[Federal Register Volume 89, Number 72 (Friday, April 12, 2024)]
[Notices]
[Pages 25879-25880]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-07790]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10831 and CMS-1696]
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 June 11, 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-10831 Transitional Coverage and Retroactive Medicare Part D
Coverage for Certain Low-Income Beneficiaries through the Limited
Income Newly Eligible Transition (LI NET) Program
CMS-1696 Appointment of Representative and Supporting Regulations in 42
CFR 405.910
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: Revision of a currently
approved collection; Title of Information Collection: Transitional
Coverage and Retroactive Medicare Part D Coverage for Certain Low-
Income Beneficiaries through the Limited Income Newly Eligible
Transition (LI NET) Program; Use: Section 118 of the Consolidated
Appropriations Act, 2021 (CAA) (Pub. L. 116-260) enacted on December
27, 2020, amended Section 1860D-14 of the Social Security Act (the Act)
(42 U.S.C. 1395w-114) and authorized CMS to make transitional coverage
and retroactive Medicare Part D coverage for certain low-income
beneficiaries, called the Limited Income Newly Eligible Transition (LI
NET) program a permanent part of the Part D program. The LI NET program
under this statute must begin no later than January 1, 2024.
CMS established the Medicare Part D Demonstration for Retroactive
and Point-of-Sale Coverage for Certain Low-Income Beneficiaries (also
known as Medicare's Limited Income Newly Eligible Transition (LI NET)
demonstration). The LI NET demonstration consolidates administration of
transitional and retroactive Part D coverage for eligible beneficiaries
to a single Part D sponsor. The LI NET demonstration provides an
exception to the 36-month maximum period of retroactive enrollment if
there is a Medicaid determination within the last 90 days that confers
Medicaid eligibility going back further than 36 months. In these
situations, LI NET enrollment under the demonstration goes back to the
start of Medicaid eligibility.
The information provided by LI NET beneficiaries is largely paper
based, such as showing a Medicaid eligibility letter to a pharmacist or
sending a signed direct reimbursement request through the mail or by
fax. Beneficiaries could also opt to email a digital copy of their
documentation to the LI NET sponsor. Form Number: CMS-10831 (OMB
control number: 0938-1441); Frequency: Occasionally; Affected Public:
Individuals and Households, Private Sector and Business or other for-
profit; Number of Respondents: 73,705; Total Annual Responses: 110,686;
Total Annual Hours: 11,701. (For policy questions regarding this
collection contact Marie Gutierrez at 410-786-4486).
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Appointment of
Representative and Supporting Regulations in 42 CFR 405.910; Use: The
requirements for appointing representatives for claims and appeals
processed under 42 CFR part 405 Subpart I were codified into regulation
at 42 CFR 405.910. In summary, section 405.910 states an individual or
entity may appoint a representative to act on their behalf in
exercising their rights relative to an initial claim determination or
an appeal. The appointment of representation must be in writing and
must include all the required elements specified in 405.910(c). The
burden associated with this requirement is the
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time and effort of the individual or entity to prepare an appointment
of representation containing all the required information of this
section. To reduce some of the burden associated with this requirement,
we developed a standardized form that the individual/entity may opt
(but is not required) to use.
This form would be completed by Medicare beneficiaries, providers
and suppliers (typically their billing clerk, or billing company), and
any party who wish to appoint a representative to assist them with
their initial Medicare claims determinations and filing appeals on
Medicare claims. The information supplied on the form is reviewed by
Medicare claims and appeals adjudicators. The adjudicators make
determinations whether the form was completed accurately, and if the
form is correct and accepted, the form is appended to the claim or
appeal that it was filed with. Form Number: CMS-1696 (OMB control
number: 0938-0950); Frequency: Occasionally; Affected Public:
Individuals and Households and Private Sector; Number of Respondents:
213,208; Total Annual Responses: 213,208; Total Annual Hours: 53,302.
(For policy questions regarding this collection contact Liz Hosna at
410-786-4993.
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-07790 Filed 4-11-24; 8:45 am]
BILLING CODE 4120-01-P