[Federal Register Volume 83, Number 193 (Thursday, October 4, 2018)]
[Notices]
[Pages 50099-50100]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-21587]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10391]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Department of Health 
and Human Services.

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

[[Page 50100]]

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 December 3, 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 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-10391 Methods for Assuring Access to Covered Medicaid Services 
Under 42 CFR 447.203 and 447.204

    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. Title of Information Collection: Methods for Assuring Access to 
Covered Medicaid Services Under 42 CFR 447.203 and 447.204; Type of 
Information Collection Request: Extension of a currently approved 
collection; Use: Current regulations at 42 CFR 447.203(b) require 
states to develop an access monitoring review plan (AMRP) that is 
updated at least every three years for: Primary care services, 
physician specialist services, behavioral health services, pre and 
post-natal obstetric services (including labor and delivery), and home 
health services. When states reduce rates for other Medicaid services, 
they must add those services to the AMRP and monitor the effects of the 
rate reductions for 3 years. If access issues are detected, a state 
must submit a corrective action plan to CMS within 90 days and work to 
address the issues within 12 months. Section 447.203(b)(7) requires 
that states have mechanisms to obtain ongoing beneficiary and provider 
feedback. A state is also required to maintain a record of data on 
public input and how the state responded to the input. Prior to 
submitting proposals to reduce or restructure Medicaid service payment 
rates, states must receive input from beneficiaries, providers, and 
other affected stakeholders on the extent of beneficiary access to the 
affected services.
    The information is used by states to document that access to care 
is in compliance with section 1902(a)(30)(A) of the Social Security 
Act, to identify issues with access within a state's Medicaid program, 
and to inform any necessary programmatic changes to address issues with 
access to care. CMS uses the information to make informed approval 
decisions on State plan amendments that propose to make Medicaid rate 
reductions or restructure payment rates and to provide the necessary 
information for CMS to monitor ongoing compliance with section 
1902(a)(30)(A). Beneficiaries, providers and other affected 
stakeholders may use the information to raise access issues to state 
Medicaid agencies and work with agencies to address those issues. Form 
Number: CMS-10391 (OMB control number: 0938-1134); Frequency: Annually; 
Affected Public: State, Local, or Tribal Governments); Number of 
Respondents: 51; Number of Responses: 212; Total Annual Hours: 12,262. 
(For questions regarding this collection contact Jeremy Silanskis at 
410-786-1592.)

    Dated: September 28, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-21587 Filed 10-3-18; 8:45 am]
 BILLING CODE 4120-01-P