[Federal Register Volume 88, Number 178 (Friday, September 15, 2023)]
[Notices]
[Pages 63579-63580]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-20041]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10638 and CMS-1500]


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.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by October 16, 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: Revision of a currently 
approved collection; Title of Information Collection: Add-On Payments 
for New Medical Services and Technologies Paid Under the Inpatient 
Prospective Payment System (IPPS); Use: Sections 1886(d) (5) (K) and 
(L) of the Act establish a process of identifying and ensuring adequate 
payment for new medical services and technologies (sometimes 
collectively referred to in this section as ``new technologies'') under 
the Inpatient Prospective Payment System (IPPS). Section 
1886(d)(5)(K)(vi) of the Act specifies that a medical service or 
technology will be considered new if it meets criteria established by 
the Secretary after notice and opportunity for public comment. Section 
1886(d)(5)(K)(ii)(I) of the Act specifies that a new medical service or 
technology may be considered for NTAP if, ``based on the estimated 
costs incurred with respect to discharges involving such service or 
technology, the DRG prospective payment rate otherwise applicable to 
such discharges under this subsection is inadequate.''
    In order to qualify for NTAP under the traditional pathway, a 
specific technology must be ``new'' and demonstrate that they are not 
substantially similar to existing technologies under the requirements 
of Sec.  412.87(b)(2) of our regulations. The statutory provision 
contemplated the special payment treatment for new technologies until 
such time as data are available to reflect the cost of the technology 
in the DRG weights through recalibration (no less than 2 years and no 
more than 3 years). Alternative pathway technologies must also be 
``new'' but are considered not substantially similar to existing 
technologies. Responses to the questions in the application help CMS 
determine if and how the applicant meets the established. Form Number: 
CMS-10638 (OMB Control Number: 0938-1347); Frequency: Yearly; Affected 
Public: Private Sector, Business or other for-profits and Not-for-
profits institutions; Number of Respondents: 62; Number of Responses: 
62; Total Annual Hours: 1,655. (For policy questions regarding this 
collection contact Sophia Chan at 410-786-8348.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection of information; Title of Information Collection: 
Health Insurance Common Claims Form; Use: The CMS-1500 and the CMS-
1490S forms are used to deliver information to CMS in order for CMS to 
reimburse for provided services. Medicare Administrative Contractors 
use the data collected on the CMS-1500 and the CMS-1490S to determine 
the proper amount of reimbursement for Part B medical and other health 
services (as listed in section 1861(s) of the Social Security Act) 
provided by physicians and suppliers to beneficiaries. The CMS-1500 is 
submitted by physicians/suppliers for all Part B Medicare.

[[Page 63580]]

Serving as a common claim form, the CMS-1500 can be used by other 
third-party payers (commercial and nonprofit health insurers) and other 
Federal programs (e.g., TRICARE, RRB, and Medicaid). Form Number: CMS-
1500 (OMB Control Number: 0938-1197); Frequency: Occasionally; Affected 
Public: Private Sector, Business or other for-profit and not-for-profit 
institutions; Number of Respondents: 2,451,781; Number of Responses: 
975,664,249; Total Annual Hours: 17,163,310. (For policy questions 
regarding this collection contact Charlene Parks at 410-786-8684.)

    Dated: September 12, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2023-20041 Filed 9-14-23; 8:45 am]
BILLING CODE 4120-01-P