Medicare and Medicaid Programs: Application From the Joint Commission for Continued Approval of Its Home Health Agency (HHA) Accreditation Program, 63984-63986 [2013-25010]
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emcdonald on DSK67QTVN1PROD with NOTICES
63984
Federal Register / Vol. 78, No. 207 / Friday, October 25, 2013 / Notices
Conditions of Participation (CoP) and
Supporting Regulations; Use: The
information collection requirements
contained in this request are part of the
requirements classified as the
conditions of participation (CoPs) which
are based on criteria prescribed in law
and are standards designed to ensure
that each facility has properly trained
staff to provide the appropriate safe
physical environment for patients.
These particular standards reflect
comparable standards developed by
industry organizations such as the Joint
Commission on Accreditation of
Healthcare Organizations, and the
Community Health Accreditation
Program. We will use this information
along with state agency surveyors, the
regional home health intermediaries and
home health agencies (HHAs) for the
purpose of ensuring compliance with
Medicare CoPs as well as ensuring the
quality of care provided by HHA
patients. Form Numbers: CMS–R–39
(OCN: 0938–0365); Frequency:
Occasionally; Affected Public: Private
sector—Business or for-profits and Notfor-profit institutions, and State, Local
or Tribal governments; Number of
Respondents: 13,577; Total Annual
Responses: 20,202,576; Total Annual
Hours: 6,422,694. (For policy questions
regarding this collection contact
Danielle Shearer at 410–786–6617.)
4. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Enrollment
Assistance Program; Use: As required by
the Affordable Care Act, we will
implement a grant-based Navigator
Program to provide support to targeted
communities. However, there will also
be a need for broader based enrollment
assistance in population centers we
identified in states with Federallyfacilitated Marketplaces (FFMs) to
provide Health Insurance Marketplace
enrollment assistance to populations not
covered or targeted by the Navigator
Program. The target populations are
individual consumers and families
eligible to enroll in Qualified Health
Plans (QHPs) in population centers we
identified. Without such access to inperson enrollment assistance, millions
of individuals who will be eligible for
health insurance coverage in the
Marketplaces might not have access to
the direct assistance required to make
educated choices on available
healthcare options and may therefore be
unable to successfully enroll in the
Marketplaces. To monitor program
effectiveness, the Enrollment Assistance
Program will provide weekly, monthly,
quarterly and annual reports. The 60-
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17:55 Oct 24, 2013
Jkt 232001
day Federal Register notice was
published on July 29, 2013 (78 FR
45205). No comments were received.
Form Number: CMS–10491 (OCN:
0938–NEW); Frequency: Weekly,
Monthly, Quarterly, Yearly; Affected
Public: Private Sector; Number of
Respondents: 11; Number of Responses:
84; Total Annual Hours: 554. (For
policy questions regarding this
collection contact Jabaar Gray at 301–
492–4255.)
5. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Conditions for
Coverage of Suppliers of End Stage
Renal Disease (ESRD) Services and
Supporting Regulations; Use: The
information collection requirements
described herein are part of the
Medicare and Medicaid Programs;
Conditions for Coverage for End-Stage
Renal Disease Facilities. The
requirements fall into two categories:
Recordkeeping requirements and
reporting requirements. With regard to
the recordkeeping requirements, we use
these conditions for coverage to certify
health care facilities that want to
participate in the Medicare or Medicaid
programs. For the reporting
requirements, the information is needed
to assess and ensure proper distribution
and effective utilization of ESRD
treatment resources while maintaining
or improving quality of care. The
recordkeeping requirements imposed by
this collection are no different than
other conditions for coverage in that
they reflect comparable standards
developed by industry organizations
such as the Renal Physicians
Association, American Society of
Transplant Surgeons, National Kidney
Foundation, and the National
Association of Patients on Hemodialysis
and Transplantation. Form Number:
CMS–R–52 (OCN: 0938–0386);
Frequency: Annually; Affected Public:
Private sector—Business or other forprofit; Number of Respondents: 6,464;
Total Annual Responses: 139,110; Total
Annual Hours: 523,454. (For policy
questions regarding this collection
contact Lauren Oviatt at 410–786–4683.)
Dated: October 22, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–25171 Filed 10–24–13; 8:45 am]
BILLING CODE 4120–01–P
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–3286–PN]
Medicare and Medicaid Programs:
Application From the Joint
Commission for Continued Approval of
Its Home Health Agency (HHA)
Accreditation Program
Centers for Medicare and
Medicaid Services, HHS.
ACTION: Proposed notice.
AGENCY:
This proposed notice
acknowledges the receipt of an
application from the Joint Commission
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(b)(3)(A) of the
Social Security Act (the Act) requires
that within 60 days of receipt of an
organization’s complete application,
CMS publish a notice that 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 November 24, 2013.
ADDRESSES: In commenting, please refer
to file code CMS–3286–PN. Because of
staff and resource limitations, we cannot
accept comments by facsimile (FAX)
transmission.
You may submit comments in one of
four ways:
1. Electronically. You may submit
electronic comments on specific issues
in this regulation to https://
www.regulations.gov. Follow the
‘‘submit a comment’’ instructions.
2. By regular mail. You may mail
written comments (one original and two
copies) to the following address ONLY:
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, Attention: CMS–3286–
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–3286–PN,
Mail Stop C4–26–05, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
SUMMARY:
E:\FR\FM\25OCN1.SGM
25OCN1
emcdonald on DSK67QTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 207 / Friday, October 25, 2013 / Notices
4. By hand or courier. Alternatively,
you may deliver (by hand or courier)
your written comments to 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.)
Comments erroneously mailed to the
addresses indicated as appropriate for
hand or courier delivery may be delayed
and received after the comment period.
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, call
telephone number (410) 786–9994 in
advance to schedule your arrival with
one of our staff members.
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,
or Monda Shaver, (410) 786–3410.
SUPPLEMENTARY INFORMATION:
Submitting Comments: We welcome
comments from the public on all issues
set forth in this proposed notice to assist
us in fully considering issues and
developing policies. Referencing the file
code CMS–3286–PN and the specific
‘‘issue identifier’’ that precedes the
section on which you choose to
comment will assist us in fully
considering issues and developing
policies.
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.
VerDate Mar<15>2010
17:55 Oct 24, 2013
Jkt 232001
Comments received timely will also
be available for public inspection as
they are received, generally beginning
approximately 3 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 an HHA provided certain
requirements are met. Sections 1861(o)
and 1891 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 part 484 specify the minimum
conditions that an HHA must meet to
participate in the Medicare program.
Generally, to enter into an agreement,
an HHA must first be certified by a state
survey agency as complying with the
conditions or requirements set forth in
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. There is an alternative,
however, 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
approval of its accreditation program
under part 488, subpart A, must provide
us 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 approval
of accrediting organizations are set forth
at § 488.4 and § 488.8(d)(3). The
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63985
regulations at § 488.8(d)(3) require
accrediting organizations to reapply for
continued approval of its accreditation
program every 6 years or sooner as
determined by us.
The Joint Commission’s current term
of approval for their HHA accreditation
program expires March 31, 2014.
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
approval 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 CMS 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
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 the Joint
Commission’s request for continued
approval of its HHA accreditation
program. This notice also solicits public
comment on whether the Joint
Commission’s requirements meet or
exceed the Medicare conditions of
participation (CoPs) for HHAs.
III. Evaluation of Deeming Authority
Request
The Joint Commission submitted all
the necessary materials to enable us to
make a determination concerning its
request for continued approval of its
HHA accreditation program. This
application was determined to be
complete on August 30, 2013. Under
section 1865(a)(2) of the Act and our
regulations at § 488.8 (Federal review of
accrediting organizations), our review
and evaluation of the Joint Commission
will be conducted in accordance with,
but not necessarily limited to, the
following factors:
• The equivalency of the Joint
Commission’s standards for HHA’s as
compared with CMS’ HHA CoPs.
• The Joint Commission’s survey
process to determine the following:
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Federal Register / Vol. 78, No. 207 / Friday, October 25, 2013 / Notices
++ The composition of the survey
team, surveyor qualifications, and the
ability of the organization to provide
continuing surveyor training.
++ The comparability of the Joint
Commission’s processes to those of state
agencies, including survey frequency,
and the ability to investigate and
respond appropriately to complaints
against accredited facilities.
++ The Joint Commission’s processes
and procedures for monitoring an HHA
found out of compliance with the Joint
Commission’s program requirements.
These monitoring procedures are used
only when the Joint Commission
identifies noncompliance. If
noncompliance is identified through
validation reviews or complaint
surveys, the state survey agency
monitors corrections as specified at
§ 488.7(d).
++ The Joint Commission’s capacity
to report deficiencies to the surveyed
facilities and respond to the facility’s
plan of correction in a timely manner.
++ The Joint Commission’s capacity
to provide CMS with electronic data and
reports necessary for effective validation
and assessment of the organization’s
survey process.
++ The adequacy of the Joint
Commission’s staff and other resources,
and its financial viability.
++ The Joint Commission’s capacity
to adequately fund required surveys.
++ The Joint Commission’s policies
with respect to whether surveys are
announced or unannounced, to assure
that surveys are unannounced.
++ The Joint Commission’s
agreement to provide CMS with a copy
of the most current accreditation survey
together with any other information
related to the survey as CMS may
require (including corrective action
plans).
emcdonald on DSK67QTVN1PROD with NOTICES
IV. 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).
V. Response to Public 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 preamble, and, when we proceed
with a subsequent document, we will
VerDate Mar<15>2010
17:55 Oct 24, 2013
Jkt 232001
respond to the comments in the
preamble to that document.
Upon completion of our evaluation,
including evaluation of comments
received as a result of this notice, we
will publish a final notice in the Federal
Register announcing the result of our
evaluation.
Authority: (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: September 27, 2013.
Marilyn Tavenner,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2013–25010 Filed 10–24–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–3289–N]
Medicare Program; Request for
Nominations for Members for the
Medicare Evidence Development &
Coverage Advisory Committee
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
This notice announces the
request for nominations for membership
on the Medicare Evidence Development
& Coverage Advisory Committee
(MEDCAC). Among other duties, the
MEDCAC provides advice and guidance
to the Secretary of the Department of
Health and Human Services (the
Secretary) and the Administrator of the
Centers for Medicare & Medicaid
Services (CMS) concerning the
adequacy of scientific evidence
available to CMS for ‘‘reasonable and
necessary’’ determinations under
Medicare.
We are requesting nominations for
both voting and nonvoting members to
serve on the MEDCAC. Nominees are
selected based upon their individual
qualifications and not as representatives
of professional associations or societies.
We wish to ensure adequate
representation of the interests of both
women and men, members of all ethnic
groups and physically challenged
individuals. Therefore, we encourage
nominations of qualified candidates
who can represent these interests.
The MEDCAC reviews and evaluates
medical literature, technology
assessments, and hears public testimony
SUMMARY:
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on the evidence available to address the
impact of medical items and services on
health outcomes of Medicare
beneficiaries.
DATES: Nominations must be received
by Monday, December 9, 2013.
ADDRESSES: You may mail nominations
for membership to the following
address: Centers for Medicare &
Medicaid Services, Center for Clinical
Standards and Quality, Attention: Maria
Ellis, 7500 Security Boulevard, Mail
Stop: S3–02–01, Baltimore, MD 21244.
FOR FURTHER INFORMATION CONTACT:
Maria Ellis, Executive Secretary for the
MEDCAC, Centers for Medicare &
Medicaid Services, Center for Clinical
Standards and Quality, Coverage and
Analysis Group, S3–02–01, 7500
Security Boulevard, Baltimore, MD
21244 or contact Ms. Ellis by phone
(410–786–0309) or via email at
Maria.Ellis@cms.hhs.gov.
SUPPLEMENTARY INFORMATION:
I. Background
The Secretary signed the initial
charter for the Medicare Coverage
Advisory Committee (MCAC) on
November 24, 1998. A notice in the
Federal Register (63 FR 68780)
announcing establishment of the MCAC
was published on December 14, 1998.
The MCAC name was updated to more
accurately reflect the purpose of the
committee and on January 26, 2007, the
Secretary published a notice in the
Federal Register (72 FR 3853),
announcing that the Committee’s name
changed to the Medicare Evidence
Development & Coverage Advisory
Committee (MEDCAC). The charter for
the committee was renewed by the
Secretary on November 24, 2012. The
current charter is effective for 2 years.
The MEDCAC is governed by
provisions of the Federal Advisory
Committee Act, Public Law 92–463, as
amended (5 U.S.C. App. 2), which sets
forth standards for the formulation and
use of advisory committees, and is
authorized by section 222 of the Public
Health Service Act as amended (42
U.S.C. 217A).
The MEDCAC consists of a pool of
100 appointed members including: 94
voting members of whom 6 are
designated patient advocates, and 6
nonvoting representatives of industry
interests. Members generally are
recognized authorities in clinical
medicine including subspecialties,
administrative medicine, public health,
biological and physical sciences,
epidemiology and biostatistics, clinical
trial design, health care data
management and analysis, patient
advocacy, health care economics,
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Agencies
[Federal Register Volume 78, Number 207 (Friday, October 25, 2013)]
[Notices]
[Pages 63984-63986]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-25010]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-3286-PN]
Medicare and Medicaid Programs: Application From the Joint
Commission for Continued Approval of Its Home Health Agency (HHA)
Accreditation Program
AGENCY: Centers for Medicare and Medicaid Services, HHS.
ACTION: Proposed notice.
-----------------------------------------------------------------------
SUMMARY: This proposed notice acknowledges the receipt of an
application from the Joint Commission 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(b)(3)(A) of the Social Security Act (the Act) requires that within
60 days of receipt of an organization's complete application, CMS
publish a notice that 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 November 24,
2013.
ADDRESSES: In commenting, please refer to file code CMS-3286-PN.
Because of staff and resource limitations, we cannot accept comments by
facsimile (FAX) transmission.
You may submit comments in one of four ways:
1. Electronically. You may submit electronic comments on specific
issues in this regulation to https://www.regulations.gov. Follow the
``submit a comment'' instructions.
2. By regular mail. You may mail written comments (one original and
two copies) to the following address ONLY: Centers for Medicare &
Medicaid Services, Department of Health and Human Services, Attention:
CMS-3286-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-3286-PN, Mail
Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.
[[Page 63985]]
4. By hand or courier. Alternatively, you may deliver (by hand or
courier) your written comments to 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.)
Comments erroneously mailed to the addresses indicated as
appropriate for hand or courier delivery may be delayed and received
after the comment period.
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,
call telephone number (410) 786-9994 in advance to schedule your
arrival with one of our staff members.
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, or Monda Shaver, (410) 786-3410.
SUPPLEMENTARY INFORMATION:
Submitting Comments: We welcome comments from the public on all
issues set forth in this proposed notice to assist us in fully
considering issues and developing policies. Referencing the file code
CMS-3286-PN and the specific ``issue identifier'' that precedes the
section on which you choose to comment will assist us in fully
considering issues and developing policies.
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 3
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 an HHA provided certain requirements are met.
Sections 1861(o) and 1891 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 part 484 specify the minimum conditions that an HHA must meet to
participate in the Medicare program.
Generally, to enter into an agreement, an HHA must first be
certified by a state survey agency as complying with the conditions or
requirements set forth in 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. There is an
alternative, however, 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
approval of its accreditation program under part 488, subpart A, must
provide us 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 approval 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 approval of
its accreditation program every 6 years or sooner as determined by us.
The Joint Commission's current term of approval for their HHA
accreditation program expires March 31, 2014.
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 approval 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 CMS 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 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 the
Joint Commission's request for continued approval of its HHA
accreditation program. This notice also solicits public comment on
whether the Joint Commission's requirements meet or exceed the Medicare
conditions of participation (CoPs) for HHAs.
III. Evaluation of Deeming Authority Request
The Joint Commission submitted all the necessary materials to
enable us to make a determination concerning its request for continued
approval of its HHA accreditation program. This application was
determined to be complete on August 30, 2013. 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 the Joint
Commission will be conducted in accordance with, but not necessarily
limited to, the following factors:
The equivalency of the Joint Commission's standards for
HHA's as compared with CMS' HHA CoPs.
The Joint Commission's survey process to determine the
following:
[[Page 63986]]
++ The composition of the survey team, surveyor qualifications, and
the ability of the organization to provide continuing surveyor
training.
++ The comparability of the Joint Commission's processes to those
of state agencies, including survey frequency, and the ability to
investigate and respond appropriately to complaints against accredited
facilities.
++ The Joint Commission's processes and procedures for monitoring
an HHA found out of compliance with the Joint Commission's program
requirements. These monitoring procedures are used only when the Joint
Commission identifies noncompliance. If noncompliance is identified
through validation reviews or complaint surveys, the state survey
agency monitors corrections as specified at Sec. 488.7(d).
++ The Joint Commission's capacity to report deficiencies to the
surveyed facilities and respond to the facility's plan of correction in
a timely manner.
++ The Joint Commission's capacity to provide CMS with electronic
data and reports necessary for effective validation and assessment of
the organization's survey process.
++ The adequacy of the Joint Commission's staff and other
resources, and its financial viability.
++ The Joint Commission's capacity to adequately fund required
surveys.
++ The Joint Commission's policies with respect to whether surveys
are announced or unannounced, to assure that surveys are unannounced.
++ The Joint Commission's agreement to provide CMS with a copy of
the most current accreditation survey together with any other
information related to the survey as CMS may require (including
corrective action plans).
IV. 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).
V. Response to Public 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 preamble,
and, when we proceed with a subsequent document, we will respond to the
comments in the preamble to that document.
Upon completion of our evaluation, including evaluation of comments
received as a result of this notice, we will publish a final notice in
the Federal Register announcing the result of our evaluation.
Authority: (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: September 27, 2013.
Marilyn Tavenner,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2013-25010 Filed 10-24-13; 8:45 am]
BILLING CODE 4120-01-P