82_FR_57506 82 FR 57275 - Medicare Program; Town Hall Meeting on the FY 2019 Applications for New Medical Services and Technologies Add-On Payments

82 FR 57275 - Medicare Program; Town Hall Meeting on the FY 2019 Applications for New Medical Services and Technologies Add-On Payments

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

Federal Register Volume 82, Issue 231 (December 4, 2017)

Page Range57275-57277
FR Document2017-25971

This notice announces a Town Hall meeting in accordance with section 1886(d)(5)(K)(viii) of the Social Security Act (the Act) to discuss fiscal year (FY) 2019 applications for add-on payments for new medical services and technologies under the hospital inpatient prospective payment system (IPPS). Interested parties are invited to this meeting to present their comments, recommendations, and data regarding whether the FY 2019 new medical services and technologies applications meet the substantial clinical improvement criterion.

Federal Register, Volume 82 Issue 231 (Monday, December 4, 2017) 
[Federal Register Volume 82, Number 231 (Monday, December 4, 2017)]
[Notices]
[Pages 57275-57277]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-25971]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-1684-N]


Medicare Program; Town Hall Meeting on the FY 2019 Applications 
for New Medical Services and Technologies Add-On Payments

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

ACTION: Notice of meeting.

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SUMMARY: This notice announces a Town Hall meeting in accordance with 
section 1886(d)(5)(K)(viii) of the Social Security Act (the Act) to 
discuss fiscal year (FY) 2019 applications for add-on payments for new 
medical services and technologies under the hospital inpatient 
prospective payment system (IPPS). Interested parties are invited to 
this meeting to present their comments, recommendations, and data 
regarding whether the FY 2019 new medical services and technologies 
applications meet the substantial clinical improvement criterion.

DATES: 
    Meeting Date: The Town Hall Meeting announced in this notice will 
be held on Tuesday, February 13, 2018. The Town Hall Meeting will begin 
at 9:00 a.m. Eastern Standard Time (e.s.t.) and check-in will begin at 
8:30 a.m. e.s.t.
    Deadline for Registration for Participants (not Presenting) at the 
Town Hall Meeting: The deadline to register to attend the Town Hall 
Meeting is 5:00 p.m., e.s.t. on Wednesday, February 7, 2018.
    Deadline for Requesting Special Accommodations: The deadline to 
submit requests for special accommodations is 5:00 p.m., e.s.t. on 
Tuesday, January 16, 2018.
    Deadline for Registration of Presenters at the Town Hall Meeting: 
The deadline to register to present at the Town Hall Meeting is 5:00 
p.m., e.s.t. on Monday, January 29, 2018.
    Deadline for Submission of Agenda Item(s) or Written Comments for 
the Town Hall Meeting: Written comments and agenda items for discussion 
at the Town Hall Meeting, including agenda items by presenters, must be 
received by 5:00 p.m. e.s.t. on Monday, January 29, 2018.
    Deadline for Submission of Written Comments after the Town Hall 
Meeting for consideration in the FY 2019 IPPS proposed rule: 
Individuals may submit written comments after the Town Hall Meeting, as 
specified in the ADDRESSES section of this notice, on whether the 
service or technology represents a substantial clinical improvement. 
These comments must be received by 5:00 p.m. e.s.t. on Friday, February 
23, 2018, for consideration in the FY 2019 IPPS proposed rule.

ADDRESSES: 
    Meeting Location: The Town Hall Meeting will be held in the main 
Auditorium in the central building of the Centers for Medicare & 
Medicaid Services located at 7500 Security Boulevard, Baltimore, MD 
21244-1850.
    In addition, we are providing two alternatives to attending the 
meeting in person--(1) there will be an open toll-free phone line to 
call into the Town Hall Meeting; or (2) participants may view and 
participate in the Town Hall Meeting via live stream technology or 
webinar. These options are discussed in section II.B. of this notice.
    Registration and Special Accommodations: Individuals wishing to 
participate in the meeting must register by following the on-line 
registration instructions located in section III. of this notice or by 
contacting staff listed in the FOR FURTHER INFORMATION CONTACT section 
of this notice. Individuals who need special accommodations should 
contact staff listed in the FOR FURTHER INFORMATION CONTACT section of 
this notice.
    Submission of Agenda Item(s) or Written Comments for the Town Hall 
Meeting: Each presenter must submit an agenda item(s) regarding whether 
a FY 2019 application meets the substantial clinical improvement 
criterion. Agenda items, written comments, questions or other 
statements must not exceed three single-spaced typed pages and may be 
sent via email to [email protected].

FOR FURTHER INFORMATION CONTACT: Michelle Joshua, (410) 786-6050, 
[email protected]; or Michael Treitel, (410) 786-4552, 
[email protected].
    Alternatively, you may forward your requests via email to 
[email protected].

SUPPLEMENTARY INFORMATION: 

I. Background on the Add-On Payments for New Medical Services and 
Technologies Under the IPPS

    Sections 1886(d)(5)(K) and (L) of the Social Security Act (the Act) 
require the Secretary to establish a process of identifying and 
ensuring adequate payments to acute care hospitals for new medical 
services and technologies under Medicare. Effective for discharges 
beginning on or after October 1, 2001, section 1886(d)(5)(K)(i) of the 
Act requires the Secretary to establish (after notice and opportunity 
for public comment) a mechanism to recognize the costs of new services 
and technologies under the hospital inpatient prospective payment 
system (IPPS). In addition, section 1886(d)(5)(K)(vi) of the Act 
specifies that a medical service or technology will be considered 
``new'' if it meets criteria established by the Secretary (after notice 
and opportunity for public comment). (See the fiscal year (FY) 2002 
IPPS proposed rule (66 FR 22693, May 4, 2001) and final rule (66 FR 
46912, September 7, 2001) for a more detailed discussion.)
    In the September 7, 2001 final rule (66 FR 46914), we noted that we 
evaluated a request for special payment for a new medical service or 
technology against

[[Page 57276]]

the following criteria in order to determine if the new technology 
meets the substantial clinical improvement requirement:
     The device offers a treatment option for a patient 
population unresponsive to, or ineligible for, currently available 
treatments.
     The device offers the ability to diagnose a medical 
condition in a patient population where that medical condition is 
currently undetectable or offers the ability to diagnose a medical 
condition earlier in a patient population than allowed by currently 
available methods. There must also be evidence that use of the device 
to make a diagnosis affects the management of the patient.
     Use of the device significantly improves clinical outcomes 
for a patient population as compared to currently available treatments. 
Some examples of outcomes that are frequently evaluated in studies of 
medical devices are the following:
    ++ Reduced mortality rate with use of the device.
    ++ Reduced rate of device-related complications.
    ++ Decreased rate of subsequent diagnostic or therapeutic 
interventions (for example, due to reduced rate of recurrence of the 
disease process).
    ++ Decreased number of future hospitalizations or physician visits.
    ++ More rapid beneficial resolution of the disease process 
treatment because of the use of the device.
    ++ Decreased pain, bleeding or other quantifiable symptoms.
    ++ Reduced recovery time.
    In addition, we indicated that the requester is required to submit 
evidence that the technology meets one or more of these criteria.
    Section 1886(d)(5)(K)(viii) of the Act, as added by section 503 of 
the Medicare Prescription Drug, Improvement, and Modernization Act of 
2003 (MMA), requires that as part of the process for evaluating new 
medical services and technology applications, the Secretary shall do 
the following:
     Provide for public input regarding whether a new service 
or technology represents an advance in medical technology that 
substantially improves the diagnosis or treatment of Medicare 
beneficiaries before publication of a proposed rule.
     Make public and periodically update a list of all the 
services and technologies for which an application is pending.
     Accept comments, recommendations, and data from the public 
regarding whether the service or technology represents a substantial 
improvement.
     Provide for a meeting at which organizations representing 
hospitals, physicians, manufacturers and any other interested party may 
present comments, recommendations, and data to the clinical staff of 
CMS as to whether the service or technology represents a substantial 
improvement before publication of a proposed rule.
    The opinions and presentations provided during this meeting will 
assist us as we evaluate the new medical services and technology 
applications for FY 2019. In addition, they will help us to evaluate 
our policy on the IPPS new technology add-on payment process before the 
publication of the FY 2019 IPPS proposed rule.

II. Town Hall Meeting Format and Conference Call/Live Streaming 
Information

A. Format of the Town Hall Meeting

    As noted in section I. of this notice, we are required to provide 
for a meeting at which organizations representing hospitals, 
physicians, manufacturers and any other interested party may present 
comments, recommendations, and data to the clinical staff of CMS 
concerning whether the service or technology represents a substantial 
clinical improvement. This meeting will allow for a discussion of the 
substantial clinical improvement criteria for each of the FY 2019 new 
medical services and technology add-on payment applications. 
Information regarding the applications can be found on our Web site at 
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/newtech.html.
    The majority of the meeting will be reserved for presentations of 
comments, recommendations, and data from registered presenters. The 
time for each presenter's comments will be approximately 10 to 15 
minutes and will be based on the number of registered presenters. 
Individuals who would like to present must register and submit their 
agenda item(s) via email to [email protected] by the date specified 
in the DATES section of this notice.
    In addition, written comments will also be accepted and presented 
at the meeting if they are received via email to [email protected] by 
the date specified in the DATES section of this notice. Written 
comments may also be submitted after the meeting for our consideration. 
If the comments are to be considered before the publication of the FY 
2019 IPPS proposed rule, the comments must be received via email to 
[email protected] by the date specified in the DATES section of this 
notice.

B. Conference Call, Live Streaming, and Webinar Information

    For participants who cannot attend the Town Hall Meeting in person, 
an open toll-free phone line, (877) 267-1577, has been made available. 
The Meeting Place meeting ID is 995 504 800.
    Also, there will be an option to view and participate in the Town 
Hall Meeting via live streaming technology or webinar. Information on 
the option to participate via live streaming technology or webinar will 
be provided through an upcoming listserv notice and posted on the New 
Technology Web site at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/newtech.html. Continue to check the 
Web site for updates.

C. Disclaimer

    We cannot guarantee reliability for live streaming technology or a 
webinar.

III. Registration Instructions

    The Division of Acute Care in CMS is coordinating the meeting 
registration for the Town Hall Meeting on substantial clinical 
improvement. While there is no registration fee, individuals planning 
to attend the Town Hall Meeting in person must register to attend.
    Registration may be completed on-line at the following web address: 
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/newtech.html. Select the link at the bottom of the 
page ``Register to Attend the New Technology Town Hall Meeting''. After 
completing the registration, online registrants should print the 
confirmation page(s) and bring it with them to the meeting.
    If you are unable to register on-line, you may register by sending 
an email to [email protected]. Please include your name, address, 
telephone number, email address and fax number. If seating capacity has 
been reached, you will be notified that the meeting has reached 
capacity.

IV. Security, Building, and Parking Guidelines

    Because this meeting will be located on Federal property, for 
security reasons, any persons wishing to attend the meeting must 
register by the date specified in the DATES section of this notice. 
Please allow sufficient time to go through the security checkpoints. If 
you are attending the Town Hall Meeting in person, we suggest that you 
arrive at

[[Page 57277]]

7500 Security Boulevard no later than 8:30 a.m. e.s.t. so that you will 
be able to arrive promptly for the meeting.
    Security measures include the following:
     Presentation of government-issued photographic 
identification to the Federal Protective Service or Guard Service 
personnel.

    Note: The REAL ID Act established minimum security standards for 
license issuance and production and prohibits Federal agencies from 
accepting for certain purposes driver's licenses and identification 
cards from states not meeting the Act's minimum standards. The 
Department of Homeland Security (DHS) is currently reviewing 
extension requests from states with extensions that expired on 
October 10, 2017. DHS will update their Web page as these reviews 
are completed and new extensions are granted. We encourage the 
public to visit the DHS Web site at https://www.dhs.gov/real-id 
prior to the new technology town hall meeting for updated 
information.

     CMS policy requires that every foreign national (defined 
by the Department of Homeland Security as ``an individual who is a 
citizen of any country other than the United States'') is assigned a 
host (in accordance with the Department Foreign Visitor Management 
Policy, Appendix C, Guidelines for Hosts and Escorts). The host/hosting 
official is required to inform the Division of Physical Security and 
Strategic Information at least 12 business days in advance of any visit 
by a foreign national. Foreign nationals will be required to produce a 
valid passport at the time of entry.
    Attendees that are foreign nationals need to identify themselves as 
such, and make a request for a special accommodation. Foreign national 
visitors are defined as non-U.S. citizens, and non-lawful permanent 
residents, non-residents aliens or non-green-card holders. Foreign 
nationals must provide the following information for security clearance 
to staff listed in the FOR FURTHER INFORMATION CONTACT section of this 
notice by the date specified in the DATES section of this notice:

    ++ Visitor's full name (as it appears on passport).
    ++ Gender.
    ++ Country of origin and citizenship.
    ++ Biographical data and related information.
    ++ Date of birth.
    ++ Place of birth.
    ++ Passport number.
    ++ Passport issue date.
    ++ Passport expiration date.
    ++ Visa Type.
-- Dates of visits
-- Company Name
-- Position/Title

     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.
     Inspection, via metal detector or other applicable means 
of all persons entering the building. We note that all items brought to 
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 in person. The public may not enter the building earlier 
than 45 minutes prior to the convening of the meeting.
    All visitors must be escorted in all areas other than the lower 
level lobby and cafeteria area and first floor auditorium and 
conference areas in the Central Building. Seating capacity is 
limited to the first 250 registrants.


    Authority: Section 503 of Pub. L. 108-173.

    Dated: November 28, 2017.
Seema Verma,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2017-25971 Filed 12-1-17; 8:45 am]
BILLING CODE 4120-01-P

Federal Register / Vol. 82, No. 231 / Monday, December 4, 2017 / Notices 57275 impact on the operations of a substantial year (FY) 2019 applications for add-on Meeting via live stream technology or number of small rural hospitals. payments for new medical services and webinar. These options are discussed in Section 202 of the Unfunded technologies under the hospital section II.B. of this notice. Mandates Reform Act of 1995 (UMRA) inpatient prospective payment system Registration and Special also requires that agencies assess (IPPS). Interested parties are invited to Accommodations: Individuals wishing anticipated costs and benefits before this meeting to present their comments, to participate in the meeting must issuing any rule whose mandates recommendations, and data regarding register by following the on-line require spending in any 1 year of $100 whether the FY 2019 new medical registration instructions located in million in 1995 dollars, updated services and technologies applications section III. of this notice or by annually for inflation. In 2017, that meet the substantial clinical contacting staff listed in the FOR threshold is approximately $148 improvement criterion. FURTHER INFORMATION CONTACT section of million. The Agency has determined DATES: this notice. Individuals who need that there will be minimal impact from Meeting Date: The Town Hall Meeting special accommodations should contact the costs of this notice, as the threshold announced in this notice will be held on staff listed in the FOR FURTHER is not met under the UMRA. Tuesday, February 13, 2018. The Town INFORMATION CONTACT section of this Executive Order 13132 establishes Hall Meeting will begin at 9:00 a.m. notice. certain requirements that an agency Eastern Standard Time (e.s.t.) and Submission of Agenda Item(s) or must meet when it promulgates a check-in will begin at 8:30 a.m. e.s.t. Written Comments for the Town Hall proposed rule (and subsequent final Deadline for Registration for Meeting: Each presenter must submit an rule) that imposes substantial direct Participants (not Presenting) at the agenda item(s) regarding whether a FY requirement costs on state and local Town Hall Meeting: The deadline to 2019 application meets the substantial governments, preempts state law, or register to attend the Town Hall Meeting clinical improvement criterion. Agenda otherwise has federalism implications. is 5:00 p.m., e.s.t. on Wednesday, items, written comments, questions or Since this notice does not impose February 7, 2018. other statements must not exceed three substantial direct costs on state or local Deadline for Requesting Special single-spaced typed pages and may be governments, the requirements of Accommodations: The deadline to sent via email to newtech@cms.hhs.gov. Executive Order 13132 are not submit requests for special FOR FURTHER INFORMATION CONTACT: applicable. accommodations is 5:00 p.m., e.s.t. on Michelle Joshua, (410) 786–6050, Executive Order 13771, titled Tuesday, January 16, 2018. michelle.joshua@cms.hhs.gov; or ‘‘Reducing Regulation and Controlling Deadline for Registration of Presenters Michael Treitel, (410) 786–4552, Regulatory Costs,’’ was issued on at the Town Hall Meeting: The deadline michael.treitel@cms.hhs.gov. January 30, 2017 (82 FR 9339, February to register to present at the Town Hall Alternatively, you may forward your 3, 2017). It has been determined that Meeting is 5:00 p.m., e.s.t. on Monday, requests via email to newtech@ this notice is a transfer notice that does January 29, 2018. cms.hhs.gov. not impose more than de minimis costs Deadline for Submission of Agenda and thus is not a regulatory action for SUPPLEMENTARY INFORMATION: Item(s) or Written Comments for the the purposes of E.O. 13771. Town Hall Meeting: Written comments I. Background on the Add-On Payments In accordance with the provisions of for New Medical Services and and agenda items for discussion at the Executive Order 12866, this notice was Technologies Under the IPPS Town Hall Meeting, including agenda reviewed by the Office of Management items by presenters, must be received by Sections 1886(d)(5)(K) and (L) of the and Budget. 5:00 p.m. e.s.t. on Monday, January 29, Social Security Act (the Act) require the Dated: November 28, 2017. 2018. Secretary to establish a process of Seema Verma, Deadline for Submission of Written identifying and ensuring adequate Administrator, Centers for Medicare & Comments after the Town Hall Meeting payments to acute care hospitals for Medicaid Services. for consideration in the FY 2019 IPPS new medical services and technologies [FR Doc. 2017–25972 Filed 12–1–17; 8:45 am] proposed rule: Individuals may submit under Medicare. Effective for discharges BILLING CODE 4120–01–P written comments after the Town Hall beginning on or after October 1, 2001, Meeting, as specified in the ADDRESSES section 1886(d)(5)(K)(i) of the Act section of this notice, on whether the requires the Secretary to establish (after DEPARTMENT OF HEALTH AND service or technology represents a notice and opportunity for public HUMAN SERVICES substantial clinical improvement. These comment) a mechanism to recognize the comments must be received by 5:00 costs of new services and technologies Centers for Medicare & Medicaid p.m. e.s.t. on Friday, February 23, 2018, under the hospital inpatient prospective Services for consideration in the FY 2019 IPPS payment system (IPPS). In addition, [CMS–1684–N] proposed rule. section 1886(d)(5)(K)(vi) of the Act ADDRESSES: specifies that a medical service or Medicare Program; Town Hall Meeting Meeting Location: The Town Hall technology will be considered ‘‘new’’ if on the FY 2019 Applications for New Meeting will be held in the main it meets criteria established by the Medical Services and Technologies Auditorium in the central building of Secretary (after notice and opportunity Add-On Payments the Centers for Medicare & Medicaid for public comment). (See the fiscal year Services located at 7500 Security sradovich on DSK3GMQ082PROD with NOTICES AGENCY: Centers for Medicare & (FY) 2002 IPPS proposed rule (66 FR Medicaid Services (CMS), HHS. Boulevard, Baltimore, MD 21244–1850. 22693, May 4, 2001) and final rule (66 ACTION: Notice of meeting. In addition, we are providing two FR 46912, September 7, 2001) for a more alternatives to attending the meeting in detailed discussion.) SUMMARY: This notice announces a person—(1) there will be an open toll- In the September 7, 2001 final rule (66 Town Hall meeting in accordance with free phone line to call into the Town FR 46914), we noted that we evaluated section 1886(d)(5)(K)(viii) of the Social Hall Meeting; or (2) participants may a request for special payment for a new Security Act (the Act) to discuss fiscal view and participate in the Town Hall medical service or technology against VerDate Sep<11>2014 18:22 Dec 01, 2017 Jkt 244001 PO 00000 Frm 00081 Fmt 4703 Sfmt 4703 E:\FR\FM\04DEN1.SGM 04DEN1

57276 Federal Register / Vol. 82, No. 231 / Monday, December 4, 2017 / Notices the following criteria in order to technology represents a substantial newtech@cms.hhs.gov by the date determine if the new technology meets improvement. specified in the DATES section of this the substantial clinical improvement • Provide for a meeting at which notice. requirement: organizations representing hospitals, B. Conference Call, Live Streaming, and • The device offers a treatment option physicians, manufacturers and any Webinar Information for a patient population unresponsive other interested party may present to, or ineligible for, currently available comments, recommendations, and data For participants who cannot attend treatments. to the clinical staff of CMS as to whether the Town Hall Meeting in person, an • The device offers the ability to the service or technology represents a open toll-free phone line, (877) 267– diagnose a medical condition in a substantial improvement before 1577, has been made available. The patient population where that medical publication of a proposed rule. Meeting Place meeting ID is 995 504 condition is currently undetectable or The opinions and presentations 800. offers the ability to diagnose a medical provided during this meeting will assist Also, there will be an option to view condition earlier in a patient population us as we evaluate the new medical and participate in the Town Hall than allowed by currently available services and technology applications for Meeting via live streaming technology methods. There must also be evidence FY 2019. In addition, they will help us or webinar. Information on the option to that use of the device to make a to evaluate our policy on the IPPS new participate via live streaming diagnosis affects the management of the technology add-on payment process technology or webinar will be provided patient. before the publication of the FY 2019 through an upcoming listserv notice and • Use of the device significantly IPPS proposed rule. posted on the New Technology Web site improves clinical outcomes for a patient at http://www.cms.gov/Medicare/ II. Town Hall Meeting Format and Medicare-Fee-for-Service-Payment/ population as compared to currently Conference Call/Live Streaming available treatments. Some examples of AcuteInpatientPPS/newtech.html. Information Continue to check the Web site for outcomes that are frequently evaluated in studies of medical devices are the A. Format of the Town Hall Meeting updates. following: As noted in section I. of this notice, C. Disclaimer ++ Reduced mortality rate with use of we are required to provide for a meeting We cannot guarantee reliability for the device. at which organizations representing live streaming technology or a webinar. ++ Reduced rate of device-related hospitals, physicians, manufacturers complications. and any other interested party may III. Registration Instructions ++ Decreased rate of subsequent present comments, recommendations, The Division of Acute Care in CMS is diagnostic or therapeutic interventions and data to the clinical staff of CMS coordinating the meeting registration for (for example, due to reduced rate of concerning whether the service or the Town Hall Meeting on substantial recurrence of the disease process). technology represents a substantial clinical improvement. While there is no ++ Decreased number of future clinical improvement. This meeting will registration fee, individuals planning to hospitalizations or physician visits. allow for a discussion of the substantial attend the Town Hall Meeting in person ++ More rapid beneficial resolution clinical improvement criteria for each of must register to attend. of the disease process treatment because the FY 2019 new medical services and Registration may be completed on- of the use of the device. technology add-on payment line at the following web address: ++ Decreased pain, bleeding or other applications. Information regarding the http://www.cms.gov/Medicare/ quantifiable symptoms. applications can be found on our Web Medicare-Fee-for-Service-Payment/ ++ Reduced recovery time. site at http://www.cms.gov/Medicare/ AcuteInpatientPPS/newtech.html. In addition, we indicated that the Medicare-Fee-for-Service-Payment/ Select the link at the bottom of the page requester is required to submit evidence AcuteInpatientPPS/newtech.html. ‘‘Register to Attend the New Technology that the technology meets one or more The majority of the meeting will be Town Hall Meeting’’. After completing of these criteria. reserved for presentations of comments, the registration, online registrants Section 1886(d)(5)(K)(viii) of the Act, recommendations, and data from should print the confirmation page(s) as added by section 503 of the Medicare registered presenters. The time for each and bring it with them to the meeting. Prescription Drug, Improvement, and presenter’s comments will be If you are unable to register on-line, Modernization Act of 2003 (MMA), approximately 10 to 15 minutes and you may register by sending an email to requires that as part of the process for will be based on the number of newtech@cms.hhs.gov. Please include evaluating new medical services and registered presenters. Individuals who your name, address, telephone number, technology applications, the Secretary would like to present must register and email address and fax number. If seating shall do the following: submit their agenda item(s) via email to capacity has been reached, you will be • Provide for public input regarding newtech@cms.hhs.gov by the date notified that the meeting has reached whether a new service or technology specified in the DATES section of this capacity. represents an advance in medical notice. technology that substantially improves In addition, written comments will IV. Security, Building, and Parking the diagnosis or treatment of Medicare also be accepted and presented at the Guidelines beneficiaries before publication of a meeting if they are received via email to Because this meeting will be located proposed rule. newtech@cms.hhs.gov by the date on Federal property, for security sradovich on DSK3GMQ082PROD with NOTICES • Make public and periodically specified in the DATES section of this reasons, any persons wishing to attend update a list of all the services and notice. Written comments may also be the meeting must register by the date technologies for which an application is submitted after the meeting for our specified in the DATES section of this pending. consideration. If the comments are to be notice. Please allow sufficient time to go • Accept comments, considered before the publication of the through the security checkpoints. If you recommendations, and data from the FY 2019 IPPS proposed rule, the are attending the Town Hall Meeting in public regarding whether the service or comments must be received via email to person, we suggest that you arrive at VerDate Sep<11>2014 18:22 Dec 01, 2017 Jkt 244001 PO 00000 Frm 00082 Fmt 4703 Sfmt 4703 E:\FR\FM\04DEN1.SGM 04DEN1

Federal Register / Vol. 82, No. 231 / Monday, December 4, 2017 / Notices 57277 7500 Security Boulevard no later than ++ Date of birth. DEPARTMENT OF HEALTH AND 8:30 a.m. e.s.t. so that you will be able ++ Place of birth. HUMAN SERVICES to arrive promptly for the meeting. Security measures include the ++ Passport number. Administration for Children and following: ++ Passport issue date. Families • Presentation of government-issued ++ Passport expiration date. Proposed Information Collection photographic identification to the Federal Protective Service or Guard ++ Visa Type. Activity; Comment Request Service personnel. — Dates of visits Proposed Projects Note: The REAL ID Act established — Company Name minimum security standards for license Title: Grant Reviewer Recruitment issuance and production and prohibits — Position/Title Form. Federal agencies from accepting for certain • Inspection of vehicle’s interior and OMB: 0970–0455. purposes driver’s licenses and identification Description: The Administration for cards from states not meeting the Act’s exterior (this includes engine and trunk Children and Families’ Children’s minimum standards. The Department of inspection) at the entrance to the Bureau (CB) is responsible for Homeland Security (DHS) is currently grounds. Parking permits and reviewing extension requests from states with administering the review of eligible instructions will be issued after the extensions that expired on October 10, 2017. grant applications submitted in vehicle inspection. response to funding opportunity DHS will update their Web page as these reviews are completed and new extensions • Inspection, via metal detector or announcements issued by CB. CB are granted. We encourage the public to visit other applicable means of all persons ensures that the objective review the DHS Web site at https://www.dhs.gov/ entering the building. We note that all process is independent, efficient, real-id prior to the new technology town hall items brought to CMS, whether personal effective, economical, and complies meeting for updated information. or for the purpose of presentation or to with the applicable statutes, regulations, • CMS policy requires that every support a presentation, are subject to and policies. Applications are reviewed foreign national (defined by the inspection. We cannot assume by subject experts knowledgeable in Department of Homeland Security as responsibility for coordinating the child welfare and related fields. Review ‘‘an individual who is a citizen of any receipt, transfer, transport, storage, set- findings are advisory to CB; CB is country other than the United States’’) up, safety, or timely arrival of any responsible for making award decisions. is assigned a host (in accordance with This announcement is a request for personal belongings or items used for the Department Foreign Visitor continued approval of the information presentation or to support a Management Policy, Appendix C, collection system, the Reviewer Guidelines for Hosts and Escorts). The presentation. Recruitment Module (RRM). CB uses a host/hosting official is required to Note: Individuals who are not registered in Web-based data collection form and inform the Division of Physical Security advance will not be permitted to enter the database to gather critical reviewer and Strategic Information at least 12 building and will be unable to attend the information in drop down menu format business days in advance of any visit by meeting in person. The public may not enter for data such as: Degree, occupation, a foreign national. Foreign nationals the building earlier than 45 minutes prior to affiliations with organizations and will be required to produce a valid the convening of the meeting. institutions that serve special passport at the time of entry. All visitors must be escorted in all areas populations, and demographic Attendees that are foreign nationals other than the lower level lobby and cafeteria information that may be voluntarily need to identify themselves as such, and area and first floor auditorium and provided by a potential reviewer. make a request for a special conference areas in the Central Building. These data elements help CB find and accommodation. Foreign national Seating capacity is limited to the first 250 select expert grant reviewers for visitors are defined as non-U.S. citizens, registrants. objective review committees. The Web- and non-lawful permanent residents, based system permits reviewers to non-residents aliens or non-green-card Authority: Section 503 of Pub. L. 108–173. access and update their information at holders. Foreign nationals must provide Dated: November 28, 2017. will and as needed. The RRM is the following information for security Seema Verma, accessible by the general public via clearance to staff listed in the FOR Administrator, Centers for Medicare & https://rrm.grantsolutions.gov/ FURTHER INFORMATION CONTACT section of Medicaid Services. AgencyPortal/cb.aspx. this notice by the date specified in the Respondents: Generally, our [FR Doc. 2017–25971 Filed 12–1–17; 8:45 am] DATES section of this notice: BILLING CODE 4120–01–P reviewers are current or retired ++ Visitor’s full name (as it appears professionals with backgrounds in child on passport). welfare and related fields and in some ++ Gender. instances current or former foster care ++ Country of origin and citizenship. parents or clients. ++ Biographical data and related information. Annual Burden Estimates Average bur- Number of Number of den Total burden sradovich on DSK3GMQ082PROD with NOTICES Instrument responses per respondents hours per hours respondent response Reviewer Recruitment Module ......................................................................... 500 1 .25 125 VerDate Sep<11>2014 18:22 Dec 01, 2017 Jkt 244001 PO 00000 Frm 00083 Fmt 4703 Sfmt 4703 E:\FR\FM\04DEN1.SGM 04DEN1


Document Created: 2017-12-02 00:41:08
Document Modified: 2017-12-02 00:41:08
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 meeting.
DatesMeeting Date: The Town Hall Meeting announced in this notice will be held on Tuesday, February 13, 2018. The Town Hall Meeting will begin at 9:00 a.m. Eastern Standard Time (e.s.t.) and check-in will begin at 8:30 a.m. e.s.t.
ContactMichelle Joshua, (410) 786-6050, [email protected]; or Michael Treitel, (410) 786-4552, [email protected]
FR Citation82 FR 57275 
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