[Federal Register Volume 89, Number 112 (Monday, June 10, 2024)]
[Notices]
[Pages 48900-48901]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-12585]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10774 and CMS-10636]


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 July 10, 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: Extension of a currently 
approved collection; Title of Information Collection: The International 
Classification of Diseases, 10th Revision, Procedure Coding System 
(ICD-10-PCS); Use: The HIPAA Act of 1996 required CMS to adopt 
standards for coding systems that are used for reporting health care 
transactions. The Transactions and Code Sets final rule (65 FR 50312) 
published in the Federal Register on August 17, 2000 adopted the 
International Classification of Diseases, 9th Revision, Clinical 
Modification (ICD-9-CM) Volumes 1 and 2 for diagnosis codes and ICD-9-
CM Volume 3 for inpatient hospital services and procedures as standard 
code sets for use by covered entities (health plans, health care 
clearinghouses, and those health care providers who transmit any health 
information in electronic form in connection with a transaction for 
which the Secretary has adopted a standard). ICD-9-CM Volumes 1 and 2, 
and ICD-9-CM Volume 3 were already widely used in administrative 
transactions when we promulgated the August 17, 2000 final rule, and we 
decided that adopting these existing code sets would be less disruptive 
for covered entities than modified or new code sets.
    When a request is submitted in MEARISTM, the Diagnosis 
Related Groups (DRGs) and Coding Team in the Division of Coding and 
DRGs (DCDRG) have instant access to the request and accompanying 
materials to facilitate a more-timely review of the proposed updates or 
changes. Upon receipt of a procedure code request, CMS immediately 
acknowledges receipt of the request and communicates to the requestor 
that additional follow up will occur once an analyst has been assigned. 
In addition, CMS provides information via email communication in a 
letter to each requestor outlining the meeting process. CMS holds 
standard pre-meeting conference calls with requestors to discuss their 
procedure code topic request in more detail in advance of the ICD-10 
C&M Committee Meetings. Also, prior to the committee meeting, we make 
the procedure code topic meeting materials publicly available, commonly 
referred to as the ``Agenda packet'' on our website at: https://www.cms.gov/medicare/coding-billing/icd-10-codes/icd-10-coordination-maintenance-committee-materials. Lastly, once the meeting has 
concluded, CMS sends a follow-up letter to the requestor informing them 
of next steps in the process so they can anticipate what to expect. 
Form

[[Page 48901]]

Number: CMS-10774 (OMB control number: 0938-1409); Frequency: Yearly; 
Affected Public: Private Sector; Business or other for-profit and not-
for-profit institutions; Number of Respondents: 80; Total Annual 
Responses: 80; Total Annual Hours: 800. (For policy questions regarding 
this collection contact Andrea Hazeley at 410-786-3543.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Triennial Network 
Adequacy Review for Medicare Advantage Organizations and 1876 Cost 
Plans; Use: This collection of information request is authorized under 
section 1852(d)(1) of the Social Security Act which permits an MA 
organization to select the providers from which an enrollee may receive 
covered benefits, provided that the MA organization makes such benefits 
available and accessible in the service area with promptness and in a 
manner which assures continuity in the provision of benefits as defined 
in Sec. Sec.  422.112(a)(1)(i) and 422.114(a)(3)(ii) (under part 422, 
subpart C--benefits and beneficiary protections) and Sec. Sec.  
417.414(b) and 417.416(a) and (e) (under part 417, subpart J--
Qualifying Conditions for Medicare Contracts).
    The information will be collected by CMS through HPMS. CMS measures 
access to covered services through the establishment of quantitative 
standards for a predefined list of provider and facility specialty 
types. These quantitative standards are collectively referred to as the 
network adequacy criteria. Network adequacy is assessed at the county 
level and CMS requires that organizations contract with a sufficient 
number of providers and facilities to ensure that at least 90 percent 
of enrollees within a county can access care within specific travel 
time and distance maximums for Large Metro and Metro county types and 
that at least 85 percent of enrollees within a county can access care 
within specific travel time and distance maximums for Micro, Rural and 
CEAC (Counties with Extreme Access Considerations county types. Form 
Number: CMS-10636 (OMB control number: 0938-1346); Frequency: Yearly; 
Affected Public: Private Sector; Business or other for-profit; Number 
of Respondents: 502; Total Annual Responses: 2,753; Total Annual Hours: 
27,470. (For policy questions regarding this collection contact Amber 
Casserly at 410-786-5530.)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-12585 Filed 6-7-24; 8:45 am]
BILLING CODE 4120-01-P