82 FR 33913 - Medicare, Medicaid and Children's Health Insurance Program (CHIP); Meeting on Behavioral Health Payment and Care Delivery
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 82, Issue 139 (July 21, 2017)
Centers for Medicare & Medicaid Services
Federal Register Volume 82, Issue 139 (July 21, 2017)
| Page Range | 33913-33915 | |
| FR Document | 2017-15374 |
[Federal Register Volume 82, Number 139 (Friday, July 21, 2017)] [Notices] [Pages 33913-33915] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-15374] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-5525-N] Medicare, Medicaid and Children's Health Insurance Program (CHIP); Meeting on Behavioral Health Payment and Care Delivery AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice of meeting. ----------------------------------------------------------------------- SUMMARY: This notice announces a public meeting to discuss ideas for a potential behavioral health payment model to improve health care quality and access, while lowering the cost of care for Medicare, Medicaid, or Children's Health Insurance Program (CHIP) beneficiaries with behavioral health conditions. DATES: Meeting Date: This meeting will be held at 10 a.m. until 5 p.m. Eastern Standard Time (EST) on Friday, September 8, 2017. The meeting is open to the public, but attendance is limited to the space available. Meeting Registration: Individuals must register online at https://innovation.cms.gov/resources/behavioral-health-paymentcare-summit.html by 12:00 a.m. EST on August 25, 2017. Submission of Written Questions or Statements: Individuals may submit written questions or statements by email, online, fax, or mail to the address listed in the ADDRESSES section of this notice by 12:00 a.m. EST. on August 25, 2017. ADDRESSES: Meeting Location: The meeting will be held in the Grand Auditorium, at the CMS Central Office, 7500 Security Boulevard, Baltimore, MD 21244-1850. Submission of Written Questions or Statements: Individuals may submit written questions or statements by email at [email protected], online at https://innovation.cms.gov/resources/behavioral-health-paymentcare-summit.html, by fax to 410-786- 1048, or by mail to the CMS Innovation Center, Attn: CMMIBH [[Page 33914]] Summit mailstop 08-64, 2810 Lord Baltimore Drive, Suite 130, Windsor Mill, MD 21244. FOR FURTHER INFORMATION CONTACT: [email protected], for questions about this meeting. News Media: Press inquiries will be handled at [email protected]. SUPPLEMENTARY INFORMATION: I. Background The Center for Medicare and Medicaid Innovation (the Innovation Center) within the Centers for Medicare & Medicaid Services (CMS) was established by section 1115A of the Social Security Act (the Act). The Congress created the Innovation Center for the purpose of testing ``innovative payment and service delivery models to reduce program expenditures . . . while preserving or enhancing the quality of care'' for those individuals who receive Medicare, Medicaid, or Children's Health Insurance Program (CHIP) benefits. New payment and service delivery model tests are designed by the Innovation Center in accordance with the requirements of section 1115A of the Act. During the design of a model test, the Innovation Center builds on the ideas received from stakeholders and consults with clinical and analytical experts with expertise in medicine and health care management, as well as with representatives of relevant Federal agencies, beneficiaries and caregivers, health care providers, advocacy groups, and other experts in the field. The Innovation Center is interested in designing a potential payment or service delivery model to improve health care quality and access, while lowering the cost of care for Medicare, Medicaid, or CHIP beneficiaries with behavioral health conditions. The model may include participation by other payers, qualify as an Advanced Alternative Payment Model (APM), improve health care provider participation in telehealth services, and address the needs of beneficiaries with deficits in care in the following potential areas leading to poor clinical outcomes or potentially avoidable expenditures: (1) Substance use disorders; (2) mental disorders in the presence of co-occuring conditions; (3) Alzheimer's disease and related dementias; and/or (4) behavioral health workforce challenges. The Innovation Center solicits and selects organizations to participate in voluntary model tests through open, competitive processes. The process follows established protocols to ensure that it is fair and transparent, provides opportunities for potential participants to ask questions regarding the Innovation Center's expectations, and relies on multi-stakeholder input to inform selection of the most qualified participants. Many factors are used in the design and selection of models to be tested. The Innovation Center does not test unsolicited proposals, but does use such ideas to inform model design. II. Meeting Topic and Format The meeting will include four panel sessions of behavioral health experts of varied backgrounds who will discuss substance use disorders, mental health in the presence of co-occuring conditions, Alzheimer's disease and related dementias, and behavioral health workforce development. All stakeholders, including community health organizations, medical societies, health care providers, State Medicaid agencies, advocacy groups, non-profit organizations, and other interested parties are invited to participate in this meeting by: (1) Listening to panelists discuss payment for and delivery of behavioral health services and share experiences of furnishing behavioral health services; (2) asking questions to panelists; and (3) making brief individual statements. We note that the time for participants to make statements will be limited to 2 minutes per panel. The recommendations provided during this meeting will assist us, as we explore the possibility of designing a model test to address behavioral health payment and service delivery. III. Registration Instructions Participants must register at https://innovation.cms.gov/resources/behavioral-health-paymentcare-summit.html no later than 12 a.m. EST on August 25, 2017 to attend the meeting. We will accept written questions and statements, not to exceed one single-spaced, typed page, by email, on-line, fax, or mail to the addresses specified in the ADDRESSES section of this notice, by the dates specified in the DATES section of this notice. IV. Security, Building, and Parking Guidelines The meeting is open to the public, but attendance will be limited based on meeting room capacity. Seating capacity is limited to approximately 400 registrants. Persons wishing to attend this meeting must register by the dates specified in the DATES section of this notice. This meeting will be held in a Federal government building; therefore, Federal security measures are applicable. The on-site check- in for visitors will be held from 9:00 a.m. to 10:00 a.m. We recommend that confirmed registrants arrive reasonably early, to allow additional time to clear security. We recommend arrival no later than 9:30 a.m. to complete the security checkpoints and be escorted for the start of the meeting at 10:00 a.m. Security measures include the following:Presentation of government-issued photographic identification to the Federal Protective Service or Guard Service personnel. As of October 10, 2015, visitors seeking access to federal agency facilities using their state-issued driver's license or identification cards must present proper identification issued by a state that is compliant with the REAL ID Act of 2005 (Pub. L. 109-13, 119 Statute 302, enacted on May 11, 2005) or a state that has received an extension. What constitutes proper identification and whether a driver's license is acceptable identification for accessing a federal facility may vary, based on which state issued the driver's license. For detailed information, please refer to the Department of Homeland Security (DHS) Web site at: http://www.dhs.gov. When planning to visit a federal facility, visitors who have further questions about acceptable forms of identification are encouraged to contact the facility to determine acceptable identification. Inspection of vehicle's interior and exterior (this includes engine and trunk inspection) at the entrance to the grounds. Parking permits and instructions will be issued after the vehicle inspection. Participants not in possession of a valid identification or who are in possession of prohibited items will be denied access to the complex. Prohibited items on federal property include but are not limited to, alcoholic beverages, illegal narcotics, explosives, firearms or other dangerous weapons (including pocketknives), dogs or other animals except service animals. Inspection, via metal detector or other applicable means of all persons entering the building. We note that all items brought into CMS, whether personal or for the purpose of presentation or to support a presentation, are subject to inspection. We cannot assume responsibility for coordinating the receipt, transfer, transport, storage, set up, safety, or timely arrival of any personal belongings or items used for presentation or to support a presentation. Note: Individuals who are not registered in advance will not be permitted to enter the building and will be unable to attend the meeting. The public may not enter the building earlier than 45 minutes prior to the start of check-in of the meeting (8:15 a.m.). [[Page 33915]] All visitors must be escorted in areas other than the lower and first floor levels in the CMS Central Office. V. Special Accommodations Individuals requiring special accommodations must include the request for these services when registering for the meeting. VI. 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: July 17, 2017. Patrick Conway, Deputy Administrator for Innovation and Quality & Director, Centers for Medicare & Medicaid Services. [FR Doc. 2017-15374 Filed 7-20-17; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 82, No. 139 / Friday, July 21, 2017 / Notices 33913
• Number all narrative pages only amount, and/or value of third party competitive process during the initial
• This report must not exceed 20 pages contributions proposed to meet a FOA award.
excluding administrative reporting; matching requirement.
Terrance Perry,
web links are allowed G. Applicants should send their
• Where the instructions on the forms Director, Office of Grants Services, Centers
application via email attachment(s) to for Disease Control and Prevention.
conflict with these instructions, Barbara Strother at kty4@cdc.gov. [FR Doc. 2017–15161 Filed 7–20–17; 8:45 am]
follow these instructions
1. CDC requires the use of PDF format 3. Indirect Cost Rate Agreement BILLING CODE 4163–18–P
for ALL attachments.
Requirements for development and
2. Use of file formats other than PDF DEPARTMENT OF HEALTH AND
submission of indirect (F&A) cost rate
may result in the file being unreadable HUMAN SERVICES
proposals and cost allocation plans for
by CDC staff.
all grantees are contained in 45 CFR part
Checklist of Required Contents of 75, Appendices III through VII. Centers for Medicare & Medicaid
Application Packet: Services
1. SF–424 Application for Federal 4. Program Requirements
[CMS–5525–N]
Domestic Assistance—Short
Organizational Form Project Narrative: Provide a summary
of planned activities to be conducted Medicare, Medicaid and Children’s
2. SF–424A Budget Information-Non- Health Insurance Program (CHIP);
Construction during the remainder of Year 2 for the
Meeting on Behavioral Health Payment
3. Itemized Budget Jus tification period September 30, 2017–March 31,
and Care Delivery
4. Certifications and Assurances 2018.
AGENCY: Centers for Medicare &
1. SF–424 Application for Federal Section I. New Budget Period Proposed
Medicaid Services (CMS), HHS.
Domestic Assistance—Short Objectives and Activities
ACTION: Notice of meeting.
Organizational Form Provide a detailed description of
Complete all sections: proposed activities, objectives, and SUMMARY: This notice announces a
A. In addition to inserting the legal performance measures for the new public meeting to discuss ideas for a
name of your organization in Block #5a, budget period as described below. potential behavioral health payment
insert the CDC Award Number provided model to improve health care quality
A. List the proposed objectives for the and access, while lowering the cost of
in the CDC Notice of Award. Failure to upcoming budget period. These
provide your award number could cause care for Medicare, Medicaid, or
objectives must support the intent of the Children’s Health Insurance Program
delay in processing your application. original Funding Opportunity
B. Please insert your organization’s (CHIP) beneficiaries with behavioral
Announcement (FOA) or Program health conditions.
Business Official information in Block Announcement (PA).
#8. DATES:
B. Each objective and activity must Meeting Date: This meeting will be
2. SF–424A Budget Information and contain a performance or outcome held at 10 a.m. until 5 p.m. Eastern
Justification measure that assesses the effectiveness Standard Time (EST) on Friday,
A. Complete all applicable sections. of the project. September 8, 2017. The meeting is open
B. Analysis of Remaining Time and C. Provide an updated work plan that to the public, but attendance is limited
Funds. cross walks to the objectives and to the space available.
1. Based on the current rate of associated performance measures, Meeting Registration: Individuals
obligation, if it appears there will be un- program strategies and activities, target must register online at https://
obligated funds at the end of the current dates for completion, and person(s) innovation.cms.gov/resources/
budget period, provide detailed actions responsible for the activities. Awardees behavioral-health-paymentcare-
that will be taken to obligate this are strongly encouraged to use the summit.html by 12:00 a.m. EST on
amount. sample Excel-based work plan provided August 25, 2017.
2. If it appears there will be by the Disability and Health Branch. Submission of Written Questions or
insufficient funds, provide a detailed The work plan must be uploaded as a Statements: Individuals may submit
justification of the shortfall and list the PDF file and included in the appendix. written questions or statements by
actions taken to bring the obligations in email, online, fax, or mail to the address
line with the authorized funding level. Any proposed changes in listed in the ADDRESSES section of this
C. The proposed budget should be programmatic priorities must be within notice by 12:00 a.m. EST. on August 25,
based on the federal funding level stated the scope of the approved funding 2017.
in the letter from CDC. opportunity announcement and Notice ADDRESSES:
D. The budget justification must be of Award. CDC will work with each Meeting Location: The meeting will be
prepared in the general form, format, awardee to refine and consolidate work held in the Grand Auditorium, at the
and to the level of detail as described in plans within 30 days of award as CMS Central Office, 7500 Security
the CDC Budget Guidance. The sample needed. Boulevard, Baltimore, MD 21244–1850.
budget guidance is provided on CDC’s Review and Selection Process Submission of Written Questions or
internet at: http://www.cdc.gov/grants/ Statements: Individuals may submit
sradovich on DSK3GMQ082PROD with NOTICES
applying/application-resources.html. A merit review will be conducted by written questions or statements by email
E. For any new proposed subcontracts the CDC Program Office. The merit at CMMIBHSummit@ketchum.com,
provide the information specified in the review will cover technical and cost online at https://innovation.cms.gov/
Budget Guidance. matters. The initial application received resources/behavioral-health-
F. When non-federal matching is an objective review to ensure recipient paymentcare-summit.html, by fax to
required, provide a line-item list of non- complies with all the activities required. 410–786–1048, or by mail to the CMS
federal contributions including source, The recipient was selected thru a Innovation Center, Attn: CMMIBH
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![Federal Register / Vol. 82, No. 139 / Friday, July 21, 2017 / Notices 33915
All visitors must be escorted in areas federal fiscal year (FY) 2014 and the B. QI Allotments for FY 2015/CY 2015
other than the lower and first floor preliminary QI allotments for federal FY and Thereafter
levels in the CMS Central Office. 2015 which is extended through
calendar year (CY) 2015 (December Section 201 of PAMA extended the
V. Special Accommodations authority and funding for the QI
2015) by the Medicare Access and CHIP
Individuals requiring special Reauthorization Act of 2015 (MACRA). program for FY 2015 as follows: $300
accommodations must include the The amounts of these QI allotments million for the period October 1, 2014
request for these services when were determined in accordance with the through December 31, 2014 (first quarter
registering for the meeting. methodology set forth in regulations and of FY 2015); and, $250 million for the
reflect funding for the QI program made period January 1, 2015 through March
VI. Collection of Information 31, 2015 (second quarter FY 2015).
available under recent legislation.
Requirements Section 211 of the Medicare Access and
DATES: The final QI allotments for
This document does not impose payment of Medicare Part B premiums CHIP Reauthorization Act of 2015
information collection requirements, for FY 2014 are effective October 1, (MACRA) (Pub. L. 114–10, enacted on
that is, reporting, recordkeeping, or 2013. The preliminary QI allotments for April 16, 2015) further extended the
third-party disclosure requirements. FY 2015, extended through CY 2015 are authority and funding for the QI
Consequently, there is no need for effective October 1, 2014. program for FY 2015 as follows: $535
review by the Office of Management and million for the period April 1, 2015
FOR FURTHER INFORMATION CONTACT:
Budget under the authority of the through December 31, 2015, effectively
Jennifer Gibson, (410) 786–5404 or Toni
Paperwork Reduction Act of 1995 (44 changing QI to a calendar year basis
Cincibus at (410) 786–2997.
U.S.C. 3501 et seq.). from a fiscal year basis. Therefore, a
SUPPLEMENTARY INFORMATION:
total of $1.085 billion is available for the
Dated: July 17, 2017.
I. Background QI program for FY/CY 2015.
Patrick Conway,
A. QI Allotments for FY 2014 Section 211 of MACRA also
Deputy Administrator for Innovation and
permanently extended the QI program
Quality & Director, Centers for Medicare & As amended by section 621 of the
Medicaid Services. while allocating $980 million for CY
American Taxpayer Relief Act of 2012 2016.
[FR Doc. 2017–15374 Filed 7–20–17; 8:45 am] (ATRA) (Pub. L. 112–240, enacted on
BILLING CODE 4120–01–P January 2, 2013), section 1933(g)(2) of C. Methodology for Calculating the
the Social Security Act (the Act) Fiscal Year/Calendar Year QI
provided $300 million in funding for Allotments.
DEPARTMENT OF HEALTH AND the period October 1, 2013 through
HUMAN SERVICES The amounts of the states’ final FY
December 31, 2013, the first quarter of 2014 and preliminary FY/CY 2015 QI
fiscal year (FY) 2014. Section 1201 of allotments, contained in this notice,
Centers for Medicare & Medicaid Division B of the legislation ‘‘Pathway
Services were determined in accordance with the
for SGR Reform Act of 2013’’ (Pub. L. methodology set forth in existing
[CMS–2405–N] 113–67 enacted on December 26, 2013) regulations at 42 CFR 433.10(c)(5) and
provided an additional $200 million
RIN 0938–ZB34 reflect funding for the QI program made
and authority for the Qualifying
available under the legislation discussed
Medicaid Program; State Allotments Individual (QI) program for the period
above.
for Payment of Medicare Part B January 1, 2014 through March 31, 2014
Premiums for Qualifying Individuals (second quarter of FY 2014). In addition, II. Tables
(QIs): Federal Fiscal Year 2014 and section 201 of the Protecting Access to
Medicare Act of 2014 (PAMA) (Pub. L. The final QI allotments for FY 2014
Federal Fiscal Year 2015 through and the preliminary QI allotments for
Calendar Year 2015 113–93 enacted on April 1, 2014)
revised the $200 to $485 million and FY/CY 2015 are shown by state in Table
AGENCY: Centers for Medicare & extended the period for which such 1 and Table 2, respectively:
Medicaid Services (CMS), HHS. funds were available to the end of Table 1—Final Qualifying Individuals
ACTION: Notice. September 2014. Therefore, the total Allotments for October 1, 2013 through
funding available for the QI program for September 30, 2014.
SUMMARY: This notice sets forth the FY 2014 is $785 million ($300 million Table 2—Preliminary Qualifying
states’ final allotments available to pay for the first quarter of FY 2014, and Individuals Allotments for October 1,
the Medicare Part B premiums for $485 million for the second through 2014 through December 31, 2015.
Qualifying Individuals (QIs) for the fourth quarters of FY 2014). BILLING CODE 4120–01–P
sradovich on DSK3GMQ082PROD with NOTICES
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Document Created: 2017-07-21 06:00:24
Document Modified: 2017-07-21 06:00:24
| 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 of meeting. | |
| Dates | Meeting Date: This meeting will be held at 10 a.m. until 5 p.m. Eastern Standard Time (EST) on Friday, September 8, 2017. The meeting is open to the public, but attendance is limited to the space available. | |
| Contact | [email protected], for questions about this meeting. | |
| FR Citation | 82 FR 33913 |
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