Payment for Home Health Services and Hospice Care to Non-VA Providers; Delay of Effective Date, 16200 [2014-06470]
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Federal Register / Vol. 79, No. 57 / Tuesday, March 25, 2014 / Rules and Regulations
The Coast Guard will enforce
a segment of the Safety Zone; Brandon
Road Lock and Dam to Lake Michigan
including Des Plaines River, Chicago
Sanitary and Ship Canal, Chicago River,
Calumet-Saganashkee Channel on all
waters of the Chicago Sanitary and Ship
Canal from Mile Marker 296.1 to Mile
Marker 296.7 at specified times from
March 21 to March 30, 2014. This action
is necessary to protect the waterway,
waterway users, and vessels from the
hazards associated with the U.S. Army
Corps of Engineers’ Fish Suppression
and Dispersal Barriers testing
operations.
During any of the enforcement
periods listed below, entry into,
transiting, mooring, laying-up or
anchoring within the enforced area of
this safety zone by any person or vessel
is prohibited unless authorized by the
Captain of the Port, Lake Michigan, or
his designated representative.
DATES: The regulations in 33 CFR
165.930 will be enforced from 7 a.m. to
11 a.m. and from 1 p.m. to 5 p.m. on
March 21, 2014, and during those hours
each day from March 24 to March 30,
2014.
FOR FURTHER INFORMATION CONTACT: If
you have questions on this notice, call
or email MST1 Joseph McCollum,
Prevention Department, Coast Guard
Sector Lake Michigan, telephone 414–
747–7148, email address
joseph.p.mccollum@uscg.mil.
SUPPLEMENTARY INFORMATION: The Coast
Guard will enforce a segment of the
Safety Zone; Brandon Road Lock and
Dam to Lake Michigan including Des
Plaines River, Chicago Sanitary and
Ship Canal, Chicago River, CalumetSaganashkee Channel, Chicago, IL,
listed in 33 CFR 165.930. Specifically,
the Coast Guard will enforce this safety
zone between Mile Marker 296.1 to Mile
Marker 296.7 on all waters of the
Chicago Sanitary and Ship Canal.
Enforcement will occur from 7 a.m. to
11 a.m. and from 1 p.m. to 5 p.m. on
March 21, 2014, and during those hours
each day from March 24 to March 30,
2014. This enforcement action is
necessary because the Captain of the
Port, Lake Michigan, has determined
that the U.S. Army Corps of Engineers’
Fish Suppression and Dispersal Barriers
testing operations pose risks to life and
property. Because of these risks, it is
necessary to control vessel movement
during the operations to prevent injury
and property loss.
In accordance with the general
regulations in § 165.23 of this part, entry
into, transiting, mooring, laying up, or
anchoring within the enforced area of
this safety zone by any person or vessel
tkelley on DSK3SPTVN1PROD with RULES
SUMMARY:
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is prohibited unless authorized by the
Captain of the Port, Lake Michigan, or
his or her designated representative.
Vessels that wish to transit through
the safety zone may request permission
from the Captain of the Port, Lake
Michigan. Requests must be made in
advance and approved by the Captain of
the Port before transits will be
authorized. Approvals will be granted
on a case by case basis. The Captain of
the Port may be contacted via U.S. Coast
Guard Sector Lake Michigan on VHF
channel 16.
This notice is issued under authority
of 33 CFR 165.930 and 5 U.S.C. 552(a).
In addition to this notice in the Federal
Register, the Captain of the Port, Lake
Michigan, will also provide notice
through other means, which may
include, but are not limited to,
Broadcast Notice to Mariners, Local
Notice to Mariners, local news media,
distribution in leaflet form, and onscene oral notice. Additionally, the
Captain of the Port, Lake Michigan, may
notify representatives from the maritime
industry through telephonic and email
notifications.
Dated: March 4, 2014.
M.W. Sibley,
Captain, U.S. Coast Guard, Captain of the
Port, Lake Michigan.
[FR Doc. 2014–06447 Filed 3–24–14; 8:45 am]
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DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Part 17
RIN 2900–AN98
Payment for Home Health Services and
Hospice Care to Non-VA Providers;
Delay of Effective Date
Department of Veterans Affairs.
Final rule; delay of effective
AGENCY:
ACTION:
date.
The Department of Veterans
Affairs (VA) published in the Federal
Register on November 14, 2013 (78 FR
68364), a notification delaying the
effective date of a final rule that amends
the payment methodology for providers
of home health services and hospice
care. That notification changed the
effective date from November 15, 2013,
to April 1, 2014. We are now delaying
until June 1, 2014, the effective date of
the final rule at 78 FR 26250.
DATES: Effective Date: The effective date
for the final rule published May 6, 2013,
at 78 FR 26250, is delayed from April
1, 2014 to June 1, 2014.
SUMMARY:
PO 00000
Frm 00028
Fmt 4700
Sfmt 9990
FOR FURTHER INFORMATION CONTACT:
Karyn Barrett, Director of
Administration, Department of Veterans
Affairs, Veterans Health Administration,
3773 Cherry Creek Drive North, East
Tower, Ste. 485, Denver, CO 80209,
(303) 331–7829. (This is not a toll-free
number.)
This
rulemaking makes the VA regulation
governing payments for certain non-VA
health care, 38 CFR 17.56, applicable to
non-VA home health services and
hospice care. Section 17.56 provides,
among other things, that Centers for
Medicare and Medicaid (CMS) fee
schedule or prospective payment system
amounts will be paid to certain non-VA
providers, unless VA negotiates other
payment amounts with such providers.
See 38 CFR 17.56(a)(2)(i). This change
in the billing methodology for non-VA
home health and hospice care was put
forth in a proposed rule. We received
one comment to this change and
responded to that comment in a final
rule published in the Federal Register
on May 6, 2013 (78 FR 26250). The
original effective date of the final rule
was stated as November 15, 2013;
however, we now delay the effective
date of the final rule at 78 FR 26250 to
the new effective date of June 1, 2014.
The delay of the effective date is
necessary to accommodate difficulties
in the outreach and implementation of
standardized processes for VA staff
involved in the process of approving
and paying for home health services and
hospice care. Technology issues
continue to be addressed in order to
apply the billing methodology under
§ 17.56 to non-VA home health services
and hospice care. These difficulties
relate to separate administration of
hospice care and home health services
by the Veterans Health Administration’s
Office of Geriatrics and Extended Care,
which uses separate methods for
forming agreements with non-VA
providers for the provision of these
services, and difficulties regarding
information technology systems
necessary to use the CMS rate made
applicable under § 17.56.
SUPPLEMENTARY INFORMATION:
Dated: March 19, 2014.
Robert C. McFetridge,
Director, Regulation Policy and Management,
Office of the General Counsel, Department
of Veterans Affairs.
[FR Doc. 2014–06470 Filed 3–24–14; 8:45 am]
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E:\FR\FM\25MRR1.SGM
25MRR1
]]>Agencies
[Federal Register Volume 79, Number 57 (Tuesday, March 25, 2014)]
[Rules and Regulations]
[Page 16200]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-06470]
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DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 17
RIN 2900-AN98
Payment for Home Health Services and Hospice Care to Non-VA
Providers; Delay of Effective Date
AGENCY: Department of Veterans Affairs.
ACTION: Final rule; delay of effective date.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) published in the
Federal Register on November 14, 2013 (78 FR 68364), a notification
delaying the effective date of a final rule that amends the payment
methodology for providers of home health services and hospice care.
That notification changed the effective date from November 15, 2013, to
April 1, 2014. We are now delaying until June 1, 2014, the effective
date of the final rule at 78 FR 26250.
DATES: Effective Date: The effective date for the final rule published
May 6, 2013, at 78 FR 26250, is delayed from April 1, 2014 to June 1,
2014.
FOR FURTHER INFORMATION CONTACT: Karyn Barrett, Director of
Administration, Department of Veterans Affairs, Veterans Health
Administration, 3773 Cherry Creek Drive North, East Tower, Ste. 485,
Denver, CO 80209, (303) 331-7829. (This is not a toll-free number.)
SUPPLEMENTARY INFORMATION: This rulemaking makes the VA regulation
governing payments for certain non-VA health care, 38 CFR 17.56,
applicable to non-VA home health services and hospice care. Section
17.56 provides, among other things, that Centers for Medicare and
Medicaid (CMS) fee schedule or prospective payment system amounts will
be paid to certain non-VA providers, unless VA negotiates other payment
amounts with such providers. See 38 CFR 17.56(a)(2)(i). This change in
the billing methodology for non-VA home health and hospice care was put
forth in a proposed rule. We received one comment to this change and
responded to that comment in a final rule published in the Federal
Register on May 6, 2013 (78 FR 26250). The original effective date of
the final rule was stated as November 15, 2013; however, we now delay
the effective date of the final rule at 78 FR 26250 to the new
effective date of June 1, 2014. The delay of the effective date is
necessary to accommodate difficulties in the outreach and
implementation of standardized processes for VA staff involved in the
process of approving and paying for home health services and hospice
care. Technology issues continue to be addressed in order to apply the
billing methodology under Sec. 17.56 to non-VA home health services
and hospice care. These difficulties relate to separate administration
of hospice care and home health services by the Veterans Health
Administration's Office of Geriatrics and Extended Care, which uses
separate methods for forming agreements with non-VA providers for the
provision of these services, and difficulties regarding information
technology systems necessary to use the CMS rate made applicable under
Sec. 17.56.
Dated: March 19, 2014.
Robert C. McFetridge,
Director, Regulation Policy and Management, Office of the General
Counsel, Department of Veterans Affairs.
[FR Doc. 2014-06470 Filed 3-24-14; 8:45 am]
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