to the budget cycle and serves as the basis for the formulation of 
the Medicaid portion of the President's Budget, which is presented to 
Congress in January. The February and August submissions are used 
primarily for budget execution in providing interim updates to our 
Office of Financial Management, the Department of Health and Human 
Services, the Office of Management and Budget and Congress depending on 
the scheduling of the national budget review process in a given fiscal 
year. These submissions provide us with base information necessary to 
track current year obligations and expenditures in relation to the 
current year appropriation and to notify senior managers of any 
impending surpluses or deficits. Form Number: CMS-37 (OCN: 0938-0101); 
Frequency: Quarterly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 56; Total Annual Responses: 224; 
Total Annual Hours: 7,616. (For policy questions regarding this 
collection contact Abraham John at 410-786-4519).
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Quarterly 
Statement of Expenditure for Medical Assistance; Use: Section 1903 of 
the Social Security Act provides the authority for collecting this 
information. States are required to submit the form CMS-64 quarterly to 
us no later than 30 days after the end of the quarter being reported. 
These submissions provide us with the information necessary to issue 
the quarterly grant awards, monitor current year expenditure levels, 
determine the allowability of State claims for reimbursement, develop 
Medicaid financial management information provide for State reporting 
of waiver expenditures, ensure that the federally-established limit is 
not exceeded for HCBS waivers, and to allow for the implementation of 
the Assignment of Rights and Part A and Part B Premium (i.e., 
accounting for overdue Part A and Part B Premiums under State buy-in 
agreements)--Billing Offsets. Form Number: CMS-64 (OCN: 0938-0067); 
Frequency: Quarterly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 56; Total Annual Responses: 224; 
Total Annual Hours: 16,464. (For policy questions regarding this 
collection contact Abraham John at 410-786-4519).
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title: Health Care Reform Insurance Web Portal 
Requirements; Use: This information collection is mandated by Sections 
1103 and 10102 of the Patient Protection and Affordability Care Act, 
Public Law 111-148 (ACA). Once all of the information is collected from 
insurance issuers of major medical health insurance (hereon referred to 
as issuers) and other affected parties, it will be displayed at http://www.healthcare.gov. Issuers are required to provide information 
quarterly, and healthcare.gov will be updated on a periodic schedule 
during each quarter. The information provided will help the general 
public make educated decisions about organizations providing private 
health care insurance. We are currently updating a system (hereon 
referred to as web portal) where state Departments of Insurance and 
issuers may log in using a custom user ID and password validation. The 
states may be asked to provide information on issuers in their state 
and various Web sites maintained for consumers. The issuers will be 
tasked with providing information on their major medical insurance 
products and plans. They will ultimately be given the choice to 
download a basic information template to enter data then upload into 
the web portal; to manually enter data within the web portal itself; or 
to submit .xml files containing their information. Once the states and 
issuers submit their data, they

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will receive an email notifying them of any errors, and that their 
submission was received. We are both mandating the issuers verify and 
update their information on a quarterly basis and requesting that 
States verify State-submitted information on an annual basis. In the 
event that an issuer enhances its existing plans, proposes new plans, 
or deactivates plans, the organization would be required to update the 
information in the web portal. Changes occurring during the three month 
quarterly periods will be allowed utilizing effective dates for both 
the plans and rates associated with the plans. Form Number: CMS-10320 
(OCN: 0938-1086); Frequency: Annually, Quarterly; Affected Public: 
Private sector--Business or other for-profits; Number of Respondents: 
801; Total Annual Responses: 3,051; Total Annual Hours: 27,833. (For 
policy questions regarding this collection contact Kim Heckstall at 
410-786-1647.)
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medication 
Therapy Management Program Improvements; Use: Information collected by 
Part D medication therapy management programs (as required by the 
standardized format for the comprehensive medication review summary) 
will be used by beneficiaries or their authorized representatives, 
caregivers, and their healthcare providers to improve medication use 
and achieve better healthcare outcomes. Subsequent to the publication 
of the 60-day Federal Register notice (January 17, 2014; 79 FR 3207) 
non-substantive changes have been made to the information collection 
request. Form Number: CMS-10396 (OCN: 0938-1154); Frequency: 
Occasionally; Affected Public: Private sector (Business or other for-
profits); Number of Respondents: 682; Total Annual Responses: 280,352; 
Total Annual Hours: 186,901. (For policy questions regarding this 
collection contact Gary Wirth at 410-786-3977).
    5. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Clinical Laboratory Improvement Amendments of 1988 (CLIA) Budget 
Workload Reports and Supporting Regulations; Use: We will use the 
collected information to determine the amount of Federal reimbursement 
for surveys conducted. Use of the information includes program 
evaluation, audit, budget formulation and budget approval. Form CMS-102 
is a multi-purpose form designed to capture and record all budget and 
expenditure data. Form CMS-105 captures the annual projected CLIA 
workload that the State survey agency will accomplish. Our regional 
offices also use the information to approve the annual projected CLIA 
workload. The information is required as part of the section 1864 
agreement with the state. Form Numbers: CMS-102 and CMS-105 (OCN: 0938-
0599); Frequency: Quarterly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 50; Total Annual Responses: 50; 
Total Annual Hours: 4,500. (For policy questions regarding this 
collection contact Angela Stancel at 410-786-4876.)
    6. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicaid Drug 
Program--Monthly and Quarterly Drug Reporting Format; Use: Labelers 
must transmit drug data to us within 30 days after the end of each 
calendar month and quarter. We calculate the unit rebate amount (URA) 
for each National Drug Code and distributes to all state Medicaid 
agencies. States use the URA to invoice the labeler for rebates. The 
monthly data is used to calculate Federal Upper Limit prices for 
applicable drugs and for states that opt to use this data to establish 
their pharmacy reimbursement methodology. Form Number: CMS-367 (OCN: 
0938-0578); Frequency: Monthly and quarterly; Affected Public: Private 
sector--Business or other for-profits; Number of Respondents: 610; 
Total Annual Responses: 9,760; Total Annual Hours: 144,448. (For policy 
questions regarding this collection contact Samone Angel at 410-786-
1123.)

    Dated: April 8, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2014-08208 Filed 4-10-14; 8:45 am]
BILLING CODE 4120-01-P