[Federal Register Volume 74, Number 175 (Friday, September 11, 2009)]
[Notices]
[Pages 46774-46775]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-21954]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10078, CMS-10288, CMS-10289 and CMS-10097]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS), Department of Health and Human Services, is publishing
the following summary of proposed collections for public comment.
Interested persons are invited to send 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 function; (2) the accuracy of the estimated burden; (3)
ways to enhance the quality, utility, and clarity of the information to
be collected; and (4) the use of automated collection techniques or
other forms of information technology to minimize the information
collection burden.
1. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Matching Grants to States for the Operation of High Risk Pools; Use:
CMS is requiring this information as a condition of eligibility for
grants that were authorized in the Trade Act of 2002, the Deficit
Reduction Act of 2005 and the State High Risk Pool Funding Extension
Act of 2006. The information is necessary to determine if a State
applicant meets the necessary eligibility criteria for a grant as
required by law. The respondents will be States that have a high risk
pool as defined in sections 2741, 2744, or 2745 of the Public Health
Service Act. The grants will provide funds to States that incur losses
in the operation of high risk pools. High risk pools are set up by
States to provide health insurance to individuals that cannot obtain
health insurance in the private market because of a history of illness;
Form Numbers: CMS-10078 (OMB: 0938-0887); Frequency:
Recordkeeping, Reporting--Occasionally; Affected Public: State, Local
and Tribal Governments; Number of Respondents: 31; Total Annual
Responses: 31; Total Annual Hours: 1,240. (For policy questions
regarding this collection contact Paul Scholz at 410-786-6178. For all
other issues call 410-786-1326.)
2. Type of Information Collection Request: New Collection; Title of
Information Collection: State Plan Pre-Print to Implement Required
Dental Benefits Pursuant of Children's Health Insurance Program
Reauthorizing Act (CHIPRA) 2009; Use: Section 501 of CHIPRA 2009 amends
XXI and requires that ``child health assistance provide to a targeted
low-income child shall include coverage of dental services necessary to
prevent disease and promote oral health, restore oral structures to
health and function, and treat emergency conditions.'' States that
provide coverage in a separate Children's Health Insurance Program may
choose between two methods of providing the dental services required in
Section 501. The State may define the services in the dental benefit
package and demonstrate that it includes all the required services.
Alternatively, the State may provide a dental benefit package that is
equivalent to one of the three benchmark packages described in the
statute. In order to implement one of these options and comply with the
statute, States must amend their State Plan using the State Plan pre-
print. Form Number: CMS-10288 (OMB: 0938-NEW); Frequency:
Reporting One-time; Affected Public: State, Local, or Tribal
Governments; Number of Respondents: 51; Total Annual Responses: 51;
Total Annual Hours: 1530. (For policy questions regarding this
collection contact Nancy Goetschius at 410-786-0707. For all other
issues call 410-786-1326.)
3. Type of Information Collection Request: New Collection; Title of
Information Collection: Optional Dental-only Supplemental Coverage
State Plan Amendment Template; Use: CHIPRA 2009 provides States with an
option to provide supplemental dental-only coverage to children who
would be eligible to enroll in the State's Children's Health Insurance
Program (CHIP), except that they already have health insurance
coverage, either through a group health plan or employer sponsored
insurance. If the health insurance plan the child is enrolled in does
not provide dental benefits, the State may provide the child with the
same State-defined dental package or benchmark benefit plan provided to
children who are eligible for the entire CHIP benefit package. The
child will only be entitled to the dental services provided to other
CHIP children.
In order to choose this option, States must comply with all other
[[Page 46775]]
requirements of the statute regarding cost sharing, income eligibility
level, absence of a waiting list for their entire CHIP program (not
just for dental coverage), and not providing more favorable treatment
to children eligible for the supplemental dental benefit under this
option. In order to implement this option States must amend their State
Plan using the Supplemental Dental Benefits State Plan Amendment
Template. Form Number: CMS-10289 (OMB: 0938-NEW); Frequency:
Reporting One-time; Affected Public: State, Local, or Tribal
Governments; Number of Respondents: 51; Total Annual Responses: 51;
Total Annual Hours: 1020. (For policy questions regarding this
collection contact Nancy Goetschius at 410-786-0707. For all other
issues call 410-786-1326.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: The Medicare
Contractor Provider Satisfaction Survey (MCPSS); Use: Section 911 of
the Medicare Prescription Drug, Improvement, and Modernization Act of
2003 (MMA) mandated that CMS develop contract performance requirements
and standards for measuring provider satisfaction. CMS developed the
MCPSS to meet this requirement. Each year CMS obtains information from
Medicare providers and suppliers via a survey about satisfaction,
attitudes, and perceptions regarding the services provided by Medicare
fee-for-service (FFS) contractors, i.e., carriers, fiscal
intermediaries (FIs), regional home health intermediaries (RHHIs),
durable medical equipment Medicare administrative contractors (DME
MACs) and Part A/Part B MACs. The survey focuses on basic business
functions provided by the Medicare contractors, such as provider
inquiries, provider outreach and education, claims processing, appeals,
provider enrollment, medical review, and provider audit and
reimbursement. CMS uses the survey to monitor its contractors and to
provide incentives for improved performance.
CMS seeks to minimally revise the survey instrument for the 2010
administration. CMS would like to obtain more focused feedback on the
providers' perception of their interactions with their contractor. By
narrowing the focus of the questions, CMS can provide more specific
feedback to the contractors in targeted areas of performance. Form
Number: CMS-10097 (OMB: 0938-0915); Frequency: Reporting--
Yearly; Affected Public: Business or other for-profits and Not-for-
profit institutions; Number of Respondents: 25,000; Total Annual
Responses: 25,000; Total Annual Hours: 9,349. (For policy questions
regarding this collection contact Teresa Mundell at 410-786-9176. For
all other issues call 410-786-1326.)
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS Web
site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, or
E-mail your request, including your address, phone number, OMB number,
and CMS document identifier, to Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (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 October 13, 2009.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.
Dated: September 4, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-21954 Filed 9-10-09; 8:45 am]
BILLING CODE 4120-01-P