80 FR 35364 - Medicare Program; Oncology Care Model: Request for Applications; Extension of the Submission Deadline for Applications
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 80, Issue 118 (June 19, 2015)
Centers for Medicare & Medicaid Services
Federal Register Volume 80, Issue 118 (June 19, 2015)
| Page Range | 35364-35365 | |
| FR Document | 2015-15129 |
[Federal Register Volume 80, Number 118 (Friday, June 19, 2015)] [Notices] [Pages 35364-35365] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-15129] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-5514-N2] Medicare Program; Oncology Care Model: Request for Applications; Extension of the Submission Deadline for Applications AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: This notice extends the application submission deadline for organizations to participate in the [[Page 35365]] Oncology Care Model (OCM) beginning in 2016. The new deadline for receipt of online applications from payers and practices is 5:00 p.m. Eastern Daylight Time (EDT) on June 30, 2015. Only those payers and practices that submitted timely, complete Letters of Intent (LOIs) are eligible to apply to participate in OCM, and only the submission of web-based applications will be accepted. DATES: Application Submission Deadline: Applications for payers and practices must be received by 5:00 p.m. Eastern Daylight Time (EDT) on June 30, 2015. Application materials and instructions are available at http://innovation.cms.gov/initiatives/Oncology-Care/. FOR FURTHER INFORMATION CONTACT: [email protected] for questions regarding the application process of OCM. SUPPLEMENTARY INFORMATION: I. Background The Oncology Care Model (OCM) aims to improve health outcomes for people with cancer, improve the quality of cancer care, and reduce spending for cancer treatment. We expect that physician practices selected for participation in the model will be able to transform care delivery for their patients undergoing chemotherapy, leading to improved quality of care for beneficiaries at a decreased cost to payers. Through this care transformation, practices participating in OCM can reduce Medicare expenditures while improving cancer care for Medicare Fee-for-Service beneficiaries. Beneficiaries can experience improved health outcomes when health care providers work in a coordinated and person-centered manner. We are interested in partnering with payers and practitioners who are working to redesign care to deliver these aims. The Request for Applications (RFA) requests applications to test the model, which is centered around a chemotherapy episode of care. For more details, see the RFA and related informational materials available on the Center for Medicare and Medicaid Innovation (Innovation Center) Web site at http://innovation.cms.gov/initiatives/Oncology-Care/. On February 17, 2015, we published a notice in the Federal Register announcing the RFA for payers and practices to apply to participate in the testing of OCM for a 5-year performance period beginning in 2016 (80 FR 8323). In that notice, we stated that payers and practices interested in applying to participate in the testing of OCM must submit non-binding letters of intent (LOIs) by March 19, 2015 and April 23, 2015, respectively; and that all applications from payers and practices must be received by 5:00 p.m. EDT on June 18, 2015. We subsequently extended the deadlines for the submission of LOIs to April 9, 2015 (payers) and May 7, 2015 (practices), as announced on the Innovation Center Web site at (http://innovation.cms.gov/initiatives/Oncology-Care/), in updates to the RFA and related informational materials, and in emails to stakeholders. II. Provisions of the Notice Since the publication of the February 17, 2015 notice, several stakeholders have requested additional time to prepare their applications and form partnerships in order to participate in the OCM beginning in 2016. Therefore, the Innovation Center is extending the deadline for receipt of payer and practice applications from June 18, 2015 at 5:00 p.m. Eastern Daylight Time (EDT) to June 30, 2015 at 5:00 p.m. EDT. Only those payers and practices that submitted timely, complete LOIs are eligible to apply to participate in OCM, and only the submission of web-based applications will be accepted. The extended application deadline has already been announced on the Innovation Center Web site at (http://innovation.cms.gov/initiatives/Oncology-Care/), in updates to the RFA and related informational materials, and in emails to stakeholders. In the DATES section of this notice, we are including the new submission deadline. For additional information on the OCM and how to apply, we refer readers to click on the RFA and related informational materials located on the Innovation Center Web site at http://innovation.cms.gov/initiatives/Oncology-Care/. III. Collection of Information Requirements This document does not impose information collection requirements, that is, reporting, recordkeeping or third-party disclosure requirement. 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. Chapter 35). Dated: June 12, 2015. Andrew M. Slavitt, Acting Administrator, Centers for Medicare & Medicaid Services. [FR Doc. 2015-15129 Filed 6-18-15; 8:45 am] BILLING CODE 4120-01-P
![35364 Federal Register / Vol. 80, No. 118 / Friday, June 19, 2015 / Notices
prohibition to impose additional against beneficiaries of Federal health • The hospital is not the sole hospital
restrictions on physician ownership and programs; however, we noted that these in the county in which it is located;
investment in hospitals and rural were examples only and that we will • The hospital does not discriminate
providers. Since March 23, 2010, a not restrict the type of community input against beneficiaries of Federal health
physician-owned hospital that seeks to that may be submitted. If we receive care programs and does not permit
avail itself of either exception is timely comments from the community, physicians practicing at the hospital to
prohibited from expanding facility we will notify the hospital, and the discriminate against such beneficiaries;
capacity unless it qualifies as an hospital will have 30 days after such and
‘‘applicable hospital’’ or ‘‘high Medicaid notice to submit a rebuttal statement • With respect to each of the 3 most
facility’’ (as defined in sections (§ 411.362(c)(5)). recent fiscal years for which data are
1877(i)(3)(E), (F) of the Act and 42 CFR In the November 30, 2011 final rule available as of the date the hospital
411.362(c)(2), (3) of our regulations) and (76 FR 74522 through 74523), this submits its request, has an annual
has been granted an exception to the request for an exception to the facility percent of total inpatient admissions
prohibition by the Secretary of the expansion prohibition will be under Medicaid that is estimated to be
Department of Health and Human considered complete and ready for CMS greater than such percent with respect
Services (the Secretary). Section review if no comments from the to such admissions for any other
1877(i)(3)(A)(ii) of the Act provides that community are received by the close of hospital located in the county in which
individuals and entities in the the 30-day comment period. If we the hospital is located.
community in which the provider receive timely comments from the Individuals and entities wishing to
requesting the exception is located must community, we will consider this submit comments on the hospital’s
have an opportunity to provide input request to be complete 30 days after the request should review the DATES and
with respect to the provider’s request for hospital is notified of the comments. ADDRESSES sections above and state
the exception. For further information, If we grant the request for an whether or not they are in the
we refer readers to the CMS Web site at: exception to the prohibition on community in which the hospital is
http://www.cms.gov/Medicare/Fraud- expansion of facility capacity, the located.
and-Abuse/PhysicianSelfReferral/ expansion may occur only in facilities
IV. Collection of Information
Physician_Owned_Hospitals.html. on the hospital’s main campus and may
Requirements
II. Exception Request Process not result in the number of operating
rooms, procedure rooms, and beds for This document does not impose
On November 30, 2011, we published which the hospital is licensed exceeding information collection requirements,
a final rule in the Federal Register (76 200 percent of the hospital’s baseline that is, reporting, recordkeeping or
FR 74122, 74517 through 74525) that, number of operating rooms, procedure third-party disclosure requirements.
among other things, finalized rooms, and beds (§ 411.362(c)(6)). Our Consequently, there is no need for
§ 411.362(c), which specified the decision to grant or deny a hospital’s review by the Office of Management and
process for submitting, commenting on, request for an exception to the Budget under the authority of the
and reviewing a request for an exception prohibition on expansion of facility Paperwork Reduction Act of 1995 (44
to the prohibition on expansion of capacity will be published in the U.S.C. 3501 et seq.).
facility capacity. We published a Federal Register in accordance with our
subsequent final rule in the Federal V. Response to Public Comments
regulations at § 411.362(c)(7).
Register on November 10, 2014 (79 FR We will consider all comments we
66770) that made certain revisions to III. Hospital Exception Request receive by the date and time specified
the expansion exception process; As permitted by section 1877(i)(3) of in the DATES section of this preamble.
however, because this particular request the Act and our regulations at Dated: June 5, 2015.
was received prior to the effective date § 411.362(c), the following physician- Andrew M. Slavitt,
of that rule, it is being processed in owned hospital has requested an Acting Administrator, Centers for Medicare
accordance with the regulations that exception to the prohibition on & Medicaid Services.
were in place at the time of submission. expansion of facility capacity: [FR Doc. 2015–15141 Filed 6–18–15; 8:45 am]
As stated in regulations at Name of Facility: Harsha Behavioral
§ 411.362(c)(5), we will solicit BILLING CODE 4120–01–P
Center, Incorporation.
community input on the request for an Address: 1420 East Crossing
exception by publishing a notice of the Boulevard, Terre Haute, Indiana 47802.
request in the Federal Register. DEPARTMENT OF HEALTH AND
County: Vigo County, Indiana.
Individuals and entities in the hospital’s Basis for Exception Request: High HUMAN SERVICES
community will have 30 days to submit Medicaid Facility. Centers for Medicare & Medicaid
comments on the request. Community We seek comments on this request Services
input must take the form of written from individuals and entities in the
comments and may include community in which the hospital is [CMS–5514–N2]
documentation demonstrating that the located. We encourage interested parties
physician-owned hospital requesting to review the hospital’s request, which Medicare Program; Oncology Care
the exception does or does not qualify is posted on the CMS Web site at: http:// Model: Request for Applications;
as an applicable hospital or high www.cms.gov/Medicare/Fraud-and- Extension of the Submission Deadline
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Medicaid facility, as such terms are Abuse/PhysicianSelfReferral/Physician_ for Applications
defined in § 411.362(c)(2) and (3). In the Owned_Hospitals.html. We especially AGENCY: Centers for Medicare &
November 30, 2011 final rule (76 FR welcome comments regarding whether Medicaid Services (CMS), HHS.
74522), we gave examples of community the hospital qualifies as a high Medicaid ACTION: Notice.
input, such as documentation facility. In November 30, 2011 final rule
demonstrating that the hospital does not (76 FR 74521 through 74522), a high SUMMARY: This notice extends the
satisfy one or more of the data criteria Medicaid facility is a hospital that application submission deadline for
or that the hospital discriminates satisfies the following criteria: organizations to participate in the
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![Federal Register / Vol. 80, No. 118 / Friday, June 19, 2015 / Notices 35365
Oncology Care Model (OCM) beginning participate in the testing of OCM must DEPARTMENT OF HEALTH AND
in 2016. The new deadline for receipt of submit non-binding letters of intent HUMAN SERVICES
online applications from payers and (LOIs) by March 19, 2015 and April 23,
practices is 5:00 p.m. Eastern Daylight 2015, respectively; and that all Centers for Medicare & Medicaid
Time (EDT) on June 30, 2015. Only applications from payers and practices Services
those payers and practices that must be received by 5:00 p.m. EDT on
[Document Identifier: CMS–643]
submitted timely, complete Letters of June 18, 2015. We subsequently
Intent (LOIs) are eligible to apply to extended the deadlines for the Agency Information Collection
participate in OCM, and only the submission of LOIs to April 9, 2015 Activities: Proposed Collection;
submission of web-based applications (payers) and May 7, 2015 (practices), as Comment Request
will be accepted. announced on the Innovation Center
DATES: Application Submission Web site at (http://innovation.cms.gov/ AGENCY: Centers for Medicare &
Deadline: Applications for payers and initiatives/Oncology-Care/), in updates Medicaid Services, HHS.
practices must be received by 5:00 p.m. to the RFA and related informational ACTION: Notice.
Eastern Daylight Time (EDT) on June 30, materials, and in emails to stakeholders.
2015. Application materials and SUMMARY: The Centers for Medicare &
II. Provisions of the Notice Medicaid Services (CMS) is announcing
instructions are available at http://
innovation.cms.gov/initiatives/ Since the publication of the February an opportunity for the public to
Oncology-Care/. 17, 2015 notice, several stakeholders comment on CMS’ intention to collect
have requested additional time to information from the public. Under the
FOR FURTHER INFORMATION CONTACT:
prepare their applications and form Paperwork Reduction Act of 1995 (the
OncologyCareModel@cms.hhs.gov for
partnerships in order to participate in PRA), federal agencies are required to
questions regarding the application
the OCM beginning in 2016. Therefore, publish notice in the Federal Register
process of OCM.
the Innovation Center is extending the concerning each proposed collection of
SUPPLEMENTARY INFORMATION: information (including each proposed
deadline for receipt of payer and
I. Background practice applications from June 18, 2015 extension or reinstatement of an existing
at 5:00 p.m. Eastern Daylight Time collection of information) and to allow
The Oncology Care Model (OCM)
(EDT) to June 30, 2015 at 5:00 p.m. EDT. 60 days for public comment on the
aims to improve health outcomes for
Only those payers and practices that proposed action. Interested persons are
people with cancer, improve the quality
submitted timely, complete LOIs are invited to send comments regarding our
of cancer care, and reduce spending for
eligible to apply to participate in OCM, burden estimates or any other aspect of
cancer treatment. We expect that
and only the submission of web-based this collection of information, including
physician practices selected for
applications will be accepted. The any of the following subjects: The
participation in the model will be able
extended application deadline has necessity and utility of the proposed
to transform care delivery for their
already been announced on the information collection for the proper
patients undergoing chemotherapy,
Innovation Center Web site at (http:// performance of the agency’s functions;
leading to improved quality of care for
innovation.cms.gov/initiatives/ the accuracy of the estimated burden;
beneficiaries at a decreased cost to
Oncology-Care/), in updates to the RFA ways to enhance the quality, utility, and
payers. Through this care
and related informational materials, and clarity of the information to be
transformation, practices participating
in emails to stakeholders. collected; and the use of automated
in OCM can reduce Medicare
collection techniques or other forms of
expenditures while improving cancer In the DATES section of this notice, we information technology to minimize the
care for Medicare Fee-for-Service are including the new submission information collection burden.
beneficiaries. Beneficiaries can deadline. For additional information on
experience improved health outcomes DATES: Comments must be received by
the OCM and how to apply, we refer
when health care providers work in a readers to click on the RFA and related August 18, 2015.
coordinated and person-centered informational materials located on the ADDRESSES: When commenting, please
manner. We are interested in partnering Innovation Center Web site at http:// reference the document identifier or
with payers and practitioners who are innovation.cms.gov/initiatives/ OMB control number. To be assured
working to redesign care to deliver these Oncology-Care/. consideration, comments and
aims. recommendations must be submitted in
The Request for Applications (RFA) III. Collection of Information any one of the following ways:
requests applications to test the model, Requirements 1. Electronically. You may send your
which is centered around a This document does not impose comments electronically to http://
chemotherapy episode of care. For more information collection requirements, www.regulations.gov. Follow the
details, see the RFA and related that is, reporting, recordkeeping or instructions for ‘‘Comment or
informational materials available on the third-party disclosure requirement. Submission’’ or ‘‘More Search Options’’
Center for Medicare and Medicaid Consequently, there is no need for to find the information collection
Innovation (Innovation Center) Web site review by the Office of Management and document(s) that are accepting
at http://innovation.cms.gov/initiatives/ Budget under the authority of the comments.
Oncology-Care/. 2. By regular mail. You may mail
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Paperwork Reduction Act of 1995 (44
On February 17, 2015, we published U.S.C. Chapter 35). written comments to the following
a notice in the Federal Register address: CMS, Office of Strategic
announcing the RFA for payers and Dated: June 12, 2015. Operations and Regulatory Affairs,
practices to apply to participate in the Andrew M. Slavitt, Division of Regulations Development,
testing of OCM for a 5-year performance Acting Administrator, Centers for Medicare Attention: Document Identifier/OMB
period beginning in 2016 (80 FR 8323). & Medicaid Services. Control Number llll Room C4–26–
In that notice, we stated that payers and [FR Doc. 2015–15129 Filed 6–18–15; 8:45 am] 05, 7500 Security Boulevard, Baltimore,
practices interested in applying to BILLING CODE 4120–01–P Maryland 21244–1850.
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Document Created: 2018-02-22 11:10:02
Document Modified: 2018-02-22 11:10:02
| 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 | Application Submission Deadline: Applications for payers and practices must be received by 5:00 p.m. Eastern Daylight Time (EDT) on June 30, 2015. Application materials and instructions are available at http://innovation.cms.gov/initiatives/Oncology-Care/. | |
| Contact | [email protected] for questions regarding the application process of OCM. | |
| FR Citation | 80 FR 35364 |
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