[Federal Register Volume 80, Number 155 (Wednesday, August 12, 2015)]
[Notices]
[Pages 48320-48321]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-19818]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10143, CMS-10572 and CMS-10564]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

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 October 13, 2015.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. 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-10143 Monthly File of Medicaid/Medicare Dual Eligible Enrollees

CMS-10572 Transparency in Coverage Reporting by Qualified Health Plan 
Issuers

CMS-10564 Home Health Face-to-Face Encounter Clinical Templates

    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: Monthly File of 
Medicaid/Medicare Dual Eligible Enrollees; Use: The monthly data file 
is provided to CMS by states on dually eligible Medicaid and Medicare 
beneficiaries, listing the individuals on the Medicaid eligibility 
file, their Medicare status and other information needed to establish 
subsidy level, such as income and institutional status. The file is 
used to count the exact number of individuals who should be included in 
the phased-down state contribution calculation that month. CMS merges 
the data with other data files and establishes Part D enrollment for 
those individuals on the file. The file may be used by CMS partners to 
obtain accurate counts of duals on a current basis. Form Number: CMS-
10143 (OMB Control Number: 0938-0958); Frequency: Monthly; Affected 
Public: State, Local, or Tribal Governments; Number of Respondents: 51; 
Total Annual Responses: 612; Total Annual Hours: 6,120. (For policy 
questions regarding this collection contact Vasanthi Kandasamy at 410-
786-0433).
    2. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Transparency in Coverage Reporting by Qualified Health Plan Issuers; 
Use: Section 1311(e)(3) of the Affordable Care Act requires issuers of 
Qualified Health Plans (QHPs), to make available and submit 
transparency in coverage data. This data collection would collect 
certain information from QHP issuers in Federally-facilitated Exchanges 
and State-based Exchanges that rely on the federal IT platform (i.e., 
HealthCare.gov). HHS anticipates that consumers may use this 
information to inform plan selection.
    Although this proposed data collection is limited to certain QHP 
issuers, HHS intends to phase in implementation for other entities over 
time. As stated in the final rule Patient Protection and Affordable 
Care Act; Establishment of Exchanges and Qualified Health Plans; 
Exchange Standards for Employers (77 FR 18310; March 27, 2012), broader 
implementation will continue to be addressed in separate rulemaking 
issued by HHS, and the Departments of Labor and the Treasury (the 
Departments). For State-based Exchanges not addressed in the current 
proposal, standards will be proposed later.
    Consistent with Public Health Service Act (PHS Act) section 2715A, 
which

[[Page 48321]]

largely extends the transparency reporting provisions set forth in 
section 1311(e)(3) to non-grandfathered group health plans (including 
large group and self-insured health plans) and health insurance issuers 
offering group and individual health insurance coverage (non-QHP 
issuers), the Departments intend to propose other transparency 
reporting requirements at a later time, through a separate rulemaking 
conducted by the Departments, for non-QHP issuers and non-grandfathered 
group health plans. Those proposed reporting requirements may differ 
from those prescribed in the HHS proposal under section 1311(e)(3), and 
will take into account differences in markets, reporting requirements 
already in existence for non-QHPs (including group health plans), and 
other relevant factors. The Departments also intend to streamline 
reporting under multiple reporting provisions and reduce unnecessary 
duplication. The Departments intend to implement any transparency 
reporting requirements applicable to non-QHP issuers and non-
grandfathered group health plans only after notice and comment, and 
after giving those issuers and plans sufficient time, following the 
publication of final rules, to come into compliance with those 
requirements. Form Number: CMS-10572 (OMB control number: 0938-New); 
Frequency: Annually; Affected Public: Private Sector (Business or other 
For-profit and Not-for-profit institutions); Number of Respondents: 
475; Total Annual Responses: 475; Total Annual Hours: 16,150. (For 
policy questions regarding this collection contact Valisha Price at 
301-492-4343).
    3. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: Home 
Health Face-to-Face Encounter Clinical Templates; Use: The Centers for 
Medicare & Medicare Services (CMS) is requesting the Office of 
Management and Budget (OMB) approval of the collection of data required 
to support the eligibility of Medicare home health services. Home 
health services are covered under the Hospital Insurance (Part A) and 
Supplemental Medical Insurance (Part B) benefits of the Medicare 
program. It consists of part-time, medically necessary skilled care 
(nursing, physical therapy, occupational therapy, and speech-language 
therapy) that is ordered by a physician. The CMS has developed a list 
of clinical elements within a suggested electronic clinical template 
that would allow electronic health record vendors to create prompts to 
assist physicians when documenting the HH face-to-face encounter for 
Medicare purposes. Once completed by the physician, the resulting 
progress note or clinic note would be part of the medical record. The 
primary users of these new clinical templates will be physicians and/or 
allowed non-physician practitioners (NPPs). The templates will help 
users to capture the necessary information needed to complete the face-
to-face encounter documentation. This will help physicians and/or 
allowed NPPs comply with Medicare policy requirements, thereby reducing 
the possibility of a home health claim not being paid because of 
failure to meet Medicare requirements. Form Number: CMS-10564 (OMB 
control number: 0938-New); Frequency: Occasionally; Affected Public: 
Private Sector (Business or other For-profit and Not-for-profit 
institutions); Number of Respondents: 2,926,420; Total Annual 
Responses: 2,926,420; Total Annual Hours: 1,220,317. (For policy 
questions regarding this collection contact Kristal Vines at 410-786-
0119).

    Dated: August 7, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2015-19818 Filed 8-11-15; 8:45 am]
 BILLING CODE 4120-01-P