Agency Information Collection Activities: Proposed Collection; Comment Request, 57826-57827 [2015-24474]
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57826
Federal Register / Vol. 80, No. 186 / Friday, September 25, 2015 / Notices
In that notice, we detailed our
evaluation criteria. Under section
1865(a)(2) of the Act and our regulations
at § 410.142 and § 410.143, we
conducted a review of ADA’s NAO
based on the criteria set forth in
§ 410.142(b), which include, but are not
limited to the following: (1) A review of
the NAO’s operations and office to
verify information in the organization’s
application and assess the
organization’s compliance with its own
policies and procedures; (2) evaluating
accreditation results or the accreditation
status decision making process; and (3)
interviewing the organization’s staff.
The April 30, 2015 proposed notice
also solicited public comments on the
ability of ADA to continue to develop
standards that meet or exceed the
Medicare conditions for coverage and
apply them to accredit entities to
furnish training. We received no public
comments in response to our proposed
notice.
IV. Provisions of the Final Notice
ADA’s application to continue as an
accredited NAO to deem entities for the
purposes of DSMT is approved for a
period of 6 years. The accreditation is
effective on September 25, 2015. This
approval is subject to renewal
subsequent to the receipt of an
application from the ADA and subject to
review, evaluation, and approval of its
program.
Based on our review and observations
described in section III of this final
notice, we approve ADA as a NAO for
entities furnishing DSMT that request
participation in the Medicare program,
effective September 25, 2015 through
effective September 27, 2021.
V. Collection of Information
Requirements
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This document does not impose
information collection requirements,
that is, reporting, recordkeeping or
third-party disclosure requirements.
Consequently, there is no need for
review by the Office of Management and
Budget under the authority of the
Paperwork Reduction Act of 1995 (44
U.S.C. 3501 et seq.).
Dated: September 17, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. 2015–24358 Filed 9–24–15; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10519 and
CMS–10583]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
SUMMARY: The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. 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 or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates or any other aspect of
this collection of information, including
any of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
Comments must be received by
November 24, 2015.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number. To be assured
consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send your
comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) that are accepting
comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Document Identifier/OMB
Control Number ____, Room C4–26–05,
DATES:
PO 00000
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7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/Paperwork
ReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–10519 Physician Quality
Reporting System (PQRS) and the
Electronic Prescribing Incentive
(eRx) Program Data Assessment,
Accuracy and Improper Payments
Identification Support
CMS–10583 Data Collection for
Medicare Beneficiaries Receiving
Beta Amyloid Positron Emission
Tomography (PET) for Dementia
and Neurodegenerative Disease
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.
The term ‘‘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
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
Information Collection
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Physician
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Federal Register / Vol. 80, No. 186 / Friday, September 25, 2015 / Notices
Quality Reporting System (PQRS) and
the Electronic Prescribing Incentive
(eRx) Program Data Assessment,
Accuracy and Improper Payments
Identification Support; Use: The
incentive and reporting programs have
data integrity issues, such as rejected
and improper payments. This four year
project will evaluate incentive payment
information for accuracy and identify
improper payments, with the goal of
recovering these payments.
Additionally, based on the project’s
results, recommendations will be made
so that we can avoid future data
integrity issues.
Data submission, processing, and
reporting will be analyzed for potential
errors, inconsistencies, and gaps that are
related to data handling, program
requirements, and clinical quality
measure specifications of PQRS and eRx
program. Surveys of Group Practices,
Registries, and Data Submission
Vendors (DSVs) will be conducted in
order to evaluate the PQRS and eRx
Incentive Program. Follow-up
interviews will occur with a small
number of respondents. Form Number:
CMS–10519 (OMB control number:
0938–1255); Frequency: Annually;
Affected Public: Business or other forprofits; Number of Respondents: 115;
Total Annual Responses: 115; Total
Annual Hours: 201. (For policy
questions regarding this collection
contact Timothy Jackson at 410–786–
4006.)
2. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Data Collection
for Medicare Beneficiaries Receiving
Beta Amyloid Positron Emission
Tomography (PET) for Dementia and
Neurodegenerative Disease Use: In the
Decision Memorandum #CAG–00431N
issued on September 27, 2013, CMS
determined there is sufficient evidence
that the use of beta amyloid PET is
promising in 2 scenarios: (1) to exclude
Alzheimer’s Disease (AD) in narrowly
defined and clinically difficult
differential diagnoses; and (2) to enrich
clinical trials seeking better treatments
or prevention strategies for AD. CMS
will cover one beta amyloid PET scan
per patient through Coverage with
Evidence Development under section
1862(a)(1)(E) of the Social Security Act,
in clinical studies that meet specific
criteria established by CMS. Clinical
studies must be approved by CMS,
involve subjects from appropriate
populations, and be comparative and
longitudinal. Radiopharmaceuticals
used in the scan must be FDA approved.
Approved studies must address defined
research questions established by CMS.
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Clinical studies in this National
Coverage Determination (NCD) must
adhere to the designated timeframe and
meet standards establish by CMS in the
NCD. Consistent with section 1142 of
the Social Security Act, the Agency for
Healthcare and Quality (AHRQ)
supports clinical research studies that
CMS determines meet specifically
identified requirements and research
questions.
To qualify for payment, providers
must prescribe beta amyloid PET for
beneficiaries with a set of clinical
criteria specific to each cancer. Data
elements will be transmitted to CMS for
evaluation of the short and long-term
benefits of beta amyloid PET to
beneficiaries and for use in future
clinical decision making. Form Number:
CMS–10583 (OMB control number:
0938–NEW); Frequency: Annually;
Affected Public: Private sector (Business
or other for-profit); Number of
Respondents: 300; Total Annual
Responses: 3,700; Total Annual Hours:
6,475. (For policy questions regarding
this collection contact Stuart Caplan at
410–786–8564).
Dated: September 22, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–24474 Filed 9–24–15; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–4178–N]
Medicare Program; Medicare Appeals;
Adjustment to the Amount in
Controversy Threshold Amounts for
Calendar Year 2016
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
SUMMARY: This notice announces the
annual adjustment in the amount in
controversy (AIC) threshold amounts for
Administrative Law Judge (ALJ)
hearings and judicial review under the
Medicare appeals process. The
adjustment to the AIC threshold
amounts will be effective for requests
for ALJ hearings and judicial review
filed on or after January 1, 2016. The
calendar year 2016 AIC threshold
amounts are $150 for ALJ hearings and
$1,500 for judicial review.
DATES: Effective Date: This notice is
effective on January 1, 2016.
PO 00000
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57827
Liz
Hosna (Katherine.Hosna@cms.hhs.gov),
(410) 786–4993.
SUPPLEMENTARY INFORMATION:
FOR FURTHER INFORMATION CONTACT:
I. Background
Section 1869(b)(1)(E) of the Social
Security Act (the Act), as amended by
section 521 of the Medicare, Medicaid,
and SCHIP Benefits Improvement and
Protection Act of 2000 (BIPA),
established the amount in controversy
(AIC) threshold amounts for
Administrative Law Judge (ALJ) hearing
requests and judicial review at $100 and
$1,000, respectively, for Medicare Part
A and Part B appeals. Section 940 of the
Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 (MMA), amended section
1869(b)(1)(E) of the Act to require the
AIC threshold amounts for ALJ hearings
and judicial review to be adjusted
annually. The AIC threshold amounts
are to be adjusted, as of January 2005,
by the percentage increase in the
medical care component of the
consumer price index (CPI) for all urban
consumers (U.S. city average) for July
2003 to July of the year preceding the
year involved and rounded to the
nearest multiple of $10. Section
940(b)(2) of the MMA provided
conforming amendments to apply the
AIC adjustment requirement to
Medicare Part C/Medicare Advantage
(MA) appeals and certain health
maintenance organization and
competitive health plan appeals. Health
care prepayment plans are also subject
to MA appeals rules, including the AIC
adjustment requirement. Section 101 of
the MMA provides for the application of
the AIC adjustment requirement to
Medicare Part D appeals.
A. Medicare Part A and Part B Appeals
The statutory formula for the annual
adjustment to the AIC threshold
amounts for ALJ hearings and judicial
review of Medicare Part A and Part B
appeals, set forth at section
1869(b)(1)(E) of the Act, is included in
the applicable implementing
regulations, 42 CFR 405.1006(b) and (c).
The regulations require the Secretary of
the Department of Health and Human
Services (the Secretary) to publish
changes to the AIC threshold amounts
in the Federal Register
(§ 405.1006(b)(2)). In order to be entitled
to a hearing before an ALJ, a party to a
proceeding must meet the AIC
requirements at § 405.1006(b). Similarly,
a party must meet the AIC requirements
at § 405.1006(c) at the time judicial
review is requested for the court to have
jurisdiction over the appeal
(§ 405.1136(a)).
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Agencies
[Federal Register Volume 80, Number 186 (Friday, September 25, 2015)]
[Notices]
[Pages 57826-57827]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-24474]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10519 and CMS-10583]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. 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 or reinstatement of an
existing collection of information) and to allow 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our burden estimates or any other aspect of this
collection of information, including any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (2) the accuracy of
the estimated burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of
automated collection techniques or other forms of information
technology to minimize the information collection burden.
DATES: Comments must be received by November 24, 2015.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number. To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send your comments electronically to
https://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) that are accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: Document Identifier/OMB
Control Number ____, Room C4-26-05, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' Web site address at https://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-10519 Physician Quality Reporting System (PQRS) and the Electronic
Prescribing Incentive (eRx) Program Data Assessment, Accuracy and
Improper Payments Identification Support
CMS-10583 Data Collection for Medicare Beneficiaries Receiving Beta
Amyloid Positron Emission Tomography (PET) for Dementia and
Neurodegenerative Disease
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. The term
``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 requires federal agencies
to publish a 60-day notice in the Federal Register concerning each
proposed collection of information, including each proposed extension
or reinstatement of an existing collection of information, before
submitting the collection to OMB for approval. To comply with this
requirement, CMS is publishing this notice.
Information Collection
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Physician
[[Page 57827]]
Quality Reporting System (PQRS) and the Electronic Prescribing
Incentive (eRx) Program Data Assessment, Accuracy and Improper Payments
Identification Support; Use: The incentive and reporting programs have
data integrity issues, such as rejected and improper payments. This
four year project will evaluate incentive payment information for
accuracy and identify improper payments, with the goal of recovering
these payments. Additionally, based on the project's results,
recommendations will be made so that we can avoid future data integrity
issues.
Data submission, processing, and reporting will be analyzed for
potential errors, inconsistencies, and gaps that are related to data
handling, program requirements, and clinical quality measure
specifications of PQRS and eRx program. Surveys of Group Practices,
Registries, and Data Submission Vendors (DSVs) will be conducted in
order to evaluate the PQRS and eRx Incentive Program. Follow-up
interviews will occur with a small number of respondents. Form Number:
CMS-10519 (OMB control number: 0938-1255); Frequency: Annually;
Affected Public: Business or other for-profits; Number of Respondents:
115; Total Annual Responses: 115; Total Annual Hours: 201. (For policy
questions regarding this collection contact Timothy Jackson at 410-786-
4006.)
2. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection: Data
Collection for Medicare Beneficiaries Receiving Beta Amyloid Positron
Emission Tomography (PET) for Dementia and Neurodegenerative Disease
Use: In the Decision Memorandum #CAG-00431N issued on September 27,
2013, CMS determined there is sufficient evidence that the use of beta
amyloid PET is promising in 2 scenarios: (1) to exclude Alzheimer's
Disease (AD) in narrowly defined and clinically difficult differential
diagnoses; and (2) to enrich clinical trials seeking better treatments
or prevention strategies for AD. CMS will cover one beta amyloid PET
scan per patient through Coverage with Evidence Development under
section 1862(a)(1)(E) of the Social Security Act, in clinical studies
that meet specific criteria established by CMS. Clinical studies must
be approved by CMS, involve subjects from appropriate populations, and
be comparative and longitudinal. Radiopharmaceuticals used in the scan
must be FDA approved. Approved studies must address defined research
questions established by CMS. Clinical studies in this National
Coverage Determination (NCD) must adhere to the designated timeframe
and meet standards establish by CMS in the NCD. Consistent with section
1142 of the Social Security Act, the Agency for Healthcare and Quality
(AHRQ) supports clinical research studies that CMS determines meet
specifically identified requirements and research questions.
To qualify for payment, providers must prescribe beta amyloid PET
for beneficiaries with a set of clinical criteria specific to each
cancer. Data elements will be transmitted to CMS for evaluation of the
short and long-term benefits of beta amyloid PET to beneficiaries and
for use in future clinical decision making. Form Number: CMS-10583 (OMB
control number: 0938-NEW); Frequency: Annually; Affected Public:
Private sector (Business or other for-profit); Number of Respondents:
300; Total Annual Responses: 3,700; Total Annual Hours: 6,475. (For
policy questions regarding this collection contact Stuart Caplan at
410-786-8564).
Dated: September 22, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-24474 Filed 9-24-15; 8:45 am]
BILLING CODE 4120-01-P