[Federal Register Volume 79, Number 226 (Monday, November 24, 2014)]
[Notices]
[Pages 69854-69855]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-27756]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10407 and CMS-R-245]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HSS.

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: (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 69855]]


DATES: Comments must be received by January 23, 2015.

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-10407 Summary of Benefits and Coverage and Uniform Glossary

CMS-R-245 Medicare and Medicaid Programs OASIS Collection Requirements 
as Part of the CoPs for HHAs and Supporting Regulations

    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 Collection

    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Summary of 
Benefits and Coverage and Uniform Glossary; Use: Section 2715 of the 
Public Health Service Act directs the Department of Health and Human 
Services (HHS), the Department of Labor (DOL), and the Department of 
the Treasury (collectively, the Departments), in consultation with the 
National Association of Insurance Commissioners (NAIC) and a working 
group comprised of stakeholders, to ``develop standards for use by a 
group health plan and a health insurance issuer in compiling and 
providing to applicants, enrollees, and policyholders and certificate 
holders a summary of benefits and coverage explanation that accurately 
describes the benefits and coverage under the applicable plan or 
coverage.'' To implement these disclosure requirements, collection of 
information requests relate to the provision of the following: Summary 
of benefits and coverage, which includes coverage examples; a uniform 
glossary of health coverage and medical terms; and a notice of 
modifications. Form Number: CMS-10407 (OMB control number 0938-1146); 
Frequency: Annual; Affected Public: Private Sector--Business or other 
for-profits and Not-for-profit institutions; Number of Respondents: 
126,500; Number of Responses: 41,153,858; Total Annual Hours: 322,411. 
(For policy questions regarding this collection, contact Heather 
Raeburn at 301-492-4224.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare and 
Medicaid Programs OASIS Collection Requirements as Part of the CoPs for 
HHAs and Supporting Regulations; Use: The Outcome and Assessment 
Information Set (OASIS) data set is currently mandated for use by Home 
Health Agencies (HHAs) as a condition of participation (CoP) in the 
Medicare program. Since 1999, the Medicare CoPs have mandated that HHAs 
use the OASIS data set when evaluating adult non-maternity patients 
receiving skilled services. The OASIS is a core standard assessment 
data set that agencies integrate into their own patient-specific, 
comprehensive assessment to identify each patient's need for home care 
that meets the patient's medical, nursing, rehabilitative, social, and 
discharge planning needs.
    The Office of Management and Budget (OMB) approved the OASIS-C1 
information collection request on February 6, 2014. We originally 
planned to use OASIS-C1 to coincide with the original implementation of 
ICD-10 on October 1, 2014. However, on April 1, 2014, the Protecting 
Access to Medicare Act of 2014 (PAMA) (Pub. L. 113-93) was enacted. 
This legislation prohibits CMS from adopting ICD-10 coding prior to 
October 1, 2015. Because OASIS-C1 is based on ICD-10 coding, it is not 
possible to implement OASIS-C1 prior to October 1, 2015, when ICD-10 is 
implemented. The passage of the PAMA Act left us with the dilemma of 
how to collect OASIS data in the interim, until ICD-10 is implemented.
    The OASIS-C1/ICD-9 version is an interim version of the OASIS-C1 
data item set that was created in response to the legislatively 
mandated ICD-10 delay. There are five items in OASIS-C1 that require 
ICD-10 codes. In the OASIS-C1/ICD-9 version, these items have been 
replaced with the corresponding items from OASIS-C that use ICD-9 
coding. The OASIS-C1/ICD-9 version also incorporates updated clinical 
concepts, modified item wording and response categories and improved 
item clarity. In addition, the OASIS-C1/ICD-9 version includes a 
significant decrease in provider burden that was accomplished by the 
deletion of a number of non-essential data items from the OASIS-C data 
item set. Form Number: CMS-R-245 (OMB control number: 0938-0760); 
Frequency: Occasionally; Affected Public: Private sector--Business or 
other for-profit and Not-for-profit institutions; Number of 
Respondents: 12,014; Total Annual Responses: 17,268,890; Total Annual 
Hours: 15,305,484. (For policy questions regarding this collection 
contact Cheryl Wiseman at 410-786-1175).

    Dated: November 19, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2014-27756 Filed 11-21-14; 8:45 am]
BILLING CODE 4120-01-P