Analyses, Research, and Studies To Assess the Impact of Centers for Medicare & Medicaid Services Programs on American Indians/Alaska Natives and the Indian Health Care System Serving American Indians/Alaska Natives Beneficiaries, 54219-54220 [2022-19085]
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Federal Register / Vol. 87, No. 170 / Friday, September 2, 2022 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
Analyses, Research, and Studies To
Assess the Impact of Centers for
Medicare & Medicaid Services
Programs on American Indians/Alaska
Natives and the Indian Health Care
System Serving American Indians/
Alaska Natives Beneficiaries
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice of a single source award.
AGENCY:
Through a Notice of Funding
Opportunity, ‘‘Analyses, Research, and
Studies to Assess the Impact of Centers
for Medicare & Medicaid Services (CMS)
Programs on American Indians/Alaska
Natives (AI/ANs) and the Indian Health
Care System Serving AI/AN
Beneficiaries,’’ CMS has sought an
application from the National Indian
Health Board (NIHB)for a single source
cooperative agreement. The funding
CMS anticipates awarding under this
single source cooperative agreement
will support research to assess the
impact of CMS programs that affect AI/
ANs and the Indian Health Care System.
DATES: The NIHB’s application is due on
September 1, 2022, and if the
application is approved, CMS
anticipates awarding a single source
cooperative agreement by September 28,
2022. The anticipated period of
performance for the cooperative
agreement would be from September 29,
2022, through September 28, 2027,
subject to the availability of funds and
satisfactory performance.
FOR FURTHER INFORMATION CONTACT:
Rhonda Martinez-McFarland, Project
Officer (206) 615–2267.
SUPPLEMENTARY INFORMATION:
lotter on DSK11XQN23PROD with NOTICES1
SUMMARY:
I. Background
Through a Notice of Funding
Opportunity (NOFO), ‘‘Analyses,
Research, and Studies to Assess the
Impact of Centers for Medicare &
Medicaid Services (CMS) Programs on
American Indians/Alaska Natives (AI/
ANs) and the Indian Health Care System
Serving AI/AN Beneficiaries,’’ CMS has
sought an application from the National
Indian Health Board (NIHB) for a single
source cooperative agreement. The
funding CMS anticipates awarding
under this single source cooperative
agreement will support research to
assess the impact of CMS programs that
affect AI/ANs and the Indian Health
Care System, composed of Indian Health
Service (IHS) providers, providers that
VerDate Sep<11>2014
16:40 Sep 01, 2022
Jkt 256001
are Tribally operated under the Indian
Self Determination and Education
Assistance Act (ISDEAA), and providers
operated by Urban Indian organizations
(collectively referred to as ITU
providers). This cooperative agreement
is authorized under Section 1110 of the
Social Security Act, codified at 42
U.S.C. 1310, which authorizes federal
funding for analyses, research, and
studies which will help improve the
administration and effectiveness of
programs carried on or assisted under
the Social Security Act and programs
related thereto.
CMS anticipates that the research
conducted under this award will help
CMS to develop more effective and
efficient ways to increase access to
health services and coverage for the AI/
AN population, including by improving
and increasing the enrollment of AI/AN
individuals and Indian Health Care
System providers in Medicare,
Medicaid, the Children’s Health
Insurance Program (CHIP), and Health
Insurance Marketplace® 1 coverage.
CMS also anticipates that the research
conducted under this award might help
CMS develop policies to reduce health
inequities experienced by AI/AN
communities.
The scope of the work under the
anticipated award builds on NIHB’s past
experience and knowledge and is
expected to help CMS better serve AI/
AN communities. NIHB was established
by federally recognized Tribes to
advocate as their united voice. NIHB
seeks to reinforce Tribal sovereignty,
strengthen Tribal health care systems,
secure resources, and build capacity to
achieve the highest level of health and
well-being for AI/ANs. NIHB provides
culturally appropriate outreach and
education to Tribal communities to
encourage enrollment of AI/ANs in CMS
programs. Data analysis conducted by
NIHB is shared with Tribal leaders to
increase their knowledge of the
important role CMS plays in providing
greater access to health coverage in
Tribal communities. In the past, NIHB
has conducted extensive analysis of AI/
AN enrollment in Medicare, which
resulted in several data symposiums
and reports. More recently, NIHB
analyzed data from the American
Community Survey (ACS) to
demonstrate an increase in AI/AN
enrollment in Medicare and Medicaid.
NIHB’s initial analysis of Medicaid
enrollment noted an increase of AI/ANs
enrolled in Medicaid from 1.4 million in
2012 to 1.7 million in 2016. Through the
1 Health Insurance Marketplace® is a registered
service mark of the U.S. Department of Health &
Human Services.
PO 00000
Frm 00033
Fmt 4703
Sfmt 4703
54219
work of NIHB, Tribal leaders and Tribal
health directors have gained a better
understanding of CMS policies and
programs and their impact on the Indian
Health Care System and Tribal
communities.
II. Provisions of the Notice
CMS has solicited a proposal from the
NIHB to undertake analysis, research,
and studies to assess the impact of CMS
programs on AI/AN beneficiaries and
the Indian Health Care System serving
those beneficiaries. The project consists
of five principal tasks:
• Research and analysis of impact of
CMS Regulations/Policies on AI/ANs
and on the Indian Health Care System:
Assess the ongoing impact of CMS
programs through an analysis of CMS
regulations, policies, and initiatives that
have a potential impact or effect on the
Indian Health Care System and on AI/
ANs. The objective is to determine the
level of Tribal input in the CMS
regulatory and policy formulation
process and assess whether such input
was effectively considered in the final
development of CMS regulations and
policies that impact AI/ANs and the
Indian Health Care System.
• Data Research and Analysis:
Analysis of AI/AN demographic,
enrollment, and utilization data by
reviewing CMS, IHS, Social Security
Administration (SSA), United States
Census, and other data resources in
order to develop strategies that make
CMS data systems capable of reporting
on AI/AN enrollment. Determine service
utilization, health status, and payment
data from Medicare, Medicaid, CHIP,
and Health Insurance Marketplace®
coverage. The results of this data
analysis are expected to help facilitate
CMS program planning, evaluation,
performance measurement, health status
monitoring, and targeted enrollment
efforts. In addition, the data analysis
will include a review of data to help
address health inequities experienced
by Tribal communities in a coordinated
continuous effort with CMS and Tribal
partners.
• Research & Strategic Priority
Planning: Review, revise, and provide
updates to the CMS Tribal Technical
Advisory Group (TTAG) strategic plan
activities to reflect the views of all
federally recognized Tribal leaders on
changes to Medicare, Medicaid, CHIP,
and Health Insurance Marketplace®
coverage that impact AI/ANs and the
Indian Health Care System, including
changes to CMS programs resulting from
legislation, regulations, policy guidance,
and new initiatives or priorities of the
agency.
E:\FR\FM\02SEN1.SGM
02SEN1
lotter on DSK11XQN23PROD with NOTICES1
54220
Federal Register / Vol. 87, No. 170 / Friday, September 2, 2022 / Notices
• Consultation Policy: Provide
research support on the use and
effectiveness of the CMS Tribal
Consultation Policy, national
consultations and listening sessions
with Tribes on CMS program issues, and
annual HHS National and Regional
Consultation Sessions with Tribes.
Track issues raised at Tribal
consultation/listening sessions and
develop an executive summary on key
issues and recommended actions for
resolution and/or further analysis.
• Enrollment and Outreach: Evaluate
the effectiveness of CMS outreach and
enrollment efforts to AI/ANs enrolled in
CMS-regulated programs by conducting
quarterly trainings on these programs
for Tribal enrollment assisters, ITU
providers, ITU third-party resource staff,
and AI/ANs. NIHB will complete an
assessment and compile best practices
to increase AI/AN enrollment in
Medicare, Medicaid, CHIP, and Health
Insurance Marketplace® coverage. In
addition, NIHB, in collaboration with
CMS, will develop culturally
appropriate Tribal outreach materials.
The information NIHB uses to evaluate
CMS outreach and enrollment efforts
will be collected based on feedback
from CMS annual ITU trainings, AI/AN
outreach events, and other data sources.
NIHB, in collaboration with Tribal
leadership and CMS, will summarize
lessons learned and make
recommendations on how CMS could
improve AI/AN outreach efforts in
Indian Country.
CMS has sought an application from
NIHB for a third five-year single source
award, under the same authority.
Through its two previous cooperative
agreements, since 2012, NIHB has
provided analysis and research on the
potential and actual impact of CMS
policies and guidance on AI/ANs and
the Indian Health Care System. The
work has included analysis and research
on Medicare and Medicaid enrollment
of AI/ANs in order to gain a better
understanding of AI/AN utilization of
CMS programs.
In addition, NIHB has been
instrumental in tracking CMS regulation
and policy changes, and has provided a
better understanding of the implications
that CMS regulations and guidance have
had for Indian Health Care System
providers and AI/AN individuals. This
includes evaluating the impact of
effective and meaningful Tribal
consultation. NIHB has a long history of
providing unique forums for showcasing
how CMS works within Indian Country
to promote enrollment of AI/ANs and
Indian Health Care System providers in
CMS programs.
Based on this past experience, NIHB
is the only entity capable of carrying out
the scope of activities in Fiscal Years
(FY) 2022–2027 because the scope of the
work that would be performed under
this award builds on past experience
and knowledge. Any other source would
not have all of the knowledge and
experience NIHB has gained in the last
ten years.
Amount of the Award
The total amount of funding available
over a 5-year period will be up to
$4,000,000 pending availability of funds
and satisfactory performance by the
recipient. The cooperative agreement
will be awarded consistent with the
overall quality of the proposal and the
applicant’s ability to meet project goals.
The amount of funding awarded will be
no more than $800,000 per 12-month
budget period, subject to availability of
funds, and there will be five 12-month
budget periods under this award.
Funding for budget periods 2–5 is noncompetitive and is subject to the
availability of funds as well as
satisfactory performance of the
recipient. The total award will not
exceed $4,000,000.
Project Period
The anticipated period of
performance for this cooperative
agreement is September 29, 2022
through September 28, 2027 with
funding awarded in 12-month budget
increments subject to the availability of
funds and satisfactory performance.
Justification for Single Source Award
In 2012, CMS awarded a five-year
single-source cooperative agreement to
NIHB under Section 1110 of the Social
Security Act and in 2017, CMS awarded
a second five-year single source
cooperative agreement to NIHB under
the same authority. With this NOFO,
VerDate Sep<11>2014
16:40 Sep 01, 2022
Jkt 256001
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. 3501 et seq.).
The Administrator of the Centers for
Medicare & Medicaid Services (CMS),
Chiquita Brooks-LaSure, having
reviewed and approved this document,
authorizes Evell Barco Holland, who is
the Federal Register Liaison, to
electronically sign this document for
purposes of publication in the Federal
Register.
PO 00000
Frm 00034
Fmt 4703
Sfmt 4703
Authority: Social Security Act section
1110.
Dated: August 30, 2022.
Evell Barco Holland,
Federal Register Liaison, Centers for Medicare
& Medicaid Services.
[FR Doc. 2022–19085 Filed 9–1–22; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10465]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the burden estimate or any
other aspect of this collection of
information, including the necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions, the accuracy of
the estimated burden, ways to enhance
the quality, utility, and clarity of the
information to be collected, and the use
of automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
SUMMARY:
Comments on the collection(s) of
information must be received by the
OMB desk officer by October 3, 2022.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function.
DATES:
E:\FR\FM\02SEN1.SGM
02SEN1
]]>Agencies
[Federal Register Volume 87, Number 170 (Friday, September 2, 2022)]
[Notices]
[Pages 54219-54220]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-19085]
[[Page 54219]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
Analyses, Research, and Studies To Assess the Impact of Centers
for Medicare & Medicaid Services Programs on American Indians/Alaska
Natives and the Indian Health Care System Serving American Indians/
Alaska Natives Beneficiaries
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice of a single source award.
-----------------------------------------------------------------------
SUMMARY: Through a Notice of Funding Opportunity, ``Analyses, Research,
and Studies to Assess the Impact of Centers for Medicare & Medicaid
Services (CMS) Programs on American Indians/Alaska Natives (AI/ANs) and
the Indian Health Care System Serving AI/AN Beneficiaries,'' CMS has
sought an application from the National Indian Health Board (NIHB)for a
single source cooperative agreement. The funding CMS anticipates
awarding under this single source cooperative agreement will support
research to assess the impact of CMS programs that affect AI/ANs and
the Indian Health Care System.
DATES: The NIHB's application is due on September 1, 2022, and if the
application is approved, CMS anticipates awarding a single source
cooperative agreement by September 28, 2022. The anticipated period of
performance for the cooperative agreement would be from September 29,
2022, through September 28, 2027, subject to the availability of funds
and satisfactory performance.
FOR FURTHER INFORMATION CONTACT: Rhonda Martinez-McFarland, Project
Officer (206) 615-2267.
SUPPLEMENTARY INFORMATION:
I. Background
Through a Notice of Funding Opportunity (NOFO), ``Analyses,
Research, and Studies to Assess the Impact of Centers for Medicare &
Medicaid Services (CMS) Programs on American Indians/Alaska Natives
(AI/ANs) and the Indian Health Care System Serving AI/AN
Beneficiaries,'' CMS has sought an application from the National Indian
Health Board (NIHB) for a single source cooperative agreement. The
funding CMS anticipates awarding under this single source cooperative
agreement will support research to assess the impact of CMS programs
that affect AI/ANs and the Indian Health Care System, composed of
Indian Health Service (IHS) providers, providers that are Tribally
operated under the Indian Self Determination and Education Assistance
Act (ISDEAA), and providers operated by Urban Indian organizations
(collectively referred to as ITU providers). This cooperative agreement
is authorized under Section 1110 of the Social Security Act, codified
at 42 U.S.C. 1310, which authorizes federal funding for analyses,
research, and studies which will help improve the administration and
effectiveness of programs carried on or assisted under the Social
Security Act and programs related thereto.
CMS anticipates that the research conducted under this award will
help CMS to develop more effective and efficient ways to increase
access to health services and coverage for the AI/AN population,
including by improving and increasing the enrollment of AI/AN
individuals and Indian Health Care System providers in Medicare,
Medicaid, the Children's Health Insurance Program (CHIP), and Health
Insurance Marketplace[supreg] \1\ coverage. CMS also anticipates that
the research conducted under this award might help CMS develop policies
to reduce health inequities experienced by AI/AN communities.
---------------------------------------------------------------------------
\1\ Health Insurance Marketplace[supreg] is a registered service
mark of the U.S. Department of Health & Human Services.
---------------------------------------------------------------------------
The scope of the work under the anticipated award builds on NIHB's
past experience and knowledge and is expected to help CMS better serve
AI/AN communities. NIHB was established by federally recognized Tribes
to advocate as their united voice. NIHB seeks to reinforce Tribal
sovereignty, strengthen Tribal health care systems, secure resources,
and build capacity to achieve the highest level of health and well-
being for AI/ANs. NIHB provides culturally appropriate outreach and
education to Tribal communities to encourage enrollment of AI/ANs in
CMS programs. Data analysis conducted by NIHB is shared with Tribal
leaders to increase their knowledge of the important role CMS plays in
providing greater access to health coverage in Tribal communities. In
the past, NIHB has conducted extensive analysis of AI/AN enrollment in
Medicare, which resulted in several data symposiums and reports. More
recently, NIHB analyzed data from the American Community Survey (ACS)
to demonstrate an increase in AI/AN enrollment in Medicare and
Medicaid. NIHB's initial analysis of Medicaid enrollment noted an
increase of AI/ANs enrolled in Medicaid from 1.4 million in 2012 to 1.7
million in 2016. Through the work of NIHB, Tribal leaders and Tribal
health directors have gained a better understanding of CMS policies and
programs and their impact on the Indian Health Care System and Tribal
communities.
II. Provisions of the Notice
CMS has solicited a proposal from the NIHB to undertake analysis,
research, and studies to assess the impact of CMS programs on AI/AN
beneficiaries and the Indian Health Care System serving those
beneficiaries. The project consists of five principal tasks:
Research and analysis of impact of CMS Regulations/
Policies on AI/ANs and on the Indian Health Care System: Assess the
ongoing impact of CMS programs through an analysis of CMS regulations,
policies, and initiatives that have a potential impact or effect on the
Indian Health Care System and on AI/ANs. The objective is to determine
the level of Tribal input in the CMS regulatory and policy formulation
process and assess whether such input was effectively considered in the
final development of CMS regulations and policies that impact AI/ANs
and the Indian Health Care System.
Data Research and Analysis: Analysis of AI/AN demographic,
enrollment, and utilization data by reviewing CMS, IHS, Social Security
Administration (SSA), United States Census, and other data resources in
order to develop strategies that make CMS data systems capable of
reporting on AI/AN enrollment. Determine service utilization, health
status, and payment data from Medicare, Medicaid, CHIP, and Health
Insurance Marketplace[supreg] coverage. The results of this data
analysis are expected to help facilitate CMS program planning,
evaluation, performance measurement, health status monitoring, and
targeted enrollment efforts. In addition, the data analysis will
include a review of data to help address health inequities experienced
by Tribal communities in a coordinated continuous effort with CMS and
Tribal partners.
Research & Strategic Priority Planning: Review, revise,
and provide updates to the CMS Tribal Technical Advisory Group (TTAG)
strategic plan activities to reflect the views of all federally
recognized Tribal leaders on changes to Medicare, Medicaid, CHIP, and
Health Insurance Marketplace[supreg] coverage that impact AI/ANs and
the Indian Health Care System, including changes to CMS programs
resulting from legislation, regulations, policy guidance, and new
initiatives or priorities of the agency.
[[Page 54220]]
Consultation Policy: Provide research support on the use
and effectiveness of the CMS Tribal Consultation Policy, national
consultations and listening sessions with Tribes on CMS program issues,
and annual HHS National and Regional Consultation Sessions with Tribes.
Track issues raised at Tribal consultation/listening sessions and
develop an executive summary on key issues and recommended actions for
resolution and/or further analysis.
Enrollment and Outreach: Evaluate the effectiveness of CMS
outreach and enrollment efforts to AI/ANs enrolled in CMS-regulated
programs by conducting quarterly trainings on these programs for Tribal
enrollment assisters, ITU providers, ITU third-party resource staff,
and AI/ANs. NIHB will complete an assessment and compile best practices
to increase AI/AN enrollment in Medicare, Medicaid, CHIP, and Health
Insurance Marketplace[supreg] coverage. In addition, NIHB, in
collaboration with CMS, will develop culturally appropriate Tribal
outreach materials. The information NIHB uses to evaluate CMS outreach
and enrollment efforts will be collected based on feedback from CMS
annual ITU trainings, AI/AN outreach events, and other data sources.
NIHB, in collaboration with Tribal leadership and CMS, will summarize
lessons learned and make recommendations on how CMS could improve AI/AN
outreach efforts in Indian Country.
Amount of the Award
The total amount of funding available over a 5-year period will be
up to $4,000,000 pending availability of funds and satisfactory
performance by the recipient. The cooperative agreement will be awarded
consistent with the overall quality of the proposal and the applicant's
ability to meet project goals. The amount of funding awarded will be no
more than $800,000 per 12-month budget period, subject to availability
of funds, and there will be five 12-month budget periods under this
award. Funding for budget periods 2-5 is non-competitive and is subject
to the availability of funds as well as satisfactory performance of the
recipient. The total award will not exceed $4,000,000.
Justification for Single Source Award
In 2012, CMS awarded a five-year single-source cooperative
agreement to NIHB under Section 1110 of the Social Security Act and in
2017, CMS awarded a second five-year single source cooperative
agreement to NIHB under the same authority. With this NOFO, CMS has
sought an application from NIHB for a third five-year single source
award, under the same authority.
Through its two previous cooperative agreements, since 2012, NIHB
has provided analysis and research on the potential and actual impact
of CMS policies and guidance on AI/ANs and the Indian Health Care
System. The work has included analysis and research on Medicare and
Medicaid enrollment of AI/ANs in order to gain a better understanding
of AI/AN utilization of CMS programs.
In addition, NIHB has been instrumental in tracking CMS regulation
and policy changes, and has provided a better understanding of the
implications that CMS regulations and guidance have had for Indian
Health Care System providers and AI/AN individuals. This includes
evaluating the impact of effective and meaningful Tribal consultation.
NIHB has a long history of providing unique forums for showcasing how
CMS works within Indian Country to promote enrollment of AI/ANs and
Indian Health Care System providers in CMS programs.
Based on this past experience, NIHB is the only entity capable of
carrying out the scope of activities in Fiscal Years (FY) 2022-2027
because the scope of the work that would be performed under this award
builds on past experience and knowledge. Any other source would not
have all of the knowledge and experience NIHB has gained in the last
ten years.
Project Period
The anticipated period of performance for this cooperative
agreement is September 29, 2022 through September 28, 2027 with funding
awarded in 12-month budget increments subject to the availability of
funds and satisfactory performance.
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. 3501 et seq.).
The Administrator of the Centers for Medicare & Medicaid Services
(CMS), Chiquita Brooks-LaSure, having reviewed and approved this
document, authorizes Evell Barco Holland, who is the Federal Register
Liaison, to electronically sign this document for purposes of
publication in the Federal Register.
Authority: Social Security Act section 1110.
Dated: August 30, 2022.
Evell Barco Holland,
Federal Register Liaison, Centers for Medicare & Medicaid Services.
[FR Doc. 2022-19085 Filed 9-1-22; 8:45 am]
BILLING CODE 4120-01-P
