[Federal Register Volume 62, Number 124 (Friday, June 27, 1997)]
[Notices]
[Page 34761]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-16807]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-R-201 and HCFA 901,1-3]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Health Care Financing Administration, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Health Care Financing
Administration (HCFA), Department of Health and Human Services, is
publishing the following summaries 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 functions; (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: Managed Care
Organization, Incentive Arrangement Disclosure Form and Supporting
Regulations 42 CFR 417.479, 417.500, 434.44, 434.67, 434.70, 1003.100,
1003.101, 1003.103, 1003.106; Form No.: HCFA-R-201 (OMB # 0938-0700);
Use: These forms were created in an extensive cooperative effort with
the American Association of Health Plans, State Medicaid Agency
representatives, and the Medicaid Managed Care Technical Advisory group
to monitor compliance with federal statute and supporting regulations,
governing physician incentives under Medicare and Medicaid managed care
organizations. The currently approved forms and the revised forms being
submitted to OMB for approval are available for inspection on the HCFA
web site, on the Internet, at http://www.hcfa.gov; Frequency: Annually;
Affected Public: Business or other for profit, not for profit
institutions, state, local or tribal government, and federal
government; Number of Respondents: 450; Total Annual Responses: 450;
Total Annual Hours: 45,000.
2.Type of Information Collection Request: Reinstatement, without
change, of a previously approved collection for which approval has
expired; Title of Information Collection: Qualification Application for
Competitive Medical Plan, Medicare Contract Application For Federally
Qualified Health Maintenance Organization (HMO) and Supporting
Regulations 42 CFR 417.143, and 417.408; Form No.: HCFA-901,1-3; Use:
Prepaid health plans must meet certain regulatory requirements which
are captured in these applications, before they are considered a
Federally qualified HMO that is eligible for a Medicare Sec. 1876
contract. Section 1876 of the Social Security Act authorizes
compensation to eligible organizations either on a reasonable cost or a
risk basis for services provided under the Medicare program. Frequency:
one time; Affected Public: Business or other for-profit, Not-for-profit
institutions, and State, Local or Tribal Government; Number of
Respondents: 65; Total Annual Responses: 65; Total Annual Hours: 6,500.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, access HCFA's WEB SITE ADDRESS
at http://www.hcfa.gov, or to obtain the supporting statement and any
related forms, E-mail your request, including your address and phone
number, to Paperwork@hcfa.gov, or call the Reports Clearance Office on
(410) 786-1326. Written comments and recommendations for the proposed
information collections must be mailed within 60 days of this notice
directly to the HCFA Paperwork Clearance Officer designated at the
following address: HCFA, Office of Financial and Human Resources,
Management Analysis and Planning Staff, Attention: John Burke, Room C2-
26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: June 19, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-16807 Filed 6-26-97; 8:45 am]
BILLING CODE 4120-03-P
