[Federal Register Volume 85, Number 186 (Thursday, September 24, 2020)]
[Notices]
[Pages 60169-60170]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-21092]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-8003, CMS-10633, CMS-10116, CMS-319, and CMS-
10540]


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 October 26, 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.
    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 with 
change of a previously approved collection; Title of Information 
Collection: 1915(c) Home and Community Based Services (HCBS) Waiver 
Application; Use: We will use the web-based application to review and 
adjudicate individual waiver actions. The web-based application will 
also be used by states to submit and revise their waiver requests. Form 
Number: CMS-8003 (OMB control number 0938-0449); Frequency: Yearly; 
Affected Public: State, Local, or Tribal Governments; Number of 
Respondents: 47; Total Annual Responses: 71; Total Annual Hours: 6,005. 
(For policy questions regarding this collection contact Kathy Poisal at 
410-786-5940.)
    2. Type of Information Collection Request: Revision with change of 
a currently approved collection; Title of Information Collection: QIC 
Demonstration Evaluation Contractor (QDEC): Analyze Medicare Appeals to 
Conduct Formal Discussions and Reopenings with DME Suppliers and Part A 
Providers; Use: The Formal Telephone Discussion Demonstration and 
Reopenings Process is authorized under Section 402(a)(1)(F), U.S.C. 
1395-1(a)(1)(F), of the Social Security Amendments of 1967. Primary and 
secondary data are needed to understand the effectiveness of the 
Demonstration in improving DME suppliers' and Part A providers' 
understanding of claims denial during Level 2 of the appeals process 
and facilitating more accurate claim submission over time. Primary data 
are necessary to determine, from the perspective of participating DME 
suppliers and Part A providers, the quality of the formal telephone 
discussions, satisfaction with the formal telephone discussion process, 
and the effect of the formal telephone discussions on submitting 
accurate claims. These data will inform an evaluation of the 
demonstration's effectiveness in achieving more accurate claims 
submissions, and thus reducing the number of claims CMS must process 
each year.
    All information collected through the evaluation of the Formal 
Telephone Demonstration and Reopenings Process will be used by CMS 
through the QDEC (IMPAQ International and its partner, Palmetto GBA) to 
conduct analyses of satisfaction with the formal telephone discussions, 
and determine whether further engagement with the QIC improves 
understanding of the reasons for claim denials.
    CMS will use the results of the evaluation to make informed policy 
decisions regarding the effectiveness of this demonstration and whether 
or not the demonstration should become a permanent part of the appeals 
process. Ultimately, if the information shows that DME suppliers and 
Part A providers were able to submit more accurate claims on the first 
pass, and a reduced number of claims are put through the appeals 
process, the Federal government could realize cost savings. Form 
Number: CMS-10633 (OMB control number: 0938-1348); Frequency: Yearly; 
Affected Public: Private Sector, Business or other for-profits; Number 
of Respondents: 5,288; Total Annual Responses: 5,288; Total Annual 
Hours: 950. (For policy questions regarding this collection contact 
Lynnsie G. Kelley at 410-786-1155.)
    3. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Medicare Program: Conditions for Payment of Power Mobility 
Devices,

[[Page 60170]]

including Power Wheelchairs and Power-Operated Vehicles; Use: We are 
renewing our request for approval for the collection requirements 
associated with the final rule, CMS-3017-F (71 FR 17021), which 
published on April 5, 2006, and required a face-to-face examination of 
the beneficiary by the physician or treating practitioner, a written 
prescription, and receipt of pertinent parts of the medical record by 
the supplier within 45 days after the face-to-face examination that the 
durable medical equipment (DME) suppliers maintain in their records and 
make available to CMS and its agents upon request. Form Number: CMS-
10116 (OMB control number: 0938-0971); Frequency: Yearly; Affected 
Public: Business or other for-profits; Number of Respondents: 55,700; 
Number of Responses: 55,700; Total Annual Hours: 11,140. (For policy 
questions regarding this collection contact Rachel Katonak at 410-786-
2118).
    4. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
State Medicaid Eligibility Quality Control Sample Selection Lists; Use: 
The Medicaid Eligibility Quality Control (MEQC) program provides states 
a unique opportunity to improve the quality and accuracy of their 
Medicaid and Children's Health Insurance Program (CHIP) eligibility 
determinations. The MEQC program is intended to complement the Payment 
Error Rate Measurement (PERM) program by ensuring state operations make 
accurate and timely eligibility determinations so that Medicaid and 
CHIP services are appropriately provided to eligible individuals. 
Current regulations require that states review equal numbers of active 
cases and negative case actions (i.e., denials and terminations) 
through random sampling. Active case reviews are conducted to determine 
whether or not the sampled cases meet all current criteria and 
requirements for Medicaid or CHIP eligibility. Negative case reviews 
are conducted to determine if Medicaid and CHIP denials and 
terminations were appropriate and undertaken in accordance with due 
process. State Title XIX and Title XXI agencies are required to submit 
MEQC case level and CAP reports based on pilot findings in accordance 
with 42 CFR 431.816 and 431.820, respectively. The primary users of 
this information are state Medicaid (and where applicable CHIP) 
agencies and the Centers for Medicare & Medicaid Services. Form Number: 
CMS-319 (OMB control number: 0938-0147); Frequency: Occasionally; 
Affected Public: State, Local, or Tribal Governments; Number of 
Respondents: 34; Total Annual Responses: 34; Total Annual Hours: 1,900. 
For policy questions regarding this collection contact Camiel Rowe 410-
786-0069.
    5. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Quality 
Improvement Strategy Implementation Plan, Progress Report Form and 
Modification Summary Supplement. Use: Section 1311(c)(1)(E) of the 
Patient Protection and Affordable Care Act requires qualified health 
plans (QHPs) offered through an Exchange must implement a quality 
improvement strategy (QIS) as described in section 1311(g)(1). Section 
1311(g)(3) of the Affordable Care Act specifies the guidelines under 
Section 1311(g)(2) shall require the periodic reporting to the 
applicable Exchange the activities that a qualified health plan has 
conducted to implement a strategy which is described as a payment 
structure providing increased reimbursement or other incentives for 
improving health outcomes of plan enrollees, implementing activities to 
prevent hospital readmissions, improving patient safety and reducing 
medical errors, promoting wellness and health, and/or implementing 
activities to reduce health and health care disparities. CMS has 
created a separation of the QIS form into a separate Implementation 
Plan, Progress Report and Modification Summary which is intended to 
decrease overall burden on issuers. With these separate forms, issuers 
would no longer need to complete and resubmit an Implementation Plan 
every year (which is currently the process). Issuers would only submit 
the Implementation Plan form in the first year of a QIS, and then 
issuers would submit the Progress Report form in each subsequent year 
(with the Modification Summary Supplement as necessary). This 
adjustment will eliminate the need for issuers to enter and submit 
unchanged data, and allow them to focus their time on reporting new 
progress achieved for the QIS.
    The QIS form will allow: (1) The Department of Health & Human 
Services (HHS) to evaluate the compliance and adequacy of QHP issuers' 
quality improvement efforts, as required by Section 1311(c) of the 
Affordable Care Act, and (2) HHS will use the issuers' validated 
information to evaluate the issuers' quality improvement strategies for 
compliance with the requirements of Section 1311(g) of the Affordable 
Care Act. Form Number: CMS-10540 (OMB Control Number: 0938-1286); 
Frequency: Annually; Affected Public: Public sector (Individuals and 
Households), Private sector (Business or other for-profits and Not-for-
profit institutions); Number of Respondents: 250 respondents; Total 
Annual Responses: 250 responses; Total Annual Hours: 11,000. For policy 
questions regarding this collection contact Nidhi Singh Shah at 301-
492-5110.

    Dated: September 21, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2020-21092 Filed 9-23-20; 8:45 am]
BILLING CODE 4120-01-P