[Federal Register Volume 89, Number 96 (Thursday, May 16, 2024)]
[Notices]
[Pages 42880-42881]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-10784]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10711]


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 June 17, 2024.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this

[[Page 42881]]

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: Extension of a currently 
approved collection; Title of Information Collection: Prior 
Authorization Process and Requirements for Certain Hospital Outpatient 
Department (OPD) Services; Use: Section 1833(t)(2)(F) of the Act 
authorizes CMS to develop a method for controlling unnecessary 
increases in the volume of covered OPD services. CMS believes the 
increases in volume associated with certain covered OPD services are 
unnecessary because the data show that the volume of utilization of 
these OPD service categories far exceeds what would be expected in 
light of the average rate-of-increase in the number of Medicare 
beneficiaries. Therefore, CMS is using the authority under section 
1833(t)(2)(F) of the Act to require prior authorization for certain 
covered OPD services as a condition of Medicare payment. The reviews 
conducted under the program help to reduce unnecessary utilization and 
payments for these services. The information required for the prior 
authorization request includes all documentation necessary to show that 
the service meets applicable Medicare coverage, coding, and payment 
rules. Trained clinical reviewers at the Medicare Administrative 
Contractors (MACs) receive and review the information required for this 
collection. Review of that documentation is used to determine if the 
requested services are medically necessary and meet Medicare 
requirements to help reduce unnecessary increases for these services. 
Form Number: CMS-10711 (OMB Control Number: 0938-1368); Frequency: 
Occasionally; Affected Public: Business or other for-profits; Number of 
Respondents: 11,469; Number of Responses: 564,010; Annual Hours: 
316,412. (For policy questions regarding this collection contact Yuliya 
Cook at [email protected]).

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-10784 Filed 5-15-24; 8:45 am]
BILLING CODE 4120-01-P