[Federal Register Volume 84, Number 209 (Tuesday, October 29, 2019)]
[Notices]
[Page 57875]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-23584]
[[Page 57875]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10708]
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-10708 Proposed Repetitive, Scheduled Non-Emergent Ambulance
Transport (RSNAT) Prior Authorization Process and Requirements for a
Potential National Model
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: New collection (Request
for a new OMB control number); Title of Information Collection:
Proposed Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT)
Prior Authorization Process and Requirements for a Potential National
Model; Use: CMS is pursuing approval to potentially expand the RSNAT
Prior Authorization Model nationally if the Secretary determines that
the expansion criteria are met. The potential national model would
follow the same design as the current RSNAT Prior Authorization Model,
as described in the September 16, 2019, Federal Register (84 FR 48620)
and may be implemented in multiple phases. If such a national model
moves forward, the information that would be required under this
collection would be used to determine proper payment for repetitive,
scheduled non-emergent ambulance transports. The information required
in a prior authorization request package would include all medical
documents and information to show that the number and level of
transports requested are reasonable and necessary for the beneficiary
and meet other Medicare requirements. If an ambulance supplier does not
submit a prior authorization request by the fourth round trip in a 30-
day period, and the claim is submitted to the Medicare Administrator
Contractor (MAC) for payment, then the claim would be stopped for
prepayment review and medical documentation will be requested.
Trained nurse reviewers from the MAC would review the information
from the ambulance supplier to determine if the beneficiary meets
Medicare's requirements for the transport and if the beneficiary needs
the level of care requested. The MAC would also use the information to
determine if the number of trips requested is reasonable and necessary.
Form Number: CMS-10708 (OMB control number: 0938-NEW); Frequency:
Occasionally; Affected Public: Private Sector (Business or other for-
profits, Not-for-profit institutions); Number of Respondents: 1,745;
Number of Responses: 216,941; Total Annual Hours: 113,706. (For
questions regarding this collection contact Angela Gaston at 410-786-
7409.)
Dated: October 24, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2019-23584 Filed 10-25-19; 8:45 am]
BILLING CODE 4120-01-P