[Federal Register Volume 89, Number 60 (Wednesday, March 27, 2024)]
[Notices]
[Pages 21254-21255]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-06439]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10883 and CMS-10558]


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 April 26, 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: New collection (Request 
for a new OMB control number); Title of Information Collection: ADA 
Dental Claim Form; Use: The ADA Dental Claim form and corresponding 
HIPAA-compliant electronic transaction, known as the 837D, are used 
widely in the US dental industry to submit claims for health or dental 
insurance reimbursement.
    Medicare has traditionally accepted the Professional (CMS-1500/837P 
transaction) and Institutional (UB04/837I transaction) claims to 
provide payment for Medicare-covered services. The Centers for Medicare 
& Medicaid Services (CMS) now plans to allow providers to submit 
Medicare-covered dental services on the dental claim form, a similar 
information collection as the already-approved professional and 
institutional claim forms.
    CMS issued policy clarifications as part of its annual Medicare 
Physician Fee Schedule (MPFS) Rule that further

[[Page 21255]]

define when dental services are inextricably linked to a covered 
medical service. Additional clarifications were included in the CY2024 
MPFS final rule. CMS further established a process by which the agency 
will consider clinical evidence for future policy clarification 
consideration. CMS anticipates that these regulatory policy 
clarifications will result in more dental provider participation in the 
Medicare program. As a result, the Agency's General Counsel has advised 
that CMS should begin to accept dental claim formats to remain in 
compliance with the Health Insurance Portability and Accountability Act 
(HIPAA) (Pub. L. 104-191). Therefore, CMS through its Part B Medicare 
Administrative Contractors (MACs) will begin accepting and processing 
claims submitted by dental providers on the ADA Dental Claim form and 
HIPAA-standard electronic format equivalent (837D). Form Number: CMS-
10883; Frequency: Occasionally; Affected Public: Private Sector, 
Business or other for-profits; Number of Respondents: 50,000; Total 
Annual Responses: 50,000; Total Annual Hours: 12,500. (For policy 
questions regarding this collection contact Charlene Parks at 410-786-
8684).
    2. Type of Information Collection Request: Extension of currently 
approved Information Collection; Title of Information Collection: 
Machine Readable Data for Provider Network and Prescription Formulary 
Content for FFM QHPs; Use: Under 45 CFR 156.122(d)(1)(2), 156.230(b), 
and 156.230(c), as finalized in the rule, the Patient Protection and 
Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 
2018 (CMS-9934-F), established standards for qualified health plan 
(QHP) issuers for the submission of provider and formulary data in a 
machine-readable format to the Department of Health and Human Services 
(HHS) and for posting the data on issuer websites. These standards 
provide greater transparency for consumers, including by allowing 
software developers to access formulary and provider data to create 
innovative and informative tools. On September 30, 2015, the Office of 
Management and Budget (OMB) granted approval to the data collection 
Information Collection for Machine Readable Data for Provider Network 
and Prescription Formulary Content for FFE QHPs under OMB control 
number 0938-1284. OMB approval was granted again on November 3, 2017, 
and March 22, 2021. The Centers for Medicare and Medicaid Services 
(CMS) is continuing that information collection request (ICR) in 
connection with these machine-readable standards. This ICR serves as a 
formal request for the renewal of the data collection clearance. The 
burden estimate for the ICR included in this package reflects the time 
and effort for QHP and SADP issuers to update and publish the 
appropriate data and submit it to CMS. No comments were received in 
response to the 60-day Federal Register notice. Form Number: CMS-10558 
(OMB control number: 0938-1284); Frequency: Annually; Affected Public: 
Private Sector, State, Business, and Not-for-Profits; Number of 
Respondents: 434; Number of Responses: 434; Total Annual Hours: 39,126. 
(For questions regarding this collection, contact Ana Alza at (667) 
290-8569, ext. 70008569).

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-06439 Filed 3-26-24; 8:45 am]
BILLING CODE 4120-01-P