[Federal Register Volume 84, Number 229 (Wednesday, November 27, 2019)]
[Notices]
[Pages 65396-65397]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-25717]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10630 and CMS-855S]


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 December 27, 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: Revision with change of 
a currently approved collection; Title of Information Collection: 
Programs of All-Inclusive Care for the Elderly (PACE) 2020 Audit 
Protocol; Use: Sections 1894(e)(4) and 1934(e)(4) of the Act and the 
implementing regulations at 42 CFR 460.190 and 460.192 mandate that 
CMS, in conjunction with the SAA, audit PACE organizations (POs) 
annually for the first 3 years (during the trial period), and then at 
least every 2 years following the trial period. The information 
gathered during this audit will be used by the Medicare Parts C and D 
Oversight and Enforcement Group (MOEG) within the Center for Medicare 
(CM) and CMS Regional Offices, as well as the SAA, to assess PO's 
compliance with PACE program requirements. If outliers or other data 
anomalies are detected, CMS' Regional Offices will work in 
collaboration with MOEG and other divisions within CMS for follow-up 
and resolution. Additionally, POs will receive the audit results, and 
will be required to implement corrective action to correct any 
identified deficiencies.
    CMS currently uses 18 data collection instruments for conducting 
PACE audits. These instruments are categorized as a PACE audit process 
and data request, a questionnaire, a pre-audit issue summary, a Root 
Cause Analysis template and 16 impact analyses templates. Beginning in 
audit

[[Page 65397]]

year 2020, the number of data collection tools will increase from 18 to 
the following 22 documents. The data collected with the data request 
tools included in this package allow CMS to conduct a comprehensive 
review of PACE organizations' compliance in accordance with specific 
federal regulatory requirements.
    CMS developed and implemented a revised PACE audit protocol. The 
audit protocol was designed to account for the continued growth of the 
PACE program and CMS' commitment to a more targeted, data-driven and 
outcomes-based audit approach, focused on high-risk areas that have the 
greatest potential for participant harm. Form Number: CMS-10630 (OMB 
control number: 0938-1327); Frequency: Yearly; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 35; Total Annual 
Responses: 735; Total Annual Hours: 42,000. (For policy questions 
regarding this collection contact Caroline Zeman at 410 786-0116.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Enrollment Application--Durable Medical Equipment, Prosthetics, 
Orthotics and Supplies (DMEPOS) Suppliers; Use: The CMS-855S is 
submitted by an applicant to the National Supplier Clearinghouse 
Medicare Administrative Contractor (NSC MAC) to initially apply for a 
Medicare billing number, and thereafter to add a new business location, 
revalidate Medicare enrollment, reactivate Medicare enrollment, to 
report a change to current Medicare enrollment information, changing 
the tax identification number, and to voluntary terminate the 
supplier's Medicare enrollment, as applicable. It is used by new 
applicants as well as suppliers already enrolled in Medicare but need 
to submit the form for a reason other than initial enrollment into the 
Medicare program. Form Number: CMS-855S (OMB control number: 0938-
1056); Frequency: Yearly; Affected Public: Private Sector, Business or 
other for-profits and Not-for-profit institutions; Number of 
Respondents: 135,351; Total Annual Responses: 44,757; Total Annual 
Hours: 265,471. (For policy questions regarding this collection contact 
Kim McPhillips at 410-786-5374.)

    Dated: November 21, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-25717 Filed 11-26-19; 8:45 am]
BILLING CODE 4120-01-P