[Federal Register Volume 84, Number 167 (Wednesday, August 28, 2019)]
[Notices]
[Page 45155]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-18570]



[[Page 45155]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10611]


Agency Information Collection Activities: Proposed Collection; 
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 (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 October 28, 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 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-10611 Medicare Outpatient Observation Notice (MOON)

    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: Extension without change 
of a currently approved collection; Title of Information Collection: 
Medicare Outpatient Observation Notice (MOON); Use: On August 6, 2015, 
Congress enacted the Notice of Observation Treatment and Implication 
for Care Eligibility Act (NOTICE Act) Public Law 114-42, amending 
Section 1866(a)(1) of the Social Security Act (the Act) (42 U.S.C. 
1395cc(a)(1)), by adding a new subparagraph (Y). The NOTICE Act 
requires hospitals and CAHs to provide written notification and oral 
explanation to individuals who receive observation services as 
outpatients for more than 24 hours.
    The MOON is a standardized notice delivered to persons entitled to 
Medicare benefits under Title XVIII of the Act who receive more than 24 
hours of observation services, informing them that their hospital stay 
is outpatient and not inpatient, and the implications of being an 
outpatient. This information collection applies to beneficiaries in 
Original Medicare and enrollees in Medicare health plans.
    The Medicare Outpatient Observation Notice (MOON), serves as the 
written notice component of this mandatory notification process. The 
standardized content of the MOON includes all informational elements 
required by statute, in language understandable to beneficiaries, and 
fulfils the regulatory requirements at 42 CFR part 489.20(y).
    The MOON is not given every time items and services are furnished 
in a hospital or CAH. Rather, hospitals are only required to deliver 
the MOON to individuals receiving observation services as outpatients 
for more than 24 hours. Form Number: CMS-10611 (OMB control number: 
0938-1308); Frequency: Yearly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 4,373; Total Annual Responses: 
946,209; Total Annual Hours: 236,552. (For policy questions regarding 
this collection contact Janet Miller at [email protected].)

    Dated: August 23, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-18570 Filed 8-27-19; 8:45 am]
 BILLING CODE 4120-01-P