Agency Information Collection Activities: Proposed Collection; Comment Request
Agency: "
SUMMARY: The
DATES: Comments must be received by
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,
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 website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.
FOR FURTHER INFORMATION CONTACT:
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-10410 Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010
CMS-10554 Children's Health Insurance Program Managed Care and Supporting Regulations
CMS-10791 Requirements Related to Surprise Billing; Part II
CMS-10377 Student Health Insurance Coverage
Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain approval from the
Information Collection
1. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010; Use: The State Medicaid and CHIP agencies will collect all information needed to determine and redetermine eligibility for Medicaid and will transmit information, as appropriate, to other insurance affordability programs. The information collection requirements will assist the public to understand information about health insurance affordability programs and will assist CMS in ensuring the seamless, coordinated, and simplified system of Medicaid and CHIP application, eligibility determination, verification, enrollment, and renewal. Form Number: CMS-10410 (OMB control number: 0938-1147); Frequency: Occasionally; Affected Public: Individuals or Households, and State, Local, and Tribal Governments; Number of Respondents: 25,500,096; Total Annual Responses: 76,500,218; Total Annual Hours: 21,276,302. (For policy questions regarding this collection contact
2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Children's Health Insurance Program Managed Care and Supporting Regulations; Use: CHIP enrollees use the information collected and reported as a result of this regulation to make informed choices regarding health care, including how to access health care services and the grievance and appeal system. States use the information collected and reported as part of contracting processes with managed care entities, as well as its compliance oversight role. CMS uses the information collected and reported in an oversight role of State CHIP managed care programs and CHIP state agencies. Form Number: CMS-10554 (OMB control number: 0938-1282); Frequency: Yearly; Affected Public: State, Local, and Tribal Governments, and the Private Sector (Business or other for-profits and Not-for-profit institutions); Number of Respondents: 62; Total Annual Responses: 2,735,906; Total Annual Hours: 410,989. (For policy questions regarding this collection contact
3. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Requirements Related to Surprise Billing; Part II; Use: The information requirements have two components: Good faith estimates and patient-provider dispute resolution for uninsured (or self-pay) individuals. Good Faith Estimates. Providers and facilities must furnish a good faith estimate of expected items and services beginning on or after
4. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Student Health Insurance Coverage; Use: Under the Student Health Insurance Coverage Final Rule published
Dated:
Director, Paperwork Reduction Staff,
Notice.
Citation: "87 FR 461"
Document Number: "Document Identifiers: CMS-10410, CMS-10554, CMS-10791 and CMS-10377"
Federal Register Page Number: "461"
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