Proposed Data Collections Submitted for Public Comment and Recommendations, 1718-1719 [05-410]
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Federal Register / Vol. 70, No. 6 / Monday, January 10, 2005 / Notices
holding companies may be obtained
from the National Information Center
website at www.ffiec.gov/nic/.
Unless otherwise noted, comments
regarding each of these applications
must be received at the Reserve Bank
indicated or the offices of the Board of
Governors not later than February 3,
2005.
A. Federal Reserve Bank of Atlanta
(Sue Costello, Vice President) 1000
Peachtree Street, N.E., Atlanta, Georgia
30303:
1. Community Bancshares of
Mississippi, Inc. Employee Stock
Ownership Plan, Brandon, Mississippi;
to become a bank holding company by
acquiring 58.6 percent of the voting
shares of Community Bancshares of
Mississippi, Inc., Brandon, Mississippi,
and thereby indirectly acquire voting
shares of Community Bank of
Mississippi, Forest, Mississippi.
B. Federal Reserve Bank of Chicago
(Patrick Wilder, Assistant Vice
President) 230 South LaSalle Street,
Chicago, Illinois 60690–1414:
1. Arthur R. Murray, Inc., Milford,
Illinois; to acquire 100 percent of the
voting shares of Dewey State Bank,
Dewey, Illinois.
2. Country Bancorporation,
Crawfordsville, Iowa; to acquire 100
percent of the voting shares of White
State Bank, South English, Iowa.
3. Alpha Financial Group, Inc.
Employee Stock Ownership Plan,
Toluca, Illinois; to acquire up to 45.57
percent of the voting shares of Alpha
Financial Group, Toluca, Illinois, and
thereby indirectly acquire Alpha
Community Bank, Toluca, Illinois.
C. Federal Reserve Bank of St. Louis
(Randall C. Sumner, Vice President) 411
Locust Street, St. Louis, Missouri
63166–2034:
1. Ozarks Legacy Community
Financial, Inc., Thayer, Missouri; to
become a bank holding company by
acquiring at least 91.3 percent of the
voting shares of Bank of Thayer, Thayer,
Missouri.
Board of Governors of the Federal Reserve
System, January 4, 2005.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc. 05–392 Filed 1–7–05; 8:45 am]
Office Building, Room 10235,
Washington, DC 20503 or by fax to (202)
395–6974. Comments should be
received within fourteen days of this
notice.
BILLING CODE 6210–01–S
Proposed Project
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[14Day–05–AR]
Proposed Data Collections Submitted
for Public Comment and
Recommendations
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call the CDC Reports
Clearance Officer at (404) 371–5978.
CDC is requesting an emergency
clearance for this data collection with a
fourteen-day public comment period.
CDC is requesting OMB approval of this
package fourteen days after the end of
the public comment period.
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. As this is an emergency
clearance, please direct comments to the
CDC Desk Officer, Human Resources
and Housing Branch, New Executive
Operations and Scope of Public
Sexually Transmitted Disease (STD)
Clinics in the U.S. States and
Territories—New—National Center for
HIV, STD, and TB Prevention
(NCHSTP), Centers for Disease Control
and Prevention (CDC).
Many clinics around the United States
(U.S.) provide care specifically targeted
toward people infected with or at risk
for sexually transmitted diseases. These
clinics are an important community
resource in many areas because they
provide specialized, affordable, expert
care for clients. However, little is known
about the number of public clinics in
the U.S. that offer categorical STD
services, their geographical location, or
the range and quality of services offered.
Understanding the characteristics and
range of public STD clinics in the U.S.
and the communities they serve will
provide important information about
access to STD care in the public setting,
as well as identify needed resources.
The location of clinics can be compared
to local population size and STD
morbidity to assess coverage. In
addition, clinic information can be used
to supplement the referral database for
the CDC National STD and AIDS
Hotline; to assist the STD clinics in
networking with each other; and to
provide professionals working with
STDs a more accurate and well-rounded
national picture of the clinics and the
communities they serve. Additional
information can also be gathered to
assist in developing recommendations,
guidelines, programs, and activities.
CDC proposes to mail a brief survey
to approximately 2,800 public health
clinics in the United States regarding
the range of services offered at the
clinics, source of their funding, and
composition of clinic staff. Respondents
will be provided a stamped addressed
envelope to return the survey. The only
cost to respondents is their time to
complete the survey.
Number of
respondents
Number of
responses
per
respondent
Average
burden per
response
(in hours)
Public Health Clinics ........................................................................................................
2,800
1
15/60
700
Total ..........................................................................................................................
....................
....................
....................
700
Respondents
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Total
burden
(in hours)
Federal Register / Vol. 70, No. 6 / Monday, January 10, 2005 / Notices
Dated: December 29, 2004.
Alvin Hall,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. 05–410 Filed 1–7–05; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
Notice of Hearing: Reconsideration of
Disapproval of Indiana State Plan
Amendment 02–021
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice of hearing.
AGENCY:
SUMMARY: This notice announces an
administrative hearing to be held on
January 20, 2005, at 10 a.m., 233 North
Michigan Avenue, Minnesota Room,
Chicago, Illinois 60601 to reconsider the
decision to disapprove Indiana State
Plan Amendment (SPA) 02–021.
Closing Date: Requests to participate
in the hearing as a party must be
received by the presiding officer by
January 25, 2005.
FOR FURTHER INFORMATION CONTACT:
Kathleen Scully-Hayes, Presiding
Officer, CMS, LB–23–20, Lord Baltimore
Drive, Baltimore, Maryland 21244,
Telephone: (410) 786–2055.
SUPPLEMENTARY INFORMATION: This
notice announces an administrative
hearing to reconsider the decision to
disapprove Indiana Medicaid State Plan
Amendment (SPA) 02–021, which was
submitted on December 27, 2002.
In SPA 02–021, Indiana proposed to
expand the State’s Medicaid mental
health rehabilitation benefit to include
services furnished by five types of child
care facilities to inpatients in the
facilities. The State incorporated into
the SPA portions of the Indiana State
code (470 IAC 3–11, 470 IAC 3–12, 470
IAC 3–13, 470 IAC 3–14, and 470 IAC
3–15) that govern the operation of these
facilities.
At issue in this reconsideration is
whether SPA 02–021 is consistent with
the requirements contained in sections
1902(a)(10), 1902(a)(19), 1902(a)(30)(A),
and 1902(a)(4) of the Social Security Act
(the Act) as described in more detail
below. In general, the Centers for
Medicare & Medicaid Services (CMS)
found that the SPA had four basic
problems: (1) The proposed services
would be provided to individuals under
age 65 who are patients in institutions
for mental diseases (IMDs) (that are not
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Jkt 205001
juvenile psychiatric hospitals) and who
have not been determined eligible for
Medicaid; (2) the proposed services
would be provided on order of
individuals who are neither physicians
nor licensed practitioners; (3) the
proposed services would be provided in
facilities which permit use of
mechanical restraints and provide for
seclusion of children and which,
therefore, cannot be considered to be
‘‘in the best interests’’ of the recipients;
and (4) the proposed payment
methodology includes items not
encompassed in the definition of
Medicaid rehabilitation services and
improperly includes payment for state
administrative costs.
More specifically, at issue is whether
the proposed SPA complies with the
requirements of section 1902(a)(10) of
the Act, which provides generally that
state plans must make ‘‘medical
assistance’’ as defined in section 1905(a)
of the Act, available to eligible
individuals. The definition of medical
assistance at section 1905(a)(27),
excludes payment for care and services
for individuals under age 65 who are
patients in institutions for mental
diseases (IMDs), except payment for
juvenile psychiatric hospital services
pursuant to section 1905(a)(16) of the
Act. Indiana proposed to furnish
services to individuals who are under
age 65 in institutions that appear to
meet the definition of an IMD at section
1905(i) of the Act and applicable
Federal regulations at 42 CFR 435.1009.
However, these facilities do not provide
services that meet the definition of
inpatient psychiatric hospital services
contained in section 1905(h) of the Act
and do not comply with the regulatory
requirements for providers of inpatient
psychiatric hospital services set forth at
42 CFR 483 Subpart G (concerning use
of restraint or seclusion). Thus, the State
has failed to establish that the services
are within the scope of medical
assistance that is authorized under the
Act.
In addition, section 1905(a)(13) of the
Act defines rehabilitative services as
those that are recommended by a
physician or other licensed practitioner
of the healing arts. The proposed SPA
would include services that are
recommended by individuals who are
neither physicians nor licensed
practitioners, but who are operating
under the supervision of these
individuals. Nor do the proposed
services meet the requirements or
services in any inpatient setting within
the scope of medical assistance
(hospitals, nursing facilities, psychiatric
hospital services for juveniles, or
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1719
intermediate care facilities for the
mentally retarded).
Finally, section 1905(a) of the Act
defines the term ‘‘medical assistance’’ as
payment of part or all of the cost of care
and services furnished to eligible
individuals. The reimbursement section
of this amendment, detailed at section
4.2.2 of the Indiana Residential Care
Reimbursement Rate Establishment
document, and included in Attachment
4.19B of this amendment, would
provide payment for services furnished
to individuals who have not been
determined eligible for Medicaid.
In addition, at issue is whether the
proposed SPA is consistent with the
requirement in section 1902(a)(19) of
the Act that services be provided ‘‘in the
best interests of the recipients.’’ Indiana
permits the use of mechanical restraints
and provides for extended periods of
seclusion of children in the facilities
covered by this amendment. CMS has
determined that these policies, defined
in the Indiana Administrative Code (470
IAC 3–11, 470 IAC 3–12, and 470 IAC
3–13) and incorporated in this
amendment by reference, would
endanger the health and welfare of the
victims of these procedures, and cannot
be considered to be in the best interests
of the children affected.
Finally, at issue is whether the
proposed payment methodology
complies with section 1902(a)(30)(A) of
the Act, which requires that payments
for services under the plan be
‘‘consistent with efficiency, economy,
and quality of care,’’ and with section
1902(a)(4) which requires that the State
use methods of administration that are
found by the Secretary to be ‘‘necessary
for the proper and efficient operation of
the plan.’’ The payment methodology
proposed by the State includes payment
for numerous cost items, including
elements of room and board and
transportation services, that are not
encompassed in the definition of
Medicaid rehabilitation services. For
this reason, CMS found that the State
has not documented that the proposed
payment methodology would be
efficient or economical, as required by
section 1902(a)(30)(A) of the Act.
Furthermore, CMS determined that the
payment methodology improperly
includes payment for State
administrative costs as medical
assistance. The amendment would
include Medicaid administrative costs
as part of the payment to providers and
thus would likely result in incorrect
payment of FFP. Because the proposed
payment methodology commingles
medical assistance and administrative
costs, it is not consistent with the
requirement for proper and efficient
E:\FR\FM\10JAN1.SGM
10JAN1
]]>Agencies
[Federal Register Volume 70, Number 6 (Monday, January 10, 2005)]
[Notices]
[Pages 1718-1719]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-410]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[14Day-05-AR]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call the CDC Reports
Clearance Officer at (404) 371-5978. CDC is requesting an emergency
clearance for this data collection with a fourteen-day public comment
period. CDC is requesting OMB approval of this package fourteen days
after the end of the public comment period.
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology. As this is an emergency clearance,
please direct comments to the CDC Desk Officer, Human Resources and
Housing Branch, New Executive Office Building, Room 10235, Washington,
DC 20503 or by fax to (202) 395-6974. Comments should be received
within fourteen days of this notice.
Proposed Project
Operations and Scope of Public Sexually Transmitted Disease (STD)
Clinics in the U.S. States and Territories--New--National Center for
HIV, STD, and TB Prevention (NCHSTP), Centers for Disease Control and
Prevention (CDC).
Many clinics around the United States (U.S.) provide care
specifically targeted toward people infected with or at risk for
sexually transmitted diseases. These clinics are an important community
resource in many areas because they provide specialized, affordable,
expert care for clients. However, little is known about the number of
public clinics in the U.S. that offer categorical STD services, their
geographical location, or the range and quality of services offered.
Understanding the characteristics and range of public STD clinics in
the U.S. and the communities they serve will provide important
information about access to STD care in the public setting, as well as
identify needed resources. The location of clinics can be compared to
local population size and STD morbidity to assess coverage. In
addition, clinic information can be used to supplement the referral
database for the CDC National STD and AIDS Hotline; to assist the STD
clinics in networking with each other; and to provide professionals
working with STDs a more accurate and well-rounded national picture of
the clinics and the communities they serve. Additional information can
also be gathered to assist in developing recommendations, guidelines,
programs, and activities.
CDC proposes to mail a brief survey to approximately 2,800 public
health clinics in the United States regarding the range of services
offered at the clinics, source of their funding, and composition of
clinic staff. Respondents will be provided a stamped addressed envelope
to return the survey. The only cost to respondents is their time to
complete the survey.
----------------------------------------------------------------------------------------------------------------
Number of Average
Number of responses burden per Total
Respondents respondents per response burden (in
respondent (in hours) hours)
----------------------------------------------------------------------------------------------------------------
Public Health Clinics....................................... 2,800 1 15/60 700
--------------
Total................................................... ........... ........... ........... 700
----------------------------------------------------------------------------------------------------------------
[[Page 1719]]
Dated: December 29, 2004.
Alvin Hall,
Director, Management Analysis and Services Office, Centers for Disease
Control and Prevention.
[FR Doc. 05-410 Filed 1-7-05; 8:45 am]
BILLING CODE 4163-18-P
