Medicare and Medicaid Programs; Conditions of Participation for Home Health Agencies; Extension of Comment Period, 71081-71082 [2014-28266]

Download as PDF Federal Register / Vol. 79, No. 230 / Monday, December 1, 2014 / Proposed Rules year after the effective date of the final rule). V. Outreach Section VI of the proposed rule details EPA extensive outreach efforts prior to the proposed rule. EPA continued this outreach during the public comment period on the proposed rule (DCN 0111). In particular, EPA held over 30 webinars and meetings with over 1,200 people to discuss the proposed rule. Upon publication of this notice, EPA will provide a new comment period and will conduct additional stakeholders meetings to further discuss and refine particular aspects of the rule prior to promulgation. Outreach to stakeholders will continue to be supported through the NPDES Electronic Reporting Rule Web site; however, the Web site may be expanded to include more robust rule schedules as the rule nears promulgation, as well as additional rule documentation that may or may not be included as part of the formal docket library. Stakeholders that wish to hold a meeting with EPA should send an email to Messrs. Hudock or Johnston (see FOR FURTHER INFORMATION CONTACT section). Finally, EPA would also continue to provide technical assistance and support to states, tribes, and territories during the transition to electronic reporting. Outreach from EPA to the states, tribes, and territories may be very useful in the identification of specific needs and the development of such assistance, support, and funding. EPA also solicits comment and suggestions on how to reach and inform the broad range of facilities affected by this proposed rulemaking. VI. Executive Orders 12866 and 13563 Under Executive Order (EO) 12866 [58 FR 51735 (October 4, 1993)] this action is a ‘‘significant regulatory action.’’ Accordingly, EPA submitted this action to the Office of Management and Budget (OMB) for review under Executive Orders 12866 and 13563 and any changes made in response to OMB recommendations have been documented in the docket for this action. asabaliauskas on DSK5VPTVN1PROD with PROPOSALS List of Subjects 40 CFR Part 122 Administrative practice and procedure, Confidential business information, Hazardous substances, Reporting and recordkeeping requirements, Water pollution control. 40 CFR Part 123 Administrative practice and procedure, Confidential business VerDate Sep<11>2014 19:22 Nov 28, 2014 Jkt 235001 information, Hazardous substances, Indians—lands, Intergovernmental relations, Penalties, Reporting and recordkeeping requirements, Water pollution control. 40 CFR Part 127 Administrative practice and procedure, Electronic reporting requirements, Water pollution control. 40 CFR Part 403 Administrative practice and procedure, Compliance monitoring, Enforcement program and activities, Reporting and recordkeeping requirements, Water pollution control. 40 CFR Part 501 Administrative practice and procedure, Indians—lands, Intergovernmental relations, Penalties, requirements, Sewage disposal. 40 CFR Part 503 Reporting and recordkeeping requirements, Sewage disposal. Dated: November 18, 2014. Cynthia Giles, Assistant Administrator, Office of Enforcement and Compliance Assurance. [FR Doc. 2014–27918 Filed 11–28–14; 8:45 am] BILLING CODE 6560–50–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 409, 410, 418, 440, 484, 485 and 488 [CMS–3819–N] Medicare and Medicaid Programs; Conditions of Participation for Home Health Agencies; Extension of Comment Period Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice of extension of comment period. AGENCY: This notice extends the comment period for the October 9, 2014 proposed rule entitled ‘‘Conditions of Participation for Home Health Agencies’’ (79 FR 61164). The comment period for the proposed rule, which would have ended on December 8, 2014, is extended for 30 days. DATES: The comment period is extended to 5 p.m. Eastern Standard Time on January 7, 2015. ADDRESSES: In commenting, please refer to file code CMS–3819–P. Because of SUMMARY: PO 00000 Frm 00051 Fmt 4702 Sfmt 4702 71081 staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. You may submit comments in one of four ways (please choose only one of the ways listed): 1. Electronically. You may submit electronic comments on this regulation to http://www.regulations.gov. Follow the ‘‘Submit a comment’’ instructions. 2. By regular mail. You may mail written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS–3819–P, P.O. Box 8016, Baltimore, MD 21244–8016. 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–3819–P, Mail Stop C4–26–05, 7500 Security Boulevard, Baltimore, MD 21244–1850. 4. By hand or courier. Alternatively, you may deliver (by hand or courier) your written comments ONLY to the following addresses prior to the close of the comment period: 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.) 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. Comments erroneously mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and received after the comment period. Inspection of Public Comments: All comments received before the close of the comment period are available for viewing by the public, including any E:\FR\FM\01DEP1.SGM 01DEP1 71082 Federal Register / Vol. 79, No. 230 / Monday, December 1, 2014 / Proposed Rules 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: http:// 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. FOR FURTHER INFORMATION CONTACT: Danielle Shearer (410) 786–6617. Jacqueline Leach (410) 786–4282. Maria Hammel (410) 786–1775. On October 9, 2014, we published a proposed rule in the Federal Register (79 FR 61164) entitled, ‘‘Conditions of Participation for Home Health Agencies’’ that would revise the health and safety requirements that home health agencies (HHAs) must meet in order to participate in the Medicare and Medicaid programs. Specifically, the proposed requirements would focus on the care delivered to patients by home health agencies, reflect an interdisciplinary view of patient care, allow HHAs greater flexibility in meeting quality care standards, and eliminate unnecessary procedural requirements. In addition, we proposed a set of fundamental requirements for HHA services that would encompass patient rights, comprehensive patient assessment, and patient care planning and coordination by an interdisciplinary team. Overarching these requirements would be a quality assessment and performance improvement program that would build on the philosophy that a provider’s own quality management system is key to improved patient care performance. The objective would be to achieve a balanced regulatory approach by ensuring that a HHA furnished health care that met essential health and quality standards, while ensuring that it monitored and improved its own performance. These changes are an integral part of our overall effort to achieve broad-based, measurable improvements in the quality of care furnished through the Medicare and Medicaid programs, while at the same asabaliauskas on DSK5VPTVN1PROD with PROPOSALS SUPPLEMENTARY INFORMATION: VerDate Sep<11>2014 19:22 Nov 28, 2014 Jkt 235001 time eliminating unnecessary procedural burdens on providers. We have received inquiries from statebased and national industry organizations regarding the 60 day turnaround time to submit comments regarding this proposed rule. The organizations stated that they needed additional time to respond to the rule due to the complex nature of the proposed revisions. Because of the scope of the proposed rule, and since we have specifically requested the public’s comments on various aspect of the rule in an attempt to benefit from the vast experiences of the HHA provider and patient communities, we believe that it is important to allow ample time for all sections of the public to comment on this proposed rule. Therefore, we have decided to extend the comment period for an additional 30 days. This document announces the extension of the public comment period to January 7, 2015. Dated: November 24, 2014. Marilyn Tavenner, Administrator, Centers for Medicare & Medicaid Services. [FR Doc. 2014–28266 Filed 11–28–14; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HOMELAND SECURITY 2014–0481 using any one of the following methods: (1) Federal eRulemaking Portal: http://www.regulations.gov. (2) Fax: 202–493–2251. (3) Mail: Docket Management Facility (M–30), U.S. Department of Transportation, West Building Ground Floor, Room W12–140, 1200 New Jersey Avenue SE., Washington, DC 20590– 0001. (4) Hand delivery: Same as mail address above, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. The telephone number is 202–366–9329. To avoid duplication, please use only one of these four methods. See the ‘‘Public Participation and Request for Comments’’ portion of the SUPPLEMENTARY INFORMATION section below for instructions on submitting comments. If you have questions on this notice, call or email Mr. Todd Haviland, Director, Great Lakes Pilotage, Commandant (CG– WWM–2), Coast Guard; telephone 202– 372–2037, email Todd.A.Haviland@ uscg.mil, or fax 202–372–1914. If you have questions on viewing or submitting material to the docket, call Ms. Cheryl Collins, Program Manager, Docket Operations, telephone 202–366–9826. SUPPLEMENTARY INFORMATION: FOR FURTHER INFORMATION CONTACT: Coast Guard I. Public Participation and Request for Comments 46 CFR Part 401 We encourage you to participate in this rulemaking by submitting comments and related materials. All comments received will be posted without change to http:// www.regulations.gov and will include any personal information you have provided. [USCG–2014–0481; 1625–AC22] Great Lakes Pilotage Rates—2015 Annual Review and Adjustment— Extension of Comment Period Coast Guard, DHS. Notice. AGENCY: ACTION: A. Submitting Comments The Coast Guard is extending the comment period for the notice of proposed rulemaking (NPRM) entitled ‘‘Great Lakes Pilotage Rates—2015 Annual Review and Adjustment,’’ published on September 4, 2014, for 30 days. We have decided to extend the comment period as we have received new financial data that could affect the discretion provided by Step 7 of the Appendix A methodology and the final rate. DATES: Comments and related material must either be submitted to our online docket via http://www.regulations.gov on or before December 31, 2014 or reach the Docket Management Facility by that date. ADDRESSES: You may submit comments identified by docket number USCG– SUMMARY: PO 00000 Frm 00052 Fmt 4702 Sfmt 4702 If you submit a comment, please include the docket number for this rulemaking (USCG–2014–0481), indicate the specific section of this document to which each comment applies, and provide a reason for each suggestion or recommendation. You may submit your comments and material online or by fax, mail, or hand delivery, but please use only one of these means. We recommend that you include your name and a mailing address, an email address, or a phone number in the body of your document so that we can contact you if we have questions regarding your submission. To submit your comment online, go to http://www.regulations.gov and insert ‘‘USCG–2014–0481’’ in the ‘‘Search’’ E:\FR\FM\01DEP1.SGM 01DEP1

Agencies

[Federal Register Volume 79, Number 230 (Monday, December 1, 2014)]
[Proposed Rules]
[Pages 71081-71082]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-28266]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 409, 410, 418, 440, 484, 485 and 488

[CMS-3819-N]


Medicare and Medicaid Programs; Conditions of Participation for 
Home Health Agencies; Extension of Comment Period

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice of extension of comment period.

-----------------------------------------------------------------------

SUMMARY: This notice extends the comment period for the October 9, 2014 
proposed rule entitled ``Conditions of Participation for Home Health 
Agencies'' (79 FR 61164). The comment period for the proposed rule, 
which would have ended on December 8, 2014, is extended for 30 days.

DATES: The comment period is extended to 5 p.m. Eastern Standard Time 
on January 7, 2015.

ADDRESSES: In commenting, please refer to file code CMS-3819-P. Because 
of staff and resource limitations, we cannot accept comments by 
facsimile (FAX) transmission.
    You may submit comments in one of four ways (please choose only one 
of the ways listed):
    1. Electronically. You may submit electronic comments on this 
regulation to http://www.regulations.gov. Follow the ``Submit a 
comment'' instructions.
    2. By regular mail. You may mail written comments to the following 
address ONLY: Centers for Medicare & Medicaid Services, Department of 
Health and Human Services, Attention: CMS-3819-P, P.O. Box 8016, 
Baltimore, MD 21244-8016.
    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-3819-P, Mail 
Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.
    4. By hand or courier. Alternatively, you may deliver (by hand or 
courier) your written comments ONLY to the following addresses prior to 
the close of the comment period:
    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.)
    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.
    Comments erroneously mailed to the addresses indicated as 
appropriate for hand or courier delivery may be delayed and received 
after the comment period.
    Inspection of Public Comments: All comments received before the 
close of the comment period are available for viewing by the public, 
including any

[[Page 71082]]

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: http://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.

FOR FURTHER INFORMATION CONTACT: Danielle Shearer (410) 786-6617. 
Jacqueline Leach (410) 786-4282. Maria Hammel (410) 786-1775.

SUPPLEMENTARY INFORMATION: On October 9, 2014, we published a proposed 
rule in the Federal Register (79 FR 61164) entitled, ``Conditions of 
Participation for Home Health Agencies'' that would revise the health 
and safety requirements that home health agencies (HHAs) must meet in 
order to participate in the Medicare and Medicaid programs. 
Specifically, the proposed requirements would focus on the care 
delivered to patients by home health agencies, reflect an 
interdisciplinary view of patient care, allow HHAs greater flexibility 
in meeting quality care standards, and eliminate unnecessary procedural 
requirements. In addition, we proposed a set of fundamental 
requirements for HHA services that would encompass patient rights, 
comprehensive patient assessment, and patient care planning and 
coordination by an interdisciplinary team. Overarching these 
requirements would be a quality assessment and performance improvement 
program that would build on the philosophy that a provider's own 
quality management system is key to improved patient care performance. 
The objective would be to achieve a balanced regulatory approach by 
ensuring that a HHA furnished health care that met essential health and 
quality standards, while ensuring that it monitored and improved its 
own performance. These changes are an integral part of our overall 
effort to achieve broad-based, measurable improvements in the quality 
of care furnished through the Medicare and Medicaid programs, while at 
the same time eliminating unnecessary procedural burdens on providers.
    We have received inquiries from state-based and national industry 
organizations regarding the 60 day turn-around time to submit comments 
regarding this proposed rule. The organizations stated that they needed 
additional time to respond to the rule due to the complex nature of the 
proposed revisions. Because of the scope of the proposed rule, and 
since we have specifically requested the public's comments on various 
aspect of the rule in an attempt to benefit from the vast experiences 
of the HHA provider and patient communities, we believe that it is 
important to allow ample time for all sections of the public to comment 
on this proposed rule. Therefore, we have decided to extend the comment 
period for an additional 30 days. This document announces the extension 
of the public comment period to January 7, 2015.

    Dated: November 24, 2014.
Marilyn Tavenner,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2014-28266 Filed 11-28-14; 8:45 am]
BILLING CODE 4120-01-P