Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-July Through September 2018, 55174-55186 [2018-23924]

Download as PDF 55174 Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 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). SUPPLEMENTARY INFORMATION: I. Background The Centers for Medicare & Medicaid Services (CMS) is responsible for administering the Medicare and Medicaid programs and coordination and oversight of private health insurance. Administration and oversight of these programs involves the following: (1) Furnishing information to Medicare and Medicaid beneficiaries, health care providers, and the public; and (2) maintaining effective communications with CMS regional VerDate Sep<11>2014 17:57 Nov 01, 2018 Jkt 247001 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: October 19, 2018. Seema Verma, Administrator, Centers for Medicare & Medicaid Services. [FR Doc. 2018–23925 Filed 11–1–18; 8:45 am] BILLING CODE 4120–01–P offices, state governments, state Medicaid agencies, state survey agencies, various providers of health care, all Medicare contractors that process claims and pay bills, National Association of Insurance Commissioners (NAIC), health insurers, and other stakeholders. To implement the various statutes on which the programs are based, we issue regulations under the authority granted to the Secretary of the Department of Health and Human Services under sections 1102, 1871, 1902, and related provisions of the Social Security Act (the Act) and Public PO 00000 Frm 00033 Fmt 4703 Sfmt 4703 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–9111–N] Medicare and Medicaid Programs; Quarterly Listing of Program Issua nces—July Through September 2018 Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. AGENCY: This quarterly notice lists CMS manual instructions, substantive and interpretive regulations, and other Federal Register notices that were published from July through September 2018, relating to the Medicare and Medicaid programs and other programs administered by CMS. FOR FURTHER INFORMATION CONTACT: It is possible that an interested party may need specific information and not be able to determine from the listed information whether the issuance or regulation would fulfill that need. Consequently, we are providing contact persons to answer general questions concerning each of the addenda published in this notice. SUMMARY: Health Service Act. We also issue various manuals, memoranda, and statements necessary to administer and oversee the programs efficiently. Section 1871(c) of the Act requires that we publish a list of all Medicare manual instructions, interpretive rules, statements of policy, and guidelines of general applicability not issued as regulations at least every 3 months in the Federal Register. E:\FR\FM\02NON1.SGM 02NON1 EN02No18.000</GPH> ++ ACHC’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 ACHC’s staff and other resources, and its financial viability. ++ ACHC’s capacity to adequately fund required surveys. ++ ACHC’s policies with respect to whether surveys are announced or unannounced, to assure that surveys are unannounced. ++ ACHC’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). Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices II. Format for the Quarterly Issuance Notices This quarterly notice provides only the specific updates that have occurred in the 3-month period along with a hyperlink to the full listing that is available on the CMS website or the appropriate data registries that are used as our resources. This is the most current up-to-date information and will be available earlier than we publish our quarterly notice. We believe the website list provides more timely access for beneficiaries, providers, and suppliers. We also believe the website offers a more convenient tool for the public to find the full list of qualified providers VerDate Sep<11>2014 17:57 Nov 01, 2018 Jkt 247001 for these specific services and offers more flexibility and ‘‘real time’’ accessibility. In addition, many of the websites have listservs; that is, the public can subscribe and receive immediate notification of any updates to the website. These listservs avoid the need to check the website, as notification of updates is automatic and sent to the subscriber as they occur. If assessing a website proves to be difficult, the contact person listed can provide information. III. How To Use the Notice subjects published during the quarter covered by the notice to determine whether any are of particular interest. We expect this notice to be used in concert with previously published notices. Those unfamiliar with a description of our Medicare manuals should view the manuals at http:// www.cms.gov/manuals. Dated: October 22, 2018. Kathleen Cantwell, Director, Office of Strategic Operations and Regulatory Affairs. BILLING CODE 4120–01–P This notice is organized into 15 addenda so that a reader may access the PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 55175 E:\FR\FM\02NON1.SGM 02NON1 55176 VerDate Sep<11>2014 Publication Dates for the Previous Four Quarterly Notices Jkt 247001 PO 00000 Frm 00035 Fmt 4703 The CMS Manual System is used by CMS program components, partners, providers, contractors, Medicare Advantage orgmrizations, a11d State Survey Agencies to adnrinister CMS progrmns. It offers day-to-day operating instructions, policies, m1d procedures based on statutes and regulations, guidelines, models, and directives. In 2003, we trmlSformed the CMS Program Manuals into a web user-friendly presentation and renamed it the CMS Online Manual System. Sfmt 4725 E:\FR\FM\02NON1.SGM 02NON1 How to Obtain Manuals The Internet-only Manuals (IOMs) are a replica of the Agency's official record copy. Paper-based manuals are CMS manuals that were officially released in hardcopy. The majority of these manuals were transferred into the Internet-only manual (10M) or retired. Pub 15-1, Pub 15-2 and Pub 45 are exceptions to tlris rule and are still active paper-based manuals. The remaining paper-based manuals are for reference purposes only. If you notice policy contained in the paper-based mmmals that was not transferred to the IOM, send a message via the CMS Feedback tool. Those wishing to subscribe to old versions of CMS manuals should contact the National Technical Information Service, Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312 Telephone (703-605-6050). You can download copies of the listed material free of charge at: http://cms.gov/manuals. Transmittal Number 1•• .. . ·;· M~iear11Geller311Jlform@uon fC'MS-Pub.;J.OO"On Analysis to Expand All Monetary Amonnt Fields related to Billing and Pavment to Accommodate 10 Digits in Length ($99,999,999.99) •" '1 Medicitre'Betietii Plilicj (C'M'S-P-.b.lOGCOl) ... ..•. I ••••• 244 Internet Only Manual (IOM) Update to Publication 100-02, Chapter End Stage Renal Disease (ESRD), Section 100 245 System Changes to Implement Epoetin Alfa Biosimilar, Retacrit for End Stage Renal Disease (ESRD) and Acnte Kidney Injnry (AKI) Claims 246 Manna! Updates Related to Payment Policy Changes Affecting the Hospice Aggregate Cap Calcnlation and the Designation of Hospice Attending Phvsicians •. 7Medicare'National Co:verall:eDetermina:tion (CMScPuh.100:•03) · > .. •• • > None . .• I ·•• l\4edicllte Claims Processin!!(CMScPub. 100-041 ..L '• •• 4083 Qnarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes- July 2018 Update Medicare Pati A Skilled Nnrsing Facility (SNF) Prospective Payment System 4084 (PPS) Pricer Update FY 2019 < 117 I Manual/Subject/Publication Number . .1 1 . Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 17:57 Nov 01, 2018 Addendum I: Medicare and Medicaid Manual Instructions (July through September 2018) How to Review Transnrittals or Progrmn Memoranda Those wishing to review transmittals and program memoranda can access this information at a local Federal Depository Library (FDL). Under the FDL program, government publications are sent to approximately 1,400 designated libraries throughout the United States. Some FDLs may have EN02No18.001</GPH> arrangements to transfer material to a local library not designated as an FDL. Contact any library to locate the nearest FDL. This information is available at http://www.gpo.gov/libraries/ In addition, individuals may contact regional depository libraries that receive and retain at least one copy of most federal govenunent publications, either in printed or nricrofihn form, for use by the general public. These libraries provide reference services and interlibrary loans; however, they are not sales outlets. Individuals may obtain information about the location of the nearest regional depository library from any library. CMS publication and transnrittal numbers are shown in the listing entitled Medicare and Medicaid Manual Instructions. To help FDLs locate the materials, use the CMS publication and transnrittal numbers. For example, to find the mmmal for Electronic Correspondence Referral System (ECRS) Enllanced Functionality, use (CMS-Pub. 100-05) TrmlStnittal No. 122. Addendum I lists a unique CMS transnrittal number for each instruction in our mmmals or program memorm1da m1d its subject number. A transnrittal may consist of a single or multiple instruction(s). Often, it is necessary to use infornmtion in a transnrittal in cm"Yunction with information currently in the manual. For the purposes of tlris quarterly notice, we list only the specific updates to the list of manual instructions that have occurred in the 3-month period. This information is available on our website at .!.!...!C'-!.!..'""'-"~""'-'-'-"'-'-"-'-'"""""". We publish this notice at the end of each quarter reflecting information released by CMS during the previous quarter. The publication dates of the previous four Quarterly Listing of Program Issuances notices are: October 27,2017 (82 FR 49819), January 26,2018 (83 FR 3716), May 4, 2018 (83 FR 19769) and August 13, 2018 (83 FR 40043). We are providing only the specific updates that have occurred in the 3-month period along with a hyperlink to the website to access tltis infonnation and a contact person for questions or additional information. VerDate Sep<11>2014 4085 4087 4088 Jkt 247001 4089 PO 00000 4090 4091 4092 Frm 00036 4093 4094 Fmt 4703 4095 Sfmt 4725 4096 4097 4098 E:\FR\FM\02NON1.SGM 4099 4100 4101 4102 02NON1 4103 4104 4105 4106 4107 4108 4109 4110 4111 4112 4113 4114 4115 4116 4117 4118 4119 4120 4121 4122 4123 4124 4125 4126 4127 4128 4129 4110 4131 4132 4133 4134 October Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions Revisions to Medicare Claims Processing Manual for Foreign, Emergency and Shipboard Claims Issued to a specific audience, not posted to Intemet/Intranet due to Sensitivity of Instructions Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions Quarterly Healthcare Collllllon Procedure Coding System (HCPCS) Drug/Biological Code Changes- October 2018 Update Claim Status Category and Claim Status Codes Update Healthcare Provider Taxonomy Codes (HPTCs) October 2018 Code Set Update Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE Combined Common Edits/Enhancements Modules (CCEM) Code Set Update Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instructions Instructions for Downloading the Medicare ZIP Code File for January 2019 2019 Healthcare Common Procedure Coding System (HCPCS) Ammal Update Reminder October 2018 Integrated Outpatient Code Editor (I!OCE) Specifications Version 19.3 October 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) Influenza Vaccine Payment Allowances- Ammal Update for 2018-2019 Season October 2018 Update of the Ambulatory Surgical Center (ASC) Payment Svstem Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions Quarterly Influenza Virus Vaccine Code Update - January 2019 Annual Clotting Factor Fumishing Fee Update 2019 Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instructions Update to the Medicare Claims Processing Manual, Chapter 21, Section 60.3 Updates to Chapter 23 Fee File Instructions Instructions for Retrieving the January 2019 Medicare Physician Fee Schedule Database (MPFSDB) Files Through the CMS Mainframe Telecommunications System Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions Quarterly Healthcare Collllllon Procedure Coding System (HCPCS) Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 17:57 Nov 01, 2018 4086 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2019 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instructions New Physician Specialty Code for Undersea and Hyperbaric Medicine Physician Specialty Codes Update to the Intemet Only Manual (IOM) Publication 100-04 - Medicare Claims Processing Manual, Chapter 27- Contractor Instructions for Common Working File (CWF) Change Control Procedures Processing Disposition and Error Codes Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment New Waived Tests Changes to the Laboratory National Coverage Determination (NCO) Edit Software for October 2018 October Quarterly Update to 2018 Annual Update ofHCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding Svstem (HCPCS) Descriptions File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding Svstem (HCPCS) Descriptions Update to the Medicare Claims Processing Manual, Chapter 24, Section 90 Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instructions Update to the Fiscal Intermediary Shared Systems (FISS) Outpatient Provider Specific File (OPSF) for Outpatient Prospective Payment System (OPPS) Hospitals and OPPS Pricer Interface Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions Quarterly Influenza Virus Vaccine Code Update - January 2019 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment Svstem (PPS) Pricer Changes for FY 2019 Updates to the Medicare Claims Processing Manual, Chapter 24, ASCA Waiver Review Form of Letters, Exhibits A-H Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2019 System Changes to Implement Epoetin Alfa Biosimilar, Retacrit for End Stage Renal Disease (ESRD) and Acute Kidney Injury (AKI) Claims Issued to a specific audience, not posted to Intcrnct/Intranct due to Sensitivity of Instructions October 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files October Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 55177 EN02No18.002</GPH> 55178 VerDate Sep<11>2014 4136 4137 4138 Jkt 247001 4139 4140 PO 00000 4141 4142 Frm 00037 122 123 124 813 814 815 816 817 818 819 820 821 Fmt 4703 822 823 Medicare Financial Mana!!ement (Cl\15-Pnb.l00-06) Sfmt 4725 305 E:\FR\FM\02NON1.SGM 179 306 I Notice of 'lew Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2018 New Physician Specialty Code for Undersea and Hyperbaric Medicine 824 825 Medicare State Operations Manual (CMScPub~ 100c07) 180 181 182 Revisions to the State Operations Manual (SOM) Chapter Two for Organ Procurement Organizations (OPOs) Revisions to the State Operations Manual (SOM) Appendix Y, Organ Procurement Organization (OPO) Interpretive Guidance Revisions to State Operations ManuaL Chapter 2, Certification Process Revisions to State Operation Manual (SOM), Appendix B - Guidance to Surveyors for Home Health Agencies Medicare Pro!!ram mte!!Jity (Cl\15-Pub-100-08) 02NON1 805 806 807 808 809 810 811 EN02No18.003</GPH> 812 Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instructions Clarify Detailed Written Orders For Durable Medical Equipment, Prosthetics, Orthotics, And Supplies (DMEPOS) Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instructions Medical Review of Evaluation and Management (E/M) Documentation Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instructions Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instructions Issued to a specific audience, not posted to lntemet/lntranet due to 826 827 828 829 830 Confidentiality of Instructions Clarify Detailed Written Orders For Durable Medical Equipment, Prosthetics, Orthotics, And Supplies (DMEPOS) Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instructions Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instructions Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instructions Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instruction New Instructions for Home Health Agency Misuse of Requests for Anticipated Pavments (RAPs) Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instructions Adding a Targeted Probe and Educate (TPE) Sub-Section Into Section 3.2 of Chapter 3 in Publication (Pub.) 100-08 Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instructions Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instructions Update to Chapter 15 of Publication (Pub.) 100-08, Certification Statement Policies Update to Exhibit 16- Model Payment Suspension Letters in Publication (Pub.) 100-0S Update to Chapter 15 of Publication (Pub.) 100-08. Certification Statement Policies Credentials of Reviewers (This Change Request (CR) Rescinds and Fully Replaces CR 10157.) Update to Chapter 4, Section 4.18.1.4 and Exhibit 16 in Publication (Pub.) 100-08 Updates to Chapter 4 of Publication (Pub.) 100-08 Guidance Regarding the Use of Statistical Sampling for Overpayment Estimation None Medicare Contractor Beneficiary and Provider Communications (CMS-Pub. 100-09) None Medicare Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality ofinstructions Quality Improvement Oreanization (CMS- Pub. 100-10) None Medicare End Sta2e Renal Disease Network Orl!anizations (CMS Pub 10~14) I I I None Medicaid Program Integrity Disease Network Organizations (CMS Pub 100-15) I None Medicare Mami.!!ed care (CMS-Pnb.I00-16) I Medicare Business Partners Svstems Security (CMS-Pnh. 100-17) I None I None Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 17:57 Nov 01, 2018 Drug/Biological Code Changes- October 2018 Update Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instructions Issued to a specific audience, not posted to Intemet/Intranet due to Confidentiality of Instructions New Waived Tests (.luarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP)- October 2018 Changes to the Laboratory National Coverage Determination (NCO) Edit Software for January 2019 Updates to Chapter I Payer Only Codes in the Medicare Claims Processing Manual Quarterly Influenza Virus Vaccine Code Update- January 2019 2019 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments Medicare Secondary Payer (CMS-Pub_ 100-05) Electronic Correspondence Referral System (ECRS) Enhanced Functionality Updating Language to Clarify for Providers Chapter 3, Section 20 and Chapter 5, Section 70 of the Medicare Secondary Payer Manual Updates to Chapters 5 and 6 of Publication 100-05 to Further Clarify Medicare Secondary Payer (MSP) Processes that Include Electronic Correspondence Referral System (ECRS) Requests Submissions and Timely Submission of MSP I Records, General Inquiries and Hospital Reviews 4135 VerDate Sep<11>2014 200 202 203 Jkt 247001 204 PO 00000 206 205 2098 Frm 00038 2099 2100 Fmt 4703 2101 2102 Sfmt 4725 2103 2104 E:\FR\FM\02NON1.SGM 2105 2106 2107 02NON1 2108 2109 2110 2111 2112 2113 2114 2115 2116 2117 2118 2119 2120 2121 2122 2123 2124 2125 2126 2127 2128 2129 2130 2131 2112 2133 2134 2135 2136 2137 2138 JAVA (version 6) to JAVA (version 7) Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instructions Correct the CWF Handling of Beneficiaries with 14+ MSP Occurrences for HETS Modifications to the National Coordination of Benefits Agreement (COBA) Medicare Crossover Process Issued to a specitlc audience, not posted to Internet/ Intranet due to Sensitivity of Instructions Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instmctions Process Improvement for Recovery Audit Contractor (RAC) Mass Adjustment Input File- Underpayment Adjustment Enhancement New CWF Edit for Part A Outpatient \1edicare Advantage (MA), Health Maintenance Organization (HMO) Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instructions International Code of Diseases, Tenth Revision (ICD-10) and Other Coding Not Issued--Revisions to National Coverage Determinations (NCDs) Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instructions Medicare Diabetes Prevention Program (MDPP) Service Period Change from 3 Years to 2 Years User CR: FISS to Add Location/Statuses to the 6H File Fix Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instructions Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instructions Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instmctions Enhancement for Undeliverable Pay Medicare Summary Notices (MSNs) for Multi-Carrier System (MCS) Users Ensuring Home Health Standardized Amounts Are Reflected in the National Claims History User CR: \1CS- Enhance H9 Screen to Hold Information After Claim Finalizes Clarification of Policies Related to Reasonable Cost Payment for Nursing and Allied Health Education Programs Shared System Enhancement 2015: Resolve Operating Report (ORPT) Issues -Development and Implementation Medicare Appeals System (MAS) Part Band Durable Medical Equipment (DME) Data Collection Web Services Pilot Standardization of Case File Transmittal and Provider Information Processes, Bankruptcy, Payment Hold, and Cancellation Reporting Between the Medicare Administrative Contractors (MAC) and the Recovery Audit Contractor (RAC) National Correct Coding Initiative (NCCI) Add-on Codes for Non-Outpatient Prospective Payment System (OPPS) Institutional Providers Implementation International Classification of Diseases, Tenth Revision (ICD-10) and Other Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 17:57 Nov 01, 2018 201 Demonstrations (CMScPnb; 100'19) Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instructions Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instructions Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instructions Issued to a specitlc audience, not posted to lnternet/lntranet due to Sensitivity of Instructions Issued to a specific audience, not posted to Internet/Intranet due to Sensitivity of Instmctions Next Generation Accountable Care Organization (ACO) Mode12019 Benefit Enhancement Next Generation Accountable Care Organization (ACO) Model2019 Benefit Enhancement One Time Notification (CMS-Pnb. 100-20) Implementation of Automating First Claim Review in Serial Claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Client Letter Code Removal and Decommission in the YiPS \1edicare System (VMS) Analysis for First Coast Service Options (FCSO) and Novitas for the Security Assertion Markup Language 2.0 (SAML 2.0) Migration Shared Sy<tem Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs- Phase 4 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs- Phase 3 Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instructions Analysis of the Structured Data Elements for Sending Additional Documentation Request (ADR) Decision Letters and Prior Authorization/PreClaim Review (P A/PCR) Decision Letters Electronically via the Electronic Submission of Medical Documentation (esMD) System User CR: \1CS- Analysis to Expand Narrative File Message Number Range Procedures for Shared Systems to Handle Foreign (non US) Addresses Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instmctions Shared System Enhancement2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing I Archiving demonstration codes 44 and 47) Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instructions Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Instmctions Modifications Within Common Working File (CWF)to Adjustment Claims Exceeding Annual Therapy 'lbreshold User CR: FISS to Add Additional Search Features to Provider Direct Data Entry (DOE) Screen Combined Common Edits/Enhancements Module (CCEM) Cpdates for 55179 EN02No18.004</GPH> 55180 VerDate Sep<11>2014 2139 Jkt 247001 2142 2143 PO 00000 77 Frm 00039 79 Fmt 4703 Sfmt 4725 E:\FR\FM\02NON1.SGM 02NON1 EN02No18.005</GPH> 78 Addendum II: Regulation Documents Published in the Federal Register (July through September 2018) Regulations and Notices Regulations and notices are published in the daily Federal Register. To purchase individual copies or subscribe to the Federal Register, contact GPO at www.gpo.gov/fdsys. When ordering individual copies, it is necessary to cite either the date of publication or the volume number and page number. The Federal Register is available as an online database through GPO Access. The online database is updated by 6 a.m. each day the Federal Register is published. The database includes both text and graphics from Volume 59, Number 1 (January 2, 1994) through the present date and can be accessed at http://www.gpoaccess.gov/fr/index.html. The following website http://www.archives.gov/federal-register/ provides infonnation on how to access electronic editions, printed editions, and reference copies. This information is available on our website at: http://www. ems. gov/quarterlyprovidempdates/downloads/Re gs3Q18QPU.pdf For questions or additional infonnation, contact Terri Plumb (410-786-4481 ). Addendum III: CMS Rulings (July through September 2018) CMS Rulings are decisions of the Administrator that serve as precedent final opinions and orders and statements of policy and interpretation. They provide clarification and interpretation of complex or ambiguous provisions of the law or regulations relating to Medicare, Medicaid, Utilization and Quality Control Peer Review, private health insurance, and related matters. The rulings can be accessed at !!ll.lld!~=-'""-'-lli!.,.l;;!L~~!!!Qlillllli!.: For questions or additional information, contact Tiffany Lafferty (410-786-7548). Addendum IV: Medicare National Coverage Determinations (July through September 2018) Addendum IV includes completed national coverage detenninations (NCDs). or reconsiderations of completed NCDs. from the quarter covered by this notice. Completed decisions are identified by the section of the NCD Manual (NCDM) in which the decision appears, the title, the date the publication was issued, and the effective date of the decision. An NCD is a detennination by tl1e Secretary for whether or not a particular item or service is covered nationally under the Medicare Program (title XVIII of the Act), but does not include a detennination of the code, if any, that is assigned to a particular covered item or service, or payment detennination for a particular covered item or service. The entries below include information concerning completed decisions, as well as sections on program and decision memoranda, which also announce decisions or, in some cases, explain why it was not appropriate to issue an NCD. Information on completed decisions as well as pending decisions has also been posted on the CMS website. For the purposes of this quarterly notice. we are providing only the specific updates that have occurred in the 3month period. There were no national coverage detenninations (NCDs), or reconsiderations of completed NCDs published in the 3-month period. This infonnation is available at: www.cms.gov/medicare-coverage-database/. For questions or additional information, contact Wanda Belle, MP A (410-786-7491). Addendum V: FDA-Approved Category B Investigational Device Exemptions (IDEs) (July through September 2018) (Inclusion of this addenda is under discussion internally.) Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 17:57 Nov 01, 2018 2140 2141 Coding Revisions to National Coverage Determinations (NCDs) Monthly Status Report (MSR) Excel Data Template Updates and Implementation of Medicare Administrative Contractor (MAC)/Centers for Medicare & Medicaid Services (CMS) Data Exchange (MDX) Portal System -This CR Rescinds and Fully Replaces CR 10399. Redesign of Flu Vaccines in Fiscal Intermediary Shared System (FISS) Implementing the Insertion of a Sheet of Paper Promoting the Electronic Medicare Summary Notices (eMSNs) into Mailed Medicare Summary Notices (MSNs) Issued to a specific audience, not posted to Internet/ Intranet due to Sensitivity of Imtmctions Implementation of the Award for the Jurisdiction F (J-F) Part A and Part B Medicare Administrative Contractor (JF AlB MAC) Medicare Quality Reportine; Incentive Proe;l'll.llll! (CMS- Pub. 100-22) Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions Payments to Home Health Agencies That Do Not Submit Required Quality Data- This CR Rescinds and Fully Replaces CR 9651 Issued to a specific audience, not posted to Internet/Intranet due to Confidentiality of Instructions Information Security Acceptable Risk Safej!luuds (CMS-Pub. 100-25) None VerDate Sep<11>2014 Jkt 247001 PO 00000 Frm 00040 Fmt 4703 Sfmt 4725 E:\FR\FM\02NON1.SGM Addendum VII: Medicare-Approved Carotid Stent Facilities, (July through September 2018) Addendum VII includes listings of Medicare-approved carotid stent facilities. All facilities listed meet CMS standards for performing carotid artery stenting for high risk patients. On March 17, 2005, we issued our decision memorandum on carotid artery stenting. We determined that carotid artery stenting with embolic protection is reasonable and necessary only if performed in facilities that have been determined to be competent in performing the evaluation, procedure, and follow-up necessary to ensure optimal patient outcomes. We have created a list of minimum standards for facilities modeled in part on professional society statements on competency. All facilities must at least meet our standards in order to receive coverage for carotid artery stenting for high risk patients. For the purposes of this quarterly notice, we are providing only the specific updates that have occurred in the 3-month period. This information is available at: http://www. ems. gov/MedicareApprovedF acilitie/CASF/list. asp#TopOfPage For questions or additional infonnation, contact Sarah Fulton, MHS (410-786-27 49). Facility 02NON1 State ME FL IN FL Effective Date State 002900 Addendum VIII: American College of Cardiology's National Cardiovascular Data Registry Sites (July through September 2018) The initial data collection requirement through the American College of Cardiology's National Cardiovascular Data Registry (ACCNCDR) has served to develop and improve the evidence base for the use of ICDs in certain Medicare beneficiaries. The data collection requirement ended with the posting of the final decision memo for Implantable Cardioverter Defibrillators on February 15, 2018. For questions or additional information, contact Sarah Fulton, MHS (410-786-2749). Addendum IX: Active CMS Coverage-Related Guidance Documents (July through September 2018) CMS issued a guidance document on November 20, 2014 titled "Guidance for the Public, Industry, and CMS Staff: Coverage with Evidence Development Document". Although CMS has several policy vehicles relating to evidence development activities including the investigational device exemption (IDE), the clinical trial policy, national coverage determinations and local coverage determinations, this guidance document is principally intended to help the public understand CMS' s implementation of coverage with evidence development (CED) through the national coverage determination process. The document is available at http://www. ems. gov/medicare-coverage-database/details/medicarecoverage-document-details.aspx?MCDid=27. There are no additional Active CMS Coverage-Related Guidance Documents for the 3-month period. For questions or additional information, contact JoAnna Baldwin, MS (410-786-7205). Addendum X: List of Special One-Time Notices Regarding National Coverage Provisions (July through September 2018) There were no special one-time notices regarding national coverage provisions published in the 3-month period. This information is 55181 Provider Effective Date Number The followine; facilities are new listine;s for this quarter. Maine General Medical Center 1669423380 07/01/2018 35 Medical Center Parkway Augusta, ME 04330 West Florida Regional Hospital 1639116726 07/20/2018 8383 North Davis Highway Pensacola, FL 32514 The followine; facilities have editorial cbane;es (in bold). 150056 05/23/2005 Methodist Hospital 1701 N. Senate Boulevard Indianapolis, IN 46202-1239 FROM: 02/06/2006 Florida Medical Center- A Campus of North Shore 5000 West Oakland Park Boulevard Ft. Lauderdale, FL 33313 Provider Number 10002900 TO: Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 17:57 Nov 01, 2018 EN02No18.006</GPH> Facility Addendum VI: Approval Numbers for Collections of Information (July through September 2018) All approval numbers are available to the public at Reginfo.gov. Under the review process, approved information collection requests are assigned OMB control numbers. A single control number may apply to several related information collections. This information is available at www.reginfo.gov/public/do/PRAMain. For questions or additional information, contact William Parham (410-786-4669). 55182 VerDate Sep<11>2014 Jkt 247001 PO 00000 Frm 00041 Fmt 4703 Sfmt 4725 Addendum XI: National Oncologic PET Registry (NOPR) (July through September 2018) Addendum XI includes a listing of National Oncologic Positron Emission Tomography Registry (NOPR) sites. We cover positron emission tomography (PET) scans for particular oncologic indications when they are performed in a facility that participates in the NOPR. In January 2005, we issued our decision memorandum on positron emission tomography (PET) scans, which stated that CMS would cover PET scans for particular oncologic indications, as long as they were perfmmed in the context of a clinical study. We have since recognized the National Oncologic PET Registry as one of these clinical studies. Therefore, in order for a beneficiary to receive a Medicare-covered PET scan, the beneficiary must receive the scan in a facility that participates in the registry. There were no additions, deletions, or editorial changes to the listing of National Oncologic Positron Emission Tomography Registry (NOPR) in the 3-month period. This information is available at http://www.cms.gov/MedicareApprovedFacilitie/NOPR!list.asp#TopOfPage. For questions or additional information, contact Stuart Caplan, RN, MAS (410-786-8564). E:\FR\FM\02NON1.SGM 02NON1 Addendum XII: Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities (July through September 2018) Addendum XII includes a listing of Medicare-approved facilities that receive coverage for ventricular assist devices (VADs) used as destination therapy. All facilities were required to meet our standards in order to receive coverage for VADs implanted as destination therapy. On October 1, 2003, we issued our decision memorandum on VADs for the clinical indication of destination therapy. We determined that VADs used as destination therapy are reasonable and necessary only if perfmmed in facilities that have been determined to have the experience and infrastructure to ensure optimal patient outcomes. We established facility standards and an application process. All facilities were required to meet our standards in order to receive coverage for VADs implanted as destination therapy. For the purposes of this quarterly notice, we are providing only the specific updates to the list of Medicare-approved facilities that meet our standards that have occurred in the 3-month period. This information is available at http://www. ems. gov/MedicareApprovedF acilitie!VAD/list.asp#TopOfPage. For questions or additional information, contact David Dolan, JD, (410-786-3365). Facility Provider Number Date of Date of Initial Recertification Certification The foHowine; facilities are new Iistine;s for this quarter. 07/26/2018 West Virginia University 510001 Hospitals I Medical Center Drive Morgantown, WV 26506 Other information: Joint Commission ID #6444 The foHowinll facilities have editorial chan!les (in bold). 08/05/2010 440082 FROM: Saint Thomas 06/23/2018 Hospital/ Saint Thomas Health Services TO: Saint Thomas West Hospital 4220 Harding Rd. Nashville, TN State wv TN Other information: Joint Commission ID #7891 Previous Re-certification Dates: 2012-06-22; 2014-0520; 2016-07-13 Robert Wood Johnson University Hospital I Robert Wood Johnson Place New Brunswick, NJ 08903 Other information: Joint Commission ID #5969 Previous Re-certification Dates: 2012-07-20; 2014-0617; 2016-07-19 310038 07/23/2010 06/27/2018 NJ Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 17:57 Nov 01, 2018 EN02No18.007</GPH> available at www.cms.hhs.gov/coverage. For questions or additional information, contact JoAnna Baldwin, MS (410-786 7205). VerDate Sep<11>2014 Provider Number Carolinas Medical Center 1000 Blythe Boulevard Charlotte, NC 28232 340113 Date of Initial Certification 05112/2010 Date of Recertification State Facility Pro'>ider Number 04/25/2018 NC University of Colorado Hospital Authority 12401 E. 17th Ave. Aurora, CO 80045 Other Infonnation: Joint Connnission 6480 Jkt 247001 PO 00000 Frm 00042 Previous Re-certification Dates: 2012-05-11; 2014-0422; 2016-04-12 FROM: Saint Luke's Hospital TO: Saint Luke's Hospital of Kansas City 4401 Wornall Road Kansas City, MO 64111 Fmt 4703 Sfmt 4725 E:\FR\FM\02NON1.SGM Other infonnation: Joint Connnission ID #7892 02NON1 Previous Re-certification Dates: 2014-03-11; 2016-0405 State 07/18/2018 co 090011 04/23/2008 05/23/2018 DC 330285 10/20/2003 07/25/2018 NY 390231 07/10/2012 05/23/2018 PA 390256 10/29/2003 05/23/2018 PA Other infonnation: Joint Connnissiou ID #9384 440039 04/2112012 05/09/2018 MO Other infonnation: Joint Connnission ID #8351 Previous Re-certification Dates: 2012-06-06; 2014-0506; 2016-06-21 FROM: Vanderbilt University Hospital and the V anderhilt Clinic TO: Vanderbilt University Medical Center 1211 Medical Center Drive Nashville, TN 37232 Date of Recertification 060024 Date of Initial Certification 11/06/2003 Previous Re-certification Dates: 2008-07-23; 2010-0817; 2012-08-10; 2014-07-22; 2016-07-26 FROM: Washington Hospital Center TO: MedStar Washington Hospital Center 110 Irving St., NW Washington, DC 20010 Other infonnation: Joint Connnissiou ID #6308 440039 04/2112012 05/09/2018 TN Previous Re-certification Dates: 2010-04-06; 2012-0323; 2014-03-04; 2016-05-03 Strong Memorial Hospital 601 Elmwood Avenue Rochester. NY 14642 Other infonnation: Joint Connnission ID #5856 Previous Re-certification Dates: 2008-06-17; 2010-0702; 2012-06-06; 2014-05-13; 2016-07-26 Abington Memorial Hospital 1200 Old York Road Abington, PA 19001 Other infonnation: Joint Connnission ID #6013 Previous Re-certification Dates: 2014-06-03; 2016-0628 Penn State Milton S. Hershey Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 17:57 Nov 01, 2018 Facility 55183 EN02No18.008</GPH> 55184 VerDate Sep<11>2014 Facility Date of Recertification State Other information: Joint Connnission ID #6075 Jkt 247001 PO 00000 Previous Re-certification Dates: 2008-04-01; 2010-0324; 2012-03-16; 2014-04-08; 2016-06-07 Mission Hospital 509 Biltmore Avenue Asheville, NC 28801 Frm 00043 Fmt 4703 Sfmt 4725 Other information: Joint Connnission ID #6468 FROM: University of Michigan Hospitals and Health Centers, The TO: University of Michigan Health System 1500 E Medical Center Drive Ann Arbor, Ml 4S 109 E:\FR\FM\02NON1.SGM 02NON1 Previous Re-certification Dates: 2012-03-21; 2014-0506; 2016-06-07 Pro'>ider Number Date of Recertification State 450647 Date of Initial Certification 12/03/2003 FROM: Columbia Hospital at Medical City Dallas TO: Medical City Dallas 7777 Forest Lane Dallas, TX 75230 06/06/2018 TX 440039 10/28/2003 05/09/2018 TN 110082 07/14/2010 06/06/2018 GA Other information: Joint Connnission ID #9008 340002 230046 06/09/2016 10/27/2003 06/27/2018 04/25/2018 NC MI Previous Re-certification Dates: 2008-10-02; 2010-0810; 2012-07-17; 2014-06-27; 2016-07-12 FROM: Vanderbilt University Hospital and the Vanderbilt Clinic TO: Vanderbilt University Medical Center 1211 Medical Center Drive Nashville, TN 37232 Other information: Joint Connnission ID #7892 Previous Decertification Date: 2007-08-13 Other information: Joint Connnission ID #7 457 Previous Re-certification Dates: 2008-03-27; 2010-0318; 2012-03-07; 2014-02-04; 2016-03-15 FROM: University of Virginia Health System TO: University of Virginia Medical Center 1215 Lee Street Charlottesville, VA 22908 Facility 490009 02112/2010 06/06/2018 VA Previous Re-certification Dates: 2012-04-21; 2014-0311; 2016-04-05 FROM: Saint Joseph's Hospital of Atlanta TO: Emory Saint Joseph's Hospital 5665 Peachtree Dunwoody Rd. Atlanta, GA 30342 Other information: Joint Connnission ID #6652 Previous Re-certification Dates: 2012-07-11; 2014-0603; 2016-07-12 The follow in! facilities are decertifications for this ouarter. 360048 04/20/2012 The University of Toledo Medical Center 3000 Arlington Avenue OH Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 17:57 Nov 01, 2018 Date of Initial Certification Medical Center 500 University Drive Hershey, P A 17033 Other information: Joint Connnission ID #6329 EN02No18.009</GPH> Provider Number VerDate Sep<11>2014 Jkt 247001 PO 00000 Frm 00044 Provider Number Date of Initial Certification Date of Recertification State 390270 02/26/2014 04113/2016 PA 100258 08/11/2015 08/17/2017 FL Toledo, OH 43614 Other information: Joint Commission De-certified: 2018-05-18 Geisinger Wyoming Valley 'v!edical Center 1000 East Mountain Drive Wilkes Barre, P A 18711 Other information: Joint Commission De-certified: 2018-05-28 Delray Medical Center, Inc. 5352 Linton Boulevard Delray Beach, FL 33484 Fmt 4703 Other information: Joint Commission De-certified: 2018-06-01 Sfmt 9990 E:\FR\FM\02NON1.SGM 02NON1 Addendum XIII: Lung Volume Reduction Surgery (LVRS) (July through September 2018) Addendum XIII includes a listing of Medicare-approved facilities that are eligible to receive coverage for lung volume reduction surgery. Until May 17, 2007, facilities that participated in the National Emphysema Treatment Trial were also eligible to receive coverage. The following three types of facilities are eligible for reimbursement for Lung Volume Reduction Surgery (L VRS): • National Emphysema Treatment Trial (NETT) approved (Beginning 05/07/2007, these will no longer automatically qualify and can qualify only with the other programs); • Credentialed by the Joint Commission (formerly, the Joint Commision on Accreditation of Healthcare Organizations (JCAHO)) under their Disease Specific Certification Program for L VRS; and • Medicare approved for lung transplants. Only the first two types are in the list. There were no editorial updates to the listing of facilities for lung volume reduction surgery published in the 3-month period. This information is available at www.cms.gov/McdicarcApprovcdFacilitic/L VRS/list.asp#TopOfPagc. For questions or additional information, contact Sarah Fulton, MHS (410-786-27 49). Addendum XIV: Medicare-Approved Bariatric Surgery Facilities (July through September 2018) Addendum XIV includes a listing of Medicare-approved facilities that meet minimum standards for facilities modeled in part on professional society statements on competency. All facilities must meet our standards in order to receive coverage for bariatric surgery procedures. On February 21, 2006, we issued our decision memorandum on bariatric surgery procedures. We determined that bariatric surgical procedures are reasonable and necessary for Medicare beneficiaries who have a body-mass index (BMI) greater than or equal to 35, have at least one co-morbidity related to obesity and have been previously unsuccessful with medical treatment for obesity. This decision also stipulated that covered bariatric surgery procedures are reasonable and necessary only when performed at facilities that are: (1) certified by the American College of Surgeons (ACS) as a Levell Bariatric Surgery Center (program standards and requirements in effect on February 15, 2006); or (2) certified by the American Society for Bariatric Surgery (ASBS) as a Bariatric Surgery Center of Excellence (ESCOE) (program standards and requirements in effect on February 15, 2006). There were no additions, deletions, or editorial changes to Medicare-approved facilities that meet CMS' s minimum facility standards for bariatric surgery that have been certified by ACS and/or ASMBS in the 3-month period. This infonnation is available at www. ems. gov/MedicareApprovedF acilitie/B SF/list.asp#TopOfPage. For questions or additional information, contact Sarah Fulton, MHS (410-786-27 49). Addendum XV: FDG-PET for Dementia and Neurodegenerative Diseases Clinical Trials (July through September 2018) There were no FDG-PET for Dementia and Neurodegenerative Diseases Clinical Trials published in the 3-month period. This information is available on our website at www. ems. gov/MedicareApprovedF acilitie/PETDT/list.asp#TopOfPage. For questions or additional information, contact Stuart Caplan, RN, MAS (410-786-8564 ). Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices 17:57 Nov 01, 2018 Facility 55185 EN02No18.010</GPH> 55186 Federal Register / Vol. 83, No. 213 / Friday, November 2, 2018 / Notices [FR Doc. 2018–23924 Filed 11–1–18; 8:45 am] BILLING CODE 4120–01–C DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Community Living Agency Information Collection Activities: Proposed Collection; Public Comment Request; New Data Collection (ICR New) of the No Wrong Door (NWD) System Management Tool Administration for Community Living, Department of Health and Human Services. ACTION: Notice. AGENCY: The Administration for Community Living (ACL) is announcing an opportunity for the public to comment on the proposed collection of information listed above. Under the Paperwork Reduction Act of 1995 (the PRA), Federal agencies are required to publish a notice in the Federal Register concerning each proposed collection of information, including each proposed extension of an existing collection of information, and to allow 60 days for public comment in response to the notice. This New Data Collection (ICR New) solicits comments on the information collection requirements relating to the Aging and Disability Resource Center/ No Wrong Door System (ADRC/NWD). The statutory authority for ADRC/NWD is contained in Title IV of the Older Americans Act (OAA), as amended by the Older Americans Act Amendments of 2006, Public Law 109–365. DATES: Comments on the collection of information must be submitted electronically by 11:59 p.m. (EST) or postmarked by January 2, 2019. ADDRESSES: Submit electronic comments on the collection of information to: Ami Patel, ami.patel@ acl.hhs.gov. Submit written comments on the collection of information to Administration for Community Living, 330 C Street SW, Washington, DC 20201, Attention: Ami Patel. FOR FURTHER INFORMATION CONTACT: Ami Patel at (202) 795–7376 or ami.patel@ acl.hhs.gov. SUPPLEMENTARY INFORMATION: 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. ‘‘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 SUMMARY: VerDate Sep<11>2014 17:57 Nov 01, 2018 Jkt 247001 public submit reports, keep records, or provide information to a third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires Federal agencies to provide a 60-day notice in the Federal Register concerning each proposed collection of information, including each proposed extension of an existing collection of information, before submitting the collection to OMB for approval. To comply with this requirement, ACL is publishing a notice of the proposed collection of information set forth in this document. With respect to the following collection of information, ACL invites comments on our burden estimates or any other aspect of this collection of information, including: (1) Whether the proposed collection of information is necessary for the proper performance of ACL’s functions, including whether the information will have practical utility; (2) the accuracy of ACL’s estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used to determine burden estimates; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques when appropriate, and other forms of information technology. ACL, the Centers for Medicare and Medicaid Services (CMS), and the Veterans Health Administration (VHA) have partnered to support states’ efforts in developing coordinated systems of access, or No Wrong Door (NWD) Systems, to make it easier for people to learn about and access long-term services and supports (LTSS). When seeking services and supports, individuals and caregivers often face multiple, fragmented processes that are complex and confusing. States’ access systems have been built over time as programs and funding streams have been added, creating duplicative eligibility and intake processes that are difficult for individuals and their caregivers to use. To address these issues, the NWD System model supports state efforts to streamline access to LTSS options for all populations and provides the infrastructure to promote the collaboration of local service organizations, making service delivery more efficient and person-centered. Examples of coordinated efforts include processes where individuals are assessed once via a common or standardized data collection method that captures a core set of individual PO 00000 Frm 00045 Fmt 4703 Sfmt 4703 level data relevant for determining the range of necessary LTSS. The federal vision for the NWD System gives states flexibility in determining how best to organize, structure and operate the various functions of their NWD System. States continue to integrate, in some cases restructure, and over time strengthen their existing programs in order to realize the joint ACL/CMS/VHA vision for a fully coordinated and integrated system of access. These efforts are supported by a variety of initiatives, including the VHA’s Veteran Directed Care (VDC) program, an evidence-based self-directed program where personcentered counselors from aging and disability network agencies within a state’s NWD System provide facilitated assessment and care planning, arrange fiscal management services and provide ongoing counseling and support to Veterans, their families and caregivers. The NWD System Management Tool (NWD MT) provides a platform for data collection necessary to evaluate the four primary functions of a NWD System: State Governance and Administration, Public Outreach and Coordination with Key Referral Sources, Person Centered Counseling, and Streamlined Access to Public LTSS Programs. In addition, this tool will include data collection for the VDC program to collect qualitative and quantitative data elements necessary to evaluate the impact of the VDC program. The VDC tool will track key performance measures and identify best practices and technical assistance needs. The NWD MT and the VDC tool will enable ACL and its partners to collect and analyze data elements necessary to assess the progress of the NWD System model, track performance measures, and identify gaps and best practices. These tools have been designed in close collaboration with states and are intended to simplify grant reporting requirements to reduce burden on local and state entities and will provide a consistent, streamlined and coordinated statewide approach to help states govern their NWD System and manage their programs efficiently. The proposed data collection tools may be found on the ACL website for review at: https://www.acl.gov/aboutacl/public-input. Estimated Program Burden: ACL estimates the burden of this collection of information as follows: Fifty-six lead NWD System state and territorial agencies will respond to the NWD MT bi-annually and it will take approximately half an hour to collect the data and an additional half hour to input the data into a web-based system. E:\FR\FM\02NON1.SGM 02NON1

Agencies

[Federal Register Volume 83, Number 213 (Friday, November 2, 2018)]
[Notices]
[Pages 55174-55186]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-23924]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9111-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--July Through September 2018

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice.

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SUMMARY: This quarterly notice lists CMS manual instructions, 
substantive and interpretive regulations, and other Federal Register 
notices that were published from July through September 2018, relating 
to the Medicare and Medicaid programs and other programs administered 
by CMS.

FOR FURTHER INFORMATION CONTACT: It is possible that an interested 
party may need specific information and not be able to determine from 
the listed information whether the issuance or regulation would fulfill 
that need. Consequently, we are providing contact persons to answer 
general questions concerning each of the addenda published in this 
notice.
[GRAPHIC] [TIFF OMITTED] TN02NO18.000


SUPPLEMENTARY INFORMATION: 

I. Background

    The Centers for Medicare & Medicaid Services (CMS) is responsible 
for administering the Medicare and Medicaid programs and coordination 
and oversight of private health insurance. Administration and oversight 
of these programs involves the following: (1) Furnishing information to 
Medicare and Medicaid beneficiaries, health care providers, and the 
public; and (2) maintaining effective communications with CMS regional 
offices, state governments, state Medicaid agencies, state survey 
agencies, various providers of health care, all Medicare contractors 
that process claims and pay bills, National Association of Insurance 
Commissioners (NAIC), health insurers, and other stakeholders. To 
implement the various statutes on which the programs are based, we 
issue regulations under the authority granted to the Secretary of the 
Department of Health and Human Services under sections 1102, 1871, 
1902, and related provisions of the Social Security Act (the Act) and 
Public Health Service Act. We also issue various manuals, memoranda, 
and statements necessary to administer and oversee the programs 
efficiently.
    Section 1871(c) of the Act requires that we publish a list of all 
Medicare manual instructions, interpretive rules, statements of policy, 
and guidelines of general applicability not issued as regulations at 
least every 3 months in the Federal Register.

[[Page 55175]]

II. Format for the Quarterly Issuance Notices

    This quarterly notice provides only the specific updates that have 
occurred in the 3-month period along with a hyperlink to the full 
listing that is available on the CMS website or the appropriate data 
registries that are used as our resources. This is the most current up-
to-date information and will be available earlier than we publish our 
quarterly notice. We believe the website list provides more timely 
access for beneficiaries, providers, and suppliers. We also believe the 
website offers a more convenient tool for the public to find the full 
list of qualified providers for these specific services and offers more 
flexibility and ``real time'' accessibility. In addition, many of the 
websites have listservs; that is, the public can subscribe and receive 
immediate notification of any updates to the website. These listservs 
avoid the need to check the website, as notification of updates is 
automatic and sent to the subscriber as they occur. If assessing a 
website proves to be difficult, the contact person listed can provide 
information.

III. How To Use the Notice

    This notice is organized into 15 addenda so that a reader may 
access the subjects published during the quarter covered by the notice 
to determine whether any are of particular interest. We expect this 
notice to be used in concert with previously published notices. Those 
unfamiliar with a description of our Medicare manuals should view the 
manuals at http://www.cms.gov/manuals.

    Dated: October 22, 2018.
Kathleen Cantwell,
Director, Office of Strategic Operations and Regulatory Affairs.
BILLING CODE 4120-01-P

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[FR Doc. 2018-23924 Filed 11-1-18; 8:45 am]
 BILLING CODE 4120-01-C