Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Ryan White HIV/AIDS Program Core Medical Services Waiver Application Requirements, 54906-54907 [2019-22274]
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54906
Federal Register / Vol. 84, No. 198 / Friday, October 11, 2019 / Notices
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allowable state expenditures on medical
assistance.
• Section 1903(w)(6)(A) of the Act,
which allows states to use funds derived
from state or local taxes, which are then
transferred from units of government to
the Medicaid Agency, as the non-federal
share of Medicaid payments unless the
transferred funds are derived by the unit
of government from donations or taxes
that would not otherwise be recognized
as the non-federal share under section
1903 of the Act.
Section 1116 of the Act and federal
regulations at 42 CFR part 430 establish
Department procedures that provide an
administrative hearing for
reconsideration of a disapproval of a
state plan or plan amendment. CMS is
required to publish in the Federal
Register a copy of the notice to a state
Medicaid agency that informs the
agency of the time and place of the
hearing, and the issues to be considered.
If we subsequently notify the state
Medicaid agency of additional issues
that will be considered at the hearing,
we will also publish that notice in the
Federal Register.
Any interested individual or group
that wants to participate in the hearing
as a party must petition the presiding
officer within 15 days after publication
of this notice, in accordance with the
requirements contained at 42 CFR
430.76(b)(2). Any interested person or
organization that wants to participate as
amicus curiae must petition the
presiding officer before the hearing
begins in accordance with the
requirements contained at 42 CFR
430.76(c). If the hearing is later
rescheduled or moved, the presiding
officer will notify all participants.
The notice to South Carolina
announcing an administrative hearing to
reconsider the disapproval of its SPAs
reads as follows:
Joshua D. Baker,
Director, South Carolina Department of
Health and Human Services, Post Office Box
8206, Columbia, SC 29202–8206.
Dear Mr. Baker:
I am responding to the request for
reconsideration (dated September 5, 2019) of
the decision to disapprove South Carolina’s
state plan amendments (SPAs) 16–0012–A,
17–0006–A, and 18–0011–A, which we
received on September 6, 2019. South
Carolina SPAs 16–0012–A, 17–0006–A, and
18–0011–A were submitted to the Centers for
Medicare & Medicaid Services (CMS) on
December 21, 2016, June 28, 2017, and June
29, 2018, respectively, and disapproved on
July 9, 2019. I am scheduling a hearing on
the request for reconsideration to be held on
November 20, 2019 at the Department of
Health and Human Services, Division of
Medicaid Field Operations, South, Centers
for Medicare & Medicaid Services, Division
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17:56 Oct 10, 2019
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of Medicaid and Children’s Health
Operations, 61 Forsyth St., Suite 4T20,
Atlanta, Georgia 30303–8909.
I am designating Mr. Benjamin R. Cohen as
the presiding officer. If these arrangements
present any problems, please contact Mr.
Cohen at (410) 786–3169. In order to
facilitate any communication that may be
necessary between the parties prior to the
hearing, please notify the presiding officer to
indicate acceptability of the hearing date and
location that has been established and
provide names of the individuals who will
represent the State at the hearing. If the
hearing date or location is not acceptable, Mr.
Cohen can set another date mutually
agreeable to the parties and may designate
another location, with due regard for the
convenience and necessity of the parties and
their representatives. The hearing will be
governed by the procedures prescribed by
federal regulations at 42 CFR part 430.
These SPAs requested CMS approval to
add new eligible physicians associated with
Greenville Memorial Hospital and Palmetto
Health Richland (since merged into a single
entity, Prisma Health) to the current
physician teaching supplemental payment
methodology. Specifically, SPAs 16–0012–A,
17–0006–A, and 18–0011–A proposed to use
intergovernmental transfers from the
Greenville Health Authority to the state
Medicaid Agency as the non-federal share of
the proposed payments.1 The source of the
transfers would be from the ‘‘Setoff Debt
Collection Program,’’ which garnishes state
individual income tax refunds to satisfy
medical debt liabilities for services furnished
by certain providers, rather than state or local
tax revenue as required by Section
1903(w)(6)(A) of the Social Security Act (the
Act). The revenue collected from the Setoff
Debt Collection Program is derived from
previously uncollected patient revenue.
The issues to be considered at the hearing
are whether South Carolina SPAs 16–0012–
A, 17–0006–A, and 18–0011–A are
inconsistent with the requirements of:
• Section 1902(a)(2) of the Act, which
provides that the state plan must assure
adequate funding for the non-federal share of
expenditures from state or local sources, such
that the lack of adequate funds from local
sources will not result in lowering the
amount, duration, scope, or quality of care
and services available under the plan.
• Sections 1903(a) and 1905(b) of the Act,
which provide that states receive a statutorily
determined Federal Medicaid Assistance
Percentage (FMAP) for allowable state
expenditures on medical assistance.
• Section 1903(w)(6)(A) of the Act, which
allows States to use funds derived from State
or local taxes, which are then transferred
from units of government to the Medicaid
Agency, as the non-federal share of Medicaid
payments unless the transferred funds are
derived by the unit of government from
donations or taxes that would not otherwise
be recognized as the non-federal share under
section 1903 of the Act.
1 As reflected in the July 9, 2019 disapproval
letter, CMS did not examine, or reach a conclusion
with respect to, whether the Greenville Health
Authority is a unit of government eligible to make
an intergovernmental transfer.
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Sfmt 4703
In the event that CMS and the State come
to agreement on resolution of the issues that
formed the basis for disapproval, these SPAs
may be moved to approval prior to the
scheduled hearing.
Sincerely,
Seema Verma,
Administrator.
cc: Benjamin R. Cohen.
Section 1116 of the Social Security
Act (42 U.S.C. 1316; 42 CFR 430.18)
(Catalog of Federal Domestic Assistance
program No. 13.714. Medicaid Assistance
Program.)
Dated: October 4, 2019.
Seema Verma,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2019–22319 Filed 10–8–19; 4:15 pm]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
[OMB No. 0915–0307—Extension]
Agency Information Collection
Activities: Submission to OMB for
Review and Approval; Public Comment
Request; Ryan White HIV/AIDS
Program Core Medical Services Waiver
Application Requirements
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
SUMMARY: In compliance with the
Paperwork Reduction Act of 1995,
HRSA has submitted an Information
Collection Request (ICR) to the Office of
Management and Budget (OMB) for
review and approval. Comments
submitted during the first public review
of this ICR will be provided to OMB.
OMB will accept further comments from
the public during the review and
approval period.
DATES: Comments on this ICR should be
received no later than November 12,
2019.
ADDRESSES: Submit your comments,
including the Information Collection
Request Title, to the desk officer for
HRSA, either by email to OIRA_
submission@omb.eop.gov or by fax to
202–395–5806.
FOR FURTHER INFORMATION CONTACT: To
request a copy of the clearance requests
submitted to OMB for review, email Lisa
Wright-Solomon, the HRSA Information
Collection Clearance Officer at
paperwork@hrsa.gov or call (301) 443–
1984.
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54907
Federal Register / Vol. 84, No. 198 / Friday, October 11, 2019 / Notices
SUPPLEMENTARY INFORMATION:
Information Collection Request Title:
Ryan White HIV/AIDS Program Core
Medical Services Waiver Application
Requirements, OMB No. 0915–0307—
Extension.
Abstract: Title XXVI of the Public
Health Service (PHS) Act, as amended
by the Ryan White HIV/AIDS Treatment
Extension Act of 2009, also known as
the Ryan White HIV/AIDS Program
(RWHAP), requires that grant recipients
expend funds on core medical services
including antiretroviral drugs for
individuals with HIV who are eligible
under the statute. In addition, after
reserving statutory permissible amounts
for administrative and clinical quality
management costs from the total award
amount, at least 75 percent of the
remainder is to be expended on core
medical services.1 For a grant recipient
under the RWHAP Parts A, B, or C to
be exempted from this requirement, a
waiver must be requested from HRSA
for review and approval in accordance
with statute.
On October 25, 2013, HRSA
published revised standards for core
medical services waiver requests in the
Federal Register (78 FR 63990). These
revised standards allow grant recipients
flexibility to adjust resource allocation
based on the current situation in their
local environments. These standards
ensure that grant recipients receiving
waivers demonstrate the availability of
core medical services, including
antiretroviral drugs, for persons with
HIV served under the HRSA RWHAP.
The core medical services waiver
request process applies to RWHAP grant
applicants and recipients under Parts A,
B, and C of Title XXVI of the PHS Act.
Core medical services waivers are
effective for a 1-year period. Grant
applicants may submit a waiver request
before, or with the annual grant
application, and grant recipients can
submit up to four months after the grant
award has been made.
A 60-day notice was published in the
Federal Register on August 15, 2019,
vol. 84, No. 158; pp. 41726–27. There
were no public comments.
Need and Proposed Use of the
Information: HRSA uses the
documentation submitted in core
medical services waiver requests to
determine if the grant applicant or
recipient meets the statutory
requirements for waiver eligibility
including: (1) No waiting lists for AIDS
Drug Assistance Program services; and
(2) evidence of core medical services
availability within the grant recipient’s
jurisdiction, state, or service area to all
persons with HIV identified and eligible
under Title XXVI of the PHS Act.2
Likely Respondents: Ryan White HIV/
AIDS Program Parts A, B, and C grant
applicants and recipients.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install and utilize
technology and systems for the purpose
of collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Number of
respondents
Form name
Total
responses
Average
burden per
response
(in hours)
Total
burden hours
Waiver Request ...................................................................
20
1
20
5.5
110
Total ..............................................................................
20
........................
20
........................
110
Maria G. Button,
Director, Executive Secretariat.
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
[FR Doc. 2019–22274 Filed 10–10–19; 8:45 am]
BILLING CODE P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meetings.
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
Name of Committee: National Institute of
General Medical Sciences Special Emphasis
Panel Review of NIGMS Support of
Competitive Research (SCORE) Award
Applications.
Date: November 8, 2019.
Time: 12:00 p.m. to 3:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of General
Medical Sciences, Natcher Building, 45
Center Drive, Bethesda, MD 20892 (Virtual
Meeting).
Contact Person: Rebecca H. Johnson, Ph.D.,
Scientific Review Officer, Office of Scientific
Review, National Institute of General Medical
Sciences, National Institutes of Health,
1 Sections 2604(c)(1), 2612(b)(1), and 2651(c)(1) of
the PHS Act.
2 Sections 2604(c)(2), 2612(b)(2), and 2651(c)(2) of
the PHS Act.
National Institutes of Health
National Institute of General Medical
Sciences; Notice of Closed Meetings
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Number of
responses per
respondent
VerDate Sep<11>2014
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Natcher Building, Room 3AN18C, 45 Center
Drive, Bethesda, MD 20892, (301) 594–2771,
johnsonrh@nigms.nih.gov.
Name of Committee: National Institute of
General Medical Sciences Special Emphasis
Panel, Review of Limited Competition:
NIGMS Legacy Community-Wide Scientific
Resources (R24) Applications.
Date: November 13, 2019.
Time: 1:00 p.m. to 4:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of General
Medical Sciences, Natcher Building, 45
Center Drive, Bethesda, MD 20892 (Virtual
Meeting).
Contact Person: Rebecca H. Johnson, Ph.D.,
Scientific Review Officer, Office of Scientific
Review, National Institute of General Medical
Sciences, National Institutes of Health,
Natcher Building, Room 3AN18C, 45 Center
Drive, Bethesda, MD 20892, (301) 594–2771
johnsonrh@nigms.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.375, Minority Biomedical
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]]>Agencies
[Federal Register Volume 84, Number 198 (Friday, October 11, 2019)]
[Notices]
[Pages 54906-54907]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-22274]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
[OMB No. 0915-0307--Extension]
Agency Information Collection Activities: Submission to OMB for
Review and Approval; Public Comment Request; Ryan White HIV/AIDS
Program Core Medical Services Waiver Application Requirements
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA
has submitted an Information Collection Request (ICR) to the Office of
Management and Budget (OMB) for review and approval. Comments submitted
during the first public review of this ICR will be provided to OMB. OMB
will accept further comments from the public during the review and
approval period.
DATES: Comments on this ICR should be received no later than November
12, 2019.
ADDRESSES: Submit your comments, including the Information Collection
Request Title, to the desk officer for HRSA, either by email to
[email protected] or by fax to 202-395-5806.
FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance
requests submitted to OMB for review, email Lisa Wright-Solomon, the
HRSA Information Collection Clearance Officer at [email protected] or
call (301) 443-1984.
[[Page 54907]]
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: Ryan White HIV/AIDS Program
Core Medical Services Waiver Application Requirements, OMB No. 0915-
0307--Extension.
Abstract: Title XXVI of the Public Health Service (PHS) Act, as
amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009,
also known as the Ryan White HIV/AIDS Program (RWHAP), requires that
grant recipients expend funds on core medical services including
antiretroviral drugs for individuals with HIV who are eligible under
the statute. In addition, after reserving statutory permissible amounts
for administrative and clinical quality management costs from the total
award amount, at least 75 percent of the remainder is to be expended on
core medical services.\1\ For a grant recipient under the RWHAP Parts
A, B, or C to be exempted from this requirement, a waiver must be
requested from HRSA for review and approval in accordance with statute.
---------------------------------------------------------------------------
\1\ Sections 2604(c)(1), 2612(b)(1), and 2651(c)(1) of the PHS
Act.
---------------------------------------------------------------------------
On October 25, 2013, HRSA published revised standards for core
medical services waiver requests in the Federal Register (78 FR 63990).
These revised standards allow grant recipients flexibility to adjust
resource allocation based on the current situation in their local
environments. These standards ensure that grant recipients receiving
waivers demonstrate the availability of core medical services,
including antiretroviral drugs, for persons with HIV served under the
HRSA RWHAP. The core medical services waiver request process applies to
RWHAP grant applicants and recipients under Parts A, B, and C of Title
XXVI of the PHS Act. Core medical services waivers are effective for a
1-year period. Grant applicants may submit a waiver request before, or
with the annual grant application, and grant recipients can submit up
to four months after the grant award has been made.
A 60-day notice was published in the Federal Register on August 15,
2019, vol. 84, No. 158; pp. 41726-27. There were no public comments.
Need and Proposed Use of the Information: HRSA uses the
documentation submitted in core medical services waiver requests to
determine if the grant applicant or recipient meets the statutory
requirements for waiver eligibility including: (1) No waiting lists for
AIDS Drug Assistance Program services; and (2) evidence of core medical
services availability within the grant recipient's jurisdiction, state,
or service area to all persons with HIV identified and eligible under
Title XXVI of the PHS Act.\2\
---------------------------------------------------------------------------
\2\ Sections 2604(c)(2), 2612(b)(2), and 2651(c)(2) of the PHS
Act.
---------------------------------------------------------------------------
Likely Respondents: Ryan White HIV/AIDS Program Parts A, B, and C
grant applicants and recipients.
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose or provide the
information requested. This includes the time needed to review
instructions; to develop, acquire, install and utilize technology and
systems for the purpose of collecting, validating and verifying
information, processing and maintaining information, and disclosing and
providing information; to train personnel and to be able to respond to
a collection of information; to search data sources; to complete and
review the collection of information; and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
Total Estimated Annualized Burden--Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of Total burden per Total burden
Form name respondents responses per responses response (in hours
respondent hours)
----------------------------------------------------------------------------------------------------------------
Waiver Request.................. 20 1 20 5.5 110
----------------------------------------------------------------------------------------------------------------
Total....................... 20 .............. 20 .............. 110
----------------------------------------------------------------------------------------------------------------
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2019-22274 Filed 10-10-19; 8:45 am]
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