[Federal Register Volume 81, Number 73 (Friday, April 15, 2016)]
[Notices]
[Pages 22272-22273]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-08784]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-276 and CMS-1957]


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 (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 16, 2016.

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: Revision of a currently 
approved collection; Title of Information Collection: Prepaid Health 
Plan Cost Report; Use: Health Maintenance Organizations and Competitive 
Medical Plans (HMO/CMPs) contracting with the Secretary under Section 
1876 of the Social Security Act are required to submit a budget and 
enrollment forecast, semi-annual interim report, 4th Quarter interim 
report, and a final certified cost report in accordance with 42 CFR 
417.572-417.576. Health Care Prepayment Plans (HCPPs) contracting with 
the Secretary under Section 1833 of the Social Security Act are 
required to submit a budget and enrollment forecast, semi-annual 
interim report, and final cost report in accordance with 42 CFR 417.808 
and 42 CFR 417.810. Form Number: CMS-276 (OMB control number 0938-
0165); Frequency: Quarterly; Affected Public: Private Sector (Business 
or other for-profits); Number of Respondents: 91; Total Annual 
Responses: 74; Total Annual Hours: 3728. (For policy questions 
regarding this collection contact Bilal Farrakh at 410-786-4456.)
    2. Type of Information Collection Request: Reinstatement of a 
previously approved collection; Title of Information Collection: Social 
Security

[[Page 22273]]

Office (SSO) Report of State Buy-in Problem; Use: Under Section 1843 of 
the Social Security Act, States may enter into an agreement with the 
Department of Health and Human Services to enroll eligible individuals 
in Medicare and pay their premiums. The purpose of the State Buy-in' 
program is to assure that Medicaid is the payer of last resort by 
permitting a State to provide Medicare protection to certain groups of 
needy individuals, as part of the State's total assistance plan. State 
Buy-in also has the effect of transferring some medical costs for this 
population from the Medicaid program, which is partially State funded 
to the Medicare program, which is funded by the federal government and 
individual premiums. Generally, the States Buy-in for individuals who 
meet the eligibility requirements for Medicare and are cash recipients 
or deemed cash recipients or categorically needy under Medicaid. In 
some cases, States may also include individuals who are not cash 
assistance recipients under the Medical Assistance Only group. The day-
to-day operations of the State Buy-in program is accomplished through 
an automated data exchange process. The automated data exchange process 
is used to exchange Medicare and Buy-in entitlement information between 
the Social Security District Offices, Medicaid State Agencies and the 
Centers for Medicare & Medicaid Services. When problems arise however 
that cannot be resolved though the normal data exchange process, 
clerical actions are required. The CMS-1957, ``SSO Report of State Buy-
In Problem'' is used to report Buy-in problems cases. The CMS-1957 is 
the only standardized form available for communications between the 
aforementioned agencies for the resolution of beneficiary complaints 
and inquiries regarding State Buy-in eligibility. Form Number: CMS-1957 
(OMB control number: 0938-0035); Frequency: Reporting--Annually; 
Affected Public: Individuals and Households; Number of Respondents: 
3,936; Total Annual Responses: 3,936; Total Annual Hours: 1,311. (For 
policy questions regarding this collection contact Keith Robinson at 
410-786-1148.)

    Dated: April 12, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-08784 Filed 4-14-16; 8:45 am]
BILLING CODE 4120-01-P