TRICARE; Demonstration Project for Participation in Maryland Multi-Payer Patient Centered Medical Home Program (MMPCMHP) Demonstration, 10610-10611 [2013-03415]
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10610
Federal Register / Vol. 78, No. 31 / Thursday, February 14, 2013 / Notices
Dated: February 1, 2013.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. 2013–03414 Filed 2–13–13; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Defense Acquisition Regulations
System
Waiver for Certain Defense Items
Produced in the United Kingdom
Defense Acquisition
Regulations System, Department of
Defense (DoD).
ACTION: Notice.
AGENCY:
The Under Secretary of
Defense (Acquisition, Technology, and
Logistics) is waiving the statutory
limitation of 10 U.S.C. 2534 for certain
defense items produced in the United
Kingdom (UK). The law limits DoD
procurement of certain items to sources
in the national technology and
industrial base. The waiver will permit
procurement of enumerated items from
sources in the UK, unless otherwise
restricted by statute.
DATES: This waiver is effective
beginning March 1, 2013 until February
28, 2014.
FOR FURTHER INFORMATION CONTACT: Ms.
Patricia Foley, OUSD (AT&L) Director,
Office of the Defense Procurement and
Acquisition Policy, Contract Policy and
International Contracting, Room 5E621,
3060 Defense Pentagon, Washington, DC
20301–3060, telephone (703) 693–1145.
SUPPLEMENTARY INFORMATION:
Subsection (a) of 10 U.S.C. 2534
provides that the Secretary of Defense
may procure the items listed in that
subsection only if the manufacturer of
the item is part of the national
technology and industrial base.
Subsection (i) of 10 U.S.C. 2534
authorizes the Secretary of Defense to
exercise the waiver authority in
subsection (d), on the basis of the
applicability of paragraph (2) or (3) of
that subsection, only if the waiver is
made for a particular item listed in
subsection (a) and for a particular
foreign country. Subsection (d)
authorizes a waiver if the Secretary
determines that application of the
limitation ‘‘would impede the reciprocal
procurement of defense items under a
memorandum of understanding
providing for reciprocal procurement of
defense items’’ and if he determines that
‘‘that country does not discriminate
against defense items produced in the
United States to a greater degree than
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SUMMARY:
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the United States discriminates against
defense items produced in that
country.’’ The Secretary of Defense has
delegated the waiver authority of 10
U.S.C. 2534(d) to the Under Secretary of
Defense (Acquisition, Technology, and
Logistics).
DoD has had a Reciprocal Defense
Procurement Memorandum of
Understanding (MOU) with the UK
since 1975, most recently renewed on
December 16, 2004.
The Under Secretary of Defense
(Acquisition, Technology, and Logistics)
finds that the UK does not discriminate
against defense items produced in the
United States to a greater degree than
the United States discriminates against
defense items produced in the UK, and
also finds that application of the
limitation in 10 U.S.C. 2534 against
defense items produced in the UK
would impede the reciprocal
procurement of defense items under the
MOU.
Under the authority of 10 U.S.C. 2534,
the Under Secretary of Defense
(Acquisition, Technology, and Logistics)
has determined that application of the
limitation of 10 U.S.C. 2534(a) to the
procurement of any defense item
produced in the UK that is listed below
would impede the reciprocal
procurement of defense items under the
MOU with the UK.
On the basis of the foregoing, the
Under Secretary of Defense
(Acquisition, Technology, and Logistics)
is waiving the limitation in 10 U.S.C.
2534(a) for procurements of any defense
item listed below that is produced in the
UK. This waiver applies only to the
limitations in 10 U.S.C. 2534(a). This
waiver applies to procurements under
solicitations issued during the period
from March 1, 2013 to February 28,
2014. Similar waivers have been granted
since 1998, most recently in 2012 (77 FR
2278, January 17, 2012).
List of Items to Which This Waiver
Applies
1. Air circuit breakers.
2. Gyrocompasses.
3. Electronic navigation chart systems.
4. Steering controls.
5. Pumps.
6. Propulsion and machinery control
systems.
7. Totally enclosed lifeboats.
Manuel Quinones,
Editor, Defense Acquisition Regulations
System.
[FR Doc. 2013–03474 Filed 2–13–13; 8:45 am]
BILLING CODE 5001–06–P
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DEPARTMENT OF DEFENSE
Office of the Secretary
TRICARE; Demonstration Project for
Participation in Maryland Multi-Payer
Patient Centered Medical Home
Program (MMPCMHP) Demonstration
Department of Defense (DoD).
Notice of Demonstration Project.
AGENCY:
ACTION:
This notice advises interested
parties of a Military Health System
(MHS) Demonstration project under the
authority of Title 10, United States
Code, Section 1092, entitled Department
of Defense (DoD) Enhanced Access to
Patient Centered Medical Home
(PCMH): Participation in Maryland
Multi-payer Patient Centered Medical
Home Program (MMPCMHP).
DATES: The demonstration program will
be effective 30 days after publication in
the Federal Register and have a two
year duration.
ADDRESSES: TRICARE Management
Activity (TMA), TRICARE Regional
Office North, 1700 North Moore Street,
Suite 1200, Arlington, VA 22209.
FOR FURTHER INFORMATION CONTACT:
Capt. John O’Boyle, TMA, TRICARE
Regional Office—North, telephone (703)
588–1831.
SUPPLEMENTARY INFORMATION: The MHS
has adopted the PCMH concept as the
strategy of choice for the direct care
system and is now using this
demonstration to evaluate and provide a
PCMH model in the purchased care
portion of the TRICARE program.
The MHS defines PCMH as a model
of care adopted by the American
Academy of Family Physicians, the
American Academy of Pediatrics, the
American College of Physicians, and the
American Osteopathic Association that
seeks to strengthen the provider-patient
relationship by replacing episodic care
with coordinated care and a long-term
healing relationship. In PCMH practices,
each patient has an ongoing relationship
with a personal provider who leads a
team that takes collective responsibility
for patient care. The provider-led care
team is responsible for providing all the
patient’s health care needs and, when
required, arranging for appropriate care
with other qualified providers.
A particular challenge in
implementing the PCMH concept in the
purchased care portion of the TRICARE
program has been the inability to
distinguish and employ reimbursement
methodologies which encourage
network providers to accept TRICARE
beneficiaries under a Medical Home
model. Current contractual incentives
encourage network discounts which
SUMMARY:
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Federal Register / Vol. 78, No. 31 / Thursday, February 14, 2013 / Notices
may also prove counterproductive in
attracting network providers to a PCMH
model.
The goal of participation is to test the
PCMH model in qualified primary care
practices to determine if this model: (1)
Provides higher quality and more cost
effective care for TRICARE beneficiaries
who receive medical care in
participating practices and (2) leads to
higher satisfaction for patients and
providers. The demonstration seeks to
compensate medical homes for
additional services not traditionally
covered through fee for service
reimbursement, while creating a viable
economic model for health care
purchasers and maintaining
administrative simplicity. As part of the
demonstration, TRICARE, with other
payers, will provide additional fixed,
semi-annual payments to participating
practices for providing documented
evidence-based medicine; use of
electronic medical records; care
coordination; care transition
management; collaboration with
hospitals to prevent readmissions; and
patient coaching; services. These fixed
payments will be weighted based on
practice size, practice share of Maryland
based TRICARE beneficiaries and
National Committee on Quality
Assurance Patient Centered Medical
Home (PPC–PCMH) recognition criteria.
TRICARE Prime and Standard
beneficiaries will be assigned/attributed
to the MMPCMHP demonstration based
on current TRICARE Prime enrollment
and/or evidence of previous services
provided to TRICARE Standard
beneficiaries by participating practices.
TRICARE for Life beneficiaries will be
excluded from the demonstration.
TRICARE will continue to pay claims
using existing reimbursement
methodologies established in 32 CFR
part 199. In addition, incentive
payments will be made based upon
calculated shared savings and measured
quality improvements. TMA Defense
Health Cost Assessment and Evaluation
(DHCAPE) staff will calculate TRICARE
beneficiary cost savings based on
Maryland Health Care Commission
methodology. Pharmacy costs associated
with beneficiaries attributed in the
demonstration will be measured for
informational purposes.
Additional information is available at
https://mhcc.maryland.gov/pcmh/ and
will be available in the TRICARE
Operations Manual.
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17:16 Feb 13, 2013
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Dated: February 1, 2013.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. 2013–03415 Filed 2–13–13; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF EDUCATION
Service Contract Inventory for Fiscal
Year (FY) 2012
Office of the Chief Financial
Officer, U.S. Department of Education.
ACTION: Notice of availability—FY 2012
service contract inventory.
AGENCY:
Through this notice, the
Secretary announces the availability of
the Department of Education’s service
contract inventory on its Web site, at
https://www2.ed.gov/fund/data/report/
contracts/
servicecontractinventoryappendix/
servicecontractinventory.html. A service
contract inventory is a tool for assisting
an agency in better understanding how
contracted services are being used to
support mission and operations and
whether the contractors’ skills are being
utilized in an appropriate manner.
FOR FURTHER INFORMATION CONTACT:
Andrew Sullivan, U.S. Department of
Education, 400 Maryland Avenue SW.,
Washington, DC 20202 by phone at 202–
245–6450 or email at
Andrew.Sullivan@ed.gov.
If you use a telecommunications
device for the deaf (TDD), call the
Federal Relay Service (FRS), toll free, at
1–800–877–8339.
SUPPLEMENTARY INFORMATION: Section
743 of Division C of the Consolidated
Appropriations Act of 2010, Public Law
111–117, requires civilian agencies,
other than the Department of Defense,
that are required to submit an inventory
in accordance with the Federal
Activities Inventory Reform Act of 1998
(Pub. L. 105–270, 31 U.S.C. 501 note) to
submit their inventories to the Office of
Federal Procurement Policy (OFPP) in
the Office of Management and Budget
(OMB) by December 31, 2012. In
addition, section 743 requires these
agencies, which include the Department
of Education, to (1) Make the inventory
available to the public by posting the
inventory on its agency homepage, (2)
provide OFPP with the Web site address
(URL) on which the inventory is being
posted so that the inventory can be
linked to a central OMB Web page, and
(3) publish in the Federal Register a
notice announcing that the inventory is
available to the public along with the
name, telephone number, and email
address of an agency point of contact.
SUMMARY:
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Through this notice, the Department
announces the availability of its
inventory on the following Web site:
https://www2.ed.gov/fund/data/report/
contracts/
servicecontractinventoryappendix/
servicecontractinventory.html. The
point of contact for the inventory is
provided under the FOR FURTHER
INFORMATION CONTACT section in this
notice.
Accessible Format: Individuals with
disabilities can obtain this document in
an accessible format (e.g., Braille, large
print, or audiotape) on request to the
program contact person listed under FOR
FURTHER INFORMATION CONTACT.
Electronic Access to This Document:
You can view this document, as well as
all other documents of this Department
published in the Federal Register, in
text or Adobe Portable Document
Format (PDF) on the Internet at the
following site: www.ed.gov/news/
fedregister. To use PDF you must have
Adobe Acrobat Reader, which is
available free at this site.
Note: The official version of this document
is the document published in the Federal
Register. Free Internet access to the official
edition of the Federal Register and the Code
of Federal Regulations is available on GPO
Access at: https://www.gpoaccess.gov/nara/
index.html.
Program Authority: Section 743 of
Division C of the Consolidated
Appropriations Act of 2010, Pub. L. 111–117.
Dated: February 8, 2013.
Jim Ropelewski,
Acting Deputy Chief Financial Officer.
[FR Doc. 2013–03441 Filed 2–13–13; 8:45 am]
BILLING CODE 4000–01–P
DEPARTMENT OF ENERGY
Environmental Management SiteSpecific Advisory Board, Portsmouth
Department of Energy (DOE).
Notice of Open Meeting.
AGENCY:
ACTION:
This notice announces a
meeting of the Environmental
Management Site-Specific Advisory
Board (EM SSAB), Portsmouth. The
Federal Advisory Committee Act (Pub.
L. 92–463, 86 Stat. 770) requires that
public notice of this meeting be
announced in the Federal Register.
DATES: Thursday, March 7, 2013 6:00
p.m.
SUMMARY:
Ohio State University,
Endeavor Center, 1862 Shyville Road,
Piketon, Ohio 45661.
FOR FURTHER INFORMATION CONTACT: Greg
Simonton, Alternate Deputy Designated
ADDRESSES:
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]]>Agencies
[Federal Register Volume 78, Number 31 (Thursday, February 14, 2013)]
[Notices]
[Pages 10610-10611]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-03415]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
TRICARE; Demonstration Project for Participation in Maryland
Multi-Payer Patient Centered Medical Home Program (MMPCMHP)
Demonstration
AGENCY: Department of Defense (DoD).
ACTION: Notice of Demonstration Project.
-----------------------------------------------------------------------
SUMMARY: This notice advises interested parties of a Military Health
System (MHS) Demonstration project under the authority of Title 10,
United States Code, Section 1092, entitled Department of Defense (DoD)
Enhanced Access to Patient Centered Medical Home (PCMH): Participation
in Maryland Multi-payer Patient Centered Medical Home Program
(MMPCMHP).
DATES: The demonstration program will be effective 30 days after
publication in the Federal Register and have a two year duration.
ADDRESSES: TRICARE Management Activity (TMA), TRICARE Regional Office
North, 1700 North Moore Street, Suite 1200, Arlington, VA 22209.
FOR FURTHER INFORMATION CONTACT: Capt. John O'Boyle, TMA, TRICARE
Regional Office--North, telephone (703) 588-1831.
SUPPLEMENTARY INFORMATION: The MHS has adopted the PCMH concept as the
strategy of choice for the direct care system and is now using this
demonstration to evaluate and provide a PCMH model in the purchased
care portion of the TRICARE program.
The MHS defines PCMH as a model of care adopted by the American
Academy of Family Physicians, the American Academy of Pediatrics, the
American College of Physicians, and the American Osteopathic
Association that seeks to strengthen the provider-patient relationship
by replacing episodic care with coordinated care and a long-term
healing relationship. In PCMH practices, each patient has an ongoing
relationship with a personal provider who leads a team that takes
collective responsibility for patient care. The provider-led care team
is responsible for providing all the patient's health care needs and,
when required, arranging for appropriate care with other qualified
providers.
A particular challenge in implementing the PCMH concept in the
purchased care portion of the TRICARE program has been the inability to
distinguish and employ reimbursement methodologies which encourage
network providers to accept TRICARE beneficiaries under a Medical Home
model. Current contractual incentives encourage network discounts which
[[Page 10611]]
may also prove counterproductive in attracting network providers to a
PCMH model.
The goal of participation is to test the PCMH model in qualified
primary care practices to determine if this model: (1) Provides higher
quality and more cost effective care for TRICARE beneficiaries who
receive medical care in participating practices and (2) leads to higher
satisfaction for patients and providers. The demonstration seeks to
compensate medical homes for additional services not traditionally
covered through fee for service reimbursement, while creating a viable
economic model for health care purchasers and maintaining
administrative simplicity. As part of the demonstration, TRICARE, with
other payers, will provide additional fixed, semi-annual payments to
participating practices for providing documented evidence-based
medicine; use of electronic medical records; care coordination; care
transition management; collaboration with hospitals to prevent
readmissions; and patient coaching; services. These fixed payments will
be weighted based on practice size, practice share of Maryland based
TRICARE beneficiaries and National Committee on Quality Assurance
Patient Centered Medical Home (PPC-PCMH) recognition criteria. TRICARE
Prime and Standard beneficiaries will be assigned/attributed to the
MMPCMHP demonstration based on current TRICARE Prime enrollment and/or
evidence of previous services provided to TRICARE Standard
beneficiaries by participating practices. TRICARE for Life
beneficiaries will be excluded from the demonstration. TRICARE will
continue to pay claims using existing reimbursement methodologies
established in 32 CFR part 199. In addition, incentive payments will be
made based upon calculated shared savings and measured quality
improvements. TMA Defense Health Cost Assessment and Evaluation
(DHCAPE) staff will calculate TRICARE beneficiary cost savings based on
Maryland Health Care Commission methodology. Pharmacy costs associated
with beneficiaries attributed in the demonstration will be measured for
informational purposes.
Additional information is available at https://mhcc.maryland.gov/pcmh/ and will be available in the TRICARE Operations Manual.
Dated: February 1, 2013.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2013-03415 Filed 2-13-13; 8:45 am]
BILLING CODE 5001-06-P
