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)

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.

[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]


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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.

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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