80 FR 10688 - Health Insurance Marketplace, Medicare, Medicaid, and Children's Health Insurance Programs; Renewal of the Advisory Panel on Outreach and Education (APOE) and Request for Nominations
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 80, Issue 39 (February 27, 2015)
Centers for Medicare & Medicaid Services
Federal Register Volume 80, Issue 39 (February 27, 2015)
| Page Range | 10688-10690 | |
| FR Document | 2015-04174 |
[Federal Register Volume 80, Number 39 (Friday, February 27, 2015)] [Notices] [Pages 10688-10690] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-04174] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-7036-N] Health Insurance Marketplace, Medicare, Medicaid, and Children's Health Insurance Programs; Renewal of the Advisory Panel on Outreach and Education (APOE) and Request for Nominations AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: This notice announces the renewal of the Advisory Panel (the Panel) on Outreach and Education (APOE) charter. It also requests nominations for individuals to serve on the APOE. DATES: Nominations will be considered if we receive them at the appropriate address, provided in the ADDRESSES section of this notice, no later than 5 p.m., Eastern Daylight Time (e.d.t.) on March 30, 2015. ADDRESSES: Mail nominations to the following address: Abigail Huffman, Designated Federal Official, Office of Communications, CMS, 7500 Security Boulevard, Mail Stop S1-13-05, Baltimore, MD 21244-1850 or email nominations to [email protected]. FOR FURTHER INFORMATION CONTACT: Abigail Huffman, Designated Federal Official, Office of Communications, CMS, 7500 Security Boulevard, Mail Stop S1-13-05, Baltimore, MD 21244, 410-786-0897, email [email protected] or visit the Web site at http://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/APOE.html. Press inquiries are handled through the CMS Press Office at (202) 690-6145. SUPPLEMENTARY INFORMATION: I. Background The Advisory Panel (the Panel) on Medicare Education (the predecessor to the APOE) was created in 1999 to advise and make recommendations to the Secretary of the U.S. Department of Health and Human Services (HHS), and [[Page 10689]] the Administrator of the Centers for Medicare & Medicaid Services (CMS) on the effective implementation of national Medicare education programs, including with respect to the Medicare+Choice (M+C) program added by the Balanced Budget Act of 1997 (Pub. L. 105-33). The Medicare Modernization Act of 2003 (MMA) (Pub. L. 108-173) expanded the existing health plan options and benefits available under the M+C program and renamed it the Medicare Advantage (MA) program. We have had substantial responsibilities to provide information to Medicare beneficiaries about the range of health plan options available and better tools to evaluate these options. Successful MA program implementation required us to consider the views and policy input from a variety of private sector constituents and to develop a broad range of public-private partnerships. In addition, the Secretary, and by delegation, the Administrator of CMS was authorized under Title I of MMA to establish the Medicare prescription drug benefit. The drug benefit allows beneficiaries to obtain qualified prescription drug coverage. In order to effectively administer the MA program and the Medicare prescription drug benefit, we have substantial responsibilities to provide information to Medicare beneficiaries about the range of health plan options and benefits available, and to develop better tools to evaluate these plans and benefits. The Affordable Care Act (Patient Protection and Affordable Care Act, Pub. L. 111-148 and Health Care and Education Reconciliation Act of 2010, Pub. L. 111-152) expanded the availability of other option for health care coverage and enacted a number of changes to Medicare as well as to Medicaid and the Children's Health Insurance Program (CHIP). Qualified individuals and qualified employers are now able to purchase private health insurance coverage through competitive marketplace called Affordable Insurance Exchange, (also called Health Insurance Marketplace, or ``Marketplace''). In order to effectively implement and administer these changes, we must provide information to consumers, providers, and other stakeholders pursuant to education and outreach programs regarding how these programs will change and the expanded range of health coverage options available, including private health insurance coverage through the Marketplace. The APOE allows us to consider a broad range of views and information from interested audiences in connection with this effort and to identify opportunities to enhance the effectiveness of education strategies concerning the Affordable Care Act. II. Provisions of This Notice A. Renewal of the APOE Pursuant to the charter approved on January 21, 2015, the APOE was renewed. The APOE will advise HHS and CMS on developing and implementing education programs that support individuals with or who are eligible for Health Insurance Marketplace, Medicare, Medicaid, and the CHIP about options for selecting health care coverage under these and other programs envisioned under health care reform to ensure improved access to quality care, including prevention services. The scope of this Federal Advisory Committee Act (FACA) group also includes advising on education of providers and stakeholders with respect to the Affordable Care Act and certain provisions of the Health Information Technology for Economic and Clinical Health (HITECH) Act enacted as part of the American Recovery and Reinvestment Act of 2009 (ARRA). The charter will terminate on January 21, 2017, unless renewed by appropriate action. The APOE was chartered under 42 U.S.C. 222 of the Public Health Service Act, as amended. The APOE is governed by provisions of Public Law 92-463, as amended (5 U.S.C. Appendix 2), which sets forth standards for the formation and use of advisory committees. Pursuant to the renewed charter, the APOE will advise the Secretary and the Administrator concerning optimal strategies for the following:Developing and implementing education and outreach programs for individuals enrolled in, or eligible for, Medicare, Medicaid, and the Children's Health Insurance Program (CHIP), or coverage available through the Health Insurance Marketplace. Enhancing the federal government's effectiveness in informing Health Insurance Marketplace, Medicare, Medicaid, and CHIP consumers, issuers, providers, and stakeholders pursuant to education and outreach programs of issues regarding these programs, including the appropriate use of public-private partnerships to leverage the resources of the private sector in educating beneficiaries, providers, and stakeholders. Expanding outreach to vulnerable and underserved communities, including racial and ethnic minorities, in the context of Health Insurance Marketplace, Medicare, Medicaid, and CHIP education programs. Assembling and sharing an information base of ``best practices'' for helping consumers evaluate health coverage options. Building and leveraging existing community infrastructures for information, counseling, and assistance. Drawing the program link between outreach and education, promoting consumer understanding of health care coverage choices, and facilitating consumer selection/enrollment; which in turn support the overarching goal of improved access to quality care, including prevention services, envisioned under the Affordable Care Act. B. Requests for Nominations The APOE shall consist of no more than 20 members. The Chair shall either be appointed from among the 20 members, or a federal official will be designated to serve as the Chair. The charter requires that meetings shall be held approximately four times per year. Members will be expected to attend all meetings. The members and the Chair shall be selected from authorities knowledgeable in one or more of the following fields: Senior citizen advocacy Outreach to minority and underserved communities Health communications Disease-related advocacy Disability policy and access Health economics research Behavioral health Health insurers and plans Health IT Social media Direct patient care Matters of labor and retirement Representatives of the general public may also serve on the APOE. This notice also announces that in July 2015, there will be 11 expired terms of membership and in October 2015, there will be an additional 2 expired terms of membership. This notice is an invitation to interested organizations or individuals to submit their nominations for membership for all 13 vacancies on the APOE (no self-nominations will be accepted). The Administrator will appoint new members to the APOE from among those candidates determined to have the expertise required to meet specific agency needs, and in a manner to ensure an appropriate balance of membership. We have an interest in ensuring that the interests of both women and men, members of all racial and ethnic groups, and disabled individuals are adequately represented on the APOE. Therefore, we encourage nominations of qualified candidates [[Page 10690]] who can represent these interests. Any interested organization or person may nominate one or more qualified persons. Each nomination must include a letter stating that the nominee has expressed a willingness to serve as a Panel member and must be accompanied by a curricula vitae and a brief biographical summary of the nominee's experience. While we are looking for experts in a number of fields, our most critical needs are for experts in aging, social media, tribal affairs, matters of labor and retirement, health economics research, behavioral health, health insurers and plans, direct patient care, racial/ethnic health/disparities, disability, quality, pharmacy, social work, rural health, CHIP, and state programs/Medicaid. We are requesting that all curricula vitae include the following: Date of birth Place of birth Title and current position Professional affiliation Home and business address Telephone and fax numbers Email address List of areas of expertise Phone interviews of nominees may also be requested after review of the nominations. In order to permit an evaluation of possible sources of conflict of interest, potential candidates will be asked to provide detailed information concerning such matters as financial holdings, consultancies, and research grants or contracts. Members are invited to serve for 2-year terms, contingent upon the renewal of the APOE by appropriate action prior to its termination. A member may serve after the expiration of that member's term until a successor takes office. Any member appointed to fill a vacancy for an unexpired term shall be appointed for the remainder of that term. III. Copies of the Charter The Secretary's Charter for the APOE is available on the CMS Web site at: http://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/APOE.html or you may obtain a copy of the charter by submitting a request to the contact listed in the FOR FURTHER INFORMATION CONTACT section of this notice. Authority: Sec. 222 of the Public Health Service Act (42 U.S.C. 217a) and sec. 10(a) of Pub. L. 92-463 (5 U.S.C. App. 2, sec. 10(a) and 41 CFR 102-3). (Catalog of Federal Domestic Assistance Program No. 93.733, Medicare--Hospital Insurance Program; and Program No. 93.774, Medicare--Supplementary Medical Insurance Program) Dated: February 23, 2015. Marilyn Tavenner, Administrator, Centers for Medicare & Medicaid Services. [FR Doc. 2015-04174 Filed 2-26-15; 8:45 am] BILLING CODE 4120-01-P
![10688 Federal Register / Vol. 80, No. 39 / Friday, February 27, 2015 / Notices
proposed collection(s) summarized in contact Lane Terwilliger at 410–786– Dated: February 24, 2015.
this notice, you may make your request 2059.) William N. Parham, III,
using one of following: 2. Type of Information Collection Director, Paperwork Reduction Staff, Office
1. Access CMS’ Web site address at Request: New collection (Request for a of Strategic Operations and Regulatory
http://www.cms.hhs.gov/ Affairs.
new OMB control number); Title of
PaperworkReductionActof1995. Information Collection: Executive
[FR Doc. 2015–04113 Filed 2–26–15; 8:45 am]
2. Email your request, including your Summary Form for Research Identifiable BILLING CODE 4120–01–P
address, phone number, OMB number, Data; Use: The Centers for Medicare &
and CMS document identifier, to Medicaid Services (CMS) is responsible
Paperwork@cms.hhs.gov. DEPARTMENT OF HEALTH AND
for administering the Medicare, HUMAN SERVICES
3. Call the Reports Clearance Office at Medicaid and State Children’s Health
(410) 786–1326. Insurance Programs. We collect data to Centers for Medicare & Medicaid
FOR FURTHER INFORMATION CONTACT: support the Agency’s mission and Services
Reports Clearance Office at (410) 786– operations. These data include [CMS–7036–N]
1326. information about Medicare
SUPPLEMENTARY INFORMATION: Under the beneficiaries, Medicare claims, Health Insurance Marketplace,
Paperwork Reduction Act of 1995 (PRA) Medicare providers, and Medicaid Medicare, Medicaid, and Children’s
(44 U.S.C. 3501–3520), federal agencies eligibility and claims. We disclose the Health Insurance Programs; Renewal
must obtain approval from the Office of identifiable data consistent with the of the Advisory Panel on Outreach and
Management and Budget (OMB) for each routine uses identified in the Privacy Education (APOE) and Request for
collection of information they conduct Act Systems of Records notices that are Nominations
or sponsor. The term ‘‘collection of published in the Federal Register and AGENCY: Centers for Medicare &
information’’ is defined in 44 U.S.C. the limitations on uses and disclosures Medicaid Services (CMS), HHS.
3502(3) and 5 CFR 1320.3(c) and that are set out in the HIPAA Privacy
ACTION: Notice.
includes agency requests or Rule.
requirements that members of the public SUMMARY: This notice announces the
All requests for identifiable data are
submit reports, keep records, or provide renewal of the Advisory Panel (the
received and reviewed by the Division
information to a third party. Section Panel) on Outreach and Education
of Privacy Operations & Compliance
3506(c)(2)(A) of the PRA (44 U.S.C. (APOE) charter. It also requests
3506(c)(2)(A)) requires federal agencies (DPOC) in the Office of E-Health
Standards and Services. The DPOC staff nominations for individuals to serve on
to publish a 30-day notice in the the APOE.
Federal Register concerning each and the CMS Privacy Officer review the
requests to determine if there is legal DATES: Nominations will be considered
proposed collection of information,
authorization for disclosure of the data. if we receive them at the appropriate
including each proposed extension or
If legal authorization exists, the request address, provided in the ADDRESSES
reinstatement of an existing collection
is reviewed to ensure that the minimal section of this notice, no later than 5
of information, before submitting the
data necessary is requested and p.m., Eastern Daylight Time (e.d.t.) on
collection to OMB for approval. To
approved for the project. Requests for March 30, 2015.
comply with this requirement, CMS is
publishing this notice that summarizes identifiable data for research purposes ADDRESSES: Mail nominations to the
the following proposed collection(s) of must be submitted to and approved by following address: Abigail Huffman,
information for public comment: the CMS Privacy Board. To assist the Designated Federal Official, Office of
1. Type of Information Collection CMS Privacy Board with its review of Communications, CMS, 7500 Security
Request: Extension of a currently Boulevard, Mail Stop S1–13–05,
research data requests, OIPDA has
approved collection; Title of Baltimore, MD 21244–1850 or email
developed the Executive Summary (ES)
Information Collection: Affordable Care nominations to
forms. The ES collects all the
Act Information and Collection Abigail.Huffman1@cms.hhs.gov.
information that the CMS Privacy Board
Requirements for Section 1115 needs to review and make a FOR FURTHER INFORMATION CONTACT:
Demonstration Projects; Use: This determination on whether the request Abigail Huffman, Designated Federal
collection is necessary to ensure that meets the requirements for release of Official, Office of Communications,
states comply with regulatory and identifiable data for research purposes. CMS, 7500 Security Boulevard, Mail
statutory requirements related to the We currently have three versions of the Stop S1–13–05, Baltimore, MD 21244,
development, implementation and ES Form and an ES Supplement for 410–786–0897, email
evaluation of demonstration projects. Abigail.Huffman1@cms.hhs.gov or visit
Requestors of the National Death Index
States seeking waiver authority under the Web site at http://www.cms.gov/
(NDI) Causes of Death Variables. Each
Section 1115 are required to meet Regulations-and-Guidance/Guidance/
meets the need for a different type of FACA/APOE.html. Press inquiries are
certain requirements for public notice,
requestor. Form Number: CMS–10522 handled through the CMS Press Office
the evaluation of demonstration
projects, and reports to the Secretary on (OMB control number: 0938–New); at (202) 690–6145.
the implementation of approved Frequency: On occasion; Affected
SUPPLEMENTARY INFORMATION:
Public: State, Local, or Tribal
mstockstill on DSK4VPTVN1PROD with NOTICES
demonstrations. Form Number: CMS–
10341 (OMB control number 0938– Governments; Number of Respondents: I. Background
1162); Frequency: Yearly; Affected 325; Total Annual Responses: 325; Total The Advisory Panel (the Panel) on
Public: State, Local, or Tribal Annual Hours: 650. (For policy Medicare Education (the predecessor to
Governments; Number of Respondents: questions regarding this collection the APOE) was created in 1999 to advise
37; Total Annual Responses: 130; Total contact Kim Elmo at 410–786–0161.) and make recommendations to the
Annual Hours: 13,910. (For policy Secretary of the U.S. Department of
questions regarding this collection Health and Human Services (HHS), and
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![10690 Federal Register / Vol. 80, No. 39 / Friday, February 27, 2015 / Notices
who can represent these interests. Any Dated: February 23, 2015. I. Background
interested organization or person may Marilyn Tavenner, The Secretary of the Department of
nominate one or more qualified persons. Administrator, Centers for Medicare & Health and Human Services (the
Each nomination must include a letter Medicaid Services. Secretary) is required by section
stating that the nominee has expressed [FR Doc. 2015–04174 Filed 2–26–15; 8:45 am] 1833(t)(9)(A) of the Social Security Act
a willingness to serve as a Panel BILLING CODE 4120–01–P (the Act) (42 U.S.C. 1395l(t)(9)(A)) and
member and must be accompanied by a is allowed by section 222 of the Public
curricula vitae and a brief biographical Health Service Act (PHS Act) (42 U.S.C.
summary of the nominee’s experience. DEPARTMENT OF HEALTH AND 217(a)) to consult with an expert outside
While we are looking for experts in a HUMAN SERVICES advisory panel on the clinical integrity
number of fields, our most critical needs of the Ambulatory Payment
are for experts in aging, social media, Centers for Medicare & Medicaid
Classification groups and relative
tribal affairs, matters of labor and Services
payment weights, which are major
retirement, health economics research, [CMS–1636–N] elements of the Medicare Hospital
behavioral health, health insurers and Outpatient Prospective Payment System
plans, direct patient care, racial/ethnic Medicare Program: Notice of Four (OPPS), and the appropriate supervision
health/disparities, disability, quality, Membership Appointments to the level for hospital outpatient services.
pharmacy, social work, rural health, Advisory Panel on Hospital Outpatient The Panel is governed by the provisions
CHIP, and state programs/Medicaid. Payment of the Federal Advisory Committee Act
We are requesting that all curricula AGENCY: Centers for Medicare & (FACA) (Pub. L. 92–463), as amended (5
vitae include the following: Medicaid Services (CMS), Department U.S.C. Appendix 2), which sets forth
• Date of birth of Health and Human Services (HHS). standards for the formation and use of
• Place of birth ACTION: Notice.
advisory panels. The Panel Charter
• Title and current position provides that the Panel shall meet up to
• Professional affiliation SUMMARY: This notice announces four three times annually. We consider the
• Home and business address new membership appointments to the technical advice provided by the Panel
Advisory Panel on Hospital Outpatient as we prepare the proposed and final
• Telephone and fax numbers
Payment (the Panel). The four new rules to update the OPPS for the
• Email address
appointments to the Panel will each following calendar year.
• List of areas of expertise The Panel shall consist of a chair and
serve a four-year period. The new
Phone interviews of nominees may also members have terms that began on up to 15 members who are full-time
be requested after review of the January 14, 2015 and continue through employees of hospitals, hospital
nominations. January 31, 2019. The purpose of the systems, or other Medicare providers.
In order to permit an evaluation of Panel is to advise the Secretary of the The Secretary or a designee selects the
possible sources of conflict of interest, Department of Health and Human Panel membership based upon either
potential candidates will be asked to Services and the Administrator of the self-nominations or nominations
provide detailed information concerning Centers for Medicare & Medicaid submitted by Medicare providers and
such matters as financial holdings, Services concerning the clinical other interested organizations. New
consultancies, and research grants or integrity of the Ambulatory Payment appointments are made in a manner that
contracts. Classification groups and their relative ensures a balanced membership under
Members are invited to serve for 2- payment weights. The Panel also the FACA guidelines.
year terms, contingent upon the renewal addresses and makes recommendations The Panel presently consists of the
of the APOE by appropriate action prior regarding supervision of hospital following members and a Chair.
to its termination. A member may serve outpatient services. The advice • Edith Hambrick, M.D., J.D., Chair,
after the expiration of that member’s provided by the Panel will be CMS Medical Officer
term until a successor takes office. Any considered as we prepare the annual • Karen Borman, M.D., F.A.C.S.
member appointed to fill a vacancy for updates for the hospital outpatient • Jim Nelson, M.B.A., C.P.A.,
an unexpired term shall be appointed prospective payment system. F.H.F.M.A.
for the remainder of that term. DATES: March 30, 2015. • Leah Osbahr, M.A., M.P.H.
III. Copies of the Charter ADDRESSES: Web site: For additional • Jacqueline Phillips
information on the Panel meeting dates, • Johnathan Pregler, M.D.
The Secretary’s Charter for the APOE agenda topics, copy of the charter, and • Traci Rabine
is available on the CMS Web site at: updates to the Panel’s activities, we • Michael Rabovsky, M.D.
http://www.cms.gov/Regulations-and- refer readers to our Web site at the • Wendy Resnick, F.H.F.M.A.
Guidance/Guidance/FACA/APOE.html following address: https:// • Marianna V. Spanaki-Varelas, M.D.,
or you may obtain a copy of the charter www.cms.gov/Regulations-and- Ph.D., M.B.A.
by submitting a request to the contact Guidance/Guidance/FACA/Advisory • Gale Walker
listed in the FOR FURTHER INFORMATION PanelonAmbulatoryPayment • Kris Zimmer
CONTACT section of this notice.
ClassificationGroups.html. II. Provisions of the Notice
Authority: Sec. 222 of the Public Health FOR FURTHER INFORMATION CONTACT:
mstockstill on DSK4VPTVN1PROD with NOTICES
Service Act (42 U.S.C. 217a) and sec. 10(a) We published a notice in the Federal
Designated Federal Official (DFO): Carol Register on September 23, 2014, entitled
of Pub. L. 92–463 (5 U.S.C. App. 2, sec. 10(a)
Schwartz, DFO, 7500 Security ‘‘Medicare Program; Solicitation of
and 41 CFR 102–3).
Boulevard, Mail Stop: C4–04–25, Nominations to the Advisory Panel on
(Catalog of Federal Domestic Assistance Woodlawn, MD 21244–1850. Phone:
Program No. 93.733, Medicare—Hospital Hospital Outpatient Payment (79 FR
(410) 786–3985. Email: APCPanel@ 56808). The notice solicited
Insurance Program; and Program No. 93.774,
cms.hhs.gov. nominations for up to four new
Medicare—Supplementary Medical
Insurance Program) SUPPLEMENTARY INFORMATION: members to fill the vacancies on the
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Document Created: 2015-12-18 13:14:17
Document Modified: 2015-12-18 13:14:17
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Nominations will be considered if we receive them at the | |
| Contact | Abigail Huffman, Designated Federal Official, Office of Communications, CMS, 7500 Security Boulevard, Mail Stop S1-13-05, Baltimore, MD 21244, 410-786-0897, email [email protected] or visit the Web site at http:// www.cms.gov/Regulations-and-Guidance/Guidance/FACA/APOE.html. Press inquiries are handled through the CMS Press Office at (202) 690-6145. | |
| FR Citation | 80 FR 10688 |
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