[Federal Register Volume 88, Number 64 (Tuesday, April 4, 2023)]
[Notices]
[Pages 19956-19957]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-06945]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10003 and CMS-10708]


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

[[Page 19957]]

collection of information) and to allow 60 days for public comment on 
the proposed action. Interested persons are invited to send comments 
regarding our 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 June 5, 2023.

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 https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

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-10003 Notice of Denial of Medical Coverage (or Payment)
CMS-10708 Proposed Repetitive, Scheduled Non-Emergent Ambulance 
Transport (RSNAT) Prior Authorization Process and Requirements for a 
Potential National Model

    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: Notice of Denial of Medical Coverage (or 
Payment); Use: Section 1852(g)(1)(B) of the Social Security Act (the 
Act) requires Medicare health plans to provide enrollees with a written 
notice in understandable language of the reasons for the denial and a 
description of the applicable appeals processes.
    Medicare health plans, including Medicare Advantage plans, cost 
plans, and Health Care Prepayment Plans (HCPPs), are required to issue 
the Notice of Denial of Medical Coverage (or Payment) (NDMCP) when a 
request for either a medical service or payment is denied, in whole or 
in part. Additionally, the notices inform Medicare enrollees of their 
right to file an appeal, outlining the steps and timeframes for filing. 
All Medicare health plans are required to use these standardized 
notices. Form Number: CMS-10003 (OMB Control Number: 0938-0829); 
Frequency: Annually; Affected Public: Private sector, business or other 
for-profit and not-for-profit institutions; Number of Respondents: 937; 
Number of Responses: 16,191,812; Total Annual Hours: 2,697,556. (For 
policy questions regarding this collection contact Sabrina Edmonston at 
410-786-3209.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Proposed 
Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior 
Authorization Process and Requirements for a Potential National Model; 
Use: Section 515(b) of MACRA (Pub. L. 114-10) added paragraph (16) to 
section 1834(l) of the Act, which requires that, beginning January 1, 
2017, the Secretary expand the RSNAT Prior Authorization Model 
nationally to all states if model expansion meets certain statutory 
requirements for Innovation Center programs. These requirements are 
described in paragraphs (1) through (3) of section 1115A(c) of the Act: 
the Secretary determines that such expansion is expected to--reduce 
spending under applicable title without reducing the quality of care; 
or--(A) improve the quality of patient care without increasing 
spending; and (1) the Chief Actuary of the Centers for Medicare & 
Medicaid Services certifies that such expansion would reduce (or would 
not result in any increase in) net program spending under applicable 
titles; and (2) the Secretary determines that such expansion would not 
deny or limit the coverage or provision of benefits under the 
applicable title for applicable individuals.
    Pursuant to the authority in section 515(b) of MACRA (Pub. L. 114-
10), CMS is seeking to renew the necessary approval under the existing 
OMB approval for the collection of information to continue operating 
the RSNAT Prior Authorization Model. Form Number: CMS-10708 (OMB 
control number: 0938-1380); Frequency: Occasionally; Affected Public: 
Private Sector (business or other for-profits, not-for-profit 
institutions); Number of Respondents: 1,580; Number of Responses: 
83,374; Total Annual Hours: 46,427. (For questions regarding this 
collection contact Angela Gaston at 410-786-7409.)

    Dated: March 30, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2023-06945 Filed 4-3-23; 8:45 am]
BILLING CODE 4120-01-P