[Federal Register Volume 88, Number 91 (Thursday, May 11, 2023)]
[Notices]
[Pages 30309-30310]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-10026]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1780-20]


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 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 July 10, 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, 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 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-1780-20 Home Health Agency Cost Report

    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 of Information Collection: Home Health 
Agency Cost Report; Use: The Form CMS-1728-20 cost report is used to 
determine a provider's reasonable cost incurred in furnishing medical 
services to Medicare beneficiaries and reimbursement due to or from a 
provider. The Form CMS-1728-20 cost report is also used for annual rate 
setting and payment refinement activities, including developing a home 
health market basket. Additionally, the Medicare Payment Advisory 
Commission (MedPAC) uses the home health cost report data to calculate 
Medicare margins, to formulate recommendations to Congress regarding 
the HHA PPS, and to conduct additional analysis of the HHA PPS.
    The primary function of the cost report is to implement the 
principles of cost reimbursement which require that HHAs maintain 
sufficient financial records and statistical data for proper 
determination of costs payable under the program. The S series of 
worksheets collects the provider's location, CBSA, date of 
certification, operations, and unduplicated census days. The A series 
of worksheets collects the provider's trial balance of expenses for 
overhead costs, direct patient care services by level of care, and non-
revenue generating cost centers. The B series of worksheets allocates 
the overhead costs to the revenue and non-revenue generating cost 
centers using functional

[[Page 30310]]

statistical bases. The C series of worksheets computes the average cost 
per visit for HHA services. The D series of worksheets are Medicare 
specific and are used to determine reimbursement due to the provider or 
program. The F series of worksheets collect data from a provider's 
balance sheet and income statement. Form Number: CMS-1780-20 (OMB 
control number: 0938-0022); Frequency: Yearly; Affected Public: Private 
Sector--Business or other for-profits, Not-for-profit institutions; 
Number of Respondents: 10,944; Total Annual Responses: 10,944; Total 
Annual Hours: 2,134,080. (For policy questions regarding this 
collection contact LuAnn Piccione at (410) 786-5423.)

    Dated: May 5, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2023-10026 Filed 5-10-23; 8:45 am]
BILLING CODE 4120-01-P