[Federal Register Volume 86, Number 239 (Thursday, December 16, 2021)]
[Notices]
[Pages 71502-71503]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-27224]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10524 and CMS-906]


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

[[Page 71503]]

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 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 February 14, 2022.

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: __, 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-10524 Medicare Program; Prior Authorization Process for Certain 
Durable Medical Equipment, Prosthetic, Orthotics, and Supplies (DMEPOS)
CMS-906 Fiscal Soundness Reporting Requirements (FSRR)

    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: Extension of a currently 
approved collection; Title of Information Collection: Medicare Program; 
Prior Authorization Process for Certain Durable Medical Equipment, 
Prosthetic, Orthotics, and Supplies (DMEPOS); Use: Section 1834(a)(15) 
of the Social Security Act (the Act) authorizes the Secretary to 
develop and periodically update a list of DMEPOS that the Secretary 
determines, on the basis of prior payment experience, are frequently 
subject to unnecessary utilization and to develop a prior authorization 
process for these items. Pursuant to this authority, CMS published 
final rules CMS-6050-F and CMS-1713-F.
    The information required under this collection is used to determine 
proper payment and coverage for DMEPOS items. The information requested 
includes all documents and information that demonstrate the DMEPOS item 
requested is reasonable and necessary for the beneficiary and meets 
applicable Medicare requirements. The documentation will be reviewed by 
trained registered nurses, therapists, or physician reviewers to 
determine if item(s) or service requested meets all applicable Medicare 
coverage, coding and payment rules. Form Number: CMS-10524 (OMB control 
number: 0938-1293); Frequency: Occasionally; Affected Public: Private 
Sector (Business or other for-profits, Not-for-Profit Institutions); 
Number of Respondents: 273,305; Total Annual Responses: 273,305; Total 
Annual Hours: 136,652. (For policy questions regarding this collection 
contact Stephanie Collins at (410) 786-0959.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Fiscal Soundness 
Reporting Requirements (FSRR); Use: Title 18 Section 1857(d)(4)(A)(i) 
requires that contracting organizations such as Medicare Health Plans 
(including Medicare Advantage (MA) organizations, Medicare-Medicaid 
Capitated Financial Alignment Demonstrations (MMPs)) and 1876 Cost 
Plans), Prescription Drug Plan sponsors (PDPs), and Programs of All-
Inclusive Care for the Elderly (PACE) organizations report financial 
information demonstrating the organization has a fiscally sound 
operation. The FSRR is designed to capture financial data of these 
contracting entities. The Division of Finance and Benefits (DFB) within 
the Medicare Advantage Contract Administration Group (MCAG) of CMS is 
assigned the responsibility of reviewing ongoing financial performance 
of the contracting entities.
    All contracting organizations must submit audited annual financial 
statements one time per year. In addition to the audited annual 
submission, Health Plans with a negative net worth and/or a net loss 
and the amount of that loss is greater than one-half of the 
organization's total net worth submit quarterly financial statements 
for fiscal soundness monitoring. Part D organizations are required to 
submit three (3) quarterly financial statements. Lastly, PACE 
organizations are required to file four (4) quarterly financial 
statements for the first three (3) years in the program. After the 
first three (3) years, PACE organizations with a negative net worth 
and/or a net loss and the amount of that loss is greater than one-half 
of the organization's total net worth must submit quarterly financial 
statements for fiscal soundness monitoring. Form Number: CMS-906 (OMB 
control number: 0938-0496); Frequency: Quarterly and Yearly; Affected 
Public: Private Sector (Business or other for-profits, Not-for-Profit 
Institutions); Number of Respondents: 936; Total Annual Responses: 
1,958; Total Annual Hours: 652. (For policy questions regarding this 
collection contact Christa M. Zalewski at (410) 786-1971.)

    Dated: December 13, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-27224 Filed 12-15-21; 8:45 am]
BILLING CODE 4120-01-P