[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