Medicare and Medicaid Programs; Resolicitation of Proposals for the Private, For-Profit Demonstration Project for the Program of All-Inclusive Care for the Elderly (PACE) and Announcement of Closing Date, 36722-36723 [E9-17607]
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Federal Register / Vol. 74, No. 141 / Friday, July 24, 2009 / Notices
assessment of the organization’s
survey process.
—The adequacy of ACHC’s staff and
other resources, and its financial
viability.
—ACHC’s capacity to adequately fund
required surveys.
—ACHC’s policies with respect to
whether surveys are announced or
unannounced, to assure that surveys
are unannounced.
—ACHC’s agreement to provide us with
a copy of the most current
accreditation survey together with any
other information related to the
survey as we may require (including
corrective action plans).
IV. Response to Public Comments and
Notice Upon Completion of Evaluation
Because of the large number of public
comments we normally receive on
Federal Register documents, we are not
able to acknowledge or respond to them
individually. We will consider all
comments we receive by the date and
time specified in the DATES section of
this preamble, and, when we proceed
with a subsequent document, we will
respond to the comments in the
preamble to that document.
Upon completion of our evaluation,
including evaluation of comments
received as a result of this notice, we
will publish a final notice in the Federal
Register announcing the result of our
evaluation.
Dated: July 9, 2009.
Charlene Frizzera,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. E9–17611 Filed 7–23–09; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–5050–N]
Medicare and Medicaid Programs;
Resolicitation of Proposals for the
Private, For-Profit Demonstration
Project for the Program of All-Inclusive
Care for the Elderly (PACE) and
Announcement of Closing Date
AGENCY: Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
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 (44
U.S.C. 35).
SUMMARY: This notice resolicits
proposals for the private, for-profit
demonstration project for the Program of
All-Inclusive Care for the Elderly
(PACE) and announces a closing date for
the solicitation. We previously solicited
proposals from private, for-profit
organizations for a fully capitated joint
Medicare and Medicaid demonstration.
DATES: Closing Date: Proposals must be
submitted by July 26, 2010.
ADDRESSES: Proposals should be mailed
to the following by the date specified in
the DATES section of this notice:
Attention: Michael Henesch, Office of
Research, Development, and
Information, Centers for Medicare and
Medicaid Services, Mailstop: C4–17–27,
7500 Security Boulevard, Baltimore, MD
21244–1850.
FOR FURTHER INFORMATION CONTACT:
Michael Henesch, 410–786–6685.
SUPPLEMENTARY INFORMATION:
VI. Regulatory Impact Statement
I. Background
In accordance with the provisions of
Executive Order 12866, the Office of
Management and Budget did not review
this proposed notice.
In accordance with Executive Order
13132, we have determined that this
proposed notice would not have a
significant effect on the rights of States,
local or Tribal governments.
Sections 1894(h)(1) and 1934(h)(1) of
the Social Security Act (the Act) state
that the Secretary shall grant waivers to
enable up to ten private, for-profit
Programs of All-Inclusive Care for the
Elderly (PACE) demonstration projects
to provide medical assistance to PACE
program eligible individuals who are 55
years of age or older, require the level
of care required for coverage of nursing
facility services, and reside in the PACE
program service area. The for-profit
demonstration provision requires that,
except for the numerical limitation of
ten demonstration waivers, the
operation of a PACE program by a
provider shall be the same as those for
srobinson on DSKHWCL6B1PROD with NOTICES
V. Collection of Information
Requirements
Authority: Section 1865 of the Social
Security Act (42 U.S.C. 1395bb).
(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)
VerDate Nov<24>2008
18:55 Jul 23, 2009
Jkt 217001
PO 00000
Frm 00074
Fmt 4703
Sfmt 4703
PACE providers that are not-for-profit,
private organizations. The purpose of
this notice is to resolicit proposals for
the private, for-profit demonstration
project for the PACE and announces a
closing date for the solicitation. A
previous notice of solicitation to forprofit organizations (66 FR 42229) was
published in the August 10, 2001
Federal Register. The purpose of the
August 2001 notice was to determine
whether the risk-based long-term care
model employed by the nonprofit PACE
can be replicated successfully by forprofit organizations.
Section 4804(b) of the Balanced
Budget Act of 1997 (BBA) (Pub. L. 105–
33) requires issuance of a report that
includes findings as to whether—
• The number of covered lives
enrolled in for-profit PACE
demonstration projects are statistically
sufficient to make the findings
described below;
• The population enrolled in forprofit PACE demonstration projects is
less frail than the population enrolled
with other PACE providers;
• Access to or quality of care for
individuals enrolled with for-profit
PACE programs is lower than for those
enrolled in other PACE programs; and
• For-profit demonstration projects
resulted in increased expenditures
under Medicare or Medicaid programs
above those incurred by other PACE
providers.
The August 2001 Federal Register (66
FR 42229), solicited proposals from forprofit entities to demonstrate that they
can successfully provide comprehensive
coordinated care for the frail elderly
under a prepaid fully-capitated payment
system. That notice specified that we
would—(1) consider proposals only
from for-profit organizations; and (2)
operate the demonstration for 3 years.
To date, there are only two for-profit
PACE demonstration projects in place,
both of which began in 2007.
II. Provisions of the Notice
This notice resolicits proposals for the
private, for-profit demonstration project
for the PACE and announces a closing
date for this solicitation. We publish
this notice to—
• Encourage for-profit entities to
submit proposals to conduct projects to
demonstrate the for-profit PACE concept
over a 3 year period, and to further
encourage that they do so within the
next year by establishing a closing date
to the solicitation; and
• Increase the number of covered
enrollees across all for-profit
demonstration sites.
Therefore, this notice provides an
additional opportunity for interested
E:\FR\FM\24JYN1.SGM
24JYN1
Federal Register / Vol. 74, No. 141 / Friday, July 24, 2009 / Notices
for-profit organizations to submit
proposals to the address listed in the
ADDRESSES section of this notice by the
date specified in the DATES section of
this notice. If after this limited 1-year
opportunity the report with the required
findings cannot be completed, for-profit
PACE demonstrations should plan to
terminate their projects. We note that, as
a resolicitation, all proposals received
will be evaluated using the criteria
specified in the original August 10, 2001
Federal Register notice (66 FR 42231)
and these criteria are also available on
the CMS Web site at: https://
www.cms.hhs.gov/
DemoProjectsEvalRpts/MD/
itemdetail.asp?itemID=CMS1202809.
III. Collection of Information
Requirements
As we do not anticipate receiving 10
or more applications for this
demonstration, 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. 1395eee
and 1396u–4) (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: May 6, 2009.
Charlene Frizzera,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. E9–17607 Filed 7–23–09; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1415–N]
srobinson on DSKHWCL6B1PROD with NOTICES
Medicare Program; Announcement of
Five New Members to the Advisory
Panel on Ambulatory Payment
Classification Groups
AGENCY: Centers for Medicare &
Medicaid Services (CMS), Department
of Health and Human Services (DHHS).
ACTION: Notice.
SUMMARY: This notice announces five
new members selected to serve on the
Advisory Panel on Ambulatory Payment
Classification (APC) Groups (the Panel).
The purpose of the Panel is to review
the APC groups and their associated
VerDate Nov<24>2008
18:55 Jul 23, 2009
Jkt 217001
weights and to advise the Secretary of
DHHS (the Secretary) and the
Administrator of CMS (the
Administrator) concerning the clinical
integrity of the APC groups and their
associated weights. We will consider the
Panel’s advice as we prepare the annual
updates of the hospital outpatient
prospective payment system (OPPS).
FOR FURTHER INFORMATION CONTACT: For
inquiries about the Panel, please contact
the Designated Federal Official (DFO):
Shirl Ackerman-Ross, DFO, CMS, CMM,
HAPG, DOC, 7500 Security Boulevard,
Mail Stop C4–05–17, Baltimore, MD
21244–1850, Phone (410) 786–4474.
APC Panel E-Mail Address: The Email address for the Panel is as follows:
CMS APCPanel@cms.hhs.gov (Note:
There is NO underscore in this e-mail
address; there is a SPACE between CMS
and APCPanel.)
News Media Contact: News media
representatives must contact our Public
Affairs Office at (202) 690–6145.
CMS Advisory Committees Hotlines:
The CMS Federal Advisory Committee
Hotline is 1–877–449–5659 (toll free)
and (410) 786–9379 (local) for
additional Panel information.
Web Sites: For additional information
regarding the APC Panel membership,
meetings, agendas, and updates to the
Panel’s activities, please search our Web
site at the following Uniform Resource
Locator (URL): https://www.cms.hhs.gov/
FACA/05_AdvisoryPanelonAmbulatory
PaymentClassificationGroups.asp#
TopOfPage. (Note: There is an
UNDERSCORE after FACA/05 (like
this_); there is no space.)
The public may also access the
following URL for the Federal Advisory
Committee Act Web site to obtain APC
Panel information: https://
www.fido.gov/facadatabase/public.asp.
A copy of the Panel’s Charter and other
pertinent information are on both Web
sites mentioned above. You may also email the Panel DFO at the above e-mail
address for a copy of the Charter.
SUPPLEMENTARY INFORMATION:
I. Background
The Secretary is required by section
1833(t)(9)(A) of the Social Security Act
(the Act) to consult with an expert
outside advisory Panel regarding the
clinical integrity of the APC groups and
relative payment weights that are
components of the Medicare hospital
OPPS.
The APC Panel meets up to three
times annually. The Charter requires
that the Panel must be fairly balanced in
its membership in terms of the points of
view represented and the functions to
be performed. The Panel consists of up
PO 00000
Frm 00075
Fmt 4703
Sfmt 4703
36723
to 15 members, who are representatives
of providers, and a Chair. Each Panel
member must be employed full-time by
a hospital, hospital system, or other
Medicare provider subject to payment
under the OPPS. The Secretary or
Administrator selects the Panel
membership based upon either selfnominations or nominations submitted
by Medicare providers and other
interested organizations. All members
must have technical expertise to enable
them to participate fully in the work of
the Panel. This expertise encompasses
hospital payment systems; hospital
medical-care delivery systems; provider
billing systems; APC groups, Current
Procedural Terminology codes, and
alpha-numeric Healthcare Common
Procedure Coding System codes; and
the use of, and payment for, drugs and
medical devices in the outpatient
setting, as well as other forms of
relevant expertise.
The Charter requires that all members
have a minimum of 5 years experience
in their area(s) of expertise, but it is not
necessary that any member be an expert
in all of the areas listed above. For
purposes of this Panel, consultants and
independent contractors are not
considered as being full-time employees
of hospitals, hospital systems, or other
Medicare providers that are paid under
the Medicare hospital OPPS. A Panel
member may serve up to a 4-year term.
A member may serve after the
expiration of his or her term until a
successor has been sworn in. All terms
are contingent upon the renewal of the
Panel’s Charter by appropriate action
before its termination. The Secretary rechartered the APC Panel effective
November 21, 2008.
II. Announcement of New Members
The Panel may consist of a Chair and
up to 15 Panel members who serve
without compensation, according to an
advance written agreement. Travel,
meals, lodging, and related expenses for
the meeting are reimbursed in
accordance with standard Government
travel regulations. We have a special
interest in ensuring that women,
minorities, representatives from various
geographical locations, and the
physically challenged are adequately
represented on the Panel.
The Secretary, or her 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.
The Panel presently consists of the
following 15 members and a Chair. (The
E:\FR\FM\24JYN1.SGM
24JYN1
Agencies
[Federal Register Volume 74, Number 141 (Friday, July 24, 2009)]
[Notices]
[Pages 36722-36723]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-17607]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-5050-N]
Medicare and Medicaid Programs; Resolicitation of Proposals for
the Private, For-Profit Demonstration Project for the Program of All-
Inclusive Care for the Elderly (PACE) and Announcement of Closing Date
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice resolicits proposals for the private, for-profit
demonstration project for the Program of All-Inclusive Care for the
Elderly (PACE) and announces a closing date for the solicitation. We
previously solicited proposals from private, for-profit organizations
for a fully capitated joint Medicare and Medicaid demonstration.
DATES: Closing Date: Proposals must be submitted by July 26, 2010.
ADDRESSES: Proposals should be mailed to the following by the date
specified in the DATES section of this notice: Attention: Michael
Henesch, Office of Research, Development, and Information, Centers for
Medicare and Medicaid Services, Mailstop: C4-17-27, 7500 Security
Boulevard, Baltimore, MD 21244-1850.
FOR FURTHER INFORMATION CONTACT: Michael Henesch, 410-786-6685.
SUPPLEMENTARY INFORMATION:
I. Background
Sections 1894(h)(1) and 1934(h)(1) of the Social Security Act (the
Act) state that the Secretary shall grant waivers to enable up to ten
private, for-profit Programs of All-Inclusive Care for the Elderly
(PACE) demonstration projects to provide medical assistance to PACE
program eligible individuals who are 55 years of age or older, require
the level of care required for coverage of nursing facility services,
and reside in the PACE program service area. The for-profit
demonstration provision requires that, except for the numerical
limitation of ten demonstration waivers, the operation of a PACE
program by a provider shall be the same as those for PACE providers
that are not-for-profit, private organizations. The purpose of this
notice is to resolicit proposals for the private, for-profit
demonstration project for the PACE and announces a closing date for the
solicitation. A previous notice of solicitation to for-profit
organizations (66 FR 42229) was published in the August 10, 2001
Federal Register. The purpose of the August 2001 notice was to
determine whether the risk-based long-term care model employed by the
nonprofit PACE can be replicated successfully by for-profit
organizations.
Section 4804(b) of the Balanced Budget Act of 1997 (BBA) (Pub. L.
105-33) requires issuance of a report that includes findings as to
whether--
The number of covered lives enrolled in for-profit PACE
demonstration projects are statistically sufficient to make the
findings described below;
The population enrolled in for-profit PACE demonstration
projects is less frail than the population enrolled with other PACE
providers;
Access to or quality of care for individuals enrolled with
for-profit PACE programs is lower than for those enrolled in other PACE
programs; and
For-profit demonstration projects resulted in increased
expenditures under Medicare or Medicaid programs above those incurred
by other PACE providers.
The August 2001 Federal Register (66 FR 42229), solicited proposals
from for-profit entities to demonstrate that they can successfully
provide comprehensive coordinated care for the frail elderly under a
prepaid fully-capitated payment system. That notice specified that we
would--(1) consider proposals only from for-profit organizations; and
(2) operate the demonstration for 3 years.
To date, there are only two for-profit PACE demonstration projects
in place, both of which began in 2007.
II. Provisions of the Notice
This notice resolicits proposals for the private, for-profit
demonstration project for the PACE and announces a closing date for
this solicitation. We publish this notice to--
Encourage for-profit entities to submit proposals to
conduct projects to demonstrate the for-profit PACE concept over a 3
year period, and to further encourage that they do so within the next
year by establishing a closing date to the solicitation; and
Increase the number of covered enrollees across all for-
profit demonstration sites.
Therefore, this notice provides an additional opportunity for
interested
[[Page 36723]]
for-profit organizations to submit proposals to the address listed in
the ADDRESSES section of this notice by the date specified in the DATES
section of this notice. If after this limited 1-year opportunity the
report with the required findings cannot be completed, for-profit PACE
demonstrations should plan to terminate their projects. We note that,
as a resolicitation, all proposals received will be evaluated using the
criteria specified in the original August 10, 2001 Federal Register
notice (66 FR 42231) and these criteria are also available on the CMS
Web site at: https://www.cms.hhs.gov/DemoProjectsEvalRpts/MD/itemdetail.asp?itemID=CMS1202809.
III. Collection of Information Requirements
As we do not anticipate receiving 10 or more applications for this
demonstration, 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. 1395eee and 1396u-4) (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: May 6, 2009.
Charlene Frizzera,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. E9-17607 Filed 7-23-09; 8:45 am]
BILLING CODE 4120-01-P