[Federal Register Volume 90, Number 97 (Wednesday, May 21, 2025)]
[Notices]
[Pages 21773-21775]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-09138]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10305, CMS-1696, CMS-10468, and CMS-10338]


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

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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 21, 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-10305 Medicare Part C and Part D Data Validation (42 CFR 422.516(g) 
and 423.514(j))
CMS-1696 Appointment of Representative
CMS-10468 Essential Health Benefits in Alternative Benefit Plans, 
Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums 
and Cost Sharing; Exchanges: Eligibility and Enrollment
CMS-10338 Affordable Care Act Internal Claims and Appeals and External 
Review Procedures for Non-grandfathered Group Health Plans and Issuers 
and Individual Market Issuers

    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: Medicare Part C 
and Part D Data Validation (42 CFR 422.516(g) and 423.514(j)); Use: 
This ``Medicare Part C and Part D Data Validation (42 CFR 422.516(g) 
and 423.514(j))'' forms will be used by Data Validation Contractors 
(DVCs) to evaluate the quality of data submitted by plans for the 
Medicare Parts C and D Reporting Requirements. The Centers for Medicare 
and Medicaid Services (CMS) established reporting requirements for 
Medicare Part C and Part D sponsoring organizations (Medicare Advantage 
Organizations [MAOs], Cost Plans, and Medicare Part D sponsors) under 
the authority described in 42 CFR 422.516(a) and 423.514(a), 
respectively. Under these reporting requirements, each sponsoring 
organization must submit Medicare Part C, Medicare Part D, or Medicare 
Part C and Part D data; Form Number: CMS-10305 (OMB control number: 
0938-1115); Frequency: Yearly; Affected Public: Businesses or other 
for-profits; Number of Respondents: 840; Total Annual Responses: 840; 
Total Annual Hours: 10,920. (For policy questions regarding this 
collection contact Bindu Aryal at 667-414-0889 or 
[email protected].)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Appointment of 
Representative; 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 time and 
effort of the individual or entity to prepare an appointment of 
representation containing all the required information of this section.
    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: 
208,173 Total Annual Responses: 208,173; Total Annual Hours: 52,043. 
(For policy questions regarding this collection contact Katherine Hosna 
at (410) 786-4993 or [email protected].)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Essential Health 
Benefits in Alternative Benefit Plans, Eligibility Notices, Fair 
Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: 
Eligibility and Enrollment; Use: Information collected by the 
Exchanges, Medicaid or CHIP agencies will be used to determine 
eligibility for coverage through the Exchanges and insurance 
affordability programs (i.e., Medicaid, CHIP, and advance payment of 
the premium tax credits), and to assist consumers in enrolling in a QHP 
if eligible.

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Applicants include anyone who may be eligible for coverage through any 
of these programs. The Exchanges verify the information provided on the 
application, communicate with the applicant or his/her authorized 
representative and subsequently provide the information to the health 
plan selected by the applicant so that it can enroll him/her in a QHP. 
The Exchanges also use the information provided in support of its 
ongoing operations, including activities such as verifying continued 
eligibility for all programs, processing appeals, reporting on and 
managing the insurance affordability programs for eligible individuals, 
performing oversight and quality control activities, combating fraud, 
and responding to any concerns about the security or confidentiality of 
the information. Form Number: CMS-10468 (OMB control number: 0938-
1207); Frequency: Annually; Affected Public: Individuals, Households 
and Private Sector; Number of Respondents: 20; Total Annual Responses: 
20; Total Annual Hours: 25,614. (For policy questions regarding this 
collection contact Angela Meadows at [email protected].)
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Affordable Care 
Act Internal Claims and Appeals and External Review Procedures for Non-
grandfathered Group Health Plans and Issuers and Individual Market 
Issuers; Use: PHS Act section 2719 and paragraph (b)(2)(i) of the 
Appeals regulation provide that group health plans and health insurance 
issuers offering group health insurance coverage must comply with the 
internal claims and appeals processes set forth in 29 CFR 2560.503-1 of 
the Department of Labor (DOL) claims procedure regulation, and update 
such processes in accordance with standards established by the 
Secretary of Labor in paragraph (b)(2)(ii) of the regulation. Paragraph 
(b)(3)(i) requires issuers offering coverage in the individual health 
insurance market to also comply with the DOL claims procedure 
regulation as updated by the Secretary of Health and Human Services 
(HHS) in paragraph (b)(3)(ii) of the Appeals regulation for their 
internal claims and appeals processes.
    The information collection requirements included in the DOL claims 
procedure regulation and the Appeals regulation ensure that claimants 
receive clear and adequate information regarding the plan's claims 
procedures and the plan's handling of specific benefit claims. This 
transparency enables claimants to understand plan procedures and 
decisions, allowing them to effectively request benefits and appeal 
denied claims when necessary. The information collected in connection 
with the HHS-administered federal external review process is collected 
by HHS and is used to provide claimants with an independent external 
review, ensuring a fair and impartial assessment of denied health 
benefit claims. Form Number: CMS-10338 (OMB control number: 0938-1099); 
Frequency: Occasionally; Affected Public: Private Sector (Business or 
other for-profit and Not-for-profit institutions); Number of 
Respondents: 91,355; Total Annual Responses: 375,202; Total Annual 
Hours: 861,785. (For policy questions regarding this collection contact 
Daniel Kidane at [email protected].)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2025-09138 Filed 5-20-25; 8:45 am]
BILLING CODE 4120-01-P