[Federal Register Volume 87, Number 35 (Tuesday, February 22, 2022)]
[Notices]
[Pages 9625-9627]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-03725]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10786, CMS-10792 and CMS-10575]


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

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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 March 24, 2022.

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: New collection (Request 
for a new OMB Control Number); Title of Information Collection: 
Substance Use-Disorder Prevention that Promotes Opioid Recovery and 
Treatment (SUPPORT) for Patients and Communities Act Section 1003 
Demonstration Evaluation; Use: Section 1003 of the SUPPORT Act 
authorizes the Secretary of HHS, in consultation with the Director of 
the Agency for Healthcare Research and Quality (AHRQ) and the Assistant 
Secretary for Mental Health and Substance Use from the Substance Abuse 
and Mental Health Services Administration (SAMHSA), to conduct a 54-
month demonstration project (hereinafter, ``the Demonstration'') which 
is designed to increase the capacity of Medicaid providers to deliver 
substance use disorder (SUD) treatment and recovery services.
    Section 1003 also requires an evaluation of the demonstration. The 
evaluation is designed to assess:
     The effectiveness of the Demonstration in increasing the 
capacity of providers participating under the Medicaid state plan (or a 
waiver of such plan) to provide substance use disorder treatment or 
recovery services under such plan (or waiver);
     The activities carried out under the planning grants and 
demonstration project;
     The extent to which participating states have achieved the 
stated goals; and
     The strengths and limitations of the planning grants and 
demonstration project.
    This collection of information request is intended to satisfy the 
reporting requirements, defined in the statute, regarding the impact of 
the Demonstration. The evaluation of the Demonstration will assess the 
extent to which the participating states achieved the goals they 
established to increase substance use treatment or recovery provider 
capacity under the Medicaid program. This includes both the planning 
and post-planning periods of the demonstration, as evaluation during 
both phases will enable CMS and stakeholders to assess the effects of 
the additional support provided to states during the post-planning 
period, relative to the planning period only.
    Primary data collection will occur in two rounds in year two and 
year four of the evaluation. In both rounds, data collection will 
consist of: (1) A survey of providers in all 15 Planning Grant states 
who are eligible to prescribe and/or administer either buprenorphine or 
methadone medication for opioid use disorder (OUD), and (2) focus 
groups of providers in five post-planning period states (two focus 
groups per state, with six to eight participants in each group) who 
treat SUD, including OUD.
    The survey will gather information on provider experiences related 
to Medicaid provider enrollment, SUD service delivery, and changes in 
OUD medication treatment, including barriers and enablers of 
prescribing and dispensing.
    The focus groups will examine the impact of key aspects of 
implementation, such as perceived burdens associated with Medicaid 
enrollment or MAT delivery, access to referral placements, value of 
state-provided TA, and benefits and unanticipated outcomes experienced 
by providers during the Demonstration. Form Number: CMS-10786 (OMB 
control number: 0938-NEW); Frequency: Biennial; Affected Public: 
Private sector (Business or other for-profits and Not-for-profit 
institutions); Number of Respondents: 28,810; Total Annual Responses: 
14,405; Total Annual Hours: 3,689. (For policy questions regarding this 
collection contact Melanie Brown at 410-786-1095.)
    2. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Patient-Reported Indicator Survey (PaRIS); Use: The Centers for 
Medicare and Medicaid Services (CMS) invites comments on a proposed new 
Information Collection Request (ICR) to conduct the International 
Survey of People Living with Chronic Conditions (hereafter referred to 
as the PaRIS Survey). This survey has been developed by a collaborative 
workgroup under the auspices of the Organization for Economic 
Cooperation and Development (OECD), an international organization that 
works with governments, policy makers, and citizens to shape policies 
that foster prosperity, equality, opportunity, and well-being for all.
    The OECD launched the PaRIS initiative in 2017 to address gaps in 
health outcomes measures, particularly regarding user experiences with 
health care services. OECD member countries, including the U.S., are 
working together to develop, standardize, and implement indicators that 
measure outcomes and experiences of health care that matter most to 
people. The PaRIS Survey will provide a common set of measures that 
support policy makers across participating countries to improve health 
care delivery. On behalf of the

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Department of Health and Human Services (DHHS) Assistant Secretary for 
Planning and Evaluation (ASPE), the Office of Enterprise Data and 
Analytics (OEDA) in CMS has been designated as the lead participant for 
the U.S.
    The PaRIS Survey will help to close critical policy gaps by 
focusing on: (1) Patient Reported Experience Measures (PREMS) which 
measure how patients experience health care, and (2) Patient Reported 
Outcome Measures (PROMS) which measure how patients assess the results 
of the care they receive. The PaRIS survey includes both PREMS and 
PROMS items and aims to collect vital information about primary health 
care, by asking about topics such as the respondent's health, health 
behaviors, patient activation and confidence in managing their health 
care, experiences with health care and health providers including 
access to health care, quality of life, physical functioning, and 
psychological well-being.
    OECD and its member countries will use data collected by the PaRIS 
Survey to shed light on key questions about how well care in each 
country is organized around the needs of patients. Results from the 
survey will show how key outcomes and experiences vary across and 
within countries. This will allow countries to benchmark and learn from 
each other's approaches. The survey will also help policy makers in 
OECD member countries understand how health systems are addressing the 
needs of persons with chronic health conditions. Findings will foster a 
dialogue with service providers about how to further improve the 
performance and people-centeredness of primary health care services.
    To facilitate U.S. participation in this important initiative, CMS 
will leverage the existing sample for the Medicare Current Beneficiary 
Survey (MCBS). The MCBS is a continuous, multi-purpose survey of a 
representative national sample of the Medicare population; it is 
conducted under OMB clearance number 0938-0568. While the MCBS sample 
includes the population of beneficiaries aged 65 and over and 
beneficiaries aged 64 and below with certain disabling conditions 
residing in the U.S., selection for the PaRIS Survey will be limited to 
beneficiaries aged 65 and over who have seen a medical provider in the 
last six months to provide a comparable population to survey 
respondents selected in other participating OECD countries. 
Interviewers will telephone MCBS respondents and administer the PaRIS 
Survey by phone as a one-time standalone survey during January through 
April 2023. Non-response follow-up will be conducted by telephone and 
in-person as needed. It is estimated that 5,144 Medicare beneficiaries 
will participate in this 40-minute survey. CMS plans to release a 
disclosure protected public use file with accompanying methodological 
documentation. This public use file will also be made available to OECD 
for analysis and released with data from other participating countries. 
Form Number: CMS-10792 (OMB: 0938-New); Frequency: One-time collection; 
Affected Public: Individuals residing in households; Total Number of 
Respondents: 10,498; Total Number of Responses: 10,498; Total Hours: 
3,814 (For policy questions regarding this collection contact William 
Long at 410-786-7927.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Generic Clearance 
for the Health Care Payment Learning and Action Network; Use: The 
Center for Medicare and Medicaid Services (CMS), through the Center for 
Medicare and Medicaid Innovation, develops and tests innovative new 
payment and service delivery models in accordance with the requirements 
of section 1115A and in consideration of the opportunities and factors 
set forth in section 1115A(b)(2) of the Act. To date, CMS has built a 
portfolio of models (in operation or recently announced) that have 
attracted participation from a broad array of health care providers, 
states, payers, and other stakeholders.
    To more effectively partner with stakeholders across the health 
care system and accelerate system transformation, CMS launched the 
Health Care Payment Learning and Action Network (LAN) to accelerate the 
transition to Medicare and non-Medicare alternative payment models by 
collaborating with a broad array of health care delivery stakeholders, 
identifying best practices in their implementation, and monitoring the 
adoption of value-based alternative payment models across the U.S. 
health care system--to include the percentage of Medicare, Medicaid, 
and non-Medicare payments tied to (and U.S. lives covered by) 
alternative payment models that reward the quality of care delivered. 
Form Number: CMS-10575 (OMB control number: 0938-1297); Frequency: 
Occasionally; Affected Public: Individuals and Households, State, 
Local, or Tribal Governments, Federal Government, Private Sector 
(Business or other for-profits and Not-for-profits); Number of 
Respondents: 30,110; Number of Responses: 23,110; Total Annual Hours: 
26,467. (For questions regarding this collection contact Dustin Allison 
(303) 437-6123.)

    Dated: February 16, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2022-03725 Filed 2-18-22; 8:45 am]
BILLING CODE 4120-01-P