[Federal Register Volume 84, Number 237 (Tuesday, December 10, 2019)]
[Notices]
[Pages 67464-67466]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-26595]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10221, CMS-10344 and CMS-10137]


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

[[Page 67465]]

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 January 9, 2020.

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 without 
change of a previously approved collection; Title of Information 
Collection: Independent Diagnostic Testing Facilities (IDTFs) Site 
Investigation Form Revisions; Use: The data collection is used by 
Medicare contractors and/or their subcontractors on site visits to 
verify compliance with required IDTF performance standards. If a 
subcontractor is used, the subcontractor collects the information from 
the IDTF through an interview and forwards it to the Medicare 
contractor for evaluation.
    The collection and verification of this information defends and 
protects our beneficiaries from illegitimate IDTFs. These procedures 
also protect the Medicare Trust Fund against fraud. The data collected 
also ensures that the applicant has the necessary credentials to 
provide the health care services for which they intend to bill 
Medicare. Form Number: CMS-10221 (OMB control number: 0938-1029); 
Frequency: Occasionally; Affected Public: Private Sector (Business or 
other for-profit and Not-for-profit institutions); Number of 
Respondents: 727; Total Annual Responses: 727; Total Annual Hours: 
1,454. (For policy questions regarding this collection contact Kimberly 
McPhillips at 410-786-5374.)
    2. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Elimination of Cost-Sharing for full benefit dual-eligible Individuals 
Receiving Home and Community-Based Services; Use: Each month CMS deems 
individuals automatically eligible for the full subsidy, based on data 
from State Medicaid Agencies and the Social Security Administration 
(SSA). The SSA sends a monthly file of Supplementary Security Income-
eligible beneficiaries to CMS. Similarly, the State Medicaid agencies 
submit Medicare Modernization Act files to CMS that identify full 
subsidy beneficiaries. CMS deems the beneficiaries as having full 
subsidy and auto-assigns these beneficiaries to bench mark Part D 
plans. Part D plans receive premium amounts based on the monthly 
assessments.
    State MMA Phase Down (SPD) exchange enables CMS to implement the 
Medicare Prescription Drug, Improvement, and Modernization Act, also 
called the Medicare Modernization Act (MMA), which was enacted into law 
in 2003. This data exchange allows the State Medicaid Agency (SMA) to 
identify Medicare beneficiaries with coverage under the Medicaid 
program. The SMAs also identify other low-income Medicare beneficiaries 
who have applied for the Part D Low-Income Subsidy (LIS). As a result 
of the identification of these two groups of beneficiaries, CMS auto-
assigns and/or facilitates enrollment of the appropriate beneficiaries 
into Part D plans.
    Section 1860 D-14 of the Social Security Act sets forth 
requirements for premium and cost-sharing subsidies for low-income 
beneficiaries enrolled in Medicare Part D. Based on this statute, 42 
CFR 423.771, provides guidance concerning limitations for payments made 
by and on behalf of low-income Medicare beneficiaries who enroll in 
Part D plans. 42 CFR 423.771 (b) establishes requirements for 
determining a beneficiary's eligibility for full subsidy under the Part 
D program. Regulations set forth in 423.780 and 423.782 outline premium 
and cost sharing subsidies to which full subsidy eligible are entitled 
under the Part D program. Form Number: CMS-10344 (OMB control number: 
0938-1127); Frequency: Yearly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 51; Total Annual Responses: 612; 
Total Annual Hours: 612. (For policy questions regarding this 
collection contact Roland O. Herrera at 410-786-0668.)
    3. Type of Information Collection Request: Revision with change of 
a currently approved collection; Title of Information Collection: Title 
Solicitation for Applications for Medicare Prescription Drug Plan 2021 
Contracts; Use: Coverage for the prescription drug benefit is provided 
through contracted prescription drug plans (PDPs) or through Medicare 
Advantage (MA) plans that offer integrated prescription drug and health 
care coverage (MA-PD plans). Cost Plans that are regulated under 
Section 1876 of the Social Security Act, and Employer Group Waiver 
Plans (EGWP) may also provide a Part D benefit. Organizations wishing 
to provide services under the Prescription Drug Benefit Program must 
complete an application, negotiate rates, and receive final approval 
from CMS. Existing Part D Sponsors may also expand their contracted 
service area by completing the Service Area Expansion (SAE) 
application.
    Collection of this information is mandated in Part D of the 
Medicare Prescription Drug, Improvement, and

[[Page 67466]]

Modernization Act of 2003 (MMA) in Subpart 3. The application 
requirements are codified in Subpart K of 42 CFR 423 entitled 
``Application Procedures and Contracts with PDP Sponsors.''
    The information will be collected under the solicitation of 
proposals from PDP, MA-PD, Cost Plan, Program of All Inclusive Care for 
the Elderly (PACE), and EGWP applicants. The collected information will 
be used by CMS to: (1) Ensure that applicants meet CMS requirements for 
offering Part D plans (including network adequacy, contracting 
requirements, and compliance program requirements, as described in the 
application), (2) support the determination of contract awards. Form 
Number: CMS-10137 (OMB control number: 0938-0936); Frequency: Yearly; 
Affected Public: State, Local, or Tribal Governments; Number of 
Respondents: 243; Total Annual Responses: 290; Total Annual Hours: 
1,384.79. (For policy questions regarding this collection contact 
Arianne Spaccarelli at 410-786-5715.)

    Dated: December 5, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-26595 Filed 12-9-19; 8:45 am]
 BILLING CODE 4120-01-P