13418 Federal Register / Vol. 76, No. 48 / Friday, March 11, 2011 / Notices 

Yearly; Affected Public: Private Sector; 

Business or other for-profit and not-forprofit institutions; Number of 

Respondents: 140,290; Total Annual 

Responses: 140,290; Total Annual 

Hours: (For policy questions regarding 

this collection contact Kim McPhillips 

at 410–786–5374. For all other issues 

call 410–786–1326.) 

8. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Medicare 

Enrollment Application Use: The 

primary function of the CMS–855 

Medicare enrollment application is to 

gather information from a provider or 

supplier that tells us who it is, whether 

it meets certain qualifications to be a 

health care provider or supplier, where 

it practices or renders its services, the 

identity of the owners of the enrolling 

entity, and other information necessary 

to establish correct claims payments. 

The goal of this submission is to address 

the following issues. The CMS–855A 

enrollment form currently captures 

ownership/managerial information on 

providers. The data required under 

sections 6401 and 6001, however, is 

more specific than that currently 

obtained on the CMS–855A. CMS will 

therefore create four attachments to the 

CMS–855A—two for SNFs and the other 

two for physician-owned hospitals—to 

secure this information. In addition to 

the application changes triggered by 

ACA, CMS is making other revisions to 

the forms as well. Form Number: CMS– 

855 (A, B, I, R) (OMB#: 0938–0685); 

Frequency: Yearly; Affected Public: 

Private Sector; Business or other forprofit and not-for-profit institutions; 

Number of Respondents: 440,450; Total 

Annual Responses: 440,450; Total 

Annual Hours: 842,810 (For policy 

questions regarding this collection 

contact Kim McPhillips at 410–786– 

5374. For all other issues call 410–786– 

1326.) 

9. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Medicare 

Enrollment Application for Eligible 

Ordering and Referring Physicians and 

Non-physician Practices Use: CMS is 

adding a new CMS–855 Medicare 

Enrollment Application (CMS 855O— 

Medicare Enrollment Application for 

Ordering and Referring Physicians 

only). CMS has found that many 

providers and suppliers who are not 

enrolled in Medicare are ordering and 

referring physicians for Medicare 

enrolled providers and suppliers. The 

ordering and referring data field on the 

CMS 1500 claims submission form 

requires an ordering or referring 

physician to have a Medicare 

identification number. Without an 

ordering or referring physician, specific 

types of claims submitted by Medicare 

approved providers and suppliers are 

rejected by Medicare Administrative 

Contractors (MAC) as required by 

Medicare regulation. Therefore, if an 

ordering or referring physician does not 

participate in the Medicare program, but 

orders or refers his/her patients to a 

Medicare provider or supplier, the claim 

submitted by the Medicare provider or 

supplier for the given ordered or 

referred service is automatically rejected 

by the MAC. The CMS 855O allows a 

physician to receive a Medicare 

identification number (without being 

approved for billing privileges) for the 

sole purpose of ordering and referring 

beneficiaries to Medicare approved 

providers and suppliers. This new 

Medicare application form allows 

physicians who do not provide services 

to Medicare beneficiaries to be given a 

Medicare identification number without 

having to supply all the data required 

for the submission of Medicare claims. 

It also allows the Medicare program to 

identify ordering and referring 

physicians without having to validate 

the amount of data necessary to 

determine claims payment eligibility 

(such as banking information), while 

continuing to identify the physician’s 

credentials as valid for ordering and 

referring purposes. Form Number: 

CMS–855(O) (OMB#: 0938–NEW0685); 

Frequency: Yearly; Affected Public: 

Private Sector; Business or other forprofit and not-for-profit institutions; 

Number of Respondents: 48,000; Total 

Annual Responses: 48,000; Total 

Annual Hours: 46,000 (For policy 

questions regarding this collection 

contact Kim McPhillips at 410–786– 

5374. For all other issues call 410–786– 

1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web site 

at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office at 410–786– 

1326. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by May 10, 2011: 

1. Electronically. You may submit 

your comments electronically to http:// 

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) accepting comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: March 4, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–5684 Filed 3–10–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–3246–N] 

Medicare Program; Meeting of the 

Medicare Evidence Development and 

Coverage Advisory Committee, May 

11, 2011 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice of meeting. 

SUMMARY: This notice announces that a 

public meeting of the Medicare 

Evidence Development & Coverage 

Advisory Committee (MEDCAC) 

(‘‘Committee’’). The Committee generally 

provides advice and recommendations 

concerning the adequacy of scientific 

evidence needed to determine whether 

certain medical items and services can 

be covered under the Medicare statute. 

This meeting will focus on the currently 

available evidence regarding the 

outcomes associated with the use of 

unilateral and bilateral cochlear implant 

technology for hearing loss. This 

meeting is open to the public in 

accordance with the Federal Advisory 

Committee Act (5 U.S.C. App. 2, section 

10(a)). 

DATES: Meeting Date: The public 

meeting will be held on Wednesday, 

May 11, 2011 from 7:30 a.m. until 4:30 

p.m., eastern daylight time (e.d.t.). 

Deadline for Submission of Written 

Comments: Written comments must be 

received at the address specified in the 

ADDRESSES section of this notice by 5 

p.m. e.d.t., Monday, April 11, 2011. 

Once submitted, all comments are final. 

Deadlines for Speaker Registration 

and Presentation Materials: The 


srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 76, No. 48 / Friday, March 11, 2011 / Notices 13419 

deadline to register to be a speaker and 

to submit power point presentation 

materials and writings that will be used 

in support of an oral presentation, is 5 

p.m., e.d.t. on Monday, April 11, 2011. 

Speakers may register by phone or via 

e-mail by contacting the person listed in 

the FOR FURTHER INFORMATION CONTACT

section of this notice. Presentation 

materials must be received at the 

address specified in the ADDRESSES

section of this notice. 

Deadline for All Other Attendees 

Registration: To attend the meeting in 

person, individuals may register online 

at http://www.cms.gov/apps/events/ or 

by phone by contacting the person listed 

in the FOR FURTHER INFORMATION

CONTACT section of this notice by 5 p.m. 

e.d.t, Friday, May 6, 2011. We will be 

broadcasting the meeting via Webinar. 

To attend via Webinar, you must 

register at https://webinar.cms.hhs.gov/

cochlearimplant/event/registration.html 

by 5 p.m. e.d.t, Friday, May 6, 2011. 

Deadline for Submitting a Request for 

Special Accommodations: Persons 

attending the meeting who are hearing 

or visually impaired, or have a 

condition that requires special 

assistance or accommodations, are 

asked to contact the Executive Secretary 

as specified in the FOR FURTHER

INFORMATION CONTACT section of this 

notice no later than 5 p.m., e.d.t. Friday, 

April 29, 2011. 

ADDRESSES: Meeting Location: The 

meeting will be held in the main 

auditorium of the Centers for Medicare 

& Medicaid Services, 7500 Security 

Boulevard, Baltimore, MD 21244. 

Submission of Presentations and 

Comments: Presentation materials and 

written comments that will be presented 

at the meeting must be submitted via email to 

MedCACpresentations@cms.hhs.gov or 

by regular mail to the contact listed in 

the FOR FURTHER INFORMATION CONTACT

section of this notice by the date 

specified in the DATES section of this 

notice. 

FOR FURTHER INFORMATION CONTACT: 

Maria Ellis, Executive Secretary for 

MEDCAC, Centers for Medicare & 

Medicaid Services, Office of Clinical 

Standards and Quality, Coverage and 

Analysis Group, S3–02–01, 7500 

Security Boulevard, Baltimore, MD 

21244 or contact Ms. Ellis by phone 

(410–786–0309) or via e-mail at 

Maria.Ellis@cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

I. Background 

MEDCAC, formerly known as the 

Medicare Coverage Advisory Committee 

(MCAC), provides advice and 

recommendations to CMS regarding 

clinical issues. (For more information 

on MCAC, see the December 14, 1998 

Federal Register (63 FR 68780).) This 

notice announces the May 11, 2011 

public meeting of the Committee. 

During this meeting, the Committee will 

discuss the currently available evidence 

regarding the outcomes associated with 

the use of unilateral and bilateral 

cochlear implant technology for hearing 

loss. Background information about this 

topic, including panel materials, is 

available at http://www.cms.gov/ 

medicare-coverage-database/indexes/ 

medcac-meetingsindex.aspx?bc=BAAAAAAAAAAA&. 

CMS will no longer be providing paper 

copies of the handouts for the meeting. 

Electronic copies of all the meeting 

materials will be on the CMS Web site 

no later than 2 business days before the 

meeting. We encourage the participation 

of appropriate organizations with 

expertise in the use of cochlear implant 

technology for hearing loss. 

II. Meeting Format 

This meeting is open to the public. 

The Committee will hear oral 

presentations from the public for 

approximately 45 minutes. Time 

allotted for each presentation may be 

limited. If the number of registrants 

requesting to speak is greater than can 

be reasonably accommodated during the 

scheduled open public hearing session, 

CMS may conduct a lottery to determine 

the speakers for the scheduled open 

public hearing session. The contact 

person will notify interested persons 

regarding their request to speak by April 

15, 2011. Your comments should focus 

on issues specific to the list of topics 

that we have proposed to the 

Committee. The list of research topics to 

be discussed at the meeting will be 

available on the following Web site 

prior to the meeting: http://

www.cms.gov/medicare-coveragedatabase/indexes/medcac-meetingsindex.aspx?bc=BAAAAAAAAAAA&. 

We require that you declare at the 

meeting whether you have any financial 

involvement with manufacturers (or 

their competitors) of any items or 

services being discussed. 

The Committee will deliberate openly 

on the topics under consideration. 

Interested persons may observe the 

deliberations, but the Committee will 

not hear further comments during this 

time except at the request of the 

chairperson. The Committee will also 

allow a 15-minute unscheduled open 

public session for any attendee to 

address issues specific to the topics 

under consideration. At the conclusion 

of the day, the members will vote and 

the Committee will make its 

recommendation(s) to CMS. 

III. Registration Instructions 

CMS’ Coverage and Analysis Group is 

coordinating meeting registration. While 

there is no registration fee, individuals 

must register to attend. To attend in 

person, you may register online at 

http://www.cms.gov/apps/events/ or by 

phone by contacting the person listed in 

the FOR FURTHER INFORMATION CONTACT

section of this notice by the deadline 

listed in the DATES section of this notice. 

Please provide your full name (as it 

appears on your state-issued driver’s 

license), address, organization, 

telephone, fax number(s), and e-mail 

address. You will receive a registration 

confirmation with instructions for your 

arrival at the CMS complex or you will 

be notified the seating capacity has been 

reached. To attend via Webinar, you 

must register for the Webinar portion of 

the meeting at https:// 

webinar.cms.hhs.gov/cochlearimplant/ 

event/registration.html by the deadline 

listed in the DATES section of this notice. 

IV. Security, Building, and Parking 

Guidelines 

This meeting will be held in a Federal 

government building; therefore, Federal 

security measures are applicable. We 

recommend that confirmed registrants 

arrive reasonably early, but no earlier 

than 45 minutes prior to the start of the 

meeting, to allow additional time to 

clear security. Security measures 

include the following: 

• Presentation of government-issued 

photographic identification to the 

Federal Protective Service or Guard 

Service personnel. 

• Inspection of vehicle’s interior and 

exterior (this includes engine and trunk 

inspection) at the entrance to the 

grounds. Parking permits and 

instructions will be issued after the 

vehicle inspection. 

• Inspection, via metal detector or 

other applicable means of all persons 

brought entering the building. We note 

that all items brought into CMS, 

whether personal or for the purpose of 

presentation or to support a 

presentation, are subject to inspection. 

We cannot assume responsibility for 

coordinating the receipt, transfer, 

transport, storage, set-up, safety, or 

timely arrival of any personal 

belongings or items used for 

presentation or to support a 

presentation. 

Note: Individuals who are not registered in 

advance will not be permitted to enter the 

building and will be unable to attend the 

meeting. The public may not enter the 

building earlier than 45 minutes prior to the 


srobinson on DSKHWCL6B1PROD with NOTICES
13420 Federal Register / Vol. 76, No. 48 / Friday, March 11, 2011 / Notices 

convening of the meeting. All visitors must 

be escorted in areas other than the lower and 

first floor levels in the Central Building. 

Authority: 5 U.S.C. App. 2, section 10(a). 

(Catalog of Federal Domestic Assistance 

Program No. 93.773, Medicare—Hospital 

Insurance; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: March 7, 2011. 

Dennis Wagner, 

Acting Director, Office of Clinical Standards 

and Quality, Centers for Medicare & Medicaid 

Services. 

[FR Doc. 2011–5679 Filed 3–10–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

Periodically, the Health Resources 

and Services Administration (HRSA) 

publishes abstracts of information 

collection requests under review by the 

Office of Management and Budget 

(OMB), in compliance with the 

Paperwork Reduction Act of 1995 (44 

U.S.C. Chapter 35). To request a copy of 

the clearance requests submitted to 

OMB for review, e-mail 

paperwork@hrsa.gov or call the HRSA 

Reports Clearance Office on (301) 443– 

1129. 

The following request has been 

submitted to the Office of Management 

and Budget for review under the 

Paperwork Reduction Act of 1995: 

Proposed Project: Rural Health 

Community-Based Grant Program 

(OMB No. 0915–0319)—[Revision] 

On May 20, 2008, OMB approved the 

agency’s request for the collection of 

data related to OMB No. 0915–0319 and 

set an expiration date of May 31, 2011. 

The agency is now proceeding to submit 

a revised package which will include 

program specific measures that grantees 

will have to collect and report on. The 

revisions will include measures that are 

aligned with the agency’s updated 

clinical measures. There are currently 

six rural health grant programs that 

operate under the authority of Section 

301 of the Public Health Service (PHS) 

Act. These programs include: (1) Rural 

Health Care Services Outreach Grant 

Program (Outreach); (2) Rural Health 

Network Development Grant Program 

(Network Development); (3) Small 

Healthcare Provider Quality Grant 

Program (Quality); (4) Delta States Rural 

Development Network Grant Program 

(Delta); (5) Rural Health Network 

Planning Grant Program (Network 

Planning) and; (6) Rural Health 

Workforce Development Grant Program 

(Workforce). These grants are to provide 

expanded delivery of health care 

services in rural areas, for the planning 

and implementation of integrated health 

care networks in rural areas, and for the 

planning and implementation quality 

improvement and workforce activities. 

For these programs, performance 

measures were drafted to provide data 

useful to the programs and to enable 

HRSA to provide aggregate program data 

required by Congress under the 

Government Performance and Results 

Act (GPRA) of 1993. These measures 

cover the principal topic areas of 

interest to ORHP, including: (a) Access 

to care; (b) the underinsured and 

uninsured; (c) workforce recruitment 

and retention; (d) sustainability; (e) 

health information technology; (f) 

network development; and, (g) health 

related clinical measures. Several 

measures will be used for all six 

programs. All measures will speak to 

the Office of Rural Health Policy’s 

progress toward meeting its goals. 

The annual estimate of burden is as 

follows: 

Grant program Number of 

respondents 

Frequency of 

responses 

Total 

responses 

Hours per 

response 

Total hour 

burden 

Rural Health Care Services Outreach Grant Program ........ 111 1 111 3 .25 360 .75 

Rural Health Network Development .................................... 49 1 49 2 .75 134 .75 

Delta States Rural Development Network Grant Program .. 12 1 12 3 .125 38 

Small Health Care Provider Quality Improvement Grant 

Program ............................................................................ 59 1 59 8 472 

Network Development Planning Grant Program ................. 30 1 30 1 30 

Rural Health Workforce Development Program .................. 20 1 20 3 60 

Total .............................................................................. 281 ........................ 281 ........................ 1096 

Written comments and 

recommendations concerning the 

proposed information collection should 

be sent within 30 days of this notice to 

the desk officer for HRSA, either by 

e-mail to 

OIRA_submission@omb.eop.gov or by 

fax to 202–395–6974. Please direct all 

correspondence to the ‘‘attention of the 

desk officer for HRSA.’’ 

Dated: March 7, 2011. 

Reva Harris, 

Acting Director, Division of Policy and 

Information Coordination. 

[FR Doc. 2011–5602 Filed 3–10–11; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

Periodically, the Health Resources 

and Services Administration (HRSA) 

publishes abstracts of information 

collection requests under review by the 

Office of Management and Budget 

(OMB), in compliance with the 

Paperwork Reduction Act of 1995 (44 

U.S.C. Chapter 35). To request a copy of 

the clearance requests submitted to 

OMB for review, e-mail 

paperwork@hrsa.gov or call the HRSA 

Reports Clearance Office on (301) 443– 

1129. 

The following request has been 

submitted to the Office of Management 

and Budget for review under the 

Paperwork Reduction Act of 1995: 

Proposed Project: The Division of 

Independent Review Grant Reviewer 

Recruitment Form (OMB No. 0915– 

0295)—Extension 

HRSA’s Division of Independent 

Review (DIR) is responsible for carrying 

out the independent and objective 

review of all eligible applications 

submitted to HRSA. DIR ensures that 

the independent review process is 

efficient, effective, economical, and 

complies with statutes, regulations, and 


srobinson on DSKHWCL6B1PROD with NOTICES