[Federal Register Volume 84, Number 209 (Tuesday, October 29, 2019)]
[Notices]
[Pages 57876-57877]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-23572]
[[Page 57876]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10631]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid 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 (the 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 December 30, 2019.
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, you may make
your request using one of following:
1. Access CMS' website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to [email protected].
3. Call the Reports Clearance Office at (410) 786-1326.
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-10631 The PACE Organization Application Process in 42 CFR Part 460
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 Collection
1. Type of Information Collection Request: Revision with change of
a currently approved collection; Title of Information Collection: The
PACE Organization Application Process in 42 CFR part 460; Use: The
Programs of All-Inclusive Care for the Elderly (PACE) consist of pre-
paid, capitated plans that provide comprehensive health care services
to frail, older adults in the community who are eligible for nursing
home care according to State standards. PACE organizations (PO) must
provide all Medicare and Medicaid covered services; financing of this
model is accomplished through prospective capitation of both Medicare
and Medicaid payments. Upon approval of a PACE application, CMS
executes a 3-way program agreement with the applicant entity and the
applicable State Administering Agency (SAA). CMS regulations at 42 CFR
460.98(b)(2) require a PO to provide PACE services in at least the PACE
center, the home, and inpatient facilities. The PACE center is the
focal point for the delivery of PACE services; the center is where the
interdisciplinary team (IDT) is located, services are provided, and
socialization occurs with staff that is consistent and familiar to
participants.
Collection of this information is mandated by statute under
sections 1894(f) and 1934(f) of the Act and at 42 CFR part 460, subpart
B, which addresses the PO application and waiver process. In general,
PACE services are provided through a PO. An entity wishing to become a
PO must submit an application to CMS that describes how the entity
meets all the requirements in the PACE program. An entity's application
must be accompanied by an assurance from the SAA of the State in which
the PO is located.
CMS recently issued a final PACE rule (CMS-4168-F), effective
August 2, 2019, which updates and modernizes the PACE program. This
final rule codifies CMS' existing practice of relying on automated
review systems for processing initial applications to become a PACE
organization and expansion applications for existing PACE
organizations. In addition, the final rule will modify the PACE
regulations to eliminate the need for PACE organizations to request
waivers for a number of the most commonly waived provisions. This
latter change is expected to reduce burden and improve efficiency for
POs, state administering agencies, and CMS.
In addition to codifying the current automated processes for the
submission and review of both initial and service area expansion
applications, this rule modifies existing regulatory provisions and
requirements. As a result, certain attestations associated with the
application are no longer applicable, and others need to be updated to
reflect updated regulatory requirements. We are also making minor
tweaks to certain document upload requirements for clarification
purposes based on experience reviewing applications. Form Number: CMS-
10631 (OMB control number: 0938-1326); Frequency: Yearly; Affected
Public: State, Local, or Tribal Governments; Number of Respondents: 72;
Total Annual Responses: 109; Total Annual Hours:
[[Page 57877]]
7,226. (For policy questions regarding this collection contact Debbie
Vanhoven at 410-786-6625.)
Dated: October 24, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2019-23572 Filed 10-28-19; 8:45 am]
BILLING CODE 4120-01-P