Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-July Through September 2019, 59815-59830 [2019-24235]

Download as PDF Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices Addition (if Oocyte Retrieval Was Not Conducted at the Same Clinic as Transfer) 1. Fresh Embryo Transfer Name of clinic if different from where oocyte retrieval took place. 2. Thawed Embryo Transfer Name of clinic if different from where oocyte retrieval took place. Proposed Reporting Requirement Modifications: Section I. Who Reports Sub-Section C. Reporting Responsibilities of ART Program CDC currently requires that, when multiple programs are involved in one cycle, the requirement to report cycles lies with the ART program that accepts responsibility for the embryo culture or thawing the oocytes or embryos. However, when clinics are contracting with external embryo laboratories, these laboratories may not be recognizable to the consumer. Therefore, we are proposing to change the requirement to report cycles to the ART program that directs the clinical management of the VerDate Sep<11>2014 17:43 Nov 05, 2019 Jkt 250001 cycle. Both current and modified guidelines are provided below. Current: Multiple ART programs involved in one cycle—Different ART programs responsible for ovarian stimulation, oocyte retrieval, and/or embryo transfer. The following guidelines should be used: a. The requirement to report cycles lies with the ART program that accepts responsibility for the embryo culture. The ART programs involved must have a method in place to ensure that these cycles can be prospectively reported by the ART program required to report them. In addition, all canceled cycles must be reported by the ART program accepting responsibility for the embryo culture. b. Cycles involving previously cryopreserved oocytes/embryos are to be reported by the ART program that accepts responsibility for thawing the oocytes/embryos. Modification (to ensure more accurate reporting by modifying reporting responsibilities when more than one program is involved in one cycle): Multiple ART programs involved in one cycle—Different ART programs responsible for ovarian stimulation, oocyte retrieval, and/or embryo transfer. The following guidelines should be used: a. The requirement to report cycles lies with the ART program that directs the clinical management of the cycle, which would include (but is not limited to) multiple aspects of the treatment such as patient selection, pre-treatment counseling and selection of the specific treatment protocol. The ART programs involved must have a method in place to ensure that these cycles can be prospectively reported by the ART program required to report them. In addition, all canceled cycles must be reported by the same ART program. PO 00000 Frm 00052 Fmt 4703 Sfmt 4725 b. Cycles involving previously cryopreserved oocytes/embryos are to be reported by the ART program that accepts responsibility for thawing the oocytes/embryos. Dated: October 31, 2019. Sandra Cashman, Executive Secretary, Centers for Disease Control and Prevention. [FR Doc. 2019–24174 Filed 11–5–19; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–9119–N] Medicare and Medicaid Programs; Quarterly Listing of Program Issuances—July Through September 2019 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 2019, 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: E:\FR\FM\06NON1.SGM 06NON1 EN06NO19.001</GPH> transfer occurred in the same clinic or when oocytes were retrieved in an ART clinic that is different from the ART clinic where the current transfer is taking place. Collection of the clinic name in which the previous retrieval took place (if different from the clinic performing the transfer) will allow for more complete linkage of embryo transfers to egg retrievals. This information will allow for a better understanding of the cumulative success rates over multiple ART treatment cycles. CDC therefore proposes adding this information for current fresh embryo transfers or thawed embryo transfers if the retrieval and transfer did not occur in the same clinic. 59815 59816 Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices 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 VerDate Sep<11>2014 17:43 Nov 05, 2019 Jkt 250001 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. 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’’ PO 00000 Frm 00053 Fmt 4703 Sfmt 4703 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 https:// www.cms.gov/manuals. Dated: October 16, 2019. Kathleen Cantwell, Director, Office of Strategic Operations and Regulatory Affairs. BILLING CODE 4120–01–P E:\FR\FM\06NON1.SGM 06NON1 VerDate Sep<11>2014 17:43 Nov 05, 2019 Jkt 250001 PO 00000 Frm 00054 Fmt 4703 Sfmt 4725 E:\FR\FM\06NON1.SGM 06NON1 59817 EN06NO19.002</GPH> Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices VerDate Sep<11>2014 Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices 17:43 Nov 05, 2019 Jkt 250001 PO 00000 Frm 00055 Fmt 4703 Sfmt 4725 E:\FR\FM\06NON1.SGM 06NON1 EN06NO19.003</GPH> 59818 VerDate Sep<11>2014 17:43 Nov 05, 2019 Jkt 250001 PO 00000 Frm 00056 Fmt 4703 Sfmt 4725 E:\FR\FM\06NON1.SGM 06NON1 59819 EN06NO19.004</GPH> Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices VerDate Sep<11>2014 Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices 17:43 Nov 05, 2019 Jkt 250001 PO 00000 Frm 00057 Fmt 4703 Sfmt 4725 E:\FR\FM\06NON1.SGM 06NON1 EN06NO19.005</GPH> 59820 VerDate Sep<11>2014 17:43 Nov 05, 2019 Jkt 250001 PO 00000 Frm 00058 Fmt 4703 Sfmt 4725 E:\FR\FM\06NON1.SGM 06NON1 59821 EN06NO19.006</GPH> Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices VerDate Sep<11>2014 Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices 17:43 Nov 05, 2019 Jkt 250001 PO 00000 Frm 00059 Fmt 4703 Sfmt 4725 E:\FR\FM\06NON1.SGM 06NON1 EN06NO19.007</GPH> 59822 VerDate Sep<11>2014 17:43 Nov 05, 2019 Jkt 250001 PO 00000 Frm 00060 Fmt 4703 Sfmt 4725 E:\FR\FM\06NON1.SGM 06NON1 59823 EN06NO19.008</GPH> Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices VerDate Sep<11>2014 Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices 17:43 Nov 05, 2019 Jkt 250001 PO 00000 Frm 00061 Fmt 4703 Sfmt 4725 E:\FR\FM\06NON1.SGM 06NON1 EN06NO19.009</GPH> 59824 VerDate Sep<11>2014 17:43 Nov 05, 2019 Jkt 250001 PO 00000 Frm 00062 Fmt 4703 Sfmt 4725 E:\FR\FM\06NON1.SGM 06NON1 59825 EN06NO19.010</GPH> Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices VerDate Sep<11>2014 Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices 17:43 Nov 05, 2019 Jkt 250001 PO 00000 Frm 00063 Fmt 4703 Sfmt 4725 E:\FR\FM\06NON1.SGM 06NON1 EN06NO19.011</GPH> 59826 VerDate Sep<11>2014 17:43 Nov 05, 2019 Jkt 250001 PO 00000 Frm 00064 Fmt 4703 Sfmt 4725 E:\FR\FM\06NON1.SGM 06NON1 59827 EN06NO19.012</GPH> Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices VerDate Sep<11>2014 Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices 17:43 Nov 05, 2019 Jkt 250001 PO 00000 Frm 00065 Fmt 4703 Sfmt 4725 E:\FR\FM\06NON1.SGM 06NON1 EN06NO19.013</GPH> 59828 VerDate Sep<11>2014 17:43 Nov 05, 2019 Jkt 250001 PO 00000 Frm 00066 Fmt 4703 Sfmt 9990 E:\FR\FM\06NON1.SGM 06NON1 59829 EN06NO19.014</GPH> Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices 59830 Federal Register / Vol. 84, No. 215 / Wednesday, November 6, 2019 / Notices [FR Doc. 2019–24235 Filed 11–5–19; 8:45 am] BILLING CODE 4120–01–C DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Expedited OMB Review: Proposed Information Collection Activity; National Human Trafficking Training and Technical Assistance Center (NHTTAC) Evaluation Package (OMB #0970–0519) Office on Trafficking in Persons; Administration for Children and Families; Department of Health and Human Services. AGENCY: ACTION: Request for public comment. The Office on Trafficking of Persons (OTIP), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is requesting expedited review of an information collection request from OMB for an increase in the number of respondents to the previously approved information collection, National Human Trafficking Training and Technical Assistance Center (NHTTAC) Evaluation Package (OMB #0970–0519, expiration 10/31/2021). This will increase the estimated burden hours from 689 hours to 9,495 hours. In addition, the previously approved SOAR Online participant feedback form has been restructured into a long and a short form to reduce burden for information collected on SOAR Online training participants outside of the NHTTAC learning management system. SUMMARY: There are no changes requested to the items on any forms. DATES: ACF is requesting that OMB approve this request under procedures for emergency processing by December 20, 2019. ADDRESSES: Copies of the proposed collection of information can be obtained by emailing infocollection@ acf.hhs.gov. All requests should identify the title of the information collection. Written comments and recommendations for the proposed information collection should be sent directly to the following: Office of Management and Budget, Paperwork Reduction Project, Email: OIRA_ SUBMISSION@OMB.EOP.GOV, Attn: Desk Officer for the Administration for Children and Families. SUPPLEMENTARY INFORMATION: Description: ACF is requesting that OMB grant a 180 day approval for this request under procedures for expedited processing by December 20, 2019. A request for review under normal procedures will be submitted within 180 days of the approval for this request. These changes are requested due to the passage of the Stop, Observe, Ask, and Respond to Health and Wellness Act of 2018 (Pub. L. 115–398) which expands the SOAR to Health and Wellness Training Program. To meet the provisions of the SOAR to Health and Wellness Act of 2018, OTIP’s NHTTAC must expand the administration of SOAR nationwide. The NHTTAC delivers training and technical assistance (T/TA) to inform and deliver a public health response to trafficking. In applying a public health approach, NHTTAC holistically builds the capacity of communities to identify and respond to the complex needs of all Original estimate— number of respondents Instrument HTLA Fellowship Pre-Program Feedback ........................... HTLA Fellowship Post-Program Feedback ......................... OTIP Grantee Feedback Form ............................................ Short-Term T/TA Feedback Form ....................................... Specialized T/TA Feedback Form ....................................... Focus Group Demographic Survey ..................................... Focus Group Guide ............................................................. Follow-up Feedback Form ................................................... Interview Guide .................................................................... Pilot Feedback Form ............................................................ SOAR Blended Learning Participant ................................... SOAR Online Participant Feedback Long Form ................. SOAR Online Participant Feedback Short Form ................. SOAR Organizational Feedback Form ................................ Comments: The Department specifically requests comments on (a) whether the proposed collection of VerDate Sep<11>2014 17:43 Nov 05, 2019 Jkt 250001 Updated estimate— number of respondents 24 24 50 30 50 25 25 300 25 25 30 1,500 20 Frm 00067 Fmt 4703 Sfmt 4703 Number of responses per respondent 36 36 100 50 100 50 50 500 65 50 130 5,300 1,000,000 40 information is necessary for the proper performance of the functions of the agency, including whether the PO 00000 individuals who have been trafficked and address the root causes that put individuals, families, and communities at risk of trafficking. This will ultimately help improve the availability and delivery of coordinated and traumainformed services before, during, and after an individual’s trafficking exploitation, regardless of their age, gender, nationality, sexual orientation, or type of exploitation. NHTTAC hosts a variety of services, programs, and facilitated sessions to improve service provision to individuals who have been trafficked or who are at risk of trafficking, including The Human Trafficking Leadership Academy (HTLA); the Survivor Fellowship Program; the NHTTAC Call Center; both short-term and specialized T/TA requests (requests that take less than 3 hours or 3 or more hours to fulfill, respectively); OTIP-funded grantees; and information through NHTTAC’s website, resources, and materials about trafficking. Respondents: Individuals and organizations such as NHTTAC consultants, training and technical assistance participants, Human Trafficking Leadership Academy program participants, Survivor fellows, OTIP grantees, visitors to the NHTTAC website, NHTTAC-supported conference and meeting attendees, members of the National Advisory Council, and scholarship applicants. Annual Burden Estimates: The following instruments have an increased number of respondents. The number of respondents for all other previously approved instruments remains the same. The increase in respondents increases the overall burden under OMB #0970– 0519 from 689 hours to 9,495 hours. 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Average burden hours per response 0.25 0.25 0.167 0.167 0.25 0.033 0.75 0.133 0.75 0.15 0.15 0.1 0.0083 0.133 Updated annual burden hours 9 9 17 8 25 2 38 67 49 8 20 530 8,300 5 information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the proposed collection E:\FR\FM\06NON1.SGM 06NON1

Agencies

[Federal Register Volume 84, Number 215 (Wednesday, November 6, 2019)]
[Notices]
[Pages 59815-59830]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-24235]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9119-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--July Through September 2019

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

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This quarterly notice lists CMS manual instructions, 
substantive and interpretive regulations, and other Federal Register 
notices that were published from July through September 2019, 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.
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[[Page 59816]]



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.

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 https://www.cms.gov/manuals.

    Dated: October 16, 2019.
Kathleen Cantwell,
Director, Office of Strategic Operations and Regulatory Affairs.
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[FR Doc. 2019-24235 Filed 11-5-19; 8:45 am]
BILLING CODE 4120-01-C
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