[Federal Register Volume 85, Number 36 (Monday, February 24, 2020)]
[Notices]
[Pages 10442-10443]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-03633]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1728-19, CMS-10714 and CMS-484, 846, 847, 
848, 849, 10125, 10126]


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 25, 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: Revision of a currently 
approved collection; Title of Information Collection: Home Health 
Agency Cost Report; Use: Under the authority of sections 1815(a) and 
1833(e) of the Social Security Act (42 U.S.C. 1395g), CMS requires that 
providers of services participating in the Medicare program submit 
information to determine costs for health care services rendered to 
Medicare beneficiaries. CMS requires that providers follow reasonable 
cost principles under 1861(v)(1)(A) of the Act when completing the 
Medicare cost report. Under the regulations at 42 CFR 413.20 and 
413.24, CMS defines adequate cost data and requires cost reports from 
providers on an annual basis. The Form CMS-1728-19 cost report is 
needed to determine a provider's reasonable cost incurred in furnishing 
medical services to Medicare beneficiaries and reimbursement due to or 
from a provider. The Form CMS-1728-19 cost report is also used for 
annual rate setting and payment refinement activities, including 
developing a home health market basket. Additionally, the Medicare 
Payment Advisory Commission (MedPAC) uses the home health cost report 
data to calculate Medicare margins, to formulate recommendations to 
Congress regarding the HHA PPS, and to conduct additional analysis of 
the HHA PPS. Providers receiving Medicare reimbursement must provide 
adequate cost data based on financial and statistical records that can 
be verified by qualified auditors. Form Number: CMS-1728-19 (OMB 
control number: 0938-0022); Frequency: Yearly; Affected Public: 
Business or Other for-Profits, Not-for-Profit Institutions; Number of 
Respondents: 10,196; Total Annual Responses: 10,196; Total Annual 
Hours: 1,988,220. (For policy questions regarding this collection 
contact LuAnn Piccione at 410-786-5423.)
    2. Type of Information Collection Request: New Collection; Title of 
Information Collection: Electronic Medical Documentation 
Interoperability (EMDI) Pre and Post Pilot Measures Survey; Use: The 
EMDI program assists the Centers for Medicare & Medicaid Services (CMS) 
Health Information Technology (health IT) standards and 
interoperability (S&I) initiative, which is to: (1) Facilitate and 
expand the secure transport of interoperable electronic documentation, 
(2) utilize and fill in the gaps in the current standards to achieve 
increased level of interoperability among systems and organizations, 
and (3) demonstrate the utility of these standards by establishing 
pilot programs with existing Health Information Handlers, Health 
Information Service Providers (HISP), and health care providers.
    The EMDI Initiative, associated documentation, and pilots are for 
the purposes of evaluating the performance of CMS policies that involve 
interoperability and the collection of data/information only. The 
collected data/information will help CMS, and the EMDI team in 
determining the overall effectiveness of piloting the EMDI program, as 
well as assessing each provider's current ability to send, and receive 
electronic data. Form Number: CMS-10714 (OMB control number: 0938-New); 
Frequency: Yearly; Affected Public: Private Sector (Business or other

[[Page 10443]]

for-profit, not-for-profit institutions); Number of Respondents: 240; 
Total Annual Responses: 240; Total Annual Hours: 120. For policy 
questions regarding this collection contact Christopher Lofts at 410-
786-4076.
    3. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Durable Medical Equipment Medicare Administrative Contractor 
Certificate of Medical Necessity and Supporting Documentation 
Requirements; Use: The certificates of medical necessity (CMNs) collect 
information required to help determine the medical necessity of certain 
items. CMS requires CMNs where there may be a vulnerability to the 
Medicare program. Each initial claim for these items must have an 
associated CMN for the beneficiary. Suppliers (those who bill for the 
items) complete the administrative information (e.g., patient's name 
and address, items ordered, etc.) on each CMN. The 1994 Amendments to 
the Social Security Act require that the supplier also provide a 
narrative description of the items ordered and all related accessories, 
their charge for each of these items, and the Medicare fee schedule 
allowance (where applicable). The supplier then sends the CMN to the 
treating physician or other clinicians (e.g., physician assistant, LPN, 
etc.) who completes questions pertaining to the beneficiary's medical 
condition and signs the CMN. The physician or other clinician returns 
the CMN to the supplier who has the option to maintain a copy and then 
submits the CMN electronically to CMS, along with a claim for 
reimbursement. Form Numbers: CMS-484, 846, 847, 848, 849, 10125, 10126 
(OMB control number: 0938-0679); Frequency: Occasionally; Affected 
Public: Individuals or Households; Number of Respondents: 1,335,658; 
Total Annual Responses: 1,335,658; Total Annual Hours: 267,132. For 
policy questions regarding this collection contact Melissa Singer at 
410-786-0365.

    Dated: February 19, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2020-03633 Filed 2-21-20; 8:45 am]
BILLING CODE 4120-01-P