Medicare and Medicaid Programs; Application by Community Health Accreditation Program for Continued Deeming Authority for Home Health Agencies, 59136-59138 [2011-24547]
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sroberts on DSK5SPTVN1PROD with NOTICES
59136
Federal Register / Vol. 76, No. 185 / Friday, September 23, 2011 / Notices
medical staff and the person directly
responsible for operation of the facility
approve contractual agreements.
• To meet the requirements at
§ 485.623(b)(2), the Joint Commission
revised its crosswalk and survey process
to address the proper routine storage
and prompt disposal of trash.
• To meet the requirements at
§ 485.631(c)(2), the Joint Commission
revised its crosswalk to address the
requirement that physician assistants,
nurse practitioners, or clinical nurse
specialists provide services in
accordance with the CAH’s policies.
• To meet the requirements at
§ 485.635(a)(3)(iii), the Joint
Commission revised its standards to
include guidelines for the maintenance
of health care records, and procedures
for the periodic review and evaluation
of the services furnished by the CAH.
• To meet the requirements at
§ 485.635(f) through (f)(2), the Joint
Commission revised its crosswalk to
include the patient visitation right
standards and related survey process
revisions.
• To meet the requirements at
§ 485.638(a)(2), the Joint Commission
revised its crosswalk to address the
requirement that medical records are
readily accessible.
• To meet the requirements at
§ 485.639(b)(1), the Joint Commission
revised its standards to include the
requirement that a qualified practitioner
must examine the patient immediately
before surgery to evaluate the risk of the
procedure to be performed.
• To meet the requirements at
§ 485.639(b)(2), the Joint Commission
revised its standards to include the
requirement that a qualified practitioner
examine each patient before surgery to
evaluate the risk of anesthesia.
• To meet the requirements at
§ 485.639(b)(3), the Joint Commission
revised its standards to address the
requirement that a qualified practitioner
must evaluate each patient for proper
anesthesia recovery before discharge
from the CAH.
• To meet the requirements at
§ 485.643(f), the Joint Commission
revised its glossary to ensure that the
definition of organ includes ‘‘intestines
(or multivisceral organs).’’
• To meet the requirements at
§ 485.645(d)(1), the Joint Commission
revised its crosswalk to include
standards which address the residents’
right to send and receive mail that is not
opened.
• To meet the requirements at
§ 412.27(d)(6)(i), the Joint Commission
revised its crosswalk to include the
requirement that programs be directed
toward restoring and maintaining
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Jkt 223001
optimal levels of physical and
psychosocial functioning.
• To meet the requirements at
§ 412.29(c), the Joint Commission
revised it crosswalk to include
standards to ensure patients receive
social services, psychological services
(including neuropsychological services),
orthotic and prosthetic services, as
needed.
• To meet the requirements at
§ 482.13(h) through (h)(4), the Joint
Commission revised its crosswalk to
include the patient visitation right
standards and related survey process
revisions.
• To meet the requirements at
§ 482.30(d)(3), the Joint Commission
revised its standards to ensure that
written notification regarding the
admission to or continued stay in the
hospital when it is not medically
necessary, is given no later than 2 days
after this determination has been made.
• To meet the requirements at
§ 482.41(b)(1)(i), the Joint Commission
revised its standards to require quarterly
testing of tamper and water flow
devices.
• To meet the requirements at
§ 482.41(b)(8), the Joint Commission
revised its standards to ensure the CAH
maintains written evidence of regular
inspections and approval by State or
local fire control agencies for the entire
CAH.
• To meet the requirements at
§ 482.51, the Joint Commission revised
its standards to ensure that if the
hospital provides surgical services, the
services are well organized and
provided in accordance with acceptable
standards of practice and if outpatient
surgical services are offered the services
must be consistent in quality with
inpatient care in accordance with the
complexity of services offered.
• To meet the requirements at
§ 488.4(a)(7), the Joint Commission
revised its survey process to include
policies and procedures with respect to
the withholding or removal of
accreditation status or requirements,
and other actions taken by the Joint
Commission in response to
noncompliance with standards and
requirements.
• To meet the requirements at section
2728 of the State Operations Manual
(SOM), the Joint Commission modified
its policies regarding timeframes for
sending and receiving a plan of
correction (PoC).
• To meet the requirements at
§ 488.12, the Joint Commission modified
its policies and procedures to ensure its
survey files are complete.
PO 00000
Frm 00028
Fmt 4703
Sfmt 4703
B. Term of Approval
Based on the review and observations
described in section III of this final
notice, we have determined that the
Joint Commission’s requirements for
CAHs meet or exceed our requirements.
Therefore, we approve the Joint
Commission as a national accreditation
organization for CAHs that request
participation in the Medicare program,
effective November 21, 2011 through
November 21, 2017.
V. Collection of Information
Requirements
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).
Authority: Section 1865 of the Social
Security Act (42 U.S.C. 1395bb).
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: August 31, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2011–24496 Filed 9–22–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–2377–PN]
Medicare and Medicaid Programs;
Application by Community Health
Accreditation Program for Continued
Deeming Authority for Home Health
Agencies
AGENCY: Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Proposed notice.
SUMMARY: This proposed notice with
comment period acknowledges the
receipt of a deeming application from
the Community Health Accreditation
Program (CHAP) for continued
recognition as a national accrediting
organization for home health agencies
(HHAs) that wish to participate in the
Medicare or Medicaid programs. Section
1865(a)(3)(A) of the Social Security Act
(the Act) requires that within 60 days of
receipt of an organization’s complete
application, we publish a notice that
E:\FR\FM\23SEN1.SGM
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sroberts on DSK5SPTVN1PROD with NOTICES
Federal Register / Vol. 76, No. 185 / Friday, September 23, 2011 / Notices
identifies the national accrediting body
making the request, describes the nature
of the request, and provides at least a
30-day public comment period.
DATES: To be assured consideration,
comments must be received at one of
the addresses provided below, no later
than 5 p.m. on October 24, 2011.
ADDRESSES: In commenting, please refer
to file code CMS–2377–PN. Because of
staff and resource limitations, we cannot
accept comments by facsimile (FAX)
transmission.
You may submit comments in one of
four ways (please choose only one of the
ways listed):
1. Electronically. You may submit
electronic comments on this regulation
to https://www.regulations.gov. Follow
the ‘‘Submit a comment’’ instructions.
2. By regular mail. You may mail
written comments to the following
address only:
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, Attention: CMS–
2377–PN, P.O. Box 8016, Baltimore,
MD 21244–8010.
Please allow sufficient time for mailed
comments to be received before the
close of the comment period.
3. By express or overnight mail. You
may send written comments to the
following address only:
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, Attention: CMS–
2377–PN, Mail Stop C4–26–05, 7500
Security Boulevard, Baltimore, MD
21244–1850.
4. By hand or courier. If you prefer,
you may deliver (by hand or courier)
your written comments before the close
of the comment period to either of the
following addresses:
a. For delivery in Washington, DC—
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, Room 445–G, Hubert
H. Humphrey Building, 200
Independence Avenue, SW.,
Washington, DC 20201.
(Because access to the interior of the
Hubert H. Humphrey Building is not
readily available to persons without
Federal government identification,
commenters are encouraged to leave
their comments in the CMS drop slots
located in the main lobby of the
building. A stamp-in clock is available
for persons wishing to retain a proof of
filing by stamping in and retaining an
extra copy of the comments being filed.)
b. For delivery in Baltimore, MD—
Centers for Medicare & Medicaid
Services, Department of Health and
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16:41 Sep 22, 2011
Jkt 223001
Human Services, 7500 Security
Boulevard, Baltimore, MD 21244–
1850.
If you intend to deliver your
comments to the Baltimore address,
please call telephone number (410) 786–
7195 in advance to schedule your
arrival with one of our staff members.
Comments mailed to the addresses
indicated as appropriate for hand or
courier delivery may be delayed and
received after the comment period.
For information on viewing public
comments, see the beginning of the
SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
Lillian Williams, (410) 786–8636.
Patricia Chmielewski, (410) 786–6899.
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: All
comments received before the close of
the comment period are available for
viewing by the public, including any
personally identifiable or confidential
business information that is included in
a comment. We post all comments
received before the close of the
comment period on the following Web
site as soon as possible after they have
been received: https://
www.regulations.gov. Follow the search
instructions on that Web site to view
public comments.
Comments received timely will also
be available for public inspection as
they are received, generally beginning
approximately three weeks after
publication of a document, at the
headquarters of the Centers for Medicare
& Medicaid Services, 7500 Security
Boulevard, Baltimore, Maryland 21244,
Monday through Friday of each week
from 8:30 a.m. to 4 p.m. To schedule an
appointment to view public comments,
phone 1–800–743–3951.
I. Background
Under the Medicare program, eligible
beneficiaries may receive covered
services from a home health agency
(HHA) provided certain requirements
are met. Sections 1861(m) and (o), 1891
and 1895 of the Social Security Act (the
Act) establish distinct criteria for
facilities seeking designation as an
HHA. Regulations concerning provider
agreements are at 42 CFR part 489 and
those pertaining to activities relating to
the survey and certification of facilities
are at 42 CFR part 488. The regulations
at 42 CFR parts 409 and 484 specify the
conditions that an HHA must meet to
participate in the Medicare program, the
scope of covered services and the
conditions for Medicare payment for
home health care.
Generally, to enter into a provider
agreement with the Medicare program,
PO 00000
Frm 00029
Fmt 4703
Sfmt 4703
59137
an HHA must first be certified by a State
survey agency as complying with the
conditions or requirements set forth in
42 CFR part 484 of our regulations.
Thereafter, the HHA is subject to regular
surveys by a State survey agency to
determine whether it continues to meet
these requirements.
However, there is an alternative to
surveys by State agencies. Section
1865(a)(1) of the Act provides that, if a
provider entity demonstrates through
accreditation by an approved national
accrediting organization that all
applicable Medicare conditions are met
or exceeded, we will deem those
provider entities as having met the
requirements. Accreditation by an
accrediting organization is voluntary
and is not required for Medicare
participation.
If an accrediting organization is
recognized by the Secretary as having
standards for accreditation that meet or
exceed Medicare requirements, any
provider entity accredited by the
national accrediting body’s approved
program would be deemed to meet the
Medicare conditions. A national
accrediting organization applying for
deeming authority under 42 CFR part
488, subpart A must provide CMS with
reasonable assurance that the
accrediting organization requires the
accredited provider entities to meet
requirements that are at least as
stringent as the Medicare conditions.
Our regulations concerning the
reapproval of accrediting organizations
are set forth at § 488.4 and § 488.8(d)(3).
The regulations at § 488.8(d)(3) require
accrediting organizations to reapply for
continued deeming authority every 6
years or sooner as determined by CMS.
The CHAP’S term of approval as a
recognized accreditation program for
HHA’s expires March 31, 2012.
II. Approval of Deeming Organizations
Section 1865(a)(2) of the Act and our
regulations at § 488.8(a) require that our
findings concerning review and
reapproval of a national accrediting
organization’s requirements consider,
among other factors, the applying
accrediting organization’s:
Requirements for accreditation; survey
procedures; resources for conducting
required surveys; capacity to furnish
information for use in enforcement
activities; monitoring procedures for
provider entities found not in
compliance with the conditions or
requirements; and ability to provide us
with the necessary data for validation.
Section 1865(a)(3)(A) of the Act
further requires that we publish, within
60 days of receipt of an organization’s
complete application, a notice
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59138
Federal Register / Vol. 76, No. 185 / Friday, September 23, 2011 / Notices
identifying the national accrediting
body making the request, describing the
nature of the request, and providing at
least a 30-day public comment period.
We have 210 days from the receipt of a
complete application to publish notice
of approval or denial of the application.
The purpose of this proposed notice
is to inform the public of CHAP’s
request for continued deeming authority
for HHAs. This notice also solicits
public comment on whether CHAP’s
requirements meet or exceed the
Medicare conditions for participation
for HHAs.
sroberts on DSK5SPTVN1PROD with NOTICES
III. Evaluation of Deeming Authority
Request
CHAP submitted all the necessary
materials to enable us to make a
determination concerning its request for
reapproval as a deeming organization
for HHAs. This application was
determined to be complete on August
26, 2011. Under section 1865(a)(2) of the
Act and our regulations at § 488.8
(Federal review of accrediting
organizations), our review and
evaluation of CHAP will be conducted
in accordance with, but not necessarily
limited to, the following factors:
• The equivalency of CHAP’S
standards for HHA’s as compared with
CMS’ HHA conditions of participation.
• CHAP’s survey process to
determine the following:
++ The composition of the survey
team, surveyor qualifications, and the
ability of the organization to provide
continuing surveyor training.
++ The comparability of CHAP’s
processes to those of State agencies,
including survey frequency, and the
ability to investigate and respond
appropriately to complaints against
accredited facilities.
++ CHAP’s processes and procedures
for monitoring HHAs found out of
compliance with CHAP’s program
requirements. These monitoring
procedures are used only when CHAP
identifies noncompliance. If
noncompliance is identified through
validation reviews, the State survey
agency monitors corrections as specified
at § 488.7(d).
++ CHAP’s capacity to report
deficiencies to the surveyed facilities
and respond to the facility’s plan of
correction in a timely manner.
++ CHAP’s capacity to provide us
with electronic data, and reports
necessary for effective validation and
assessment of the organization’s survey
process.
++ The adequacy of CHAP’s staff and
other resources, and its financial
viability.
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16:41 Sep 22, 2011
Jkt 223001
++ CHAP’s capacity to adequately
fund required surveys.
++ CHAP’s policies with respect to
whether surveys are announced or
unannounced, to assure that surveys are
unannounced.
++ CHAP’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 Comments
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 notice, and, we will respond to the
comments in a subsequent document.
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)
Dated: August 31, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2011–24547 Filed 9–22–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–4152–N]
Medicare Program; Medicare Appeals;
Adjustment to the Amount in
Controversy Threshold Amounts for
Calendar Year 2012
AGENCY: Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
SUMMARY: This notice announces the
annual adjustment in the amount in
controversy (AIC) threshold amounts for
Administrative Law Judge (ALJ)
hearings and judicial review under the
Medicare appeals process. The
adjustment to the AIC threshold
amounts will be effective for requests
for ALJ hearings and judicial review
filed on or after January 1, 2012. The
calendar year 2012 AIC threshold
amounts are $130 for ALJ hearings and
$1,350 for judicial review.
PO 00000
Frm 00030
Fmt 4703
Sfmt 4703
DATES: Effective Date: This notice is
effective on January 1, 2012.
FOR FURTHER INFORMATION CONTACT: Liz
Hosna (Katherine.Hosna@cms.hhs.gov),
(410) 786–4993.
SUPPLEMENTARY INFORMATION:
I. Background
Section 1869(b)(1)(E) of the Social
Security Act (the Act), as amended by
section 521 of the Medicare, Medicaid,
and SCHIP Benefits Improvement and
Protection Act of 2000 (BIPA),
established the amount in controversy
(AIC) threshold amounts for
Administrative Law Judge (ALJ) hearing
requests and judicial review at $100 and
$1000, respectively, for Medicare Part A
and Part B appeals. Section 940 of the
Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 (MMA), amended section
1869(b)(1)(E) of the Act to require the
AIC threshold amounts for ALJ hearings
and judicial review to be adjusted
annually. The AIC threshold amounts
are to be adjusted, as of January 2005,
by the percentage increase in the
medical care component of the
consumer price index for all urban
consumers (U.S. city average) for July
2003 to July of the year preceding the
year involved and rounded to the
nearest multiple of $10. Section
940(b)(2) of the MMA provided
conforming amendments to apply the
AIC adjustment requirement to
Medicare Part C Medicare Advantage
(MA) appeals and certain health
maintenance organization and
competitive health plan appeals. Health
care prepayment plans are also subject
to MA appeals rules, including the AIC
adjustment requirement. Section 101 of
the MMA provides for the application of
the AIC adjustment requirement to
Medicare Part D appeals.
A. Medicare Part A and Part B Appeals
The statutory formula for the annual
adjustment to the AIC threshold
amounts for ALJ hearings and judicial
review of Medicare Part A and Part B
appeals, set forth at section
1869(b)(1)(E) of the Act, is included in
the applicable implementing
regulations, 42 CFR 405.1006(b) and (c).
The regulations require the Secretary of
the Department of Health and Human
Services (the Secretary) to publish
changes to the AIC threshold amounts
in the Federal Register (405.1006(b)(2)).
In order to be entitled to a hearing
before an ALJ, a party to a proceeding
must meet the AIC requirements at
§ 405.1006(b). Similarly, a party must
meet the AIC requirements at
405.1006(c) at the time judicial review
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23SEN1
Agencies
[Federal Register Volume 76, Number 185 (Friday, September 23, 2011)]
[Notices]
[Pages 59136-59138]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-24547]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-2377-PN]
Medicare and Medicaid Programs; Application by Community Health
Accreditation Program for Continued Deeming Authority for Home Health
Agencies
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Proposed notice.
-----------------------------------------------------------------------
SUMMARY: This proposed notice with comment period acknowledges the
receipt of a deeming application from the Community Health
Accreditation Program (CHAP) for continued recognition as a national
accrediting organization for home health agencies (HHAs) that wish to
participate in the Medicare or Medicaid programs. Section 1865(a)(3)(A)
of the Social Security Act (the Act) requires that within 60 days of
receipt of an organization's complete application, we publish a notice
that
[[Page 59137]]
identifies the national accrediting body making the request, describes
the nature of the request, and provides at least a 30-day public
comment period.
DATES: To be assured consideration, comments must be received at one of
the addresses provided below, no later than 5 p.m. on October 24, 2011.
ADDRESSES: In commenting, please refer to file code CMS-2377-PN.
Because of staff and resource limitations, we cannot accept comments by
facsimile (FAX) transmission.
You may submit comments in one of four ways (please choose only one
of the ways listed):
1. Electronically. You may submit electronic comments on this
regulation to https://www.regulations.gov. Follow the ``Submit a
comment'' instructions.
2. By regular mail. You may mail written comments to the following
address only:
Centers for Medicare & Medicaid Services, Department of Health and
Human Services, Attention: CMS-2377-PN, P.O. Box 8016, Baltimore, MD
21244-8010.
Please allow sufficient time for mailed comments to be received
before the close of the comment period.
3. By express or overnight mail. You may send written comments to
the following address only:
Centers for Medicare & Medicaid Services, Department of Health and
Human Services, Attention: CMS-2377-PN, Mail Stop C4-26-05, 7500
Security Boulevard, Baltimore, MD 21244-1850.
4. By hand or courier. If you prefer, you may deliver (by hand or
courier) your written comments before the close of the comment period
to either of the following addresses:
a. For delivery in Washington, DC--
Centers for Medicare & Medicaid Services, Department of Health and
Human Services, Room 445-G, Hubert H. Humphrey Building, 200
Independence Avenue, SW., Washington, DC 20201.
(Because access to the interior of the Hubert H. Humphrey Building
is not readily available to persons without Federal government
identification, commenters are encouraged to leave their comments in
the CMS drop slots located in the main lobby of the building. A stamp-
in clock is available for persons wishing to retain a proof of filing
by stamping in and retaining an extra copy of the comments being
filed.)
b. For delivery in Baltimore, MD--
Centers for Medicare & Medicaid Services, Department of Health and
Human Services, 7500 Security Boulevard, Baltimore, MD 21244-1850.
If you intend to deliver your comments to the Baltimore address,
please call telephone number (410) 786-7195 in advance to schedule your
arrival with one of our staff members.
Comments mailed to the addresses indicated as appropriate for hand
or courier delivery may be delayed and received after the comment
period.
For information on viewing public comments, see the beginning of
the SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
Lillian Williams, (410) 786-8636.
Patricia Chmielewski, (410) 786-6899.
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: All comments received before the
close of the comment period are available for viewing by the public,
including any personally identifiable or confidential business
information that is included in a comment. We post all comments
received before the close of the comment period on the following Web
site as soon as possible after they have been received: https://www.regulations.gov. Follow the search instructions on that Web site to
view public comments.
Comments received timely will also be available for public
inspection as they are received, generally beginning approximately
three weeks after publication of a document, at the headquarters of the
Centers for Medicare & Medicaid Services, 7500 Security Boulevard,
Baltimore, Maryland 21244, Monday through Friday of each week from 8:30
a.m. to 4 p.m. To schedule an appointment to view public comments,
phone 1-800-743-3951.
I. Background
Under the Medicare program, eligible beneficiaries may receive
covered services from a home health agency (HHA) provided certain
requirements are met. Sections 1861(m) and (o), 1891 and 1895 of the
Social Security Act (the Act) establish distinct criteria for
facilities seeking designation as an HHA. Regulations concerning
provider agreements are at 42 CFR part 489 and those pertaining to
activities relating to the survey and certification of facilities are
at 42 CFR part 488. The regulations at 42 CFR parts 409 and 484 specify
the conditions that an HHA must meet to participate in the Medicare
program, the scope of covered services and the conditions for Medicare
payment for home health care.
Generally, to enter into a provider agreement with the Medicare
program, an HHA must first be certified by a State survey agency as
complying with the conditions or requirements set forth in 42 CFR part
484 of our regulations. Thereafter, the HHA is subject to regular
surveys by a State survey agency to determine whether it continues to
meet these requirements.
However, there is an alternative to surveys by State agencies.
Section 1865(a)(1) of the Act provides that, if a provider entity
demonstrates through accreditation by an approved national accrediting
organization that all applicable Medicare conditions are met or
exceeded, we will deem those provider entities as having met the
requirements. Accreditation by an accrediting organization is voluntary
and is not required for Medicare participation.
If an accrediting organization is recognized by the Secretary as
having standards for accreditation that meet or exceed Medicare
requirements, any provider entity accredited by the national
accrediting body's approved program would be deemed to meet the
Medicare conditions. A national accrediting organization applying for
deeming authority under 42 CFR part 488, subpart A must provide CMS
with reasonable assurance that the accrediting organization requires
the accredited provider entities to meet requirements that are at least
as stringent as the Medicare conditions. Our regulations concerning the
reapproval of accrediting organizations are set forth at Sec. 488.4
and Sec. 488.8(d)(3). The regulations at Sec. 488.8(d)(3) require
accrediting organizations to reapply for continued deeming authority
every 6 years or sooner as determined by CMS.
The CHAP'S term of approval as a recognized accreditation program
for HHA's expires March 31, 2012.
II. Approval of Deeming Organizations
Section 1865(a)(2) of the Act and our regulations at Sec. 488.8(a)
require that our findings concerning review and reapproval of a
national accrediting organization's requirements consider, among other
factors, the applying accrediting organization's: Requirements for
accreditation; survey procedures; resources for conducting required
surveys; capacity to furnish information for use in enforcement
activities; monitoring procedures for provider entities found not in
compliance with the conditions or requirements; and ability to provide
us with the necessary data for validation.
Section 1865(a)(3)(A) of the Act further requires that we publish,
within 60 days of receipt of an organization's complete application, a
notice
[[Page 59138]]
identifying the national accrediting body making the request,
describing the nature of the request, and providing at least a 30-day
public comment period. We have 210 days from the receipt of a complete
application to publish notice of approval or denial of the application.
The purpose of this proposed notice is to inform the public of
CHAP's request for continued deeming authority for HHAs. This notice
also solicits public comment on whether CHAP's requirements meet or
exceed the Medicare conditions for participation for HHAs.
III. Evaluation of Deeming Authority Request
CHAP submitted all the necessary materials to enable us to make a
determination concerning its request for reapproval as a deeming
organization for HHAs. This application was determined to be complete
on August 26, 2011. Under section 1865(a)(2) of the Act and our
regulations at Sec. 488.8 (Federal review of accrediting
organizations), our review and evaluation of CHAP will be conducted in
accordance with, but not necessarily limited to, the following factors:
The equivalency of CHAP'S standards for HHA's as compared
with CMS' HHA conditions of participation.
CHAP's survey process to determine the following:
++ The composition of the survey team, surveyor qualifications, and
the ability of the organization to provide continuing surveyor
training.
++ The comparability of CHAP's processes to those of State
agencies, including survey frequency, and the ability to investigate
and respond appropriately to complaints against accredited facilities.
++ CHAP's processes and procedures for monitoring HHAs found out of
compliance with CHAP's program requirements. These monitoring
procedures are used only when CHAP identifies noncompliance. If
noncompliance is identified through validation reviews, the State
survey agency monitors corrections as specified at Sec. 488.7(d).
++ CHAP's capacity to report deficiencies to the surveyed
facilities and respond to the facility's plan of correction in a timely
manner.
++ CHAP's capacity to provide us with electronic data, and reports
necessary for effective validation and assessment of the organization's
survey process.
++ The adequacy of CHAP's staff and other resources, and its
financial viability.
++ CHAP's capacity to adequately fund required surveys.
++ CHAP's policies with respect to whether surveys are announced or
unannounced, to assure that surveys are unannounced.
++ CHAP'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 Comments
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 notice,
and, we will respond to the comments in a subsequent document.
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)
Dated: August 31, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2011-24547 Filed 9-22-11; 8:45 am]
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