[Federal Register Volume 83, Number 217 (Thursday, November 8, 2018)]
[Notices]
[Pages 55891-55892]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-24478]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10565 and CMS-10325]


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 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 January 7, 2019.

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 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-10565 Off-cycle Submission of Summaries of Model of Care Changes
CMS-10325 Disclosure and Recordkeeping Requirements for Grandfathered 
Health Plans under the Affordable Care Act

    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: Off-cycle 
Submissions of Summaries of Model of Care Changes; Use: The ACA, 
Section 3205(e), requires that all SNPs be approved by NCQA. This 
approval is based on NCQA's evaluation of SNPs' MOC narratives using 
MOC scoring guidelines. The NCQA and CMS will use information collected 
in the SNP Application HPMS module to review and approve MOC narratives 
in order for a Medicare Advantage Organization (MAO) to operate as a 
new SNP in the upcoming calendar year(s). This information is used by 
CMS as part of the Medicare Advantage SNP application process.
    The NCQA and CMS will use information collected in the Renewal 
Submission section of the HPMS MOC module to review and approve the MOC 
narrative in order for the SNP to receive a new approval period and 
operate in the upcoming calendar year(s). Results of the Initial and 
Renewal MOC review will be made publically available. NCQA and CMS will 
use information in

[[Page 55892]]

the Off-Cycle Submission section of the HPMS MOC module to review 
changes made to an approved MOCs by SNPs. It is the responsibility of 
SNPs to notify CMS of significant changes to their MOC in HPMS. NCQA 
will conduct a review for CMS to determine if the changes made to a MOC 
are consistent with the overall approved MOC before SNPs may implement 
the changes.
    The Bipartisan Budget Act (BBA) of 2018 Section 50311 modified the 
MOC requirements for C-SNPs in section 1859(b)(6)(B)(iii) of the Act. 
Specifically, section (B)(iv) requires that beginning in 2020 and 
subsequent years, C-SNPs will submit MOCs annually for evaluation and 
approval. SNPs are a specific type of Medicare Advantage coordinated 
care plan that provide targeted care to individuals with unique special 
needs. Form Number: CMS-10565 (OMB control number: 0938-1296); 
Frequency: Yearly; Affected Public: Private Sector (Business or other 
for-profits, Not-for-Profit Institutions); Number of Respondents: 354; 
Total Annual Responses: 354; Total Annual Hours: 1,856. (For policy 
questions regarding this collection contact Donna B. Williamson at 410-
786-4647.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Disclosure and 
Recordkeeping Requirements for Grandfathered Health Plans under the 
Affordable Care Act; Use: Section 1251 of the Affordable Care Act 
provides that certain plans and health insurance coverage in existence 
as of March 23, 2010, known as grandfathered health plans, are not 
required to comply with certain statutory provisions in the Act. The 
final regulations titled ``Final Rules under the Affordable Care Act 
for Grandfathered Plans, Preexisting Condition Exclusions, Lifetime and 
Annual Limits, Rescissions, Dependent Coverage, Appeals, and Patient 
Protections'' (80 FR 72192, November 18, 2015) require that, to 
maintain its status as a grandfathered health plan, a plan must 
maintain records documenting the terms of the plan in effect on March 
23, 2010, and any other documents that are necessary to verify, explain 
or clarify status as a grandfathered health plan. The plan must make 
such records available for examination upon request by participants, 
beneficiaries, individual policy subscribers, or a state or federal 
agency official. A grandfathered health plan is also required to 
include a statement in any summary of benefits under the plan or health 
insurance coverage, that the plan or coverage believes it is a 
grandfathered health plan within the meaning of section 1251 of the 
Affordable Care Act, and providing contact information for participants 
to direct questions and complaints. In addition, a grandfathered group 
health plan that is changing health insurance issuers is required to 
provide the succeeding health insurance issuer (and the succeeding 
health insurance issuer must require) documentation of plan terms 
(including benefits, cost sharing, employer contributions, and annual 
limits) under the prior health insurance coverage sufficient to make a 
determination whether the standards of paragraph Sec.  147.140(g)(1) of 
the final regulations are exceeded. It is also required that, for an 
insured group health plan (or a multiemployer plan) that is a 
grandfathered plan, the relevant policies, certificates, or contracts 
of insurance, or plan documents must disclose in a prominent and 
effective manner that employers, employee organizations, or plan 
sponsors, as applicable, are required to notify the issuer (or 
multiemployer plan) if the contribution rate changes at any point 
during the plan year. Form Number: CMS-10325 (OMB control number: 0938-
1093); Frequency: On Occasion; Affected Public: State, Local or Tribal 
Governments; Private Sector; Number of Respondents: 20,973; Number of 
Responses: 3,831,484; Total Annual Hours: 114. (For policy questions 
regarding this collection, contact Usree Bandyopadhyay at 410-786-
6650.)

    Dated: November 5, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-24478 Filed 11-7-18; 8:45 am]
 BILLING CODE 4120-01-P