Tribal Health Programs-Community Care Consolidation, 80166-80167 [2016-27436]

Download as PDF 80166 Federal Register / Vol. 81, No. 220 / Tuesday, November 15, 2016 / Notices mstockstill on DSK3G9T082PROD with NOTICES exemptions are effective as of October 31, 2016, and will expire on October 31, 2018. Each of the 117 drivers in the aforementioned groups qualifies for a renewal of the exemption. They have maintained their required medical monitoring and have not exhibited any medical issues that would compromise their ability to safely operate a CMV during the previous 2-year exemption period. These factors provide an adequate basis for predicting each driver’s ability to continue to drive safely in interstate commerce. Therefore, FMCSA concludes that extending the exemption for each of the 117 drivers for a period of two years is likely to achieve a level of safety equal to that existing without the exemption. The drivers were included in docket numbers FMCSA– 2010–0247; FMCSA–2012–0128; FMCSA–2012–0217; FMCSA–2012– 0219; FMCSA–2014–0021. Request for Comments FMCSA will review comments received at any time concerning a particular driver’s safety record and determine if the continuation of the exemption is consistent with the requirements at 49 U.S.C. 31136(e) and 31315. However, FMCSA requests that interested parties with specific data concerning the safety records of these drivers submit comments by December 15, 2016. FMCSA believes that the requirements for a renewal of an exemption under 49 U.S.C. 31136(e) and 31315 can be satisfied by initially granting the renewal and then requesting and evaluating, if needed, subsequent comments submitted by interested parties. As indicated above, the Agency previously published notices of final disposition announcing its decision to exempt these 117 individuals from rule prohibiting persons with ITDM from operating CMVs in interstate commerce in 49 CFR 391.41(b)(3). The final decision to grant an exemption to each of these individuals was made on the merits of each case and made only after careful consideration of the comments received to its notices of applications. The notices of applications stated in detail the medical condition of each applicant for an exemption from rule prohibiting persons with ITDM from operating CMVs in interstate commerce. That information is available by consulting the above cited Federal Register publications. Interested parties or organizations possessing information that would otherwise show that any, or all, of these VerDate Sep<11>2014 22:00 Nov 11, 2016 Jkt 241001 drivers are not currently achieving the statutory level of safety should immediately notify FMCSA. The Agency will evaluate any adverse evidence submitted and, if safety is being compromised or if continuation of the exemption would not be consistent with the goals and objectives of 49 U.S.C. 31136(e) and 31315, FMCSA will take immediate steps to revoke the exemption of a driver. Submitting Comments Viewing Comments and Documents To view comments, as well as any documents mentioned in this preamble, go to http://www.regulations.gov and in the search box insert the docket number FMCSA–2010–0247; FMCSA–2012– 0128; FMCSA–2012–0217; FMCSA– 2012–0219; FMCSA–2014–0021 and click ‘‘Search.’’ Next, click ‘‘Open Docket Folder’’ and you will find all documents and comments related to this notice. Frm 00152 Fmt 4703 Sfmt 4703 [FR Doc. 2016–27396 Filed 11–14–16; 8:45 am] BILLING CODE 4910–EX–P DEPARTMENT OF VETERANS AFFAIRS Tribal Health Programs—Community Care Consolidation Department of Veterans Affairs. Notice of tribal consultation. AGENCY: You may submit your comments and material online or by fax, mail, or hand delivery, but please use only one of these means. FMCSA recommends that you include your name and a mailing address, an email address, or a phone number in the body of your document so that FMCSA can contact you if there are questions regarding your submission. To submit your comment online, go to http://www.regulations.gov and in the search box insert the docket numbers FMCSA–2010–0247; FMCSA–2012– 0128; FMCSA–2012–0217; FMCSA– 2012–0219; FMCSA–2014–0021 and click the search button. When the new screen appears, click on the blue ‘‘Comment Now!’’ button on the right hand side of the page. On the new page, enter information required including the specific section of this document to which each comment applies, and provide a reason for each suggestion or recommendation. If you submit your comments by mail or hand delivery, submit them in an unbound format, no larger than 81⁄2 by 11 inches, suitable for copying and electronic filing. If you submit comments by mail and would like to know that they reached the facility, please enclose a stamped, selfaddressed postcard or envelope. We will consider all comments and material received during the comment period. FMCSA may issue a final determination at any time after the close of the comment period. PO 00000 Issued on: November 1, 2016. Larry W. Minor, Associate Administrator for Policy. ACTION: The Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will facilitate a Tribal Consultation on VHA’s effort to improve continuity of care and health care access for Veterans by consolidating multiple community care programs, previously known as non-VA care, into one standard program with standard rates. In October 2015, VA submitted to Congress the Plan to Consolidate Programs of Department of Veterans Affairs to Improve Access to Care, http://www.va.gov/opa/ publications/VA_Community_Care_ Report_11_03_2015.pdf, which lays out the vision for a consolidated community care program that is easy to understand, simple to administer, and meets the needs of Veterans, community providers, and VA staff. As VA continues to move forward with implementing the vision of the Plan, we again seek tribal input to assist VA in developing the network of providers in a manner that would build on VA’s existing relationships with tribal health programs and facilitate future collaboration to improve health care services provided to all eligible, VAenrolled Veterans, regardless of whether they are eligible for Indian Health Service-funded health care or not. We are seeking tribal consultation regarding the tribal health programs’ participation in the core provider network, as outlined in the Plan, and potentially transitioning from the current reimbursement agreement structure to a model under which tribal health programs deliver care to all eligible, VA enrolled Veterans, using a standard reimbursement rate based on Medicare rates. DATES: Comments must be received by VA on or before November 30, 2016. ADDRESSES: Written comments should be submitted by email at Tribalgovernmentconsultation@va.gov, by fax at 202–273–5716, or by mail at U.S. Department of Veterans Affairs, Suite 915L, 810 Vermont Avenue NW., Washington, DC 20420. SUMMARY: E:\FR\FM\15NON1.SGM 15NON1 Federal Register / Vol. 81, No. 220 / Tuesday, November 15, 2016 / Notices FOR FURTHER INFORMATION CONTACT: mstockstill on DSK3G9T082PROD with NOTICES Majed Ibrahim, VA Office of Community Care, VHA at (562) 400– 3134 (this is not a toll-free number), or by email at majed.ibrahim@va.gov. SUPPLEMENTARY INFORMATION: VA is seeking consultation and comments on the following questions: (1) What would be the impact of transitioning from the existing reimbursement agreement structure, which requires each tribe to enter into an individual reimbursement agreement with VA, to a standard arrangement for reimbursement of direct care services provided to eligible Veterans managed by a third party administrator for VA? (2) Would tribal health programs be interested in expanding direct care VerDate Sep<11>2014 22:00 Nov 11, 2016 Jkt 241001 services under this new structure to include reimbursements for care provided to all Veterans enrolled in VA health care, regardless of whether they are eligible for health care funded by Indian Health Service (IHS) or not? (3) Would tribal health programs be interested in receiving standard reimbursement rates based on Medicare rates plus a feasible percentage of those rates to minimize improper payments and comply with industry standards? (4) Would tribal health programs be interested in extending existing reimbursement agreements between VA and tribal health programs through December 2018 and ensuring any new reimbursement agreements between VA and tribal health programs extend PO 00000 Frm 00153 Fmt 4703 Sfmt 9990 80167 through December 2018, as VA works in collaboration with tribes and other VA stakeholders on implementing a consolidated community care program? Tribal leaders and/or their designated representatives and other interested parties are invited to attend and provide comments during the in-person consultation and/or submit written comments. Dated: November 9, 2016. Jeffrey Martin, Office Program Manager, Office of Regulation Policy & Management, Office of the Secretary, Department of Veterans Affairs. [FR Doc. 2016–27436 Filed 11–14–16; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\15NON1.SGM 15NON1

Agencies

[Federal Register Volume 81, Number 220 (Tuesday, November 15, 2016)]
[Notices]
[Pages 80166-80167]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-27436]


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DEPARTMENT OF VETERANS AFFAIRS


Tribal Health Programs--Community Care Consolidation

AGENCY: Department of Veterans Affairs.

ACTION: Notice of tribal consultation.

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SUMMARY: The Department of Veterans Affairs (VA), Veterans Health 
Administration (VHA) will facilitate a Tribal Consultation on VHA's 
effort to improve continuity of care and health care access for 
Veterans by consolidating multiple community care programs, previously 
known as non-VA care, into one standard program with standard rates. In 
October 2015, VA submitted to Congress the Plan to Consolidate Programs 
of Department of Veterans Affairs to Improve Access to Care, http://www.va.gov/opa/publications/VA_Community_Care_Report_11_03_2015.pdf, 
which lays out the vision for a consolidated community care program 
that is easy to understand, simple to administer, and meets the needs 
of Veterans, community providers, and VA staff. As VA continues to move 
forward with implementing the vision of the Plan, we again seek tribal 
input to assist VA in developing the network of providers in a manner 
that would build on VA's existing relationships with tribal health 
programs and facilitate future collaboration to improve health care 
services provided to all eligible, VA-enrolled Veterans, regardless of 
whether they are eligible for Indian Health Service-funded health care 
or not. We are seeking tribal consultation regarding the tribal health 
programs' participation in the core provider network, as outlined in 
the Plan, and potentially transitioning from the current reimbursement 
agreement structure to a model under which tribal health programs 
deliver care to all eligible, VA enrolled Veterans, using a standard 
reimbursement rate based on Medicare rates.

DATES: Comments must be received by VA on or before November 30, 2016.

ADDRESSES: Written comments should be submitted by email at 
Tribalgovernmentconsultation@va.gov, by fax at 202-273-5716, or by mail 
at U.S. Department of Veterans Affairs, Suite 915L, 810 Vermont Avenue 
NW., Washington, DC 20420.

[[Page 80167]]


FOR FURTHER INFORMATION CONTACT: Majed Ibrahim, VA Office of Community 
Care, VHA at (562) 400-3134 (this is not a toll-free number), or by 
email at majed.ibrahim@va.gov.

SUPPLEMENTARY INFORMATION: VA is seeking consultation and comments on 
the following questions:
    (1) What would be the impact of transitioning from the existing 
reimbursement agreement structure, which requires each tribe to enter 
into an individual reimbursement agreement with VA, to a standard 
arrangement for reimbursement of direct care services provided to 
eligible Veterans managed by a third party administrator for VA?
    (2) Would tribal health programs be interested in expanding direct 
care services under this new structure to include reimbursements for 
care provided to all Veterans enrolled in VA health care, regardless of 
whether they are eligible for health care funded by Indian Health 
Service (IHS) or not?
    (3) Would tribal health programs be interested in receiving 
standard reimbursement rates based on Medicare rates plus a feasible 
percentage of those rates to minimize improper payments and comply with 
industry standards?
    (4) Would tribal health programs be interested in extending 
existing reimbursement agreements between VA and tribal health programs 
through December 2018 and ensuring any new reimbursement agreements 
between VA and tribal health programs extend through December 2018, as 
VA works in collaboration with tribes and other VA stakeholders on 
implementing a consolidated community care program?
    Tribal leaders and/or their designated representatives and other 
interested parties are invited to attend and provide comments during 
the in-person consultation and/or submit written comments.

    Dated: November 9, 2016.
Jeffrey Martin,
Office Program Manager, Office of Regulation Policy & Management, 
Office of the Secretary, Department of Veterans Affairs.
[FR Doc. 2016-27436 Filed 11-14-16; 8:45 am]
BILLING CODE 8320-01-P