Section 4507 of BBA 1997 amended
section 1802 of the Social Security Act to permit certain
physicians and practitioners to opt-out of Medicare and to provide
through private contracts services that would otherwise be covered
by Medicare. Under such contracts the mandatory claims submission
and limiting charge rules of section 1848(g) of the Act would not
apply. Subpart D and the Supporting Regulations contained in 42 CFR
405.410, 405.430, 405.435, 405.440, 405.445, and 405.455, counters
the effect of certain provisions of Medicare law that, absent
section 4507 of BBA 1997, preclude physicians and practitioners
from contracting privately with Medicare beneficiaries to pay
without regard to Medicare limits.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
CMS-R-234 Supportingstatement rev.doc
Subpart D-Private Contracts and Supporting Regulations in 42 CFR 405.410 (a)