[Federal Register Volume 84, Number 31 (Thursday, February 14, 2019)]
[Notices]
[Pages 4073-4075]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-02235]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10680, CSM-10180 and CMS-10440]


Agency Information Collection Activities: Submission for OMB 
Review; 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 (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 a second opportunity 
for public comment on the notice. Interested persons are invited to 
send comments regarding the burden estimate 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.

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DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by March 18, 2019.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions:
    OMB, Office of Information and Regulatory Affairs
    Attention: CMS Desk Officer
    Fax Number: (202) 395-5806 OR
    Email: [email protected]
    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
    1. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    2. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(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 (44 U.S.C. 3506(c)(2)(A)) requires 
federal agencies to publish a 30-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 that 
summarizes the following proposed collection(s) of information for 
public comment:
    1. Title of Information Collection: Electronic Visit Verification 
Compliance Survey; Type of Information Collection Request: New 
collection (request for a new OMB control number); Use: This collection 
entails an electronic web-based survey that will allow states to self-
report their progress in implementing electronic visit verification 
(EVV) for personal care services (PCS) and home health care services 
(HHCS), as required by section 1903(l) of the Social Security Act. CMS 
will use the survey data to assess states' compliance with section 
1903(l) of the Act and levy Federal Medical Assistance Percentage 
(FMAP) reductions where necessary as required by 1903(l) of the Act. 
Data collection will begin in November 2019 and will end when all 
states have fully implemented EVV systems according to the requirements 
specified at section 1903(l) of the Act.
    The survey will be disseminated to all 51 state Medicaid agencies 
(including the District of Columbia) and the Medicaid agencies of five 
US territories. States will be required to complete the survey in order 
to demonstrate that they are complaint with Section 1903(l) of the Act 
by reporting on their EVV implementation status for PCS provided under 
sections 1905(a)(24), 1915(c), 1915(i), 1915(j), 1915(k), and Section 
1115 of the Act; and HHCS provided under 1905(a)(7) of the Act or under 
a demonstration project or waiver (e.g., 1915(c) or 1115 of the Act).
    The survey will be a live form, meaning states will have the 
ability to update their 1903(l) compliance status on a continuous 
basis. As FMAP reductions are assigned quarterly per 1903(l) of the 
Act, states who are not in compliance will be asked to review their 
survey information on a quarterly basis to ensure it is up-to-date and 
to update their survey responses as needed until they come into 
compliance.
    The survey instrument has been revised subsequent to the 
publication of the 30-day notice (October 5, 2018; 83 FR 50381). Form 
Number: CMS-10680 (OMB control number: 0938-New); Frequency: On 
occasion; Affected Public: State, Local, or Tribal Governments; Number 
of Respondents: 56; Number of Responses: 336; Total Annual Hours: 504. 
(For questions regarding this collection contact Ryan Shannahan at 410-
786-0295.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Home Health 
Change of Care Notice; Use: The purpose of the Home Health Change of 
Care Notice (HHCCN) is to notify original Medicare beneficiaries 
receiving home health care benefits of plan of care changes. Home 
health agencies (HHAs) are required to provide written notice to 
Original Medicare beneficiaries under various circumstances involving 
the reduction or termination of items and/or services consistent with 
Home Health Agencies Conditions of Participation (COPs).
    The home health COP requirements are set forth in Sec.  1891[42 
U.S.C. 1395bbb] of the Social Security Act (the Act). The implementing 
regulations under 42 CFR 484.10(c) specify that Medicare patients 
receiving HHA services have rights. The patient has the right to be 
informed, in advance about the care to be furnished, and of any changes 
in the care to be furnished. The HHA must advise the patient in advance 
of the disciplines that will furnish care, and the frequency of visits 
proposed to be furnished. The HHA must advise the patient in advance of 
any change in the plan of care before the change is made.''
    Notification is required for covered and non-covered services 
listed in the plan of care (POC).The beneficiary will use the 
information provided to decide whether or not to pursue alternative 
options to continue receiving the care noted on the HHCCN. Form Number: 
CMS-10180 (OMB control number: 0938-0988); Frequency: Reporting--
Annually; Affected Public: State, Local or Tribal governments; Number 
of Respondents: 12,149; Total Annual Responses: 13,640,524; Total 
Annual Hours: 908,459. (For policy questions regarding this collection 
contact Jennifer McCormick at 410-786-2852.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Data Collection 
to Support Eligibility Determinations for Insurance Affordability 
Programs and Enrollment through Affordable Insurance Exchanges, 
Medicaid and Children's Health Insurance Program Agencies; Use: 
Information collected by the Marketplace, Medicaid or CHIP agency will 
be used to determine eligibility for coverage through the Marketplace 
and insurance affordability programs (i.e., Medicaid, CHIP, and advance 
payment of the premium tax credits), and assist consumers in enrolling 
in a QHP if eligible. Applicants include anyone who may be eligible for 
coverage through any of these programs.
    The Marketplace verifies the information provided on the 
application, communicates with the applicant or his/her authorized 
representative and subsequently provides the information to the health 
plan selected by the applicant so that it can enroll him/her in a QHP. 
The Marketplace also uses the information provided in support of its 
ongoing operations, including activities such as verifying continued 
eligibility for all programs, processing appeals, reporting

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on and managing the insurance affordability programs for eligible 
individuals, performing oversight and quality control activities, 
combatting fraud, and responding to any concerns about the security or 
confidentiality of the information. Form Number: CMS-10440 (OMB control 
number: 0938-1191); Frequency: Annually; Affected Public: Private 
Sector (Business or other for-profits, Not-for-Profit Institutions); 
Number of Respondents: 4,662,000; Total Annual Responses: 4,662,000; 
Total Annual Hours: 946,386. (For policy questions regarding this 
collection contact Anne Pesto at 410-786-3492.)

    Dated: February 8, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-02235 Filed 2-13-19; 8:45 am]
BILLING CODE 4120-01-P