[Federal Register Volume 80, Number 235 (Tuesday, December 8, 2015)]
[Notices]
[Pages 76293-76294]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-30891]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-R-193 and CMS-R-244]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

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 February 8, 2016.

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-R-193 Important Message from Medicare (IM)
CMS-R-244 Programs for All-inclusive Care of the Elderly (PACE) and 
Supporting Regulations
    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

[[Page 76294]]

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: Important Message 
from Medicare (IM); Use: Hospitals have used the IM to inform original 
Medicare, Medicare Advantage, and other Medicare plan beneficiaries who 
are hospital inpatients about their hospital rights and discharge 
rights. In particular, the IM provides information about when a 
beneficiary will and will not be liable for charges for a continued 
stay in a hospital and offers a detailed description of the Quality 
Improvement Organization review process. Please note that this 
iteration proposes non-substantive changes to the form. Form Number: 
CMS-R-193 (OMB Control Number: 0938-0692). Frequency: Yearly; Affected 
Public: Private sector (Business or other for-profit and Not-for-profit 
institutions); Number of Respondents: 6,164; Total Annual Responses: 
24,160,000; Total Annual Hours: 3,624,000. (For policy questions 
regarding this collection contact Evelyn Blaemire at 410-786-1803.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Programs for All-
inclusive Care of the Elderly (PACE) and Supporting Regulations; Use: 
PACE organizations must demonstrate their ability to provide quality 
community-based care for the frail elderly who meet their state's 
nursing home eligibility standards using capitated payments from 
Medicare and the state. The model of care includes (as core services) 
the provision of adult day health care and multidisciplinary team case 
management, through which access to and allocation of all health 
services is controlled. Physician, therapeutic, ancillary, and social 
support services are provided in the participant's residence or on-site 
at the adult day health center. The PACE programs must provide all 
Medicare and Medicaid covered services including hospital, nursing 
home, home health, and other specialized services. Financing of this 
model is accomplished through prospective capitation of both Medicare 
and Medicaid payments. The information collection requirements are 
necessary to ensure that only appropriate organizations are selected to 
become PACE organizations and that we have the information necessary to 
monitor the care provided to the frail, vulnerable population served. 
Form Number: CMS-R-244 (OMB Control Number: 0938-0790; Frequency: Once 
and occasionally; Affected Public: Private sector (Not-for-profit 
institutions); Number of Respondents: 35; Total Annual Responses: 35; 
Total Annual Hours: 740. (For policy questions regarding this 
collection contact John Hebb at 410-786-6657.)

    Dated: December 3, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2015-30891 Filed 12-7-15; 8:45 am]
 BILLING CODE 4120-01-P