[Federal Register Volume 83, Number 26 (Wednesday, February 7, 2018)]
[Pages 5426-5427]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-02467]



Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10421]

Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.


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 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 

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by March 9, 2018.

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' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.

[[Page 5427]]

    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: William Parham at (410) 786-4669.

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: Extension of a currently 
approved collection; Title of Information Collection: Fee-for-Service 
Recovery Audit Prepayment Review Demonstration and Prior Authorization 
Demonstration; Use: The Office of Management and Budget approved the 
collections required for two demonstrations of prepayment review and 
prior authorization. The first demonstration allows Medicare Recovery 
Auditors to review claims on a pre-payment basis in certain States. The 
second demonstration established a prior authorization program for 
Power Mobility Device claims in certain States. The first demonstration 
has ended, so we are only extending the collection of information for 
the second demonstration, prior authorization of power mobility 
    For the Prior Authorization of Power Mobility Devices (PMDs) 
Demonstration, we are piloting prior authorization for PMDs. Prior 
authorization will allow the applicable documentation that supports a 
claim to be submitted before the item is delivered. For prior 
authorization, relevant documentation for review is submitted before 
the item is delivered or the service is rendered. CMS will conduct this 
demonstration in California, Florida, Illinois, Michigan, New York, 
North Carolina, Texas, Pennsylvania, Ohio, Louisiana, Missouri, 
Maryland, New Jersey, Indiana, Kentucky, Georgia, Tennessee, 
Washington, and Arizona based on beneficiary address as reported to the 
Social Security Administration and recorded in the Common Working File 
(CWF). For the demonstration, a prior authorization request can be 
completed by the (ordering) physician or treating practitioner and 
submitted to the appropriate Durable Medical Equipment Medicare 
Administrative Contractor (DME MAC) for an initial decision. The 
supplier may also submit the request on behalf of the physician or 
treating practitioner. The physician, treating practitioner or supplier 
who submits the request on behalf of the physician or treating 
practitioner, is referred to as the ``submitter.'' Under this 
demonstration, the submitter will submit to the DME MAC a request for 
prior authorization and all relevant documentation to support Medicare 
coverage of the PMD item. Form Number: CMS-10421 (OMB control number: 
0938-1169); Frequency: Occasionally; Affected Public: State, Local or 
Tribal Governments; Number of Respondents: 50,500; Total Annual 
Responses: 50,500; Total Annual Hours: 25,125. (For policy questions 
regarding this collection contact Daniel Schwartz at 410-786-4197.)

    Dated: February 2, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-02467 Filed 2-6-18; 8:45 am]