Type of Information Collection Request. Extension without change of a currently approved collection; Title of Information Collection: CAHPS Home Health Care Survey; Use: The national implementation of the Home Health Care CAHPS Survey is designed to collect ongoing data from samples of home health care patients who receive skilled services from Medicare-certified home health agencies. The survey is necessary because it fulfills the goal of transparency with the public about home health patient experiences. The survey is used by Medicare-certified home health agencies to improve their internal quality assurance in the care that they provide in home health. The HHCAHPS survey is also used in a Medicare payment program. Medicare-certified home health agencies (HHAs) must contract with CMS-approved survey vendors that conduct the HHCAHPS on behalf of the HHAs to meet their requirements in the Home Health Quality Reporting Program. Form Number: CMS–10257 (OMB control number: 0938–1066); Frequency: Yearly; Affected Public: Individuals and Households; Number of Respondents: 1,195,930; Total Annual Responses: 1,294,820; Total Annual Hours: 453,239. (For policy questions regarding this collection contact Xxxx Xxxxxxxx at 410- 786–6684.) Dated: March 3, 2020. Xxxxxxx X. Xxxxxx, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2020–04612 Filed 3–5–20; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS–10718, CMS– 304/–304a and CMS–368/–R–144] Agency Information Collection Activities: Submission for OMB Review; Comment Request AGENCY: Centers for Medicare & Medicaid Services, HHS. ACTION: Notice.
Type of Information Collection Request. Extension of a currently approved collection; Title of Information Collection: Medicare Program: Complex Medical Review; Use: Complex medical review involves the application of clinical judgment by a licensed medical professional in order to evaluate medical records to determine whether an item or service is covered, and is reasonable and necessary. The information required under this collection is requested by Medicare contractors, and is requested of providers or suppliers submitting claims for payment from the Medicare program when data analysis indicates aberrant billing patterns which may present a vulnerability to the Medicare program. Form Number: CMS–10168 (OMB#: 0938–0969); Frequency: Recordkeeping and Reporting—As requested; Affected Public: Business or other for-profit and not-for-profit institutions; Number of Respondents: 1,169,683; Total Annual Responses: 2,900,000; Total Annual Hours: 966,666.
Type of Information Collection Request. Revision of currently approved collection; Title of Information Collection: Healthcare Common Procedure Coding System (HCPCS); Use: In October 2003, the Secretary of Health and Human Services delegated the Center for Medicare and Medicaid Services (CMS) authority to maintain and distribute HCPCS Level II Codes. As a result, the National Panel was delineated and CMS continued with the decision-making process under its current structure, the CMS HCPCS Workgroup (herein referred to as ‘‘the Workgroup’’. CMS’ HCPCS Workgroup is an internal workgroup comprised of representatives of the major components of CMS, and private insurers, as well as other consultants from pertinent Federal agencies. Currently the application intake is paper-based. However, the process has grown and the HCPCS staff is exploring electronic processes for the collection and storage of applications. We have received feedback on the nature of the application; and have streamlined the form into a user- friendly application. The content of the material is the same, but the questions have been refined in accordance with comments received from industry members; and the level of necessity of the information required to render quality coding decision as determined by the CMS workgroup. The information on the form is used to update the HCPCS code set. All information is received and distributed to CMS’ HCPCS workgroup and is reviewed and discussed at workgroup meetings. In turn, CMS’ HCPCS workgroup reaches a decision as to whether a change should be made to codes in the HCPCS code set. The respondent who submits the application form can be anyone who has an interest in obtaining a code or modifying an existing code. However, respondents are usually manufacturers of products, or consultants on behalf of the manufacturer. Form Number: CMS– 10224 (OMB#: 0938–1042); Frequency: Occasionally; Affected Public: Private sector, business and other for-profit and not-for-profit institutions; Number of Respondents: 300; Total Annual Responses: 300; Total Annual Hours: 3300. (For policy questions regarding this collection contact Xxxxxxx Xxxxxxxxx at 410–786–9287 or Xxxx Xxxxxxxx at 410–786–6190. For all other issues call 410–786–1326.) To be assured consideration, comments and recommendations for the proposed information collections must be received by the OMB desk officer at the address below, no later than 5 p.m. on May 31, 2011. OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk Office...
Type of Information Collection Request. New collection (Request for a new OMB control number); Title of Information Collection: Limit on Federal Financial Participation for Durable Medical Equipment in Medicaid; Use: Section 1903(i)(27) of the Social Security Act prohibits federal Medicaid reimbursement to states for certain durable medical equipment (DME) expenditures that are, in the aggregate, in excess of what Medicare would have paid for such items. To comply with the statute, each state must demonstrate that it is not spending in excess of what Medicare would have paid for the relevant DME items. We would require the minimal amount of information be collected from states to comply with this statute (at 8 hours per state per year). More specifically, we would ask states to demonstrate compliance by filling in their DME fee schedules onto the new spreadsheet page with the relevant information—HCPCS code series A, K, and E only, that are relevant to this information collection of durable medical equipment. Form Number: CMS–10661 (OMB control number: 0938–New); Frequency: Yearly; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 56; Total Annual Responses: 56; Total Annual Hours: 448. (For policy questions regarding this collection contact Xxxxxxx Xxxxxxx at 410–786– 2278. Federal Register / Vol. 82, No. 227 / Tuesday, November 28, 2017 / Notices 56243 Dated: November 21, 2017. Xxxxxxx X. Xxxxxx, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2017–25621 Filed 11–27–17; 8:45 am] BILLING CODE 4120–01–P To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice, you may make your request using one of following:
Type of Information Collection Request. Extension of a currently approved collection; Title of Information Collection: Design and Implementation of a Targeted Beneficiary Survey on Access to Physician Services Among Medicare Beneficiaries; Form No.: CMS–10084 (OMB# 0938–0890); Use: This survey of Medicare beneficiaries in targeted communities will be used to obtain information on whether they are experiencing problems accessing 44340 Federal Register / Vol. 68, No. 144 / Monday, July 28, 2003 / Notices physician services. CMS will use data collected to determine if access problems exist at all, where and why problems may arise, whom they affect, and what the consequences are for Medicare beneficiaries. CMS will also learn the extent to which physician access problems are Medicare-specific.; Frequency: One-time; Affected Public: Individuals or Households; Number of Respondents: 4,000; Total Annual Responses: 4,000; Total Annual Hours: 958. To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, access CMS’s Web Site address at xxxx://xxx.xxx.xxx/ regulations/pra/default.asp, or e-mail your request, including your address, phone number, OMB number, and CMS document identifier, to Xxxxxxxxx@xxxx.xxx, or call the Reports Clearance Office on (410) 786–1326. Written comments and recommendations for the proposed information collections must be mailed within 30 days of this notice directly to the OMB desk officer: OMB Human Resources and Housing Branch, Attention: Xxxxxx Xxxxxxx, New Executive Office Building, Room 10235, Washington, DC 20503. Dated: July 17, 2003. Xxxx Xxxxxxxxxx, Acting, Paperwork Reduction Act Team Leader, CMS Reports Clearance Officer, Office of Strategic Operations and Strategic Affairs, Division of Regulations Development and Issuances. [FR Doc. 03–19103 Filed 7–25–03; 8:45 am] comments regarding this burden estimate or any other aspect of this collection of information, including any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the agency’s functions;
Type of Information Collection Request. Extension of a currently approved collection; Title of Information Collection: Design and Implementation of a Targeted Beneficiary Survey on Access to Physician Services Among Medicare Beneficiaries; Form No.: CMS–10084 (OMB# 0938–0890); Use: This survey of Medicare beneficiaries in targeted communities will be used to obtain information on whether they are experiencing problems accessing
Type of Information Collection Request. New Collection.
Type of Information Collection Request. Extension of a currently approved collection; Title of Information Collection: Reporting Requirements for States Under Transitional Medical Assistance (TMA) Provisions; Use: The HHS Secretary is required to submit annual reports to Congress with information collected from states in accordance with section 5004(d) of the American Recovery and Reinvestment Act of 2009. Medicaid agencies in 50 states complete the reports while we review the information to determine if each state has met all of the reporting requirements specified under section 5004(d). Form Number:
Type of Information Collection Request. Extension of a currently approved collection; Title of Information Collection: Monthly State File of Medicaid/Medicare Dual Eligible Enrollees; Use: The monthly file of dual eligible enrollees will be used to determine those duals with drug benefits for the phased down State contribution process required by the Medicare Modernization Act of 203. These data are also used to support Part D subsidy determinations and auto- assignment of individuals to Part D plans. Form Number: CMS–10143 (OMB# 0938–0958); Frequency: Monthly; Affected Public: State, Local or Tribal Governments; Number of Respondents: 51; Total Annual Responses: 612; Total Annual Hours: 6,120. To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, access CMS’ Web site address at xxxx://xxx.xxx.xxx.xxx/ PaperworkReductionActof1995, or E-mail your request, including your address, phone number, OMB number, and CMS document identifier, to Xxxxxxxxx@xxx.xxx.xxx, or call the Reports Clearance Office on (410) 786– 1326. In commenting on the proposed information collections please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be submitted in one of the following ways by June 2, 2008.
Type of Information Collection Request. Extension of a currently approved collection; Title of Information Collection: Request for Accelerated Payments and Supporting Regulations in 42 CFR Sections 412.116, 412.632, 413.64, 413.350, and 484.245; Form No.: CMS–9042; Use: These forms/instructions are used by fiscal intermediaries to access a provider’s eligibility for accelerated payments. Such payment is granted if there is an unusual delay in processing bills.
