[Federal Register Volume 83, Number 190 (Monday, October 1, 2018)]
[Notices]
[Pages 49389-49390]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-20995]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10142, CMS-R-262, and CMS-179]
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 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 November 30, 2018.
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 the following:
1. Access CMS' website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
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) 786-1326.
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-10142 Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and
Prescription Drug Plans (PDP)
CMS-R-262 Contract Year 2020 Plan Benefit Package (PBP) Software and
Formulary Submission
CMS-179 Medicaid State Plan Base Plan Pages
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: Bid Pricing Tool
(BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans
(PDP); Use: The competitive bidding process defined by the ``The
Medicare Prescription Drug, Improvement, and Modernization Act'' (MMA)
applies to both the MA and Part D programs. It was first used for
Contract Year 2006. It is an annual process that encompasses the
release of the MA rate book in April, the bid's that plans submit to
CMS in June, and the release of the Part D and RPPO benchmarks, which
typically occurs in August.
CMS requires that Medicare Advantage Organizations (MAOs) and
Prescription Drug Plans (PDPs) complete the BPT as part of the annual
bidding process. During this process, organizations prepare their
proposed actuarial bid pricing for the upcoming contract year and
submit them to CMS for review and approval. The purpose of the BPT is
to collect the actuarial pricing information for each plan. It is an
Excel workbook with multiple worksheets and special functions through
which bidders present to CMS their plan pricing information. Bidders
enter information, such as plan experience, projected enrollment, and
risk profile, and the BPT calculates the plan premiums and other values
that
[[Page 49390]]
drive the bidding process. CMS maintains and updates each BPT file and
releases new versions every April.
The BPT files may be downloaded from the Health Plan Management
System website (or HPMS), which is a restricted-access website, so
users must obtain approval from CMS before using it. From HPMS, the BPT
files may be downloaded as part of the Plan Benefit Package (or PBP)
software, or they may be downloaded as stand-alone blank files. These
files are made available to users on the first Monday of April every
year and an HPMS memo is released announcing the software availability.
Plan sponsors are required to upload the completed BPTs to HPMS by the
first Monday in June each year.
MAOs and PDPs use the Bid Pricing Tool (BPT) software to develop
their actuarial pricing bid. The information provided in the BPT is the
basis for the plan's enrollee premiums and CMS payments for each
contract year. The tool collects data such as medical expense
development (from claims data and/or manual rating), administrative
expenses, profit levels, and projected plan enrollment information. By
statute, completed BPTs are due to CMS by the first Monday of June each
year. Form Number: CMS-10142 (OMB control number: 0938-0944);
Frequency: Yearly; Affected Public: Private Sector, Business or other
for-profits and Not- for-profit institution; Number of Respondents:
555; Total Annual Responses: 4,995; Total Annual Hours: 149,850. (For
policy questions regarding this collection contact Rachel Shevland at
410-786-3026.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Contract Year
2020 Plan Benefit Package (PBP) Software and Formulary Submission; Use:
CMS requires that MA and PDP organizations submit a completed Plan
Benefit Package (PBP) and formulary as part of the annual bidding
process. During this process, organizations prepare their proposed plan
benefit packages for the upcoming contract year and submit them to CMS
for review and approval. The plan benefit package submission consists
of the Plan Benefit Package (PBP) software, formulary file, and
supporting documentation, as necessary. MA and PDP organizations use
the PBP software to describe their organization's plan benefit
packages, including information on premiums, cost sharing,
authorization rules, and supplemental benefits. They also generate a
formulary to describe their list of drugs, including information on
prior authorization, step therapy, tiering, and quantity limits.
Additionally, CMS uses the PBP and formulary data to review and
approve the plan benefit packages proposed by each MA and PDP
organization. This allows CMS to review the benefit packages in a
consistent way across all submitted bids during with incredibly tight
timeframes. This data is also used to populate data on Medicare Plan
Finder, which allows beneficiaries to access and compare Medicare
Advantage and Prescription Drug plans. Form Number: CMS-R-262 (OMB
control number 0938-0763); Frequency: Yearly; Affected Public: Private
Sector, Business or other for-profits and Not- for-profit institution;
Number of Respondents: 570; Total Annual Responses: 6,760; Total Annual
Hours: 65,354.50 (For policy questions regarding this collection
contact Kristy Holtje at 410-786-2209.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicaid State
Plan Base Plan Pages; Use: State Medicaid agencies complete the plan
pages while we review the information to determine if the state has met
all of the requirements of the provisions the states choose to
implement. If the requirements are met, we will approve the amendments
to the state's Medicaid plan giving the state the authority to
implement the flexibilities. For a state to receive Medicaid Title XIX
funding, there must be an approved Title XIX state plan. Form Number:
CMS-179 (OMB control number 0938-0193); Frequency: Occasionally;
Affected Public: State, Local, and Tribal Governments; Number of
Respondents: 56; Total Annual Responses: 1,120; Total Annual Hours:
22,400. (For policy questions regarding this collection contact Annette
Pearson at 410-786-6958.)
Dated: September 21, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2018-20995 Filed 9-28-18; 8:45 am]
BILLING CODE 4120-01-P