60 Day FRN notice

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Federal Register / Vol. 91, No. 142 / Monday, July 27, 2026 / Notices
(3) Confidentiality and Accuracy of
Enrollee Records; (4) Information on
Advance Directives: and (5) Provider
Participation rules.
• NCQA submitted additional
information/documentation regarding
its survey process to address our
regulations at §§ 422.158(a)(1) through
(11), and (b)(1) through (3).
B. Term of Approval
Based on the review and observations
described in section II. of this final
notice, we have determined that
NCQA’s accreditation program
requirements meet or exceed our
requirements. Therefore, we approved
NCQA as a national AO with deeming
authority for MA HMOs and PPOs on
May 18, 2026 for a term of approval to
continue through May 18, 2032. We
informed NCQA of their renewal via a
letter dated May 18, 2026.
V. Collection of Information
Requirements
This document does not impose
information collection requirements,
that is, reporting, recordkeeping or
third-party disclosure requirements.
Consequently, there is no need for
review by the Office of Management and
Budget under the authority of the
Paperwork Reduction Act of 1995 (44
U.S.C. 3501 et seq.).
The Administrator of the Centers for
Medicare & Medicaid Services (CMS),
Mehmet Oz, having reviewed and
approved this document, authorizes
Trenesha Fultz-Mimms, who is the
Federal Register Liaison, to
electronically sign this document for
purposes of publication in the Federal
Register.
Trenesha Fultz-Mimms,
Federal Register Liaison, Centers for Medicare
& Medicaid Services.
[FR Doc. 2026–15116 Filed 7–24–26; 8:45 am]
BILLING CODE 4169–69–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families

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[Office of Management and Budget #: 0970–
0509]

Proposed Information Collection
Activity; Mental Health Assessment
Form and Onsite Health Intervention
Form
AGENCY: Office of Refugee Resettlement,

Administration for Children and
Families, U.S. Department of Health and
Human Services.

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ACTION: Request for public comments.
SUMMARY: The Administration for

Children and Families (ACF) Office of
Refugee Resettlement (ORR) is
requesting a 3-year extension with
changes of the Mental Health
Assessment Form and Onsite Health
Intervention Form (formerly Public
Health Investigation Form: Non-TB
Illness, and Public Health Investigation
Form: Active TB, OMB # 0970–0509,
expiration 9/30/2026). Proposed
revisions include merging two forms
(Public Health Investigation Forms,
Active TB and Non-TB Illness) into the
single Onsite Health Intervention (OHI)
Form. The proposed restructuring and
revisions will improve transparency,
lessen burden, improve data quality,
and ensure alignment with ORR
requirements. In addition, to ensure
continuity of care, the request has been
revised to include the sharing of health
information with the Department of
Homeland Security (DHS) in specific
circumstances.
DATES: Comments due September 25,
2026.
ADDRESSES: In compliance with the
requirements of the Paperwork
Reduction Act of 1995, ACF is soliciting
public comment on the specific aspects
of the information collection described
above. You can obtain copies of the
proposed collection of information and
submit comments by emailing
[email protected]. Identify all
requests by the title of the information
collection.
SUPPLEMENTARY INFORMATION:
Description: Unaccompanied alien
children in ORR custody are placed in
care provider programs until unification
with a qualified sponsor. Care providers
ensure children receive a range of
services including routine and
emergency medical, dental, and mental
health care. Care provider staff are
expected to implement all
recommended treatment plans (e.g.,
referrals to specialists, medication
administration, accommodation for
physical or mental impairments that
impact daily living activities) as
directed by the evaluating healthcare
provider. Care provider staff are also
expected to respond to reported or
observed non-emergency healthcare
concerns (including exposures to
specific reportable communicable
illnesses) through triage with a licensed
healthcare professional or
administration of over-the-counter
medications as indicated by the child’s
primary healthcare provider’s standing
orders. If a child with a health condition
that requires daily management or

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46935

accommodation (e.g., medication,
durable medical equipment) is
identified for repatriation by DHS,
relevant information from their
established treatment plan must be
shared with DHS to ensure continuity of
care. See ‘‘Proposed Changes’’ for more
information.
Data from scheduled mental health
assessments and onsite health
interventions is captured through the
following forms under OMB # 0970–
0509:
• Mental Health Assessment Form.
• Onsite Health Intervention Form
(Formerly, Public Health Investigation
Form: Active TB, and Public Health
Investigation Form: Non-TB Illness).
The Mental Health Assessment Form
(MHAF) has a corresponding
instructional ‘‘Dear Colleague’’ letter
that healthcare providers are expected
to read at the initial visit with the child.
The forms are used as worksheets by
healthcare providers and care provider
staff to compile information that would
otherwise have been collected during
the health assessment or onsite health
intervention. Once completed, care
provider staff transcribe the information
from the form into ORR’s secure,
electronic system of record. Although
the MHAF is not completed during
emergency or urgent care visits,
hospitalizations, or admissions to an
out-of-network facility (e.g., residential
treatment center), care providers are
required to complete the respective form
in ORR’s electronic system of record by
extracting relevant data from health
records.
Data is used by ORR to monitor and
support the health of unaccompanied
alien children while in care, for case
management of identified illnesses/
conditions, and to ensure care provider
compliance with ORR requirements.
Finally, ORR has updated the stated
uses of data sharing to include
providing relevant health information to
DHS when a child with healthcare
needs is identified by DHS for
repatriation.
Proposed Changes
ORR is proposing updates to
streamline and strengthen health
documentation by combining the two
Public Health Investigation Forms into a
single expanded Onsite Health
Intervention Form that would cover
quarantine for communicable disease
exposure, triage with a licensed
healthcare professional, and
medication-related standing orders. The
MHAF would also be revised to:
• Reduce duplicate documentation by
removing the History section

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Federal Register / Vol. 91, No. 142 / Monday, July 27, 2026 / Notices

requirement for follow-up mental health
visits,
• Improve compliance and care
tracking by strengthening the
disabilities and accommodations field
and adding a field for all ordered or
completed labs and imaging, and
• Improve data quality through
clearer instructions by visit type, a
healthcare provider acknowledgement
and signature section authorizing record
sharing with ORR, replacement of fixed
diagnosis choices with free-text fields,
and broader field reformatting.
The related Dear Colleague Letter
would also be updated to reflect these
MHAF changes.
In addition, language was updated to
expand the purposes of data to include
sharing relevant health data captured on
the MHAF with DHS when a child in
ORR custody has healthcare needs and

is identified by DHS for repatriation.
Shared information includes:
• Child’s identifying information
(name, alien number, date of birth).
• Active diagnoses or concerns that
require management.
• Allergies.
• Current medications and dosages.
• Isolation/Quarantine requirements.
• Health-related accommodations
(including durable medical equipment
needs).
• Health-related ravel restrictions.
The purpose of sharing this data is to
ensure children receive healthcare
services and accommodation as
recommended by their treating
healthcare providers. Prior to sharing
mental health information with DHS,
ORR will request consent from the
child.
Respondents: Mental health
professionals (psychiatrists, psychiatric

nurse practitioners and physician
assistants, licensed psychologists, social
workers, and any other communitybased licensed mental health provider)
and care provider staff.
Annual Burden Estimates
The overall annual burden of
response and recordkeeping time
decreased by 32.7 and 43.9 percent,
respectively.
The decrease is attributed to a
significantly lower census of
unaccompanied alien children in ORR
care which reduced the number of
respondents and responses per
respondent. In addition, the average
burden hours per response decreased for
each form because unnecessary fields
were removed and skip patterns were
introduced for fields that are only
needed for specific types of visits.

ESTIMATED RESPONSE TIME FOR RESPONDENTS
Total
number of
respondents

Instrument

Respondent

Mental Health Assessment Form .....
Onsite Health Intervention Form .......

Mental health professionals .............
Care Provider Staff ..........................

Annual
number of
responses
per
respondent

250
150

12.3
402

Average
burden
hours
per
response
0.13
0.09

Estimated Total Annual Burden
Hours.

Annual
burden
hours
399.8
5,427
5,826.8

ESTIMATED RECORDKEEPING TIME

Instrument

Respondent

Mental Health Assessment Form completed by a mental
health professional.
Mental Health Assessment Form not completed by a mental health professional(information obtained via health
records).
Onsite Health Intervention Form ..........................................

Care Provider
Staff.

Total
number of
respondents

Annual
number of
responses
per
respondent

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20.5

0.17

522.8

150

5.5

0.21

173.3

150

402

0.07

4,221
4,917.1

or other forms of information
technology. Consideration will be given
to comments and suggestions submitted
within 60 days of this publication.
Authority: These information
collections are related to and funded by
the ORR Unaccompanied Alien
Children Bureau (UACB), are authorized
by the statutes and regulations listed
below, and are being conducted by ORR
UACB.
• Homeland Security Act (HSA), 6
U.S.C. 279—Transferred responsibilities
for the care and placement of
unaccompanied alien children from the
Commissioner of the former

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Annual
burden
hours

150

Estimated Total Annual Burden Hours .........................

Comments: The Department
specifically requests comments 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) 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

Average
burden
hours
per
response

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Immigration and Naturalization Service
to the Director of ORR.
• Unaccompanied Children Program
Foundational Rule, 45 CFR part 410—
Establishes a uniform set of standards
and procedures concerning the
placement, care, and services provided
to unaccompanied alien children in
ORR care that is consistent with ORR’s
statutory duties. § 410.1306(g) and
410.1307 require care provider programs
to ensure children are provided with
routine and emergency healthcare
services while in care.
• Lucas R. et al v. Becerra et al (Case
No. 2:18–CV–05741 DMG PLA)

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Federal Register / Vol. 91, No. 142 / Monday, July 27, 2026 / Notices

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Psychotropic Medication Settlement
Agreement—Establishes standards for
monitoring the administration of
psychotropic medication to children in
ORR custody and care.

FOR FURTHER INFORMATION CONTACT:

General questions about the matching
program may be submitted to Alicia
Gumbs, PARIS Administrator, HHS/
ACF/OA/PARIS, 330 C Street SW,
Washington, DC 20024, paris@
Mary C. Jones,
acf.hhs.gov.
ACF/OPRE Certifying Officer.
SUPPLEMENTARY
INFORMATION: The
[FR Doc. 2026–15087 Filed 7–24–26; 8:45 am]
Privacy
Act
of
1974,
as amended (5
BILLING CODE 4184–45–P
U.S.C. 552a), provides certain
protections for records related to
individuals applying for and receiving
DEPARTMENT OF HEALTH AND
Federal benefits. The law governs the
HUMAN SERVICES
use of computer matching by Federal
agencies when records in a system of
Administration for Children and
records (meaning, Federal agency
Families
records about individuals retrieved by
Privacy Act of 1974; Matching Program name or other personal identifier) are
matched with records of other Federal
AGENCY: Administration for Children
and Families, Department of Health and or non-Federal agencies. The Privacy
Act requires agencies involved in a
Human Services.
matching program to the following:
ACTION: Notice of a new matching
1. Obtain approval of a Computer
program.
Matching Agreement, prepared in
SUMMARY: In accordance with subsection accordance with the Privacy Act, by the
Data Integrity Board of each Federal
(e)(12) of the Privacy Act of 1974, as
amended, the Department of Health and agency, that is a source, or recipient of
Human Services (HHS), Administration data used in the matching program. 5
U.S.C. 522a(o)(1), (u)(3)(A), and (u)(4).
for Children and Families (ACF), ACF
2. Provide adequate advance notice of
Tech, is providing notice of a rethe matching program, including a copy
established matching program between
the Department of Veterans Affairs (VA) of the agreement, to Congress and the
Office of Management and Budget
and State Public Assistance Agencies
(OMB). 5 U.S.C. 552a(o)(2)(A)(i) and (r).
(SPAAs) participating in the Public
3. Publish advance notice of the
Assistance Reporting Information
System (PARIS) Program. The matching matching program in the Federal
program provides the SPAAs with VA’s Register. 5 U.S.C. 552a(e)(12).
4. Make the Computer Matching
compensation and pension data on a
Agreement
available to the public. 5
periodic basis to use in determining
U.S.C. 552a(o)(2)(A)(ii).
public assistance applicants’ and
5. Notify the individuals whose
recipients’ eligibility for certain public
assistance benefits. ACF Tech facilitates information will be used in the
matching program that the information
the matching program, and the
they provide is subject to verification
Department of Treasury, Bureau of
through matching, as required by 5
Fiscal Services, Do Not Pay (DNP)
U.S.C. 552a(o)(1)(D).
conducts the matches of SPAA and VA
6. Verify match findings before
data and provides associated support.
suspending, terminating, reducing, or
DATES: The deadline for comments on
making a final denial of an individual’s
this notice is August 21, 2026. The rebenefits or payments, or taking other
established matching program will
adverse action against the individual, as
commence not sooner than 30 days after
required by 5 U.S.C. 552a(p).
publication of this notice, provided no
7. Provide an annual report of the
comments are received that warrant a
matching program activities to the head
change to this notice. The matching
of the participating agency and OMB
program will be conducted for an initial
and make the report available to the
term of 18 months (from approximately
public. 5 U.S.C. 552a(u)(3)(D).
October 2026 through May 2027), and
This matching program meets these
within 3 months of expiration may be
requirements.
renewed for 1 additional year if the
Dated: July 23, 2026.
parties make no change to the matching
Ben Goldhaber,
program and certify that the program
has been conducted in compliance with Deputy Assistant Secretary for
Administration.
the matching agreement.
ADDRESSES: Interested parties may
Participating Agencies: The
submit written comments on this notice Department of Veterans Affairs (VA) is
by mail or email to HHS/ACF/OA/
the source agency and State Public
PARIS, 330 C Street SW, Washington,
Assistance Agencies (SPAAs) are nonDC 20024, [email protected].
Federal agencies.

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Authority for Conducting the
Matching Program: Sections 402(a),
1137, and 1903(r) of the Social Security
Act (42 U.S.C. secs. 602(a), 1320b–7,
and 1396b(r).
Purpose(s): The matching program
will provide participating SPAAs with
VA’s compensation and pension data on
a periodic basis to use in determining
public assistance applicants’ and
recipients’ eligibility for benefits under
the Medicaid, Temporary Assistance for
Needy Families (TANF), Supplemental
Nutrition Assistance Program (SNAP),
and general assistance programs, and to
use in helping relevant veterans to
better understand similar benefits
available through the VA that may be
better alternatives. The matching
program helps ensure fair and equitable
treatment in the delivery of benefits
attributable to funds provided by the
Federal Government.
Categories of Individuals: The
categories of individuals involved in the
matching program are the following:
• Individuals applying for or
receiving Medicaid, TANF, SNAP, and/
or general assistance benefits (public
assistance clients); and
• Individuals receiving VA pay or
pension benefits.
Categories of Records: The categories
of records used in the matching program
are identifying information,
compensation, and pension data.
On an approximately quarterly basis,
VA will provide DNP with a file
containing VA benefit record data for
most VA benefit and compensation
recipients. SPAAs will also provide
DNP with a non-Federal file containing
identifying information, including
Social Security Numbers (SSNs), about
public assistance clients. DNP will
compare the SSNs in each SPAA file to
the VA file and will provide the SPAA
with match results containing the
following data elements (as applicable)
about each public assistance client
whose SSN matches the SSN of an
individual receiving VA compensation
or pension benefits:
VA File Number; Veteran/Beneficiary/
Apportionee SSN and SSN Verification
Indicator; Payee Type Code; Award
Type, Award Line Type, and Award
Status Codes; Gender Code; Last Name/
First Name/Middle Name; Beneficiary
Birth Date; Veteran/Spouse Aid and
Attendance Code; Station Number;
Spouse; Minor Child; School Child;
Helpless Child; Parent; Combined
Degree; Entitlement Type Code; Change
Reason; Suspense Reason; Last Paid
Date; Effective Date; Gross Amount; Net
Award Amount; Payment Amount;
Frequency Pay Type Code; Income for
VA Purposes Amount; Beneficiary/

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