[Federal Register Volume 85, Number 33 (Wednesday, February 19, 2020)]
[Notices]
[Pages 9473-9474]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-03357]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10708]


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 March 20, 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.
    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 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: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Proposed Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) 
Prior Authorization Process and Requirements for a Potential National 
Model; Use: CMS is pursuing approval to potentially expand the RSNAT 
Prior Authorization Model nationally if the Secretary determines that 
the expansion criteria are met. The potential national model would 
follow the same design as the current RSNAT Prior Authorization Model, 
as described in the September 16, 2019, Federal Register (84 FR 48620) 
and may be implemented in multiple phases. If such a national model 
moves forward, the information that would be required under this 
collection would be used to determine proper payment for repetitive, 
scheduled non-emergent ambulance transports. The information required 
in a prior authorization request package would include all medical 
documents and information to show that the number and level of 
transports requested are reasonable and necessary for the beneficiary 
and meet other Medicare requirements. If an ambulance supplier does not 
submit a prior authorization request by the fourth

[[Page 9474]]

round trip in a 30-day period, and the claim is submitted to the 
Medicare Administrator Contractor (MAC) for payment, then the claim 
would be stopped for prepayment review and medical documentation will 
be requested.
    Trained nurse reviewers from the MAC would review the information 
from the ambulance supplier to determine if the beneficiary meets 
Medicare's requirements for the transport and if the beneficiary needs 
the level of care requested. The MAC would also use the information to 
determine if the number of trips requested is reasonable and necessary. 
Form Number: CMS-10708 (OMB control number: 0938-NEW); Frequency: 
Occasionally; Affected Public: Private Sector (Business or other for-
profits, Not-for-profit institutions); Number of Respondents: 1,745; 
Number of Responses: 216,941; Total Annual Hours: 113,706. (For 
questions regarding this collection contact Angela Gaston at 410-786-
7409.)

    Dated: February 14, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2020-03357 Filed 2-18-20; 8:45 am]
BILLING CODE 4120-01-P