Medicare Program; Request for Nominations to the Advisory Panel on Ambulatory Payment Classification Groups, 9336-9337 [05-3752]
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9336
Federal Register / Vol. 70, No. 37 / Friday, February 25, 2005 / Notices
CMS is requesting OMB review and
approval of these collections by March
18, 2005, with a 180-day approval
period. Written comments and
recommendations will be accepted from
the public if received by the individuals
designated below by March 17, 2005.
1. Type of Information Collection
Request: New collection; Title of
Information Collection: Bid Pricing Tool
(BPT) for Medicare Advantage
Organizations (MAOs) and Prescription
Drug Plans (PDPs) and Supporting
Regulations in 42 CFR 422.250, 422.252
422.254, 422.256, 422.258, 422.262,
422.264, 422.266, 422.270, 422.300,
422.304, 422.306, 422.308, 422.310,
422.312, 422.314, 422.316, 422.318,
422.320, 422.322, 422.324, 423.251,
423.258, 423.265, 423.272, 423.279,
423.286, 423.293, 423.301, 423.308,
423.315, 423.322, 423.329, 423.336,
423.343, 423.346, and 423.350; Use:
Under the Medicare Modernization Act
(MMA), Medicare Advantage
Organizations (MAOs) and Prescription
Drug Plans (PDPs) are required to
submit an actuarial pricing bid for each
plan for approval by CMS. MAOs and
PDPs use the Bid Pricing Tool (BPT)
software to develop their actuarial
pricing bid. CMS uses the BPT to review
and approve the plan pricing proposed
by each organization. CMS requires that
MAOs and PDPs complete the BPT as
part of the annual bid process. During
this process, organizations prepare their
proposed actuarial bid pricing for the
upcoming contract year and submit
them to CMS for review and approval.
The purpose of the BPT is to collect the
actuarial pricing for each plan. The BPT
calculates the plan’s bid, enrollee
premium(s), and any rebates or savings;
Form Number: CMS–10142 (OMB#:
0938–NEW); Frequency: On occasion,
annually, and as required by new
legislation; Affected Public: Business or
other for-profit and not-for-profit
institutions; Number of Respondents:
350; Total Annual Responses: 350; Total
Annual Hours: 12,050.
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Plan Benefit
Package (PBP) and Formulary
Submission for Medicare Advantage
(MA) Plans and Prescription Drug Plans
(PDPs); Use: Under the Medicare
Modernization Act (MMA), Medicare
Advantage (MA) and Prescription Drug
Plan (PDPs) organizations are required
to submit plan benefit packages for all
Medicare beneficiaries residing in their
service area. MA and PDP organizations
will generate a formulary to illustrate
their preferred list of drugs, including
information on prior authorization, step
VerDate jul<14>2003
19:31 Feb 24, 2005
Jkt 205001
therapy, tiering, and quantity limits.
Additionally, the PBP software will be
used to describe their organization’s
plan benefit packages, including
information on premiums, cost sharing,
authorization rules, and supplemental
benefits. CMS uses the formulary and
PBP data to review and approve the
plan benefit packages proposed by each
MA and PDP organization. The
formulary is a new requirement under
MMA; therefore, a revision to this
currently approved information
collection is necessary; Form Number:
CMS–R–262 (OMB#: 0938–0763);
Frequency: On occasion and as required
by new legislation; Affected Public:
Business or other for-profit and not-forprofit institutions; Number of
Respondents: 470; Total Annual
Responses: 2,092; Total Annual Hours:
5,546.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS’ Web site
address at https://www.cms.hhs.gov/
regulations/pra or e-mail your request,
including your address, phone number,
OMB number, and CMS document
identifier, to Paperwork@cms.hhs.gov,
or call the Reports Clearance Office on
(410) 786–1326.
Interested persons are invited to send
comments regarding the burden or any
other aspect of these collections of
information requirements. However, as
noted above, comments on these
information collection and
recordkeeping requirements must be
mailed and/or faxed to the designees
referenced below by March 17, 2005:
CMS, Office of Strategic Operations and
Regulatory Affairs, Division of
Regulations Development, 7500
Security Boulevard, Room C5–14–03,
Baltimore, MD 21244–1850, Attn:
Melissa Musotto, CMS–10142 and
CMS–R–262, Fax Number: 410–786–
3064; and,
OMB Human Resources and Housing
Branch, New Executive Office
Building, Room 10235, Washington,
DC 20503, Attention: Christopher
Martin, Desk Officer, Fax Number:
202–395–6974.
Dated: February 17, 2005.
John P. Burke, III,
CMS Paperwork Reduction Act Reports
Clearance Officer, Office of Strategic
Operations and Regulatory Affairs,
Regulations Development Group.
[FR Doc. 05–3550 Filed 2–24–05; 8:45 am]
BILLING CODE 4120–03–P
PO 00000
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1296–N]
Medicare Program; Request for
Nominations to the Advisory Panel on
Ambulatory Payment Classification
Groups
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
SUMMARY: This notice invites
nominations of members to the
Advisory Panel on Ambulatory Payment
Classification (APC) Groups (the Panel).
Seven vacancies will exist on the Panel
as of March 31, 2005.
The purpose of the Panel is to review
the APC groups and their associated
weights and to advise the Secretary of
the Department of Health and Human
Services (the Secretary) and the
Administrator of the Centers for
Medicare & Medicaid Services (CMS)
(the Administrator) concerning the
clinical integrity of the APC groups and
their associated weights. The advice
provided by the Panel will be
considered as CMS prepares its annual
updates of the hospital Outpatient
Prospective Payment System (OPPS)
through rulemaking.
The panel was recently rechartered
for a 2-year period through November
21, 2006.
Nominations: Nominations will be
considered if received no later than
March 15, 2005 at 5 p.m. e.s.t. Mail or
deliver nominations to the following
address: CMS; Attn: Shirl AckermanRoss, Designated Federal Officer (DFO),
Advisory Panel on APC Groups; Center
for Medicare Management (CMM),
Hospital & Ambulatory Policy Group
(HAPG), Division of Outpatient Care
(DOC); 7500 Security Boulevard, Mail
Stop C4–05–17; Baltimore, MD 21244–
1850.
Web Site: For additional information
on the APC Panel and updates to the
Panel’s activities, search our Web site at:
https://www.cms.hhs.gov/faca/apc/
default.asp.
Advisory Committees’ Information
Lines: You may also refer to the CMS
Advisory Committee Information
Hotlines at 1–877–449–5659 (toll-free)
or 410–786–9379 (local) for additional
information.
FOR FURTHER INFORMATION CONTACT:
Persons wishing to nominate
individuals to serve on the Panel or to
obtain further information can also
E:\FR\FM\25FEN1.SGM
25FEN1
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
VerDate jul<14>2003
19:31 Feb 24, 2005
Jkt 205001
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
Frm 00071
Fmt 4703
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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
]]>Agencies
[Federal Register Volume 70, Number 37 (Friday, February 25, 2005)]
[Notices]
[Pages 9336-9337]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-3752]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-1296-N]
Medicare Program; Request for Nominations to the Advisory Panel
on Ambulatory Payment Classification Groups
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice invites nominations of members to the Advisory
Panel on Ambulatory Payment Classification (APC) Groups (the Panel).
Seven vacancies will exist on the Panel as of March 31, 2005.
The purpose of the Panel is to review the APC groups and their
associated weights and to advise the Secretary of the Department of
Health and Human Services (the Secretary) and the Administrator of the
Centers for Medicare & Medicaid Services (CMS) (the Administrator)
concerning the clinical integrity of the APC groups and their
associated weights. The advice provided by the Panel will be considered
as CMS prepares its annual updates of the hospital Outpatient
Prospective Payment System (OPPS) through rulemaking.
The panel was recently rechartered for a 2-year period through
November 21, 2006.
Nominations: Nominations will be considered if received no later
than March 15, 2005 at 5 p.m. e.s.t. Mail or deliver nominations to the
following address: CMS; Attn: Shirl Ackerman-Ross, Designated Federal
Officer (DFO), Advisory Panel on APC Groups; Center for Medicare
Management (CMM), Hospital & Ambulatory Policy Group (HAPG), Division
of Outpatient Care (DOC); 7500 Security Boulevard, Mail Stop C4-05-17;
Baltimore, MD 21244-1850.
Web Site: For additional information on the APC Panel and updates
to the Panel's activities, search our Web site at: https://
www.cms.hhs.gov/faca/apc/default.asp.
Advisory Committees' Information Lines: You may also refer to the
CMS Advisory Committee Information Hotlines at 1-877-449-5659 (toll-
free) or 410-786-9379 (local) for additional information.
FOR FURTHER INFORMATION CONTACT: Persons wishing to nominate
individuals to serve on the Panel or to obtain further information can
also
[[Page 9337]]
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
self-nominations 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 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.
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. Self-nominations 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 e-mail 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.)
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
