83_FR_29242 83 FR 29121 - Medicare & Medicaid Programs, and Other Program Initiatives, and Priorities; Meeting of the Advisory Panel on Outreach and Education (APOE), June 20, 2018

83 FR 29121 - Medicare & Medicaid Programs, and Other Program Initiatives, and Priorities; Meeting of the Advisory Panel on Outreach and Education (APOE), June 20, 2018

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

Federal Register Volume 83, Issue 121 (June 22, 2018)

Page Range29121-29122
FR Document2018-13503

On June 1, 2018, we published a Federal Register notice (83 FR 25461) announcing a new meeting of the Advisory Panel on Outreach and Education (APOE) (the Panel), which was scheduled for Wednesday, June 20, 2018. This notice announces the cancellation of the June 20, 2018 meeting.

Federal Register, Volume 83 Issue 121 (Friday, June 22, 2018)
[Federal Register Volume 83, Number 121 (Friday, June 22, 2018)]
[Notices]
[Pages 29121-29122]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-13503]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-7050-N2]


Medicare & Medicaid Programs, and Other Program Initiatives, and 
Priorities; Meeting of the Advisory Panel on Outreach and Education 
(APOE), June 20, 2018

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

ACTION: Cancellation of meeting.

-----------------------------------------------------------------------

SUMMARY: On June 1, 2018, we published a Federal Register notice (83 FR 
25461) announcing a new meeting of the Advisory Panel on Outreach and 
Education (APOE) (the Panel), which was scheduled for Wednesday, June 
20, 2018. This notice announces the cancellation of the June 20, 2018 
meeting.

FOR FURTHER INFORMATION CONTACT: Lynne Johnson, Acting Designated 
Federal Official, Office of Communications, CMS, 7500 Security 
Boulevard, Mail Stop S1-05-06, Baltimore, MD 21244, 410-786-0897, email 
[email protected]. Additional information about the APOE is 
available on the internet at: http://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/APOE.html. Press inquiries are handled through 
the CMS Press Office at (202) 690-6145.


[[Page 29122]]


    Dated: June 19, 2018.
Seema Verma,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2018-13503 Filed 6-20-18; 8:45 am]
BILLING CODE 4120-01-P



                                                                               Federal Register / Vol. 83, No. 121 / Friday, June 22, 2018 / Notices                                                  29121

                                               for approval of its accreditation program                  • AAAASF’s survey process to                        IV. Response to Public Comments
                                               under part 488, subpart A, must provide                 determine the following:
                                               CMS with reasonable assurance that the                     ++ The composition of the survey                      Because of the large number of public
                                               AO requires the accredited provider                     team, surveyor qualifications, and the                 comments we normally receive on
                                               entities to meet requirements that are at               ability of the organization to provide                 Federal Register documents, we are not
                                               least as stringent as the Medicare                      continuing surveyor training.                          able to acknowledge or respond to them
                                               conditions. Our regulations concerning                     ++ The comparability of AAAASF’s                    individually. We will consider all
                                               the approval of AOs are set forth at                    processes to those of State agencies,                  comments we receive by the date and
                                               § 488.5.                                                including survey frequency, and the                    time specified in the DATES section of
                                                 The American Association for                          ability to investigate and respond                     this preamble, and, when we proceed
                                               Accreditation of Ambulatory Surgery                     appropriately to complaints against                    with a subsequent document, we will
                                               Facilities, Inc.’s (AAAASF’s) current                   accredited facilities.                                 respond to the comments in the
                                               term of approval for its ASC program                       ++ AAAASF’s processes and                           preamble to that document.
                                               expires November 27, 2018.                              procedures for monitoring an ASC                         Upon completion of our evaluation,
                                               II. Provisions of the Proposed Notice                   found out of compliance with                           including evaluation of comments
                                                                                                       AAAASF’s program requirements.                         received as a result of this notice, we
                                               A. Approval of Deeming Organizations                    These monitoring procedures are used                   will publish a final notice in the Federal
                                                  Section 1865(a)(2) of the Act and our                only when AAAASF identifies                            Register announcing the result of our
                                               regulations at § 488.5 require that our                 noncompliance. If noncompliance is                     evaluation.
                                               findings concerning review and                          identified through validation reviews or                 Dated: May 29, 2018.
                                               approval of an AO’s requirements                        complaint surveys, the State survey                    Seema Verma,
                                               consider, among other factors, the                      agency monitors corrections as specified               Administrator, Centers for Medicare &
                                               applying AO’s requirements for                          at § 488.9(c)(1).                                      Medicaid Services.
                                               accreditation; survey procedures;                          ++ AAAASF’s capacity to report                      [FR Doc. 2018–13435 Filed 6–21–18; 8:45 am]
                                               resources for conducting required                       deficiencies to the surveyed facilities                BILLING CODE P
                                               surveys; capacity to furnish information                and respond to the facility’s plan of
                                               for use in enforcement activities;                      correction in a timely manner.
                                               monitoring procedures for provider                         ++ AAAASF’s capacity to provide                     DEPARTMENT OF HEALTH AND
                                               entities found not in compliance with                   CMS with electronic data and reports                   HUMAN SERVICES
                                               the conditions or requirements; and                     necessary for effective validation and
                                               ability to provide CMS with the                         assessment of the organization’s survey                Centers for Medicare & Medicaid
                                               necessary data for validation.                          process.                                               Services
                                                  Section 1865(a)(3)(A) of the Act                        ++ The adequacy of AAAASF’s staff
                                               further requires that we publish, within                and other resources, and its financial                 [CMS–7050–N2]
                                               60 days of receipt of an organization’s                 viability.
                                               complete application, a notice                             ++ AAAASF’s capacity to adequately                  Medicare & Medicaid Programs, and
                                               identifying the national accrediting                                                                           Other Program Initiatives, and
                                                                                                       fund required surveys.
                                               body making the request, describing the                                                                        Priorities; Meeting of the Advisory
                                                                                                          ++ AAAASF’s policies with respect to
                                               nature of the request, and providing at                                                                        Panel on Outreach and Education
                                                                                                       whether surveys are announced or
                                               least a 30-day public comment period.                                                                          (APOE), June 20, 2018
                                                                                                       unannounced, to assure that surveys are
                                               We have 210 days from the receipt of a
                                                                                                       unannounced.
                                               complete application to publish notice                                                                         AGENCY: Centers for Medicare &
                                               of approval or denial of the application.                  ++ AAAASF’s agreement to provide
                                                                                                       CMS with a copy of the most current                    Medicaid Services (CMS), HHS.
                                                  The purpose of this proposed notice
                                               is to inform the public of AAAASF’s                     accreditation survey together with any                 ACTION:   Cancellation of meeting.
                                               request for continued CMS-approval of                   other information related to the survey
                                               its ASC accreditation program. This                     as CMS may require (including                          SUMMARY:   On June 1, 2018, we
                                               notice also solicits public comment on                  corrective action plans).                              published a Federal Register notice (83
                                               whether AAAASF’s requirements meet                      C. Notice Upon Completion of                           FR 25461) announcing a new meeting of
                                               or exceed the Medicare conditions for                   Evaluation                                             the Advisory Panel on Outreach and
                                               coverage (CfCs) for ASCs.                                                                                      Education (APOE) (the Panel), which
                                                                                                         Upon completion of our evaluation,                   was scheduled for Wednesday, June 20,
                                               B. Evaluation of Deeming Authority                      including evaluation of public                         2018. This notice announces the
                                               Request                                                 comments received as a result of this                  cancellation of the June 20, 2018
                                                  AAAASF submitted all the necessary                   notice, we will publish a final notice in              meeting.
                                               materials to enable us to make a                        the Federal Register announcing the
                                               determination concerning its request for                result of our evaluation.                              FOR FURTHER INFORMATION CONTACT:
                                               continued CMS-approval of its ASC                                                                              Lynne Johnson, Acting Designated
                                                                                                       III. Collection of Information                         Federal Official, Office of
                                               accreditation program. This application                 Requirements
                                               was determined to be complete on May                                                                           Communications, CMS, 7500 Security
                                               1, 2018. Under Section 1865(a)(2) of the                  This document does not impose                        Boulevard, Mail Stop S1–05–06,
                                               Act and our regulations at § 488.5, our                 information collection requirements,                   Baltimore, MD 21244, 410–786–0897,
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                                               review and evaluation of AAAASF will                    that is, reporting, recordkeeping or                   email Lynne.Johnson@cms.hhs.gov.
                                               be conducted in accordance with, but                    third-party disclosure requirements.                   Additional information about the APOE
                                               not necessarily limited to, the following               Consequently, there is no need for                     is available on the internet at: http://
                                               factors:                                                review by the Office of Management and                 www.cms.gov/Regulations-and-
                                                  • The equivalency of AAAASF’s                        Budget under the authority of the                      Guidance/Guidance/FACA/APOE.html.
                                               standards for ASCs as compared with                     Paperwork Reduction Act of 1995 (44                    Press inquiries are handled through the
                                               Medicare’s CfCs for ASCs.                               U.S.C. Chapter 35).                                    CMS Press Office at (202) 690–6145.


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                                               29122                           Federal Register / Vol. 83, No. 121 / Friday, June 22, 2018 / Notices

                                                 Dated: June 19, 2018.                                 who are pregnant or parenting foster                     In accordance with FFPSA, practices
                                               Seema Verma,                                            youth and the parents or kin caregivers                must also meet the following
                                               Administrator, Centers for Medicare &                   of the children’’.                                     requirements:
                                               Medicaid Services.                                         FFPSA requires an independent                          • Book or manual: The practice has a
                                               [FR Doc. 2018–13503 Filed 6–20–18; 8:45 am]             systematic review of evidence to                       book, manual, or other available writings that
                                               BILLING CODE 4120–01–P                                  designate programs and services as                     specify the components of the practice
                                                                                                       ‘‘promising,’’ ‘‘supported,’’ and ‘‘well-              protocol and describe how to administer the
                                                                                                                                                              practice.
                                                                                                       supported’’ practices, defined as follows                 • No empirical risk of harm: There is no
                                               DEPARTMENT OF HEALTH AND                                in section 471(e)(4)(C):                               empirical basis suggesting that, compared to
                                               HUMAN SERVICES
                                                                                                          • Promising Practice: ‘‘A practice shall be         its likely benefits, the practice constitutes a
                                                                                                       considered to be a ‘promising practice’ if the         risk of harm to those receiving it.
                                               Administration for Children and                                                                                   • Weight of evidence supports benefits: If
                                                                                                       practice is superior to an appropriate
                                               Families                                                                                                       multiple outcome studies have been
                                                                                                       comparison practice using conventional
                                                                                                       standards of statistical significance (in terms        conducted, the overall weight of evidence
                                               Decisions Related to the Development                                                                           supports the benefits of the practice.
                                                                                                       of demonstrated meaningful improvements
                                               of a Clearinghouse of Evidence-Based                    in validated measures of important child and              • Reliable and valid outcome measures:
                                               Practices in Accordance With the                        parent outcomes, such as mental health,                Outcome measures are reliable and valid, and
                                               Family First Prevention Services Act of                 substance abuse, and child safety and well-            are administrated consistently and accurately
                                               2018                                                    being), as established by the results or               across all those receiving the practice.
                                                                                                       outcomes of at least one study that—(1) was               • No case data for severe or frequent risk
                                               AGENCY:  Administration for Children                    rated by an independent systematic review              of harm: There is no case data suggesting a
                                               and Families, HHS.                                      for the quality of the study design and                risk of harm that was probably caused by the
                                               ACTION: Request for public comment.                     execution and determined to be well-                   treatment and that was severe or frequent
                                                                                                       designed and well-executed; and (2) utilized           (section 471(e)(4)(C)(ii) of the Act).
                                               SUMMARY:   The Administration for                       some form of control (such as an untreated                In order to meet these requirements,
                                               Children and Families, HHS, solicits                    group, a placebo group, or a wait list study).’’       the Administration for Children and
                                               comments by July 22, 2018 on initial                       • Supported Practice: ‘‘A practice shall be         Families (ACF) in the Department of
                                               criteria and potential candidate                        considered to be a ‘supported practice’ if (I)
                                                                                                       the practice is superior to an appropriate
                                                                                                                                                              Health and Human Services (HHS)
                                               programs and services for review in a                                                                          intends to establish and maintain a
                                                                                                       comparison practice using conventional
                                               Clearinghouse of evidence-based                         standards of statistical significance (in terms        public Clearinghouse of practices,
                                               practices in accordance with the Family                 of demonstrated meaningful improvements                including culturally specific, or
                                               First Prevention Services Act of 2018.                  in validated measures of important child and           location- or population-based
                                               The Clearinghouse will identify                         parent outcomes, such as mental health,                adaptations of practices, identified via a
                                               promising, supported, and well-                         substance abuse, and child safety and well-            systematic review of evidence on
                                               supported practices for mental health                   being), as established by the results or               relevant programs and services. In
                                               and substance abuse prevention and                      outcomes of at least one study that—(aa) was           accordance with FFPSA and building
                                               treatment programs, in-home parent                      rated by an independent systematic review
                                                                                                       for the quality of the study design and
                                                                                                                                                              from other federal evidence reviews,
                                               skill-based programs, and kinship                                                                              HHS is developing initial criteria that
                                                                                                       execution and determined to be well-
                                               navigator programs appropriate for                      designed and well-executed; and (bb) was a             will be used to designate programs and
                                               children who are candidates for foster                  rigorous random-controlled trial (or, if not           services as promising, supported, and
                                               care pregnant or parenting foster youth,                available, a study using a rigorous quasi-             well-supported practices. HHS will also
                                               and the parents or kin caregivers of                    experimental research design); and (cc) was            identify a preliminary list of candidate
                                               those children and youth.                               carried out in a usual care or practice setting        services and programs that will be
                                               SUPPLEMENTARY INFORMATION: Invitation                   and (II) the study described in sub-clause (I)         considered for systematic review.
                                                                                                       established that the practice has a sustained             This Notice (1) identifies and requests
                                               to Comment: HHS invites comments
                                                                                                       effect (when compared to a control group) for          comment on potential initial criteria for
                                               regarding this Notice. To ensure that                   at least 6 months beyond the end of
                                               your comments have maximum effect,                      treatment.’’
                                                                                                                                                              (a) identifying eligible programs and
                                               please identify clearly the section of this                • Well-supported Practice: ‘‘A practice             services for review by the
                                               Notice that your comment addresses.                     shall be considered to be a ‘well-supported            Clearinghouse, (b) prioritizing eligible
                                                                                                       practice’ if (I) the practice is superior to an        programs and services for review, (c)
                                               1.0 Background and Legislative                          appropriate comparison practice using                  identifying eligible studies aligned with
                                               Context                                                 conventional standards of statistical                  prioritized programs and services, (d)
                                                 The Family First Prevention Services                  significance (in terms of demonstrated                 prioritizing eligible studies for rating, (e)
                                               Act (FFPSA) was signed into law as part                 meaningful improvements in validated                   rating studies, and (f) rating programs
                                               of the Bipartisan Budget Act (H.R. 1892)                measures of important child and parent                 and services as promising, supported,
                                                                                                       outcomes, such as mental health, substance
                                               on February 9, 2018. FFPSA enables                      abuse, and child safety and well-being), as
                                                                                                                                                              and well-supported practices. This
                                               States to use Federal funds available                   established by the results or outcomes of at           Notice (2) requests comment on
                                               under parts B and E of title IV of the                  least two studies that—(aa) were rated by an           potential programs and services that
                                               Social Security Act to provide enhanced                 independent systematic review for the                  may meet the aforementioned criteria
                                               support to children and families and                    quality of the study design and execution and          and that should be considered as
                                               prevent foster care placements through                  determined to be well-designed and well-               candidates for systematic review. After
                                               the provision of evidence-based mental                  executed; and (bb) were rigorous random-               comments are received, HHS will revise
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                                               health and substance abuse prevention                   controlled trials (or, if not available, studies       and publish the initial criteria and a
                                               and treatment services, in-home parent                  using a rigorous quasi-experimental research           preliminary list of candidate programs
                                                                                                       design); and (cc) were carried out in a usual
                                               skill-based programs, and kinship                       care or practice setting and (II) at least one
                                                                                                                                                              and services to be considered for
                                               navigator services. As described in the                 of the studies described in sub-clause (I)             review; and begin to conduct reviews.
                                               statutory language, these services and                  established that the practice has a sustained          This Notice is one step in ensuring that
                                               programs are intended ‘‘for children                    effect (when compared to a control group) for          activities associated with the
                                               who are candidates for foster care or                   at least 1 year beyond the end of treatment.’’         development of a Clearinghouse are


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Document Created: 2018-11-06 09:50:54
Document Modified: 2018-11-06 09:50:54
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
ActionCancellation of meeting.
ContactLynne Johnson, Acting Designated Federal Official, Office of Communications, CMS, 7500 Security Boulevard, Mail Stop S1-05-06, Baltimore, MD 21244, 410-786-0897, email [email protected] Additional information about the APOE is available on the internet at: http://www.cms.gov/Regulations-and- Guidance/Guidance/FACA/APOE.html. Press inquiries are handled through the CMS Press Office at (202) 690-6145.
FR Citation83 FR 29121 

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