80_FR_58011 80 FR 57825 - Medicare and Medicaid Programs; Continued Approval of the American Diabetes Association as an Accrediting Organization for Diabetes Self-Management Training Programs

80 FR 57825 - Medicare and Medicaid Programs; Continued Approval of the American Diabetes Association 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 Range57825-57826
FR Document2015-24358

This final notice announces our decision to approve the American Diabetes Association (ADA) 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 57825-57826]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-24358]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-3316-FN]


Medicare and Medicaid Programs; Continued Approval of the 
American Diabetes Association 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 Diabetes Association (ADA) 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 
NAOs).
    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.
    We then examine the NAO's accreditation requirements to determine 
if they meet or exceed the Medicare conditions as we would have applied 
them.

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 30, 2015, we published a proposed notice in the Federal 
Register (80 FR 24253) entitled ``Application by the American Diabetes 
Association for Continued Deeming Authority for Diabetes Self-
Management Training,'' announcing the receipt of an application from 
the ADA for continued recognition as a national accreditation program 
for accrediting entities that wish to furnish outpatient DSMT to 
Medicare beneficiaries.

[[Page 57826]]

    In that notice, we detailed our evaluation criteria. Under section 
1865(a)(2) of the Act and our regulations at Sec.  410.142 and Sec.  
410.143, we conducted a review of ADA's NAO 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 NAO'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 30, 2015 proposed notice also solicited public comments 
on the ability of ADA to continue to develop standards that meet or 
exceed the Medicare conditions for coverage and apply them to accredit 
entities to furnish training. We received no public comments in 
response to our proposed notice.

IV. Provisions of the Final Notice

    ADA'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 
ADA and subject to review, evaluation, and approval of its program.
    Based on our review and observations described in section III of 
this final notice, we approve ADA as a NAO for entities furnishing DSMT 
that request participation in the Medicare program, effective September 
25, 2015 through effective 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 17, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2015-24358 Filed 9-24-15; 8:45 am]
 BILLING CODE 4120-01-P

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

57826 Federal Register / Vol. 80, No. 186 / Friday, September 25, 2015 / Notices In that notice, we detailed our DEPARTMENT OF HEALTH AND 7500 Security Boulevard, Baltimore, evaluation criteria. Under section HUMAN SERVICES Maryland 21244–1850. 1865(a)(2) of the Act and our regulations To obtain copies of a supporting at § 410.142 and § 410.143, we Centers for Medicare & Medicaid statement and any related forms for the conducted a review of ADA’s NAO Services proposed collection(s) summarized in based on the criteria set forth in [Document Identifiers: CMS–10519 and this notice, you may make your request § 410.142(b), which include, but are not CMS–10583] using one of following: limited to the following: (1) A review of 1. Access CMS’ Web site address at the NAO’s operations and office to Agency Information Collection http://www.cms.hhs.gov/Paperwork verify information in the organization’s Activities: Proposed Collection; ReductionActof1995. Comment Request 2. Email your request, including your application and assess the address, phone number, OMB number, organization’s compliance with its own AGENCY: Centers for Medicare & and CMS document identifier, to policies and procedures; (2) evaluating Medicaid Services, HHS. Paperwork@cms.hhs.gov. accreditation results or the accreditation ACTION: Notice. 3. Call the Reports Clearance Office at status decision making process; and (3) (410) 786–1326. interviewing the organization’s staff. SUMMARY: The Centers for Medicare & FOR FURTHER INFORMATION CONTACT: The April 30, 2015 proposed notice Medicaid Services (CMS) is announcing Reports Clearance Office at (410) 786– also solicited public comments on the an opportunity for the public to 1326. ability of ADA to continue to develop comment on CMS’ intention to collect information from the public. Under the SUPPLEMENTARY INFORMATION: standards that meet or exceed the Paperwork Reduction Act of 1995 (the Contents Medicare conditions for coverage and PRA), federal agencies are required to apply them to accredit entities to This notice sets out a summary of the publish notice in the Federal Register furnish training. We received no public concerning each proposed collection of use and burden associated with the comments in response to our proposed information (including each proposed following information collections. More notice. extension or reinstatement of an existing detailed information can be found in collection of information) and to allow each collection’s supporting statement IV. Provisions of the Final Notice 60 days for public comment on the and associated materials (see ADA’s application to continue as an proposed action. Interested persons are ADDRESSES). accredited NAO to deem entities for the invited to send comments regarding our CMS–10519 Physician Quality purposes of DSMT is approved for a burden estimates or any other aspect of Reporting System (PQRS) and the period of 6 years. The accreditation is this collection of information, including Electronic Prescribing Incentive effective on September 25, 2015. This any of the following subjects: (1) The (eRx) Program Data Assessment, approval is subject to renewal necessity and utility of the proposed Accuracy and Improper Payments subsequent to the receipt of an information collection for the proper Identification Support performance of the agency’s functions; CMS–10583 Data Collection for application from the ADA and subject to (2) the accuracy of the estimated Medicare Beneficiaries Receiving review, evaluation, and approval of its burden; (3) ways to enhance the quality, Beta Amyloid Positron Emission program. Tomography (PET) for Dementia utility, and clarity of the information to Based on our review and observations be collected; and (4) the use of and Neurodegenerative Disease described in section III of this final automated collection techniques or Under the PRA (44 U.S.C. 3501– notice, we approve ADA as a NAO for other forms of information technology to 3520), federal agencies must obtain entities furnishing DSMT that request minimize the information collection approval from the Office of Management participation in the Medicare program, burden. and Budget (OMB) for each collection of effective September 25, 2015 through information they conduct or sponsor. DATES: Comments must be received by The term ‘‘collection of information’’ is effective September 27, 2021. November 24, 2015. defined in 44 U.S.C. 3502(3) and 5 CFR V. Collection of Information ADDRESSES: When commenting, please 1320.3(c) and includes agency requests Requirements reference the document identifier or or requirements that members of the OMB control number. To be assured public submit reports, keep records, or This document does not impose consideration, comments and provide information to a third party. information collection requirements, recommendations must be submitted in Section 3506(c)(2)(A) of the PRA that is, reporting, recordkeeping or any one of the following ways: requires federal agencies to publish a third-party disclosure requirements. 1. Electronically. You may send your 60-day notice in the Federal Register Consequently, there is no need for comments electronically to http:// concerning each proposed collection of review by the Office of Management and www.regulations.gov. Follow the information, including each proposed Budget under the authority of the instructions for ‘‘Comment or extension or reinstatement of an existing Paperwork Reduction Act of 1995 (44 Submission’’ or ‘‘More Search Options’’ collection of information, before U.S.C. 3501 et seq.). to find the information collection submitting the collection to OMB for Dated: September 17, 2015. document(s) that are accepting approval. To comply with this mstockstill on DSK4VPTVN1PROD with NOTICES comments. requirement, CMS is publishing this Andrew M. Slavitt, 2. By regular mail. You may mail notice. Acting Administrator, Centers for Medicare written comments to the following & Medicaid Services. address: CMS, Office of Strategic Information Collection [FR Doc. 2015–24358 Filed 9–24–15; 8:45 am] Operations and Regulatory Affairs, 1. Type of Information Collection BILLING CODE 4120–01–P Division of Regulations Development, Request: Revision of a currently Attention: Document Identifier/OMB approved collection; Title of Control Number ____, Room C4–26–05, Information Collection: Physician VerDate Sep<11>2014 19:58 Sep 24, 2015 Jkt 235001 PO 00000 Frm 00044 Fmt 4703 Sfmt 4703 E:\FR\FM\25SEN1.SGM 25SEN1


Document Created: 2018-02-26 10:19:51
Document Modified: 2018-02-26 10:19:51
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 57825 
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