[Federal Register Volume 87, Number 82 (Thursday, April 28, 2022)]
[Notices]
[Pages 25273-25274]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-09112]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10391, CMS-R-74, CMS-R-306, and CMS-10791]


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 May 31, 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: Extension of a currently 
approved collection; Title of Information Collection: Methods for 
Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 
447.204; Use: Current regulations at 42 CFR 447.203(b) require states 
to develop an access monitoring review plan (AMRP) that is updated at 
least every three years for: Primary care services, physician 
specialist services, behavioral health services, pre and post-natal 
obstetric services (including labor and delivery), and home health 
services. When states reduce rates for other Medicaid services, they 
must add those services to the AMRP and monitor the effects of the rate 
reductions for 3 years. If access issues are detected, a state must 
submit a corrective action plan to CMS within 90 days and work to 
address the issues within 12 months. Section 447.203(b)(7) requires 
that states have mechanisms to obtain ongoing beneficiary and provider 
feedback. A state is also required to maintain a record of data on 
public input and how the state responded to the input. Prior to 
submitting proposals to reduce or restructure Medicaid service payment 
rates, states must receive input from beneficiaries, providers, and 
other affected stakeholders on the extent of beneficiary access to the 
affected services.
    The information is used by states to document that access to care 
is in compliance with section 1902(a)(30)(A) of the Social Security 
Act, to identify issues with access within a state's Medicaid program, 
and to inform any necessary programmatic changes to address issues with 
access to care. CMS uses the information to make informed approval 
decisions on State plan amendments that propose to make Medicaid rate 
reductions or restructure payment rates and to provide the necessary 
information for CMS to monitor ongoing compliance with section 
1902(a)(30)(A). Beneficiaries, providers and other affected 
stakeholders may use the information to

[[Page 25274]]

raise access issues to state Medicaid agencies and work with agencies 
to address those issues. Form Number: CMS-10391 (OMB control number: 
0938-1134); Frequency: Annually; Affected Public: State, Local, or 
Tribal Governments); Number of Respondents: 51; Total Annual Responses: 
212; Total Annual Hours: 12,262. (For questions regarding this 
collection contact Jeremy Silanskis at 410-786-1592.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Income and 
Eligibility Verification System Reporting and Supporting Regulations; 
Use: Section 1137 of the Social Security Act requires that States 
verify the income and eligibility information contained on the 
applicant's application and in the applicant's case file through data 
matches with the agencies and entities identified in this section. The 
State Medicaid/CHIP agency will report the existence of a system to 
collect all information needed to determine and redetermine eligibility 
for Medicaid and CHIP. The State Medicaid/CHIP agency will attest to 
using the PARIS system in determining beneficiary eligibility in 
Medicaid or CHIP benefit programs. Form Number: CMS-R-74 (OMB control 
number: 0938-0467); Frequency: Occasionally; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 55; Total Annual 
Responses: 3,241; Total Annual Hours: 1,071. (For policy questions 
regarding this collection contact Stephanie Bell at 410-786-0617.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Use of Restraint 
and Seclusion in Psychiatric Residential Treatment Facilities (PRTFs) 
for Individuals Under Age 21 and Supporting Regulations; Use: 
Psychiatric residential treatment facilities are required to report 
deaths, serious injuries and attempted suicides to the State Medicaid 
Agency and the Protection and Advocacy Organization. They are also 
required to provide residents the restraint and seclusion policy in 
writing, and to document in the residents' records all activities 
involving the use of restraint and seclusion. Form Number: CMS-R-306 
(OMB control number: 0938-0833); Frequency: Occasionally; Affected 
Public: Private sector (Business or other for-profits); Number of 
Respondents: 390; Total Annual Responses: 1,466,823; Total Annual 
Hours: 449,609. (For policy questions regarding this collection contact 
Kirsten Jensen at 410-786-8146.)
    4. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Requirements Related to Surprise Billing; Part II; Use: On December 27, 
2020, the Consolidated Appropriations Act, 2021 (CAA), which includes 
the No Surprises Act, was signed into law. The No Surprises Act 
provides Federal protections against surprise billing and limits out-
of-network cost sharing under many of the circumstances in which 
surprise bills arise most frequently. The information requirements of 
the October 2021 interim final rules included in CMS-10791 have two 
components: Good Faith Estimates. Providers and facilities must furnish 
a good faith estimate of expected items and services beginning on or 
after January 1, 2022, which will allow uninsured (or self-pay) 
individuals to have access to information about health care pricing 
before receiving care. This information will allow uninsured (or self-
pay) individuals to evaluate options for receiving health care, make 
cost-conscious health care purchasing decisions, and reduce surprises 
in relation to their health care costs for items and services. 
Additionally, uninsured (or self-pay) individuals will need a good 
faith estimate to initiate the patient-provider dispute resolution 
process. HHS will request information from entities seeking to be 
certified or recertified as an SDR entity. This information will be 
used to assess whether or not the entity satisfies the requirements for 
certification. Form Number: CMS-10791 (OMB control number: 0938-NEW); 
Frequency: Annually; Affected Public: Private sector (Business or other 
for-profits and Not-for-profit institutions); Number of Respondents: 
4,010,691; Total Annual Responses: 4,010,691; Total Annual Hours: 
6,242,227. For policy questions regarding this collection contact Janny 
Frimpong at 301-492-4174.

    Dated: April 25, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2022-09112 Filed 4-27-22; 8:45 am]
BILLING CODE 4120-01-P