[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