[Federal Register Volume 89, Number 132 (Wednesday, July 10, 2024)]
[Notices]
[Pages 56754-56756]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-15152]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-222-17, CMS-10261, and CMS-R-284]


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

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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 September 9, 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-222-17 Rural Health Clinic Cost Report
CMS-10261 Part C Medicare Advantage Reporting Requirements
CMS-R-284 Transformed--Medicaid Statistical Information System (T-MSIS)

    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 Collections

    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Rural Health 
Clinic Cost Report; Use: Under the authority of sections 1815(a) and 
1833(e) of the Social Security Act (42 U.S.C. 1395g), CMS requires that 
providers of services participating in the Medicare program submit 
information to determine costs for health care services rendered to 
Medicare beneficiaries. CMS requires that providers follow reasonable 
cost principles under 1861(v)(1)(A) of the Act when completing the 
Medicare cost report. Regulations at 42 CFR 413.20 and 413.24 require 
that providers submit acceptable cost reports on an annual basis and 
maintain sufficient financial records and statistical data, capable of 
verification by qualified auditors.
    CMS requires Form CMS-222-17 to determine an RHC's reasonable costs 
incurred in furnishing medical services to Medicare beneficiaries and 
reimbursement due to or from an RHC. Each RHC submits the cost report 
to its contractor for a reimbursement determination. Section 1874A of 
the Act describes the functions of the contractor.
    CMS regulations at 42 CFR 413.24(f)(4)(ii) requires that each RHC 
submit an annual cost report to their contractor in American Standard 
Code for Information Interchange (ASCII) electronic cost report (ECR) 
format. RHCs submit the ECR file to contractors using a compact disk 
(CD), flash drive, or the CMS approved Medicare Cost Report E-filing 
(MCREF) portal, [URL: https://mcref.cms.gov]. Form Number: CMS-222-17 
(OMB control number: 0938-0107); Frequency: Yearly; Affected Public: 
Private Sector, State, Local, or Tribal Governments, Federal 
Government, Business or other for-profits, Not-for-profits 
institutions; Number of Respondents: 2,101; Total Annual Responses: 
2,101; Total Annual Hours: 115,555. (For policy questions regarding 
this collection contact LuAnn Piccione at (410) 786-5423).
    2. Type of Information Collection Request: Revision with of a 
currently approved collection; Title of Information Collection: Part C 
Medicare Advantage Reporting Requirements; Use: The Centers for 
Medicare and Medicaid Services (CMS) established reporting requirements 
for Medicare Advantage Organizations (MAOs) under the authority 
described in 42 CFR 422.516(a). Each MAO must have an effective 
procedure to develop, compile, evaluate, and report to CMS, to its 
enrollees, and to the general public at the times and in the manner 
that CMS requires. At the same time, each MAO must, in accordance with 
42 CFR 422.516(a), safeguard the confidentiality of the provider-
patient relationship.
    Health plans can use this information to measure and benchmark 
their performance. CMS receives inquiries from the industry and other 
interested stakeholders about the beneficiary use of available 
benefits, including supplemental benefits, grievance and appeals rates, 
cost, and other factors pertaining to use of government funds, as well 
the performance of MA plans. Form Number: CMS-10261 (OMB control 
number: 0938-1054); Frequency: Yearly; Affected Public: Business or 
other for-profits; Number of Respondents: 743; Total Annual Responses: 
6,687; Total Annual Hours: 187,979. (For policy questions regarding 
this collection contact Lucia Patrone at 410-786-8621).
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Transformed--
Medicaid Statistical Information System (T-MSIS); Use: The data 
reported in T-MSIS are used by Federal, State, and local officials, as 
well as by private researchers and corporations to monitor past and 
projected future trends in the Medicaid program. The data provide the 
only national level information available on enrollees, beneficiaries, 
and expenditures. It also provides the only national level information 
available on Medicaid utilization. The information is the basis for 
analyses and for cost savings estimates for the Department's cost 
sharing legislative initiatives to Congress. The collected data are 
also crucial to our actuarial forecasts. Form

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Number: CMS-R-284 (OMB control number: 0938-0345); Frequency: Quarterly 
and monthly; Affected Public: State, Local, or Tribal Governments; 
Number of Respondents: 54; Total Annual Responses: 648; Total Annual 
Hours: 7,290. (For policy questions regarding this collection contact 
Connie Gibson at 410-786-0755.)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-15152 Filed 7-9-24; 8:45 am]
BILLING CODE 4120-01-P