[Federal Register Volume 84, Number 123 (Wednesday, June 26, 2019)]
[Notices]
[Pages 30122-30123]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-13607]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10520, CMS-437A and CMS-437B]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

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 July 26, 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 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: Reinstatement of a 
previously approved information 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

[[Page 30123]]

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. Type of Information Collection Request: 
Revision of a currently approved collection.
    2. Title of Information Collection: State Agency Sheets for 
Verifying Exclusions from the Inpatient Prospective Payment System and 
Supporting Regulations--Rehabilitation Unit/Rehabilitation Hospital 
Criteria Worksheets; Use: The purpose of this information collection is 
to renew forms CMS-437A and 437B. Inpatient Rehabilitation Facility 
(IRF) hospitals and units must initially attest that they meet the 
Inpatient Prospective Payment System (IPPS) exclusion criteria set 
forth at 42 CFR 412.20 to 412.29 prior to being placed into IPPS exempt 
status. Form CMS-437A must be completed by IRF units and form CMS-437B 
must be completed by IRF hospitals.
    For first time verification requests for exclusion from the IPPS, 
an IRF unit or hospital must notify the Regional Office (RO) servicing 
the State in which it is located that it believes it meets the criteria 
for exclusion from the IPPS. Currently, all new IRF units or hospitals 
must provide written certification that the inpatient population it 
intends to serve will meet the requirements of the IPPS exclusion 
criteria for IRFs. The completed CMS-437A and 437B forms are submitted 
to the State Agency (SA) no later than 5 months before the date the IRF 
unit or hospital would become subject to Inpatient Rehabilitation 
Facility Prospective Payment System (IRF-PPS). For IRF units and 
hospitals already excluded from the IPPS, annual onsite re-verification 
surveys by the SA are no longer required. IRF units and hospitals must 
now re-attest to meeting the exclusion criteria every 3 years 
thereafter.
    IRF units and hospitals that have already been excluded need not 
reapply for exclusion. These facilities will automatically be 
reevaluated yearly to determine whether they continue to meet the 
exclusion criteria. For the tri-annual re-verification, IRF units and 
hospitals will be provided with a copy of the appropriate CMS-437 
worksheet at least 5-months prior to the beginning of its cost 
reporting period, so that the IRF unit or hospital official may 
complete and sign an attestation statement and complete and return the 
appropriate form CMS-437A or CMS-437B at least 5-months prior to the 
beginning of the cost reporting period. However, Fiscal Intermediaries 
(FIs) will continue to verify, on an annual basis, compliance with the 
60 percent rule (42 CFR 412.29(b)(2)) for IRF units and hospitals 
through a sample of medical records and the SA will verify the medical 
director requirement.
    The SA will notify the RO at least 60 days prior to the end of the 
IRF unit's or hospital's cost reporting period of the status of 
compliance or non-compliance with the payment requirements. The 
information collected on the 437A and 437B forms, along with other 
information submitted by the IRF is necessary for determining the IRF's 
IPPS exclusion status. Form Number: CMS-437A and CMS-437B (OMB control 
number: 0938-0986); Frequency: tri-annually; Affected Public: Private 
sector (Business or other for-profits); Number of Respondents: 1,126; 
Total Annual Responses: 1,126; Total Annual Hours: 1,126. (For policy 
questions regarding this collection contact Caroline Gallaher at 410-
786-8705.)

    Dated: June 21, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-13607 Filed 6-25-19; 8:45 am]
BILLING CODE 4120-01-P