[Federal Register Volume 86, Number 80 (Wednesday, April 28, 2021)]
[Notices]
[Pages 22438-22439]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-08796]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10326 and CMS-10340]


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. April 28, 2021.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by May 28, 2021.

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.

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 without 
change of a currently approved collection; Title of Information 
Collection: Electronic Submission of Medicare Graduate Medical 
Education (GME) Affiliation Agreements; Use: Existing regulations at 
Sec.  413.75(b) permit hospitals that share residents to elect to form 
a Medicare GME affiliated group if they are in the same or contiguous 
urban or rural areas, if they are under common ownership, or if they 
are jointly listed as program sponsors or major participating 
institutions in the same program by the accrediting agency. The purpose 
of a Medicare GME affiliated group is to provide flexibility to 
hospitals in structuring rotations under an aggregate full time 
equivalent (FTE) resident cap when they share residents. The existing 
regulations at Sec.  413.79(f)(1) specify that each hospital in a 
Medicare GME affiliated group must submit a Medicare GME affiliation 
agreement (as defined under Sec.  413.75(b)) to the Medicare 
Administrative Contractor (MAC) servicing the hospital and send a copy 
to the Centers for Medicare and Medicaid Services' (CMS) Central 
Office, no later than July 1 of the residency program year during which 
the Medicare GME affiliation agreement will be in effect.
    CMS will use the information contained in electronic affiliation 
agreements as documentation of the existence of Medicare GME 
affiliations, and to verify that the affiliations being formed by 
teaching hospitals for the purposes of sharing their Medicare GME FTE 
cap slots are valid according to CMS regulations. CMS will also use 
these affiliation agreements as reference materials when potential 
issues involving specific affiliations arise. While we have used hard 
copies of affiliation agreements for those same purposes in the past, 
we implemented this electronic submission process in order to expedite 
and ease the process of retrieving, analyzing and evaluating 
affiliation agreements. Form Number: CMS-10326 (OMB control number: 
0938-1111); Frequency: Annually; Affected Public: Private Sector, 
Business or other for profits, Not for profit institutions; Number of 
Respondents: 125; Total Annual Responses: 125; Total Annual Hours: 166. 
(For policy questions regarding this collection contact Shevi Marciano 
at 410-786-2874.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Collection of 
Encounter Data from MA Organizations Use: Section 1853(a)(3)(B) of the 
Act directs CMS to require MA organizations and eligible organizations 
with risk-sharing contracts under 1876 to ``submit data regarding 
inpatient hospital services . . . and data regarding other services and 
other information as the Secretary deems necessary'' in order to 
implement a methodology for ``risk adjusting'' payments made to MA 
organizations and other entities. Risk adjustments to enrollee monthly 
payments are made in order to take into account ``variations in per 
capita costs based on [the] health status'' of the Medicare 
beneficiaries enrolled in an MA plan.
    CMS collects encounter data for beneficiaries enrolled in MA 
organizations, section 1876 Cost Health Maintenance Organizations 
(HMOs)/Competitive Medical Plans (CMPs),

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Programs of All-inclusive Care for the Elderly (PACE) organizations, 
and MMPs. For PACE organizations and MMPs, encounter data serves 
essentially the same purposes as it does for the MA program (for Part C 
and Part D risk adjustment). To 1876 Cost Plans that offer Part D 
coverage, CMS makes risk adjusted, capitated monthly payments for Part 
D.
    MA organizations, Part D organizations, 1876 Cost Plans, MMPs and 
PACE organizations must use a CMS approved Network Service Vendor to 
establish connectivity with the CMS secure network for operational 
purposes. Once connectivity is established, these entities must submit 
required documents to CMS's front-end contractor to obtain security 
access credentials. Form Number: CMS-10340 (OMB control number: 0938-
1152); Frequency: Annually; Affected Public: Private Sector, Business 
or other for-profits, Not-for-profits institutions; Number of 
Respondents: 733; Total Annual Responses: 1,068,204,429; Total Annual 
Hours: 35,618,366. (For policy questions regarding this collection 
contact Michael P. Massimini at 410-786-1560.)

    Dated: April 22, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-08796 Filed 4-27-21; 8:45 am]
BILLING CODE 4120-01-P