[Federal Register Volume 84, Number 187 (Thursday, September 26, 2019)]
[Notices]
[Pages 50846-50847]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-20871]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-855B]
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.
[[Page 50847]]
DATES: Comments must be received by November 25, 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-855 Medicare Enrollment Application for Clinics/Group Practices
and Other Suppliers
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: New collection (Request
for a new OMB control number); Title of Information Collection:
Medicare Enrollment Application for Clinics/Group Practices and Other
Suppliers Revision; Use: The primary function of the CMS-855B Medicare
enrollment application for suppliers, also known as Health Diagnosing
and Treating Practitioners, is to gather information from the supplier
that tells CMS who the supplier is, whether the supplier meets certain
qualifications to be a Medicare health care provider or supplier, where
the supplier practices or renders services, and other information
necessary to establish correct claims payments.
The CMS-855B form includes an attachment for Opioid Treatment
Programs (OTPs). This attachment is only used to capture the OTP
personnel and consists of limited data fields (name, Social Security
Number, National Provider Identifier, and license number) in response
to the ``SUPPORT for Patients and Communities Act'' that was signed
into law on October 24, 2018. This legislation was designed to
alleviate the nationwide opioid crisis by: (1) Reducing the abuse and
supply of opioids; (2) helping individuals recover from opioid
addiction and supporting the families of these persons; and (3)
establishing innovative and long-term solutions to the crisis. Section
2005 of the SUPPORT Act establishes a new Medicare Part B benefit for
opioid use disorder (OUD) treatment services furnished by opioid
treatment programs (OTPs) beginning on or after January 1, 2020. Form
Number: CMS-855B (OMB control number: 0938-New); Frequency: Annually;
Affected Public: Individuals and households; Number of Respondents:
327,696; Total Annual Responses: 327,696; Total Annual Hours: 522,041.
For questions regarding this collection contact Kim McPhillips at 410-
786-5374.
Dated: September 20, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2019-20871 Filed 9-25-19; 8:45 am]
BILLING CODE 4120-01-P