80_FR_58010 80 FR 57824 - Medicare and Medicaid Programs; Continued Approval of the American Association of Diabetes Educators as an Accrediting Organization for Diabetes Self-Management Training Programs

80 FR 57824 - Medicare and Medicaid Programs; Continued Approval of the American Association of Diabetes Educators as an Accrediting Organization for Diabetes Self-Management Training Programs

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 80, Issue 186 (September 25, 2015)

Page Range57824-57825
FR Document2015-24357

This final notice announces our decision to approve the American Association of Diabetes Educators (AADE) for continued recognition as a national accreditation program for accrediting entities that wish to furnish outpatient diabetes self-management training (DSMT) to Medicare beneficiaries.

Federal Register, Volume 80 Issue 186 (Friday, September 25, 2015) 
[Federal Register Volume 80, Number 186 (Friday, September 25, 2015)]
[Notices]
[Pages 57824-57825]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-24357]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-3315-FN]


Medicare and Medicaid Programs; Continued Approval of the 
American Association of Diabetes Educators as an Accrediting 
Organization for Diabetes Self-Management Training Programs

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Final notice.

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SUMMARY: This final notice announces our decision to approve the 
American Association of Diabetes Educators (AADE) for continued 
recognition as a national accreditation program for accrediting 
entities that wish to furnish outpatient diabetes self-management 
training (DSMT) to Medicare beneficiaries.

DATES: This final notice is effective September 25, 2015 through 
September 27, 2021.

FOR FURTHER INFORMATION CONTACT: Kristin Shifflett, (410) 786-4133; 
Jacqueline Leach, (410) 786-4282.

SUPPLEMENTARY INFORMATION:

I. Background

    Under the Medicare program, eligible beneficiaries may receive 
outpatient diabetes self-management training (DSMT) when ordered by the 
physician (or qualified non-physician practitioner) treating the 
beneficiary's diabetes, provided certain requirements are met by the 
provider. Pursuant to our regulations at 42 CFR 410.141 (e)(3), we use 
national accrediting organizations (NAOs) to assess whether provider 
entities meet Medicare requirements when providing DSMT services for 
which Medicare payment is made. If a provider entity is accredited by 
an approved accrediting organization, it is ``deemed'' to meet 
applicable Medicare requirements.
    A NAO must meet the standards and requirements specified by the 
Secretary of the Department of Health and Human Services in our 
regulations under part 410, subpart H, to qualify for deeming 
authority. The regulations pertaining to application procedures for 
NAOs for DSMT are specified at Sec.  410.142 (CMS process for approving 
national accreditation organizations).
    A NAO applying for deeming authority must provide us with 
reasonable assurance that the accrediting organization requires 
accredited entities to meet requirements that are at least as stringent 
as our requirements.
    We may approve and recognize a nonprofit organization with 
demonstrated experience in representing the interests of individuals 
with diabetes to accredit entities to furnish DSMT. The accreditation 
organization, after being approved and recognized by CMS, may accredit 
an entity to meet one of the sets of quality standards in Sec.  410.144 
(Quality standards for deemed entities).
    Section 1865(a)(2) of the Social Security Act (the Act) requires 
that we review the applying accreditation organization's requirements 
for accreditation, as follows:
     Survey procedures.
     Ability to provide adequate resources for conducting 
required surveys.
     Ability to supply information for use in enforcement 
activities.
     Monitoring procedures for providers found out of 
compliance with the conditions or requirements.
     Ability to provide CMS with necessary data for validation.

II. Application Approval Process

    Section 1865(a)(3)(A) of the Act provides a statutory timetable to 
ensure that our review of applications for CMS-approval of an 
accreditation program is conducted in a timely manner. The Act provides 
us 210 days after the date of receipt of a complete application, with 
any documentation necessary to make the determination, to complete our 
survey activities and application process. Within 60 days after 
receiving a complete application, we must publish a notice in the 
Federal Register that identifies the national accrediting body making 
the request, describes the request, and provides no less than a 30-day 
public comment period. At the end of the 210-day period, we must 
publish a notice in the Federal Register approving or denying the 
application.

III. Provisions of the Proposed Notice

    On April 24, 2015, we published a proposed notice in the Federal 
Register (80 FR 23009) entitled ``Application by the American 
Association of Diabetes Educators for Continued Deeming Authority for 
Diabetes Self-Management Training,'' announcing the receipt of an 
application from AADE for continued recognition as a national 
accreditation program for accrediting entities that wish to furnish 
outpatient diabetes self-management training to Medicare beneficiaries.
    In that notice, we detailed our evaluation criteria. Under section

[[Page 57825]]

1865(a)(2) of the Act and our regulations at Sec.  410.142 and Sec.  
410.143, we conducted a review of AADE's national accreditation 
organization based on the criteria set forth in Sec.  410.142(b), which 
include, but are not limited to the following: (1) A review of the 
national accreditation organization's operations and office to verify 
information in the organization's application and assess the 
organization's compliance with its own policies and procedures; (2) 
evaluating accreditation results or the accreditation status decision 
making process; and (3) interviewing the organization's staff.
    The April 24, 2015 proposed notice also solicited public comments 
on the ability of AADE to continue to develop standards that meet or 
exceed the Medicare conditions for coverage and apply them to entities 
furnishing outpatient services. We received no public comments in 
response to our proposed notice.

IV. Provisions of the Final Notice

    AADE's application to continue as an accredited NAO to deem 
entities for the purposes of DSMT is approved for a period of 6 years. 
The accreditation is effective on September 25, 2015. This approval is 
subject to renewal subsequent to the receipt of an application from the 
AADE and subject to review, evaluation, and approval of its program.
    Based on our review and observations described in section II of 
this final notice, we approve AADE as a national accreditation 
organization for entities furnishing DSMT that request participation in 
the Medicare program, effective September 25, 2015 through September 
27, 2021.

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.).

    Dated: September 16, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2015-24357 Filed 9-24-15; 8:45 am]
 BILLING CODE 4120-01-P

57824 Federal Register / Vol. 80, No. 186 / Friday, September 25, 2015 / Notices identified through validation reviews or DEPARTMENT OF HEALTH AND accredited entities to meet requirements complaint surveys, the State survey HUMAN SERVICES that are at least as stringent as our agency monitors corrections as specified requirements. at § 488.9(c). Centers for Medicare & Medicaid We may approve and recognize a ++ AAAASF’s capacity to report Services nonprofit organization with deficiencies to the surveyed facilities [CMS–3315–FN] demonstrated experience in and respond to the facility’s plan of representing the interests of individuals correction in a timely manner. Medicare and Medicaid Programs; with diabetes to accredit entities to Continued Approval of the American furnish DSMT. The accreditation ++ AAAASF’s capacity to provide organization, after being approved and Association of Diabetes Educators as CMS with electronic data and reports recognized by CMS, may accredit an an Accrediting Organization for necessary for effective validation and entity to meet one of the sets of quality Diabetes Self-Management Training assessment of the organization’s survey standards in § 410.144 (Quality Programs process. standards for deemed entities). ++ The adequacy of AAAASF’s staff AGENCY: Centers for Medicare & Section 1865(a)(2) of the Social and other resources, and its financial Medicaid Services (CMS), HHS. Security Act (the Act) requires that we viability. ACTION: Final notice. review the applying accreditation ++ AAAASF’s capacity to adequately organization’s requirements for SUMMARY: This final notice announces accreditation, as follows: fund required surveys. our decision to approve the American • Survey procedures. ++ AAAASF’s policies with respect Association of Diabetes Educators • Ability to provide adequate to whether surveys are announced or (AADE) for continued recognition as a resources for conducting required unannounced, to assure that surveys are national accreditation program for surveys. unannounced. accrediting entities that wish to furnish • Ability to supply information for ++ AAAASF’s agreement to provide outpatient diabetes self-management use in enforcement activities. CMS with a copy of the most current training (DSMT) to Medicare • Monitoring procedures for accreditation survey together with any beneficiaries. providers found out of compliance with other information related to the survey DATES: This final notice is effective the conditions or requirements. as CMS may require (including September 25, 2015 through September • Ability to provide CMS with corrective action plans). 27, 2021. necessary data for validation. IV. Collection of Information FOR FURTHER INFORMATION CONTACT: II. Application Approval Process Requirements Kristin Shifflett, (410) 786–4133; Section 1865(a)(3)(A) of the Act Jacqueline Leach, (410) 786–4282. provides a statutory timetable to ensure This document does not impose SUPPLEMENTARY INFORMATION: that our review of applications for CMS- information collection requirements, approval of an accreditation program is that is, reporting, recordkeeping or I. Background conducted in a timely manner. The Act third-party disclosure requirements. Under the Medicare program, eligible provides us 210 days after the date of Consequently, there is no need for beneficiaries may receive outpatient receipt of a complete application, with review by the Office of Management and diabetes self-management training any documentation necessary to make Budget under the authority of the (DSMT) when ordered by the physician the determination, to complete our Paperwork Reduction Act of 1995 (44 (or qualified non-physician practitioner) survey activities and application U.S.C. 3501 et seq.). treating the beneficiary’s diabetes, process. Within 60 days after receiving V. Response to Public Comments provided certain requirements are met a complete application, we must by the provider. Pursuant to our publish a notice in the Federal Register Because of the large number of public regulations at 42 CFR 410.141 (e)(3), we that identifies the national accrediting comments we normally receive on use national accrediting organizations body making the request, describes the Federal Register documents, we are not (NAOs) to assess whether provider request, and provides no less than a 30- able to acknowledge or respond to them entities meet Medicare requirements day public comment period. At the end individually. We will consider all when providing DSMT services for of the 210-day period, we must publish comments we receive by the date and which Medicare payment is made. If a a notice in the Federal Register time specified in the DATES section of provider entity is accredited by an approving or denying the application. this preamble, and, when we proceed approved accrediting organization, it is with a subsequent document, we will ‘‘deemed’’ to meet applicable Medicare III. Provisions of the Proposed Notice respond to the comments in the requirements. On April 24, 2015, we published a preamble to that document. A NAO must meet the standards and proposed notice in the Federal Register Upon completion of our evaluation, requirements specified by the Secretary (80 FR 23009) entitled ‘‘Application by including evaluation of comments of the Department of Health and Human the American Association of Diabetes received as a result of this notice, we Services in our regulations under part Educators for Continued Deeming will publish a final notice in the Federal 410, subpart H, to qualify for deeming Authority for Diabetes Self-Management Register announcing the result of our authority. The regulations pertaining to Training,’’ announcing the receipt of an mstockstill on DSK4VPTVN1PROD with NOTICES evaluation. application procedures for NAOs for application from AADE for continued DSMT are specified at § 410.142 (CMS recognition as a national accreditation Dated: September 16, 2015. process for approving national program for accrediting entities that Andrew M. Slavitt, accreditation organizations). wish to furnish outpatient diabetes self- Acting Administrator, Centers for Medicare A NAO applying for deeming management training to Medicare & Medicaid Services. authority must provide us with beneficiaries. [FR Doc. 2015–24356 Filed 9–24–15; 8:45 am] reasonable assurance that the In that notice, we detailed our BILLING CODE 4120–01–P accrediting organization requires evaluation criteria. Under section VerDate Sep<11>2014 20:43 Sep 24, 2015 Jkt 235001 PO 00000 Frm 00042 Fmt 4703 Sfmt 4703 E:\FR\FM\25SEN1.SGM 25SEN1

Federal Register / Vol. 80, No. 186 / Friday, September 25, 2015 / Notices 57825 1865(a)(2) of the Act and our regulations DEPARTMENT OF HEALTH AND We may approve and recognize a at § 410.142 and § 410.143, we HUMAN SERVICES nonprofit organization with conducted a review of AADE’s national demonstrated experience in accreditation organization based on the Centers for Medicare & Medicaid representing the interests of individuals criteria set forth in § 410.142(b), which Services with diabetes to accredit entities to include, but are not limited to the [CMS–3316–FN] furnish DSMT. The accreditation following: (1) A review of the national organization, after being approved and accreditation organization’s operations Medicare and Medicaid Programs; recognized by CMS, may accredit an and office to verify information in the Continued Approval of the American entity to meet one of the sets of quality organization’s application and assess Diabetes Association as an standards in § 410.144 (Quality the organization’s compliance with its Accrediting Organization for Diabetes standards for deemed entities). own policies and procedures; (2) Self-Management Training Programs Section 1865(a)(2) of the Social evaluating accreditation results or the Security Act (the Act) requires that we AGENCY: Centers for Medicare & review the applying accreditation accreditation status decision making Medicaid Services (CMS), HHS. organization’s requirements for process; and (3) interviewing the ACTION: Final notice. accreditation, as follows: organization’s staff. • Survey procedures. SUMMARY: This final notice announces The April 24, 2015 proposed notice • Ability to provide adequate also solicited public comments on the our decision to approve the American resources for conducting required ability of AADE to continue to develop Diabetes Association (ADA) for surveys. continued recognition as a national standards that meet or exceed the • Ability to supply information for Medicare conditions for coverage and accreditation program for accrediting use in enforcement activities. entities that wish to furnish outpatient apply them to entities furnishing • Monitoring procedures for diabetes self-management training outpatient services. We received no providers found out of compliance with (DSMT) to Medicare beneficiaries. public comments in response to our the conditions or requirements. DATES: This final notice is effective proposed notice. • Ability to provide CMS with September 25, 2015 through September necessary data for validation. IV. Provisions of the Final Notice 27, 2021. We then examine the NAO’s FOR FURTHER INFORMATION CONTACT: accreditation requirements to determine AADE’s application to continue as an Kristin Shifflett, (410) 786–4133; if they meet or exceed the Medicare accredited NAO to deem entities for the Jacqueline Leach, (410) 786–4282. conditions as we would have applied purposes of DSMT is approved for a period of 6 years. The accreditation is SUPPLEMENTARY INFORMATION: them. effective on September 25, 2015. This I. Background II. Application Approval Process approval is subject to renewal Under the Medicare program, eligible Section 1865(a)(3)(A) of the Act subsequent to the receipt of an beneficiaries may receive outpatient provides a statutory timetable to ensure application from the AADE and subject diabetes self-management training that our review of applications for CMS- to review, evaluation, and approval of (DSMT) when ordered by the physician approval of an accreditation program is its program. (or qualified non-physician practitioner) conducted in a timely manner. The Act Based on our review and observations treating the beneficiary’s diabetes, provides us 210 days after the date of described in section II of this final provided certain requirements are met receipt of a complete application, with notice, we approve AADE as a national by the provider. Pursuant to our any documentation necessary to make accreditation organization for entities regulations at 42 CFR 410.141(e)(3), we the determination, to complete our furnishing DSMT that request use national accrediting organizations survey activities and application participation in the Medicare program, (NAOs) to assess whether provider process. Within 60 days after receiving effective September 25, 2015 through entities meet Medicare requirements a complete application, we must September 27, 2021. when providing DSMT services for publish a notice in the Federal Register which Medicare payment is made. If a that identifies the national accrediting V. Collection of Information provider entity is accredited by an body making the request, describes the Requirements approved accrediting organization, it is request, and provides no less than a 30- ‘‘deemed’’ to meet applicable Medicare day public comment period. At the end This document does not impose requirements. of the 210-day period, we must publish information collection requirements, A NAO must meet the standards and a notice in the Federal Register that is, reporting, recordkeeping or requirements specified by the Secretary approving or denying the application. third-party disclosure requirements. of the Department of Health and Human Consequently, there is no need for Services in our regulations under part III. Provisions of the Proposed Notice review by the Office of Management and 410, subpart H, to qualify for deeming On April 30, 2015, we published a Budget under the authority of the authority. The regulations pertaining to proposed notice in the Federal Register Paperwork Reduction Act of 1995 (44 application procedures for NAOs for (80 FR 24253) entitled ‘‘Application by U.S.C. 3501 et seq.). DSMT are specified at § 410.142 (CMS the American Diabetes Association for mstockstill on DSK4VPTVN1PROD with NOTICES Dated: September 16, 2015. process for approving NAOs). Continued Deeming Authority for A NAO applying for deeming Diabetes Self-Management Training,’’ Andrew M. Slavitt, authority must provide us with announcing the receipt of an application Acting Administrator, Centers for Medicare reasonable assurance that the from the ADA for continued recognition & Medicaid Services. accrediting organization requires as a national accreditation program for [FR Doc. 2015–24357 Filed 9–24–15; 8:45 am] accredited entities to meet requirements accrediting entities that wish to furnish BILLING CODE 4120–01–P that are at least as stringent as our outpatient DSMT to Medicare requirements. beneficiaries. VerDate Sep<11>2014 19:58 Sep 24, 2015 Jkt 235001 PO 00000 Frm 00043 Fmt 4703 Sfmt 4703 E:\FR\FM\25SEN1.SGM 25SEN1


Document Created: 2018-02-26 10:20:16
Document Modified: 2018-02-26 10:20:16
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionFinal notice.
DatesThis final notice is effective September 25, 2015 through September 27, 2021.
ContactKristin Shifflett, (410) 786-4133; Jacqueline Leach, (410) 786-4282.
FR Citation80 FR 57824 
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