Medicare Program; Pioneer Accountable Care Organization Model: Request for Applications, 29249-29250 [2011-12383]
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Federal Register / Vol. 76, No. 98 / Friday, May 20, 2011 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10232, CMS–
10251, CMS–R–185, and CMS–R–211]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS), Department of Health
and Human Services, is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the Agency’s function;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
1. Type of Information Collection
Request: Revision of currently approved
collection; Title of Information
Collection: State Plan Template to
Implement Section 6062 of the Deficit
Reduction Act; Form No.: CMS–10232
(OMB#: 0938–1045); Use: The Deficit
Reduction Act (DRA) provides States
with numerous flexibilities in operating
their State Medicaid Programs. Section
6062 of the DRA (Opportunity for
families of Disabled Children to
Purchase Medicaid Coverage for Such
Children) provides States the
opportunity to provide Medicaid
benefits to disabled children who would
otherwise be ineligible because of
family income that is above the State’s
highest Medicaid eligibility standards
for children. States must establish a
State Plan for medical assistance to
implement this provision. To do this,
State Medicaid Agencies will complete
the template. CMS will review the
information to determine if the State has
met all the requirements of the DRA
provision; Frequency: Once; Affected
Public: State, Federal, or Tribal
Governments; Number of Respondents:
56; Total Annual Responses: 10; Total
Annual Hours: 60. (For policy questions
jlentini on DSK4TPTVN1PROD with NOTICES
AGENCY:
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17:22 May 19, 2011
Jkt 223001
regarding this collection contact Barbara
Washington at 410–786–9964. For all
other issues call 410–786–1326.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Integrated
Medicare and Medicaid State Plan
Preprint; Form No.: CMS–10251 (OMB#:
0938–1047); Use: The Integrated Care
Preprint is an optional tool for use by
States to highlight the arrangements
provided between the State and
Medicare Advantage Special Needs
Plans that are also providing Medicaid
services. The preprint also provides the
opportunity for States to confirm that
their integrated care model complies
with Federal statutory and regulatory
requirements. State Medicaid Agencies
may complete the preprint and CMS
will review the information provided to
determine if the State has properly
completed and explained their
integrated care arrangements and that
the appropriate assurances have been
met; Frequency: Once; Affected Public:
State, Local, or Tribal Governments;
Number of Respondents: 56; Total
Annual Responses: 10; Total Annual
Hours: 200. (For policy questions
regarding this collection contact Mary
Pat Farkas at 410–786–5731. For all
other issues call 410–786–1326.)
3. Type of Information Collection
Request: Extension of currently
approved collection; Title of
Information Collection: Granting and
Withdrawal of Deeming Authority to
Private Nonprofit Accreditation
Organizations and of State Exemption
Under State Laboratory Programs and
Supporting Regulations; Form No.:
CMS–R–185 (OMB#: 0938–0686); Use:
The information required is necessary to
determine whether a private
accreditation organization/State
licensure program standards and
accreditation/licensure process is at
least equal to or more stringent than
those of the Clinical Laboratory
Improvement Amendments of 1988
(CLIA). If an accreditation organization
is approved, the laboratories that it
accredits are ‘‘deemed’’ to meet the CLIA
requirements based on this
accreditation. Similarly, if a State
licensure program is determined to have
requirements that are equal to or more
stringent than those of CLIA, its
laboratories are considered to be exempt
from CLIA certification and
requirements. The information collected
will be used by HHS to: Determine
comparability/equivalency of the
accreditation organization standards
and policies or State licensure program
standards and policies to those of the
CLIA program; to ensure the continued
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29249
comparability/equivalency of the
standards; and to fulfill certain statutory
reporting requirements; Frequency:
Occasionally; Affected Public: Private
Sector: Business or other for-profits,
Not-for-profit institutions; Number of
Respondents: 8; Total Annual
Responses: 96; Total Annual Hours:
384. (For policy questions regarding this
collection contact Minnie Christian at
410–786–3339. For all other issues call
410–786–1326.)
4. Type of Information Collection
Request: Revision of currently approved
collection; Title of Information
Collection: Model Application Template
and Instructions for State Child Health
Plan Under Title XXI of the Social
Security Act, State Children’s Health
Insurance Program; Form No.: CMS–R–
211 (OMB#: 0938–0707); Use: The
information will be used to assess State
plan performance and health outcomes
and to evaluate the amount of substitute
private coverage and the effect of
subsidies on access to coverage;
Frequency: Yearly, occasionally;
Affected Public: State, Federal, or Tribal
Governments; Number of Respondents:
40; Total Annual Responses: 40; Total
Annual Hours: 3,200. (For policy
questions regarding this collection
contact Nancy Goetschius at 410–786–
0707. For all other issues call 410–786–
1326.)
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received by the OMB desk officer at
the address below, no later than 5 p.m.
on June 20, 2011.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov.
Dated: May 16, 2011.
Martique Jones,
Director, Regulations Development Group,
Division-B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2011–12394 Filed 5–19–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–5501–N]
Medicare Program; Pioneer
Accountable Care Organization Model:
Request for Applications
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
E:\FR\FM\20MYN1.SGM
20MYN1
29250
Federal Register / Vol. 76, No. 98 / Friday, May 20, 2011 / Notices
This notice announces a
request for applications for
organizations to participate in the
Pioneer Accountable Care Organization
Model for a period beginning in 2011
and ending December 2016.
DATES: Letter of Intent Submission
Deadline: Interested organizations must
submit a nonbinding letter of intent by
June 10, 2011 as described on the
Innovation Center Web site https://
innovations.cms.gov/areas-of-focus/
seamless-and-coordinated-care-models/
pioneer-aco.
Application Submission Deadline:
Applications must be received on or
before July 19, 2011.
ADDRESSES: Applications should be
submitted by mail to the following
address by the date specified in the
DATES section of this notice: Pioneer
ACO Model, Attention: Maria
Alexander, Center for Medicare and
Medicaid Innovation, Centers for
Medicare and Medicaid Services, Mail
Stop S3–13–05, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
FOR FURTHER INFORMATION CONTACT:
PioneerACO@cms.hhs.gov for questions
regarding the aspects of the Pioneer
Accountable Care Organization Model
or the application process.
SUPPLEMENTARY INFORMATION:
jlentini on DSK4TPTVN1PROD with NOTICES
SUMMARY:
I. Background
We are committed to achieving the
three-part aim of better health, better
health care, and lower per-capita costs
for Medicare, Medicaid, and Childrens’
Health Insurance Program beneficiaries.
One potential mechanism for achieving
this goal is for CMS to partner with
groups of health care providers of
services and suppliers with a
mechanism for shared governance that
have formed an Accountable Care
Organization (ACO) through which they
work together to manage and coordinate
care for a specified group of patients.
We will pursue such partnerships
through two complementary efforts—the
Medicare Shared Savings Program and
initiatives undertaken by the Center for
Medicare and Medicaid Innovation
(Innovation Center). The Pioneer ACO
Model is an Innovation Center initiative
targeted at organizations that can
demonstrate the improvements in
financial and clinical performance with
respect to the care of Medicare
beneficiaries that are possible in a
mature ACO. To be eligible to
participate in the Pioneer ACO Model,
organizations would ideally already be
coordinating care for a significant
portion of patients under financial risk
sharing contracts and be positioned to
transform both their care and financial
VerDate Mar<15>2010
17:22 May 19, 2011
Jkt 223001
models from fee-for-service to a threepart aim, value based model. This notice
provides a general overview of the
Pioneer ACO Model. For more details
see the request for application which is
available on the Innovation Center Web
site at https://innovations.cms.gov/areasof-focus/seamless-and-coordinatedcare-models/pioneer-aco.
II. Provisions of the Notice
Consistent with its authority under
section 1115A of the Social Security Act
(of the Act), as added by section 3021
of the Affordable Care Act, to test
innovative payment and service
delivery models that reduce spending
under Medicare, Medicaid, or CHIP,
while preserving or enhancing the
quality of care, the Innovation Center
aims to achieve the following goals
through implementation of the Pioneer
ACO Model:
• Test a more rapid transition for
providers from volume based FFS
payments to payment for coordination
and outcomes.
• Promote a diversity of successful
ACOs, including physician-led ACOs
and those serving indigent or rural
populations.
This Model will test the effectiveness
of a combination of the following:
• Payment arrangements that place a
group of providers at joint risk for
quality performance and financial
performance for the majority of their
patients and revenues (including nonMedicare patients and revenues). Such
payment arrangements will require
participants to transition from fee-forservice to population-based payment by
the third performance year. We believe
the payment arrangements being tested
will provide more opportunities for
rapid escalation of shared savings and
risk compared to the Medicare Shared
Savings Program.
• Technical support in the form of
rapid data feedback and shared learning
activities.
• Size and scope of testing: We expect
to partner with approximately 30
organizations in the Model, with a
minimum of 15,000 Medicare
beneficiaries each (5,000 for rural
ACOs). The application process and
selection criteria are described in
Section IV of the Request for
Applications but in general,
applications will be prioritized based on
the strength of their care improvement
plans, leadership, and commitment to
outcomes-based contracts with nonMedicare purchasers. Final selection
will be based on the strength of the
application and interviews of finalists,
together with other factors to promote
representation of diverse geographic
PO 00000
Frm 00060
Fmt 4703
Sfmt 4703
areas, types of organizations, and types
of Medicare populations served.
• Population: ACOs will be
accountable for all fee-for-service
Medicare beneficiaries that CMS
determines are aligned with them, and
who have continuous enrollment in
Parts A and B during baseline and
performance periods, with emphasis on
encouraging care of underserved
populations and dual eligibles.
• Duration: Between 5 and 6 years
(start third or fourth quarter of 2011 and
end December 2016, which includes
two 1-year optional periods).
III. Collection of Information
Requirements
Section 1115A(d) of the Act waives
the requirements of the Paperwork
Reduction Act of 1995 for the
Innovation Center for purposes of
testing new payment and service
delivery models.
Authority: Section 1115A of the Social
Security Act.
Dated: March 10, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2011–12383 Filed 5–17–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
President’s Committee for People With
Intellectual Disabilities; Notice of
Meeting
President’s Committee for
People with Intellectual Disabilities
(PCPID), HHS.
ACTION: Notice of Quarterly Meeting.
AGENCY:
Thursday, June 16, 2011, from
9:30 a.m. to 4 p.m. EST; and Friday,
June 17, 2011, from 9 a.m. to 5 p.m.
EST. The meeting will be open to the
public.
DATES:
The meeting will be held in
Room 800 on the Penthouse Level of the
Hubert H. Humphrey Building, U.S.
Department of Health and Human
Services, 200 Independence Avenue,
SW., Washington, DC 20201.
Individuals who would like to
participate via conference call may do
so by dialing 888–323–9869, pass code:
PCPID. Individuals who will need
accommodations for a disability in order
to attend the meeting (e.g., sign language
interpreting services, assistive listening
devices, materials in alternative format
ADDRESSES:
E:\FR\FM\20MYN1.SGM
20MYN1
Agencies
[Federal Register Volume 76, Number 98 (Friday, May 20, 2011)]
[Notices]
[Pages 29249-29250]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-12383]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-5501-N]
Medicare Program; Pioneer Accountable Care Organization Model:
Request for Applications
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
[[Page 29250]]
SUMMARY: This notice announces a request for applications for
organizations to participate in the Pioneer Accountable Care
Organization Model for a period beginning in 2011 and ending December
2016.
DATES: Letter of Intent Submission Deadline: Interested organizations
must submit a nonbinding letter of intent by June 10, 2011 as described
on the Innovation Center Web site https://innovations.cms.gov/areas-of-focus/seamless-and-coordinated-care-models/pioneer-aco.
Application Submission Deadline: Applications must be received on
or before July 19, 2011.
ADDRESSES: Applications should be submitted by mail to the following
address by the date specified in the DATES section of this notice:
Pioneer ACO Model, Attention: Maria Alexander, Center for Medicare and
Medicaid Innovation, Centers for Medicare and Medicaid Services, Mail
Stop S3-13-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.
FOR FURTHER INFORMATION CONTACT: PioneerACO@cms.hhs.gov for questions
regarding the aspects of the Pioneer Accountable Care Organization
Model or the application process.
SUPPLEMENTARY INFORMATION:
I. Background
We are committed to achieving the three-part aim of better health,
better health care, and lower per-capita costs for Medicare, Medicaid,
and Childrens' Health Insurance Program beneficiaries. One potential
mechanism for achieving this goal is for CMS to partner with groups of
health care providers of services and suppliers with a mechanism for
shared governance that have formed an Accountable Care Organization
(ACO) through which they work together to manage and coordinate care
for a specified group of patients. We will pursue such partnerships
through two complementary efforts--the Medicare Shared Savings Program
and initiatives undertaken by the Center for Medicare and Medicaid
Innovation (Innovation Center). The Pioneer ACO Model is an Innovation
Center initiative targeted at organizations that can demonstrate the
improvements in financial and clinical performance with respect to the
care of Medicare beneficiaries that are possible in a mature ACO. To be
eligible to participate in the Pioneer ACO Model, organizations would
ideally already be coordinating care for a significant portion of
patients under financial risk sharing contracts and be positioned to
transform both their care and financial models from fee-for-service to
a three-part aim, value based model. This notice provides a general
overview of the Pioneer ACO Model. For more details see the request for
application which is available on the Innovation Center Web site at
https://innovations.cms.gov/areas-of-focus/seamless-and-coordinated-care-models/pioneer-aco.
II. Provisions of the Notice
Consistent with its authority under section 1115A of the Social
Security Act (of the Act), as added by section 3021 of the Affordable
Care Act, to test innovative payment and service delivery models that
reduce spending under Medicare, Medicaid, or CHIP, while preserving or
enhancing the quality of care, the Innovation Center aims to achieve
the following goals through implementation of the Pioneer ACO Model:
Test a more rapid transition for providers from volume
based FFS payments to payment for coordination and outcomes.
Promote a diversity of successful ACOs, including
physician-led ACOs and those serving indigent or rural populations.
This Model will test the effectiveness of a combination of the
following:
Payment arrangements that place a group of providers at
joint risk for quality performance and financial performance for the
majority of their patients and revenues (including non-Medicare
patients and revenues). Such payment arrangements will require
participants to transition from fee-for-service to population-based
payment by the third performance year. We believe the payment
arrangements being tested will provide more opportunities for rapid
escalation of shared savings and risk compared to the Medicare Shared
Savings Program.
Technical support in the form of rapid data feedback and
shared learning activities.
Size and scope of testing: We expect to partner with
approximately 30 organizations in the Model, with a minimum of 15,000
Medicare beneficiaries each (5,000 for rural ACOs). The application
process and selection criteria are described in Section IV of the
Request for Applications but in general, applications will be
prioritized based on the strength of their care improvement plans,
leadership, and commitment to outcomes-based contracts with non-
Medicare purchasers. Final selection will be based on the strength of
the application and interviews of finalists, together with other
factors to promote representation of diverse geographic areas, types of
organizations, and types of Medicare populations served.
Population: ACOs will be accountable for all fee-for-
service Medicare beneficiaries that CMS determines are aligned with
them, and who have continuous enrollment in Parts A and B during
baseline and performance periods, with emphasis on encouraging care of
underserved populations and dual eligibles.
Duration: Between 5 and 6 years (start third or fourth
quarter of 2011 and end December 2016, which includes two 1-year
optional periods).
III. Collection of Information Requirements
Section 1115A(d) of the Act waives the requirements of the
Paperwork Reduction Act of 1995 for the Innovation Center for purposes
of testing new payment and service delivery models.
Authority: Section 1115A of the Social Security Act.
Dated: March 10, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2011-12383 Filed 5-17-11; 8:45 am]
BILLING CODE 4120-01-P