[Federal Register Volume 83, Number 209 (Monday, October 29, 2018)]
[Notices]
[Pages 54352-54354]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-23576]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10492, CMS-10664, and CMS-R-74]


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

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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 28, 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) 786-4669.

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-10492 Data Submission for the Federally-facilitated Exchange User 
Fee Adjustment
CMS-10664 Medicare Durable Medical Equipment, Prosthetics, Orthotics, 
and Supplies (DMEPOS) Templates
CMS-R-74 Income and Eligibility Verification System Reporting and 
Supporting Regulations

    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: Extension without change 
of a currently approved collection; Title of Information Collection: 
Data Submission for the Federally-facilitated Exchange User Fee 
Adjustment; Use: Section 2713 of the Public Health Service Act requires 
coverage without cost sharing of certain preventive health services, 
including certain contraceptive services, in non-exempt, non-
grandfathered group health plans and health insurance coverage. The 
final regulations establish rules under which the third party 
administrator of the plan would provide or arrange for a third party to 
provide separate contraceptive coverage to plan participants and 
beneficiaries without cost sharing, premium, fee, or other charge to 
plan participants or beneficiaries or to the eligible organization or 
its plan. Eligible organizations are required to self-certify that they 
are eligible for this accommodation and provide a copy of such self-
certification to their third party administrators. The final rules also 
set forth processes and standards to fund the payments for the 
contraceptive services that are provided for participants and 
beneficiaries in self-insured plans of eligible organizations under the 
accommodation described previously, through an adjustment in the FFE 
user fee payable by an issuer participating in an FFE.
    CMS will use the data collections from participating issuers and 
third party administrators to verify the total dollar amount for such 
payments for contraceptive services provided under this accommodation 
for the purpose of determining a participating issuer's user fee 
adjustment. The attestation that the payments for contraceptive 
services were made in compliance with 26 CFR 54.9815-2713A(b)(2) or 29 
CFR 2590.715-2713A(b)(2) will help ensure that the user fee adjustment 
is being utilized to provide contraceptive services for the self-
insured plans in accordance with the previously noted accommodation. 
Form Number: CMS-10492 (OMB control number: 0938-1285); Frequency: 
Annually; Affected Public: Private sector (Business or other for-
profits and Not-for-profit institutions); Number of Respondents: 861; 
Total Annual Responses: 861; Total Annual Hours: 12,930. (For policy 
questions regarding this collection contact Ernest Ayukawa (301) 492-
5213.)
    2. Type of Information Collection Request: New collection (Request 
for a new OMB Control Number); Title of Information Collection: 
Medicare Durable Medical Equipment, Prosthetics, Orthotics, and 
Supplies (DMEPOS) Templates; Use: The templates will help users capture 
the appropriate information needed to document medical necessity and 
appropriateness to help qualify DMEPOS for reimbursement under Medicare 
coverage and payment regulations. The physicians/NPPs complete the 
DMEPOS F2F encounter documentation or progress note, the DMEPOS order, 
and the results of required laboratory testing. This will help 
physicians/NPPs in complying with Medicare policy requirements, thereby 
reducing improper payments secondary to insufficient documentation. In 
addition, CMS will use this information to help substantiate that the 
request for payment (e.g. claim) is for devices and services that are 
medically necessary and appropriate as required by regulation. This 
will substantially reduce inappropriate payment due to incomplete 
documentation.
    The primary users of these clinical templates will be physicians/
NPPs and their support staff. The users of the information will also 
include other providers and suppliers that must have documentation to 
substantiate the need for the devices or services as part of the 
requirements for payment by Medicare FFS. Complete documentation will 
help with reducing claim denials and improper payments. By using these 
templates and CDEs, providers and suppliers of DMEPOS devices and 
services will receive proper documentation/information from the 
referring provider that is required for payment. Form Number: CMS-10664 
(OMB control number: 0938-NEW); Frequency: Annually; Affected Public: 
Private Sector, Business or other for-profit and not-for-profit 
institutions; Number of Respondents: 522; Number

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of Responses: 2,138; Total Annual Hours: 170,589. (For policy questions 
regarding this collection contact Kevin Young at 410-786-6133 or Ashley 
Stedding at 410-786-4250).
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Income and 
Eligibility Verification System Reporting and Supporting Regulations; 
Use: Section 1137 of the Social Security Act requires that States 
verify the income and eligibility information contained on the 
applicant's application and in the applicant's case file through data 
matches with the agencies and entities identified in this section. The 
State Medicaid/CHIP agency will report the existence of a system to 
collect all information needed to determine and redetermine eligibility 
for Medicaid and CHIP. The State Medicaid/CHIP agency will attest to 
using the PARIS system in determining beneficiary eligibility in 
Medicaid or CHIP benefit programs. Form Number: CMS-R-74 (OMB control 
number: 0938-0467); Frequency: Occasionally; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 55; Total Annual 
Responses: 3,241; Total Annual Hours: 1,071. (For policy questions 
regarding this collection contact Stephanie Bell at 410-786-0617.)

    Dated: October 23, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-23576 Filed 10-26-18; 8:45 am]
 BILLING CODE 4120-01-P