[Federal Register Volume 85, Number 188 (Monday, September 28, 2020)]
[Notices]
[Pages 60805-60808]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-21293]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Community Living
[OMB #0985-0040]
Agency Information Collection Activities; Submission for OMB
Review; Public Comment Request; State Health Insurance Assistance
Program (SHIP) Data Performance Reports and Information Collection
Tools
AGENCY: Administration for Community Living, HHS.
ACTION: Notice.
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SUMMARY: The Administration for Community Living is announcing that the
proposed collection of information listed above has been submitted to
the Office of Management and Budget (OMB) for review and clearance as
required under section 506(c)(2)(A) of the Paperwork Reduction Act of
1995. This 30-Day notice collects comments on the information
collection requirements related to the modification and use of the Data
Performance Reports and Information Collection tools for the State
Health Insurance Assistance Program (SHIP) under OMB 0985-0040 that
expires September 30, 2020
DATES: Submit written comments on the collection of information by
11:59 p.m. (EST) or postmarked by October 28, 2020.
ADDRESSES: Submit written comments on the collection of information by:
(a) Email to: [email protected], Attn: OMB Desk Officer
for ACL;
(b) fax to: 202.395.5806, Attn: OMB Desk Officer for ACL; or
(c) by mail to the Office of Information and Regulatory Affairs,
OMB, New Executive Office Bldg., 725 17th St. NW, Rm. 10235,
Washington, DC 20503, Attn: OMB Desk Officer for ACL.
FOR FURTHER INFORMATION CONTACT: Rebecca Kinney, Office of Healthcare
Information and Counseling (OHIC), Administration for Community Living,
Washington, DC 20201, Phone: 202-795-7397 Email:
[email protected].
SUPPLEMENTARY INFORMATION: In compliance with 44 U.S.C. 3507, ACL has
submitted the following proposed collection of information to OMB for
review and clearance.
The purpose of this data collection is to collect performance data
from grantees, grantee team members, and partners. Congress requires
this data collection for program monitoring and Government Performance
Results Act (GPRA) purposes. This data collection allows the
Administration for Community Living (ACL) and the Center for Innovation
and Partnership (CIP) to communicate with Congress and the public on
the State Health Insurance Assistance Program (SHIP), the Senior
Medicare Patrol (SMP) program, the Medicare Improvements for Patients &
Providers Act (MIPPA) program, and Aging and Disability Resource
Centers (ADRC) activities. In addition to the SHIP Data Performance
Reports and Information Collection (OMB #0985-0040), this revision
incorporates the expired SMP Report collection (OMB #0985-0024) and the
ADRC collection (OMB #0985-0062) into one tool.
The SHIP, SMP, MIPPA, and ADRC programs are located in each of the
50 states, the District of Columbia, Puerto Rico, Guam and the U.S.
Virgin Islands. In order to ensure that grantees report activity
accurately and consistently it is imperative that these data collection
tools remain active.
The respondents for this data collection are grantees, grantee team
members, and partners who meet with Medicare beneficiaries and older
adults in-group settings and in one-on-one sessions to educate them on
Medicare enrollment, Medicare benefits and subsidy programs, the
importance of being aware of Medicare fraud, errors and abuse, and
having the knowledge to protect the Medicare system.
ACL is proposing to combine these three collection tools to reduce
burden on the grantees, grantee team members, and partners as many of
the individuals working on these programs, collecting information, and
reporting results are the same at the local level. Combining these
tools will reduce the need for duplicate or triplicate reporting of
activities in separate tools further reducing the time and effort in
reporting outcomes and activities. In addition, this combination will
allow clarification on when, where, and how services are being
delivered across these ACL programs further informing performance
outcomes.
SHIP and MIPPA Data Collection (OMB #0985-0040)
Section 4360(f) of OBRA 1990 created the State Health Insurance
Assistance Program (SHIP) and requires the Secretary to provide a
series of reports to the U.S. Congress on the performance of the SHIP
program annually. The law also requires ACL to report on the program's
impact on beneficiaries and to obtain important feedback from
beneficiaries.
This tool captures the information and data necessary for ACL to
meet these Congressional requirements, as well as, grantee performance
data providing ACL essential insight for monitoring and technical
assistance purposes.
In addition, the Medicare Improvements for Patients and Providers
Act (MIPPA), initially passed in 2008, provided targeted funding for
[[Page 60806]]
the SHIPs, Area Agencies on Aging (AAAs), and Aging and Disability
Resource Centers (ADRC) to conduct enrollment assistance to Medicare
beneficiaries for the Low Income Subsidy (LIS) and Medicare Savings
Program (MSP). This tool also collects performance and outcome data on
the MIPPA Program providing ACL necessary information for monitoring
and oversight.
SMP Data Collection (OMB #0985-0024)
Under Public Law 104-208, the Omnibus Consolidated Appropriations
Act of 1997, Congress established the Senior Medicare Patrol Projects
in order to further curb losses to the Medicare program. The Senate
Committee noted that retired professionals, with appropriate training,
could serve as educators and resources to assist Medicare beneficiaries
and others to detect and report errors, fraud and abuse.
Among other requirements, it directed the ACL to work with the
Office of Inspector General (OIG) and the Government Accountability
Office (GAO), to assess the performance of the program. The ACL employs
this tool to collect performance and outcome data on the SMP Program
necessary information for monitoring and oversight. ACL has shared this
data and worked with HHS/OIG to develop SMP performance measures.
The HHS/OIG has collected SMP performance data and issued SMP
performance reports since 1997. The information from the current
collection is reported by the OIG to Congress and the public. This
information is also used by ACL as the primary method for monitoring
the SMP Projects.
ADRC Data Collection (OMB #0985-0062)
The Aging and Disability Resource Center (ADRC) collects data for
the No Wrong Door (NWD) System initiative. This tool seeks to connect
fragmentation in the network, ease administrative reporting burden, and
further support the need for early community-based interventions.
ACL uses this tool to collect performance and outcome data
necessary for monitoring and oversight. Additionally, this collection
supports states in better coordinating and integrating their existing
long-term services and supports (LTSS) access functions to develop a
new interface that would make it easier for people to learn about and
quickly access options that meet their needs. These programs operate
throughout the United States and represent a nationally recognized
network.
Comments in Response to the 60-Day Federal Register Notice
ACL published both a 60-day and 30-day Federal Register Notice in
the Federal Register soliciting public comments on this revision
request. The 60-day FRN published on December 30, 2019, Volume 84,
Number 249, pages 71954-71956; ACL received seventeen comments in
response to the request for comments for the Proposed Collection of
data through the OHIC Data System. ACL reviewed all of the comments.
Most of the comments were proposed additions to the topics discussed on
the various forms. ACL discussed the comments and included additions
where it was deemed necessary.
Beneficiary Contact Form Comments & Responses
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Topic/issue Public comment ACL response
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Beneficiary Demographics.... Please add veteran ACL added a new
status to track question to the
possible Beneficiary Contact
eligibility for Form to capture
benefits. veteran status.
Topics Discussed/Original Please add ACL added
Medicare. Accountable Care ``Accountable Care
Organizations. Organizations
(ACOs)''.
Add Part B ACL added
conditional ``Conditional
enrollment. Enrollment''.
Include something to ACL added
track equitable ``Equitable
relief. Relief''.
Please include late ACL added ``Late
enrollment Enrollment
penalties. Penalty'' to the
Original Medicare
Topics Discussed
field and the
Medicare Part D
Topics Discussed
field.
Please include ACL added ``Provider
something to track Participation'' to
issues with the Original
provider Medicare Topics
participation to Discussed field,
the form. ``Provider
Network'' to the
Medicare Advantage
Topics Discussed,
``Pharmacy
Network'' to
Medicare Part D
Topics Discussed,
and ``Provider
Participation'' to
the Medicaid Topics
Discussed field.
Topics Discussed/Medigap.... Include application ACL added
assistance for ``Application
Medigap plans. Assistance''.
Please include a way ACL added
to track Medigap ``Complaints'' and
complaints and ``Guaranteed Issue
guaranteed issue Rights''.
right issues.
Topics Discussed/Medicare Add Special Needs ACL added ``Chronic
Advantage (MA and MA-PD). Plans to the form. Condition Special
Needs Plans'',
``Dual Eligible
Special Needs
Plans'', and
``Institutional
Special Needs
Plans''.
Include the new ACL added
benefits for MA ``Supplemental
plans. Benefits (please
explain)''.
Include Integrated ACL did not include
Care on the this item because
Beneficiary Contact it is included in
Form. more detailed
Topics Discussed
captured throughout
the form.
Topics Discussed/Other Add a way to track ACL added
Prescription Assistance. prescription ``Prescription
discount cards. Discount Cards''.
Topics Discussed/Medicaid... Add MSP Application ACL deleted
Submission. ``Application
Submission'' from
the Medicaid Topics
Discussed field and
added ``Medicaid
Application
Submission'', ``MSP
Application
Submission'', and
``Medicaid Spend
Down'' to
differentiate
between the
actions.
[[Page 60807]]
Add Appeals to the ACL added ``Appeals/
Medicaid section. Grievances'' and
``QMB Improper
Billing''.
Please include a way ACL added ``Medicaid
to track issues Expansion (ACA)
with Medicaid Transitions to
Expansion and Medicare'' to the
Marketplace Medicaid Topics
transitions to Discussed field and
Medicare. ``Marketplace
Transition to
Medicare'' to the
Other Insurance
Topics Discussed
field.
Include a way to ACL added ``Medicaid
track MSP Recertification''
recertification. and ``MSP
Recertification''.
Add PACE............ ACL added ``Program
of All-Inclusive
Care for the
Elderly (PACE)''.
Topics Discussed/Additional Please add an easy ACL added ``COVID-
Topic Details. way to track COVID- 19''.
19 issues.
Add a way to track ACL added ``ESRD'',
issues with common ``Mail Order
benefits such as Prescription'',
transportation and ``Mental Health'',
home health care. ``Opioids'',
``Physical
Therapy'',
``Telehealth'', and
``Transportation''.
Add HSAs............ ACL added ``Health
Savings Accounts''.
Add a way to track ACL added ``Income
IRMA questions. Related Monthly
Adjustment
Amount''.
Please find a way to ACL added
track assistance ``MyMedicare.gov
with setting up and Account''.
assisting with
MyMedicare accounts.
Add Behavioral ACL did not add this
Health as a topic. as it is
encompassed by
``Mental Health''.
Add Pooled Trusts... ACL did not add as
it is not within
the SHIP scope of
work.
Add the following ACL did not add
benefits: SNAP, these benefits as
LIHEAP, SSI, SSDI, it is not within
Tax Benefits, the SHIP scope of
Veterans Benefits, work.
Housing, Subsidies,
Lifeline, Public
Assistance,
Unemployment
Assistance,
Subsidized Transit
Benefits, Other
food Benefits,
Other home benefits.
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The proposed data collection tools may be found on the ACL website
for review at https://www.acl.gov/about-acl/public-input.
Estimated Program Burden: ACL estimates the burden associated with
this collection of information as follows: The burden hours are based
on the number of projects for ACL grantees.
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Number of Average burden
Grantee respondent type Form/report name Number of responses per per response Total burden
respondents respondent (in minutes) hours
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SMP......................... Media Outreach & 216 46 2 662.4
Education.
SMP......................... Group Outreach & 6,935 4 4 1,849.33
Education.
SMP......................... Individual 6,935 41 5 23,694.58
Interaction.
SMP......................... Team Member....... 216 31 5 558
SMP......................... SMP Team Member 216 31 5 558
Activity.
SMP......................... SMP Interaction... 6,935 2 5 1,155.83
SMP......................... SMP Subject....... 3,500 5 5 1,458.33
SMP......................... OIG Report........ 0 0 0 0
SMP......................... Time Spent Report. 0 0 0 0
SHIP/MIPPA.................. Media Outreach & 3,750 15 15 14,062.50
Education.
SHIP/MIPPA.................. Group Outreach & 3,750 15 4 3,750
Education.
SHIP/MIPPA.................. SHIP Team Member.. 216 75 5 1,350
SHIP/MIPPA.................. Beneficiary 15,000 233 5 291,250
Contact.
SHIP/MIPPA.................. Training.......... 216 75 15 4,050
SHIP/MIPPA.................. SHIP Performance 0 0 0 0
Report.
SHIP/MIPPA.................. Resource Report... 0 0 0 0
SHIP/MIPPA.................. MIPPA Performance 0 0 0 0
Report.
SHIP/MIPPA.................. SHIP Team Member 216 40 7 1,008
Activity.
SHIP/MIPPA.................. SHIP Training..... 216 5 4 72
SHIP/SMP/MIPPA.............. Summary Reports... 0 0 0 0
SHIP/MIPPA.................. Part D Enrollment 0 0 0 0
Outcomes Report.
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Totals.................. .................. 48,317 618 .............. 335,166.47
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Dated: September 17, 2020.
Mary Lazare,
Principal Deputy Administrator.
[FR Doc. 2020-21293 Filed 9-25-20; 8:45 am]
BILLING CODE 4154-01-P