[Federal Register Volume 89, Number 53 (Monday, March 18, 2024)]
[Notices]
[Pages 19314-19315]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-05712]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10340 and CMS-10396]


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

[[Page 19315]]

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 April 17, 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 of a currently 
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).
    2. Type of Information Collection Request: Reinstatement without 
change of previously approved collection; Title of Information 
Collection: Medication Therapy Management Program Improvements--
Standardized Format; Use: Section 1860D-4(c)(2)(C)(i) of the Act 
requires plan sponsors to offer MTM services that include an annual CMR 
with a written summary and action plan provided in a standardized 
format developed in consultation with stakeholders. This requirement is 
codified at Sec.  423.153(d)(1)(vii)(D), which requires that the 
standardized action plan and summary comply with requirements specified 
by CMS for the standardized format. Components of the CMR summary in 
Standardized Format should include a cover letter, personalized 
medication list, and action plan if applicable.
    Users include members in a Part D sponsors' plan who are eligible 
are enrolled in the sponsors' MTM program and offered a CMR. The CMR is 
a consultation between the MTM provider (such as a pharmacist) with the 
beneficiary to review their medications. The MTM provider is either an 
employee/contractor of the plan itself or of a downstream entity 
contracted by the plan to provide MTM services. After a CMR is 
performed, the sponsor creates and sends a summary of the CMR to the 
beneficiary that includes a medication action plan and personal 
medication list using the Standardized Format.
    Information collected by Part D MTM programs as required by the 
Standardized Format for the CMR summary is used by beneficiaries or 
their authorized representatives, caregivers, and their healthcare 
providers to improve medication use and achieve better healthcare 
outcomes. Form Number: CMS-10396 (OMB control number: 0938-1154); 
Frequency: Yearly; Affected Public: Private Sector and Business or 
other for-profits; Number of Respondents: 849; Total Annual Responses: 
2,382,774; Total Annual Hours: 1,588,595. (For policy questions 
regarding this collection contact Victoria Dang at 410-786-3991 or 
[email protected].)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-05712 Filed 3-15-24; 8:45 am]
BILLING CODE 4120-01-P