[Federal Register Volume 86, Number 67 (Friday, April 9, 2021)]
[Notices]
[Pages 18534-18536]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-07342]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10209, CMS-10701, CMS-10516, CMS-855O and 
CMS-216-94]


Agency Information Collection Activities: Proposed Collection; 
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 (the 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 60 days for public 
comment on the proposed action. Interested persons are invited to send 
comments regarding our burden estimates 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

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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 must be received by June 8, 2021.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) that are accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number: CMS-P-0015A, Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.
    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

FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: 

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-10209 Medicare Advantage Chronic Care Improvement Program (CCIP) 
Attestations
CMS-10701 Medicare Beneficiary Experiences with Care Survey (MBECS) 
System
CMS-10516 Program Integrity II
CMS-855O Medicare Registration Application
CMS-216-94 Organ Procurement Organization/Histocompatibility Laboratory 
Cost Report

    Under the 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 requires federal agencies 
to publish a 60-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.

Information Collection

    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Advantage Chronic Care Improvement Program (CCIP) Attestations; Use: 
Section 1852(e) of the Social Security Act (the Act) requires that 
Medicare Advantage (MA) organizations (MAOs) have an ongoing Quality 
Improvement (QI) Program. CMS regulations at 42 CFR 422.152(a) outline 
the QI Program requirements for MAOs, which include the development and 
implementation of a Chronic Care Improvement Program (CCIP) that meets 
the requirements of 422.152(c) for each contract.
    MAOs must use the Health Plan Management System (HPMS) to report 
the status of their CCIP to CMS by December 31 annually. Submissions 
include an attestation by the MAO regarding its compliance with the 
ongoing CCIP requirement (42 CFR 422.152(c)(2)). MAOs are only required 
to attest electronically that they are complying with the ongoing CCIP 
requirement. In addition, MAOs should assess and internally document 
activities related to the CCIP on an ongoing basis, as well as modify 
interventions and/or processes as necessary. A less frequent collection 
would not allow CMS to ensure that annual requirements are being met. 
This collection allows CMS to ensure that annual requirements are still 
being met, while also reducing plan burden. Form Number: CMS-10209 (OMB 
Control number: 0938-1023); Frequency: Annually; Affected Public: 
Private Sector--Business or other for-profits; Number of Respondents: 
645; Total Annual Responses: 645; Total Annual Hours: 161 (For policy 
questions regarding this collection contact Lynn Pereira at 410-786-
2274)
    2. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Medicare Beneficiary Experiences with Care Survey (MBECS) System; Use: 
The MBECS system is designed to conduct population specific surveys 
that will be administered to the group of interest, fielded one time. 
This means that over the three-year period, two individual surveys will 
be administered. This will allow CMS OMH to respond quickly to the data 
needs of stakeholders with interests in these underrepresented groups. 
Data collected through the MBECS system will be used to better 
understand--and thus serve the needs of--Medicare beneficiaries in 
minority populations. The core questionnaire will collect information 
on communication with medical professionals, coordination of health 
care, experiences getting needed health care, experiences with personal 
doctors and specialists, and key demographics. Data will be compared to 
benchmarks from the FFS CAHPS, MA CAHPS, and NAM CAHPS surveys. The 
population-specific questionnaire module described and submitted via a 
specific collection request will collect information about issues most 
relevant for that particular group of interest.
    The goal of this umbrella data collection effort is to gather data 
via separate surveys on a variety of minority Medicare beneficiaries' 
experiences. Topics and questions of interest may ask about 
beneficiaries' communication with medical professionals, coordination 
of health care, experiences getting needed health care, and experiences 
with personal doctors and specialists. CMS OMH will compare survey data 
to benchmarks from the general population of Medicare beneficiaries 
while controlling for population characteristics, as appropriate.
    Survey respondents will have the opportunity to respond to an MBECS 
survey via a self-administered web-based survey (also called computer-
assisted web interview or CAWI). CAWI technology minimizes respondent 
burden by (1) Automatically providing text fills within questions and 
handling skip patterns based on responses to each question; (2) 
allowing respondents to complete the survey at a convenient time; (3) 
allowing respondents to stop and re-enter the survey if needed; and (4) 
capturing data in real-time, thereby eliminating the need for manual 
data entry. Form Number: CMS-10701 (OMB Control number: 0938-New); 
Frequency: Annually; Affected Public: Individuals and Households; 
Number of

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Respondents: 13,000; Total Annual Responses: 13,000; Total Annual 
Hours: 4,290 (For policy questions regarding this collection contact 
Luis Pons Perez at 410-786-8557)
    3. Type of Information Collection: Extension of a currently 
approved collection; Title of Information Collection: Program Integrity 
II; Use: On June 19, 2013, HHS published proposed rule CMS-9957-P: 
Program Integrity: Exchanges, SHOP, Premium Stabilization Programs, and 
Market Standards (78 FR 37302) (Program Integrity Proposed Rule) which, 
among other things, contained third party disclosure requirements and 
data collections that supported the oversight of premium stabilization 
programs, State Exchanges, and qualified health plan (QHP) issuers in 
Federally-facilitated Exchanges (FFEs). Parts of the proposed rule were 
finalized as Patient Protection and Affordable Care Act; Program 
Integrity: Exchange, Premium Stabilization Programs, and Market 
Standards; Amendments to the HHS Notice of Benefit and Payment 
Parameters for 2014; Final Rule (Program Integrity Final Rule II), 78 
FR 25326 (October 24, 2013). This ICR relates to a portion of the 
information collection request (ICR) requirements set forth in the 
final rule. Form Number: CMS-10516 (OMB control number: 0938-1277); 
Frequency: Annually; Affected Public: Private Sector, State, Business, 
and Not-for Profits; Number of Respondents: 428; Number of Responses: 
428; Total Annual Hours: 40,420. (For questions regarding this 
collection, contact Joshua Van Drei at (410-786-1659).
    4. Type of Information Collection Request: Revision of a currently 
approved information collection; Title of Information Collection: 
Medicare Registration Application; Use: Physicians and practitioners 
complete the Medicare Enrollment Application--Enrollment for Eligible 
Ordering, Certifying Physicians and Other Eligible Professionals if 
they are enrolling in Medicare not to obtain Medicare billing 
privileges but strictly to order, refer, or certify certain Medicare 
items and services. It is used by Medicare contractors to collect data 
that helps ensure the applicant has the necessary credentials to order 
and certify certain Medicare items and services.
    The MAC establishes Medicare Identification Numbers. The MACs store 
these numbers and information in CMS' Provider Enrollment, Chain and 
Ownership System (PECOS). The application is used by the CMS' 
contractors to collect data ensures that the applicant has the 
necessary information for unique identification. The license numbers 
are validated against state licensing websites. All the license numbers 
are captured and stored in the MAC database. Social Security Numbers 
(SSNs) are validated against the Social Security Administration 
database (SSA) and only the valid entries are allowed to proceed in the 
process of getting a Medicare billing number. Correspondence address 
and contact information is captured to contact the provider/supplier.
    The collection and verification of this information defends and 
protects our beneficiaries from illegitimate providers/suppliers. These 
procedures also protect the Medicare Trust Fund against fraud. It 
gathers information that allow Medicare contractors to ensure that the 
physician or eligible professional is not sanctioned from the Medicare 
and/or Medicaid program(s), or debarred, or excluded from any other 
Federal agency or program. The data collected also ensures that the 
applicant has the necessary credentials to order and certify health 
care services. This is sole instrument implemented for this purpose. 
Form Number: CMS-855O (OMB Control Number: 0938-1135); Frequency: 
Occasionally; Affected Public: Private Sector (Business or other for-
profits), State, Local, or Tribal Governments; Number of Respondents: 
448,000; Number of Responses: 24,000; Total Annual Hours: 243,600. (For 
questions regarding this collection contact Kimberly McPhillips (410-
786-8438.)
    5. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Organ Procurement Organization Histocompatibility 
Laboratory Cost Report; Use: The Form CMS-216-94 cost report is needed 
to determine Organ Procurement Organization (OPO)/Histocompatibility 
Lab (HL) reasonable costs incurred in procuring and transporting organs 
for transplant into Medicare beneficiaries and reimbursement due to or 
from the provider. The reasonable costs of procuring and transporting 
organs cannot be determined for the fiscal year until the OPO/HL files 
its cost report and costs are verified by the Medicare contractor. 
During the fiscal year, an interim rate is established based on cost 
report data from the previous year. The OPO/HL bills the transplant 
hospital for services rendered. The transplant hospital pays interim 
payments, approximating reasonable cost, to the OPO/HL. The Form CMS-
216-94 cost report is filed by each OPO/HL at the end of its fiscal 
year and there is a cost report settlement to take into account 
increases or decreases in costs. The cost report reconciliation and 
settlement take into consideration the difference between the total 
reasonable costs minus the total interim payments received or 
receivable from the transplant centers. Form Number: CMS-216-94 (OMB 
Control number: 0938-0102); Frequency: Annually; Affected Public: 
Private Sector--Business or other for-profits; Number of Respondents: 
95; Total Annual Responses: 95; Total Annual Hours: 4,275 (For policy 
questions regarding this collection contact Luann Piccione at 410-786-
5423)

    Dated: April 6, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-07342 Filed 4-8-21; 8:45 am]
BILLING CODE 4120-01-P