[Federal Register Volume 79, Number 177 (Friday, September 12, 2014)]
[Notices]
[Pages 54725-54727]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-21798]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10291, CMS-10421 and CMS-10114]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

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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 (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: (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 must be received by November 12, 2014:

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-10291 State Collection and Reporting of Dental Provider and Benefit 
Package Information on the Insure Kids Now! Web site and Hotline
CMS-10421 Fee-for-Service Recovery Audit Prepayment Review 
Demonstration and Prior Authorization Demonstration
CMS-10114 National Provider Identifier (NPI) Application and Update 
Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 
162.406

    Under the 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 Collection

    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: On the Insure Kids Now 
(IKN) Web site, the Secretary is required to post a current and 
accurate list of dentists and providers that provide dental services to 
children enrolled in the state plan (or waiver) under Medicaid or the 
state child health plan (or waiver) under CHIP. States collect the 
information pertaining to their Medicaid and CHIP dental benefits. Form 
Number: CMS-10291 (OMB control number: 0938-1065); Frequency: Yearly 
and quarterly; Affected Public: State, Local, or Tribal Governments; 
Number of Respondents: 51; Total Annual Responses: 255; Total Annual 
Hours: 10,838. (For policy questions regarding this collection contact 
Laurie Norris at 410-786-6543).
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Fee-for-Service 
Recovery Audit Prepayment Review Demonstration and Prior Authorization 
Demonstration; Use: On July 23, 2012, the Office of Management and 
Budget approved the collections required for two demonstrations of 
prepayment review and prior authorization. The first demonstration 
allows Medicare Recovery Auditors to review claims on a pre-payment 
basis in certain States. The second demonstration established a prior 
authorization program for Power Mobility Device claims in certain 
States.
    For the Recovery Audit Prepayment Review Demonstration, CMS and its 
agents request additional documentation, including medical records, to 
support submitted claims. As discussed in more detail in Chapter 3 of 
the Program Integrity Manual, additional documentation includes any 
medical documentation, beyond what is included on the face of the claim 
that supports the item or service that is billed. For Medicare to 
consider coverage and payment for any item or service, the information 
submitted by the provider or supplier (e.g., claims) must be supported 
by the documentation in the patient's medical records. When conducting 
complex medical review, the contractor specifies documentation they 
require in accordance with Medicare's rules and policies. In addition, 
providers and suppliers may supply additional documentation not 
explicitly listed by the contractor. This supporting information may be 
requested by CMS and its agents on a routine basis in instances where 
diagnoses on a claim do not clearly indicate medical necessity, or if 
there is a suspicion of fraud.
    For the Prior Authorization of Power Mobility Devices (PMDs) 
Demonstration, we are piloting prior authorization for PMDs. Prior 
authorization will allow the applicable documentation that supports a 
claim to be submitted before the item is delivered. For prior 
authorization, relevant documentation for review is submitted before 
the item is delivered or the service is rendered. CMS will conduct this 
demonstration in

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California, Florida, Illinois, Michigan, New York, North Carolina, 
Texas, Pennsylvania, Ohio, Louisiana, Missouri, Maryland, New Jersey, 
Indiana, Kentucky, Georgia, Tennessee, Washington, and Arizona based on 
beneficiary address as reported to the Social Security Administration 
and recorded in the Common Working File (CWF). For the demonstration, a 
prior authorization request can be completed by the (ordering) 
physician or treating practitioner and submitted to the appropriate DME 
MAC for an initial decision. The supplier may also submit the request 
on behalf of the physician or treating practitioner. The physician, 
treating practitioner or supplier who submits the request on behalf of 
the physician or treating practitioner, is referred to as the 
``submitter.'' Under this demonstration, the submitter will submit to 
the DME MAC a request for prior authorization and all relevant 
documentation to support Medicare coverage of the PMD item.
    Form Number: CMS-10421 (OMB control number: 0938-1169); Frequency: 
Occasionally; Affected Public: State, Local or Tribal Governments; 
Number of Respondents: 333,750; Total Annual Responses: 333,750; Total 
Annual Hours: 170,060. (For policy questions regarding this collection 
contact Daniel Schwartz at 410-786-4197.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: National Provider 
Identifier (NPI) Application and Update Form and Supporting Regulations 
in 45 CFR 142.408, 45 CFR 162.406, 45 CFR 162.408; Use: The National 
Provider Identifier (NPI) Application and Update Form is used by health 
care providers to apply for NPIs and furnish updates to the information 
they supplied on their initial applications. The form is also used to 
deactivate their NPIs if necessary. The NPI Application/Update form has 
been revised to provide additional guidance on how to accurately 
complete the form. The NPI Application/Update form has been revised to 
provide additional guidance on how to accurately complete the form. 
This collection includes clarification on information that is required 
on applications/changes. Minor changes on the application/update form 
include adding a `Subpart' check box in the Other Name section and a 
revision within the PRA Disclosure Statement. This collection also 
includes changes to the instructions. Form Number: CMS-10114 (OMB 
control number: 0938-0931); Frequency: Reporting--On occasion; Affected 
Public: Business or other for-profit, not-for-profit institutions, and 
Federal government; Number of Respondents: 608,880; Total Annual 
Responses: 608,880; Total Annual Hours: 112,660. (For policy questions 
regarding this collection contact Leslie Jones at 410-786-6599.)

    Dated: September 9, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2014-21798 Filed 9-11-14; 8:45 am]
BILLING CODE 4120-01-P