Medicare and Medicaid Programs: Application From the Joint Commission (TJC) for Continued Approval of its Psychiatric Hospital Accreditation Program, 40514-40515 [2018-17519]
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Federal Register / Vol. 83, No. 158 / Wednesday, August 15, 2018 / Notices
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BILLING CODE 6731–AA–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–3364–PN]
Medicare and Medicaid Programs:
Application From the Joint
Commission (TJC) for Continued
Approval of its Psychiatric Hospital
Accreditation Program
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice with request for
comment.
AGENCY:
daltland on DSKBBV9HB2PROD with NOTICES
I. Background
This proposed notice
acknowledges the receipt of an
application from the Joint Commission
(TJC) for continued recognition as a
national accrediting organization for
psychiatric hospitals that wish to
participate in the Medicare or Medicaid
programs.
DATES: To be assured consideration,
comments must be received at one of
the addresses provided below, no later
than 5 p.m. on September 14, 2018.
ADDRESSES: In commenting, refer to file
code CMS–3364–PN. Because of staff
and resource limitations, we cannot
accept comments by facsimile (FAX)
transmission.
Comments, including mass comment
submissions, must be submitted in one
of the following three ways (please
choose only one of the ways listed):
SUMMARY:
VerDate Sep<11>2014
18:28 Aug 14, 2018
Jkt 244001
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–3364–PN, P.O. Box 8010,
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–3364–PN,
Mail Stop C4–26–05, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
For information on viewing public
comments, see the beginning of the
SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
Karena Meushaw (410) 786–6609,
Monda Shaver (410) 786–3410 or Marie
Vasbinder (410)786–8665.
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
website as soon as possible after they
have been received: https://
www.regulations.gov. Follow the search
instructions on that website to view
public comments.
Under the Medicare program, eligible
beneficiaries may receive covered
services from a psychiatric hospital
provided certain requirements are met.
Section 1861(f) of the Social Security
Act (the Act) establishes distinct criteria
for facilities seeking designation as a
psychiatric hospital. Regulations
concerning provider agreements are at
42 CFR part 489 and those pertaining to
activities relating to the survey and
certification of facilities are at 42 CFR
part 488. The regulations at 42 CFR part
482 subparts A, B, C and E specify the
minimum conditions that a psychiatric
hospital must meet to participate in the
Medicare program, the scope of covered
services and the conditions for Medicare
payment for psychiatric hospitals.
Generally, to enter into a provider
agreement with Medicare, a psychiatric
hospital must first be certified by a State
PO 00000
Frm 00016
Fmt 4703
Sfmt 4703
survey agency as complying with the
conditions or requirements set forth in
part 482 subpart A, B, C and E of our
CMS regulations. Thereafter, the
psychiatric hospital is subject to regular
surveys by a State survey agency to
determine whether it continues to meet
these requirements. There is an
alternative, however, to surveys by State
agencies.
Section 1865(a)(1) of the Act provides
that, if a provider entity demonstrates
through accreditation by a CMSapproved national accrediting
organization (AO) that all applicable
Medicare conditions are met or
exceeded, we may deem the provider
entity as having met the requirements.
Accreditation by an AO is voluntary and
is not required for Medicare
participation.
If an AO is recognized by CMS as
having standards for accreditation that
meet or exceed Medicare requirements,
any provider entity accredited by the
national accrediting body’s approved
program may be deemed to meet the
Medicare conditions. An AO applying
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 AO are set forth at
§ 488.5. Our regulations at
§ 488.5(e)(2)(i) require an accrediting
organization to reapply for continued
approval of its accreditation program(s)
every 6 years or sooner, as determined
by CMS.
The Joint Commission’s current term
of approval for their psychiatric hospital
accreditation program expires February
25, 2019.
II. Provisions of the Proposed Notice
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
E:\FR\FM\15AUN1.SGM
15AUN1
Federal Register / Vol. 83, No. 158 / Wednesday, August 15, 2018 / Notices
++ The adequacy of TJC’s staff and
other resources, and its financial
viability.
++ TJC’s capacity to adequately fund
required surveys.
++ TJC’s policies with respect to
whether surveys are announced or
unannounced, to assure that surveys are
unannounced.
++ TJC’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).
B. Evaluation of Deeming Authority
Request
daltland on DSKBBV9HB2PROD with NOTICES
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 TJC’s request
for CMS-approval of its psychiatric
hospital accreditation program. This
notice also solicits public comment on
whether TJC’s requirements meet or
exceed the Medicare conditions of
participation (CoPs) for psychiatric
hospitals.
III. Collection of Information
Requirements
TJC submitted all the necessary
materials to enable us to make a
determination concerning its request for
CMS-approval of its psychiatric hospital
accreditation program. This application
was determined to be complete on July
30, 2018. Under section 1865(a)(2) of the
Act and our regulations at § 488.5
(Application and re-application
procedures for national accrediting
organizations), our review and
evaluation of TJC will be conducted in
accordance with, but not necessarily
limited to, the following factors:
• The equivalency of TJC’s standards
for psychiatric hospitals as compared
with CMS’ psychiatric hospital CoPs.
• TJC’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 TJC’s
processes to those of State agencies,
including survey frequency, and the
ability to investigate and respond
appropriately to complaints against
accredited facilities.
++ TJC’s processes and procedures
for monitoring a psychiatric hospital
found out of compliance with the TJC’s
program requirements. These
monitoring procedures are used only
when TJC identifies noncompliance. If
noncompliance is identified through
validation reviews or complaint
surveys, the state survey agency
monitors corrections as specified at
§ 488.9(c).
++ TJC’s capacity to report
deficiencies to the surveyed facilities
and respond to the facility’s plan of
correction in a timely manner.
++ TJC’s capacity to provide CMS
with electronic data and reports
necessary for effective validation and
assessment of the organization’s survey
process.
VerDate Sep<11>2014
18:28 Aug 14, 2018
Jkt 244001
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).
IV. Response to 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.
V. Regulatory Impact Statement
This proposed notice does not impose
any regulatory impact.
In accordance with the provisions of
Executive Order 12866, this regulation
was not reviewed by the Office of
Management and Budget.
Dated: August 6, 2018.
Seema Verma,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2018–17519 Filed 8–14–18; 8:45 am]
BILLING CODE 4120–01–P
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Fmt 4703
Sfmt 4703
40515
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Evaluation of Domestic Victims
of Human Trafficking Program.
OMB No.: 0970–0487.
Description: The Administration for
Children and Families (ACF), U.S.
Department of Health and Human
Services (HHS) is proposing data
collection as part of the study,
‘‘Evaluation of the Domestic Victims of
Human Trafficking (DVHT) Program’’.
This notice addresses the cross-site
process evaluation to be conducted with
the 13 FY 2016 DVHT grantees who
were awarded 3-year cooperative
agreements by the Office of Trafficking
in Persons (OTIP). The intent of the
DVHT Program is to build, expand, and
sustain organizational and community
capacity to deliver trauma-informed,
strength-based, and victim-centered
services for domestic victims of severe
forms of human trafficking through
coordinated case management, a system
of referrals and the formation of
community partnerships.
The objective of the evaluation is to
describe the ways in which projects
achieve the goals of the DVHT Program
and examine types of models that serve
victims of human trafficking. Evaluation
questions are focused on understanding
project and service delivery models,
process, and implementation; including
partnership and collaboration
development; services offered to and
received by victims, strategies to
identify and engage survivors; ways
projects define and monitor program
successes and outcomes; and program
challenges, achievements, and lessons
learned. Information from the
evaluation will assist federal, state, and
community policymakers and funders
in making decisions about future
program models to serve domestic
victims of human trafficking, as well as
to refine evaluation strategies for future
programs targeting trafficking victims.
The evaluation of the DVHT Program
will document and describe grantees’
projects and implementation
approaches, including their service
models and community partners;
services provided to clients (i.e., victims
of severe forms of human trafficking);
service delivery practices; strategies to
meet survivors’ immediate and longterm housing needs; and approaches to
engaging survivors in program
development and service delivery.
E:\FR\FM\15AUN1.SGM
15AUN1
Agencies
[Federal Register Volume 83, Number 158 (Wednesday, August 15, 2018)]
[Notices]
[Pages 40514-40515]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-17519]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-3364-PN]
Medicare and Medicaid Programs: Application From the Joint
Commission (TJC) for Continued Approval of its Psychiatric Hospital
Accreditation Program
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice with request for comment.
-----------------------------------------------------------------------
SUMMARY: This proposed notice acknowledges the receipt of an
application from the Joint Commission (TJC) for continued recognition
as a national accrediting organization for psychiatric hospitals that
wish to participate in the Medicare or Medicaid programs.
DATES: To be assured consideration, comments must be received at one of
the addresses provided below, no later than 5 p.m. on September 14,
2018.
ADDRESSES: In commenting, refer to file code CMS-3364-PN. Because of
staff and resource limitations, we cannot accept comments by facsimile
(FAX) transmission.
Comments, including mass comment submissions, must be submitted in
one of the following three 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-3364-PN, P.O. Box 8010,
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-3364-PN, Mail
Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.
For information on viewing public comments, see the beginning of
the SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT: Karena Meushaw (410) 786-6609, Monda
Shaver (410) 786-3410 or Marie Vasbinder (410)786-8665.
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 website as soon as possible after they have been
received: https://www.regulations.gov. Follow the search instructions on
that website to view public comments.
I. Background
Under the Medicare program, eligible beneficiaries may receive
covered services from a psychiatric hospital provided certain
requirements are met. Section 1861(f) of the Social Security Act (the
Act) establishes distinct criteria for facilities seeking designation
as a psychiatric hospital. Regulations concerning provider agreements
are at 42 CFR part 489 and those pertaining to activities relating to
the survey and certification of facilities are at 42 CFR part 488. The
regulations at 42 CFR part 482 subparts A, B, C and E specify the
minimum conditions that a psychiatric hospital must meet to participate
in the Medicare program, the scope of covered services and the
conditions for Medicare payment for psychiatric hospitals.
Generally, to enter into a provider agreement with Medicare, a
psychiatric hospital must first be certified by a State survey agency
as complying with the conditions or requirements set forth in part 482
subpart A, B, C and E of our CMS regulations. Thereafter, the
psychiatric hospital is subject to regular surveys by a State survey
agency to determine whether it continues to meet these requirements.
There is an alternative, however, to surveys by State agencies.
Section 1865(a)(1) of the Act provides that, if a provider entity
demonstrates through accreditation by a CMS-approved national
accrediting organization (AO) that all applicable Medicare conditions
are met or exceeded, we may deem the provider entity as having met the
requirements. Accreditation by an AO is voluntary and is not required
for Medicare participation.
If an AO is recognized by CMS as having standards for accreditation
that meet or exceed Medicare requirements, any provider entity
accredited by the national accrediting body's approved program may be
deemed to meet the Medicare conditions. An AO applying 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 AO are
set forth at Sec. 488.5. Our regulations at Sec. 488.5(e)(2)(i)
require an accrediting organization to reapply for continued approval
of its accreditation program(s) every 6 years or sooner, as determined
by CMS.
The Joint Commission's current term of approval for their
psychiatric hospital accreditation program expires February 25, 2019.
II. Provisions of the Proposed Notice
A. Approval of Deeming Organizations
Section 1865(a)(2) of the Act and our regulations at Sec. 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
[[Page 40515]]
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
TJC's request for CMS-approval of its psychiatric hospital
accreditation program. This notice also solicits public comment on
whether TJC's requirements meet or exceed the Medicare conditions of
participation (CoPs) for psychiatric hospitals.
B. Evaluation of Deeming Authority Request
TJC submitted all the necessary materials to enable us to make a
determination concerning its request for CMS-approval of its
psychiatric hospital accreditation program. This application was
determined to be complete on July 30, 2018. Under section 1865(a)(2) of
the Act and our regulations at Sec. 488.5 (Application and re-
application procedures for national accrediting organizations), our
review and evaluation of TJC will be conducted in accordance with, but
not necessarily limited to, the following factors:
The equivalency of TJC's standards for psychiatric
hospitals as compared with CMS' psychiatric hospital CoPs.
TJC'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 TJC's processes to those of State agencies,
including survey frequency, and the ability to investigate and respond
appropriately to complaints against accredited facilities.
++ TJC's processes and procedures for monitoring a psychiatric
hospital found out of compliance with the TJC's program requirements.
These monitoring procedures are used only when TJC identifies
noncompliance. If noncompliance is identified through validation
reviews or complaint surveys, the state survey agency monitors
corrections as specified at Sec. 488.9(c).
++ TJC's capacity to report deficiencies to the surveyed facilities
and respond to the facility's plan of correction in a timely manner.
++ TJC'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 TJC's staff and other resources, and its
financial viability.
++ TJC's capacity to adequately fund required surveys.
++ TJC's policies with respect to whether surveys are announced or
unannounced, to assure that surveys are unannounced.
++ TJC'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).
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).
IV. Response to 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.
V. Regulatory Impact Statement
This proposed notice does not impose any regulatory impact.
In accordance with the provisions of Executive Order 12866, this
regulation was not reviewed by the Office of Management and Budget.
Dated: August 6, 2018.
Seema Verma,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2018-17519 Filed 8-14-18; 8:45 am]
BILLING CODE 4120-01-P