[Federal Register: February 17, 2006 (Volume 71, Number 33)]
[Notices]
[Page 8588-8589]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr17fe06-72]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10062, CMS-10177, and CMS-10044]
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
[[Page 8589]]
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: Revision of a currently
approved collection; Title of Information Collection: Collection of
Diagnostic Data from Medicare Advantage Organizations for Risk Adjusted
Payments Supporting Regulations 42 CFR part 422 subparts F and G and 42
CFR part 423 subparts F and G; Form Number: CMS-10062 (OMB:
0938-0878); Use: Under the Medicare Prescription Drug Benefit,
Improvement and Modernization Act of 2003 (MMA), the Congress
restructured the M+C program into the Medicare Advantage (MA) program,
Part C, and added an outpatient prescription drug benefit, Part D. In
accordance with mandates in these laws, the Secretary of the Department
of Health and Human Services must implement health status risk
adjustment, a payment methodology for Parts C and D that takes into
account the health status of plan enrollees. CMS collects inpatient and
outpatient data. Part C data is collected using the CMS-HCC
(hierarchical condition category) model. Part D data will be collected
using the CMS Rx-HCC model. The Rx-HCC model is different from the CMS-
HCC model primarily in that it predicts plan liability for drug costs
instead of medical/surgical costs for service under Parts A and B. CMS
will use the data to make risk adjusted payment under Parts C and D. MA
plans, Medicare Advantage Prescription Drug (MA-PD) plans, and stand-
alone Prescription Drug Plans (PDP's) will use the data to develop
their Parts C and D bids.; Frequency: Reporting--Quarterly; Affected
Public: Business or other-for-profit and not-for-profit institutions;
Number of Respondents: 505; Total Annual Responses: 14,091,370; Total
Annual Hours: 8,351.
2. Type of Information Collection Request: New collection; Title of
Information Collection: Survey of Contract Labor in Selected Health
Industries; Form Number: CMS-10177(OMB: 0938-NEW); Use: CMS
Medicare reimbursement to hospitals and skilled nursing facilities is
based, in part, on the portion of costs which are related to, are
influenced by, or vary with the local labor markets. This portion is
known as the labor-related share. Currently, contract labor costs for
accounting and auditing services, engineering services, legal services,
and management consulting services are included in the labor-related
share. These costs are calculated based on data published in the
Medicare cost reports and the Input-Output tables published by the
Bureau of Economic Analysis (BEA). At this time, the labor-related
share is not used to reimburse end-stage renal disease centers (ESRDs)
for providing Medicare services. However, there is a possibility that
this circumstance may change; therefore CMS will include ESRDs in the
survey. It is assumed that these professional services contract labor
costs are purchased in the local labor market and thus should be
included in the labor-related share. A search of the literature reveals
no existing work on this subject. Therefore, CMS will survey hospitals,
skilled nursing facilities, and kidney dialysis centers to determine if
their professional service contract labor is hired from local or
national labor markets.; Frequency: Reporting--One-time; Affected
Public: Not-for-profit institutions, Business or other for-profit,
Federal Government, State, Local, or Tribal Government; Number of
Respondents: 4,000; Total Annual Responses: 4,000; Total Annual Hours:
4,000.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare
Lifestyle Modification Program Demonstration; Form Number: CMS-
10044(OMB: 0938-0871); Use: The Medicare Lifestyle
Modification Program Demonstration will focus on two Medicare-
sponsored, lifestyle modification programs designed to reverse, reduce,
or ameliorate the progression of coronary artery disease (CAD) at risk
for significant morbidity and mortality. Lifestyle modification
programs are an increasingly important approach to the secondary
prevention of coronary morbidity. Research has provided evidence that
lifestyle changes decrease cardiovascular risk factors, resulting in
lower morbidity and mortality associated with coronary artery disease
(CAD). Such programs may reduce the incidence of hospitalizations and
invasive procedures among patients with substantial coronary occlusion.
Consequently, lifestyle modification may also reduce the need for
revascularization procedures (coronary artery bypass graft (CABG) and
percutaneous coronary angioplasty (PTCA)) as well as the use of
ambulatory and inpatient services for this disease. This demonstration
will test the cost effectiveness and feasibility of providing payment
for cardiovascular lifestyle modification program services to Medicare
beneficiaries.; Frequency: Reporting--Monthly; Affected Public:
Individuals or Households; Number of Respondents: 2,240; Total Annual
Responses: 1,680; Total Annual Hours: 1106.
To obtain copies of the supporting statement and any related forms
for these 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 March 20, 2006.
OMB Human Resources and Housing Branch, Attention: Carolyn Lovett,
CMS Desk Officer, New Executive Office Building, Room 10235,
Washington, DC 20503.
Dated: February 9, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E6-2302 Filed 2-16-06; 8:45 am]
BILLING CODE 4120-01-P