83_FR_55387 83 FR 55174 - Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-July Through September 2018

83 FR 55174 - Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-July Through September 2018

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

Federal Register Volume 83, Issue 213 (November 2, 2018)

Page Range55174-55186
FR Document2018-23924

This quarterly notice lists CMS manual instructions, substantive and interpretive regulations, and other Federal Register notices that were published from July through September 2018, relating to the Medicare and Medicaid programs and other programs administered by CMS.

Federal Register, Volume 83 Issue 213 (Friday, November 2, 2018) 
[Federal Register Volume 83, Number 213 (Friday, November 2, 2018)]
[Notices]
[Pages 55174-55186]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-23924]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9111-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--July Through September 2018

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

ACTION: Notice.

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SUMMARY: This quarterly notice lists CMS manual instructions, 
substantive and interpretive regulations, and other Federal Register 
notices that were published from July through September 2018, relating 
to the Medicare and Medicaid programs and other programs administered 
by CMS.

FOR FURTHER INFORMATION CONTACT: It is possible that an interested 
party may need specific information and not be able to determine from 
the listed information whether the issuance or regulation would fulfill 
that need. Consequently, we are providing contact persons to answer 
general questions concerning each of the addenda published in this 
notice.
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SUPPLEMENTARY INFORMATION: 

I. Background

    The Centers for Medicare & Medicaid Services (CMS) is responsible 
for administering the Medicare and Medicaid programs and coordination 
and oversight of private health insurance. Administration and oversight 
of these programs involves the following: (1) Furnishing information to 
Medicare and Medicaid beneficiaries, health care providers, and the 
public; and (2) maintaining effective communications with CMS regional 
offices, state governments, state Medicaid agencies, state survey 
agencies, various providers of health care, all Medicare contractors 
that process claims and pay bills, National Association of Insurance 
Commissioners (NAIC), health insurers, and other stakeholders. To 
implement the various statutes on which the programs are based, we 
issue regulations under the authority granted to the Secretary of the 
Department of Health and Human Services under sections 1102, 1871, 
1902, and related provisions of the Social Security Act (the Act) and 
Public Health Service Act. We also issue various manuals, memoranda, 
and statements necessary to administer and oversee the programs 
efficiently.
    Section 1871(c) of the Act requires that we publish a list of all 
Medicare manual instructions, interpretive rules, statements of policy, 
and guidelines of general applicability not issued as regulations at 
least every 3 months in the Federal Register.

[[Page 55175]]

II. Format for the Quarterly Issuance Notices

    This quarterly notice provides only the specific updates that have 
occurred in the 3-month period along with a hyperlink to the full 
listing that is available on the CMS website or the appropriate data 
registries that are used as our resources. This is the most current up-
to-date information and will be available earlier than we publish our 
quarterly notice. We believe the website list provides more timely 
access for beneficiaries, providers, and suppliers. We also believe the 
website offers a more convenient tool for the public to find the full 
list of qualified providers for these specific services and offers more 
flexibility and ``real time'' accessibility. In addition, many of the 
websites have listservs; that is, the public can subscribe and receive 
immediate notification of any updates to the website. These listservs 
avoid the need to check the website, as notification of updates is 
automatic and sent to the subscriber as they occur. If assessing a 
website proves to be difficult, the contact person listed can provide 
information.

III. How To Use the Notice

    This notice is organized into 15 addenda so that a reader may 
access the subjects published during the quarter covered by the notice 
to determine whether any are of particular interest. We expect this 
notice to be used in concert with previously published notices. Those 
unfamiliar with a description of our Medicare manuals should view the 
manuals at http://www.cms.gov/manuals.

    Dated: October 22, 2018.
Kathleen Cantwell,
Director, Office of Strategic Operations and Regulatory Affairs.
BILLING CODE 4120-01-P

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[FR Doc. 2018-23924 Filed 11-1-18; 8:45 am]
 BILLING CODE 4120-01-C

55174 Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices ++ ACHC’s capacity to provide CMS IV. Response to Public Comments DEPARTMENT OF HEALTH AND with electronic data and reports HUMAN SERVICES necessary for effective validation and Because of the large number of public assessment of the organization’s survey comments we normally receive on Centers for Medicare & Medicaid process. Federal Register documents, we are not Services ++ The adequacy of ACHC’s staff and able to acknowledge or respond to them individually. We will consider all [CMS–9111–N] other resources, and its financial viability. comments we receive by the date and Medicare and Medicaid Programs; time specified in the DATES section of Quarterly Listing of Program Issua ++ ACHC’s capacity to adequately this preamble, and, when we proceed nces—July Through September 2018 fund required surveys. with a subsequent document, we will ++ ACHC’s policies with respect to respond to the comments in the AGENCY: Centers for Medicare & whether surveys are announced or preamble to that document. Medicaid Services (CMS), HHS. unannounced, to assure that surveys are ACTION: Notice. unannounced. Upon completion of our evaluation, ++ ACHC’s agreement to provide including evaluation of comments SUMMARY: This quarterly notice lists CMS with a copy of the most current received as a result of this notice, we CMS manual instructions, substantive accreditation survey together with any will publish a final notice in the Federal and interpretive regulations, and other other information related to the survey Register announcing the result of our Federal Register notices that were as CMS may require (including evaluation. published from July through September corrective action plans). Dated: October 19, 2018. 2018, relating to the Medicare and Seema Verma, Medicaid programs and other programs III. Collection of Information administered by CMS. Requirements Administrator, Centers for Medicare & Medicaid Services. FOR FURTHER INFORMATION CONTACT: It is This document does not impose [FR Doc. 2018–23925 Filed 11–1–18; 8:45 am] possible that an interested party may information collection requirements, need specific information and not be BILLING CODE 4120–01–P that is, reporting, recordkeeping or able to determine from the listed third-party disclosure requirements. information whether the issuance or Consequently, there is no need for regulation would fulfill that need. review by the Office of Management and Consequently, we are providing contact Budget under the authority of the persons to answer general questions Paperwork Reduction Act of 1995 (44 concerning each of the addenda U.S.C. Chapter 35). published in this notice. SUPPLEMENTARY INFORMATION: offices, state governments, state Health Service Act. We also issue Medicaid agencies, state survey various manuals, memoranda, and I. Background agencies, various providers of health statements necessary to administer and The Centers for Medicare & Medicaid care, all Medicare contractors that oversee the programs efficiently. Services (CMS) is responsible for process claims and pay bills, National Section 1871(c) of the Act requires administering the Medicare and Association of Insurance Commissioners that we publish a list of all Medicare Medicaid programs and coordination (NAIC), health insurers, and other and oversight of private health stakeholders. To implement the various manual instructions, interpretive rules, insurance. Administration and oversight statutes on which the programs are statements of policy, and guidelines of of these programs involves the based, we issue regulations under the general applicability not issued as following: (1) Furnishing information to authority granted to the Secretary of the regulations at least every 3 months in Medicare and Medicaid beneficiaries, Department of Health and Human the Federal Register. health care providers, and the public; Services under sections 1102, 1871, and (2) maintaining effective 1902, and related provisions of the EN02No18.000</GPH> communications with CMS regional Social Security Act (the Act) and Public VerDate Sep<11>2014 17:57 Nov 01, 2018 Jkt 247001 PO 00000 Frm 00033 Fmt 4703 Sfmt 4703 E:\FR\FM\02NON1.SGM 02NON1

Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 55175 II. Format for the Quarterly Issuance for these specific services and offers subjects published during the quarter Notices more flexibility and ‘‘real time’’ covered by the notice to determine This quarterly notice provides only accessibility. In addition, many of the whether any are of particular interest. the specific updates that have occurred websites have listservs; that is, the We expect this notice to be used in in the 3-month period along with a public can subscribe and receive concert with previously published hyperlink to the full listing that is immediate notification of any updates to notices. Those unfamiliar with a available on the CMS website or the the website. These listservs avoid the description of our Medicare manuals appropriate data registries that are used need to check the website, as should view the manuals at http:// as our resources. This is the most notification of updates is automatic and www.cms.gov/manuals. current up-to-date information and will sent to the subscriber as they occur. If assessing a website proves to be Dated: October 22, 2018. be available earlier than we publish our quarterly notice. We believe the website difficult, the contact person listed can Kathleen Cantwell, list provides more timely access for provide information. Director, Office of Strategic Operations and beneficiaries, providers, and suppliers. Regulatory Affairs. III. How To Use the Notice We also believe the website offers a BILLING CODE 4120–01–P more convenient tool for the public to This notice is organized into 15 find the full list of qualified providers addenda so that a reader may access the VerDate Sep<11>2014 17:57 Nov 01, 2018 Jkt 247001 PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 E:\FR\FM\02NON1.SGM 02NON1

9/11GG Publication Dates for the Previous Four Quarterly Notices arrangements to transfer material to a local library not designated as an We publish this notice at the end of each quarter reflecting FDL. Contact any library to locate the nearest FDL. This information is information released by CMS during the previous quarter. The publication available at http://www.gpo.gov/libraries/ dates of the previous four Quarterly Listing of Program Issuances notices In addition, individuals may contact regional depository libraries are: October 27, 2017 (82 FR 49819), January 26, 2018 (83 FR 3716), May that receive and retain at least one copy of most federal government 4, 2018 (83 FR 19769) and August 13, 2018 (83 FR 40043). We are publications, either in printed or microfilm form, for use by the general samIonN/@8I0Z ‘z Jeqwoaop ‘AepWU4/ETZ ‘ON ‘gg ‘TOA /JajstSay fedapaq providing only the specific updates that have occurred in the 3—month public. These libraries provide reference services and interlibrary loans; period along with a hyperlink to the website to access this information and a however, they are not sales outlets. Individuals may obtain information contact person for questions or additional information. about the location of the nearest regional depository library from any library. CMS publication and transmittal numbers are shown in the listing Addendum I: Medicare and Medicaid Manual Instructions entitled Medicare and Medicaid Manual Instructions. To help FDLs locate (July through September 2018) the materials, use the CMS publication and transmittal numbers. For The CMS Manual System is used by CMS program components, example, to find the manual for Electronic Correspondence Referral System partners, providers, contractors, Medicare Advantage organizations, and (ECRS) Enhanced Functionality, use (CMS—Pub. 100—05) State Survey Agencies to administer CMS programs. It offers day—to—day Transmittal No. 122. operating instructions, policies, and procedures based on statutes and Addendum I lists a unique CMS transmittal number for each regulations, guidelines, models, and directives. In 2003, we transformed the instruction in our manuals or program memoranda and its subject number. CMS Program Manuals into a web user—friendly presentation and renamed A transmittal may consist of a single or multiple instruction(s). Often, it is it the CMS Online Manual System. necessary to use information in a transmittal in conjunction with information currently in the manual. For the purposes of this quarterly How to Obtain Manuals notice, we list only the specific updates to the list of manual instructions The Internet—only Manuals (IOMs) are a replica of the Agency‘s that have occurred in the 3—month period. This information is available on official record copy. Paper—based manuals are CMS manuals that were our website at www.cms. gov/Manuals. officially released in hardcopy. The majority of these manuals were transferred into the Internet—only manual (IOM) or retired. Pub 15—1, Pub Transmittal Manual/Subject/Publication Number _ Number 15—2 and Pub 45 are exceptions to this rule and are still active paper—based manuals. The remaining paper—based manuals are for reference purposes Analy§1s to F‘ipafidAll Monetary Amount Fields related to Blllm g and un only. If you notice policy contained in the paper—based manuals that was "Pavment to A{:g:ommg)dafge 10 D} D 1t§ ‘1n’Leng h $99999’999 99’ not transferred to the IOM, send a message via the CMS Feedback tool. Those wishing to subscribe to old versions of CMS manuals should 244 Internet OnlyManual (IOM) Update to Publication 100—02, Chapter End Stage Renal Disease (ESRD), Section 100 contact the National Technical Information Service, Department of 245 System Changes to Implement Epoetin Alfa Biosimilar, Retacrit for End Commerce, 5301 Shawnee Road, Alexandria, VA 22312 Telephone Stage Renal Disease (ESRD) and Acute Kidney Injury (AK1) Claims (703—605—6050). You can download copies of the listed material free of 246 Manual Updates Related to Payment Policy Changes Affecting the Hospice charge at: http://cms.gov/manuals. Aggregate Cap Calculation and the Designation of Hospice Attending Physicians How to Review Transmittals or Program Memoranda Those wishing to review transmittals and program memoranda can Lc s car m cessing(C:) h. 14 . L access this information at a local Federal Depository Library (FDL). Under 4083 Quarterlv Healthcare Common Procedure Codmg System (HCPCS) the FDL program, government publications are sent to approximately 1,400 Drug/Biological Code Changes — July 2018 Update designated libraries throughout the United States. Some FDLs may have 4084 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2019

VerDate Sep<11>2014 4085 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System 4109 October Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, (PPS) Pricer Update FY 2019 Orthotics and Supplies (DMEPOS) Fee Schedule 17:57 Nov 01, 2018 4086 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity 4110 Issued to a specific audience, not posted to Internet/Intranet due to of Instructions Confidentiality of Instructions 4087 New Physician Specialty Code for Undersea and Hyperbaric Medicine 4111 Revisions to Medicare Claims Processing Manual for Foreign, Emergency Physician Specialty Codes and Shipboard Claims 4088 Update to the Intemet Only Manual (IOM) Publication 100-04 - Medicare 4112 Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices Claims Processing Manual, Chapter 27- Contractor Instructions for Common of Instructions Working File (CWF) 4113 Issued to a specific audience, not posted to Internet/Intranet due to Jkt 247001 Change Control Procedures Confidentiality of Instructions Processing Disposition and Error Codes 4114 Quarterly Healthcare Collllllon Procedure Coding System (HCPCS) 4089 Issued to a specific audience, not posted to Internet/Intranet due to Drug/Biological Code Changes- October 2018 Update Confidentiality of Instructions 4115 Claim Status Category and Claim Status Codes Update 4090 Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory 4116 Healthcare Provider Taxonomy Codes (HPTCs) October 2018 Code Set PO 00000 Services Subject to Reasonable Charge Payment Update 4091 New Waived Tests 4117 Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) 4092 Changes to the Laboratory National Coverage Determination (NCO) Edit Electronic Funds Transfer (EFT): Committee on Operating Rules for Software for October 2018 Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Frm 00036 4093 October Quarterly Update to 2018 Annual Update ofHCPCS Codes Used for Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement Claim Adjustment Group Code (CAGC) Rule - Update from Council for 4094 File Conversions Related to the Spanish Translation of the Healthcare Affordable Quality Healthcare (CAQH) CORE Common Procedure Coding Svstem (HCPCS) Descriptions 4118 Combined Common Edits/Enhancements Modules (CCEM) Code Set Update Fmt 4703 4095 File Conversions Related to the Spanish Translation of the Healthcare 4119 Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity Common Procedure Coding Svstem (HCPCS) Descriptions of Instructions 4096 Update to the Medicare Claims Processing Manual, Chapter 24, Section 90 4120 Instructions for Downloading the Medicare ZIP Code File for January 2019 Sfmt 4725 4097 Issued to a specific audience, not posted to Intemet/Intranet due to 4121 2019 Healthcare Common Procedure Coding System (HCPCS) Ammal Confidentiality of Instructions Update Reminder 4098 Update to the Fiscal Intermediary Shared Systems (FISS) Outpatient Provider 4122 October 2018 Integrated Outpatient Code Editor (I!OCE) Specifications Specific File (OPSF) for Outpatient Prospective Payment System (OPPS) Version 19.3 Hospitals and OPPS Pricer Interface E:\FR\FM\02NON1.SGM 4123 October 2018 Update of the Hospital Outpatient Prospective Payment System 4099 Issued to a specific audience, not posted to Internet/Intranet due to (OPPS) Confidentiality of Instructions 4124 Influenza Vaccine Payment Allowances- Ammal Update for 2018-2019 4100 Quarterly Influenza Virus Vaccine Code Update - January 2019 Season 4101 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment 4125 October 2018 Update of the Ambulatory Surgical Center (ASC) Payment Svstem (PPS) Pricer Changes for FY 2019 Svstem 4102 Updates to the Medicare Claims Processing Manual, Chapter 24, ASCA 4126 Issued to a specific audience, not posted to Internet/Intranet due to Waiver Review Form of Letters, Exhibits A-H Confidentiality of Instructions 4103 Issued to a specific audience, not posted to Internet/Intranet due to 4127 Quarterly Influenza Virus Vaccine Code Update - January 2019 02NON1 Confidentiality of Instructions 4128 Annual Clotting Factor Fumishing Fee Update 2019 4104 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) 4129 Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity Updates for Fiscal Year (FY) 2019 of Instructions 4105 System Changes to Implement Epoetin Alfa Biosimilar, Retacrit for End 4110 Update to the Medicare Claims Processing Manual, Chapter 21, Section 60.3 Stage Renal Disease (ESRD) and Acute Kidney Injury (AKI) Claims 4131 Updates to Chapter 23 Fee File Instructions 4106 Issued to a specific audience, not posted to Intcrnct/Intranct due to Sensitivity 4132 Instructions for Retrieving the January 2019 Medicare Physician Fee of Instructions Schedule Database (MPFSDB) Files Through the CMS Mainframe 4107 October 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Telecommunications System Pricing Files and Revisions to Prior Quarterly Pricing Files 4133 Issued to a specific audience, not posted to Internet/Intranet due to 4108 October Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Confidentiality of Instructions Orthotics and Supplies (DMEPOS) Fee Schedule 4134 Quarterly Healthcare Collllllon Procedure Coding System (HCPCS) 55177 EN02No18.002</GPH>

8/LGG Drug/Biological Code Changes — October 2018 Update of Instructions 4135 Issued to a specific audience, not posted to Internet/Intranet due to Clarify Detailed Written Orders For Durable Medical Equipment, Prosthetics, Confidentiality of Instructions And i ME 4136 Issued to a specific audience, not posted to Internet/Intranet due to Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions of Instructions 4137 New Waived Tests Issued to a specific audience, not posted to Internet/Intranet due to 4138 Quarterly Update for the Durable Medical Equipment, Prosthetics. Orthotics of Instructions samIonN/@8I0Z ‘z Jeqwoaop ‘AepWU4/ETZ ‘ON ‘gg ‘TOA /JajstSay fedapaq and Supplies (DMEPOS) Competitive Bidding Program (CBP) — October Issued to a specific audience, not posted to Internet/Intranet due to 2018 of Instructions 4139 Changes to the Laboratory National Coverage Determination (NCD) Edit Issued to a specific audience, not posted to Internet/Intranet due to Software for January 2019 of Instruction 4140 Updates to Chapter 1 Payer Only Codes in the Medicare Claims Processing New Instructions for Home Health Agency Misuse of Requests for Manual P 4141 Quarterly Influenza Virus Vaccine Code Update — January 2019 Issued to a specific audience, not posted to Internet/Intranet due to 4142 2019 Annual Update for the Health Professional Shortage Area (HPSA) of Instructions Bonus Payments Adding a Targeted Probe and Educate (TPE) Sub—Section Into Section 3.2 of Payer (CMS—Pub. 100— 3 in Publication .) 100—08 122 Electronic Correspondence Referral System (ECRS) Enhanced Functlonahty Issued to a specific audience, not posted to Internet/Intranet due to 123 Updating Language to Clarify for Providers Chapter 3, Section 20 and of Instructions Chapter 5, Section 70 of the Medicare Secondary Payer Manual Issued to a specific audience, not posted to Internet/Intranet due to 124 Updates to Chapters 5 and 6 of Publication 100—05 to Further Clarify of Instructions Medicare Secondary Payer (MSP) Processes that Include Electronic Update to Chapter 15 of Publication (Pub.) 100—08, Certification Statement Correspondence Referral System (ECRS) Requests Submissions and Timely Policics Submission of MSP I Records, General Inquiries and Hos 1ta1 Rev1ews Update to Exhibit 16 — Model Payment Suspension Letters in Publication Medicare Financial Management (CMS—Pub. 100—06) Pub.) 100—08 305 Notice of New Interest Rate for Medicare Overpayments and Underpayments Update to Chapter 15 of Publication (Pub.) 100—08, Certification Statement —4th Qtr Notification for FY 2018 Policies 306 New Physician Specialty Code for Undersea and Hyperbaric Medicine Credentials of Reviewers (This Change Request (CR) Reseinds and Fully Medicare State Operations Manual (CMS—Pub. 100—07) . aces CR 10157. 179 Revisions to the State Operations Manual (SOM) Chapter T‘wo for Organ Update to Chapter 4, Section 4.18.1.4 and Exhibit 16 in Publication (Pub.) Procurement Organizations (OPOs) 100—08 180 Revisions to the State Operations Manual (SOM) Appendix Y, Organ to 4 of Publication .) 100—08 Procurement Organization (OPO) Interpretive Guidance Guidance Regarding the Use of Statistical Sampling for Overpayment 181 Revisions to State Operations Manual, Chapter 2, Certification Process Estimation 182 Revisions to State Operation Manual (SOM), Appendix B — Guidance to None Surveyors for Home Health Agencies §05 Issued to a specific audience, not posted toImernet/Intranet dueto Confidentiality of Instructions 806 Clarify Detailed Written Orders For Durable Medical Equipment, Prosthelics, Orthotics, And Supplies (DMEPOS) 807 Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions 808 Medical Review of Evaluation and Management (E/M) Documentation 809 Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions 810 Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions 811 Issued to a specific audience, not posted to Internet/Intranet due to

VerDate Sep<11>2014 Demonstrations (CMScPnb; 100'19) JAVA (version 6) to JAVA (version 7) 200 Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity 2114 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity 17:57 Nov 01, 2018 of Instructions of Instructions 201 Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity 2115 Correct the CWF Handling of Beneficiaries with 14+ MSP Occurrences for of Instructions HETS 202 Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity 2116 Modifications to the National Coordination of Benefits Agreement (COBA) of Instructions Medicare Crossover Process Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 203 Issued to a specitlc audience, not posted to lnternet/lntranet due to Sensitivity 2117 Issued to a specitlc audience, not posted to Internet/ Intranet due to Sensitivity of Instructions of Instructions Jkt 247001 204 Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity 2118 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instmctions of Instmctions 205 Next Generation Accountable Care Organization (ACO) Mode12019 Benefit 2119 Process Improvement for Recovery Audit Contractor (RAC) Mass Enhancement Adjustment Input File- Underpayment Adjustment Enhancement 206 Next Generation Accountable Care Organization (ACO) Model2019 Benefit 2120 New CWF Edit for Part A Outpatient \1edicare Advantage (MA), Health PO 00000 Enhancement Maintenance Organization (HMO) One Time Notification (CMS-Pnb. 100-20) 2121 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity 2098 Implementation of Automating First Claim Review in Serial Claims for of Instructions International Code of Diseases, Tenth Revision (ICD-10) and Other Coding Frm 00038 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 2122 2099 Client Letter Code Removal and Decommission in the YiPS \1edicare System 2123 Not Issued--Revisions to National Coverage Determinations (NCDs) (VMS) 2124 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity 2100 Analysis for First Coast Service Options (FCSO) and Novitas for the Security of Instructions Assertion Markup Language 2.0 (SAML 2.0) Migration 2125 Medicare Diabetes Prevention Program (MDPP) Service Period Change from Fmt 4703 2101 Shared Sy<tem Enhancement 2014: Implementation of Fiscal Intermediary 3 Years to 2 Years Shared System (FISS) Obsolete On-Request Jobs- Phase 4 2126 User CR: FISS to Add Location/Statuses to the 6H File Fix 2102 Shared System Enhancement 2014: Implementation of Fiscal Intermediary 2127 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity Sfmt 4725 Shared System (FISS) Obsolete On-Request Jobs- Phase 3 of Instructions 2103 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity 2128 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instructions of Instructions 2104 Analysis of the Structured Data Elements for Sending Additional 2129 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity E:\FR\FM\02NON1.SGM Documentation Request (ADR) Decision Letters and Prior Authorization/Pre- of Instmctions Claim Review 2130 Enhancement for Undeliverable Pay Medicare Summary Notices (MSNs) for (P A/PCR) Decision Letters Electronically via the Electronic Submission of Multi-Carrier System (MCS) Users Medical Documentation (esMD) System 2131 Ensuring Home Health Standardized Amounts Are Reflected in the National 2105 User CR: \1CS- Analysis to Expand Narrative File Message Number Range Claims History 2106 Procedures for Shared Systems to Handle Foreign (non US) Addresses 2112 User CR: \1CS- Enhance H9 Screen to Hold Information After Claim 2107 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity Finalizes of Instmctions 2133 Clarification of Policies Related to Reasonable Cost Payment for Nursing and 2108 Shared System Enhancement2015: Identify Inactive Medicare Demonstration Allied Health Education Programs 02NON1 Projects within the Fiscal Intermediary Shared System - (Removing 2134 Shared System Enhancement 2015: Resolve Operating Report (ORPT) Issues I Archiving demonstration codes 44 and 47) -Development and Implementation 2109 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity 2135 Medicare Appeals System (MAS) Part Band Durable Medical Equipment of Instructions (DME) Data Collection Web Services Pilot 2110 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity 2136 Standardization of Case File Transmittal and Provider Information Processes, of Instmctions Bankruptcy, Payment Hold, and Cancellation Reporting Between the 2111 Modifications Within Common Working File (CWF)to Adjustment Claims Medicare Administrative Contractors (MAC) and the Recovery Audit Exceeding Annual Therapy 'lbreshold Contractor (RAC) 2112 User CR: FISS to Add Additional Search Features to Provider Direct Data 2137 National Correct Coding Initiative (NCCI) Add-on Codes for Non-Outpatient Entry (DOE) Screen Prospective Payment System (OPPS) Institutional Providers Implementation 2113 Combined Common Edits/Enhancements Module (CCEM) Cpdates for 2138 International Classification of Diseases, Tenth Revision (ICD-10) and Other 55179 EN02No18.004</GPH>

08ISGS Coding Revisions to National Coverage Determinations (NCDs) Addendum III: CMS Rulings 2139 Monthly Status Report (MSR) Excel Data Template Updates and (July through September 2018) Implementation of Medicare Administrative Contractor (MAC)/Centers for Medicare & Medicaid Services (CMS) Data Exchange (MDX) Portal System CMS Rulings are decisions of the Administrator that serve as — This CR Rescinds and Fully Replaces CR 10399. precedent final opinions and orders and statements of policy and 2140 Redesign of Flu Vaceines in Fiscal Intermediary Shared System (FISS) interpretation. They provide clarification and interpretation of complex or 2141 Implementing the Insertion of a Sheet of Paper Promoting the Electronic ambiguous provisions of the law or regulations relating to Medicare, samIonN/@8I0Z ‘z Jeqwoaop ‘AepWU4/ETZ ‘ON ‘gg ‘TOA /JajstSay fedapaq Medicare Summary Notices (eMSNs) into Mailed Medicare Summary Notices (MSNs) Medicaid, Utilization and Quality Control Peer Review, private health 2142 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity insurance, and related matters. of Instructions The rulings can be accessed at http://www.cms. gov/Regulations— 2143 Implementation of the Award for the Jurisdiction F (J—F) Part A and Part B and—Guidance/Guidance/Rulings. For questions or additional information, Medicare Administrative Contractor (JF A/B MAC contact Tiffany Lafferty (410—786—7548). — Medicare Quality Reporting Incentive Programs (CMS— Pub. 100—22 77 Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions Addendum IV: Medicare National Coverage Determinations 78 Payments to Home Health Agencies That Do Not Submit Required Quality (July through September 2018) Data — This CR Rescinds and Fully Replaces CR 9651 Addendum IV includes completed national coverage 79 Issued to a specific audience, not posted to Internet/Intranet due to determinations (NCDs), or reconsiderations of completed NCDs, from the Confidentiality of Instructions Information Security Acceptable Risk Safecuards (CMS—Pub. 100—25 quarter covered by this notice. Completed decisions are identified by the None section of the NCD Manual (NCDM) in which the decision appears, the title, the date the publication was issued, and the effective date of the Addendum II: Regulation Documents Published decision. An NCD is a determination by the Secretary for whether or not a in the Federal Register (July through September 2018) particular item or service is covered nationally under the Medicare Program Regulations and Notices (title XVIII of the Act), but does not include a determination of the code,. if Regulations and notices are published in the daily Federal any, that is assigned to a particular covered item or service, or payment Register. To purchase individual copies or subscribe to the Federal determination for a particular covered item or service. The entries below Register, contact GPO at www.gpo.gov/fdsys. When ordering individual include information concerning completed decisions, as well as sections on copies, it is necessary to cite either the date of publication or the volume program and decision memoranda, which also announce decisions or, in number and page number. some cases, explain why it was not appropriate to issuc an NCD. The Federal Register is available as an online database through Information on completed decisions as well as pending decisions has also GPO Access. The online database is updated by 6 a.m. each day the been posted on the CMS website. For the purposes of this quarterly notice, Federal Register is published. The database includes both text and we are providing only the specific updates that have occurred in the 3— graphics from Volume 59, Number 1 (January 2, 1994) through the present month period. There were no national coverage determinations (NCDs), or date and can be accessed at http://www.gpoaccess.gov/fr/index.html. The reconsiderations of completed NCDs published in the 3—month period. This following website http:/www.archives. gov/federal—register/ provides information is available at: www.cms.gov/medicare—coverage—database/. information on how to access electronic editions, printed editions, and For questions or additional information, contact Wanda Belle, MPA reference copies. (410—786—7491). This information is available on our website at: http://www.cms. gov/quarterlyproviderupdates/downloads/Regs— 3Q18QPU.pdf Addendum V: FDA—Approved Category B Investigational Device For questions or additional information, contact Terri Plumb Exemptions (IDEs) (July through September 2018) (410—786—4481). (Inclusion of this addenda is under discussion internally.)

VerDate Sep<11>2014 Facility Provider Effective Date State Addendum VI: Approval Numbers for Collections of Information Number of North Shore 10002900 (July through September 2018) 17:57 Nov 01, 2018 5000 West Oakland Park Boulevard TO: All approval numbers are available to the public at Reginfo.gov. Ft. Lauderdale, FL 33313 002900 Under the review process, approved information collection requests are assigned OMB control numbers. A single control number may apply to Addendum VIII: Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices several related information collections. This information is available at American College of Cardiology's National Cardiovascular Data www.reginfo.gov/public/do/PRAMain. For questions or additional Registry Sites (July through September 2018) Jkt 247001 information, contact William Parham (410-786-4669). The initial data collection requirement through the American College of Cardiology's National Cardiovascular Data Registry (ACC- Addendum VII: Medicare-Approved Carotid Stent Facilities, NCDR) has served to develop and improve the evidence base for the use of PO 00000 (July through September 2018) ICDs in certain Medicare beneficiaries. The data collection requirement Addendum VII includes listings of Medicare-approved carotid ended with the posting of the final decision memo for Implantable stent facilities. All facilities listed meet CMS standards for performing Cardioverter Defibrillators on February 15, 2018. carotid artery stenting for high risk patients. On March 17, 2005, we issued For questions or additional information, contact Sarah Fulton, Frm 00040 our decision memorandum on carotid artery stenting. We determined that MHS (410-786-2749). carotid artery stenting with embolic protection is reasonable and necessary only if performed in facilities that have been determined to be competent in Addendum IX: Active CMS Coverage-Related Guidance Documents Fmt 4703 performing the evaluation, procedure, and follow-up necessary to ensure (July through September 2018) optimal patient outcomes. We have created a list of minimum standards for CMS issued a guidance document on November 20, 2014 titled facilities modeled in part on professional society statements on competency. "Guidance for the Public, Industry, and CMS Staff: Coverage with Sfmt 4725 All facilities must at least meet our standards in order to receive coverage Evidence Development Document". Although CMS has several policy for carotid artery stenting for high risk patients. For the purposes of this vehicles relating to evidence development activities including the quarterly notice, we are providing only the specific updates that have investigational device exemption (IDE), the clinical trial policy, national E:\FR\FM\02NON1.SGM occurred in the 3-month period. This information is available at: coverage determinations and local coverage determinations, this guidance http://www. ems. gov/MedicareApprovedF acilitie/CASF/list. asp#TopOfPage document is principally intended to help the public understand CMS' s For questions or additional infonnation, contact Sarah Fulton, MHS implementation of coverage with evidence development (CED) through the (410-786-27 49). national coverage determination process. The document is available at http://www. ems. gov/medicare-coverage-database/details/medicare- Facility Provider Effective Date State coverage-document-details.aspx?MCDid=27. There are no additional Number Active CMS Coverage-Related Guidance Documents for the 3-month 02NON1 The followine; facilities are new listine;s for this quarter. Maine General Medical Center 1669423380 07/01/2018 ME period. For questions or additional information, contact 35 Medical Center Parkway JoAnna Baldwin, MS (410-786-7205). Augusta, ME 04330 West Florida Regional Hospital 1639116726 07/20/2018 FL Addendum X: 8383 North Davis Highway Pensacola, FL 32514 List of Special One-Time Notices Regarding National Coverage The followine; facilities have editorial cbane;es (in bold). Provisions (July through September 2018) Methodist Hospital 150056 05/23/2005 IN There were no special one-time notices regarding national 1701 N. Senate Boulevard coverage provisions published in the 3-month period. This information is Indianapolis, IN 46202-1239 Florida Medical Center- A Campus FROM: 02/06/2006 FL 55181 EN02No18.006</GPH>

VerDate Sep<11>2014 55182 available at www.cms.hhs.gov/coverage. For questions or additional available at information, contact JoAnna Baldwin, MS (410-786 7205). http://www. ems. gov/MedicareApprovedF acilitie!VAD/list.asp#TopOfPage. 17:57 Nov 01, 2018 For questions or additional information, contact David Dolan, JD, Addendum XI: National Oncologic PET Registry (NOPR) (410-786-3365). (July through September 2018) Addendum XI includes a listing of National Oncologic Positron Facility Provider Date of Date of State Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices Number Initial Recertification Emission Tomography Registry (NOPR) sites. We cover positron emission Certification tomography (PET) scans for particular oncologic indications when they are Jkt 247001 The foHowine; facilities are new Iistine;s for this quarter. performed in a facility that participates in the NOPR. West Virginia University 510001 07/26/2018 wv In January 2005, we issued our decision memorandum on positron Hospitals emission tomography (PET) scans, which stated that CMS would cover I Medical Center Drive Morgantown, WV 26506 PO 00000 PET scans for particular oncologic indications, as long as they were perfmmed in the context of a clinical study. We have since recognized the Other information: Joint National Oncologic PET Registry as one of these clinical studies. Commission ID #6444 The foHowinll facilities have editorial chan!les (in bold). Frm 00041 Therefore, in order for a beneficiary to receive a Medicare-covered PET FROM: Saint Thomas 440082 08/05/2010 06/23/2018 TN scan, the beneficiary must receive the scan in a facility that participates in Hospital/ Saint Thomas the registry. There were no additions, deletions, or editorial changes to the Health Services listing of National Oncologic Positron Emission Tomography Registry TO: Saint Thomas West Fmt 4703 (NOPR) in the 3-month period. This information is available at Hospital 4220 Harding Rd. http://www.cms.gov/MedicareApprovedFacilitie/NOPR!list.asp#TopOfPage. Nashville, TN For questions or additional information, contact Stuart Caplan, RN, MAS Sfmt 4725 (410-786-8564). Other information: Joint Commission ID #7891 Addendum XII: Medicare-Approved Ventricular Assist Device Previous Re-certification E:\FR\FM\02NON1.SGM (Destination Therapy) Facilities (July through September 2018) Dates: 2012-06-22; 2014-05- Addendum XII includes a listing of Medicare-approved facilities 20; 2016-07-13 that receive coverage for ventricular assist devices (VADs) used as Robert Wood Johnson 310038 07/23/2010 06/27/2018 NJ destination therapy. All facilities were required to meet our standards in University Hospital I Robert Wood Johnson Place order to receive coverage for VADs implanted as destination therapy. On New Brunswick, NJ 08903 October 1, 2003, we issued our decision memorandum on VADs for the clinical indication of destination therapy. We determined that VADs used Other information: Joint 02NON1 as destination therapy are reasonable and necessary only if perfmmed in Commission ID #5969 Previous Re-certification facilities that have been determined to have the experience and Dates: 2012-07-20; 2014-06- infrastructure to ensure optimal patient outcomes. We established facility 17; 2016-07-19 standards and an application process. All facilities were required to meet our standards in order to receive coverage for VADs implanted as destination therapy. For the purposes of this quarterly notice, we are providing only the specific updates to the list of Medicare-approved facilities that meet our standards that have occurred in the 3-month period. This information is EN02No18.007</GPH>

VerDate Sep<11>2014 Facility Provider Date of Date of State Facility Pro'>ider Date of Date of State Number Initial Recertification Number Initial Recertification Certification Certification 17:57 Nov 01, 2018 Carolinas Medical Center 340113 05112/2010 04/25/2018 NC University of Colorado Hospital 060024 11/06/2003 07/18/2018 co 1000 Blythe Boulevard Authority Charlotte, NC 28232 12401 E. 17th Ave. Aurora, CO 80045 Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices Other Infonnation: Joint Connnission 6480 Other infonnation: Joint Connnissiou ID #9384 Jkt 247001 Previous Re-certification Dates: 2012-05-11; 2014-04- Previous Re-certification 22; 2016-04-12 Dates: 2008-07-23; 2010-08- FROM: Saint Luke's 440039 04/2112012 05/09/2018 MO 17; 2012-08-10; 2014-07-22; PO 00000 Hospital 2016-07-26 TO: Saint Luke's Hospital of FROM: Washington Hospital 090011 04/23/2008 05/23/2018 DC Kansas City Center 4401 Wornall Road TO: MedStar Washington Frm 00042 Kansas City, MO 64111 Hospital Center 110 Irving St., NW Other infonnation: Washington, DC 20010 Joint Connnission ID #8351 Fmt 4703 Other infonnation: Previous Re-certification Joint Connnissiou ID #6308 Dates: 2012-06-06; 2014-05- 06; 2016-06-21 Previous Re-certification Sfmt 4725 FROM: Vanderbilt 440039 04/2112012 05/09/2018 TN Dates: 2010-04-06; 2012-03- University Hospital and the 23; 2014-03-04; 2016-05-03 V anderhilt Clinic Strong Memorial Hospital 330285 10/20/2003 07/25/2018 NY TO: Vanderbilt University 601 Elmwood Avenue E:\FR\FM\02NON1.SGM Medical Center Rochester. NY 14642 1211 Medical Center Drive Nashville, TN 37232 Other infonnation: Joint Connnission ID #5856 Other infonnation: Joint Connnission ID #7892 Previous Re-certification Dates: 2008-06-17; 2010-07- Previous Re-certification 02; 2012-06-06; 2014-05-13; Dates: 2014-03-11; 2016-04- 2016-07-26 02NON1 05 Abington Memorial Hospital 390231 07/10/2012 05/23/2018 PA 1200 Old York Road Abington, PA 19001 Other infonnation: Joint Connnission ID #6013 Previous Re-certification Dates: 2014-06-03; 2016-06- 28 Penn State Milton S. Hershey 390256 10/29/2003 05/23/2018 PA 55183 EN02No18.008</GPH>

VerDate Sep<11>2014 55184 Facility Provider Date of Date of State Facility Pro'>ider Date of Date of State Number Initial Recertification Number Initial Recertification Certification Certification 17:57 Nov 01, 2018 Medical Center FROM: Columbia Hospital 450647 12/03/2003 06/06/2018 TX 500 University Drive at Medical City Dallas Hershey, P A 17033 TO: Medical City Dallas 7777 Forest Lane Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices Other information: Dallas, TX 75230 Joint Connnission ID #6075 Other information: Jkt 247001 Previous Re-certification Joint Connnission ID #9008 Dates: 2008-04-01; 2010-03- 24; 2012-03-16; 2014-04-08; Previous Re-certification 2016-06-07 Dates: 2008-10-02; 2010-08- PO 00000 Mission Hospital 340002 06/09/2016 06/27/2018 NC 10; 2012-07-17; 2014-06-27; 509 Biltmore Avenue 2016-07-12 Asheville, NC 28801 FROM: Vanderbilt 440039 10/28/2003 05/09/2018 TN University Hospital and the Frm 00043 Other information: Vanderbilt Clinic Joint Connnission ID #6468 TO: Vanderbilt University FROM: University of 230046 10/27/2003 04/25/2018 MI Medical Center Michigan Hospitals and 1211 Medical Center Drive Fmt 4703 Health Centers, The Nashville, TN 37232 TO: University of Michigan Health System Other information: 1500 E Medical Center Drive Joint Connnission ID #7892 Sfmt 4725 Ann Arbor, Ml 4S 109 Previous Decertification Date: Other information: 2007-08-13 Joint Connnission ID #7 457 E:\FR\FM\02NON1.SGM Previous Re-certification Previous Re-certification Dates: 2012-04-21; 2014-03- Dates: 2008-03-27; 2010-03- 11; 2016-04-05 18; 2012-03-07; 2014-02-04; FROM: Saint Joseph's 110082 07/14/2010 06/06/2018 GA 2016-03-15 Hospital of Atlanta FROM: University of 490009 02112/2010 06/06/2018 VA TO: Emory Saint Joseph's Virginia Health System Hospital TO: University of Virginia 5665 Peachtree Dunwoody Rd. Medical Center Atlanta, GA 30342 02NON1 1215 Lee Street Charlottesville, VA 22908 Other information: Joint Connnission ID #6652 Other information: Joint Connnission ID #6329 Previous Re-certification Dates: 2012-07-11; 2014-06- Previous Re-certification 03; 2016-07-12 Dates: 2012-03-21; 2014-05- The follow in! facilities are decertifications for this ouarter. 06; 2016-06-07 The University of Toledo 360048 04/20/2012 OH Medical Center 3000 Arlington Avenue EN02No18.009</GPH>

VerDate Sep<11>2014 Facility Provider Date of Date of State www.cms.gov/McdicarcApprovcdFacilitic/L VRS/list.asp#TopOfPagc. For 17:57 Nov 01, 2018 Number Initial Recertification questions or additional information, contact Sarah Fulton, MHS Certification Toledo, OH 43614 (410-786-27 49). Addendum XIV: Medicare-Approved Bariatric Surgery Facilities Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices Other information: (July through September 2018) Joint Commission De-certified: Addendum XIV includes a listing of Medicare-approved facilities 2018-05-18 Jkt 247001 Geisinger Wyoming Valley 390270 02/26/2014 04113/2016 PA that meet minimum standards for facilities modeled in part on professional 'v!edical Center society statements on competency. All facilities must meet our standards in 1000 East Mountain Drive order to receive coverage for bariatric surgery procedures. On February 21, Wilkes Barre, P A 18711 2006, we issued our decision memorandum on bariatric surgery procedures. PO 00000 Other information: We determined that bariatric surgical procedures are reasonable and Joint Commission De-certified: necessary for Medicare beneficiaries who have a body-mass index (BMI) 2018-05-28 greater than or equal to 35, have at least one co-morbidity related to obesity Frm 00044 Delray Medical Center, Inc. 100258 08/11/2015 08/17/2017 FL and have been previously unsuccessful with medical treatment for obesity. 5352 Linton Boulevard Delray Beach, FL 33484 This decision also stipulated that covered bariatric surgery procedures are reasonable and necessary only when performed at facilities that are: (1) certified by the American College of Surgeons (ACS) as a Levell Bariatric Fmt 4703 Other information: Joint Commission De-certified: Surgery Center (program standards and requirements in effect on February 2018-06-01 15, 2006); or (2) certified by the American Society for Bariatric Surgery (ASBS) as a Bariatric Surgery Center of Excellence (ESCOE) (program Sfmt 9990 Addendum XIII: Lung Volume Reduction Surgery (LVRS) standards and requirements in effect on February 15, 2006). (July through September 2018) There were no additions, deletions, or editorial changes to Addendum XIII includes a listing of Medicare-approved facilities Medicare-approved facilities that meet CMS' s minimum facility standards E:\FR\FM\02NON1.SGM that are eligible to receive coverage for lung volume reduction surgery. for bariatric surgery that have been certified by ACS and/or ASMBS in the Until May 17, 2007, facilities that participated in the National Emphysema 3-month period. This infonnation is available at Treatment Trial were also eligible to receive coverage. The following three www. ems. gov/MedicareApprovedF acilitie/B SF/list.asp#TopOfPage. For types of facilities are eligible for reimbursement for Lung Volume questions or additional information, contact Sarah Fulton, MHS Reduction Surgery (L VRS): (410-786-27 49). • National Emphysema Treatment Trial (NETT) approved (Beginning 05/07/2007, these will no longer automatically qualify and can qualify only Addendum XV: FDG-PET for Dementia and Neurodegenerative 02NON1 with the other programs); Diseases Clinical Trials (July through September 2018) • Credentialed by the Joint Commission (formerly, the Joint There were no FDG-PET for Dementia and Neurodegenerative Commision on Accreditation of Healthcare Organizations (JCAHO)) under Diseases Clinical Trials published in the 3-month period. their Disease Specific Certification Program for L VRS; and This information is available on our website at • Medicare approved for lung transplants. www. ems. gov/MedicareApprovedF acilitie/PETDT/list.asp#TopOfPage. Only the first two types are in the list. There were no editorial For questions or additional information, contact Stuart Caplan, RN, MAS updates to the listing of facilities for lung volume reduction surgery (410-786-8564 ). published in the 3-month period. This information is available at 55185 EN02No18.010</GPH>

55186 Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices [FR Doc. 2018–23924 Filed 11–1–18; 8:45 am] public submit reports, keep records, or level data relevant for determining the BILLING CODE 4120–01–C provide information to a third party. range of necessary LTSS. Section 3506(c)(2)(A) of the PRA (44 The federal vision for the NWD U.S.C. 3506(c)(2)(A)) requires Federal System gives states flexibility in DEPARTMENT OF HEALTH AND agencies to provide a 60-day notice in determining how best to organize, HUMAN SERVICES the Federal Register concerning each structure and operate the various proposed collection of information, functions of their NWD System. States Administration for Community Living including each proposed extension of an continue to integrate, in some cases existing collection of information, restructure, and over time strengthen Agency Information Collection their existing programs in order to before submitting the collection to OMB Activities: Proposed Collection; Public realize the joint ACL/CMS/VHA vision for approval. To comply with this Comment Request; New Data for a fully coordinated and integrated requirement, ACL is publishing a notice Collection (ICR New) of the No Wrong system of access. These efforts are of the proposed collection of Door (NWD) System Management Tool supported by a variety of initiatives, information set forth in this document. AGENCY: Administration for Community With respect to the following including the VHA’s Veteran Directed Living, Department of Health and collection of information, ACL invites Care (VDC) program, an evidence-based Human Services. comments on our burden estimates or self-directed program where person- ACTION: Notice. any other aspect of this collection of centered counselors from aging and information, including: disability network agencies within a SUMMARY: The Administration for (1) Whether the proposed collection state’s NWD System provide facilitated Community Living (ACL) is announcing of information is necessary for the assessment and care planning, arrange an opportunity for the public to proper performance of ACL’s functions, fiscal management services and provide comment on the proposed collection of including whether the information will ongoing counseling and support to information listed above. Under the have practical utility; Veterans, their families and caregivers. Paperwork Reduction Act of 1995 (the (2) the accuracy of ACL’s estimate of The NWD System Management Tool PRA), Federal agencies are required to the burden of the proposed collection of (NWD MT) provides a platform for data publish a notice in the Federal Register information, including the validity of collection necessary to evaluate the four concerning each proposed collection of the methodology and assumptions used primary functions of a NWD System: information, including each proposed to determine burden estimates; State Governance and Administration, extension of an existing collection of (3) ways to enhance the quality, Public Outreach and Coordination with information, and to allow 60 days for utility, and clarity of the information to Key Referral Sources, Person Centered public comment in response to the be collected; and Counseling, and Streamlined Access to notice. (4) ways to minimize the burden of Public LTSS Programs. In addition, this This New Data Collection (ICR New) the collection of information on tool will include data collection for the solicits comments on the information respondents, including through the use VDC program to collect qualitative and collection requirements relating to the of automated collection techniques quantitative data elements necessary to Aging and Disability Resource Center/ when appropriate, and other forms of evaluate the impact of the VDC program. No Wrong Door System (ADRC/NWD). information technology. The VDC tool will track key The statutory authority for ADRC/NWD ACL, the Centers for Medicare and performance measures and identify best is contained in Title IV of the Older Medicaid Services (CMS), and the practices and technical assistance Americans Act (OAA), as amended by Veterans Health Administration (VHA) needs. the Older Americans Act Amendments have partnered to support states’ efforts The NWD MT and the VDC tool will of 2006, Public Law 109–365. in developing coordinated systems of enable ACL and its partners to collect DATES: Comments on the collection of access, or No Wrong Door (NWD) and analyze data elements necessary to information must be submitted Systems, to make it easier for people to assess the progress of the NWD System electronically by 11:59 p.m. (EST) or learn about and access long-term model, track performance measures, and postmarked by January 2, 2019. services and supports (LTSS). When identify gaps and best practices. These seeking services and supports, tools have been designed in close ADDRESSES: Submit electronic individuals and caregivers often face collaboration with states and are comments on the collection of multiple, fragmented processes that are information to: Ami Patel, ami.patel@ intended to simplify grant reporting complex and confusing. States’ access requirements to reduce burden on local acl.hhs.gov. Submit written comments systems have been built over time as on the collection of information to and state entities and will provide a programs and funding streams have consistent, streamlined and coordinated Administration for Community Living, been added, creating duplicative 330 C Street SW, Washington, DC statewide approach to help states govern eligibility and intake processes that are their NWD System and manage their 20201, Attention: Ami Patel. difficult for individuals and their FOR FURTHER INFORMATION CONTACT: Ami programs efficiently. caregivers to use. To address these The proposed data collection tools Patel at (202) 795–7376 or ami.patel@ issues, the NWD System model supports acl.hhs.gov. may be found on the ACL website for state efforts to streamline access to LTSS review at: https://www.acl.gov/about- SUPPLEMENTARY INFORMATION: Under the options for all populations and provides acl/public-input. PRA (44 U.S.C. 3501–3520), Federal the infrastructure to promote the Estimated Program Burden: agencies must obtain approval from the collaboration of local service ACL estimates the burden of this Office of Management and Budget organizations, making service delivery collection of information as follows: (OMB) for each collection of more efficient and person-centered. Fifty-six lead NWD System state and information they conduct or sponsor. Examples of coordinated efforts include territorial agencies will respond to the ‘‘Collection of information’’ is defined processes where individuals are NWD MT bi-annually and it will take in 44 U.S.C. 3502(3) and 5 CFR assessed once via a common or approximately half an hour to collect 1320.3(c) and includes agency requests standardized data collection method the data and an additional half hour to or requirements that members of the that captures a core set of individual input the data into a web-based system. VerDate Sep<11>2014 17:57 Nov 01, 2018 Jkt 247001 PO 00000 Frm 00045 Fmt 4703 Sfmt 4703 E:\FR\FM\02NON1.SGM 02NON1


Document Created: 2018-11-02 01:10:27
Document Modified: 2018-11-02 01:10:27
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.
ContactIt is possible that an interested party may need specific information and not be able to determine from the listed information whether the issuance or regulation would fulfill that need. Consequently, we are providing contact persons to answer general questions concerning each of the addenda published in this notice. [GRAPHIC] [TIFF OMITTED] TN02NO18.000
FR Citation83 FR 55174 
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