[Federal Register Volume 85, Number 127 (Wednesday, July 1, 2020)]
[Notices]
[Pages 39570-39571]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-14087]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10219, CMS-R-142 and CMS-10695]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
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 July 30, 2020.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
    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:

[[Page 39571]]

    1. Type of Information Collection Request: Revision with change of 
a currently approved collection; Title of Information Collection: 
HEDIS[supreg] Data Collection for Medicare Advantage; Use: The 
HEDIS[supreg] data collection supports the CMS strategic goal of 
improving the quality of care and health status for Medicare 
beneficiaries. The HEDIS[supreg] measures are part of the Medicare Part 
C Star Ratings as described at Sec. Sec.  422.160, 422.162, 422.164, 
and 422.166. CMS publishes the Medicare Part C Star Ratings each year 
to: (1) Incentivize quality improvement in Medicare Advantage (MA); and 
(2) assist beneficiaries in finding the best plan for them. The ratings 
feed into MA Quality Bonus Payments. The Medicare Star Ratings support 
the efforts of CMS to improve the level of accountability for the care 
provided by physicians, hospitals, and other providers.
    HEDIS[supreg] data support the agency's goal to hold MA contracts 
accountable for delivering care in accordance with widely accepted 
clinical guidelines and standards of care. CMS uses HEDIS[supreg] data 
to obtain the information necessary for the proper oversight of the 
Medicare Advantage program. NCQA trains and licenses organizations to 
conduct audits on-site at the MAOs secure record-keeping facilities 
where they compile their administrative and medical records for the 
HEDIS data file submissions Form Number: CMS-10219 (OMB control number: 
0938-1028); Frequency: Yearly; Affected Public: Federal Government; 
Number of Respondents: 677; Total Annual Responses: 677; Total Annual 
Hours: 216,640. (For policy questions regarding this collection contact 
Lori Teichman at 410-786-6684.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Examination and 
Treatment for Emergency Medical Conditions and Women in Labor (EMTALA); 
Use: Pursuant to section 1866(a)(1)(I) of the Act, Congress has 
mandated that the Secretary enforce section 1867 of the Act. Under 
section 1867, effective August 1, 1986, hospitals may continue to 
participate in the Medicare program only if they are not out of 
compliance with its provisions. Continued Paper Work Reduction Act 
(PRA) approval of the regulation sections cited below will promote 
uniform and thorough application of the section 1866 and 1867 
requirements. They will also provide information when requested by 
Congress and other interested parties regarding the implementation of 
the statute. During 2004 through 2018, approximately 8,146 complaints 
were received, approximately 7,770 of those complaints were 
investigated, and approximately 3,567 EMTALA deficiencies were found. 
During Federal fiscal years 2001 through 2005 the Inspector General's 
Office imposed civil monetary penalties on hospitals in 105 cases, for 
a total of $2,645,750 in penalties. An audit completed by the Office of 
Inspector General (OIG) (entitled, Office of Inspector General: 
Implementation and Enforcement of the Examination and Treatment for 
Emergency Medical Conditions and Women in Labor by the Health Care 
Financing Administration, April 1995, A-06-93-00087) determined that 
CMS's implementation of the Act was generally effective, but Regional 
Offices (RO) were not consistent with conducting timely investigations, 
sending acknowledgments to complaints, ensuring that investigations 
were thorough, or ensuring that violations were referred to the OIG in 
accordance with CMS policy for possible civil monetary penalty action. 
OIG further concluded that without proper compliance, there is an 
increased risk that individuals with emergency medical conditions will 
not receive the treatment needed to stabilize their condition, which 
may place them in greater risk of death. Form Number: CMS-R-142 (OMB 
control number: 0938-0667); Frequency: Occasionally; Affected Public: 
Private Sector; Business or other for-profits, Not-for-profit 
institutions; Number of Respondents: 5,291; Total Annual Responses: 
5,291; Total Annual Hours: 5,291. (For policy questions regarding this 
collection contact Renate Dombrowski at (410) 786-4645.)
    3. Type of Information Collection Request: New collection of 
information request; Title of Information Collection: Quality Payment 
Program/Merit-Based Incentive Payment System (MIPS) Surveys and 
Feedback Collections; Use: The purpose of this submission is to request 
approval for generic clearance of a program of survey and feedback 
collections supporting the Quality Payment Program which includes the 
Merit-Based Incentive Payment System (MIPS) and Advanced Alternative 
Payment Models (AAPMs). MIPS is a program for certain eligible 
clinicians that makes Medicare payment adjustments based on performance 
on quality, cost and other measures and activities, and that 
consolidates components of three precursor programs--the Physician 
Quality Reporting system (PQRS), the Value Modifier (VM), and the 
Medicare Electronic Health Record (EHR) Incentive Program for eligible 
professionals. AAPMs are a track of the Quality Payment Program that 
offer incentives for achieving threshold levels of payments or patients 
in Advanced APMs or Other Payer Advanced APMs. Under the AAPM path, 
eligible clinicians may become Qualifying APM Participants (QPs) and 
are excluded from MIPS. Partial Qualifying APM Participants (Partial 
QPs) may opt to report and be scored under MIPS.
    This generic clearance will cover a program of surveys and feedback 
collections designed to strategically obtain data and feedback from 
MIPS eligible clinicians, third-party intermediaries, Medicare 
beneficiaries, and any other audiences that would support the Agency in 
improving MIPS or the Quality Payment Program. The specific collections 
we intend to conduct are: Human Centered Design (HCD) User Testing 
Volunteer Sign-Up Survey; HCD User Satisfaction, Product Usage, and 
Benchmarking Surveys; and Physician Compare (and/or successor website) 
User Testing. Form Number: CMS-10695 (OMB control number: 0938-NEW); 
Frequency: Occasionally; Affected Public: Private Sector: Business or 
other for-profits and Not-for-profit institutions and Individuals; 
Number of Respondents: 630,300; Total Annual Responses: 630,300; Total 
Annual Hours: 57,950. (For policy questions regarding this collection, 
contact Michelle Peterman at 410-786-2591.)

    Dated: June 25, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2020-14087 Filed 6-30-20; 8:45 am]
BILLING CODE 4120-01-P