Attachment B Federal Register Notice

79490

Federal Register / Vol. 73, No. 249 / Monday, December 29, 2008 / Notices
ESTIMATED ANNUALIZED BURDEN TABLE—Continued
Number of
respondents

Type of respondent
Medical and Diagnostics Laboratories .............................................................
Home Health Care Services ............................................................................
Pharmacies (chain and independent) ..............................................................
Dental Schools .................................................................................................
Medical Schools (Allopathic) ............................................................................
Medical Schools (Osteopathic) ........................................................................
Nursing Schools (Licensed practical) ..............................................................
Nursing Schools (Baccalaureate) ....................................................................
Nursing Schools (Associate Degree) ...............................................................
Nursing Schools (Diploma) ..............................................................................
Occupational Therapy Schools ........................................................................
Optometry Schools ..........................................................................................
Pharmacy Schools ...........................................................................................
Podiatry Schools ..............................................................................................
Public Health Schools ......................................................................................
Residency Programs (accredited) ...................................................................
Health Insurance Carriers and 3rd party Administrators .................................
Grant awards ...................................................................................................
Contractors ......................................................................................................
State and territorial governments ....................................................................
Totals ........................................................................................................

Seleda M. Perryman,
Office of the Secretary, Paperwork Reduction
Act Reports Clearance Officer.
[FR Doc. E8–30743 Filed 12–24–08; 8:45 am]
BILLING CODE 4150–28–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60-Day–09–09AI]

dwashington3 on PROD1PC60 with NOTICES

Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–5960 or send
comments to Maryam I. Daneshvar, CDC
Acting Reports Clearance Officer, 1600
Clifton Road, MS D–74, Atlanta, GA
30333 or send an e-mail to
omb@cdc.gov.
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

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13:19 Dec 24, 2008

Jkt 217001

11856
20184
58109
56
125
20
1138
550
885
78
142
17
92
7
37
8494
4578
63741
4245
57
571947

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. Written comments should
be received within 60 days of this
notice.
Proposed Project
Evaluation of the Action Plan for the
National Public Health Initiative on
Diabetes and Women’s Health—New—
National Center for Chronic Disease
Prevention and Health Promotion
(NCCDPHP), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
Approximately 24 million Americans
have diabetes, and more than 9 million
of these individuals are women. It is
projected that from 2000 to 2025,
women will represent more than half of
all cases of diabetes in the United
States.
Diabetes can have unique and
profound effects on women’s lives and
health. For instance, diabetes is a more
common cause of coronary heart disease
among women than men. In addition,
among people with diabetes, the
prognosis of heart disease is worse for
women than men, with women having
poorer quality of life and lower survival
rates. The burden of diabetes for women
is also unique because the disease can
affect mothers and their unborn
children. After pregnancy, as many as

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Number of
responses per
respondent

Average
burden hours
per response

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
........................

30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
30/60
........................

Total burden
hours
5928
10092
29055
28
63
10
569
275
443
39
71
9
46
4
19
4247
2289
31871
2123
29
285981

10–50% of women with gestational
diabetes mellitus (GDM) are diagnosed
with type 2 diabetes within five years of
delivery. The offspring of women with
a history of gestational diabetes are also
at risk for becoming obese during
childhood or adolescence, which may
increase their risk of developing type 2
diabetes later in life.
To address the burden of diabetes on
women’s health, the National Public
Health Initiative on Diabetes and
Women’s Health (‘‘The Initiative’’) was
established to provide support and
resources for the creation and
implementation of a national public
health Action Plan. The Initiative is cosponsored by the American Diabetes
Association (ADA), the American
Association of Diabetes Educators
(AADE), the American Public Health
Association (APHA), the Association of
State and Territorial Health Officials
(ASTHO), and the Centers for Disease
Control and Prevention (CDC). CDC’s
Division of Diabetes Translation is
dedicated to the prevention and control
of diabetes, and to reducing or
eliminating health disparities through
targeted research, programs, and
partnerships.
The Initiative’s Action Plan identifies
gaps in diabetes-related research and
programmatic activities, and strategic
objectives, within the areas of: (1)
Community health; (2) diabetes state
programs; (3) education and community
outreach; (4) quality of care; (5)
research; and (6) surveillance. Cosponsors of the Initiative and other
partner organizations have been
encouraged to act on the deficiencies

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79491

Federal Register / Vol. 73, No. 249 / Monday, December 29, 2008 / Notices
and priorities identified in the Action
Plan.
CDC proposes to conduct a survey to
assess collective progress toward
achieving the objectives outlined in the
Action Plan. The survey will also
request information about the specific
strategies, steps, resources and
partnerships that have been employed
to meet the objectives. Respondents will
be the 4 co-sponsors of The Initiative, 51
CDC-funded, state-based diabetes
prevention and control programs, and
approximately 230 private-sector public
health organizations with a focus on

year. Co-sponsors will receive a
modified version of the survey. Due to
the size and complexity of the activities
managed by co-sponsors, the cosponsoring organizations will have the
option to submit multiple survey
responses from different areas of the
organization, in order to capture the full
range of activities conducted. It is
estimated that each co-sponsor will
submit an average of three responses.
Information will be collected
electronically through web-based
surveys. There are no costs to
respondents other than their time.

diabetes and/or women’s health. Survey
responses will be compiled into a report
and disseminated to respondents,
allowing them to learn about each
other’s activities and the steps needed to
replicate successful diabetes prevention
and control efforts.
Because organizations are in various
stages of Action Plan implementation,
information will be collected once per
year for a period of 3 years, and the
report will be updated annually to
reflect recent activities and progress.
Private-sector partners will submit one
survey response per organization per

ESTIMATED ANNUALIZED BURDEN HOURS
Type of
respondents

Form name

Co-Sponsors .....................................
State and Local Govt. Partners ........
Private Sector Partners .....................

Co-Sponsor Survey ..........................
Partner Survey .................................

Total ..........................................................................................................

Dated: December 18, 2008.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. E8–30771 Filed 12–24–08; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
Notice of Hearing: Reconsideration of
Disapproval of Montana State Plan
Amendment (SPA) 08–003

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AGENCY: Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice of hearing.
SUMMARY: This notice announces an
administrative hearing to be held on
January 27, 2009, at the CMS Denver
Regional Office, 1600 Broadway, Suite
700, Denver, Colorado 80202 to
reconsider CMS’ decision to disapprove
Montana SPA 08–003.
Closing Date: Requests to participate
in the hearing as a party must be
received by the presiding officer by
January 13, 2009.
FOR FURTHER INFORMATION CONTACT:
Benjamin Cohen, Presiding Officer,
CMS, 2520 Lord Baltimore Drive, Suite
L, Baltimore, Maryland 21244,
Telephone: (410) 786–3169.
SUPPLEMENTARY INFORMATION: This
notice announces an administrative
hearing to reconsider CMS’ decision to

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Number of
responses per
respondent

Average
burden per response (in hrs)

4
51
230

3
1
1

30/60
30/60
30/60

6
26
115

........................

........................

........................

147

Number of
respondents

disapprove Montana SPA 08–003 which
was submitted on December 27, 2007,
and disapproved on September 23,
2008. The SPA proposed to modify the
reimbursement methodology for
licensed denturist services and dental
services effective October 1, 2007.
Section 1902(a)(30)(A) of the Social
Security Act (the Act) requires that
States have methods and procedures to
ensure payments are consistent with
economy, efficiency, and quality of care.
The overall requirement in section
1902(a) of the Act for a State plan, and
the specific requirement at section
1902(a)(30)(A) of the Act for methods
and procedures related to payment, are
implemented by Federal regulations at
42 CFR 430.10 and 42 CFR 447.252(b),
which require that the State plan
include a comprehensive description of
the methods and standards used to set
payment rates, and provide a basis for
Federal financial participation (FFP). To
be comprehensive, payment
methodologies should be
understandable, clear, and
unambiguous. In addition, since the
plan is the basis for FFP, it is important
that the plan language provide an
auditable basis for determining if
payment was appropriate.
Montana SPA 08–003 proposed to
reimburse denturist and dental services
on a fee-for-service basis by multiplying
a nationally recognized relative value
unit for each service by a State specific
conversion factor. CMS requested the
State to include the exact conversion
factor in the reimbursement

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Total burden
(in hrs)

methodology in order to meet the
requirements of a comprehensive
reimbursement methodology in
accordance with Federal regulations at
42 CFR 430.10 and 447.252(b).
Including the conversion rate would
ensure that payment calculations were
verifiable and auditable. Absent that
detail, CMS requested that the State
include sufficient information so that
providers and CMS would know the
initial rate for each service (either
directly or through reference to a fee
schedule) and have notice of any
subsequent changes to each rate. The
State declined to include such
information in the SPA. Therefore, CMS
was unable to approve the SPA because
it does not comply with section
1902(a)(30)(A) of the Act as
implemented by Federal regulations at
42 CFR 430.10 and 447.252(b).
Based on the above, and after
consultation with the Secretary of the
Department of Health and Human
Services as required under Federal
regulations at 42 CFR 430.15(c)(2), CMS
disapproved Montana Medicaid SPA
08–003.
The hearing will involve the
following issues:
• Whether Montana’s proposed
methodologies for payment of dental
and denturist services, meet the
requirements of section 1902(a)(30)(A)
of the Social Security Act and Federal
regulations at 42 CFR 430.10 and 42
CFR 447.252(b), which require that the
State plan include a comprehensive
description of the methods and

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