[Federal Register Volume 81, Number 151 (Friday, August 5, 2016)]
[Notices]
[Pages 51916-51917]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-18662]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10340 and CMS-10630]


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: The 
necessity and utility of the proposed information collection for the 
proper performance of the agency's functions; the accuracy of the 
estimated burden; ways to enhance the quality, utility, and clarity of 
the information to be collected; and 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 4, 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-10340 Collection of Encounter Data From: Medicare Advantage 
Organizations, Section 1876 Cost HMOS/CMPS, Section 1833 Health Care 
Prepayment Plans (HCPPS), and PACE Organizations
CMS-10630 The PACE Organization (PO) Monitoring and Audit Process in 42 
CFR part 460

    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: Collection of 
Encounter Data From: Medicare Advantage Organizations, Section 1876 
Cost HMOS/CMPS, Section 1833 Health Care Prepayment Plans (HCPPS), and 
PACE Organizations; Use: We collect encounter data or data on each item 
or service delivered to enrollees of Medicare Advantage (MA) plans 
offered by MA organizations. The MA organizations currently obtain this 
data from providers. We collect this information using standard 
transaction forms and code sets. We will use the data for determining 
risk adjustment factors for payment, updating the risk adjustment 
model, calculating Medicare DSH percentages, Medicare coverage 
purposes, and quality review and improvement activities. The data is 
also used to verify the accuracy and validity of the costs claimed on 
cost reports. For PACE organizations, encounter data would serve the 
same purpose it does related to the MA program and would be submitted 
in a similar manner. Form Number: CMS-10340 (OMB control number: 0938-
1152); Frequency: Weekly, bi-weekly, and monthly; Affected Public: 
Private sector (Business or other for-profits); Number of Respondents: 
691; Total Annual Responses: 18,854,605; Total Annual Hours: 54,054. 
(For policy questions regarding this collection contact Michael 
Massimini at 410-786-1566.)

[[Page 51917]]

    2. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: The 
PACE Organization (PO) Monitoring and Audit Process in 42 CFR part 460; 
Use: Historically, the Programs of All-Inclusive Care for the Elderly 
(PACE) audit protocols have been included in the Medicare Advantage 
(MA) and Medicare Part D audit protocol's information collection 
request (CMS-10191, OMB 0938-1000). However, in examining previous 
submissions, we do not believe that including it with the MA and Part D 
audit protocols allowed for an accurate representation of the PACE 
burden. Due to PACE audits being substantially different from our MA 
and Part D audits, we have separated the PACE audit protocols from the 
MA and Part D protocols and created this information collection request 
which seeks OMB approval under a new control number.
    POs are required to comply with all PACE program requirements. The 
growth of these PACE organizations forced CMS to develop an audit 
strategy to ensure we continue to obtain meaningful audit results. As a 
result, CMS' audit strategy reflected a move to a more targeted, data-
driven and outcomes-based audit approach. We focused on high-risk areas 
that have the greatest potential for participant harm.
    CMS has developed an audit protocol and will post it to the CMS Web 
site each year for use by POs to prepare for their audit. The data 
collected for audit is detailed in this protocol and the exact fields 
are located in the record layouts, at the end of the protocol. In 
addition, a questionnaire will be distributed as part of our audit. 
This questionnaire is also included in this package. Form Number: CMS-
10630 (OMB control number: 0938-New); Frequency: Yearly; Affected 
Public: Private sector (Business or other for-profits and Not-for-
profits institutions); Number of Respondents: 72; Total Annual 
Responses: 72; Total Annual Hours: 12,960. (For policy questions 
regarding this collection contact Caroline Zeman at 410-786-0116.)

    Dated: August 2, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-18662 Filed 8-4-16; 8:45 am]
BILLING CODE 4120-01-P