[Federal Register Volume 90, Number 91 (Tuesday, May 13, 2025)]
[Notices]
[Pages 20304-20305]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-08348]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-R-138 and CMS-10882]
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 July 14, 2025.
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-R-138 Medicare Geographic Classification Review Board Procedures
and Criteria
CMS-10882 Part C and Part D Medicare Prescription Payment Plan Model
Documents
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.
[[Page 20305]]
Information Collections
1. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Medicare Geographic Classification Review Board Procedures
and Criteria; Use: During the first few years of IPPS, hospitals were
paid strictly based on their physical geographic location concerning
the wage index (Metropolitan Statistical Areas (MSAs)) and the
standardized amount (rural, other urban, or large urban). However, a
growing number of hospitals became concerned that their payment rates
were not providing accurate compensation. The hospitals argued that
they were not competing with the hospitals in their own geographic
area, but instead that they were competing with hospitals in
neighboring geographic areas.
At that point, Congress enacted Section 1886(d)(10) of the Act
which enabled hospitals to apply to be considered part of neighboring
geographic areas for payment purposes based on certain criteria. The
application and decision process are administered by the MGCRB which is
not a part of CMS so that CMS could not be accused of any untoward
action. However, CMS needs to remain apprised of any potential payment
changes. Hospitals are required to provide CMS with a copy of any
applications that they made to the MGCRB. CMS also developed the
guidelines for the MGCRB that were the interim final issue of the
Federal Register and must ensure that the MGCRB properly applied the
guidelines. This check and balance process also contributes to limiting
the number of hospitals that ultimately need to appeal their MGCRB
decisions to the CMS Administrator. Form Number: CMS-R-138 (OMB control
number: 0938-0573); Frequency: Occasionally; Affected Public:
Businesses or other for-profits and Not-for-profit institutions; Number
of Respondents: 850; Total Annual Responses: 850; Total Annual Hours:
850. (For policy questions regarding this collection contact Noel
Manlove at 410-786-5161.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Part C and Part D
Medicare Prescription Payment Plan Model Documents; Use: Sections
1860D-2(b)(2)(E)(v)(II)-(IV) of the Act state the requirements for Part
D plan sponsors in implementing the program, which include the
processes for outreach to enrollees identified as likely to benefit,
election, and termination. Subsection II states that any Part D
enrollee may elect into the program prior to or during the plan year.
Subsection III details that Part D plan sponsors and MA organizations
must have a mechanism in place to inform enrollees that they are likely
to benefit from electing into the program at the point of sale (POS).
Subsection IV(aa) states that plans must terminate a beneficiary's
participation in the program when the beneficiary fails to pay the
amounts owed under this program.
CMS has developed the seven model notices to provide standardized
and consistent language for potential and active program participants,
regardless of which Part D plan they may be enrolled in. The seven
model notices and their content serve as an example of how to convey
information on the Medicare Prescription Payment Plan to Part D
enrollees and program participants, as applicable. Though Part D plan
sponsors are not required to use the model materials and content
verbatim, use of the model materials will satisfy the communications
requirements included in Sec. 423.137. If a Part D plan sponsor
chooses not to use a model material, they must meet the content
requirements in Sec. 423.137 for the alternate notices they develop.
CMS notes that the ``Medicare Prescription Payment Plan Likely to
Benefit Notice,'' is a standardized material that Part D plan sponsors
are required to use in the form and manner provided by CMS. Form
Number: CMS-10882 (OMB control number: 0938-1475); Frequency: Yearly;
Affected Public: Individuals and Households, Private Sector, Federal
Government, Businesses or other for-profits and Not-for-profit
institutions; Number of Respondents: 234,227; Total Annual Responses:
39,514,987; Total Annual Hours: 135,080. (For policy questions
regarding this collection contact Deven Gosalia at (410) 786-8264 or
[email protected].)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2025-08348 Filed 5-12-25; 8:45 am]
BILLING CODE 4120-01-P