Medicare & Medicaid Programs, and Other Program Initiatives, and Priorities; Meeting of the Advisory Panel on Outreach and Education (APOE), June 20, 2018, 29121-29122 [2018-13503]
Download as PDF
Federal Register / Vol. 83, No. 121 / Friday, June 22, 2018 / Notices
for approval of its accreditation program
under part 488, subpart A, must provide
CMS with reasonable assurance that the
AO requires the accredited provider
entities to meet requirements that are at
least as stringent as the Medicare
conditions. Our regulations concerning
the approval of AOs are set forth at
§ 488.5.
The American Association for
Accreditation of Ambulatory Surgery
Facilities, Inc.’s (AAAASF’s) current
term of approval for its ASC program
expires November 27, 2018.
II. Provisions of the Proposed Notice
daltland on DSKBBV9HB2PROD with NOTICES
A. Approval of Deeming Organizations
Section 1865(a)(2) of the Act and our
regulations at § 488.5 require that our
findings concerning review and
approval of an AO’s requirements
consider, among other factors, the
applying AO’s requirements for
accreditation; survey procedures;
resources for conducting required
surveys; capacity to furnish information
for use in enforcement activities;
monitoring procedures for provider
entities found not in compliance with
the conditions or requirements; and
ability to provide CMS with the
necessary data for validation.
Section 1865(a)(3)(A) of the Act
further requires that we publish, within
60 days of receipt of an organization’s
complete application, a notice
identifying the national accrediting
body making the request, describing the
nature of the request, and providing at
least a 30-day public comment period.
We have 210 days from the receipt of a
complete application to publish notice
of approval or denial of the application.
The purpose of this proposed notice
is to inform the public of AAAASF’s
request for continued CMS-approval of
its ASC accreditation program. This
notice also solicits public comment on
whether AAAASF’s requirements meet
or exceed the Medicare conditions for
coverage (CfCs) for ASCs.
B. Evaluation of Deeming Authority
Request
AAAASF submitted all the necessary
materials to enable us to make a
determination concerning its request for
continued CMS-approval of its ASC
accreditation program. This application
was determined to be complete on May
1, 2018. Under Section 1865(a)(2) of the
Act and our regulations at § 488.5, our
review and evaluation of AAAASF will
be conducted in accordance with, but
not necessarily limited to, the following
factors:
• The equivalency of AAAASF’s
standards for ASCs as compared with
Medicare’s CfCs for ASCs.
VerDate Sep<11>2014
17:16 Jun 21, 2018
Jkt 244001
• AAAASF’s survey process to
determine the following:
++ The composition of the survey
team, surveyor qualifications, and the
ability of the organization to provide
continuing surveyor training.
++ The comparability of AAAASF’s
processes to those of State agencies,
including survey frequency, and the
ability to investigate and respond
appropriately to complaints against
accredited facilities.
++ AAAASF’s processes and
procedures for monitoring an ASC
found out of compliance with
AAAASF’s program requirements.
These monitoring procedures are used
only when AAAASF identifies
noncompliance. If noncompliance is
identified through validation reviews or
complaint surveys, the State survey
agency monitors corrections as specified
at § 488.9(c)(1).
++ AAAASF’s capacity to report
deficiencies to the surveyed facilities
and respond to the facility’s plan of
correction in a timely manner.
++ AAAASF’s capacity to provide
CMS with electronic data and reports
necessary for effective validation and
assessment of the organization’s survey
process.
++ The adequacy of AAAASF’s staff
and other resources, and its financial
viability.
++ AAAASF’s capacity to adequately
fund required surveys.
++ AAAASF’s policies with respect to
whether surveys are announced or
unannounced, to assure that surveys are
unannounced.
++ AAAASF’s agreement to provide
CMS with a copy of the most current
accreditation survey together with any
other information related to the survey
as CMS may require (including
corrective action plans).
C. Notice Upon Completion of
Evaluation
Upon completion of our evaluation,
including evaluation of public
comments received as a result of this
notice, we will publish a final notice in
the Federal Register announcing the
result of our evaluation.
III. Collection of Information
Requirements
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. Chapter 35).
PO 00000
Frm 00034
Fmt 4703
Sfmt 4703
29121
IV. Response to Public Comments
Because of the large number of public
comments we normally receive on
Federal Register documents, we are not
able to acknowledge or respond to them
individually. We will consider all
comments we receive by the date and
time specified in the DATES section of
this preamble, and, when we proceed
with a subsequent document, we will
respond to the comments in the
preamble to that document.
Upon completion of our evaluation,
including evaluation of comments
received as a result of this notice, we
will publish a final notice in the Federal
Register announcing the result of our
evaluation.
Dated: May 29, 2018.
Seema Verma,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2018–13435 Filed 6–21–18; 8:45 am]
BILLING CODE P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–7050–N2]
Medicare & Medicaid Programs, and
Other Program Initiatives, and
Priorities; Meeting of the Advisory
Panel on Outreach and Education
(APOE), June 20, 2018
Centers for Medicare &
Medicaid Services (CMS), HHS.
AGENCY:
ACTION:
Cancellation of meeting.
On June 1, 2018, we
published a Federal Register notice (83
FR 25461) announcing a new meeting of
the Advisory Panel on Outreach and
Education (APOE) (the Panel), which
was scheduled for Wednesday, June 20,
2018. This notice announces the
cancellation of the June 20, 2018
meeting.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
Lynne Johnson, Acting Designated
Federal Official, Office of
Communications, CMS, 7500 Security
Boulevard, Mail Stop S1–05–06,
Baltimore, MD 21244, 410–786–0897,
email Lynne.Johnson@cms.hhs.gov.
Additional information about the APOE
is available on the internet at: https://
www.cms.gov/Regulations-andGuidance/Guidance/FACA/APOE.html.
Press inquiries are handled through the
CMS Press Office at (202) 690–6145.
E:\FR\FM\22JNN1.SGM
22JNN1
29122
Federal Register / Vol. 83, No. 121 / Friday, June 22, 2018 / Notices
Dated: June 19, 2018.
Seema Verma,
Administrator, Centers for Medicare &
Medicaid Services.
who are pregnant or parenting foster
youth and the parents or kin caregivers
of the children’’.
FFPSA requires an independent
systematic review of evidence to
designate programs and services as
‘‘promising,’’ ‘‘supported,’’ and ‘‘wellsupported’’ practices, defined as follows
in section 471(e)(4)(C):
[FR Doc. 2018–13503 Filed 6–20–18; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Decisions Related to the Development
of a Clearinghouse of Evidence-Based
Practices in Accordance With the
Family First Prevention Services Act of
2018
Administration for Children
and Families, HHS.
ACTION: Request for public comment.
AGENCY:
The Administration for
Children and Families, HHS, solicits
comments by July 22, 2018 on initial
criteria and potential candidate
programs and services for review in a
Clearinghouse of evidence-based
practices in accordance with the Family
First Prevention Services Act of 2018.
The Clearinghouse will identify
promising, supported, and wellsupported practices for mental health
and substance abuse prevention and
treatment programs, in-home parent
skill-based programs, and kinship
navigator programs appropriate for
children who are candidates for foster
care pregnant or parenting foster youth,
and the parents or kin caregivers of
those children and youth.
SUPPLEMENTARY INFORMATION: Invitation
to Comment: HHS invites comments
regarding this Notice. To ensure that
your comments have maximum effect,
please identify clearly the section of this
Notice that your comment addresses.
SUMMARY:
daltland on DSKBBV9HB2PROD with NOTICES
1.0 Background and Legislative
Context
The Family First Prevention Services
Act (FFPSA) was signed into law as part
of the Bipartisan Budget Act (H.R. 1892)
on February 9, 2018. FFPSA enables
States to use Federal funds available
under parts B and E of title IV of the
Social Security Act to provide enhanced
support to children and families and
prevent foster care placements through
the provision of evidence-based mental
health and substance abuse prevention
and treatment services, in-home parent
skill-based programs, and kinship
navigator services. As described in the
statutory language, these services and
programs are intended ‘‘for children
who are candidates for foster care or
VerDate Sep<11>2014
17:16 Jun 21, 2018
Jkt 244001
• Promising Practice: ‘‘A practice shall be
considered to be a ‘promising practice’ if the
practice is superior to an appropriate
comparison practice using conventional
standards of statistical significance (in terms
of demonstrated meaningful improvements
in validated measures of important child and
parent outcomes, such as mental health,
substance abuse, and child safety and wellbeing), as established by the results or
outcomes of at least one study that—(1) was
rated by an independent systematic review
for the quality of the study design and
execution and determined to be welldesigned and well-executed; and (2) utilized
some form of control (such as an untreated
group, a placebo group, or a wait list study).’’
• Supported Practice: ‘‘A practice shall be
considered to be a ‘supported practice’ if (I)
the practice is superior to an appropriate
comparison practice using conventional
standards of statistical significance (in terms
of demonstrated meaningful improvements
in validated measures of important child and
parent outcomes, such as mental health,
substance abuse, and child safety and wellbeing), as established by the results or
outcomes of at least one study that—(aa) was
rated by an independent systematic review
for the quality of the study design and
execution and determined to be welldesigned and well-executed; and (bb) was a
rigorous random-controlled trial (or, if not
available, a study using a rigorous quasiexperimental research design); and (cc) was
carried out in a usual care or practice setting
and (II) the study described in sub-clause (I)
established that the practice has a sustained
effect (when compared to a control group) for
at least 6 months beyond the end of
treatment.’’
• Well-supported Practice: ‘‘A practice
shall be considered to be a ‘well-supported
practice’ if (I) the practice is superior to an
appropriate comparison practice using
conventional standards of statistical
significance (in terms of demonstrated
meaningful improvements in validated
measures of important child and parent
outcomes, such as mental health, substance
abuse, and child safety and well-being), as
established by the results or outcomes of at
least two studies that—(aa) were rated by an
independent systematic review for the
quality of the study design and execution and
determined to be well-designed and wellexecuted; and (bb) were rigorous randomcontrolled trials (or, if not available, studies
using a rigorous quasi-experimental research
design); and (cc) were carried out in a usual
care or practice setting and (II) at least one
of the studies described in sub-clause (I)
established that the practice has a sustained
effect (when compared to a control group) for
at least 1 year beyond the end of treatment.’’
PO 00000
Frm 00035
Fmt 4703
Sfmt 4703
In accordance with FFPSA, practices
must also meet the following
requirements:
• Book or manual: The practice has a
book, manual, or other available writings that
specify the components of the practice
protocol and describe how to administer the
practice.
• No empirical risk of harm: There is no
empirical basis suggesting that, compared to
its likely benefits, the practice constitutes a
risk of harm to those receiving it.
• Weight of evidence supports benefits: If
multiple outcome studies have been
conducted, the overall weight of evidence
supports the benefits of the practice.
• Reliable and valid outcome measures:
Outcome measures are reliable and valid, and
are administrated consistently and accurately
across all those receiving the practice.
• No case data for severe or frequent risk
of harm: There is no case data suggesting a
risk of harm that was probably caused by the
treatment and that was severe or frequent
(section 471(e)(4)(C)(ii) of the Act).
In order to meet these requirements,
the Administration for Children and
Families (ACF) in the Department of
Health and Human Services (HHS)
intends to establish and maintain a
public Clearinghouse of practices,
including culturally specific, or
location- or population-based
adaptations of practices, identified via a
systematic review of evidence on
relevant programs and services. In
accordance with FFPSA and building
from other federal evidence reviews,
HHS is developing initial criteria that
will be used to designate programs and
services as promising, supported, and
well-supported practices. HHS will also
identify a preliminary list of candidate
services and programs that will be
considered for systematic review.
This Notice (1) identifies and requests
comment on potential initial criteria for
(a) identifying eligible programs and
services for review by the
Clearinghouse, (b) prioritizing eligible
programs and services for review, (c)
identifying eligible studies aligned with
prioritized programs and services, (d)
prioritizing eligible studies for rating, (e)
rating studies, and (f) rating programs
and services as promising, supported,
and well-supported practices. This
Notice (2) requests comment on
potential programs and services that
may meet the aforementioned criteria
and that should be considered as
candidates for systematic review. After
comments are received, HHS will revise
and publish the initial criteria and a
preliminary list of candidate programs
and services to be considered for
review; and begin to conduct reviews.
This Notice is one step in ensuring that
activities associated with the
development of a Clearinghouse are
E:\FR\FM\22JNN1.SGM
22JNN1
Agencies
[Federal Register Volume 83, Number 121 (Friday, June 22, 2018)]
[Notices]
[Pages 29121-29122]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-13503]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-7050-N2]
Medicare & Medicaid Programs, and Other Program Initiatives, and
Priorities; Meeting of the Advisory Panel on Outreach and Education
(APOE), June 20, 2018
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Cancellation of meeting.
-----------------------------------------------------------------------
SUMMARY: On June 1, 2018, we published a Federal Register notice (83 FR
25461) announcing a new meeting of the Advisory Panel on Outreach and
Education (APOE) (the Panel), which was scheduled for Wednesday, June
20, 2018. This notice announces the cancellation of the June 20, 2018
meeting.
FOR FURTHER INFORMATION CONTACT: Lynne Johnson, Acting Designated
Federal Official, Office of Communications, CMS, 7500 Security
Boulevard, Mail Stop S1-05-06, Baltimore, MD 21244, 410-786-0897, email
[email protected]. Additional information about the APOE is
available on the internet at: https://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/APOE.html. Press inquiries are handled through
the CMS Press Office at (202) 690-6145.
[[Page 29122]]
Dated: June 19, 2018.
Seema Verma,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2018-13503 Filed 6-20-18; 8:45 am]
BILLING CODE 4120-01-P