National Institute on Alcohol Abuse and Alcoholism; Notice of Closed Meeting, 26735-26736 [2011-11210]
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Federal Register / Vol. 76, No. 89 / Monday, May 9, 2011 / Notices
WReier-Aviles on DSKGBLS3C1PROD with NOTICES
judicial review are met. Pursuant to 42
CFR 418.311 (which incorporates 42
CFR part 405, subpart R), the provider
may appeal an intermediary’s cap
determination in accordance with the
requirements contained in either 42 CFR
405.1811 or 42 CFR 405.1835,
whichever is applicable. In accordance
with the applicable regulations, any
such appeal must be filed to the
appropriate authority no later than 180
days from the date of the contractor’s
determination. If a provider properly
pursues and exhausts the administrative
appeals process and receives a final
agency decision, the final agency
decision is subject to judicial review in
accordance with 42 CFR part 405,
subpart R and 42 U.S.C. 1395oo.
In addition, all hospice cap
determinations based on application of
a patient-by-patient proportional
methodology are subject to reopening
(for up to 3 years in accordance with the
requirements of 42 CFR 405.1885).
Thus, a hospice cap payment
determination made pursuant to this
Ruling may be reopened at a later time
(e.g., to revise the proportional
allocations to account for additional
days of care after the year in question,
which would increase the denominators
of some proportions and thus decrease
some fractional allocations). We
recognize that this might increase
uncertainty, but this concern must be
balanced against other considerations
such as payment accuracy and
timeliness of payment determinations.
Nothing in this Ruling, however, shall
be construed as requiring reopening and
recalculation of cap determinations for
an earlier year when there is a
recalculation for any given year.
Ruling
First, it is CMS’ Ruling that the
agency and the Medicare contractors
will resolve and grant relief in each
properly pending appeal in which a
hospice provider seeks review of a final
determination of overpayment for a cap
year ending on or before October 31,
2011 by challenging the validity of the
methodology set forth in 42 CFR
418.309(b)(1). CMS will grant relief in
each appeal by directing its Medicare
contractors to recalculate the final
overpayment determination in
accordance with the patient-by-patient
proportional methodology described in
Section 2 of this Ruling.
Second, it is also CMS’ Ruling that the
pertinent administrative appeals
tribunal (that is, the PRRB, the
Administrator of CMS, the fiscal
intermediary hearing officer, or the CMS
reviewing official) and the appropriate
Medicare contractor will process, in
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accordance with the instructions set
forth in Sections 3 and 4 of this Ruling,
each appeal (including any
interlocutory appeals) and each putative
claim (in such appeal) seeking review of
a hospice cap overpayment
determination for a cap year ending on
or before October 31, 2011 on the basis
that the methodology set forth in 42 CFR
418.309(b)(1) is invalid.
Third, it is CMS’ further Ruling that
the agency and the appropriate
Medicare contractor will process, in
accordance with the instructions set
forth in Section 5 of this Ruling, each
properly pending appeal seeking review
of a hospice cap overpayment
determination for a cap year ending on
or before October 31, 2011 on the basis
that the methodology set forth in 42 CFR
418.309(b)(1) is invalid and that is
remanded by the administrative appeals
tribunal and is found to qualify for relief
under this Ruling.
Fourth, it is CMS’ further Ruling that,
pursuant to 42 CFR 405.1801(a),
405.1885(c)(1), (2), this Ruling is not an
appropriate basis for the reopening of
final determinations of the Secretary or
a Medicare contractor or of any decision
by a reviewing entity, except to the
extent that this Ruling provides for
reopening in accordance with existing
regulations and policy; accordingly, it is
hereby held that this Ruling does not
provide an independent basis for the
administrative appeals tribunals, the
fiscal intermediaries, and other
Medicare contractors to reopen any final
hospice cap determination in a manner
inconsistent with existing regulations
and policy.
Fifth, it is also CMS’ Ruling that,
pursuant to 42 CFR 401.108, this Ruling
is a final precedent opinion and order
and a binding statement of policy that
does not give rise to any putative
retroactive rulemaking issues; in any
event, it is hereby held that, if this
Ruling were deemed to implicate
potential retroactive rulemaking issues,
then, in accordance with 42 U.S.C.
1395hh(e)(1)(A), retroactive application
of this Ruling is necessary to ensure
continuing compliance with 42 U.S.C.
1395f(i)(2) and to serve the public
interest.
Sixth, it is also CMS’ Ruling that,
pursuant to 42 CFR 401.108, this Ruling
is a final precedent opinion and order
and a binding statement of policy. This
Ruling is not a substantive or legislative
rule requiring notice and comment; to
the extent that this Ruling is deemed to
be a substantive or legislative rule, it is
CMS’s Ruling that good cause exists to
dispense with rulemaking procedures
pursuant to 42 U.S.C. 1395hh(b)(2)(C)
and 5 U.S.C. 553(b)(B) to ensure
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26735
continued compliance with 42 U.S.C.
1395f(i)(2).
(Catalog of Federal Domestic Assistance
Program No. 93.773 Medicare—Hospital
Insurance Program; and No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: April 14, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2011–10694 Filed 4–28–11; 4:15 pm]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute on Alcohol Abuse
and Alcoholism; Notice of Closed
Meeting
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute on
Alcohol Abuse and Alcoholism Initial
Review Group, Clinical, Treatment and
Health Services Research Review
Subcommittee.
Date: July 12, 2011.
Time: 8 a.m. to 6:30 p.m.
Agenda: To review and evaluate grant
applications.
Place: Hyatt Regency Bethesda, One
Bethesda Metro Center, 7400 Wisconsin
Avenue, Bethesda, MD 20814.
Contact Person: Katrina L Foster, PhD,
Scientific Review Officer, National Institute
on Alcohol Abuse & Alcoholism, National
Institutes of Health, 5635 Fishers Lane, Rm.
2019, Rockville, MD 20852, 301–443–4032,
katrina@mail.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.271, Alcohol Research
Career Development Awards for Scientists
and Clinicians; 93.272, Alcohol National
Research Service Awards for Research
Training; 93.273, Alcohol Research Programs;
93.891, Alcohol Research Center Grants;
93.701, ARRA Related Biomedical Research
and Research Support Awards, National
Institutes of Health, HHS)
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26736
Federal Register / Vol. 76, No. 89 / Monday, May 9, 2011 / Notices
Dated: May 2, 2011.
Jennifer S. Spaeth,
Director, Office of Federal Advisory
Committee Policy.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2011–11210 Filed 5–6–11; 8:45 am]
Center for Scientific Review; Notice of
Closed Meetings
National Institutes of Health
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Eunice Kennedy Shriver National
Institute of Child Health & Human
Development; Notice of Closed
Meeting
WReier-Aviles on DSKGBLS3C1PROD with NOTICES
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The contract proposals and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the contract
proposals, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute of
Child Health and Human Development
Special Emphasis Panel, Systematic Review
of Neonatal Medicine.
Date: May 23, 2011.
Time: 1 p.m. to 3 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health, 6100
Executive Boulevard, Rockville, MD 20852,
(Telephone Conference Call.)
Contact Person: Sathasiva B. Kandasamy,
PhD, Scientific Review Officer, Division of
Scientific Review, Eunice Kennedy Shriver
National Institute of Child Health and
Human Development, NIH, 6100 Executive
Blvd., Room 5B01, Bethesda, Md 20892, 301–
435–6680, skandasa@mail.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.864, Population Research;
93.865, Research for Mothers and Children;
93.929, Center for Medical Rehabilitation
Research; 93.209, Contraception and
Infertility Loan Repayment Program, National
Institutes of Health, HHS)
Dated: May 3, 2011.
Jennifer S. Spaeth,
Director, Office of Federal Advisory
Committee Policy.
[FR Doc. 2011–11201 Filed 5–6–11; 8:45 am]
BILLING CODE 4140–01–P
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Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meetings.
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: Center for Scientific
Review Special Emphasis Panel, PAR—09–
214: NHLBI Systems Biology.
Date: May 23–24, 2011.
Time: 8 a.m. to 7 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health, 6701
Rockledge Drive, Bethesda, MD 20892,
(Virtual Meeting.)
Contact Person: Ai-Ping Zou, MD, PhD,
Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 4118,
MSC 7814, Bethesda, MD 20892, 301–435–
1777, zouai@csr.nih.gov.
This notice is being published less than 15
days prior to the meeting due to the timing
limitations imposed by the review and
funding cycle.
Name of Committee: Molecular, Cellular
and Developmental Neuroscience Integrated
Review Group, Neurodifferentiation,
Plasticity, and Regeneration Study Section.
Date: June 1–2, 2011.
Time: 8 a.m. to 4 p.m.
Agenda: To review and evaluate grant
applications.
Place: Westin Alexandria, 400 Courthouse
Square, Alexandria, VA 22314.
Contact Person: Carole L Jelsema, PhD,
Chief and Scientific Review Officer, Center
for Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 4176,
MSC 7850, Bethesda, MD 20892, (301) 435–
1248, jelsemac@csr.nih.gov.
Name of Committee: Molecular, Cellular
and Developmental Neuroscience Integrated
Review Group, Cellular and Molecular
Biology of Glia Study Section.
Date: June 2–3, 2011.
Time: 8 a.m. to 4 p.m.
Agenda: To review and evaluate grant
applications.
Place: Hyatt Regency Bethesda, One
Bethesda Metro Center, 7400 Wisconsin
Avenue, Bethesda, MD 20814.
Contact Person: Toby Behar, PhD,
Scientific Review Officer, Center for
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Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 4136,
MSC 7850, Bethesda, MD 20892, (301) 435–
4433, behart@csr.nih.gov.
Name of Committee: Center for Scientific
Review Special Emphasis Panel,
Macromolecular Structure and Function C.
Date: June 9, 2011.
Time: 10 a.m. to 11 a.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health, 6701
Rockledge Drive, Bethesda, MD 20892,
(Telephone Conference Call.)
Contact Person: John L. Bowers, PhD,
Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 4170,
MSC 7806, Bethesda, MD 20892, (301) 435–
1725, bowersj@csr.nih.gov.
Name of Committee: Cardiovascular and
Respiratory Sciences Integrated Review
Group, Clinical and Integrative
Cardiovascular Sciences Study Section.
Date: June 16–17, 2011.
Time: 8 a.m. to 5 p.m.
Agenda: To review and evaluate grant
applications.
Place: The Allerton Hotel, 701 North
Michigan Avenue, Chicago, IL 60611.
Contact Person: Russell T Dowell, PhD,
Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 4128,
MSC 7814, Bethesda, MD 20892, (301) 435–
1850, dowellr@csr.nih.gov.
Name of Committee: Center for Scientific
Review Special Emphasis Panel, Small
Business: Medical Imaging.
Date: June 16–17, 2011.
Time: 8 a.m. to 3 p.m.
Agenda: To review and evaluate grant
applications.
Place: Washington Marriott Wardman Park
Hotel, 2660 Woodley Road, NW.,
Washington, DC 20008.
Contact Person: Leonid V. Tsap, PhD,
Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 5128,
MSC 7854, Bethesda, MD 20892, (301) 435–
2507, tsapl@csr.nih.gov.
Name of Committee: Immunology
Integrated Review Group, Innate Immunity
and Inflammation Study Section.
Date: June 16–17, 2011.
Time: 8 a.m. to 5 p.m.
Agenda: To review and evaluate grant
applications.
Place: Gaylord National Hotel &
Convention Center, 201 Waterfront Street,
National Harbor, MD 20745.
Contact Person: Tina McIntyre, PhD,
Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 4202,
MSC 7812, Bethesda, MD 20892, 301–594–
6375, mcintyrt@csr.nih.gov.
Name of Committee: Molecular, Cellular
and Developmental Neuroscience Integrated
Review Group, Biophysics of Neural Systems
Study Section.
Date: June 16–17, 2011.
Time: 8 a.m. to 1 p.m.
Agenda: To review and evaluate grant
applications.
E:\FR\FM\09MYN1.SGM
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Agencies
[Federal Register Volume 76, Number 89 (Monday, May 9, 2011)]
[Notices]
[Pages 26735-26736]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-11210]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
National Institutes of Health
National Institute on Alcohol Abuse and Alcoholism; Notice of
Closed Meeting
Pursuant to section 10(d) of the Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is hereby given of the following
meeting.
The meeting will be closed to the public in accordance with the
provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5
U.S.C., as amended. The grant applications and the discussions could
disclose confidential trade secrets or commercial property such as
patentable material, and personal information concerning individuals
associated with the grant applications, the disclosure of which would
constitute a clearly unwarranted invasion of personal privacy.
Name of Committee: National Institute on Alcohol Abuse and
Alcoholism Initial Review Group, Clinical, Treatment and Health
Services Research Review Subcommittee.
Date: July 12, 2011.
Time: 8 a.m. to 6:30 p.m.
Agenda: To review and evaluate grant applications.
Place: Hyatt Regency Bethesda, One Bethesda Metro Center, 7400
Wisconsin Avenue, Bethesda, MD 20814.
Contact Person: Katrina L Foster, PhD, Scientific Review
Officer, National Institute on Alcohol Abuse & Alcoholism, National
Institutes of Health, 5635 Fishers Lane, Rm. 2019, Rockville, MD
20852, 301-443-4032, katrina@mail.nih.gov.
(Catalogue of Federal Domestic Assistance Program Nos. 93.271,
Alcohol Research Career Development Awards for Scientists and
Clinicians; 93.272, Alcohol National Research Service Awards for
Research Training; 93.273, Alcohol Research Programs; 93.891,
Alcohol Research Center Grants; 93.701, ARRA Related Biomedical
Research and Research Support Awards, National Institutes of Health,
HHS)
[[Page 26736]]
Dated: May 2, 2011.
Jennifer S. Spaeth,
Director, Office of Federal Advisory Committee Policy.
[FR Doc. 2011-11210 Filed 5-6-11; 8:45 am]
BILLING CODE 4140-01-P