82_FR_49018 82 FR 48816 - Analyses, Research and Studies To Address the Impact of CMS Programs on American Indian/Alaska Native (AI/AN) Beneficiaries and the Health Care System Serving These Beneficiaries

82 FR 48816 - Analyses, Research and Studies To Address the Impact of CMS Programs on American Indian/Alaska Native (AI/AN) Beneficiaries and the Health Care System Serving These Beneficiaries

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

Federal Register Volume 82, Issue 202 (October 20, 2017)

Page Range48816-48817
FR Document2017-22811

This notice supports expansion of research on the impact of CMS programs on the Indian health care system through a single source award. The Indian Health Service (IHS), Tribes and Tribal Organizations and Urban programs, deliver health care services to American Indian/ Alaska Native (AI/AN) people through a network of hospitals, clinics and other providers. This award expands research on the impact of CMS programs and the delivery of health care to AI/AN beneficiaries.

Federal Register, Volume 82 Issue 202 (Friday, October 20, 2017) 
[Federal Register Volume 82, Number 202 (Friday, October 20, 2017)]
[Notices]
[Pages 48816-48817]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-22811]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services


Analyses, Research and Studies To Address the Impact of CMS 
Programs on American Indian/Alaska Native (AI/AN) Beneficiaries and the 
Health Care System Serving These Beneficiaries

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

ACTION: Notice of single source award.

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SUMMARY: This notice supports expansion of research on the impact of 
CMS programs on the Indian health care system through a single source 
award. The Indian Health Service (IHS), Tribes and Tribal Organizations 
and Urban programs, deliver health care services to American Indian/
Alaska Native (AI/AN) people through a network of hospitals, clinics 
and other providers. This award expands research on the impact of CMS 
programs and the delivery of health care to AI/AN beneficiaries.

FOR FURTHER INFORMATION CONTACT:  Georgeline Sparks, Centers for 
Medicare & Medicaid Services, Center for Medicaid and CHIP Services/
IEAG/Division of Tribal Affairs, 7500 Security Boulevard, M/S S1-05-06, 
Baltimore, MD 21244-1850, (410) 786-4608.
    Intended Recipient: National Indian Health Board (NIHB).
    Purpose of Award: The IHS and Tribal health programs have had long 
standing authority to bill Medicare and Medicaid for services provided 
at their facilities. These participating and billing authorities were 
expanded by the American Recovery and Reinvestment Act of 2009 (ARRA), 
the Children's Health Insurance Program Reauthorization Act of 2009 
(CHIPRA), and the Affordable Care Act in 2010 (ACA). AI/AN people have 
traditionally been medically underserved and have health disparities 
significantly above those of the population as a whole. In order to 
ensure that AI/AN people have full knowledge of these new changes and 
the fullest access to CMS programs, this award will study the adoption 
and impact of these new authorities on the Indian health care system.
    Amount of the Award: The total amount of funding available over a 
five year period is $4,000,000. The initial award will be awarded at 
$800,000. The subsequent years will be awarded on a non-competing 
continuation basis at approximately $800,000 per year for a total of 5 
years, and will be subject to the availability of funds and 
satisfactory performance by the recipient.
    Justification for Single Source Award: For the past five years 
through a Cooperative Agreement with CMS, NIHB has provided analysis 
and research of the potential and actual impact of CMS programs on AI/
AN beneficiaries and the health care system serving these 
beneficiaries. This work has included analysis and research on Medicare 
and Medicaid data enrollment of AI/AN beneficiaries to understand 
utilization of the AI/AN population in the context of CMS programs. In 
addition, NIHB has been instrumental in tracking CMS regulations and 
providing analysis and research to better understand the implications 
of CMS regulatory guidance on the Indian health programs. Based on this 
experience, NIHB is the only entity capable of carrying out the scope 
of activities because the scope of work builds on past experience and 
knowledge. Any other source would not have all of the knowledge and 
experience gained in the last five years. The NIHB provides research on 
health program issues impacting AI/ANs to over 567 Federally-recognized 
Tribes and has historically provided these services for several decades 
in conjunction with the IHS. The NIHB program has a national focus 
relevant to its AI/AN constituency who need to know through substantive 
research about the changes and updates in the latest health care 
services and access through CMS programs.
    Project Period: The anticipated period of performance for this 
cooperative agreement is September 29, 2017 through September 28, 2022 
with funding awarded in 12-month budget increments subject to the 
availability of funds and satisfactory performance.
    Provisions of the Notice: CMS has solicited a proposal from the 
NIHB to undertake analysis, research and studies to address the impact 
of CMS programs and AI/AN beneficiaries and the health care system 
serving those beneficiaries. The project consists of five principal 
research objectives:
     Study the ongoing impact of CMS programs on the Indian 
health system through analysis of, response to, and implementation of 
CMS regulations by Indian health providers.
     Study AI/AN demographic, enrollment, and utilization data 
and propose strategies to increase CMS data system capabilities to 
create more Indian specific reporting capacity.
     Provide ongoing study of CMS efforts to increase AI/AN 
knowledge of CMS programs and CMS responsiveness to Indian health 
system.
     Provide research support on the use and effectiveness of 
the CMS Tribal Consultation Policy.
     Evaluate the effectiveness of outreach and enrollment 
efforts to AI/AN beneficiaries in CMS programs.
    CMS requested that NIHB submit an application which includes:
    1. Cover Letter.
    2. SF-424 Application for Federal Assistance.
    3. SF-424A Budget Information--Non-Construction Programs.
    4. SF-424B Assurances.
    5. A budget narrative.
    6. Abstract of Project.
    7. A research project narrative that describes each of the five 
separate objectives.
    8. 501(c)(3) Non-Profit certification.
    9. Resumes of all key personnel.
    10. Position descriptions.
    11. Disclosure of Lobbying Activities, if applicable.
    12. Copy of approved indirect cost rate agreement, if applicable.
    13. Documentation of current OMB A-133 required financial audit, if 
applicable.

[[Page 48817]]

    Evaluation criteria for review of the application will be comprised 
of three principal areas:
    a. Program information which includes current organizational 
capabilities and operations.
    b. Program planning and evaluation which includes identification of 
measurable goals, products, personnel and workplanning.
    c. Program reporting which includes organizational capabilities and 
qualifications and categorical budget and justification.

    Authority:  Section 1110 of the Social Security Act, codified at 
42 U.S.C. Sec. 1310

    Dated: September 15, 2017.
Derrick Heard,
Chief Grants Management Officer, Office of Acquisition and Grants 
Management, Centers for Medicare & Medicaid Services.
[FR Doc. 2017-22811 Filed 10-19-17; 8:45 am]
 BILLING CODE 4120-01-P

48816 Federal Register / Vol. 82, No. 202 / Friday, October 20, 2017 / Notices ESTIMATED ANNUALIZED BURDEN HOURS Number of Avg. burden Type of Number of Form name responses per per response respondents respondents respondent (in hours) State And Local Governments (or their bona Awardee Lead Profile Assessment (ALPA) 40 1 7/60 fide fiscal agents). Questionnaire—web survey. ALPA Questionnaire—Word format ............... 8 1 7/60 Leroy A. Richardson, (ACA). AI/AN people have traditionally Project Period: The anticipated period Chief, Information Collection Review Office, been medically underserved and have of performance for this cooperative Office of Scientific Integrity, Office of the health disparities significantly above agreement is September 29, 2017 Associate Director for Science, Office of the those of the population as a whole. In through September 28, 2022 with Director, Centers for Disease Control and order to ensure that AI/AN people have funding awarded in 12-month budget Prevention. full knowledge of these new changes increments subject to the availability of [FR Doc. 2017–22772 Filed 10–19–17; 8:45 am] and the fullest access to CMS programs, funds and satisfactory performance. BILLING CODE 4163–18–P this award will study the adoption and Provisions of the Notice: CMS has impact of these new authorities on the solicited a proposal from the NIHB to Indian health care system. undertake analysis, research and studies DEPARTMENT OF HEALTH AND Amount of the Award: The total to address the impact of CMS programs HUMAN SERVICES amount of funding available over a five and AI/AN beneficiaries and the health year period is $4,000,000. The initial care system serving those beneficiaries. Centers for Medicare & Medicaid award will be awarded at $800,000. The The project consists of five principal Services subsequent years will be awarded on a research objectives: Analyses, Research and Studies To non-competing continuation basis at • Study the ongoing impact of CMS Address the Impact of CMS Programs approximately $800,000 per year for a programs on the Indian health system on American Indian/Alaska Native (AI/ total of 5 years, and will be subject to through analysis of, response to, and AN) Beneficiaries and the Health Care the availability of funds and satisfactory implementation of CMS regulations by System Serving These Beneficiaries performance by the recipient. Indian health providers. Justification for Single Source Award: • Study AI/AN demographic, AGENCY: Centers for Medicare & For the past five years through a enrollment, and utilization data and Medicaid Services (CMS), HHS. Cooperative Agreement with CMS, propose strategies to increase CMS data ACTION: Notice of single source award. NIHB has provided analysis and system capabilities to create more research of the potential and actual Indian specific reporting capacity. SUMMARY: This notice supports impact of CMS programs on AI/AN • Provide ongoing study of CMS expansion of research on the impact of beneficiaries and the health care system efforts to increase AI/AN knowledge of CMS programs on the Indian health care serving these beneficiaries. This work CMS programs and CMS responsiveness system through a single source award. has included analysis and research on to Indian health system. The Indian Health Service (IHS), Tribes Medicare and Medicaid data enrollment • Provide research support on the use and Tribal Organizations and Urban of AI/AN beneficiaries to understand and effectiveness of the CMS Tribal programs, deliver health care services to utilization of the AI/AN population in Consultation Policy. American Indian/Alaska Native (AI/AN) the context of CMS programs. In • Evaluate the effectiveness of people through a network of hospitals, addition, NIHB has been instrumental in outreach and enrollment efforts to AI/ clinics and other providers. This award tracking CMS regulations and providing AN beneficiaries in CMS programs. expands research on the impact of CMS analysis and research to better CMS requested that NIHB submit an programs and the delivery of health care understand the implications of CMS application which includes: to AI/AN beneficiaries. regulatory guidance on the Indian 1. Cover Letter. FOR FURTHER INFORMATION CONTACT: health programs. Based on this 2. SF–424 Application for Federal Georgeline Sparks, Centers for Medicare experience, NIHB is the only entity Assistance. & Medicaid Services, Center for capable of carrying out the scope of 3. SF–424A Budget Information— Medicaid and CHIP Services/IEAG/ activities because the scope of work Non-Construction Programs. Division of Tribal Affairs, 7500 Security builds on past experience and 4. SF–424B Assurances. Boulevard, M/S S1–05–06, Baltimore, knowledge. Any other source would not 5. A budget narrative. MD 21244–1850, (410) 786–4608. have all of the knowledge and 6. Abstract of Project. Intended Recipient: National Indian experience gained in the last five years. 7. A research project narrative that Health Board (NIHB). The NIHB provides research on health describes each of the five separate Purpose of Award: The IHS and Tribal program issues impacting AI/ANs to objectives. health programs have had long standing over 567 Federally-recognized Tribes 8. 501(c)(3) Non-Profit certification. authority to bill Medicare and Medicaid and has historically provided these 9. Resumes of all key personnel. for services provided at their facilities. services for several decades in srobinson on DSKBC5CHB2PROD with NOTICES 10. Position descriptions. These participating and billing conjunction with the IHS. The NIHB 11. Disclosure of Lobbying Activities, authorities were expanded by the program has a national focus relevant to if applicable. American Recovery and Reinvestment its AI/AN constituency who need to 12. Copy of approved indirect cost Act of 2009 (ARRA), the Children’s know through substantive research rate agreement, if applicable. Health Insurance Program about the changes and updates in the 13. Documentation of current OMB Reauthorization Act of 2009 (CHIPRA), latest health care services and access A–133 required financial audit, if and the Affordable Care Act in 2010 through CMS programs. applicable. VerDate Sep<11>2014 16:22 Oct 19, 2017 Jkt 244001 PO 00000 Frm 00031 Fmt 4703 Sfmt 4703 E:\FR\FM\20OCN1.SGM 20OCN1

Federal Register / Vol. 82, No. 202 / Friday, October 20, 2017 / Notices 48817 Evaluation criteria for review of the You may submit comments in one of Patricia Chmielewski, (410) 786–6899. application will be comprised of three four ways (please choose only one of the SUPPLEMENTARY INFORMATION: principal areas: ways listed): Inspection of Public Comments: All a. Program information which 1. Electronically. You may submit comments received before the close of includes current organizational electronic comments on this regulation the comment period are available for capabilities and operations. to http://www.regulations.gov. viewing by the public, including any b. Program planning and evaluation Follow the ‘‘Submit a comment’’ personally identifiable or confidential which includes identification of instructions. business information that is included in measurable goals, products, personnel 2. By regular mail. You may mail a comment. We post all comments and workplanning. written comments to the following received before the close of the c. Program reporting which includes address ONLY: Centers for Medicare & comment period on the following Web organizational capabilities and Medicaid Services, Department of site as soon as possible after they have qualifications and categorical budget Health and Human Services, Attention: been received: http:// and justification. CMS–3349–PN, P.O. Box 8016, www.regulations.gov. Follow the search Authority: Section 1110 of the Social Baltimore, MD 21244–8010. instructions on that Web site to view Security Act, codified at 42 U.S.C. Sec. 1310 Please allow sufficient time for mailed public comments. comments to be received before the Comments received timely will also Dated: September 15, 2017. close of the comment period. be available for public inspection as Derrick Heard, they are received, generally beginning 3. By express or overnight mail. You Chief Grants Management Officer, Office of approximately 3 weeks after publication may send written comments to the Acquisition and Grants Management, Centers of a document, at the headquarters of for Medicare & Medicaid Services. following address ONLY: Centers for Medicare & Medicaid Services, the Centers for Medicare & Medicaid [FR Doc. 2017–22811 Filed 10–19–17; 8:45 am] Services, 7500 Security Boulevard, Department of Health and Human BILLING CODE 4120–01–P Services, Attention: CMS–3349–PN, Baltimore, Maryland 21244, Monday Mail Stop C4–26–05, 7500 Security through Friday of each week from 8:30 Boulevard, Baltimore, MD 21244–1850. a.m. to 4 p.m. To schedule an DEPARTMENT OF HEALTH AND appointment to view public comments, HUMAN SERVICES 4. By hand or courier. If you prefer, you may deliver (by hand or courier) phone 1–800–743–3951. Centers for Medicare & Medicaid your written comments before the close I. Background Services of the comment period to either of the Under the Medicare program, eligible following addresses: [CMS–3349–PN] beneficiaries may receive covered a. For delivery in Washington, DC— services from a home health agency Centers for Medicare & Medicaid Medicare and Medicaid Programs; (HHA) provided certain requirements Services, Department of Health and Application by Community Health are met. Sections 1861(m) and (o), 1891 Human Services, Room 445–G, Hubert Accreditation Partner for Continued and 1895 of the Social Security Act (the H. Humphrey Building, 200 CMS Approval of Its Home Health Act) establish distinct criteria for Independence Avenue SW., Agency Accreditation Program entities seeking designation as an HHA. Washington, DC 20201. Regulations concerning provider AGENCY: Centers for Medicare & (Because access to the interior of the agreements are at 42 CFR part 489 and Medicaid Services (CMS), HHS. Hubert H. Humphrey Building is not those pertaining to activities relating to ACTION: Proposed notice. readily available to persons without the survey and certification of facilities Federal government identification, and other entities are at 42 CFR part SUMMARY: This proposed notice commenters are encouraged to leave 488. The regulations at 42 CFR parts 409 acknowledges the receipt of an their comments in the CMS drop slots and 484 specify the conditions that an application from the Community Health located in the main lobby of the HHA must meet to participate in the Accreditation Partner (CHAP) for building. A stamp-in clock is available Medicare program, the scope of covered continued recognition as a national for persons wishing to retain a proof of services and the conditions for Medicare accrediting organization for home health filing by stamping in and retaining an payment for home health care. agencies (HHAs) that wish to participate extra copy of the comments being filed.) Generally, to enter into a provider in the Medicare or Medicaid programs. b. For delivery in Baltimore, MD— agreement with the Medicare program, The statute requires that within 60 days Centers for Medicare & Medicaid an HHA must first be certified by a state of receipt of an organization’s complete Services, Department of Health and survey agency as complying with the application, the Centers for Medicare & Human Services, 7500 Security conditions or requirements set forth in Medicaid Services (CMS) publish a Boulevard, Baltimore, MD 21244–1850. 42 CFR part 484 of our regulations. notice that identifies the national If you intend to deliver your Thereafter, the HHA is subject to regular accrediting body making the request, comments to the Baltimore address, surveys by a state survey agency to describes the nature of the request, and please call telephone number (410) 786– determine whether it continues to meet provides at least a 30-day public 7195 in advance to schedule your these requirements. comment period. arrival with one of our staff members. However, there is an alternative to DATES: To be assured consideration, Comments mailed to the addresses surveys by state agencies. Section comments must be received at one of indicated as appropriate for hand or 1865(a)(1) of the Act provides that, if a srobinson on DSKBC5CHB2PROD with NOTICES the addresses provided below, no later courier delivery may be delayed and provider entity demonstrates through than 5 p.m. on November 20, 2017. received after the comment period. accreditation by an approved national ADDRESSES: In commenting, please refer For information on viewing public accrediting organization that all to file code CMS–3349–PN. Because of comments, see the beginning of the applicable Medicare conditions are met staff and resource limitations, we cannot SUPPLEMENTARY INFORMATION section. or exceeded, we will deem those accept comments by facsimile (FAX) FOR FURTHER INFORMATION CONTACT: provider entities as having met the transmission. Lillian Williams, (410) 786–8636. requirements. Accreditation by an VerDate Sep<11>2014 16:22 Oct 19, 2017 Jkt 244001 PO 00000 Frm 00032 Fmt 4703 Sfmt 4703 E:\FR\FM\20OCN1.SGM 20OCN1


Document Created: 2017-10-20 00:06:26
Document Modified: 2017-10-20 00:06:26
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
ActionNotice of single source award.
ContactGeorgeline Sparks, Centers for Medicare & Medicaid Services, Center for Medicaid and CHIP Services/ IEAG/Division of Tribal Affairs, 7500 Security Boulevard, M/S S1-05-06, Baltimore, MD 21244-1850, (410) 786-4608.
FR Citation82 FR 48816 
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