[Federal Register Volume 88, Number 61 (Thursday, March 30, 2023)]
[Notices]
[Pages 19147-19148]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-06564]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10275 and CMS-10062]
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.
[[Page 19148]]
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by May 1, 2023.
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, please access
the CMS PRA website by copying and pasting the following web address
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.
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: The Home Health
Care CAHPS[supreg] Survey (HHCAHPS); Use: The national implementation
of the Home Health Care CAHPS Survey is designed to collect ongoing
data from samples of home health care patients who receive skilled
services from Medicare-certified home health agencies. The survey is
necessary because it fulfills the goal of transparency with the public
about home health patient experiences.
The survey is used by Medicare-certified home health agencies to
improve their internal quality assurance in the care that they provide
in home health. The HHCAHPS survey is also used in a Medicare payment
program. Medicare-certified home health agencies (HHAs) must contract
with CMS-approved survey vendors that conduct the HHCAHPS on behalf of
the HHAs to meet their requirements in the Home Health Quality
Reporting Program Form Number: CMS-10275 (OMB control number: 0938-
1066); Frequency: Quarterly; Affected Public: Individuals and
Households; Number of Respondents: 1,052,966; Total Annual Responses:
1,149,975; Total Annual Hours: 420,576. (For policy questions regarding
this collection contact Lori Luria at 410-786-6684).
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Collection of
Diagnostic Data in the Abbreviated RAPS Format from Medicare Advantage
Organizations for Risk Adjusted Payments; Use: Under section 1894(d) of
the Act, CMS must make prospective monthly capitated payments to PACE
organizations in the same manner and from the same sources as payments
to organizations under section 1853. Section 1894(e)(3)(A)(i) requires
in part that PACE organizations collect data and make available to the
Secretary reports necessary to monitor the cost, operation, and
effectiveness of the PACE program.
CMS makes advance monthly per-enrollee payments to organizations,
and is required to risk-adjust the payments based on predicted relative
health care costs for each enrollee, as determined by enrollee-specific
diagnoses and other factors, such as age. CMS has collected diagnosis
data from organizations in two formats: (1) comprehensive data
equivalent to Medicare fee-for-service claims data (often referred to
as encounter data) and (2) data in an abbreviated format known as RAPS
data, named for the Risk Adjustment Processing System (RAPS). The
subject of this PRA package is collection of RAPS data. Encounter data
collection is addressed in a separate PRA package (OMB 0938-1152).
Risk adjustment allows CMS to pay plans for the health risk of the
beneficiaries they enroll, instead of paying an identical an average
amount for each enrollee Medicare beneficiaries. By risk adjusting plan
payments, CMS is able to make appropriate and accurate payments for
enrollees with differences in expected costs. Risk adjustment is used
to adjust bidding and payment based on the health status and
demographic characteristics of an enrollee. Risk scores measure
individual beneficiaries' relative risk and the risk scores are used to
adjust payments for each beneficiary's expected expenditures. By risk
adjusting plan bids, CMS is able to also use standardized bids as base
payments to plans. Form Number: CMS-10062 (OMB control number: 0938-
0878); Frequency: Quarterly; Affected Public: Private Sector, Business
or other for-profit and Not-for-profit institutions; Number of
Respondents: 284; Total Annual Responses: 80,235,720; Total Annual
Hours: 2,674,524. (For policy questions regarding this collection
contact Amanda Johnson at 410-786-4161.
Dated: March 24, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-06564 Filed 3-29-23; 8:45 am]
BILLING CODE 4120-01-P