Analyses, Research and Studies To Address the Impact of CMS Programs on American Indian/Alaska Native (AI/AN) Beneficiaries and the Health Care System Serving These Beneficiaries, 48816-48817 [2017-22811]
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Federal Register / Vol. 82, No. 202 / Friday, October 20, 2017 / Notices
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State And Local Governments (or their bona
fide fiscal agents).
Awardee Lead Profile Assessment (ALPA)
Questionnaire—web survey.
ALPA Questionnaire—Word format ...............
Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2017–22772 Filed 10–19–17; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
Analyses, Research and Studies To
Address the Impact of CMS Programs
on American Indian/Alaska Native (AI/
AN) Beneficiaries and the Health Care
System Serving These Beneficiaries
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice of single source award.
AGENCY:
This notice supports
expansion of research on the impact of
CMS programs on the Indian health care
system through a single source award.
The Indian Health Service (IHS), Tribes
and Tribal Organizations and Urban
programs, deliver health care services to
American Indian/Alaska Native (AI/AN)
people through a network of hospitals,
clinics and other providers. This award
expands research on the impact of CMS
programs and the delivery of health care
to AI/AN beneficiaries.
FOR FURTHER INFORMATION CONTACT:
Georgeline Sparks, Centers for Medicare
& Medicaid Services, Center for
Medicaid and CHIP Services/IEAG/
Division of Tribal Affairs, 7500 Security
Boulevard, M/S S1–05–06, Baltimore,
MD 21244–1850, (410) 786–4608.
Intended Recipient: National Indian
Health Board (NIHB).
Purpose of Award: The IHS and Tribal
health programs have had long standing
authority to bill Medicare and Medicaid
for services provided at their facilities.
These participating and billing
authorities were expanded by the
American Recovery and Reinvestment
Act of 2009 (ARRA), the Children’s
Health Insurance Program
Reauthorization Act of 2009 (CHIPRA),
and the Affordable Care Act in 2010
srobinson on DSKBC5CHB2PROD with NOTICES
SUMMARY:
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(ACA). AI/AN people have traditionally
been medically underserved and have
health disparities significantly above
those of the population as a whole. In
order to ensure that AI/AN people have
full knowledge of these new changes
and the fullest access to CMS programs,
this award will study the adoption and
impact of these new authorities on the
Indian health care system.
Amount of the Award: The total
amount of funding available over a five
year period is $4,000,000. The initial
award will be awarded at $800,000. The
subsequent years will be awarded on a
non-competing continuation basis at
approximately $800,000 per year for a
total of 5 years, and will be subject to
the availability of funds and satisfactory
performance by the recipient.
Justification for Single Source Award:
For the past five years through a
Cooperative Agreement with CMS,
NIHB has provided analysis and
research of the potential and actual
impact of CMS programs on AI/AN
beneficiaries and the health care system
serving these beneficiaries. This work
has included analysis and research on
Medicare and Medicaid data enrollment
of AI/AN beneficiaries to understand
utilization of the AI/AN population in
the context of CMS programs. In
addition, NIHB has been instrumental in
tracking CMS regulations and providing
analysis and research to better
understand the implications of CMS
regulatory guidance on the Indian
health programs. Based on this
experience, NIHB is the only entity
capable of carrying out the scope of
activities because the scope of work
builds on past experience and
knowledge. Any other source would not
have all of the knowledge and
experience gained in the last five years.
The NIHB provides research on health
program issues impacting AI/ANs to
over 567 Federally-recognized Tribes
and has historically provided these
services for several decades in
conjunction with the IHS. The NIHB
program has a national focus relevant to
its AI/AN constituency who need to
know through substantive research
about the changes and updates in the
latest health care services and access
through CMS programs.
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Number of
responses per
respondent
Number of
respondents
Avg. burden
per response
(in hours)
40
1
7/60
8
1
7/60
Project Period: The anticipated period
of performance for this cooperative
agreement is September 29, 2017
through September 28, 2022 with
funding awarded in 12-month budget
increments subject to the availability of
funds and satisfactory performance.
Provisions of the Notice: CMS has
solicited a proposal from the NIHB to
undertake analysis, research and studies
to address the impact of CMS programs
and AI/AN beneficiaries and the health
care system serving those beneficiaries.
The project consists of five principal
research objectives:
• Study the ongoing impact of CMS
programs on the Indian health system
through analysis of, response to, and
implementation of CMS regulations by
Indian health providers.
• Study AI/AN demographic,
enrollment, and utilization data and
propose strategies to increase CMS data
system capabilities to create more
Indian specific reporting capacity.
• Provide ongoing study of CMS
efforts to increase AI/AN knowledge of
CMS programs and CMS responsiveness
to Indian health system.
• Provide research support on the use
and effectiveness of the CMS Tribal
Consultation Policy.
• Evaluate the effectiveness of
outreach and enrollment efforts to AI/
AN beneficiaries in CMS programs.
CMS requested that NIHB submit an
application which includes:
1. Cover Letter.
2. SF–424 Application for Federal
Assistance.
3. SF–424A Budget Information—
Non-Construction Programs.
4. SF–424B Assurances.
5. A budget narrative.
6. Abstract of Project.
7. A research project narrative that
describes each of the five separate
objectives.
8. 501(c)(3) Non-Profit certification.
9. Resumes of all key personnel.
10. Position descriptions.
11. Disclosure of Lobbying Activities,
if applicable.
12. Copy of approved indirect cost
rate agreement, if applicable.
13. Documentation of current OMB
A–133 required financial audit, if
applicable.
E:\FR\FM\20OCN1.SGM
20OCN1
Federal Register / Vol. 82, No. 202 / Friday, October 20, 2017 / Notices
Evaluation criteria for review of the
application will be comprised of three
principal areas:
a. Program information which
includes current organizational
capabilities and operations.
b. Program planning and evaluation
which includes identification of
measurable goals, products, personnel
and workplanning.
c. Program reporting which includes
organizational capabilities and
qualifications and categorical budget
and justification.
Authority: Section 1110 of the Social
Security Act, codified at 42 U.S.C. Sec. 1310
Dated: September 15, 2017.
Derrick Heard,
Chief Grants Management Officer, Office of
Acquisition and Grants Management, Centers
for Medicare & Medicaid Services.
[FR Doc. 2017–22811 Filed 10–19–17; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–3349–PN]
Medicare and Medicaid Programs;
Application by Community Health
Accreditation Partner for Continued
CMS Approval of Its Home Health
Agency Accreditation Program
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Proposed notice.
AGENCY:
This proposed notice
acknowledges the receipt of an
application from the Community Health
Accreditation Partner (CHAP) for
continued recognition as a national
accrediting organization for home health
agencies (HHAs) that wish to participate
in the Medicare or Medicaid programs.
The statute requires that within 60 days
of receipt of an organization’s complete
application, the Centers for Medicare &
Medicaid Services (CMS) publish a
notice that identifies the national
accrediting body making the request,
describes the nature of the request, and
provides at least a 30-day public
comment period.
DATES: To be assured consideration,
comments must be received at one of
the addresses provided below, no later
than 5 p.m. on November 20, 2017.
ADDRESSES: In commenting, please refer
to file code CMS–3349–PN. Because of
staff and resource limitations, we cannot
accept comments by facsimile (FAX)
transmission.
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SUMMARY:
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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 https://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–3349–PN, P.O. Box 8016,
Baltimore, MD 21244–8010.
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–3349–PN,
Mail Stop C4–26–05, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
4. By hand or courier. If you prefer,
you may deliver (by hand or courier)
your written comments before the close
of the comment period to either of the
following addresses:
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,
please call telephone number (410) 786–
7195 in advance to schedule your
arrival with one of our staff members.
Comments mailed to the addresses
indicated as appropriate for hand or
courier delivery may be delayed and
received after the comment period.
For information on viewing public
comments, see the beginning of the
SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
Lillian Williams, (410) 786–8636.
PO 00000
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48817
Patricia Chmielewski, (410) 786–6899.
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: All
comments received before the close of
the comment period are available for
viewing by the public, including any
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: https://
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.
I. Background
Under the Medicare program, eligible
beneficiaries may receive covered
services from a home health agency
(HHA) provided certain requirements
are met. Sections 1861(m) and (o), 1891
and 1895 of the Social Security Act (the
Act) establish distinct criteria for
entities seeking designation as an HHA.
Regulations concerning provider
agreements are at 42 CFR part 489 and
those pertaining to activities relating to
the survey and certification of facilities
and other entities are at 42 CFR part
488. The regulations at 42 CFR parts 409
and 484 specify the conditions that an
HHA must meet to participate in the
Medicare program, the scope of covered
services and the conditions for Medicare
payment for home health care.
Generally, to enter into a provider
agreement with the Medicare program,
an HHA must first be certified by a state
survey agency as complying with the
conditions or requirements set forth in
42 CFR part 484 of our regulations.
Thereafter, the HHA is subject to regular
surveys by a state survey agency to
determine whether it continues to meet
these requirements.
However, there is an alternative to
surveys by state agencies. Section
1865(a)(1) of the Act provides that, if a
provider entity demonstrates through
accreditation by an approved national
accrediting organization that all
applicable Medicare conditions are met
or exceeded, we will deem those
provider entities as having met the
requirements. Accreditation by an
E:\FR\FM\20OCN1.SGM
20OCN1
]]>Agencies
[Federal Register Volume 82, Number 202 (Friday, October 20, 2017)]
[Notices]
[Pages 48816-48817]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-22811]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
Analyses, Research and Studies To Address the Impact of CMS
Programs on American Indian/Alaska Native (AI/AN) Beneficiaries and the
Health Care System Serving These Beneficiaries
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice of single source award.
-----------------------------------------------------------------------
SUMMARY: This notice supports expansion of research on the impact of
CMS programs on the Indian health care system through a single source
award. The Indian Health Service (IHS), Tribes and Tribal Organizations
and Urban programs, deliver health care services to American Indian/
Alaska Native (AI/AN) people through a network of hospitals, clinics
and other providers. This award expands research on the impact of CMS
programs and the delivery of health care to AI/AN beneficiaries.
FOR FURTHER INFORMATION CONTACT: Georgeline Sparks, Centers for
Medicare & Medicaid Services, Center for Medicaid and CHIP Services/
IEAG/Division of Tribal Affairs, 7500 Security Boulevard, M/S S1-05-06,
Baltimore, MD 21244-1850, (410) 786-4608.
Intended Recipient: National Indian Health Board (NIHB).
Purpose of Award: The IHS and Tribal health programs have had long
standing authority to bill Medicare and Medicaid for services provided
at their facilities. These participating and billing authorities were
expanded by the American Recovery and Reinvestment Act of 2009 (ARRA),
the Children's Health Insurance Program Reauthorization Act of 2009
(CHIPRA), and the Affordable Care Act in 2010 (ACA). AI/AN people have
traditionally been medically underserved and have health disparities
significantly above those of the population as a whole. In order to
ensure that AI/AN people have full knowledge of these new changes and
the fullest access to CMS programs, this award will study the adoption
and impact of these new authorities on the Indian health care system.
Amount of the Award: The total amount of funding available over a
five year period is $4,000,000. The initial award will be awarded at
$800,000. The subsequent years will be awarded on a non-competing
continuation basis at approximately $800,000 per year for a total of 5
years, and will be subject to the availability of funds and
satisfactory performance by the recipient.
Justification for Single Source Award: For the past five years
through a Cooperative Agreement with CMS, NIHB has provided analysis
and research of the potential and actual impact of CMS programs on AI/
AN beneficiaries and the health care system serving these
beneficiaries. This work has included analysis and research on Medicare
and Medicaid data enrollment of AI/AN beneficiaries to understand
utilization of the AI/AN population in the context of CMS programs. In
addition, NIHB has been instrumental in tracking CMS regulations and
providing analysis and research to better understand the implications
of CMS regulatory guidance on the Indian health programs. Based on this
experience, NIHB is the only entity capable of carrying out the scope
of activities because the scope of work builds on past experience and
knowledge. Any other source would not have all of the knowledge and
experience gained in the last five years. The NIHB provides research on
health program issues impacting AI/ANs to over 567 Federally-recognized
Tribes and has historically provided these services for several decades
in conjunction with the IHS. The NIHB program has a national focus
relevant to its AI/AN constituency who need to know through substantive
research about the changes and updates in the latest health care
services and access through CMS programs.
Project Period: The anticipated period of performance for this
cooperative agreement is September 29, 2017 through September 28, 2022
with funding awarded in 12-month budget increments subject to the
availability of funds and satisfactory performance.
Provisions of the Notice: CMS has solicited a proposal from the
NIHB to undertake analysis, research and studies to address the impact
of CMS programs and AI/AN beneficiaries and the health care system
serving those beneficiaries. The project consists of five principal
research objectives:
Study the ongoing impact of CMS programs on the Indian
health system through analysis of, response to, and implementation of
CMS regulations by Indian health providers.
Study AI/AN demographic, enrollment, and utilization data
and propose strategies to increase CMS data system capabilities to
create more Indian specific reporting capacity.
Provide ongoing study of CMS efforts to increase AI/AN
knowledge of CMS programs and CMS responsiveness to Indian health
system.
Provide research support on the use and effectiveness of
the CMS Tribal Consultation Policy.
Evaluate the effectiveness of outreach and enrollment
efforts to AI/AN beneficiaries in CMS programs.
CMS requested that NIHB submit an application which includes:
1. Cover Letter.
2. SF-424 Application for Federal Assistance.
3. SF-424A Budget Information--Non-Construction Programs.
4. SF-424B Assurances.
5. A budget narrative.
6. Abstract of Project.
7. A research project narrative that describes each of the five
separate objectives.
8. 501(c)(3) Non-Profit certification.
9. Resumes of all key personnel.
10. Position descriptions.
11. Disclosure of Lobbying Activities, if applicable.
12. Copy of approved indirect cost rate agreement, if applicable.
13. Documentation of current OMB A-133 required financial audit, if
applicable.
[[Page 48817]]
Evaluation criteria for review of the application will be comprised
of three principal areas:
a. Program information which includes current organizational
capabilities and operations.
b. Program planning and evaluation which includes identification of
measurable goals, products, personnel and workplanning.
c. Program reporting which includes organizational capabilities and
qualifications and categorical budget and justification.
Authority: Section 1110 of the Social Security Act, codified at
42 U.S.C. Sec. 1310
Dated: September 15, 2017.
Derrick Heard,
Chief Grants Management Officer, Office of Acquisition and Grants
Management, Centers for Medicare & Medicaid Services.
[FR Doc. 2017-22811 Filed 10-19-17; 8:45 am]
BILLING CODE 4120-01-P
