[Federal Register Volume 88, Number 230 (Friday, December 1, 2023)]
[Notices]
[Pages 83946-83947]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-26449]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10500 and CMS-10340]
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 (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 January 30, 2024.
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-10500 National Implementation of the Outpatient and Ambulatory
Surgery Consumer Assessment of Healthcare Providers and Systems (OAS
CAHPS) Survey
CMS-10340 Collection of Encounter Data from MA Organizations, Section
1876 Cost HMOs/CMPs, MMPs, and PACE Organizations
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 without change
of the previously approved collection; Title of Information Collection:
National Implementation of the Outpatient and Ambulatory Surgery
Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS)
Survey; Use: As documented in the CY 2022 OPPS/ASC Final Rule (86 FR
63863 through 63866), OAS CAHPS Survey data will be linked to
reimbursement beginning with CY
[[Page 83947]]
2024 for HOPDs and CY 2025 for ASCs. ASCs will continue with voluntary
implementation of the OAS CAHPS Survey throughout CY 2024.
HOPDs and ASCs contract with a CMS-approved, independent third-
party survey vendor to implement the survey on their behalf and to
submit the OAS CAHPS data to CMS. CMS publicly reports comparative
results from OAS CAHPS after each facility has conducted data
collection for 4 quarters. Data from OAS CAHPS enable consumers to make
more informed decisions when choosing an outpatient surgery facility,
aid facilities in their quality improvement efforts, and help CMS
monitor the performance of outpatient surgery facilities. Considering
the increasing Medicare expenditures for outpatient surgical services
from HOPDs and ASCs, the implementation of OAS CAHPS provides CMS with
much-needed statistically valid data from the patient perspective to
inform quality improvement and comparative consumer information about
specific facilities. The information collected in the OAS CAHPS survey
will be used for the following purposes:
To provide a source of information from which patient
experience of care measures can be publicly reported to beneficiaries
to help them make informed decisions for outpatient surgery facility
selection;
To aid facilities with their internal quality improvement
efforts and external benchmarking with other facilities; and
To provide CMS with information for monitoring and public
reporting purposes.
Form Number: CMS-10500 (OMB control number: 0938-1240); Frequency:
Once; Affected Public: Business or other for-profits and Not-for-
profits institutions; Number of Respondents: 2,534,643; Total Annual
Responses: 2,534,643; Total Annual Hours: 614,976. (For policy
questions regarding this collection contact Memuna Ifedirah at 410-786-
6849).
2. Type of Information Collection Request: Revision with change of
the previously approved collection; Title of Information Collection:
Collection of Encounter Data from MA Organizations, Section 1876 Cost
HMOs/CMPs, MMPs, and PACE Organizations; Use: Section 1853(a)(3)(B) of
the Act directs CMS to require MA organizations and eligible
organizations with risk-sharing contracts under 1876 to ``submit data
regarding inpatient hospital services ... and data regarding other
services and other information as the Secretary deems necessary'' in
order to implement a methodology for ``risk adjusting'' payments made
to MA organizations and other entities. Risk adjustments to enrollee
monthly payments are made in order to take into account ``variations in
per capita costs based on [the] health status'' of the Medicare
beneficiaries enrolled in an MA plan.
CMS uses encounter data to develop individual risk scores for risk
adjusted payment to MA organizations, PACE organizations, and MMPs.
Starting with Payment Year (PY) 2016, CMS began to blend risk scores
calculated with Risk Adjustment Processing Data and Medicare Fee- For-
Service (FFS) data with risk scores calculated with encounter data and
FFS data, for risk scores calculated under both the CMS-HCC and the
RxHCC models. In PY 2022, we will move to calculating risk scores under
both the CMS-HCC and the RxHCC models using 100 percent of the risk
score calculated using encounter data and FFS data.
All organizations required to submit encounter data use an
electronic connection between the organization and CMS to submit
encounter data and to receive information in return. CMS collects the
data from MA organizations, 1876 Cost Plans, MMPs and PACE
organizations in the X12N 837 5010 format for professional, DME, and
institutional, and dental services or items provided to MA enrollees.
Form Number: CMS-10340 (OMB control number: 0938-1152); Frequency:
Daily; Affected Public: Private Sector, Business or other for-profits
and Not-for-profits institutions; Number of Respondents: 284; Total
Annual Responses: 1,467,645,179; Total Annual Hours: 48,936,279. (For
policy questions regarding this collection contact Raymond Mierwald at
410 446-5449).
Dated: November 28, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-26449 Filed 11-30-23; 8:45 am]
BILLING CODE 4120-01-P