[Federal Register Volume 86, Number 96 (Thursday, May 20, 2021)]
[Notices]
[Pages 27435-27436]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-10680]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10536, CSM-10225 and CMS-10764]


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 June 21, 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: Extension of a currently 
approved collection; Title of Information Collection: Medicaid 
Eligibility and Enrollment (EE) Implementation Advanced Planning 
Document (IAPD) Template; Use: To assess the appropriateness of states' 
requests for enhanced federal financial participation for expenditures 
related to Medicaid eligibility determination systems, we will review 
the submitted information and documentation to make an approval 
determination for the advanced planning document. Form Number: CMS-
10536 (OMB control number: 0938-1268); Frequency: Yearly, once, and 
occasionally; Affected Public: State, Local, or Tribal Governments; 
Number of Respondents: 56; Total Annual Responses: 168; Total Annual 
Hours: 2,688. (For policy questions regarding this collection contact 
Edward Dolly at 410-786-8554.)
    2. Type of Information Collection Request: Reinstatement of a 
previously approved collection; Title of Information Collection: 
Disclosures Required of Certain Hospitals and Critical Access Hospitals 
Regarding Physician Ownership; Use: This information collection relates 
to the required third party disclosures by certain Medicare-
participating hospitals and Critical Access Hospitals (CAHs) and 
physicians to their patients. There are 5 types of disclosures 
required. The intent of the disclosure notice is to assist the patient 
in making an informed decision regarding their care. The first 
disclosure requires physician owned hospitals and CAHs to disclose to 
its patients whether the hospitals/CAHs are physician-owned and, if so, 
the names of the physician-owners. The second disclosure requires the 
physician owner or investor in the hospital, as part of his or her 
continued medical staff membership or admitting privileges, to disclose 
to the patient being referred to the hospital any ownership or 
investment interest held by the physician or an immediate family member 
of the physician. The third disclosure requires physician owned 
hospitals to disclose on all public websites for and in any public 
advertising for the hospital that the hospital is owned or invested in 
by physicians. The fourth and fifth disclosures apply to all hospitals 
and CAHs that do not have a Doctor of Medicine (MD) or a Doctor of 
Osteopathic Medicine (DO) on the premises at all times to disclose this 
to patients upon admission or registration for both inpatient and 
specified outpatient services. These hospitals and CAHs must provide a 
written disclosure to the patients admitted to the hospital and must 
also post a conspicuous notice in the Emergency Departments (ED) which 
states that the hospital does not have a physician present 24 hours per 
day, 7 days per week. Form Number: CMS-10225 (OMB control number: 0938-
1034); Frequency: Occasionally; Affected Public: Private sector--
Business or other for-profits and Not-for-profit institutions; Number 
of Respondents: 210; Total Annual Responses: 1,193,890; Total Annual 
Hours: 78,935. (For policy questions regarding this collection contact 
Caroline Gallaher at 410-786-8705).
    3. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Evaluation of Risk Adjustment Data Validation

[[Page 27436]]

(RADV) Appeals and Health Insurance Exchange Outreach Training 
Sessions; Use: CMS recognizes that the success of accurately 
identifying risk-adjustment payments and payment errors is dependent 
upon the data submitted by Medicare Advantage Organizations (MAOs), and 
is strongly committed to providing appropriate education and technical 
outreach to MAOs and third-party administrators (TPAs). In addition, 
CMS is strongly committed to providing appropriate education and 
technical outreach to States, issuers, self-insured group health plans 
and TPAs participating in the Marketplace and/or market stabilization 
programs mandated by the Affordable Care Act (ACA).
    CMS will strengthen outreach and engagement with MAOs and 
stakeholders in the Marketplace through satisfaction surveys following 
contract-level (CON) RADV audit and Health Insurance Exchange training 
events. The survey results will help to determine stakeholders' level 
of satisfaction with trainings, identify any issues with training and 
technical assistance delivery, clarify stakeholders' needs and 
preferences, and define best practices for training and technical 
assistance. Form Number: CMS-10764 (OMB control number: 0938-NEW); 
Frequency: Occasionally; Affected Public: Private Sector; Number of 
Respondents: 4,270; Total Annual Responses: 4,270; Total Annual Hours: 
1,068. (For questions regarding this collection contact Melissa Barkai 
at 410-786-4305.)

    Dated: May 17, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-10680 Filed 5-19-21; 8:45 am]
BILLING CODE 4120-01-P