Medicaid Program; Announcement of Requirements and Registration for CMS Provider Screening Innovator Challenge, 31618-31620 [2012-12633]
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31618
Federal Register / Vol. 77, No. 103 / Tuesday, May 29, 2012 / Notices
Agency and its customers and
stakeholders. It will also allow feedback
to contribute directly to the
improvement of program management.
Collecting voluntary customer
feedback is the least burdensome, most
effective way for the Agency to
determine whether or not its public Web
sites are useful to and used by its
customers. Generic clearance is needed
to ensure that the Agency can
continuously improve its Web sites
though regular surveys developed from
these pre-defined questions. Surveying
the Agency Web sites on a regular,
ongoing basis will help ensure that
users have an effective, efficient, and
satisfying experience on any of the Web
sites, maximizing the impact of the
information and resulting in optimum
benefit for the public. The surveys will
ensure that this communication channel
meets customer and partner priorities,
builds the Agency’s brands, and
contributes to the Agency’s health and
human services impact goals. Form
Number: CMS–10415 (OCN 0938—
New); Frequency: Occasionally;
Affected Public: Individuals and
Households, Business or other forprofits and Not-for-profit institutions,
State, Local or Tribal Governments;
Number of Respondents: 1,000,000;
Total Annual Responses: 1,000,000;
Total Annual Hours: 67,000. (For policy
questions regarding this collection
contact John Booth at 410–786–6577.
For all other issues call 410–786–1326.)
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/
PaperworkReductionActof1995, or
Email 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.
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 28, 2012. OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974, Email:
OIRA_submission@omb.eop.gov.
Dated: May 22, 2012.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2012–12811 Filed 5–25–12; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services (CMS)
[CMS–2382–N]
Medicaid Program; Announcement of
Requirements and Registration for
CMS Provider Screening Innovator
Challenge
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS), is announcing
the launch of the ‘‘CMS Provider
Screening Innovator Challenge.’’ This
Challenge is sponsored by CMS and is
presented as part of the Partnership for
Program Integrity Innovation program,
and will be administered by the
National Aeronautic and Space
Administration’s (NASA) Federal Center
of Excellence for Collaborative
Innovation. This Challenge addresses
our goals of improving our abilities to
streamline operations, screen providers,
and reduce fraud and abuse.
Specifically, the challenge is an
innovation competition to develop a
multi-State, multi-program provider
screening software application which
would be capable of risk scoring,
credentialing validation, identity
authentication, and sanction checks,
while lowering burden on providers and
reducing administrative and
infrastructure expenses for States and
Federal programs. More information
pertaining to the Medicaid and CHIP
programs can be found at
www.medicaid.gov.
DATES: Important dates concerning the
Challenge include the following:
Challenge Competition Begin: 6:00
p.m., e.d.t., May 30, 2012.
Challenge Competition End: To be
determined, but expected to be
completed by October/November 2012
timeframe.
FOR FURTHER INFORMATION CONTACT: John
‘‘Chip’’ Garner, 410–786–3012.
SUPPLEMENTARY INFORMATION:
SUMMARY:
Subject of Challenge Competition
Entrants are asked to develop artifacts
and components of software
applications that can be integrated into
an open source solution that can deliver
a reliable, scalable, and cost-effective
provider-screening capability for
multiple States (or for the nation).
We expect the winning entry to
exhibit the following characteristics:
1. Reduced processing and transaction
time for submitting and receiving
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Sfmt 4703
queries to authoritative data sources
regarding provider credentials and
sanctions.
2. Reductions in time needed by
providers to submit information and
resolve discrepancies.
3. Administrative/infrastructure
savings from a multi-tenant provider
screening solution.
4. Improved availability of key
provider data relevant for program
participation and oversight.
5. Improved timeliness and accuracy
in provider participation, oversight, and
enrollment decisions.
6. Improved ability to implement
sections 1902(a)(39) and 1902(a)(77) of
the Social Security Act, as amended by
the Patient Protection and Affordable
Care Act (Pub. L. 111–148 and 111–152)
subsections 6401(b) and (c) (Provider
Screening and Other Enrollment
Requirements Under Medicare,
Medicaid, and CHIP), and section 6501
(Termination of Provider Participation
Under Medicaid if Terminated by
Medicare or Other State Plan).
7. Assist in better driving alignment of
the Medicaid Information Technology
Architecture (MITA) 3.0 framework to
the Information and Technology
Architecture levels. More information
pertaining to MITA can be found at the
following Web site: www.medicaid.gov/
Medicaid-CHIP–Program-Information/
By-Topics/Data-and-Systems/MedicaidInformation-Technology-ArchitectureMITA.html.
General Eligibility Rules for
Participating in the Competition
To be eligible to win a prize under
this Challenge, an individual or entity
must comply with all the requirements
under this section.
An individual or entity shall not be
deemed ineligible solely because the
individual or entity used Federal
facilities or consulted with Federal
employees during a competition if such
facilities and employees are made
available to all individuals and entities
participating in the competition on an
equitable basis.
A Federal entity or Federal employee
acting within the scope of his or her
employment is not eligible to
participate. A Federal employee seeking
to participate in this competition
outside the scope of his/her
employment should consult his/her
ethics official prior to developing the
submission. Employees of CMS, the
Challenge judges, and employees of any
other company or individual involved
with the design, production, execution,
or distribution of the Challenge, along
with such employees’ or judges’
immediate families (spouse, parents and
E:\FR\FM\29MYN1.SGM
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Federal Register / Vol. 77, No. 103 / Tuesday, May 29, 2012 / Notices
step-parents, siblings and step-siblings,
and children and step-children) and
household members (people who share
the same residence at least three (3)
months out of the year) are not eligible
to participate.
Regarding Registration Process for
Participants, interested persons should
read the Official Rules and register at
the Center of Excellence for
Collaborative Innovation Challenge
portal: https://community.topcoder.com/
coeci/. Registration is free and can be
completed at any time before an entry
is submitted in response to a particular
competition.
Amount of the Prize
Based on our current assumptions, we
estimate that the total prize amount for
the competitions conducted as part of
this Challenge will fall between
$500,000 and $600,000.
srobinson on DSK4SPTVN1PROD with NOTICES
Basis Upon Which Winner Will Be
Selected
Challenge competition entries will be
judged by an expert panel composed of
CMS program staff. Judges shall be
named after commencement of the
Challenge. Competitions will be judged
based upon both subjective and
objective criteria. Should the highestscoring submitted solution be missing
requirements or otherwise need
modification, it will enter a
remediation/fix phase. Projects are
posted and administered through a
personalized, web-based administration
tool. All projects progress, with some
variance, through a sequence of phases
from Registration to Submission to
Screening to Review to Final Fixes.
Submissions will be screened to ensure
they meet minimum requirements for
the project and do not include forbidden
material. Competition submissions with
subjectively evaluated components (for
example, graphical design, workflow,
GUI layout, etc.) are anonymized and
evaluated by the Judges. Submissions
with objectively scored components,
such as projects (for example,
architecture, development, etc.) are
scored by the Judges by their fidelity to
exact, enumerated requirements.
Overall, the solution must, at a
minimum, meet the following criteria:
1. Capability to Conduct Identity
Verification.
a. Capability to link individuals to
their organizations and vice versa.
b. Capability to match on multiple
variations of an individual’s or
organization’s name to ensure that the
correct entity is verified.
c. Ability to apply a range of
screening rules to cross check data
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Jkt 226001
elements within the enrollment
application.
d. Ability to apply a range of
screening rules to cross check data
elements against authoritative external
sources for consistency.
e. Capability to establish and employ
a graded screening methodology that
escalates the intensity of screening for
providers that are flagged as higher risk
(that is, Report Card Methodology).
2. Capability to Build Provider
Profiles.
a. Capability to retain screening and
enrollment information and results, and
compare against past and future
screening results.
b. Capability to create a watch list to
ensure that providers that are suspected
or known to be fraudulent are flagged at
the time of screening.
c. Capability to track re-enrollment
attempts to ensure that slight changes to
provider information are not considered
a new enrollment.
d. Capability to revalidate
periodically to ensure that changes in
provider profiles are updated on a
regular basis.
e. Capability to leverage public Web
sites to conduct link analysis through
which provider associations could be
explored, and alerts posted on similar
Web sites could be considered.
f. Capability to capture critical
attributes
• Collection of application fees status.
• Exception waiver approved status.
• Incorporating enhanced screening
data, including the results of site visits,
criminal background checks, and finger
printing.
• Capturing licensing information,
financial data, and any other data
attributes which could impact a risk
lever.
• Other critical attributes.
g. Capability to achieve real time
screening, scoring, and system outputs
(queries/reports).
3. Capability to Evaluate and Maintain
the Integrity of the Results.
a. Capability to persist data sources
scores to determine the most reliable
source for each data element.
b. Capability to evaluate data sources
for reliability and accuracy.
c. Capability to create a learning
system to ensure that observed negative
trends factor back into screening rules
so as to flag suspicious enrollments
early in the screening process, ensuring
the ability to detect and reduce/
eliminate the incidence of false
positives.
d. Capability to create system outputs
to assign reasons/explanations to each
code or score used.
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31619
e. Capability to build processes to
allow for appropriate interpretation and
action on screening and scoring results.
f. Capability to ensure that each rule
is tested and its impact is evaluated
prior to implementing.
4. Improves Efficiency.
a. Capability to allow searches to find
specific provider information with
minimal search attempts.
b. Capability to identify applicants,
including individual providers and
owners of institutional providers.
c. Capability to verify identity and
prior history of problems with
Medicaid/CHIP or Medicare programs.
d. Capability to identify and schedule
revalidation process.
5. Meets Architectural Guidelines.
a. Adheres to the Architectural
Guidance and meets the seven
conditions and standards detailed in the
Guidance for Exchange and Medicaid IT
Systems, Version 2.0, located at:
https://www.medicaid.gov/MedicaidCHIP–Program-Information/By-Topics/
Data-and-Systems/Downloads/
exchangemedicaiditguidance.pdf.
b. Integrates into the MITA
Framework—Is MITA Compliant.
Information regarding MITA can be
found at: https://www.cms.gov/
MedicaidInfoTechArch/.
6. Accurate, Cost Effective, and
Timely.
a. Turnaround time for performing
automated checks typical for a webbased system.
b. Comprehensive verification of all
data fields for all providers enrolled.
c. Efficiency of the Screening Solution
in terms of cost and schedule to actually
implement: Potential extra costs (for
example, licenses, etc.) are documented.
d. Effectiveness of the risk-screening
model in detecting fraud based issues.
e. Technical soundness of risk-scoring
in flagging potential fraudulent patterns
and tendencies.
Additional Information
CMS is one of the principal agencies
dedicated to protecting the health of
citizens by making our world healthier,
safer, and better for all Americans. For
more information, see www.cms.gov.
General Conditions
CMS reserves the right to cancel,
suspend, and/or modify the
Competition, or any part of it, for any
reason, at CMS’ sole discretion.
Authority: This competition is
administrated by the Federal Center of
Excellence for Collaborative Innovation
through a partnership between CMS and
NASA. The partnership is in accordance with
the National Aeronautics and Space Act (51
U.S.C. 20113(e)) and The Economy Act (31
U.S.C. 1535).
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31620
Federal Register / Vol. 77, No. 103 / Tuesday, May 29, 2012 / Notices
Dated: May 4, 2012.
Marilyn Tavenner,
Acting Administrator, Centers for Medicare
& Medicaid Services.
SUPPLEMENTARY INFORMATION:
[FR Doc. 2012–12633 Filed 5–25–12; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1441–N]
Medicare Program; Public Meeting in
Calendar Year 2012 for New Clinical
Laboratory Tests Payment
Determinations
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This notice announces a
public meeting to receive comments and
recommendations from the public on
the appropriate basis for establishing
payment amounts for new or
substantially revised Healthcare
Common Procedure Coding System
(HCPCS) codes being considered for
Medicare payment under the clinical
laboratory fee schedule (CLFS) for
calendar year (CY) 2013.
DATES: Meeting Dates: The public
meeting is scheduled for Monday, July
16, 2012, from 9:00 a.m. to 5:00 p.m.,
and Tuesday, July 17, 2012, from 9:00
a.m. to 12:00 p.m. All times are Eastern
Daylight Savings Time.
Deadline for Registration of
Presenters: All presenters for the public
meeting must register by July 6, 2012.
Deadline for Written/Electronic
Presentations: Written presentations
must also be electronically submitted to
on or before July 6, 2012.
Deadline for Submitting Requests for
Special Accommodations: Requests for
special accommodations must be
received no later than 5:00 p.m., on July
6, 2012.
Deadline for Submission of Written
Comments: Interested parties may
submit written comments on the
proposed payment determinations by
September 28, 2012, to the address
specified in the ADDRESSES section of
this notice.
ADDRESSES: The public meeting will be
held in the main auditorium of the
central building of the Centers for
Medicare & Medicaid Services (CMS),
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
FOR FURTHER INFORMATION CONTACT:
Glenn McGuirk, (410) 786–5723.
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SUMMARY:
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I. Background
Section 531(b) of the Medicare,
Medicaid, and SCHIP Benefits
Improvement and Protection Act of
2000 (BIPA) (Pub. L. 106–554) requires
the Secretary to establish procedures for
coding and payment determinations for
new clinical diagnostic laboratory tests
under Part B of title XVIII of the Social
Security Act (the Act) that permit public
consultation in a manner consistent
with the procedures established for
implementing coding modifications for
International Classification of Diseases
(ICD–9–CM). The procedures and public
meeting announced in this notice for
new tests are in accordance with the
procedures published in the Federal
Register on November 23, 2001 (66 FR
58743), to implement section 531(b) of
BIPA.
Section 942(b) of the Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA) (Pub.
L. 108–173) added section 1833(h)(8) of
the Act. Section 1833(h)(8)(A) of the Act
requires the Secretary to ‘‘establish by
regulation procedures for determining
the basis for, and amount of, payment
for any clinical diagnostic laboratory
test with respect to which a new or
substantially revised HCPCS code is
assigned on or after January 1, 2005’’
(hereinafter referred to as, ‘‘new test’’).
A code is considered to be
‘‘substantially revised’’ if ‘‘there is a
substantive change to the definition of
the test or procedure to which the code
applies (such as a new analyte or a new
methodology for measuring an existing
analyte-specific test).’’ (See section
1833(h)(8)(E)(ii) of the Act.)
Section 1833(h)(8)(B) of the Act sets
forth the process for determining the
basis for, and the amount of, payment
for new tests. Section 1833(h)(8)(B)(i)
and (ii) of the Act requires the Secretary
to—(1) ‘‘make available to the public
(through an Internet Web site and other
appropriate mechanisms)a list that
includes any such test for which
establishment of a payment amount is
being considered for a year’’; and (2)
‘‘on the same day such list is made
available, causes to have published in
the Federal Register notice of a meeting
to receive comments and
recommendations (and data on which
recommendations are based) from the
public on the appropriate basis * * *
for establishing payment amounts for
the tests on such list.’’ The list of codes
for which the establishment of a
payment amount under the CLFS is
being considered for CY 2013 is posted
on our Web site at https://
www.cms.hhs.gov/ClinicalLabFeeSched.
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Section 1833(h)(8)(B)(iii) of the Act
requires that we convene a public
meeting not less than 30 days after
publication of the notice in the Federal
Register. These requirements are
codified at 42 CFR part 414, subpart G.
Two methods are used to establish
payment amounts for new tests. The
first method called ‘‘crosswalking’’ is
used when a new test is determined to
be comparable to an existing test,
multiple existing test codes, or a portion
of an existing test code. The new test
code is assigned to the local fee
schedule amounts and the national
limitation amount of the existing test.
Payment for the new test is made at the
lesser of the local fee schedule amount
or the national limitation amount. (See
§ 414.508(a).)
The second method called
‘‘gapfilling’’ is used when no
comparable existing test is available.
When using this method, instructions
are provided to each Medicare carrier or
Part A and Part B Medicare
Administrative Contractor (MAC) to
determine a payment amount for its
carrier geographic area(s) for use in the
first year. The carrier-specific amounts
are established for the new test code
using the following sources of
information, if available: charges for the
test and routine discounts to charges;
resources required to perform the test;
payment amounts determined by other
payers; and charges, payment amounts,
and resources required for other tests
that may be comparable or otherwise
relevant. In the second year, the test
code is paid at the national limitation
amount, which is the median of the
carrier-specific amounts. (See
§ 414.508(b).)
II. Proposals in the CY 2013 Physician
Fee Schedule Proposed Rule
We are following our process to
determine the appropriate basis and
payment amount for new test codes
under the CLFS for CY 2013. Some of
these tests are molecular pathology
tests. Stakeholders in the molecular
pathology community continue to
debate whether Medicare should pay for
molecular pathology tests under the
CLFS or the physician fee schedule
(PFS). Medicare pays for clinical
diagnostic laboratory tests through the
CLFS and for services that ordinarily
require physician work through the PFS.
We believe that we would benefit from
additional public comments on whether
these tests are clinical diagnostic
laboratory tests or whether they are
services that should be paid under the
PFS. Therefore, we intend to solicit
public comments on this issue in the CY
2013 PFS proposed rule as well as
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Agencies
[Federal Register Volume 77, Number 103 (Tuesday, May 29, 2012)]
[Notices]
[Pages 31618-31620]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-12633]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services (CMS)
[CMS-2382-N]
Medicaid Program; Announcement of Requirements and Registration
for CMS Provider Screening Innovator Challenge
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS), is
announcing the launch of the ``CMS Provider Screening Innovator
Challenge.'' This Challenge is sponsored by CMS and is presented as
part of the Partnership for Program Integrity Innovation program, and
will be administered by the National Aeronautic and Space
Administration's (NASA) Federal Center of Excellence for Collaborative
Innovation. This Challenge addresses our goals of improving our
abilities to streamline operations, screen providers, and reduce fraud
and abuse. Specifically, the challenge is an innovation competition to
develop a multi-State, multi-program provider screening software
application which would be capable of risk scoring, credentialing
validation, identity authentication, and sanction checks, while
lowering burden on providers and reducing administrative and
infrastructure expenses for States and Federal programs. More
information pertaining to the Medicaid and CHIP programs can be found
at www.medicaid.gov.
DATES: Important dates concerning the Challenge include the following:
Challenge Competition Begin: 6:00 p.m., e.d.t., May 30, 2012.
Challenge Competition End: To be determined, but expected to be
completed by October/November 2012 timeframe.
FOR FURTHER INFORMATION CONTACT: John ``Chip'' Garner, 410-786-3012.
SUPPLEMENTARY INFORMATION:
Subject of Challenge Competition
Entrants are asked to develop artifacts and components of software
applications that can be integrated into an open source solution that
can deliver a reliable, scalable, and cost-effective provider-screening
capability for multiple States (or for the nation).
We expect the winning entry to exhibit the following
characteristics:
1. Reduced processing and transaction time for submitting and
receiving queries to authoritative data sources regarding provider
credentials and sanctions.
2. Reductions in time needed by providers to submit information and
resolve discrepancies.
3. Administrative/infrastructure savings from a multi-tenant
provider screening solution.
4. Improved availability of key provider data relevant for program
participation and oversight.
5. Improved timeliness and accuracy in provider participation,
oversight, and enrollment decisions.
6. Improved ability to implement sections 1902(a)(39) and
1902(a)(77) of the Social Security Act, as amended by the Patient
Protection and Affordable Care Act (Pub. L. 111-148 and 111-152)
subsections 6401(b) and (c) (Provider Screening and Other Enrollment
Requirements Under Medicare, Medicaid, and CHIP), and section 6501
(Termination of Provider Participation Under Medicaid if Terminated by
Medicare or Other State Plan).
7. Assist in better driving alignment of the Medicaid Information
Technology Architecture (MITA) 3.0 framework to the Information and
Technology Architecture levels. More information pertaining to MITA can
be found at the following Web site: www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Data-and-Systems/Medicaid-Information-Technology-Architecture-MITA.html.
General Eligibility Rules for Participating in the Competition
To be eligible to win a prize under this Challenge, an individual
or entity must comply with all the requirements under this section.
An individual or entity shall not be deemed ineligible solely
because the individual or entity used Federal facilities or consulted
with Federal employees during a competition if such facilities and
employees are made available to all individuals and entities
participating in the competition on an equitable basis.
A Federal entity or Federal employee acting within the scope of his
or her employment is not eligible to participate. A Federal employee
seeking to participate in this competition outside the scope of his/her
employment should consult his/her ethics official prior to developing
the submission. Employees of CMS, the Challenge judges, and employees
of any other company or individual involved with the design,
production, execution, or distribution of the Challenge, along with
such employees' or judges' immediate families (spouse, parents and
[[Page 31619]]
step-parents, siblings and step-siblings, and children and step-
children) and household members (people who share the same residence at
least three (3) months out of the year) are not eligible to
participate.
Regarding Registration Process for Participants, interested persons
should read the Official Rules and register at the Center of Excellence
for Collaborative Innovation Challenge portal: https://community.topcoder.com/coeci/. Registration is free and can be
completed at any time before an entry is submitted in response to a
particular competition.
Amount of the Prize
Based on our current assumptions, we estimate that the total prize
amount for the competitions conducted as part of this Challenge will
fall between $500,000 and $600,000.
Basis Upon Which Winner Will Be Selected
Challenge competition entries will be judged by an expert panel
composed of CMS program staff. Judges shall be named after commencement
of the Challenge. Competitions will be judged based upon both
subjective and objective criteria. Should the highest-scoring submitted
solution be missing requirements or otherwise need modification, it
will enter a remediation/fix phase. Projects are posted and
administered through a personalized, web-based administration tool. All
projects progress, with some variance, through a sequence of phases
from Registration to Submission to Screening to Review to Final Fixes.
Submissions will be screened to ensure they meet minimum requirements
for the project and do not include forbidden material. Competition
submissions with subjectively evaluated components (for example,
graphical design, workflow, GUI layout, etc.) are anonymized and
evaluated by the Judges. Submissions with objectively scored
components, such as projects (for example, architecture, development,
etc.) are scored by the Judges by their fidelity to exact, enumerated
requirements.
Overall, the solution must, at a minimum, meet the following
criteria:
1. Capability to Conduct Identity Verification.
a. Capability to link individuals to their organizations and vice
versa.
b. Capability to match on multiple variations of an individual's or
organization's name to ensure that the correct entity is verified.
c. Ability to apply a range of screening rules to cross check data
elements within the enrollment application.
d. Ability to apply a range of screening rules to cross check data
elements against authoritative external sources for consistency.
e. Capability to establish and employ a graded screening
methodology that escalates the intensity of screening for providers
that are flagged as higher risk (that is, Report Card Methodology).
2. Capability to Build Provider Profiles.
a. Capability to retain screening and enrollment information and
results, and compare against past and future screening results.
b. Capability to create a watch list to ensure that providers that
are suspected or known to be fraudulent are flagged at the time of
screening.
c. Capability to track re-enrollment attempts to ensure that slight
changes to provider information are not considered a new enrollment.
d. Capability to revalidate periodically to ensure that changes in
provider profiles are updated on a regular basis.
e. Capability to leverage public Web sites to conduct link analysis
through which provider associations could be explored, and alerts
posted on similar Web sites could be considered.
f. Capability to capture critical attributes
Collection of application fees status.
Exception waiver approved status.
Incorporating enhanced screening data, including the
results of site visits, criminal background checks, and finger
printing.
Capturing licensing information, financial data, and any
other data attributes which could impact a risk lever.
Other critical attributes.
g. Capability to achieve real time screening, scoring, and system
outputs (queries/reports).
3. Capability to Evaluate and Maintain the Integrity of the
Results.
a. Capability to persist data sources scores to determine the most
reliable source for each data element.
b. Capability to evaluate data sources for reliability and
accuracy.
c. Capability to create a learning system to ensure that observed
negative trends factor back into screening rules so as to flag
suspicious enrollments early in the screening process, ensuring the
ability to detect and reduce/eliminate the incidence of false
positives.
d. Capability to create system outputs to assign reasons/
explanations to each code or score used.
e. Capability to build processes to allow for appropriate
interpretation and action on screening and scoring results.
f. Capability to ensure that each rule is tested and its impact is
evaluated prior to implementing.
4. Improves Efficiency.
a. Capability to allow searches to find specific provider
information with minimal search attempts.
b. Capability to identify applicants, including individual
providers and owners of institutional providers.
c. Capability to verify identity and prior history of problems with
Medicaid/CHIP or Medicare programs.
d. Capability to identify and schedule revalidation process.
5. Meets Architectural Guidelines.
a. Adheres to the Architectural Guidance and meets the seven
conditions and standards detailed in the Guidance for Exchange and
Medicaid IT Systems, Version 2.0, located at: https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Data-and-Systems/Downloads/exchangemedicaiditguidance.pdf.
b. Integrates into the MITA Framework--Is MITA Compliant.
Information regarding MITA can be found at: https://www.cms.gov/MedicaidInfoTechArch/.
6. Accurate, Cost Effective, and Timely.
a. Turnaround time for performing automated checks typical for a
web-based system.
b. Comprehensive verification of all data fields for all providers
enrolled.
c. Efficiency of the Screening Solution in terms of cost and
schedule to actually implement: Potential extra costs (for example,
licenses, etc.) are documented.
d. Effectiveness of the risk-screening model in detecting fraud
based issues.
e. Technical soundness of risk-scoring in flagging potential
fraudulent patterns and tendencies.
Additional Information
CMS is one of the principal agencies dedicated to protecting the
health of citizens by making our world healthier, safer, and better for
all Americans. For more information, see www.cms.gov.
General Conditions
CMS reserves the right to cancel, suspend, and/or modify the
Competition, or any part of it, for any reason, at CMS' sole
discretion.
Authority: This competition is administrated by the Federal
Center of Excellence for Collaborative Innovation through a
partnership between CMS and NASA. The partnership is in accordance
with the National Aeronautics and Space Act (51 U.S.C. 20113(e)) and
The Economy Act (31 U.S.C. 1535).
[[Page 31620]]
Dated: May 4, 2012.
Marilyn Tavenner,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2012-12633 Filed 5-25-12; 8:45 am]
BILLING CODE 4120-01-P