[Federal Register Volume 88, Number 108 (Tuesday, June 6, 2023)]
[Notices]
[Pages 37066-37067]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-11996]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10453]


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 August 7, 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.

[[Page 37067]]


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-10453 Medicare Advantage and Prescription Drug Programs: Part C and 
Part D Explanation of Benefits

    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: Reinstatement with 
change of the previously approved collection; Title of Information 
Collection: Medicare Advantage and Prescription Drug Programs: Part C 
and Part D Explanation of Benefits; Use: Sections 1852(k)(2)(C)(i) and 
1860D-(4)(a)(4) of the Act give CMS authority to require EOBs in MA and 
Part D, respectively. Corresponding MA and Part D regulations at 42 CFR 
422.111(k) and 423.128(e) further specify the requirements to provide a 
written EOB directly to enrollees following their use of benefits.
    These requirements and the CMS model documents help ensure that MA 
and Part D enrollees receive consistent and timely information about 
costs associated with their medical claims. Part C and Part D EOBs 
allow enrollees to track their out-of-pocket expenses and benefit 
utilization in relation to their plan's deductible and out-of-pocket 
threshold. This customized information positions enrollees to make 
informed decisions about their healthcare options. It also enables them 
to make a more practical use of the information found in plans' Annual 
Notice of Change and Evidence of Coverage documents, as well as 
information available through tools such as the Medicare Plan Finder.
    MAOs and Part D sponsors use the model documents attached to this 
information collection to set up the EOB templates in their systems and 
ensure that EOBs conform with the requirements at 42 CFR 422.111(k) and 
423.128(e). MAOs and Part D sponsors populate EOBs to reflect 
individual enrollee benefits under the plan. CMS issues model EOBs 
annually through the Health Plan Management System (HPMS). Form Number: 
CMS-10453 (OMB control number: 0938-1228); Frequency: Monthly; Affected 
Public: Private Sector, Business or other for-profits and Not-for-
profit institutions; Number of Respondents: 1,065; Total Annual 
Responses: 1,065; Total Annual Hours: 10,650. (For policy questions 
regarding this collection contact Valerie Yingling at 667-290-8657.)

    Dated: June 1, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2023-11996 Filed 6-5-23; 8:45 am]
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