Medicare and Medicaid Programs; Continued Approval of American Osteopathic Association/Healthcare Facilities Accreditation Program's Critical Access Hospital Accreditation Program, 71619-71620 [2013-28521]
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Federal Register / Vol. 78, No. 230 / Friday, November 29, 2013 / Notices
accompanying requirements are used by
Federal or State surveyors as a basis for
determining whether a hospice qualifies
for approval or re-approval under
Medicare. We believe that the
availability to the hospice of the type of
records and general content of records,
which the final rule (72 FR 32088)
specifies, is standard medical practice,
and is necessary in order to ensure the
well-being and safety of patients and
professional treatment accountability.
There are no program changes to this
information collection request, meaning
there are no new requirements;
however, we are currently adjusting the
numbers of respondents and responses.
The final numbers will be present in the
30-day notice. Form Number: CMS–
10277 (OCN: 0938–1067); Frequency:
Yearly; Affected Public: Private sector—
Business or other for-profit and Not-forprofit institutions; Number of
Respondents: 2,872; Total Annual
Responses: 1,808,345; Total Annual
Hours: 2,152,396. (For policy questions
regarding this collection contact
Danielle Shearer at 410–786–6617.)
Dated: November 22, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–28537 Filed 11–27–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–3285–FN]
Medicare and Medicaid Programs;
Continued Approval of American
Osteopathic Association/Healthcare
Facilities Accreditation Program’s
Critical Access Hospital Accreditation
Program
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Final notice.
AGENCY:
This final notice announces
our decision to approve the American
Osteopathic Association/Healthcare
Facilities Accreditation Program (AOA/
HFAP) for continued recognition as a
national accrediting organization (AO)
for critical access hospitals (CAH) that
wish to participate in the Medicare or
Medicaid programs.
DATES: This final notice is effective
December 27, 2013 through December
27, 2019.
FOR FURTHER INFORMATION CONTACT:
sroberts on DSK5SPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
17:56 Nov 27, 2013
Jkt 232001
James Cowher, (410) 786–41948,
Cindy Melanson, (410) 786–0310, or
Patricia Chmielewski, (410) 786–6899.
SUPPLEMENTARY INFORMATION:
I. Background
Under the Medicare program, eligible
beneficiaries may receive covered
services in a CAH provided certain
requirements are met. Sections
1820(c)(2)(B), 1820(e), and 1861(mm)(1)
of the Social Security Act (the Act)
establish distinct criteria for facilities
seeking designation as a CAH.
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 485, subpart F specify the
conditions that a CAH must meet to
participate in the Medicare program, the
scope of covered services, and the
conditions for Medicare payment for
CAHs.
Generally, to enter into an agreement,
a CAH must first be certified by a state
survey agency as complying with the
conditions or requirements set forth in
part 485, subpart F. Thereafter, the CAH
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. Certification
by a nationally recognized accreditation
program can substitute for ongoing state
review.
Section 1865(a)(1) of the Act provides
that, if a provider entity demonstrates
through accreditation by an approved
national AO that all applicable
Medicare conditions are met or
exceeded, we will deem those provider
entities as having met the requirements.
Accreditation by an AO is voluntary and
is not required for Medicare
participation. A national AO applying
for approval of its accreditation program
under part 488, subpart A, must provide
CMS with reasonable assurance that the
AO requires the accredited provider
entities to meet requirements that are at
least as stringent as the Medicare
conditions.
Our regulations concerning the
approval of AOs are set forth at § 488.4
and § 488.8(d)(3). The regulations at
§ 488.8(d)(3) require AOs to reapply for
continued approval of its accreditation
program every 6 years or sooner as
determined by CMS. The AOA/HFAP’s
current term of approval for their CAH
accreditation program expires December
27, 2013.
II. Application Approval Process
Section 1865(a)(3)(A) of the Act
provides a statutory timetable to ensure
PO 00000
Frm 00059
Fmt 4703
Sfmt 4703
71619
that our review of applications for CMSapproval of an accreditation program is
conducted in a timely manner. The Act
provides us 210 days after the date of
receipt of a complete application, with
any documentation necessary to make
the determination, to complete our
survey activities and application
process. Within 60 days after receiving
a complete application, we must
publish a notice in the Federal Register
that identifies the national accrediting
body making the request, describes the
request, and provides no less than a 30day public comment period. At the end
of the 210-day period, we must publish
a notice in the Federal Register
approving or denying the application.
III. Provisions of the Proposed Notice
On June 25, 2013, we published a
proposed notice in the Federal Register
(78 FR 38043) announcing AOA/HFAP’s
request for approval of its CAH
accreditation program. In the proposed
notice, we detailed our evaluation
criteria. Under section 1865(a)(2) of the
Act and in our regulations at § 488.4 and
§ 488.8, we conducted a review of AOA/
HFAP’s application in accordance with
the criteria specified by our regulations,
which include, but are not limited to the
following:
• An onsite administrative review of
AOA/HFAP’s: (1) Corporate policies; (2)
financial and human resources available
to accomplish the proposed surveys; (3)
procedures for training, monitoring, and
evaluation of its surveyors; (4) ability to
investigate and respond appropriately to
complaints against accredited facilities;
and (5) survey review and
decisionmaking process for
accreditation.
• The comparison of AOA/HFAP’s
accreditation to our current Medicare
CAH conditions of participation (CoPs).
• A documentation review of AOA/
HFAP’s survey process to:
++ Determine the composition of the
survey team, surveyor qualifications,
and AOA/HFAP’s ability to provide
continuing surveyor training.
++ Compare AOA/HFAP’s processes
to those of state survey agencies,
including survey frequency, and the
ability to investigate and respond
appropriately to complaints against
accredited facilities.
++ Evaluate AOA/HFAP’s procedures
for monitoring CAHs out of compliance
with AOA/HFAP’s program
requirements. The monitoring
procedures are used only when AOA/
HFAP identifies noncompliance. If
noncompliance is identified through
validation reviews, the state survey
agency monitors corrections as specified
at § 488.7(d).
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29NON1
71620
Federal Register / Vol. 78, No. 230 / Friday, November 29, 2013 / Notices
++ Assess AOA/HFAP’s ability to
report deficiencies to the surveyed
facilities and respond to the facility’s
plan of correction in a timely manner.
++ Establish AOA/HFAP’s ability to
provide us with electronic data and
reports necessary for effective validation
and assessment of the organization’s
survey process.
++ Determine the adequacy of staff
and other resources.
++ Confirm AOA/HFAP’s ability to
provide adequate funding for
performing required surveys.
++ Confirm AOA/HFAP’s policies
with respect to whether surveys are
announced or unannounced.
++ Obtain AOA/HFAP’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.
In accordance with section
1865(a)(3)(A) of the Act, the June 25,
2013 proposed notice also solicited
public comments regarding whether
AOA/HFAP’s requirements met or
exceeded the Medicare conditions of
participation for CAHs. We received no
comments in response to our proposed
notice.
IV. Provisions of the Final Notice
sroberts on DSK5SPTVN1PROD with NOTICES
A. Differences Between AOA/HFAP’s
Standards and Requirements for
Accreditation and Medicare’s
Conditions and Survey requirements
We compared AOA/HFAP’s CAH
requirements and survey process with
the Medicare CoPs and survey process
as outlined in the State Operations
Manual (SOM). Our review and
evaluation of AOA/HFAP’s CAH
application, which were conducted as
described in section III of this final
notice, yielded the following:
• To meet the requirements at
§ 485.623(b)(5), AOA/HFAP revised its
standards to require all ventilation
systems, both new and existing,
supplying operating rooms to meet the
humidity control requirements..
• To meet the requirements at
§ 485.623(c)(1), AOA/HFAP revised its
standards to incorporate specific staff
training requirements for protection in
place or methods for the evacuation of
patients, when necessary.
• To meet the requirements at
§ 485.635(e), AOA/HFAP revised its
standards to include staff qualification
requirements for rehabilitation therapy
services.
• To meet the requirements at
§ 488.4(a)(6), AOA/HFAP revised its
‘‘Complaint/Incident Management
Policy,’’ to ensure all onsite complaint
VerDate Mar<15>2010
17:56 Nov 27, 2013
Jkt 232001
surveys are documented on a survey
report.
• To meet the requirements of section
2728 of the SOM, AOA/HFAP will
continue to use its internal monitoring
plan to ensure timeframes for sending or
receiving a plan of correction (PoC) are
met.
• To meet the requirements of section
2728B of the SOM, AOA/HFAP will
continue to conduct monthly internal
audits to ensure accepted PoC’s contain
all of the required elements.
B. Term of Approval
Based on our review and observations
described in section III of this final
notice, we have determined that AOA/
HFAP’s CAH accreditation program
requirements meet or exceed our
requirements. Therefore, we approve
AOA/HFAP as a national AO for CAHs
that request participation in the
Medicare program, effective December
27, 2013 through December 27, 2019.
V. Collection of Information
Requirements
This document does not impose
information collection, recordkeeping or
third party disclosure 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. Chapter 35).
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: November 12, 2013.
Marilyn Tavenner,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2013–28521 Filed 11–27–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2013–N–1439]
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Adverse Event
Program for Medical Products
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is announcing an
opportunity for public comment on the
proposed collection of certain
SUMMARY:
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Frm 00060
Fmt 4703
Sfmt 4703
information by the Agency. Under the
Paperwork Reduction Act of 1995 (the
PRA), Federal Agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension of an existing collection of
information, and to allow 60 days for
public comment in response to the
notice. This notice solicits comments on
the collection of information regarding
the Adverse Event Program for medical
devices.
DATES: Submit either electronic or
written comments on the collection of
information by January 28, 2014.
ADDRESSES: Submit electronic
comments on the collection of
information to https://
www.regulations.gov. Submit written
comments on the collection of
information to the Division of Dockets
Management (HFA–305), Food and Drug
Administration, 5630 Fishers Lane, rm.
1061, Rockville, MD 20852. All
comments should be identified with the
docket number found in brackets in the
heading of this document.
FOR FURTHER INFORMATION CONTACT: FDA
PRA Staff, Office of Operations, Food
and Drug Administration, 1350 Piccard
Dr., PI50–400B, Rockville, MD 20850,
PRAStaff@fda.hhs.gov.
SUPPLEMENTARY INFORMATION: Under the
PRA (44 U.S.C. 3501–3520), Federal
Agencies must obtain approval from the
Office of Management and Budget
(OMB) for each collection of
information they conduct or sponsor.
‘‘Collection of information’’ is defined
in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes Agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44
U.S.C. 3506(c)(2)(A)) requires Federal
Agencies to provide a 60-day notice in
the Federal Register concerning each
proposed collection of information,
including each proposed extension of an
existing collection of information,
before submitting the collection to OMB
for approval. To comply with this
requirement, FDA is publishing notice
of the proposed collection of
information set forth in this document.
With respect to the following
collection of information, FDA invites
comments on these topics: (1) Whether
the proposed collection of information
is necessary for the proper performance
of FDA’s functions, including whether
the information will have practical
utility; (2) the accuracy of FDA’s
estimate of the burden of the proposed
collection of information, including the
validity of the methodology and
E:\FR\FM\29NON1.SGM
29NON1
Agencies
[Federal Register Volume 78, Number 230 (Friday, November 29, 2013)]
[Notices]
[Pages 71619-71620]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-28521]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-3285-FN]
Medicare and Medicaid Programs; Continued Approval of American
Osteopathic Association/Healthcare Facilities Accreditation Program's
Critical Access Hospital Accreditation Program
AGENCY: Centers for Medicare & Medicaid Services, HHS.
ACTION: Final notice.
-----------------------------------------------------------------------
SUMMARY: This final notice announces our decision to approve the
American Osteopathic Association/Healthcare Facilities Accreditation
Program (AOA/HFAP) for continued recognition as a national accrediting
organization (AO) for critical access hospitals (CAH) that wish to
participate in the Medicare or Medicaid programs.
DATES: This final notice is effective December 27, 2013 through
December 27, 2019.
FOR FURTHER INFORMATION CONTACT:
James Cowher, (410) 786-41948,
Cindy Melanson, (410) 786-0310, or Patricia Chmielewski, (410) 786-
6899.
SUPPLEMENTARY INFORMATION:
I. Background
Under the Medicare program, eligible beneficiaries may receive
covered services in a CAH provided certain requirements are met.
Sections 1820(c)(2)(B), 1820(e), and 1861(mm)(1) of the Social Security
Act (the Act) establish distinct criteria for facilities seeking
designation as a CAH. 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 485, subpart F specify the conditions that a CAH
must meet to participate in the Medicare program, the scope of covered
services, and the conditions for Medicare payment for CAHs.
Generally, to enter into an agreement, a CAH must first be
certified by a state survey agency as complying with the conditions or
requirements set forth in part 485, subpart F. Thereafter, the CAH 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. Certification by a nationally
recognized accreditation program can substitute for ongoing state
review.
Section 1865(a)(1) of the Act provides that, if a provider entity
demonstrates through accreditation by an approved national AO that all
applicable Medicare conditions are met or exceeded, we will deem those
provider entities as having met the requirements. Accreditation by an
AO is voluntary and is not required for Medicare participation. A
national AO applying for approval of its accreditation program under
part 488, subpart A, must provide CMS with reasonable assurance that
the AO requires the accredited provider entities to meet requirements
that are at least as stringent as the Medicare conditions.
Our regulations concerning the approval of AOs are set forth at
Sec. 488.4 and Sec. 488.8(d)(3). The regulations at Sec. 488.8(d)(3)
require AOs to reapply for continued approval of its accreditation
program every 6 years or sooner as determined by CMS. The AOA/HFAP's
current term of approval for their CAH accreditation program expires
December 27, 2013.
II. Application Approval Process
Section 1865(a)(3)(A) of the Act provides a statutory timetable to
ensure that our review of applications for CMS-approval of an
accreditation program is conducted in a timely manner. The Act provides
us 210 days after the date of receipt of a complete application, with
any documentation necessary to make the determination, to complete our
survey activities and application process. Within 60 days after
receiving a complete application, we must publish a notice in the
Federal Register that identifies the national accrediting body making
the request, describes the request, and provides no less than a 30-day
public comment period. At the end of the 210-day period, we must
publish a notice in the Federal Register approving or denying the
application.
III. Provisions of the Proposed Notice
On June 25, 2013, we published a proposed notice in the Federal
Register (78 FR 38043) announcing AOA/HFAP's request for approval of
its CAH accreditation program. In the proposed notice, we detailed our
evaluation criteria. Under section 1865(a)(2) of the Act and in our
regulations at Sec. 488.4 and Sec. 488.8, we conducted a review of
AOA/HFAP's application in accordance with the criteria specified by our
regulations, which include, but are not limited to the following:
An onsite administrative review of AOA/HFAP's: (1)
Corporate policies; (2) financial and human resources available to
accomplish the proposed surveys; (3) procedures for training,
monitoring, and evaluation of its surveyors; (4) ability to investigate
and respond appropriately to complaints against accredited facilities;
and (5) survey review and decisionmaking process for accreditation.
The comparison of AOA/HFAP's accreditation to our current
Medicare CAH conditions of participation (CoPs).
A documentation review of AOA/HFAP's survey process to:
++ Determine the composition of the survey team, surveyor
qualifications, and AOA/HFAP's ability to provide continuing surveyor
training.
++ Compare AOA/HFAP's processes to those of state survey agencies,
including survey frequency, and the ability to investigate and respond
appropriately to complaints against accredited facilities.
++ Evaluate AOA/HFAP's procedures for monitoring CAHs out of
compliance with AOA/HFAP's program requirements. The monitoring
procedures are used only when AOA/HFAP identifies noncompliance. If
noncompliance is identified through validation reviews, the state
survey agency monitors corrections as specified at Sec. 488.7(d).
[[Page 71620]]
++ Assess AOA/HFAP's ability to report deficiencies to the surveyed
facilities and respond to the facility's plan of correction in a timely
manner.
++ Establish AOA/HFAP's ability to provide us with electronic data
and reports necessary for effective validation and assessment of the
organization's survey process.
++ Determine the adequacy of staff and other resources.
++ Confirm AOA/HFAP's ability to provide adequate funding for
performing required surveys.
++ Confirm AOA/HFAP's policies with respect to whether surveys are
announced or unannounced.
++ Obtain AOA/HFAP'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.
In accordance with section 1865(a)(3)(A) of the Act, the June 25,
2013 proposed notice also solicited public comments regarding whether
AOA/HFAP's requirements met or exceeded the Medicare conditions of
participation for CAHs. We received no comments in response to our
proposed notice.
IV. Provisions of the Final Notice
A. Differences Between AOA/HFAP's Standards and Requirements for
Accreditation and Medicare's Conditions and Survey requirements
We compared AOA/HFAP's CAH requirements and survey process with the
Medicare CoPs and survey process as outlined in the State Operations
Manual (SOM). Our review and evaluation of AOA/HFAP's CAH application,
which were conducted as described in section III of this final notice,
yielded the following:
To meet the requirements at Sec. 485.623(b)(5), AOA/HFAP
revised its standards to require all ventilation systems, both new and
existing, supplying operating rooms to meet the humidity control
requirements..
To meet the requirements at Sec. 485.623(c)(1), AOA/HFAP
revised its standards to incorporate specific staff training
requirements for protection in place or methods for the evacuation of
patients, when necessary.
To meet the requirements at Sec. 485.635(e), AOA/HFAP
revised its standards to include staff qualification requirements for
rehabilitation therapy services.
To meet the requirements at Sec. 488.4(a)(6), AOA/HFAP
revised its ``Complaint/Incident Management Policy,'' to ensure all
onsite complaint surveys are documented on a survey report.
To meet the requirements of section 2728 of the SOM, AOA/
HFAP will continue to use its internal monitoring plan to ensure
timeframes for sending or receiving a plan of correction (PoC) are met.
To meet the requirements of section 2728B of the SOM, AOA/
HFAP will continue to conduct monthly internal audits to ensure
accepted PoC's contain all of the required elements.
B. Term of Approval
Based on our review and observations described in section III of
this final notice, we have determined that AOA/HFAP's CAH accreditation
program requirements meet or exceed our requirements. Therefore, we
approve AOA/HFAP as a national AO for CAHs that request participation
in the Medicare program, effective December 27, 2013 through December
27, 2019.
V. Collection of Information Requirements
This document does not impose information collection, recordkeeping
or third party disclosure 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. Chapter 35).
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: November 12, 2013.
Marilyn Tavenner,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2013-28521 Filed 11-27-13; 8:45 am]
BILLING CODE 4120-01-P