Notice of Hearing: Reconsideration of Disapproval Texas Medicaid State Plan Amendment (SPA) 14-25, 37268-37269 [2015-16098]
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37268
Federal Register / Vol. 80, No. 125 / Tuesday, June 30, 2015 / Notices
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BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Centers for Medicare and Medicaid
Services
Notice of Hearing: Reconsideration of
Disapproval Texas Medicaid State Plan
Amendment (SPA) 14–25
Centers for Medicare and
Medicaid Services (CMS), HHS.
ACTION: Notice of Hearing:
Reconsideration of Disapproval.
AGENCY:
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Total burden
(in hours)
1
[FR Doc. 2015–16028 Filed 6–29–15; 8:45 am]
This notice announces an
administrative hearing to be held on
August 6, 2015, at the Department of
Health and Human Services, Centers for
Medicare and Medicaid Services,
Division of Medicaid & Children’s
SUMMARY:
17:34 Jun 29, 2015
Average
burden per
response
(in hours)
500
Maryam I. Daneshvar,
Deputy Director, Office of Scientific Integrity,
Office of the Associate Director for Science,
Office of the Director, Centers for Disease
Control and Prevention.
VerDate Sep<11>2014
Number of
responses per
respondent
Jkt 235001
Health, Dallas Regional Office, 1301
Young Street, Room 714, Dallas, TX
75202, to reconsider CMS’ decision to
disapprove Texas’ Medicaid SPA 14–25.
Closing Date: Requests to participate
in the hearing as a party must be
received by the presiding officer by July
15, 2015.
FOR FURTHER INFORMATION CONTACT:
Benjamin R. Cohen, Presiding Officer,
CMS, 2520 Lord Baltimore Drive, Suite
L, Baltimore, Maryland 21244;
Telephone: (410) 786–3169.
SUPPLEMENTARY INFORMATION: This
notice announces an administrative
hearing to reconsider CMS’ decision to
disapprove Texas’ Medicaid SPA 14–25,
which was submitted to the Centers for
Medicare and Medicaid Services (CMS)
on August 26, 2014 and disapproved on
April 7, 2015. In part, this SPA
requested CMS approval to revise the
methodology for calculating the
hospital-specific limit for the
Disproportionate Share Hospital (DSH)
program. Specifically, SPA 14–25
proposed to exclude from the
calculation, the portion of a Medicare
payment for an individual who is
PO 00000
Frm 00050
Fmt 4703
Sfmt 4703
dually-eligible for Medicare and
Medicaid that exceeds the Medicaid
allowable cost for the service provided
to the recipient. This exclusion would
permit the state to make Medicaid DSH
payments that are above and beyond
hospitals’ reported uncompensated
costs of providing services to Medicaid
and uninsured individuals.
The issue to be considered at the
hearing is:
• Whether Texas SPA 14–25 is
inconsistent with Medicaid DSH
requirements of sections 1902(a)(13)(A)(iv)
and 1923 of the Social Security Act (Act)
because it would provide for payment to
disproportionate share hospitals of amounts
that exceed the hospital’s uncompensated
costs which cannot be considered consistent
with DSH requirements pursuant to the
hospital-specific limit under section
1923(g)(1) of the Act.
Section 1116 of the Act and federal
regulations at 42 CFR part 430, establish
Department procedures that provide an
administrative hearing for
reconsideration of a disapproval of a
state plan or plan amendment. CMS is
required to publish a copy of the notice
E:\FR\FM\30JNN1.SGM
30JNN1
Federal Register / Vol. 80, No. 125 / Tuesday, June 30, 2015 / Notices
to a state Medicaid agency that informs
the agency of the time and place of the
hearing, and the issues to be considered.
If we subsequently notify the agency of
additional issues that will be considered
at the hearing, we will also publish that
notice.
Any individual or group that wants to
participate in the hearing as a party
must petition the presiding officer
within 15 days after publication of this
notice, in accordance with the
requirements contained at 42 CFR
430.76(b)(2). Any interested person or
organization that wants to participate as
amicus curiae must petition the
presiding officer before the hearing
begins in accordance with the
requirements contained at 42 CFR
430.76(c). If the hearing is later
rescheduled, the presiding officer will
notify all participants.
The notice to Texas announcing an
administrative hearing to reconsider the
disapproval of its SPA reads as follows:
Ms. Kay Ghahremani
State Medicaid/CHIP Director
Health and Human Services Commission
Post Office Box 13247
Mail Code H100
Austin, TX 78711
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Dear Ms. Ghahremani:
I am responding to your request for
reconsideration of the decision to disapprove
Texas’ State Plan amendment (SPA) 14–25,
which was submitted to the Centers for
Medicare & Medicaid Services (CMS) on
August 26, 2014, and disapproved on April
7, 2015. I am scheduling a hearing on your
request for reconsideration to be held on
August 6, 2015, at the Department of Health
and Human Services, Centers for Medicare &
Medicaid Services, Division of Medicaid &
Children’s Health, Dallas Regional Office,
1301 Young Street, Room 714, Dallas, TX
75202.
I am designating Mr. Benjamin R. Cohen as
the presiding officer. If these arrangements
present any problems, please contact Mr.
Cohen at (410) 786–3169. In order to
facilitate any communication that may be
necessary between the parties prior to the
hearing, please notify the presiding officer to
indicate acceptability of the hearing date that
has been scheduled and provide names of the
individuals who will represent the State at
the hearing. If the hearing date is not
acceptable, Mr. Cohen can set another date
mutually agreeable to the parties. The
hearing will be governed by the procedures
prescribed by federal regulations at 42 CFR
part 430.
In part, this SPA requested CMS approval
to revise the methodology for calculating the
hospital-specific limit for the
Disproportionate Share Hospital (DSH)
program. Specifically, SPA 14–25 proposed
to exclude from the calculation, the portion
of a Medicare payment for an individual who
is dually-eligible for Medicare and Medicaid
that exceeds the Medicaid allowable cost for
the service provided to the recipient. This
VerDate Sep<11>2014
17:34 Jun 29, 2015
Jkt 235001
exclusion would permit the state to make
Medicaid DSH payments that are above and
beyond hospitals’ reported uncompensated
costs of providing services to Medicaid and
uninsured individuals.
The issue to be considered at the hearing
is:
• Whether Texas SPA 14–25 is
inconsistent with Medicaid DSH
requirements at sections 1902(a)(13)(A)(iv)
and 1923 of the Social Security Act (Act)
because it would provide for payment to
disproportionate share hospitals of amounts
that exceed the hospital’s uncompensated
costs which cannot be considered consistent
with DSH requirements pursuant to the
hospital-specific limit under section
1923(g)(1) of the Act.
In the event that CMS and the State come
to agreement on resolution of the issues
which formed the basis for disapproval, this
SPA may be moved to approval prior to the
scheduled hearing. I am responding to your
request for reconsideration of the decision to
disapprove Texas’ Medicaid state plan
amendment (SPA) 14–025, which was
submitted to the Centers for Medicare and
Medicaid Services (CMS) on August 26,
2014, and disapproved on April 7, 2015. I am
scheduling a hearing on your request for
reconsideration to be held on August 6, 2015,
at the Department of Health and Human
Services, Centers for Medicare and Medicaid
Services, Division of Medicaid & Children’s
Health, Dallas Regional Office, 1301 Young
Street, Room 714, Dallas, TX 75202.
Sincerely,
37269
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public/do/PRAMain.
SUPPLEMENTARY INFORMATION:
Dated: June 25, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015–16023 Filed 6–29–15; 8:45 am]
Andrew M. Slavitt
BILLING CODE 4164–01–P
cc: Benjamin R. Cohen
Section 1116 of the Social Security Act (42
U.S.C. 1316; 42 CFR 430.18) (Catalog of
Federal Domestic Assistance program No.
13.714. Medicaid Assistance Program.)
Dated: June 24, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. 2015–16098 Filed 6–29–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2010–N–0161]
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is announcing
that a collection of information entitled,
‘‘Export Certificates for FDA Regulated
SUMMARY:
PO 00000
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Agency Information Collection
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Comment Request; Animal Food
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Color Additives
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is announcing
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information has been submitted to the
Office of Management and Budget
(OMB) for review and clearance under
the Paperwork Reduction Act of 1995.
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Agencies
[Federal Register Volume 80, Number 125 (Tuesday, June 30, 2015)]
[Notices]
[Pages 37268-37269]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-16098]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
Centers for Medicare and Medicaid Services
Notice of Hearing: Reconsideration of Disapproval Texas Medicaid
State Plan Amendment (SPA) 14-25
AGENCY: Centers for Medicare and Medicaid Services (CMS), HHS.
ACTION: Notice of Hearing: Reconsideration of Disapproval.
-----------------------------------------------------------------------
SUMMARY: This notice announces an administrative hearing to be held on
August 6, 2015, at the Department of Health and Human Services, Centers
for Medicare and Medicaid Services, Division of Medicaid & Children's
Health, Dallas Regional Office, 1301 Young Street, Room 714, Dallas, TX
75202, to reconsider CMS' decision to disapprove Texas' Medicaid SPA
14-25.
Closing Date: Requests to participate in the hearing as a party
must be received by the presiding officer by July 15, 2015.
FOR FURTHER INFORMATION CONTACT: Benjamin R. Cohen, Presiding Officer,
CMS, 2520 Lord Baltimore Drive, Suite L, Baltimore, Maryland 21244;
Telephone: (410) 786-3169.
SUPPLEMENTARY INFORMATION: This notice announces an administrative
hearing to reconsider CMS' decision to disapprove Texas' Medicaid SPA
14-25, which was submitted to the Centers for Medicare and Medicaid
Services (CMS) on August 26, 2014 and disapproved on April 7, 2015. In
part, this SPA requested CMS approval to revise the methodology for
calculating the hospital-specific limit for the Disproportionate Share
Hospital (DSH) program. Specifically, SPA 14-25 proposed to exclude
from the calculation, the portion of a Medicare payment for an
individual who is dually-eligible for Medicare and Medicaid that
exceeds the Medicaid allowable cost for the service provided to the
recipient. This exclusion would permit the state to make Medicaid DSH
payments that are above and beyond hospitals' reported uncompensated
costs of providing services to Medicaid and uninsured individuals.
The issue to be considered at the hearing is:
Whether Texas SPA 14-25 is inconsistent with Medicaid
DSH requirements of sections 1902(a)(13)(A)(iv) and 1923 of the
Social Security Act (Act) because it would provide for payment to
disproportionate share hospitals of amounts that exceed the
hospital's uncompensated costs which cannot be considered consistent
with DSH requirements pursuant to the hospital-specific limit under
section 1923(g)(1) of the Act.
Section 1116 of the Act and federal regulations at 42 CFR part 430,
establish Department procedures that provide an administrative hearing
for reconsideration of a disapproval of a state plan or plan amendment.
CMS is required to publish a copy of the notice
[[Page 37269]]
to a state Medicaid agency that informs the agency of the time and
place of the hearing, and the issues to be considered. If we
subsequently notify the agency of additional issues that will be
considered at the hearing, we will also publish that notice.
Any individual or group that wants to participate in the hearing as
a party must petition the presiding officer within 15 days after
publication of this notice, in accordance with the requirements
contained at 42 CFR 430.76(b)(2). Any interested person or organization
that wants to participate as amicus curiae must petition the presiding
officer before the hearing begins in accordance with the requirements
contained at 42 CFR 430.76(c). If the hearing is later rescheduled, the
presiding officer will notify all participants.
The notice to Texas announcing an administrative hearing to
reconsider the disapproval of its SPA reads as follows:
Ms. Kay Ghahremani
State Medicaid/CHIP Director
Health and Human Services Commission
Post Office Box 13247
Mail Code H100
Austin, TX 78711
Dear Ms. Ghahremani:
I am responding to your request for reconsideration of the
decision to disapprove Texas' State Plan amendment (SPA) 14-25,
which was submitted to the Centers for Medicare & Medicaid Services
(CMS) on August 26, 2014, and disapproved on April 7, 2015. I am
scheduling a hearing on your request for reconsideration to be held
on August 6, 2015, at the Department of Health and Human Services,
Centers for Medicare & Medicaid Services, Division of Medicaid &
Children's Health, Dallas Regional Office, 1301 Young Street, Room
714, Dallas, TX 75202.
I am designating Mr. Benjamin R. Cohen as the presiding officer.
If these arrangements present any problems, please contact Mr. Cohen
at (410) 786-3169. In order to facilitate any communication that may
be necessary between the parties prior to the hearing, please notify
the presiding officer to indicate acceptability of the hearing date
that has been scheduled and provide names of the individuals who
will represent the State at the hearing. If the hearing date is not
acceptable, Mr. Cohen can set another date mutually agreeable to the
parties. The hearing will be governed by the procedures prescribed
by federal regulations at 42 CFR part 430.
In part, this SPA requested CMS approval to revise the
methodology for calculating the hospital-specific limit for the
Disproportionate Share Hospital (DSH) program. Specifically, SPA 14-
25 proposed to exclude from the calculation, the portion of a
Medicare payment for an individual who is dually-eligible for
Medicare and Medicaid that exceeds the Medicaid allowable cost for
the service provided to the recipient. This exclusion would permit
the state to make Medicaid DSH payments that are above and beyond
hospitals' reported uncompensated costs of providing services to
Medicaid and uninsured individuals.
The issue to be considered at the hearing is:
Whether Texas SPA 14-25 is inconsistent with Medicaid
DSH requirements at sections 1902(a)(13)(A)(iv) and 1923 of the
Social Security Act (Act) because it would provide for payment to
disproportionate share hospitals of amounts that exceed the
hospital's uncompensated costs which cannot be considered consistent
with DSH requirements pursuant to the hospital-specific limit under
section 1923(g)(1) of the Act.
In the event that CMS and the State come to agreement on
resolution of the issues which formed the basis for disapproval,
this SPA may be moved to approval prior to the scheduled hearing. I
am responding to your request for reconsideration of the decision to
disapprove Texas' Medicaid state plan amendment (SPA) 14-025, which
was submitted to the Centers for Medicare and Medicaid Services
(CMS) on August 26, 2014, and disapproved on April 7, 2015. I am
scheduling a hearing on your request for reconsideration to be held
on August 6, 2015, at the Department of Health and Human Services,
Centers for Medicare and Medicaid Services, Division of Medicaid &
Children's Health, Dallas Regional Office, 1301 Young Street, Room
714, Dallas, TX 75202.
Sincerely,
Andrew M. Slavitt
cc: Benjamin R. Cohen
Section 1116 of the Social Security Act (42 U.S.C. 1316; 42 CFR
430.18) (Catalog of Federal Domestic Assistance program No. 13.714.
Medicaid Assistance Program.)
Dated: June 24, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2015-16098 Filed 6-29-15; 8:45 am]
BILLING CODE 4120-01-P