Agency Information Collection Activities: Proposed Collection: Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

Agency Information Collection Activities: Proposed Collection:

Comment Request

In compliance with the requirement for opportunity for public

comment on proposed data collection projects (section 3506(c)(2)(A) of

Title 44, United States Code, as amended by the Paperwork Reduction Act

of 1995, Pub. L. 104-13), the Health Resources and Services

Administration (HRSA) publishes periodic summaries of proposed projects

being developed for submission to OMB under the Paperwork Reduction Act

of 1995. To request more information on the proposed project or to

obtain a copy of the data collection plans and draft instruments, call

the HRSA Reports Clearance Officer on (301) 443-1129.

Comments are invited on: (a) Whether the proposed collection of

information is necessary for the proper performance of the functions of

the agency, including whether the information shall have practical

utility; (b) the accuracy of the agency's estimate of the burden of the

proposed collection of information; (c) ways to enhance the quality,

utility, and clarity of the information to be collected; and (d) ways

to minimize the burden of the collection of information on respondents,

including through the use of automated collection techniques or other

forms of information technology.

Proposed Project: Healthcare Integrity and Protection Data Bank for

Final Adverse Information on Health Care Providers, Suppliers, and

Practitioners--(OMB 0915-0239)--Extension

Section 221(a) of the Health Insurance Portability and

Accountability Act (HIPAA) of 1996 specifically directs the Secretary

to establish a national health care fraud and abuse data collection

program for the reporting and disclosure of certain final adverse

actions taken against health care providers, suppliers, and

practitioners. A final rule was published October 26, 1999 in the

Federal Register to implement the statutory requirements of section

1128E of the Social Security Act (The Act) as added by Section 221(a)

of HIPAA. The Act requires the Secretary to implement the national

health care fraud and abuse data collection program. This data bank is

known as the Healthcare Integrity and Protection Data Bank (HIPDB). It

contains the following types of information: (1) Civil judgments

against a health care provider, supplier, or practitioner in Federal or

State court related to the delivery of a health care item or service;

(2) Federal or State criminal convictions against a health care

provider, supplier, or practitioner related to the delivery of a health

care item or service; (3) actions by Federal or State agencies

responsible for the licensing and certification of health care

providers, suppliers, or practitioners; (4) exclusion of a health care

provider, supplier, or practitioner from participation in Federal or

State health care programs; and (5) any other adjudicated actions or

decisions that the Secretary shall establish by regulations. Access to

this data bank is limited to Federal and State Government agencies and

health plans.

The estimated response burden is as follows:

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Number of Responses per Total Hours per Total burden

Regulation citation respondents respondent responses responses hours

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61.6, Errors & Omissions........ 1,200 1 1,200 \1\ 25 500

61.6, Revisions/Appeal Status... 1,000 1 1,000 \1\ 75 1,250

61.7, Licensure actions:

Disclosure by State 1,836 22 40,400 \1\ 75 50,500

Licensing Boards...........

Reporting By State Licensing 216 187 40,400 \1\ 15 10,100

Authorities................

61.8, Reporting of State 54 13 700 \1\ 75 875

Criminal Convictions...........

61.9, Reporting of Civil 62 8 500 \1\ 75 625

Judgments......................

61.11, Reporting of Adjudicated 66 12 800 \1\ 75 1,000

Actions/Decisions..............

61.12, Access to Data (Queries/

Self Queries):

State Licensure Boards...... 1,000 75 75,000 \1\ 5 6,250

State Certification Agencies 54 3 162 \1\ 5 14

States/District Attorneys & 2,000 25 50,000 \1\ 5 4,166

Law Enforcement............

State Medicaid Fraud Units.. 47 50 2,350 \1\ 5 196

Health Plans................ 2,500 400 1,000,000 \1\ 5 83,333

Health Care Providers, 60,000 1 60,000 \1\ 25 25,000

Suppliers and Practitioners

(self query)...............

Entity Registration......... 5,000 1 5,000 \1\ 30 2,500

Entity Registration Update.. 250 1 250 \1\ 15 62

Authorized Agent Designation 100 1 100 \1\ 10 16

Authorized Agent Designation 5 1 5 \1\ 5 0.42

Update.....................

61.15, Disputed Reports/

Secretarial Review:

Initial Request............. 750 1 750 \1\ 10 125

Request for Secretarial 37 1 37 \1\ 480 296

Review.....................

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Total................... 76,177 .............. 1,278,654 .............. 186,808

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\1\ Minutes.

Other forms used in the management of the HIPDB include the

following:

[[Page 72357]]

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Number of Responses per Total Hours per Total burden

Form name respondents respondent responses responses hours

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Account Discrepancy............. 2,000 1 2,000 \1\ 5 166

Electronic Funds Transfer 850 1 850 \1\ 5 70

Authorization..................

Entity Reactivation............. 500 1 500 \1\ 15 125

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Total....................... 3,350 .............. 3,350 .............. 361

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\1\ Minutes.

Send comments to Susan G. Queen, Ph.D., HRSA Reports Clearance

Officer, Room 14-33, Parklawn Building, 5600 Fishers Lane, Rockville,

MD 20857. Written comments should be received within 60 days of this

notice.

Dated: December 17, 1999.

Claude Earl Fox,

Administrator.

[FR Doc. 99-33399 Filed 12-23-99; 8:45 am]

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