83_FR_8716 83 FR 8676 - Medicare Program; Public Meetings in Calendar Year 2018 for All New Public Requests for Revisions to the Healthcare Common Procedure Coding System (HCPCS) Coding and Payment Determinations

83 FR 8676 - Medicare Program; Public Meetings in Calendar Year 2018 for All New Public Requests for Revisions to the Healthcare Common Procedure Coding System (HCPCS) Coding and Payment Determinations

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

Federal Register Volume 83, Issue 40 (February 28, 2018)

Page Range8676-8679
FR Document2018-04105

This notice announces the dates, time, and location of the Healthcare Common Procedure Coding System (HCPCS) public meetings to be held in calendar year 2018 to discuss our preliminary coding and payment determinations for all new public requests for revisions to the HCPCS. These meetings provide a forum for interested parties to make oral presentations or to submit written comments in response to preliminary coding and payment determinations. The discussion will be focused on responses to our specific preliminary recommendations and will include all items on the public meeting agenda.

Federal Register, Volume 83 Issue 40 (Wednesday, February 28, 2018)
[Federal Register Volume 83, Number 40 (Wednesday, February 28, 2018)]
[Notices]
[Pages 8676-8679]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-04105]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-1683-N]


Medicare Program; Public Meetings in Calendar Year 2018 for All 
New Public Requests for Revisions to the Healthcare Common Procedure 
Coding System (HCPCS) Coding and Payment Determinations

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

ACTION: Notice.

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

SUMMARY: This notice announces the dates, time, and location of the 
Healthcare Common Procedure Coding System (HCPCS) public meetings to be 
held in calendar year 2018 to discuss our preliminary coding and 
payment determinations for all new public requests for revisions to the 
HCPCS. These meetings provide a forum for interested parties to make 
oral presentations or to submit written comments in response to 
preliminary coding and payment determinations. The discussion will be 
focused on responses to our specific preliminary recommendations and 
will include all items on the public meeting agenda.

DATES: Meeting Dates: The following are the 2018 HCPCS public meeting 
dates:
    1. Monday, May 14, 2018, 1:00 p.m. to 5 p.m., eastern daylight time 
(e.d.t.) (Drugs/Biologicals/Radiopharmaceuticals/Radiologic Imaging 
Agents).
    2. Tuesday, May 15, 2018, 9 a.m. to 6 p.m., e.d.t. (Drugs/
Biologicals/Radiopharmaceuticals/Radiologic Imaging Agents).
    3. Wednesday, May 16, 2018, 9 a.m. to 6 p.m., e.d.t. (Drugs/
Biologicals/Radiopharmaceuticals/Radiologic Imaging Agents).
    4. Thursday, May 17, 2018, 9 a.m. to 12 p.m., e.d.t. (Drugs/
Biologicals/Radiopharmaceuticals/Radiologic Imaging Agents).
    5. Tuesday, June 1, 2018, 9 a.m. to 5 p.m., e.d.t. (Durable Medical 
Equipment (DME), and Accessories, Orthotics and Prosthetics (O&P), 
Supplies and Other).
    6. Wednesday, June 2, 2018, 9 a.m. to 5 p.m., (e.d.t.) (Durable 
Medical Equipment (DME), and Accessories, Orthotics and Prosthetics 
(O&P), Supplies and Other).
    Deadlines for Primary Speaker Registration and Presentation 
Materials: The deadline for registering to be a primary speaker and 
submitting materials and writings that will be used

[[Page 8677]]

in support of an oral presentation are as follows:
     May 1, 2018, for the May 14, 15, 16, and 17, 2018 public 
meetings.
     May 22, 2018, for the June 5 and 6, 2018 public meetings.
    Registration Deadline for Attendees that are Foreign Nationals: 
Attendees that are foreign nationals (as described in section IV. of 
this notice) are required to identify themselves as such, and provide 
the necessary information for security clearance (as described in 
section IV. of this notice) to the public meeting coordinator in 
advance of the date of the public meeting the individual plans to 
attend. CMS' registration deadlines for attendees that are foreign 
nationals (including the deadlines for providing necessary information 
for security clearance) are as follows:
     April 24, 2018, for the May 14, 15, 16, and 17, 2018 
public meetings.
     May 10, 2018, for the June 5 and 6, 2018 public meetings.
    Registration Deadlines for all Other Attendees: All individuals who 
are not foreign nationals who plan to enter the building to attend the 
public meeting must register for each date that they plan on attending. 
The registration deadlines are different for each meeting. Registration 
deadlines are as follows:
     May 7, 2018, for the May 14, 15, 16, and 17, 2018 public 
meetings.
     May 24, 2018, for the June 5 and 6, 2018 public meeting 
dates.
    Deadlines for Requesting Special Accommodations: Individuals who 
plan to attend the public meetings and require sign-language 
interpretation or other special assistance must request these services 
by the following deadlines:
     May 1, 2018, for the May 14, 15, 16, and 17, 2018 public 
meetings.
     May 22, 2018, for the June 5 and 6, 2018 public meetings.
    Deadline for Submission of Written Comments: Written comments and 
other documentation in response to a preliminary coding or payment 
determination that are received by no later than the date of the public 
meeting at which the code request is scheduled for discussion, will be 
considered in formulating a final coding decision.

ADDRESSES: Meeting Location: The public meetings will be held in the 
main auditorium of the central building of the Centers for Medicare & 
Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244-1850.
    Submission of Written Comments: Written comments may either be 
emailed to [email protected] or sent via regular mail to Judi Wallace, 
HCPCS Public Meeting Coordinator, Centers for Medicare & Medicaid 
Services, 7500 Security Boulevard, Mail Stop C5-09-14, Baltimore, MD 
21244-1850.
    Registration and Special Accommodations: Individuals wishing to 
participate or who need special accommodations or both must register by 
completing the on-line registration located at www.cms.hhs.gov/medhcpcsgeninfo or by contacting Judi Wallace at (410) 786-3197 or 
[email protected].

FOR FURTHER INFORMATION CONTACT:
    Judi Wallace, (410) 786-3197 or [email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    On December 21, 2000, the Congress passed the Medicare, Medicaid, 
and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) (Pub. 
L. 106-554). Section 531(b) of BIPA mandated that we establish 
procedures that permit public consultation for coding and payment 
determinations for new durable medical equipment (DME) under Medicare 
Part B of title XVIII of the Social Security Act (the Act). In the 
November 23, 2001 Federal Register (66 FR 58743), we published a notice 
providing information regarding the establishment of the public meeting 
process for DME. The procedures and public meetings announced in that 
notice for new DME were in response to the mandate of section 531(b) of 
BIPA. As part of HCPCS reform, we expanded the public meeting forum to 
include all public requests as of the 2005-2006 coding cycle.
    It is our intent to distribute any materials submitted to us to the 
Healthcare Common Procedure Coding System (HCPCS) workgroup members for 
their consideration. CMS and the HCPCS workgroup members require 
sufficient preparation time to review all relevant materials. 
Therefore, we are implementing a 10-page submission limit and firm 
deadlines for receipt of any presentation materials a meeting speaker 
wishes us to consider. For this reason, our HCPCS Public Meeting 
Coordinator will only accept and review presentation materials received 
by the deadline for each public meeting, as specified in the DATES 
section of this notice.
    The public meeting process provides an opportunity for the public 
to become aware of and provide input regarding coding changes under 
consideration, as well as an opportunity for us to gather public input.

II. Meeting Registration

A. Required Information for Registration

    The following information must be provided when registering on-line 
to attend:
     Name.
     Company name and address.
     Direct-dial telephone and fax numbers.
     Email address.
     Special needs information.
    A CMS staff member will confirm your registration by email.

B. Registration Process

1. Primary Speakers
    Individuals must also indicate whether they are the ``primary 
speaker'' for an agenda item. Primary speakers must be designated by 
the entity that submitted the HCPCS coding request. When registering, 
primary speakers must provide a brief written statement regarding the 
nature of the information they intend to provide, and advise the HCPCS 
Public Meeting Coordinator regarding needs for audio/visual support. To 
avoid disruption of the meeting and ensure compatibility with our 
systems, tapes and disk files are tested and arranged in speaker 
sequence well in advance of the meeting. We will accept tapes and disk 
files that are received by the deadline for submissions for each public 
meeting as specified in the DATES section of this notice. Late 
submissions and updates of electronic materials after our deadline 
cannot be accommodated.
    Please note our page limit for primary speaker presentation 
materials. The sum of all presentation materials and additional 
supporting documentation may not exceed 10 pages (each side of a page 
counts as 1 page). An exception will be made to the 10-page limit only 
for relevant studies newly published between the application deadline 
and the public meeting date, in which case, we would like a copy of the 
complete publication as soon as possible. This exception applies only 
to the page limit and not the submission deadline.
    The materials may be emailed or delivered by regular mail to the 
HCPCS Public Meeting Coordinator as specified in the ADDRESSES section 
of this notice. The materials must be emailed or postmarked no later 
than the deadline specified in the DATES section of this notice. 
Individuals will need to provide 35 copies if materials are delivered 
by mail.
2. ``5-Minute Speakers''
    To afford the same opportunity to all attendees, 5-minute speakers 
are not

[[Page 8678]]

required to register as primary speakers. However, 5-minute speakers 
must still register as attendees by the deadline set forth under 
``Registration Deadlines for all Other Attendees'' in the DATES section 
of this notice. Attendees can sign up only on the day of the meeting to 
do a 5-minute presentation. Individuals must provide their name, 
company name and address, contact information as specified on the sign-
up sheet, and identify the specific agenda item that they will address.

C. Additional Meeting/Registration Information

    The product category reported in the HCPCS code application by the 
applicant may not be the same as that assigned by us. Prior to 
registering to attend a public meeting, all participants are advised to 
review the public meeting agendas at www.cms.hhs.gov/medhcpcsgeninfo 
which identify our category determinations, and the dates each item 
will be discussed. Draft agendas, including a summary of each request 
and our preliminary decision will be posted on our HCPCS website at 
www.cms.hhs.gov/medhcpcsgeninfo at least 4 weeks before each meeting.
    Additional details regarding the public meeting process for all new 
public requests for revisions to the HCPCS, along with information on 
how to register and guidelines for an effective presentation, will be 
posted at least 4 weeks before the first meeting date on the official 
HCPCS website at www.cms.hhs.gov/medhcpcsgeninfo. The document titled 
``Guidelines for Participation in Public Meetings for All New Public 
Requests for Revisions to the Healthcare Common Procedure Coding System 
(HCPCS)'' will be made available on the HCPCS website at least 4 weeks 
before the first public meeting in 2018 for all new public requests for 
revisions to the HCPCS. Individuals who intend to provide a 
presentation at a public meeting need to familiarize themselves with 
the HCPCS website and the valuable information it provides to 
prospective registrants. The HCPCS website also contains a document 
titled ``Healthcare Common Procedure Coding System (HCPCS) Level II 
Coding Procedures,'' which is a description of the HCPCS coding 
process, including a detailed explanation of the procedures used to 
make coding determinations for all the products, supplies, and services 
that are coded in the HCPCS.
    The HCPCS website also contains a document titled ``HCPCS Decision 
Tree & Definitions'' which illustrates, in flow diagram format, HCPCS 
coding standards as described in our Coding Procedures document.

III. Presentations and Comment Format

    We can only estimate the amount of meeting time that will be needed 
since it is difficult to anticipate the total number of speakers that 
will register for each meeting. Meeting participants must arrive early 
to allow time to clear security and sign-in. Each meeting is expected 
to begin promptly as scheduled. Meetings may end earlier than the 
stated ending time.

A. Oral Presentation Procedures

    All primary speakers must register as provided under the section 
titled ``Meeting Registration.'' All materials that will be used in 
support of an oral presentation must be submitted to the HCPCS Public 
Meeting Coordinator, Judi Wallace.
    The materials may be emailed or delivered by regular mail to the 
HCPCS Public Meeting Coordinator as specified in the ADDRESSES section 
of this notice. The materials must be emailed or postmarked no later 
than the deadline specified in the DATES section of this notice. 
Individuals will need to include 35 copies if materials are delivered 
by mail.

B. Primary Speaker Presentations

    The individual or entity requesting revisions to the HCPCS coding 
system for a particular agenda item may designate one ``primary 
speaker'' to make a presentation for a maximum of 15 minutes. Fifteen 
minutes is the total time interval for the presentation, and the 
presentation must incorporate any demonstration, set-up, and 
distribution of material. In establishing the public meeting agenda, we 
may group multiple, related requests under the same agenda item. In 
that case, we will decide whether additional time will be allotted, and 
may opt to increase the amount of time allotted to the speaker by 
increments of less than 15 minutes.
    Individuals designated to be the primary speaker must register to 
attend the meeting using the registration procedures described under 
the ``Meeting Registration'' section of this notice and contact Judi 
Wallace, HCPCS Public Meeting Coordinator, as specified in the 
ADDRESSES section. Primary speakers must also separately register as 
primary speakers as specified in the DATES section of this notice.

C. ``5-Minute'' Speaker Presentations

    Meeting attendees can sign up at the meeting, on a first-come, 
first-served basis, to make presentations for up to 5 minutes on 
individual agenda items. Based on the number of items on the agenda and 
the progress of the meeting, a determination will be made at the 
meeting by the meeting coordinator and the meeting moderator regarding 
how many ``5-minute speakers'' can be accommodated and whether the 5-
minute time allocation would be reduced, to accommodate the number of 
speakers.

D. Speaker Declaration

    On the day of the meeting, before the end of the meeting, all 
primary speakers and 5-minute speakers must provide a brief written 
summary of their comments and conclusions to the HCPCS Public Meeting 
Coordinator.
    Every primary speaker and 5-minute speaker must declare at the 
beginning of their presentation at the meeting, as well as in their 
written summary, whether they have any financial involvement with the 
manufacturers or competitors of any items being discussed; this 
includes any payment, salary, remuneration, or benefit provided to that 
speaker by the manufacturer or the manufacturer's representatives.

E. Written Comments From Meeting Attendees

    Written comments will be accepted from the general public and 
meeting registrants anytime up to the date of the public meeting at 
which a request is discussed. Comments must be sent to the address 
listed in the ADDRESSES section of this notice.
    Meeting attendees may also submit their written comments at the 
meeting. Due to the close timing of the public meetings, subsequent 
workgroup reconsiderations, and final decisions, we are able to 
consider only those comments received in writing by the close of 
business on the date of the public meeting at which the request is 
discussed.

IV. Security, Building, and Parking Guidelines

    The meetings are held within the CMS Complex which is not open to 
the general public. Visitors to the complex are required to show a 
valid Government issued photo identification preferably a driver's 
license or passport, at the time of entry. As of October 10, 2015, 
visitors seeking access to federal agency facilities using their state-
issued driver's license or identification cards must present proper 
identification issued by a state that is compliant with the REAL ID Act 
of 2005 (Pub. L. 109-13, 119 Statute 302, enacted on May 11, 2005) or a 
state that has received an extension. What constitutes proper 
identification and whether a driver's license is acceptable 
identification for accessing a federal facility may vary,

[[Page 8679]]

based on which state issued the driver's license. For detailed 
information, please refer to the Department of Homeland Security (DHS) 
website: At http://www.dhs.gov. When planning a visit to a federal 
facility, visitors who have further questions about acceptable forms of 
identification are encouraged to contact the facility to determine 
acceptable identification.
    Participants will also be subject to a vehicle security inspection 
before access to the complex is granted. Participants not in possession 
of a valid identification or who are in possession of prohibited items 
will be denied access to the complex. Prohibited items on federal 
property include but are not limited to, alcoholic beverages, illegal 
narcotics, explosives, firearms or other dangerous weapons (including 
pocket knives), dogs or other animals except service animals. Once 
cleared for entry to the complex participants will be directed to 
visitor parking by a security officer.
    To ensure expedited entry into the building it is recommended that 
participants have their ID and a copy of their written meeting 
registration confirmation readily available and that they do not bring 
large/bulky items into the building. Participants are reminded that 
photography on the CMS complex is prohibited. We have also been 
declared a tobacco free campus and violators are subject to legal 
action. In planning arrival time, we recommend allowing additional time 
to clear security. Individuals who are not registered in advance will 
not be permitted to enter the building and will be unable to attend the 
meeting. The invited guests may not enter the building earlier than 45 
minutes before the convening of the meeting each day.
    Guest access to the complex is limited to the meeting area, the 
main entrance lobby, and the cafeteria. If a visitor is found outside 
of those areas without proper escort they may be escorted off of the 
premises. Also be mindful that there will be an opportunity for 
everyone to speak and we request that everyone waits for the 
appropriate time to present their product or opinions. Disruptive 
behavior will not be tolerated and may result in removal from the 
meetings and escort from the complex. No visitor is allowed to attach 
USB cables, thumb drives or any other equipment to any CMS information 
technology (IT) system or hardware for any purpose at any time. 
Additionally, our staff is prohibited from taking such actions on 
behalf of a visitor or utilizing any removable media provided by a 
visitor.
    We cannot assume responsibility for coordinating the receipt, 
transfer, transport, storage, set-up, safety, or timely arrival of any 
personal belongings or items used for demonstration or to support a 
presentation. Special arrangements and approvals are required at least 
2 weeks prior to each public meeting to bring pieces of equipment or 
medical devices. These arrangements need to be made with the public 
meeting coordinator. It is possible that certain requests made in 
advance of the public meeting could be denied because of unique safety, 
security or handling issues related to the equipment. A minimum of 2 
weeks is required for approvals and security procedures. Any request 
not submitted at least 2 weeks in advance of the public meeting will be 
denied.
    Foreign National Visitors are defined as Non-US Citizens, and non-
lawful permanent residents, non-resident aliens or non-green-card 
holders.
    Attendees that are foreign nationals must identify themselves as 
such, and provide the following information for security clearance to 
the public meeting coordinator by the date specified in the DATES 
section of this notice:
     Building to Visit/Destination.
     Visit start date, start time, end date, end time.
     Visitor full name.
     Gender.
     Visitor Title.
     Visitor Organization/Employer.
     Citizenship.
     Birth Place (City, Country).
     Date of Birth.
     ID Type (Passport or State Department ID).
     Passport issued by Country.
     ID (passport) Number.
     ID (passport) issue date.
     ID (passport) expiration date.
     Visa Type.
     Visa Number.
     Purpose of Visit.

    Dated: February 21, 2018.
Seema Verma,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2018-04105 Filed 2-27-18; 8:45 am]
BILLING CODE 4120-01-P



                                                8676                      Federal Register / Vol. 83, No. 40 / Wednesday, February 28, 2018 / Notices

                                                Healthcare Research and Quality, 5600                   dissemination support for the USPSTF’s                DEPARTMENT OF HEALTH AND
                                                Fishers Lane, Mailstop: 06E53A,                         operation. USPSTF members serve four-                 HUMAN SERVICES
                                                Rockville, Maryland 20857, USPSTF                       year terms. New members are selected
                                                membernominations@ahrq.hhs.gov.                         each year to replace those members who                Centers for Medicare & Medicaid
                                                                                                        are completing their appointments.                    Services
                                                Nominee Selection
                                                   Nominated individuals will be                           The USPSTF is charged with                         [CMS–1683–N]
                                                selected for the USPSTF on the basis of                 rigorously evaluating the effectiveness,
                                                how well they meet the required                         appropriateness and cost-effectiveness                Medicare Program; Public Meetings in
                                                qualifications and the current expertise                of clinical preventive services and                   Calendar Year 2018 for All New Public
                                                needs of the USPSTF. It is anticipated                  formulating or updating                               Requests for Revisions to the
                                                that new members will be invited to                     recommendations regarding the                         Healthcare Common Procedure Coding
                                                serve on the USPSTF beginning in                        appropriate provision of preventive                   System (HCPCS) Coding and Payment
                                                January 2019. All nominated                             services. See 42 U.S.C. 299b-4(a)(1).                 Determinations
                                                individuals will be considered;                         Current USPSTF recommendations and                    AGENCY: Centers for Medicare &
                                                however, strongest consideration will be                associated evidence reviews are                       Medicaid Services (CMS), HHS.
                                                given to individuals with demonstrated                  available on the internet (www.us
                                                                                                                                                              ACTION: Notice.
                                                training and expertise in the areas of                  preventiveservicestaskforce.org).
                                                Pediatrics and Behavioral Health. AHRQ                     USPSTF members currently meet                      SUMMARY:   This notice announces the
                                                will retain and may consider for future                 three times a year for two days in the                dates, time, and location of the
                                                vacancies nominations received this                     Washington, DC area. A significant                    Healthcare Common Procedure Coding
                                                year and not selected during this cycle.                portion of the USPSTF’s work occurs                   System (HCPCS) public meetings to be
                                                   Some USPSTF members without                          between meetings during conference                    held in calendar year 2018 to discuss
                                                primary health care clinical experience                 calls and via email discussions. Member               our preliminary coding and payment
                                                may be selected based on their expertise                duties include prioritizing topics,                   determinations for all new public
                                                in methodological issues such as meta-                  designing research plans, reviewing and               requests for revisions to the HCPCS.
                                                analysis, analytic modeling or clinical                 commenting on systematic evidence                     These meetings provide a forum for
                                                epidemiology. For individuals with                                                                            interested parties to make oral
                                                                                                        reviews of evidence, discussing and
                                                clinical expertise in primary health care,                                                                    presentations or to submit written
                                                                                                        making recommendations on preventive
                                                additional qualifications in                                                                                  comments in response to preliminary
                                                                                                        services, reviewing stakeholder
                                                methodology would enhance their                                                                               coding and payment determinations.
                                                                                                        comments, drafting final
                                                candidacy.                                                                                                    The discussion will be focused on
                                                                                                        recommendation documents, and
                                                FOR FURTHER INFORMATION: Lydia Hill at                  participating in workgroups on specific               responses to our specific preliminary
                                                (301) 427–1587 or                                       topics and methods. Members can                       recommendations and will include all
                                                USPSTFmembernominations@                                expect to receive frequent emails, can                items on the public meeting agenda.
                                                ahrq.hhs.gov.                                           expect to participate in multiple                     DATES: Meeting Dates: The following are
                                                SUPPLEMENTARY INFORMATION:                              conference calls each month, and can                  the 2018 HCPCS public meeting dates:
                                                                                                        expect to have periodic interaction with                 1. Monday, May 14, 2018, 1:00 p.m.
                                                Background                                                                                                    to 5 p.m., eastern daylight time (e.d.t.)
                                                                                                        stakeholders. AHRQ estimates that
                                                  Under Title IX of the Public Health                   members devote approximately 200                      (Drugs/Biologicals/
                                                Service Act, AHRQ is charged with                       hours a year outside of in-person                     Radiopharmaceuticals/Radiologic
                                                enhancing the quality, appropriateness,                 meetings to their USPSTF duties. The                  Imaging Agents).
                                                and effectiveness of health care services               members are all volunteers and do not                    2. Tuesday, May 15, 2018, 9 a.m. to
                                                and access to such services. 42 U.S.C.                  receive any compensation beyond                       6 p.m., e.d.t. (Drugs/Biologicals/
                                                299(b). AHRQ accomplishes these goals                   support for travel to in person meetings.             Radiopharmaceuticals/Radiologic
                                                through scientific research and                                                                               Imaging Agents).
                                                promotion of improvements in clinical                   Arrangement for Public Inspection                        3. Wednesday, May 16, 2018, 9 a.m.
                                                practice, including clinical prevention                                                                       to 6 p.m., e.d.t. (Drugs/Biologicals/
                                                of diseases and other health conditions.                   Nominations and applications are                   Radiopharmaceuticals/Radiologic
                                                See 42 U.S.C. 299(b).                                   kept on file at the Center for Evidence               Imaging Agents).
                                                  The USPSTF, an independent body of                    and Practice Improvement, AHRQ, and                      4. Thursday, May 17, 2018, 9 a.m. to
                                                experts in prevention and evidence-                     are available for review during business              12 p.m., e.d.t. (Drugs/Biologicals/
                                                based medicine, works to improve the                    hours. AHRQ does not reply to                         Radiopharmaceuticals/Radiologic
                                                health of all Americans by making                       individual nominations, but considers                 Imaging Agents).
                                                evidence-based recommendations about                    all nominations in selecting members.                    5. Tuesday, June 1, 2018, 9 a.m. to 5
                                                the effectiveness of clinical preventive                Information regarded as private and                   p.m., e.d.t. (Durable Medical Equipment
                                                services and health promotion. The                      personal, such as a nominee’s social                  (DME), and Accessories, Orthotics and
                                                recommendations made by the USPSTF                      security number, home and email                       Prosthetics (O&P), Supplies and Other).
                                                address clinical preventive services for                addresses, home telephone and fax                        6. Wednesday, June 2, 2018, 9 a.m. to
                                                adults and children, and include                        numbers, or names of family members                   5 p.m., (e.d.t.) (Durable Medical
                                                                                                        will not be disclosed to the public in                Equipment (DME), and Accessories,
sradovich on DSK3GMQ082PROD with NOTICES




                                                screening tests, counseling services, and
                                                preventive medications.                                 accord with the Freedom of Information                Orthotics and Prosthetics (O&P),
                                                  The USPSTF was first established in                   Act. 5 U.S.C. 552(b)(6); 45 CFR 5.31(f).              Supplies and Other).
                                                1984 under the auspices of the U.S.                                                                              Deadlines for Primary Speaker
                                                                                                        Gopal Khanna,
                                                Public Health Service. Currently, the                                                                         Registration and Presentation Materials:
                                                USPSTF is convened by the Director of                   Director.                                             The deadline for registering to be a
                                                AHRQ, and AHRQ provides ongoing                         [FR Doc. 2018–04052 Filed 2–27–18; 8:45 am]           primary speaker and submitting
                                                scientific, administrative, and                         BILLING CODE 4160–90–P                                materials and writings that will be used


                                           VerDate Sep<11>2014   17:25 Feb 27, 2018   Jkt 244001   PO 00000   Frm 00028   Fmt 4703   Sfmt 4703   E:\FR\FM\28FEN1.SGM   28FEN1


                                                                          Federal Register / Vol. 83, No. 40 / Wednesday, February 28, 2018 / Notices                                            8677

                                                in support of an oral presentation are as               Public Meeting Coordinator, Centers for               II. Meeting Registration
                                                follows:                                                Medicare & Medicaid Services, 7500
                                                                                                                                                              A. Required Information for Registration
                                                   • May 1, 2018, for the May 14, 15, 16,               Security Boulevard, Mail Stop C5–09–
                                                and 17, 2018 public meetings.                           14, Baltimore, MD 21244–1850.                            The following information must be
                                                   • May 22, 2018, for the June 5 and 6,                  Registration and Special                            provided when registering on-line to
                                                2018 public meetings.                                   Accommodations: Individuals wishing                   attend:
                                                   Registration Deadline for Attendees                  to participate or who need special                       • Name.
                                                that are Foreign Nationals: Attendees                   accommodations or both must register                     • Company name and address.
                                                that are foreign nationals (as described                by completing the on-line registration                   • Direct-dial telephone and fax
                                                in section IV. of this notice) are required             located at www.cms.hhs.gov/                           numbers.
                                                to identify themselves as such, and                     medhcpcsgeninfo or by contacting Judi                    • Email address.
                                                provide the necessary information for                   Wallace at (410) 786–3197 or                             • Special needs information.
                                                security clearance (as described in                     JudiWallace@cms.hhs.gov.                                 A CMS staff member will confirm
                                                section IV. of this notice) to the public                                                                     your registration by email.
                                                meeting coordinator in advance of the                   FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                              B. Registration Process
                                                date of the public meeting the                            Judi Wallace, (410) 786–3197 or
                                                individual plans to attend. CMS’                        JudiWallace@cms.hhs.gov.                              1. Primary Speakers
                                                registration deadlines for attendees that                                                                       Individuals must also indicate
                                                                                                        SUPPLEMENTARY INFORMATION:
                                                are foreign nationals (including the                                                                          whether they are the ‘‘primary speaker’’
                                                deadlines for providing necessary                       I. Background                                         for an agenda item. Primary speakers
                                                information for security clearance) are                                                                       must be designated by the entity that
                                                as follows:                                               On December 21, 2000, the Congress
                                                                                                        passed the Medicare, Medicaid, and                    submitted the HCPCS coding request.
                                                   • April 24, 2018, for the May 14, 15,                                                                      When registering, primary speakers
                                                16, and 17, 2018 public meetings.                       SCHIP Benefits Improvement and
                                                                                                        Protection Act of 2000 (BIPA) (Pub. L.                must provide a brief written statement
                                                   • May 10, 2018, for the June 5 and 6,                                                                      regarding the nature of the information
                                                2018 public meetings.                                   106–554). Section 531(b) of BIPA
                                                                                                        mandated that we establish procedures                 they intend to provide, and advise the
                                                   Registration Deadlines for all Other                                                                       HCPCS Public Meeting Coordinator
                                                Attendees: All individuals who are not                  that permit public consultation for
                                                                                                        coding and payment determinations for                 regarding needs for audio/visual
                                                foreign nationals who plan to enter the                                                                       support. To avoid disruption of the
                                                building to attend the public meeting                   new durable medical equipment (DME)
                                                                                                        under Medicare Part B of title XVIII of               meeting and ensure compatibility with
                                                must register for each date that they                                                                         our systems, tapes and disk files are
                                                plan on attending. The registration                     the Social Security Act (the Act). In the
                                                                                                        November 23, 2001 Federal Register (66                tested and arranged in speaker sequence
                                                deadlines are different for each meeting.                                                                     well in advance of the meeting. We will
                                                Registration deadlines are as follows:                  FR 58743), we published a notice
                                                                                                        providing information regarding the                   accept tapes and disk files that are
                                                   • May 7, 2018, for the May 14, 15, 16,                                                                     received by the deadline for
                                                and 17, 2018 public meetings.                           establishment of the public meeting
                                                                                                        process for DME. The procedures and                   submissions for each public meeting as
                                                   • May 24, 2018, for the June 5 and 6,                                                                      specified in the DATES section of this
                                                2018 public meeting dates.                              public meetings announced in that
                                                                                                        notice for new DME were in response to                notice. Late submissions and updates of
                                                   Deadlines for Requesting Special                                                                           electronic materials after our deadline
                                                Accommodations: Individuals who plan                    the mandate of section 531(b) of BIPA.
                                                                                                        As part of HCPCS reform, we expanded                  cannot be accommodated.
                                                to attend the public meetings and                                                                               Please note our page limit for primary
                                                require sign-language interpretation or                 the public meeting forum to include all
                                                                                                        public requests as of the 2005–2006                   speaker presentation materials. The sum
                                                other special assistance must request                                                                         of all presentation materials and
                                                these services by the following                         coding cycle.
                                                                                                                                                              additional supporting documentation
                                                deadlines:                                                It is our intent to distribute any                  may not exceed 10 pages (each side of
                                                   • May 1, 2018, for the May 14, 15, 16,               materials submitted to us to the                      a page counts as 1 page). An exception
                                                and 17, 2018 public meetings.                           Healthcare Common Procedure Coding                    will be made to the 10-page limit only
                                                   • May 22, 2018, for the June 5 and 6,                System (HCPCS) workgroup members                      for relevant studies newly published
                                                2018 public meetings.                                   for their consideration. CMS and the                  between the application deadline and
                                                   Deadline for Submission of Written                   HCPCS workgroup members require                       the public meeting date, in which case,
                                                Comments: Written comments and other                    sufficient preparation time to review all             we would like a copy of the complete
                                                documentation in response to a                          relevant materials. Therefore, we are                 publication as soon as possible. This
                                                preliminary coding or payment                           implementing a 10-page submission                     exception applies only to the page limit
                                                determination that are received by no                   limit and firm deadlines for receipt of               and not the submission deadline.
                                                later than the date of the public meeting               any presentation materials a meeting                    The materials may be emailed or
                                                at which the code request is scheduled                  speaker wishes us to consider. For this               delivered by regular mail to the HCPCS
                                                for discussion, will be considered in                   reason, our HCPCS Public Meeting                      Public Meeting Coordinator as specified
                                                formulating a final coding decision.                    Coordinator will only accept and review               in the ADDRESSES section of this notice.
                                                ADDRESSES: Meeting Location: The                        presentation materials received by the                The materials must be emailed or
                                                public meetings will be held in the main                deadline for each public meeting, as                  postmarked no later than the deadline
                                                auditorium of the central building of the               specified in the DATES section of this
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                                                                                                                                                              specified in the DATES section of this
                                                Centers for Medicare & Medicaid                         notice.                                               notice. Individuals will need to provide
                                                Services, 7500 Security Boulevard,                        The public meeting process provides                 35 copies if materials are delivered by
                                                Baltimore, MD 21244–1850.                               an opportunity for the public to become               mail.
                                                   Submission of Written Comments:                      aware of and provide input regarding
                                                Written comments may either be                          coding changes under consideration, as                2. ‘‘5-Minute Speakers’’
                                                emailed to HCPCS@cms.hhs.gov or sent                    well as an opportunity for us to gather                  To afford the same opportunity to all
                                                via regular mail to Judi Wallace, HCPCS                 public input.                                         attendees, 5-minute speakers are not


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                                                8678                      Federal Register / Vol. 83, No. 40 / Wednesday, February 28, 2018 / Notices

                                                required to register as primary speakers.               III. Presentations and Comment Format                 meeting by the meeting coordinator and
                                                However, 5-minute speakers must still                      We can only estimate the amount of                 the meeting moderator regarding how
                                                register as attendees by the deadline set               meeting time that will be needed since                many ‘‘5-minute speakers’’ can be
                                                forth under ‘‘Registration Deadlines for                it is difficult to anticipate the total               accommodated and whether the 5-
                                                all Other Attendees’’ in the DATES                      number of speakers that will register for             minute time allocation would be
                                                section of this notice. Attendees can                   each meeting. Meeting participants must               reduced, to accommodate the number of
                                                sign up only on the day of the meeting                  arrive early to allow time to clear                   speakers.
                                                to do a 5-minute presentation.                          security and sign-in. Each meeting is                 D. Speaker Declaration
                                                Individuals must provide their name,                    expected to begin promptly as
                                                company name and address, contact                                                                               On the day of the meeting, before the
                                                                                                        scheduled. Meetings may end earlier
                                                information as specified on the sign-up                                                                       end of the meeting, all primary speakers
                                                                                                        than the stated ending time.
                                                sheet, and identify the specific agenda                                                                       and 5-minute speakers must provide a
                                                item that they will address.                            A. Oral Presentation Procedures                       brief written summary of their
                                                                                                          All primary speakers must register as               comments and conclusions to the
                                                C. Additional Meeting/Registration                                                                            HCPCS Public Meeting Coordinator.
                                                Information                                             provided under the section titled
                                                                                                        ‘‘Meeting Registration.’’ All materials                 Every primary speaker and 5-minute
                                                   The product category reported in the                 that will be used in support of an oral               speaker must declare at the beginning of
                                                HCPCS code application by the                           presentation must be submitted to the                 their presentation at the meeting, as
                                                applicant may not be the same as that                   HCPCS Public Meeting Coordinator,                     well as in their written summary,
                                                assigned by us. Prior to registering to                 Judi Wallace.                                         whether they have any financial
                                                attend a public meeting, all participants                 The materials may be emailed or                     involvement with the manufacturers or
                                                are advised to review the public meeting                delivered by regular mail to the HCPCS                competitors of any items being
                                                agendas at www.cms.hhs.gov/                             Public Meeting Coordinator as specified               discussed; this includes any payment,
                                                medhcpcsgeninfo which identify our                      in the ADDRESSES section of this notice.              salary, remuneration, or benefit
                                                category determinations, and the dates                  The materials must be emailed or                      provided to that speaker by the
                                                each item will be discussed. Draft                      postmarked no later than the deadline                 manufacturer or the manufacturer’s
                                                agendas, including a summary of each                    specified in the DATES section of this                representatives.
                                                request and our preliminary decision                    notice. Individuals will need to include
                                                will be posted on our HCPCS website at                                                                        E. Written Comments From Meeting
                                                                                                        35 copies if materials are delivered by               Attendees
                                                www.cms.hhs.gov/medhcpcsgeninfo at                      mail.
                                                least 4 weeks before each meeting.                                                                               Written comments will be accepted
                                                   Additional details regarding the                     B. Primary Speaker Presentations                      from the general public and meeting
                                                public meeting process for all new                         The individual or entity requesting                registrants anytime up to the date of the
                                                public requests for revisions to the                    revisions to the HCPCS coding system                  public meeting at which a request is
                                                HCPCS, along with information on how                    for a particular agenda item may                      discussed. Comments must be sent to
                                                to register and guidelines for an                       designate one ‘‘primary speaker’’ to                  the address listed in the ADDRESSES
                                                effective presentation, will be posted at               make a presentation for a maximum of                  section of this notice.
                                                least 4 weeks before the first meeting                  15 minutes. Fifteen minutes is the total                Meeting attendees may also submit
                                                date on the official HCPCS website at                   time interval for the presentation, and               their written comments at the meeting.
                                                www.cms.hhs.gov/medhcpcsgeninfo.                        the presentation must incorporate any                 Due to the close timing of the public
                                                The document titled ‘‘Guidelines for                    demonstration, set-up, and distribution               meetings, subsequent workgroup
                                                Participation in Public Meetings for All                of material. In establishing the public               reconsiderations, and final decisions,
                                                New Public Requests for Revisions to                    meeting agenda, we may group                          we are able to consider only those
                                                the Healthcare Common Procedure                         multiple, related requests under the                  comments received in writing by the
                                                Coding System (HCPCS)’’ will be made                    same agenda item. In that case, we will               close of business on the date of the
                                                available on the HCPCS website at least                 decide whether additional time will be                public meeting at which the request is
                                                4 weeks before the first public meeting                 allotted, and may opt to increase the                 discussed.
                                                in 2018 for all new public requests for                 amount of time allotted to the speaker
                                                revisions to the HCPCS. Individuals                                                                           IV. Security, Building, and Parking
                                                                                                        by increments of less than 15 minutes.                Guidelines
                                                who intend to provide a presentation at                    Individuals designated to be the
                                                a public meeting need to familiarize                    primary speaker must register to attend                  The meetings are held within the
                                                themselves with the HCPCS website and                   the meeting using the registration                    CMS Complex which is not open to the
                                                the valuable information it provides to                 procedures described under the                        general public. Visitors to the complex
                                                prospective registrants. The HCPCS                      ‘‘Meeting Registration’’ section of this              are required to show a valid
                                                website also contains a document titled                 notice and contact Judi Wallace, HCPCS                Government issued photo identification
                                                ‘‘Healthcare Common Procedure Coding                    Public Meeting Coordinator, as specified              preferably a driver’s license or passport,
                                                System (HCPCS) Level II Coding                          in the ADDRESSES section. Primary                     at the time of entry. As of October 10,
                                                Procedures,’’ which is a description of                 speakers must also separately register as             2015, visitors seeking access to federal
                                                the HCPCS coding process, including a                   primary speakers as specified in the                  agency facilities using their state-issued
                                                detailed explanation of the procedures                  DATES section of this notice.                         driver’s license or identification cards
                                                used to make coding determinations for                                                                        must present proper identification
                                                                                                        C. ‘‘5-Minute’’ Speaker Presentations                 issued by a state that is compliant with
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                                                all the products, supplies, and services
                                                that are coded in the HCPCS.                              Meeting attendees can sign up at the                the REAL ID Act of 2005 (Pub. L. 109–
                                                   The HCPCS website also contains a                    meeting, on a first-come, first-served                13, 119 Statute 302, enacted on May 11,
                                                document titled ‘‘HCPCS Decision Tree                   basis, to make presentations for up to 5              2005) or a state that has received an
                                                & Definitions’’ which illustrates, in flow              minutes on individual agenda items.                   extension. What constitutes proper
                                                diagram format, HCPCS coding                            Based on the number of items on the                   identification and whether a driver’s
                                                standards as described in our Coding                    agenda and the progress of the meeting,               license is acceptable identification for
                                                Procedures document.                                    a determination will be made at the                   accessing a federal facility may vary,


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                                                                          Federal Register / Vol. 83, No. 40 / Wednesday, February 28, 2018 / Notices                                            8679

                                                based on which state issued the driver’s                   We cannot assume responsibility for                DEPARTMENT OF HEALTH AND
                                                license. For detailed information, please               coordinating the receipt, transfer,                   HUMAN SERVICES
                                                refer to the Department of Homeland                     transport, storage, set-up, safety, or
                                                Security (DHS) website: At http://                      timely arrival of any personal                        Centers for Medicare & Medicaid
                                                www.dhs.gov. When planning a visit to                   belongings or items used for                          Services
                                                a federal facility, visitors who have                   demonstration or to support a                         [Document Identifiers: CMS–R–70, CMS–R–
                                                further questions about acceptable forms                presentation. Special arrangements and                72, CMS–1557, and CMS–10185]
                                                of identification are encouraged to                     approvals are required at least 2 weeks
                                                contact the facility to determine                       prior to each public meeting to bring                 Agency Information Collection
                                                acceptable identification.                              pieces of equipment or medical devices.               Activities: Proposed Collection;
                                                   Participants will also be subject to a                                                                     Comment Request
                                                                                                        These arrangements need to be made
                                                vehicle security inspection before access               with the public meeting coordinator. It               AGENCY: Centers for Medicare &
                                                to the complex is granted. Participants                 is possible that certain requests made in             Medicaid Services, Department of
                                                not in possession of a valid                            advance of the public meeting could be                Health and Human Services.
                                                identification or who are in possession
                                                                                                        denied because of unique safety,                      ACTION: Notice.
                                                of prohibited items will be denied
                                                                                                        security or handling issues related to the
                                                access to the complex. Prohibited items                                                                       SUMMARY:    The Centers for Medicare &
                                                on federal property include but are not                 equipment. A minimum of 2 weeks is
                                                                                                                                                              Medicaid Services (CMS) is announcing
                                                limited to, alcoholic beverages, illegal                required for approvals and security
                                                                                                                                                              an opportunity for the public to
                                                narcotics, explosives, firearms or other                procedures. Any request not submitted                 comment on CMS’ intention to collect
                                                dangerous weapons (including pocket                     at least 2 weeks in advance of the public             information from the public. Under the
                                                knives), dogs or other animals except                   meeting will be denied.                               Paperwork Reduction Act of 1995 (the
                                                service animals. Once cleared for entry                    Foreign National Visitors are defined              PRA), federal agencies are required to
                                                to the complex participants will be                     as Non-US Citizens, and non-lawful                    publish notice in the Federal Register
                                                directed to visitor parking by a security               permanent residents, non-resident                     concerning each proposed collection of
                                                officer.                                                aliens or non-green-card holders.                     information (including each proposed
                                                   To ensure expedited entry into the                      Attendees that are foreign nationals               extension or reinstatement of an existing
                                                building it is recommended that                                                                               collection of information) and to allow
                                                                                                        must identify themselves as such, and
                                                participants have their ID and a copy of                                                                      60 days for public comment on the
                                                                                                        provide the following information for
                                                their written meeting registration                                                                            proposed action. Interested persons are
                                                                                                        security clearance to the public meeting              invited to send comments regarding our
                                                confirmation readily available and that
                                                they do not bring large/bulky items into                coordinator by the date specified in the              burden estimates or any other aspect of
                                                                                                        DATES section of this notice:                         this collection of information, including
                                                the building. Participants are reminded
                                                that photography on the CMS complex                        • Building to Visit/Destination.                   the necessity and utility of the proposed
                                                is prohibited. We have also been                           • Visit start date, start time, end date,          information collection for the proper
                                                declared a tobacco free campus and                      end time.                                             performance of the agency’s functions,
                                                violators are subject to legal action. In                                                                     the accuracy of the estimated burden,
                                                planning arrival time, we recommend                        • Visitor full name.                               ways to enhance the quality, utility, and
                                                allowing additional time to clear                          • Gender.                                          clarity of the information to be
                                                security. Individuals who are not                          • Visitor Title.                                   collected, and the use of automated
                                                registered in advance will not be                                                                             collection techniques or other forms of
                                                permitted to enter the building and will                   • Visitor Organization/Employer.                   information technology to minimize the
                                                be unable to attend the meeting. The                       • Citizenship.                                     information collection burden.
                                                invited guests may not enter the                           • Birth Place (City, Country).                     DATES: Comments must be received by
                                                building earlier than 45 minutes before                                                                       April 30, 2018.
                                                                                                           • Date of Birth.
                                                the convening of the meeting each day.                                                                        ADDRESSES: When commenting, please
                                                   Guest access to the complex is limited                  • ID Type (Passport or State                       reference the document identifier or
                                                to the meeting area, the main entrance                  Department ID).                                       OMB control number. To be assured
                                                lobby, and the cafeteria. If a visitor is                  • Passport issued by Country.                      consideration, comments and
                                                found outside of those areas without                                                                          recommendations must be submitted in
                                                                                                           • ID (passport) Number.
                                                proper escort they may be escorted off                                                                        any one of the following ways:
                                                of the premises. Also be mindful that                      • ID (passport) issue date.                          1. Electronically. You may send your
                                                there will be an opportunity for                           • ID (passport) expiration date.                   comments electronically to http://
                                                everyone to speak and we request that                      • Visa Type.                                       www.regulations.gov. Follow the
                                                everyone waits for the appropriate time                                                                       instructions for ‘‘Comment or
                                                to present their product or opinions.                      • Visa Number.                                     Submission’’ or ‘‘More Search Options’’
                                                Disruptive behavior will not be tolerated                  • Purpose of Visit.                                to find the information collection
                                                and may result in removal from the                                                                            document(s) that are accepting
                                                                                                          Dated: February 21, 2018.
                                                meetings and escort from the complex.                                                                         comments.
                                                No visitor is allowed to attach USB                     Seema Verma,                                            2. By regular mail. You may mail
                                                cables, thumb drives or any other                       Administrator, Centers for Medicare &                 written comments to the following
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                                                equipment to any CMS information                        Medicaid Services.                                    address: CMS, Office of Strategic
                                                technology (IT) system or hardware for                  [FR Doc. 2018–04105 Filed 2–27–18; 8:45 am]           Operations and Regulatory Affairs
                                                any purpose at any time. Additionally,                  BILLING CODE 4120–01–P                                Division of Regulations Development,
                                                our staff is prohibited from taking such                                                                      Attention: Document Identifier/OMB
                                                actions on behalf of a visitor or utilizing                                                                   Control Number, Room C4–26–05, 7500
                                                any removable media provided by a                                                                             Security Boulevard, Baltimore,
                                                visitor.                                                                                                      Maryland 21244–1850.


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Document Created: 2018-02-28 03:19:45
Document Modified: 2018-02-28 03:19:45
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.
DatesMeeting Dates: The following are the 2018 HCPCS public meeting dates:
ContactJudi Wallace, (410) 786-3197 or [email protected]
FR Citation83 FR 8676 

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