Medicare Program; Town Hall Meeting on FY 2016 Applications for New Medical Services and Technology Add-On Payments, 69490-69492 [2014-27579]
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69490
Federal Register / Vol. 79, No. 225 / Friday, November 21, 2014 / Notices
authorization request (and, upon
request, to the beneficiary if he or she
was not the original submitter). If a
subsequent prior authorization request
is submitted after a non-affirmative
decision on an initial prior
authorization request, the MACs will
make every effort to conduct a review
and postmark the notification of their
decision on the request within 20
business days.
A facility or beneficiary may request
an expedited review when the standard
timeframe for making a prior
authorization decision could jeopardize
the life or health of the beneficiary. If
the MAC agrees that the standard review
timeframe would put the beneficiary at
risk, the MAC will make reasonable
efforts to communicate a decision
within 2 business days of receipt of all
applicable, Medicare-required
documentation. As this model is for a
non-emergent service only, we expect
requests for expedited reviews to be
extremely rare.
The following describes examples of
various prior authorization scenarios:
• Scenario 1: When a facility or
beneficiary submits a prior
authorization request to the MAC with
appropriate documentation and all
relevant Medicare coverage and
documentation requirements are met for
the HBO therapy, the MAC will send a
provisional affirmative prior
authorization decision to the submitter
(and, upon request, to the beneficiary if
he or she was not the original
submitter). When the claim is submitted
to the MAC, it is linked to the prior
authorization via the claims processing
system and the claim is paid so long as
all Medicare coding, billing, and
coverage requirements are met.
However, after submission, the claim
could be denied for technical reasons,
such as the claim being a duplicate
claim or being for a date of service after
a beneficiary’s death.
• Scenario 2: When a facility or
beneficiary submits a prior
authorization request but all relevant
Medicare coverage requirements are not
met, the MAC will send a nonaffirmative prior authorization decision
to the submitter (and, upon request, to
the beneficiary if he or she was not the
original submitter), advising them that
Medicare will not pay for the service.
The facility or beneficiary may then
resubmit the request with
documentation showing that Medicare
requirements have been met.
Alternatively, a facility could render the
service, and submit a claim with a nonaffirmative prior authorization tracking
number, at which point the MAC would
deny the claim. The facility or the
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18:00 Nov 20, 2014
Jkt 235001
beneficiary would then have the
Medicare denial for secondary
insurance purposes and would have the
opportunity to submit an appeal of the
claim denial if they believe Medicare
coverage was denied inappropriately.
• Scenario 3: When a facility or
beneficiary submits a prior
authorization request with incomplete
documentation, a detailed decision
letter will be sent to the submitter (and,
upon request, to the beneficiary if he or
she was not the original submitter) with
an explanation of what information is
missing. The facility or beneficiary can
rectify the situation and resubmit the
prior authorization request with
appropriate documentation.
• Scenario 4: When a facility renders
a service that is subject to the prior
authorization process to a beneficiary,
and submits the claim to the MAC for
payment without requesting a prior
authorization, the claim will be stopped
for prepayment review and
documentation will be requested.
++ If the claim is determined to be
not medically necessary or to be
insufficiently documented, the claim
will be denied, and all current policies
and procedures regarding liability for
payment will apply. The facility and/or
beneficiary can appeal the claim denial
if they believe the denial was
inappropriate.
++ If the claim is determined to be
payable, it will be paid.
Under the model, we will work to
limit any adverse impact on
beneficiaries and to educate
beneficiaries about the process. If a prior
authorization request is not affirmed,
and the claim is still submitted by the
facility, the claim will be denied in full,
but beneficiaries will continue to have
all applicable administrative appeal
rights.
Only one prior authorization request
per beneficiary per designated time
period can be provisionally affirmed. If
the initial facility cannot complete the
total number of HBO treatments (for
example, the initial facility closes or the
beneficiary moves out of the area), the
initial request is cancelled. In this
situation, a subsequent prior
authorization request may be submitted
for the same beneficiary and must
include the required documentation in
the submission. If multiple facilities are
providing HBO treatments to the
beneficiary during the same or
overlapping time period, the prior
authorization decision will only cover
the facility indicated in the
provisionally affirmed prior
authorization request. Any facility
submitting claims for which no prior
authorization request is recorded will be
PO 00000
Frm 00070
Fmt 4703
Sfmt 4703
subject to 100 percent pre-payment
medical review of those claims.
Additional information is available on
the CMS Web site at https://go.cms.gov/
PAHBO.
III. Collection of Information
Requirements
Section 1115A(d)(3) of the Act, as
added by section 3021 of the Affordable
Care Act, states that chapter 35 of title
44, United States Code (the Paperwork
Reduction Act of 1995), shall not apply
to the testing and evaluation of models
or expansion of such models under this
section. Consequently, this document
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).
Authority: Section 1115A of the Social
Security Act.
Dated: October 8, 2014.
Marilyn Tavenner,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2014–27578 Filed 11–20–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1464–N]
Medicare Program; Town Hall Meeting
on FY 2016 Applications for New
Medical Services and Technology AddOn Payments
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice of meeting.
AGENCY:
This notice announces a
Town Hall meeting in accordance with
section 1886(d)(5)(K)(viii) of the Social
Security Act (the Act) to discuss fiscal
year (FY) 2016 applications for add-on
payments for new medical services and
technologies under the hospital
inpatient prospective payment systems
(IPPS). Interested parties are invited to
this meeting to present their comments,
recommendations, and data regarding
whether the FY 2016 new medical
services and technologies applications
meet the substantial clinical
improvement criterion.
DATES: Meeting Date: The Town Hall
Meeting announced in this notice will
be held on Tuesday, February 3, 2015.
The Town Hall Meeting will begin at
9:00 a.m. Eastern Standard Time (e.s.t.)
and check-in will begin at 8:30 a.m.
e.s.t.
SUMMARY:
E:\FR\FM\21NON1.SGM
21NON1
mstockstill on DSK4VPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 225 / Friday, November 21, 2014 / Notices
Deadline for Registration for
Participants (not Presenting) at the
Town Hall Meeting and Submitting
Requests for Special Accommodations:
Registration to attend the Town Hall
Meeting and requests for special
accommodations must be received no
later than 5:00 p.m. Tuesday, January
20, 2015.
Deadline for Registration of Presenters
at the Town Hall Meeting: Registration
to present at the Town Hall Meeting
must be received no later than 5:00 p.m.
e.s.t. on Monday, January 19, 2015.
Deadline for Submission of Agenda
Item(s) or Written Comments for the
Town Hall Meeting: Written comments
and agenda items for discussion at the
Town Hall Meeting, including agenda
items by presenters, must be received no
later than 5:00 p.m. e.s.t. Monday,
January 19, 2015. In addition to
materials submitted for discussion at the
Town Hall Meeting, individuals may
submit other written comments after the
Town Hall Meeting, as specified in the
ADDRESSES section of this notice, on
whether the service or technology
represents a substantial clinical
improvement. These comments must be
received no later than 5:00 p.m. e.s.t on
Tuesday, February 24, 2015, for
consideration in the FY 2016 IPPS
proposed rule.
ADDRESSES: Meeting Location: The
Town Hall Meeting will be held in the
main Auditorium in the central building
of the Centers for Medicare and
Medicaid Services located at 7500
Security Boulevard, Baltimore, MD
21244–1850.
In addition, we are providing two
alternatives to attending the meeting in
person—(1) there will be an open tollfree phone line to call into the Town
Hall Meeting; or (2) participants may
view and participate in the Town Hall
Meeting via live stream technology and/
or webinar. Information on these
options is provided in section II.B. of
this notice.
Registration and Special
Accommodations: Individuals wishing
to participate in the meeting must
register by following the on-line
registration instructions located in
section III. of this notice or by
contacting staff listed in the FOR
FURTHER INFORMATION CONTACT section of
this notice. Individuals who need
special accommodations should contact
staff listed in the FOR FURTHER
INFORMATION CONTACT section of this
notice.
Submission of Agenda Item(s) or
Written Comments for the Town Hall
Meeting: Each presenter must submit an
agenda item(s) regarding whether a FY
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18:00 Nov 20, 2014
Jkt 235001
2016 application meets the substantial
clinical improvement criterion. Agenda
items, written comments, questions or
other statements must not exceed three
single-spaced typed pages and may be
sent via email to newtech@cms.hhs.gov.
FOR FURTHER INFORMATION CONTACT:
Michael Treitel, (410) 786–4552,
michael.treitel@cms.hhs.gov, or Celeste
Beauregard, (410) 786–8102,
celeste.beauregard@cms.hhs.gov.
Alternatively, you may forward your
requests via email to newtech@
cms.hhs.gov.
SUPPLEMENTARY INFORMATION:
I. Background on the Add-On Payments
for New Medical Services and
Technologies Under the IPPS
Sections 1886(d)(5)(K) and (L) of the
Social Security Act (the Act) require the
Secretary to establish a process of
identifying and ensuring adequate
payments to acute care hospitals for
new medical services and technologies
under Medicare. Effective for discharges
beginning on or after October 1, 2001,
section 1886(d)(5)(K)(i) of the Act
requires the Secretary to establish (after
notice and opportunity for public
comment) a mechanism to recognize the
costs of new services and technologies
under the hospital inpatient prospective
payment system (IPPS). In addition,
section 1886(d)(5)(K)(vi) of the Act
specifies that a medical service or
technology will be considered ‘‘new’’ if
it meets criteria established by the
Secretary (after notice and opportunity
for public comment). (See the FY 2002
IPPS proposed rule (66 FR 22693, May
4, 2001) and final rule (66 FR 46912,
September 7, 2001) for a more detailed
discussion.)
In the September 7, 2001 final rule (66
FR 46914), we noted that we evaluated
a request for special payment for a new
medical service or technology against
the following criteria in order to
determine if the new technology meets
the substantial clinical improvement
requirement:
• The device offers a treatment option
for a patient population unresponsive
to, or ineligible for, currently available
treatments.
• The device offers the ability to
diagnose a medical condition in a
patient population where that medical
condition is currently undetectable or
offers the ability to diagnose a medical
condition earlier in a patient population
than allowed by currently available
methods. There must also be evidence
that use of the device to make a
diagnosis affects the management of the
patient.
PO 00000
Frm 00071
Fmt 4703
Sfmt 4703
69491
• Use of the device significantly
improves clinical outcomes for a patient
population as compared to currently
available treatments. Some examples of
outcomes that are frequently evaluated
in studies of medical devices are the
following:
++ Reduced mortality rate with use of
the device.
++ Reduced rate of device-related
complications.
++ Decreased rate of subsequent
diagnostic or therapeutic interventions
(for example, due to reduced rate of
recurrence of the disease process).
++ Decreased number of future
hospitalizations or physician visits.
++ More rapid beneficial resolution
of the disease process treatment because
of the use of the device.
++ Decreased pain, bleeding or other
quantifiable symptoms.
++ Reduced recovery time.
In addition, we indicated that the
requester is required to submit evidence
that the technology meets one or more
of these criteria.
Section 503 of the Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA)
amended section 1886(d)(5)(K)(viii) of
the Act to revise the process for
evaluating new medical services and
technology applications by requiring the
Secretary to do the following:
• Provide for public input regarding
whether a new service or technology
represents an advance in medical
technology that substantially improves
the diagnosis or treatment of Medicare
beneficiaries before publication of a
proposed rule.
• Make public and periodically
update a list of all the services and
technologies for which an application is
pending.
• Accept comments,
recommendations, and data from the
public regarding whether the service or
technology represents a substantial
improvement.
• Provide for a meeting at which
organizations representing hospitals,
physicians, manufacturers and any
other interested party may present
comments, recommendations, and data
to the clinical staff of CMS as to whether
the service or technology represents a
substantial improvement before
publication of a proposed rule.
The opinions and recommendations
provided during this meeting will assist
us as we evaluate the new medical
services and technology applications for
fiscal year (FY) 2016. In addition, they
will help us to evaluate our policy on
the IPPS new technology add-on
payment process before the publication
of the FY 2016 IPPS proposed rule.
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69492
Federal Register / Vol. 79, No. 225 / Friday, November 21, 2014 / Notices
II. Town Hall Meeting and Conference
Calling/Live Streaming Information
mstockstill on DSK4VPTVN1PROD with NOTICES
A. Format of the Town Hall Meeting
As noted in section I. of this notice,
we are required to provide for a meeting
at which organizations representing
hospitals, physicians, manufacturers
and any other interested party may
present comments, recommendations,
and data to the clinical staff of CMS
concerning whether the service or
technology represents a substantial
clinical improvement. This meeting will
allow for a discussion of the substantial
clinical improvement criteria for each of
the FY 2016 new medical services and
technology add-on payment
applications. Information regarding the
applications can be found on our Web
site at https://www.cms.gov/Medicare/
Medicare-Fee-for-Service-Payment/
AcuteInpatientPPS/newtech.html.
The majority of the meeting will be
reserved for presentations of comments,
recommendations, and data from
registered presenters. The time for each
presenter’s comments will be
approximately 10 to 15 minutes and
will be based on the number of
registered presenters. Presenters will be
scheduled to speak in the order in
which they register and grouped by new
technology applicant. Therefore,
individuals who would like to present
must register and submit their agenda
item(s) via email to newtech@
cms.hhs.gov by the date specified in the
DATES section of this notice.
In addition, written comments will
also be accepted and presented at the
meeting if they are received via email to
newtech@cms.hhs.gov by the date
specified in the DATES section of this
notice. Written comments may also be
submitted after the meeting for our
consideration. If the comments are to be
considered before the publication of the
proposed rule, the comments must be
received via email to newtech@
cms.hhs.gov by the date specified in the
DATES section of this notice.
B. Conference Call, Live Streaming, and
Webinar Information
For participants who cannot attend
the Town Hall Meeting in person, an
open toll-free phone line, (877) 267–
1577, has been made available. The
Meeting Place meeting ID is 993 601
192.
Also, there will be an option to view
and participate in the Town Hall
Meeting via live streaming technology
and/or a webinar. Information on the
option to participate via live streaming
technology and/or a webinar will be
provided through an upcoming listserv
notice and posted on the New
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18:00 Nov 20, 2014
Jkt 235001
Technology Web site at https://
www.cms.gov/Medicare/Medicare-Feefor-Service-Payment/
AcuteInpatientPPS/newtech.html.
Continue to check the Web site for
updates.
Disclaimer: We cannot guarantee the
reliability of live streaming technology
and/or a webinar.
purpose of demonstration or to support
a demonstration, are subject to
inspection. We cannot assume
responsibility for coordinating the
receipt, transfer, transport, storage, setup, safety, or timely arrival of any
personal belongings or items used for
demonstration or to support a
demonstration.
III. Registration Instructions
The Division of Acute Care in CMS is
coordinating the meeting registration for
the Town Hall Meeting for the FY 2016
Applications for New Medical Services
and Technology Add-On Payments on
substantial clinical improvement. While
there is no registration fee, individuals
planning to attend the Town Hall
Meeting in person must register to
attend.
Registration may be completed online at the following web address:
https://www.cms.gov/Medicare/
Medicare-Fee-for-Service-Payment/
AcuteInpatientPPS/newtech.html.
Select the link at the bottom of the page
‘‘Register to Attend the New Technology
Town Hall Meeting’’. After completing
the registration, on-line registrants
should print the confirmation page(s)
and bring it with them to the meeting(s).
If you are unable to register on-line,
you may register by sending an email to
newtech@cms.hhs.gov. Please include
your name, address, telephone number,
email address, and fax number. If
seating capacity has been reached, you
will be notified that the meeting has
reached capacity.
Note: Individuals who are not registered in
advance will not be permitted to enter the
building and will be unable to attend the
meeting in person. The public may not enter
the building earlier than 45 minutes prior to
the convening of the meeting(s).
IV. Security, Building, and Parking
Guidelines
Because this meeting will be located
on Federal property, for security
reasons, any persons wishing to attend
this meeting must register by the date
specified in the DATES section of this
notice. Please allow sufficient time to go
through the security checkpoints. It is
suggested that you arrive at 7500
Security Boulevard no later than 8:30
a.m. e.s.t.
Security measures include the
following:
• Presentation of government-issued
photographic identification to the
Federal Protective Service or Guard
Service personnel.
• Interior and exterior inspection of
vehicles (this includes engine and trunk
inspection) at the entrance to the
grounds. Parking permits and
instructions will be issued after the
vehicle inspection.
• Passing through a metal detector
and inspection of items brought into the
building. We note that all items brought
to CMS, whether personal or for the
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Fmt 4703
Sfmt 4703
All visitors must be escorted in areas
other than the lower and first floor
levels in the Central Building. Seating
capacity is limited to the first 250
registrants.
Authority: Section 503 of Pub. L. 108–173.
Dated: October 28, 2014.
Marilyn Tavenner,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2014–27579 Filed 11–20–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
Proposed Projects
Title: Generic Clearance for the
Collection of Qualitative Feedback on
Agency Service Delivery.
OMB No.: 0970–0401.
Description: Executive Order 12862
directs Federal agencies to provide
service to the public that matches or
exceeds the best service available in the
private sector. In order to work
continuously to ensure that the
Administration for Children and
Families’ programs are effective and
meet our customers’ needs we use a
generic clearance process to collect
qualitative feedback on our service
delivery. This collection of information
is necessary to enable ACF to garner
customer and stakeholder feedback in
an efficient timely manner, in accord
with our commitment to improving
service delivery. The information
collected from our customers and
stakeholders will help ensure that users
have an effective, efficient and
satisfying experience with the programs.
This feedback will provide insights into
customer or stakeholder perceptions,
experiences and expectations, provide
an early warning of issues with service,
E:\FR\FM\21NON1.SGM
21NON1
Agencies
[Federal Register Volume 79, Number 225 (Friday, November 21, 2014)]
[Notices]
[Pages 69490-69492]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-27579]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-1464-N]
Medicare Program; Town Hall Meeting on FY 2016 Applications for
New Medical Services and Technology Add-On Payments
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice of meeting.
-----------------------------------------------------------------------
SUMMARY: This notice announces a Town Hall meeting in accordance with
section 1886(d)(5)(K)(viii) of the Social Security Act (the Act) to
discuss fiscal year (FY) 2016 applications for add-on payments for new
medical services and technologies under the hospital inpatient
prospective payment systems (IPPS). Interested parties are invited to
this meeting to present their comments, recommendations, and data
regarding whether the FY 2016 new medical services and technologies
applications meet the substantial clinical improvement criterion.
DATES: Meeting Date: The Town Hall Meeting announced in this notice
will be held on Tuesday, February 3, 2015. The Town Hall Meeting will
begin at 9:00 a.m. Eastern Standard Time (e.s.t.) and check-in will
begin at 8:30 a.m. e.s.t.
[[Page 69491]]
Deadline for Registration for Participants (not Presenting) at the
Town Hall Meeting and Submitting Requests for Special Accommodations:
Registration to attend the Town Hall Meeting and requests for special
accommodations must be received no later than 5:00 p.m. Tuesday,
January 20, 2015.
Deadline for Registration of Presenters at the Town Hall Meeting:
Registration to present at the Town Hall Meeting must be received no
later than 5:00 p.m. e.s.t. on Monday, January 19, 2015.
Deadline for Submission of Agenda Item(s) or Written Comments for
the Town Hall Meeting: Written comments and agenda items for discussion
at the Town Hall Meeting, including agenda items by presenters, must be
received no later than 5:00 p.m. e.s.t. Monday, January 19, 2015. In
addition to materials submitted for discussion at the Town Hall
Meeting, individuals may submit other written comments after the Town
Hall Meeting, as specified in the ADDRESSES section of this notice, on
whether the service or technology represents a substantial clinical
improvement. These comments must be received no later than 5:00 p.m.
e.s.t on Tuesday, February 24, 2015, for consideration in the FY 2016
IPPS proposed rule.
ADDRESSES: Meeting Location: The Town Hall Meeting will be held in the
main Auditorium in the central building of the Centers for Medicare and
Medicaid Services located at 7500 Security Boulevard, Baltimore, MD
21244-1850.
In addition, we are providing two alternatives to attending the
meeting in person--(1) there will be an open toll-free phone line to
call into the Town Hall Meeting; or (2) participants may view and
participate in the Town Hall Meeting via live stream technology and/or
webinar. Information on these options is provided in section II.B. of
this notice.
Registration and Special Accommodations: Individuals wishing to
participate in the meeting must register by following the on-line
registration instructions located in section III. of this notice or by
contacting staff listed in the FOR FURTHER INFORMATION CONTACT section
of this notice. Individuals who need special accommodations should
contact staff listed in the FOR FURTHER INFORMATION CONTACT section of
this notice.
Submission of Agenda Item(s) or Written Comments for the Town Hall
Meeting: Each presenter must submit an agenda item(s) regarding whether
a FY 2016 application meets the substantial clinical improvement
criterion. Agenda items, written comments, questions or other
statements must not exceed three single-spaced typed pages and may be
sent via email to newtech@cms.hhs.gov.
FOR FURTHER INFORMATION CONTACT: Michael Treitel, (410) 786-4552,
michael.treitel@cms.hhs.gov, or Celeste Beauregard, (410) 786-8102,
celeste.beauregard@cms.hhs.gov. Alternatively, you may forward your
requests via email to newtech@cms.hhs.gov.
SUPPLEMENTARY INFORMATION:
I. Background on the Add-On Payments for New Medical Services and
Technologies Under the IPPS
Sections 1886(d)(5)(K) and (L) of the Social Security Act (the Act)
require the Secretary to establish a process of identifying and
ensuring adequate payments to acute care hospitals for new medical
services and technologies under Medicare. Effective for discharges
beginning on or after October 1, 2001, section 1886(d)(5)(K)(i) of the
Act requires the Secretary to establish (after notice and opportunity
for public comment) a mechanism to recognize the costs of new services
and technologies under the hospital inpatient prospective payment
system (IPPS). In addition, section 1886(d)(5)(K)(vi) of the Act
specifies that a medical service or technology will be considered
``new'' if it meets criteria established by the Secretary (after notice
and opportunity for public comment). (See the FY 2002 IPPS proposed
rule (66 FR 22693, May 4, 2001) and final rule (66 FR 46912, September
7, 2001) for a more detailed discussion.)
In the September 7, 2001 final rule (66 FR 46914), we noted that we
evaluated a request for special payment for a new medical service or
technology against the following criteria in order to determine if the
new technology meets the substantial clinical improvement requirement:
The device offers a treatment option for a patient
population unresponsive to, or ineligible for, currently available
treatments.
The device offers the ability to diagnose a medical
condition in a patient population where that medical condition is
currently undetectable or offers the ability to diagnose a medical
condition earlier in a patient population than allowed by currently
available methods. There must also be evidence that use of the device
to make a diagnosis affects the management of the patient.
Use of the device significantly improves clinical outcomes
for a patient population as compared to currently available treatments.
Some examples of outcomes that are frequently evaluated in studies of
medical devices are the following:
++ Reduced mortality rate with use of the device.
++ Reduced rate of device-related complications.
++ Decreased rate of subsequent diagnostic or therapeutic
interventions (for example, due to reduced rate of recurrence of the
disease process).
++ Decreased number of future hospitalizations or physician visits.
++ More rapid beneficial resolution of the disease process
treatment because of the use of the device.
++ Decreased pain, bleeding or other quantifiable symptoms.
++ Reduced recovery time.
In addition, we indicated that the requester is required to submit
evidence that the technology meets one or more of these criteria.
Section 503 of the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA) amended section 1886(d)(5)(K)(viii) of
the Act to revise the process for evaluating new medical services and
technology applications by requiring the Secretary to do the following:
Provide for public input regarding whether a new service
or technology represents an advance in medical technology that
substantially improves the diagnosis or treatment of Medicare
beneficiaries before publication of a proposed rule.
Make public and periodically update a list of all the
services and technologies for which an application is pending.
Accept comments, recommendations, and data from the public
regarding whether the service or technology represents a substantial
improvement.
Provide for a meeting at which organizations representing
hospitals, physicians, manufacturers and any other interested party may
present comments, recommendations, and data to the clinical staff of
CMS as to whether the service or technology represents a substantial
improvement before publication of a proposed rule.
The opinions and recommendations provided during this meeting will
assist us as we evaluate the new medical services and technology
applications for fiscal year (FY) 2016. In addition, they will help us
to evaluate our policy on the IPPS new technology add-on payment
process before the publication of the FY 2016 IPPS proposed rule.
[[Page 69492]]
II. Town Hall Meeting and Conference Calling/Live Streaming Information
A. Format of the Town Hall Meeting
As noted in section I. of this notice, we are required to provide
for a meeting at which organizations representing hospitals,
physicians, manufacturers and any other interested party may present
comments, recommendations, and data to the clinical staff of CMS
concerning whether the service or technology represents a substantial
clinical improvement. This meeting will allow for a discussion of the
substantial clinical improvement criteria for each of the FY 2016 new
medical services and technology add-on payment applications.
Information regarding the applications can be found on our Web site at
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/newtech.html.
The majority of the meeting will be reserved for presentations of
comments, recommendations, and data from registered presenters. The
time for each presenter's comments will be approximately 10 to 15
minutes and will be based on the number of registered presenters.
Presenters will be scheduled to speak in the order in which they
register and grouped by new technology applicant. Therefore,
individuals who would like to present must register and submit their
agenda item(s) via email to newtech@cms.hhs.gov by the date specified
in the DATES section of this notice.
In addition, written comments will also be accepted and presented
at the meeting if they are received via email to newtech@cms.hhs.gov by
the date specified in the DATES section of this notice. Written
comments may also be submitted after the meeting for our consideration.
If the comments are to be considered before the publication of the
proposed rule, the comments must be received via email to
newtech@cms.hhs.gov by the date specified in the DATES section of this
notice.
B. Conference Call, Live Streaming, and Webinar Information
For participants who cannot attend the Town Hall Meeting in person,
an open toll-free phone line, (877) 267-1577, has been made available.
The Meeting Place meeting ID is 993 601 192.
Also, there will be an option to view and participate in the Town
Hall Meeting via live streaming technology and/or a webinar.
Information on the option to participate via live streaming technology
and/or a webinar will be provided through an upcoming listserv notice
and posted on the New Technology Web site at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/newtech.html. Continue to check the Web site for updates.
Disclaimer: We cannot guarantee the reliability of live streaming
technology and/or a webinar.
III. Registration Instructions
The Division of Acute Care in CMS is coordinating the meeting
registration for the Town Hall Meeting for the FY 2016 Applications for
New Medical Services and Technology Add-On Payments on substantial
clinical improvement. While there is no registration fee, individuals
planning to attend the Town Hall Meeting in person must register to
attend.
Registration may be completed on-line at the following web address:
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/newtech.html. Select the link at the bottom of the
page ``Register to Attend the New Technology Town Hall Meeting''. After
completing the registration, on-line registrants should print the
confirmation page(s) and bring it with them to the meeting(s).
If you are unable to register on-line, you may register by sending
an email to newtech@cms.hhs.gov. Please include your name, address,
telephone number, email address, and fax number. If seating capacity
has been reached, you will be notified that the meeting has reached
capacity.
IV. Security, Building, and Parking Guidelines
Because this meeting will be located on Federal property, for
security reasons, any persons wishing to attend this meeting must
register by the date specified in the DATES section of this notice.
Please allow sufficient time to go through the security checkpoints. It
is suggested that you arrive at 7500 Security Boulevard no later than
8:30 a.m. e.s.t.
Security measures include the following:
Presentation of government-issued photographic
identification to the Federal Protective Service or Guard Service
personnel.
Interior and exterior inspection of vehicles (this
includes engine and trunk inspection) at the entrance to the grounds.
Parking permits and instructions will be issued after the vehicle
inspection.
Passing through a metal detector and inspection of items
brought into the building. We note that all items brought to CMS,
whether personal or for the purpose of demonstration or to support a
demonstration, are subject to inspection. We cannot assume
responsibility for coordinating the receipt, transfer, transport,
storage, set-up, safety, or timely arrival of any personal belongings
or items used for demonstration or to support a demonstration.
Note: Individuals who are not registered in advance will not be
permitted to enter the building and will be unable to attend the
meeting in person. The public may not enter the building earlier
than 45 minutes prior to the convening of the meeting(s).
All visitors must be escorted in areas other than the lower and
first floor levels in the Central Building. Seating capacity is limited
to the first 250 registrants.
Authority: Section 503 of Pub. L. 108-173.
Dated: October 28, 2014.
Marilyn Tavenner,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2014-27579 Filed 11-20-14; 8:45 am]
BILLING CODE 4120-01-P