Medicare and Medicaid Programs; Solicitation of Proposals for the Private, For-Profit Demonstration Project for the Program of All-Inclusive Care for the Elderly (PACE); Cancellation of Withdrawal, 9337-9338 [05-3553]
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Federal Register / Vol. 70, No. 37 / Friday, February 25, 2005 / Notices
contact Shirl Ackerman-Ross, the DFO,
at APCPanel@cms.hhs.gov or call 410–
786–4474. News media representatives
should contact the CMS Press Office at
202–690–6145.
SUPPLEMENTARY INFORMATION:
I. Background
The Secretary is required by section
1833(t)(9)(A) of the Social Security Act
(the Act), as amended and redesignated
by sections 201(h) and 202(a)(2) of the
Medicare, Medicaid, and SCHIP
Balanced Budget Refinement Act of
1999 (BBRA) (Pub. L. 106–113),
respectively, to establish and consult
with an expert, outside advisory panel
on Ambulatory Payment Classification
(APC) groups.
The Panel meets up to three times
annually to review the APC groups and
to provide technical advice to the
Secretary and the Administrator
concerning the clinical integrity of the
groups and their associated weights.
CMS considers the technical advice
provided by the Panel as we prepare the
proposed rule that proposes changes to
the OPPS for the next calendar year.
The Panel may consist of up to 15
representatives who are full-time
employees (not consultants) of Medicare
providers, which are subject to the
OPPS, and a Chair.
The Administrator selects the Panel
membership based upon either selfnominations or nominations submitted
by providers or interested organizations.
The current Panel members are: (The
asterisk [*] indicates a Panel member
whose term expires on March 31, 2005.)
• E. L. Hambrick, M.D., J.D., a CMS
Medical Officer.
• Marilyn K. Bedell, M.S., R.N.,
O.C.N.*
• Albert Brooks Einstein, Jr., M.D.
• Lee H. Hilborne, M.D.*
• Stephen T. House, M.D.*
• Kathleen P. Kinslow, C.R.N.A.,
Ed.D.*
• Mike Metro, R.N.*
• Sandra J. Metzler, M.B.A., R.H.I.A.
• Gerald V. Naccarelli, M.D.*
• Frank G. Opelka, M.D.
• Louis Potters, M.D.
• Lou Ann Schraffenberger, M.B.A.,
R.H.I.A.
• Judie S. Snipes, R.N., M.B.A.,
C.H.E.
• Lynn R. Tomascik, R.N., M.S.N.,
C.N.A.A.
• Timothy Gene Tyler, Pharm.D.
• William A. Van Decker, M.D., J.D.*
Panel members serve without
compensation, according to an advance
written agreement; however, travel,
meals, lodging, and related expenses are
reimbursed in accordance with standard
Government travel regulations. CMS has
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19:31 Feb 24, 2005
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a special interest for ensuring that
women, minorities, and the physically
challenged are adequately represented
on the Panel. CMS further encourages
nominations of qualified candidates
from those groups.
The Secretary, or his designee,
appoints new members to the Panel
from among those candidates
determined to have the required
expertise. New appointments are made
in a manner that ensures a balanced
membership.
9337
Dated: February 18, 2005.
Mark B. McClellan,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 05–3752 Filed 2–24–05; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–5011–WN2]
II. Criteria for Nominees
All nominees must have technical
expertise that enables them to
participate fully in the work of the
Panel. Such expertise encompasses
hospital payment systems, hospital
medical-care delivery systems,
outpatient payment requirements,
Ambulatory Payment Classification
(APC) Groups, Physicians’ Current
Procedural Terminology Codes (CPTs),
the use and payment of drugs and
medical devices in the outpatient
setting, and other forms of relevant
expertise.
It is not necessary for a nominee to
possess expertise in all of the areas
listed, but each must have a minimum
of 5 years experience and currently be
employed full-time in his or her area of
expertise. Members of the Panel serve
overlapping 2, 3, and 4-year terms,
contingent upon the rechartering of the
Panel.
Any interested person may nominate
one or more qualified individuals. Selfnominations will also be accepted. Each
nomination must include a letter of
nomination, the curriculum vita of the
nominee, and a statement from the
nominee that the nominee is willing to
serve on the Panel under the conditions
described in this notice and further
specified in the Charter.
III. Copies of the Charter
To obtain a copy of the Panel’s
Charter, submit a written request to the
DFO at the address provided or by email at APCPanel@cms.hhs.gov, or call
her at 410–786–4474. Copies of the
Charter are also available on the Internet
at https://www.cms.hhs.gov/faca.
Authority: Section 1833(t)(9)(A) of the Act
(42 U.S.C. 1395l(t)(9)(A). The Panel is
governed by the provisions of Pub. L. 92–463,
as amended (5 U.S.C. Appendix 2).
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program.)
PO 00000
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Medicare and Medicaid Programs;
Solicitation of Proposals for the
Private, For-Profit Demonstration
Project for the Program of All-Inclusive
Care for the Elderly (PACE);
Cancellation of Withdrawal
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Cancellation of a withdrawal
notice.
AGENCY:
SUMMARY: This document cancels the
withdrawal of the ‘‘Notice for the
Solicitation of Proposals for the Private,
For-Profit Demonstration Project for the
Program of All-Inclusive Care for the
Elderly (PACE)’’ published in the
Federal Register on November 26, 2004.
The November 26, 2004 notice was
published in error, and we do not wish
to withdraw the original notice of
solicitation published on August 10,
2001.
The solicitation notice solicited
proposals from private, for-profit
organizations for a fully-capitated joint
Medicare and Medicaid demonstration.
The goal of the solicitation notice was
to determine whether the risk-based
long-term care model employed by the
nonprofit PACE could be replicated
successfully by for-profit organizations.
EFFECTIVE DATE: The notice announcing
the withdrawal of solicitation is
cancelled effective February 25, 2005.
FOR FURTHER INFORMATION CONTACT:
Michael Henesch, (410) 786–6685.
SUPPLEMENTARY INFORMATION: Section
4804(a)(2) of the Balanced Budget Act of
1997 (BBA) requires us to conduct a
study to compare the costs, quality, and
access to services provided by for-profit
entities to those of nonprofit Program of
All-Inclusive Care for the Elderly
(PACE) providers. Section 4801(h)(2)(A)
of the BBA states that the terms and
conditions for the for-profit PACE must
be the same as those for PACE providers
that are nonprofit, private organizations
except that only 10 waivers may be
granted.
On August 10, 2001, we published a
notice in the Federal Register (66 FR
E:\FR\FM\25FEN1.SGM
25FEN1
9338
Federal Register / Vol. 70, No. 37 / Friday, February 25, 2005 / Notices
42229). The notice solicited proposals
from for-profit entities to demonstrate
that they could successfully provide
comprehensive coordinated care for the
frail elderly under a prepaid fullycapitated payment system.
On November 26, 2004, we published
a notice in the Federal Register (69 FR
68931) withdrawing the August 10,
2001 solicitation. To date, we have
received one application, and we do not
want to foreclose the application
process for other interested parties.
Therefore, we are canceling the
previously published notice of
withdrawal.
This document does not impose
information collection and
recordkeeping requirements.
Consequently, it need not be reviewed
by the Office of Management and
Budget under the authority of the
Paperwork Reduction Act of 1995.
Authority: Section 1894(h) and 1934(h) of
the Social Security Act (42 U.S.C. 1395).
(Catalog of Federal Domestic Assistance
Program No. 93.778, Medical Assistance
Program; No. 93.773 Medicare—Hospital
Insurance Program; and No. 93.774,
Medicare-Supplementary Medical Insurance
Program)
Dated: February 17, 2005.
Mark B. McClellan,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 05–3553 Filed 2–24–05; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–9025–N]
Medicare and Medicaid Programs;
Quarterly Listing of Program
Issuances—October Through
December 2004
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
SUMMARY: This notice lists CMS manual
instructions, substantive and
interpretive regulations, and other
Federal Register notices that were
published from October 2004 through
December 2004, relating to the Medicare
and Medicaid programs. This notice
provides information on national
coverage determinations (NCDs)
affecting specific medical and health
care services under Medicare.
Additionally, this notice identifies
certain devices with investigational
device exemption (IDE) numbers
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19:31 Feb 24, 2005
Jkt 205001
approved by the Food and Drug
Administration (FDA) that potentially
may be covered under Medicare.
Finally, this notice also includes listings
of all approval numbers from the Office
of Management and Budget for
collections of information in CMS
regulations.
Section 1871(c) of the Social Security
Act requires that we publish a list of
Medicare issuances in the Federal
Register at least every 3 months.
Although we are not mandated to do so
by statute, for the sake of completeness
of the listing, and to foster more open
and transparent collaboration efforts, we
are also including all Medicaid
issuances and Medicare and Medicaid
substantive and interpretive regulations
(proposed and final) published during
this 3-month time frame.
FOR FURTHER INFORMATION CONTACT: It is
possible that an interested party may
have a specific information need and
not be able to determine from the listed
information whether the issuance or
regulation would fulfill that need.
Consequently, we are providing
information contact persons to answer
general questions concerning these
items. Copies are not available through
the contact persons. (See Section III of
this notice for how to obtain listed
material.)
Questions concerning items in
Addendum III may be addressed to
Timothy Jennings, Office of Strategic
Operations and Regulatory Affairs,
Centers for Medicare & Medicaid
Services, C4–26–05, 7500 Security
Boulevard, Baltimore, MD 21244–1850,
or you can call (410) 786–2134.
Questions concerning Medicare NCDs
in Addendum V may be addressed to
Patricia Brocato-Simons, Office of
Clinical Standards and Quality, Centers
for Medicare & Medicaid Services, C1–
09–06, 7500 Security Boulevard,
Baltimore, MD 21244–1850, or you can
call (410) 786–0261.
Questions concerning FDA-approved
Category B IDE numbers listed in
Addendum VI may be addressed to
Eileen Davidson, Office of Clinical
Standards and Quality, Centers for
Medicare & Medicaid Services, S3–26–
10, 7500 Security Boulevard, Baltimore,
MD 21244–1850, or you can call (410)
786–6874.
Questions concerning approval
numbers for collections of information
in Addendum VII may be addressed to
Dawn Willinghan, Office of Strategic
Operations and Regulatory Affairs,
Regulations Development and Issuances
Group, Centers for Medicare & Medicaid
Services, C5–09–26, 7500 Security
Boulevard, Baltimore, MD 21244–1850,
or you can call (410) 786–6141.
PO 00000
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Questions concerning all other
information may be addressed to
Margaret Teeters, Office of Strategic
Operations and Regulatory Affairs,
Regulations Development Group,
Centers for Medicare & Medicaid
Services, C5–13–18, 7500 Security
Boulevard, Baltimore, MD 21244–1850,
or you can call (410) 786–4678.
SUPPLEMENTARY INFORMATION:
I. Program Issuances
The Centers for Medicare & Medicaid
Services (CMS) is responsible for
administering the Medicare and
Medicaid programs. These programs pay
for health care and related services for
39 million Medicare beneficiaries and
35 million Medicaid recipients.
Administration of the two programs
involves (1) furnishing information to
Medicare beneficiaries and Medicaid
recipients, health care providers, and
the public and (2) maintaining effective
communications with regional offices,
State governments, State Medicaid
agencies, State survey agencies, various
providers of health care, all Medicare
contractors that process claims and pay
bills, and others. To implement the
various statutes on which the programs
are based, we issue regulations under
the authority granted to the Secretary of
the Department of Health and Human
Services under sections 1102, 1871,
1902, and related provisions of the
Social Security Act (the Act). We also
issue various manuals, memoranda, and
statements necessary to administer the
programs efficiently.
Section 1871(c)(1) of the Act requires
that we publish a list of all Medicare
manual instructions, interpretive rules,
statements of policy, and guidelines of
general applicability not issued as
regulations at least every 3 months in
the Federal Register. We published our
first notice June 9, 1988 (53 FR 21730).
Although we are not mandated to do so
by statute, for the sake of completeness
of the listing of operational and policy
statements, and to foster more open and
transparent collaboration, we are
continuing our practice of including
Medicare substantive and interpretive
regulations (proposed and final)
published during the respective 3month time frame.
II. How To Use the Addenda
This notice is organized so that a
reader may review the subjects of
manual issuances, memoranda,
substantive and interpretive regulations,
NCDs, and FDA-approved IDEs
published during the subject quarter to
determine whether any are of particular
interest. We expect this notice to be
used in concert with previously
E:\FR\FM\25FEN1.SGM
25FEN1
]]>Agencies
[Federal Register Volume 70, Number 37 (Friday, February 25, 2005)]
[Notices]
[Pages 9337-9338]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-3553]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-5011-WN2]
Medicare and Medicaid Programs; Solicitation of Proposals for the
Private, For-Profit Demonstration Project for the Program of All-
Inclusive Care for the Elderly (PACE); Cancellation of Withdrawal
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Cancellation of a withdrawal notice.
-----------------------------------------------------------------------
SUMMARY: This document cancels the withdrawal of the ``Notice for the
Solicitation of Proposals for the Private, For-Profit Demonstration
Project for the Program of All-Inclusive Care for the Elderly (PACE)''
published in the Federal Register on November 26, 2004. The November
26, 2004 notice was published in error, and we do not wish to withdraw
the original notice of solicitation published on August 10, 2001.
The solicitation notice solicited proposals from private, for-
profit organizations for a fully-capitated joint Medicare and Medicaid
demonstration. The goal of the solicitation notice was to determine
whether the risk-based long-term care model employed by the nonprofit
PACE could be replicated successfully by for-profit organizations.
EFFECTIVE DATE: The notice announcing the withdrawal of solicitation is
cancelled effective February 25, 2005.
FOR FURTHER INFORMATION CONTACT: Michael Henesch, (410) 786-6685.
SUPPLEMENTARY INFORMATION: Section 4804(a)(2) of the Balanced Budget
Act of 1997 (BBA) requires us to conduct a study to compare the costs,
quality, and access to services provided by for-profit entities to
those of nonprofit Program of All-Inclusive Care for the Elderly (PACE)
providers. Section 4801(h)(2)(A) of the BBA states that the terms and
conditions for the for-profit PACE must be the same as those for PACE
providers that are nonprofit, private organizations except that only 10
waivers may be granted.
On August 10, 2001, we published a notice in the Federal Register
(66 FR
[[Page 9338]]
42229). The notice solicited proposals from for-profit entities to
demonstrate that they could successfully provide comprehensive
coordinated care for the frail elderly under a prepaid fully-capitated
payment system.
On November 26, 2004, we published a notice in the Federal Register
(69 FR 68931) withdrawing the August 10, 2001 solicitation. To date, we
have received one application, and we do not want to foreclose the
application process for other interested parties. Therefore, we are
canceling the previously published notice of withdrawal.
This document does not impose information collection and
recordkeeping requirements. Consequently, it need not be reviewed by
the Office of Management and Budget under the authority of the
Paperwork Reduction Act of 1995.
Authority: Section 1894(h) and 1934(h) of the Social Security
Act (42 U.S.C. 1395).
(Catalog of Federal Domestic Assistance Program No. 93.778, Medical
Assistance Program; No. 93.773 Medicare--Hospital Insurance Program;
and No. 93.774, Medicare-Supplementary Medical Insurance Program)
Dated: February 17, 2005.
Mark B. McClellan,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 05-3553 Filed 2-24-05; 8:45 am]
BILLING CODE 4120-01-P
