[Federal Register Volume 81, Number 119 (Tuesday, June 21, 2016)]
[Notices]
[Pages 40308-40309]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-14569]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10599]


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

[[Page 40309]]

information from the public. Under the Paperwork Reduction Act of 1995 
(PRA), federal agencies are required to publish a 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 July 21, 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: Request for a new OMB 
control number; Title of Information Collection: Pre-Claim Review 
Demonstration For Home Health Services; Use: Section 402(a)(1)(J) of 
the Social Security Amendments of 1967 (42 U.S.C. 1395b-1(a)(1)(J)) 
authorizes the Secretary to ``develop or demonstrate improved methods 
for the investigation and prosecution of fraud in the provision of care 
or services under the health programs established by the Social 
Security Act (the Act).'' Pursuant to this authority, the CMS seeks to 
develop and implement a Medicare demonstration project, which CMS 
believes will help assist in developing improved procedures for the 
identification, investigation, and prosecution of Medicare fraud 
occurring among HHAs providing services to Medicare beneficiaries.
    This demonstration would help assure that payments for home health 
services are appropriate before the claims are paid, thereby preventing 
fraud, waste, and abuse. As part of this demonstration, CMS proposes 
performing prior authorization before processing claims for home health 
services in: Florida, Texas, Illinois, Michigan, and Massachusetts. CMS 
would establish a prior authorization procedure that is similar to the 
Prior Authorization of Power Mobility Device (PMD) Demonstration, which 
was implemented by CMS in 2012. This demonstration would also follow 
and adopt prior authorization processes that currently exist in other 
health care programs such as TRICARE, certain state Medicaid programs, 
and in private insurance.
    The information required under this collection is requested by 
Medicare contractors to determine proper payment or if there is a 
suspicion of fraud. Medicare contractors will request the information 
from HHA providers submitting claims for payment from the Medicare 
program in advance to determine appropriate payment. Please note, due 
to the title of ``Prior Authorization'' implying that services will be 
withheld from the beneficiary until an affirmed decision is achieved, 
this demonstration has been renamed from the ``Home Health Prior 
Authorization Demonstration'' to the ``Home Health Pre-Claim Review 
Demonstration,'' as home health services are already being provided to 
the beneficiary when the pre-claim review process begins. Form Number: 
CMS-10599 (OMB Control Number: 0938-NEW); Frequency: Occasionally; 
Affected Public: Private Sector (Business or other for-profits and Not-
for-profits); Number of Respondents: 908,740; Number of Responses: 
908,740; Total Annual Hours: 454,370. (For questions regarding this 
collection contact Kristal Vines (410) 786-0119.)

    Dated: June 15, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-14569 Filed 6-20-16; 8:45 am]
 BILLING CODE 4120-01-P