[Federal Register Volume 84, Number 31 (Thursday, February 14, 2019)]
[Notices]
[Pages 4075-4076]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-02231]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-R-284, CMS-R-305, CMS-10455 and CMS-10520]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid 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 April 15, 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 N. 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-R-284 Transformed--Medicaid Statistical Information System (T-MSIS)
CMS-R-305 External Quality Review (EQR) of Medicaid Managed Care 
Organizations (MCOs) and Supporting Regulations
CMS-10455 Report of a Hospital Death Associated with Restraint or 
Seclusion
CMS-10520 Marketplace Quality Standards

    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: Transformed--
Medicaid Statistical Information System (T-MSIS); Use: The data 
reported in T-MSIS are used by federal, state, and local officials, as 
well as by private researchers and corporations to monitor past and 
projected future trends in the Medicaid program. The data provide the 
only national level information available on enrollees, beneficiaries, 
and expenditures. It also provides the only national level information 
available on Medicaid utilization. The information is the basis for 
analyses and for cost savings estimates for the Department's cost 
sharing legislative initiatives to Congress. The collected data are 
also crucial to our actuarial forecasts. Form Number: CMS-R-284 (OMB 
control number: 0938-0345); Frequency: Quarterly and monthly; Affected 
Public: State, Local, or Tribal Governments; Number of Respondents: 55; 
Total Annual Responses: 660; Total Annual Hours: 6,600. (For policy 
questions regarding this collection contact Connie Gibson at 410-786-
0755.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: External Quality 
Review (EQR) of Medicaid Managed Care Organizations (MCOs) and 
Supporting Regulations; Use: State agencies must provide to the 
external quality review organization (EQRO) information obtained 
through methods consistent with the protocols specified by CMS. This 
information is used by the EQRO to determine the quality of care 
furnished by an MCO. Since the EQR results are made available to the 
general public, this allows Medicaid/CHIP enrollees and potential 
enrollees to make informed choices regarding the

[[Page 4076]]

selection of their providers. It also allows advocacy organizations, 
researchers, and other interested parties access to information on the 
quality of care provided to Medicaid beneficiaries enrolled in 
Medicaid/CHIP MCOs. States use the information during their oversight 
of these organizations. Form Number: CMS-R-305 (OMB control number 
0938-0786); Frequency: Yearly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 629; Total Annual Responses: 4,869; 
Total Annual Hours: 426,492. (For policy questions regarding this 
collection contact Jennifer Sheer at 410-786-1769.)
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Report of a 
Hospital Death Associated with Restraint or Seclusion; Use: The final 
rule, which finalized the regulations at 42 CFR 482.13(g), published on 
May, 16, 2012 (77 FR 29074) included a reduction in the reporting 
requirements related to hospital deaths associated with the use of 
restraint or seclusion. Section Sec.  482.13(g) requires that hospitals 
must use form CMS-10455 to report those deaths associated with 
restraint and/or seclusion directly to the Centers for Medicare & 
Medicaid Services (CMS) Regional Office (RO). This requirement also 
applies to rehabilitation or psychiatric distinct part units (DPUs) in 
Critical Access Hospitals (CAHs). Currently, the hospital, CAH, or 
psychiatric DPU must submit the form CMS-10455 to the CMS RO via fax or 
email, based on RO's preference. Beginning on May 9, 2014, hospitals 
were no longer required to report to CMS, those deaths that were not 
associated with the use of seclusion and where the only restraints used 
were 2-point soft wrist restraints. This reporting requirement change 
resulted in no necessary edits to the form CMS-10455. It was estimated 
that this would reduce the volume of reports that must be submitted by 
90 percent for hospitals. In addition, the final rule replaced the 
previous requirement for reporting via telephone to CMS, which proved 
to be cumbersome for both CMS and hospitals, with a requirement that 
allows the submission of reports on the form CMS-10455 via facsimile or 
electronically, as determined by CMS. In this PRA package, CMS is 
seeking OMB approval for an electronically submitted version of the 
currently approved paper version of form CMS-10455. Form Number: CMS-
10455 (OMB control number: 0938-1210); Frequency: Occasionally; 
Affected Public: Private Sector; Number of Respondents: 6,389; Number 
of Responses: 6,389; Total Annual Hours: 6,389. (For policy questions 
regarding this collection contact Caroline Gallaher at 410-786-8705.)
    4. Type of Information Collection Request: Revision of a currently 
approved collection. Title of
    Information Collection: Marketplace Quality Standards; Use: The 
Patient Protection and Affordable Care Act establishes requirements to 
support the delivery of quality health care coverage for health 
insurance issuers offering Qualified Health Plans (QHPs) in Exchanges. 
Section 1311(c)(3) of the Patient Protection and Affordable Care Act 
directs the Secretary to develop a system to rate QHPs on the basis of 
quality and price and requires Exchanges to display this quality rating 
information on their respective websites. Section 1311(c)(4) of the 
Patient Protection and Affordable Care Act requires the Secretary to 
develop an enrollee satisfaction survey system to assess enrollee 
experience with each QHP (with more than 500 enrollees in the previous 
year) offered through an Exchange. Section 1311(h) requires QHPs to 
contract with certain hospitals that meet specific patient safety and 
health care quality standards.
    This collection of information is necessary to provide adequate and 
timely health care quality information for consumers, regulators, and 
Exchanges as well as to collect information to appropriately monitor 
and provide a process for a survey vendor to appeal HHS' decision to 
not approve a QHP Enrollee Survey vendor application. Form Number: CMS-
10520 (OMB control number: 0938-1249) Frequency: Annually. Affected 
Public: Public sector (Individuals and Households), Private sector 
(Business or other for-profits and Not-for-profit institutions). Number 
of Respondents: 264. Total Annual Responses: 264. Total Annual Hours: 
348,764. (For policy questions regarding this collection contact Nidhi 
Singh Shah at 301-492-5110.)

    Dated: February 8, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-02231 Filed 2-13-19; 8:45 am]
BILLING CODE 4120-01-P