[Federal Register Volume 84, Number 60 (Thursday, March 28, 2019)]
[Notices]
[Pages 11799-11800]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-05975]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-3070G-I, CMS-10565]


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.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by April 29, 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.

[[Page 11800]]

    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 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. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: ICF/IID Survey 
Report Form and Supporting Regulations; Use: The information collected 
with forms 3070G-I is used to determine the level of compliance with 
Intermediate Care Facilities for Individuals with Intellectual 
Disabilities (ICF/IID) CoPs necessary to participate in the Medicare/
Medicaid program. Information needed to monitor the State's performance 
as well as the ICF/IID program in general, is available to CMS only 
through the use of information abstracted from the survey report form. 
The form serves as a coding worksheet designed to facilitate data entry 
and retrieval into the Automated Survey Processing Environment Suite 
(ASPEN) in the State and at the CMS regional offices. Form Number: CMS-
3070G-I (OMB control number: 0938-0062); Frequency: Reporting--Yearly; 
Affected Public: Business or other for-profits and Not-for-profit 
institutions; Number of Respondents: 6,100; Total Annual Responses: 
6,100; Total Annual Hours: 18,300. (For policy questions regarding this 
collection contact Melissa Rice at 410-786-3270.)
    2. Type of Information Collection Request: Reinstatement with 
change of a previously approved collection; Title of Information 
Collection: Initial and Renewal Model of Care Submissions Off-cycle 
Submission of Summaries of Model of Care; Use: Section 3205(e) of the 
Affordable Care Act requires that all skilled nursing facilities (SNPs) 
be approved by NCQA. This approval is based on NCQA's evaluation of 
SNPs' MOC narratives using MOC scoring guidelines. 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 
need. SNPs are required to submit Models of Care (MOC) as a component 
of the Medicare Advantage application process through the Health Plan 
Management System (HPMS). 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. 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). NCQA and CMS will use information in 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. Form Number: CMS-10565 (OMB control number 0938-1296); 
Frequency: Occasionally; Affected Public: State, Local, and Tribal 
Governments; Number of Respondents: 323; Total Annual Responses: 323; 
Total Annual Hours: 1856. (For policy questions regarding this 
collection contact Donna B. Williamson at 410-786-4647.)

    Dated: March 25, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-05975 Filed 3-27-19; 8:45 am]
 BILLING CODE 4120-01-P