[Federal Register Volume 89, Number 8 (Thursday, January 11, 2024)]
[Notices]
[Page 1920]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-00474]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10718]
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 February 12, 2024.
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 with change to
the currently approved collection; Title of Information Collection:
Model Medicare Advantage and Medicare Prescription Drug Plan Individual
Enrollment Request Form; Use: The enrollment form is considered a
``model'' under Medicare regulations at Sec. Sec. 422.2262 and
423.2262, for purposes of communication and marketing review and
approval; therefore, MA and Part D plans are able to modify the
language, content, format, or order of the enrollment form. The model
enrollment form includes the minimal amount of information to process
the enrollment, located in Section 1 of the MA/PDP enrollment form, and
other limited information, in Section 2, that the sponsor is required
(i.e., race and ethnicity data, accessible format preference) or
chooses (i.e., premium payment information) to provide to the
beneficiary.
CMS expects MA and PDP organizations to ensure the enrollment form
complies with CMS' instructions regarding content and format. New and
current enrollees that utilize the enrollment form to elect an MA or
Part D plan must acknowledge the requirement to: (1) maintain Medicare
Part A and B to stay in MA, or Part A or B to stay in Part D; (2)
reside in the plan's service area; (3) make a valid request during a
valid election period; (4) follow plan rules; (5) consent to the
disclosure and exchange of information between the plan and CMS; and
(6) enroll in only one Medicare health plan and that enrollment in the
MA or Part D plan automatically disenrolls them from any other Medicare
health plan and prescription drug plan.
CMS will use this information to: track beneficiary enrollment,
including tracking patterns in enrollment by race and ethnicity, sexual
orientation, and gender identity over time; to identify, monitor, and
develop effective and efficient strategies and incentives to reduce and
eliminate health and health care inequities; to validate existing race
and ethnicity imputation methods; and to ensure that clinically
appropriate and equitable care (in terms of payment, access and
quality) is consistently provided to all Medicare beneficiaries. Form
Number: CMS-10718 (OMB control number: 0938-0832); Frequency:
Occasionally; Affected Public: Individuals and Households, Private
sector--(Business or other for-profits and Not-for-profit
institutions); Number of Respondents: 19,815,897; Total Annual
Responses: 39,632,597; Total Annual Hours: 10,557,541. (For policy
questions regarding this collection contact AnhViet Nguyen at 410-786-
4548).
Dated: January 8, 2024.
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-00474 Filed 1-10-24; 8:45 am]
BILLING CODE 4120-01-P