32664 Federal Register / Vol. 78, No. 105 / Friday, May 31, 2013 / Notices 

TEACHING HOSPITALS CLOSURE—Continued 

Provider No. Provider name City and state CBSA 

code Terminating date 

IME Cap (including 

+/¥ MMA Sec. 422 1

and +/¥ ACA Sec. 

5503 2 Adjustments) 

Direct GME Cap 

(including +/¥ MMA 

Sec. 422 1 and +/¥ 

ACA Sec. 5503 2

Adjustments) 

390108 ......... Montgomery Hospital Morris-town, PA ....... 37964 October 16, 2012 ..... 17.16¥0.60 = 

16.56 5.

15.33. 

1Section 422 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Pub. L. 108–173, redistributed unused 

residency slots effective July 1, 2005. 2Section 5503 of the Affordable Care Act, Public Law 111–148, redistributed unused slots effective July 1, 2011. 

3 Infirmary West’s 1996 IME FTE cap is 10.08. Under section 422 of the MMA, the hospital received an increase of 21.66 to its IME FTE cap: 

10.08 + 21.66 = 31.74. We note that, under 42 CFR 412.105(d)(4), IME FTE cap slots associated with an increase received under section 422 of 

the MMA are to be paid using a special multiplier of 0.66. 4 Infirmary West’s 1996 direct GME FTE cap is 10.08. Under section 422 of the MMA, the hospital received an increase of 21.76 to its direct 

GME FTE cap: 10.08 + 21.76 = 31.84. We note that under 42 CFR 413.77(g), direct GME FTE cap slots associated with an increase received 

under section 422 of the MMA are to be paid using the appropriate locality-adjusted national average per resident amount (PRA). 5 Montgomery Hospital’s 1996 IME FTE cap is 17.16. Under section 5503 of the ACA, the IME FTE cap was reduced by 0.60: 17.16¥0.60 = 

16.56. 

b. Application Process for Available 

Resident Slots 

The application period for hospitals 

to apply for slots under section 5506 of 

the Affordable Care Act is 90 days 

following notification to the public of a 

hospital closure. Therefore, hospitals 

wishing to apply for and receive slots 

from the above hospitals’ FTE resident 

caps must submit applications directly 

to the CMS Central Office no later than 

August 29, 2013. In previous rounds of 

section 5506 of the Affordable Care Act, 

hospitals submitted applications to their 

respective CMS Regional Office. 

However, under this round (Round 5), 

hospitals need not submit applications 

to their respective CMS Regional Office. 

The mailing address for the CMS 

Central Office is included on the 

application form. Applications must be 

received by the August 29, 2013 

deadline date. It is not sufficient for 

applications to be postmarked by this 

date. After an applying hospital sends a 

hard copy of a section 5506 application 

to the CMS Central Office mailing 

address, we strongly encourage the 

hospital to send an email to: 

ACA5506application@cms.hhs.gov. In 

the email, the hospital should state: ‘‘I 

am sending this email to notify CMS 

that I have mailed a hard copy of a 

section 5506 application to CMS.’’ An 

applying hospital should not attach an 

electronic copy of the application to the 

email. The email will only serve to 

notify CMS Central Office that a hard 

copy application has been mailed to 

CMS Central Office. 

In the CY 2011 OPPS/ASC final rule 

with comment period, we did not 

establish a deadline by when CMS 

would issue the final determinations to 

hospitals that receive slots under 

section 5506 of the Affordable Care Act. 

However, we will review all 

applications received by the deadline, 

and notify applicants of our 

determinations as soon as possible. 

We refer readers to the CMS Web site 

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

Medicare-Fee-for-Service-Payment/ 

AcuteInpatientPPS/dgme.html to 

download a copy of the application 

form (Section 5506 CMS Application 

Form) that hospitals are to use to apply 

for slots under section 5506 of the 

Affordable Care Act. We also refer 

readers to this same Web site to access 

a copy of the CY 2011 OPPS/ASC final 

rule with comment period, a copy of the 

FY 2013 IPPS/LTCH PPS final rule (77 

FR 53434 through 53447), and a list of 

additional section 5506 guidelines for 

an explanation of the policy and 

procedures for applying for slots, and 

the redistribution of the slots under 

sections 1886(h)(4)(H)(vi) and 

1886(d)(5)(B)(v) of the Act. 

III. Collection of Information 

Requirements 

This document does not impose 

information collection and 

recordkeeping requirements. 

Consequently, it need not be reviewed 

by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. chapter 35). Furthermore, the 

information collection requirements 

associated with the preservation of 

resident cap positions from closed 

hospitals are not subject to the 

Paperwork Reduction Act, as stated in 

section 5506 of the Affordable Care Act. 

(Catalog of Federal Domestic Assistance 

Program No. 93.773 Medicare—Hospital 

Insurance Program; and No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: May 24, 2013. 

Marilyn Tavenner, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2013–12952 Filed 5–30–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–7029–N] 

Medicare, Medicaid, and Children’s 

Health Insurance Programs; Meeting of 

the Advisory Panel on Outreach and 

Education (APOE), June 24, 2013 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice of meeting. 

SUMMARY: This notice announces a 

meeting of the Advisory Panel on 

Outreach and Education (APOE) (the 

Panel) in accordance with the Federal 

Advisory Committee Act. The Panel 

advises and makes recommendations to 

the Secretary of Health and Human 

Services and the Administrator of the 

Centers for Medicare & Medicaid 

Services on opportunities to enhance 

the effectiveness of consumer education 

strategies concerning Medicare, 

Medicaid and the Children’s Health 

Insurance Program (CHIP). This meeting 

is open to the public. 

DATES: Meeting Date: Monday, June 24, 

2013, 8:30 a.m. to 4:00 p.m. Eastern 

Standard Time (EST). 

Deadline for Meeting Registration, 

Presentations and Comments: Monday, 

June 10, 2013, 5:00 p.m., EST. 

Deadline for Requesting Special 

Accommodations: Monday, June 10, 

2013, 5:00 p.m., EST. 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 105 / Friday, May 31, 2013 / Notices 32665 

ADDRESSES: Meeting Location: The 

Hilton Garden Inn, 7301 Waverly Street, 

Bethesda, MD 20814. 

Presentations and Written Comments: 

Kirsten Knutson, Acting Designated 

Federal Official (DFO), Division of 

Forum and Conference Development, 

Office of Communications, Centers for 

Medicare & Medicaid Services, 7500 

Security Boulevard, Mailstop S1–13–05, 

Baltimore, MD 21244–1850 or contact 

Ms. Knutson via email at 

Kirsten.Knutson@cms.hhs.gov. 

Registration: The meeting is open to 

the public, but attendance is limited to 

the space available. Persons wishing to 

attend this meeting must register at the 

Web site http://events.SignUp4.com/ 

APOEJUN2013MTG or by contacting the 

DFO at the address listed in the 

ADDRESSES section of this notice or by 

telephone at number listed in the FOR

FURTHER INFORMATION CONTACT section of 

this notice, by the date listed in the 

DATES section of this notice. Individuals 

requiring sign language interpretation or 

other special accommodations should 

contact the DFO at the address listed in 

the ADDRESSES section of this notice by 

the date listed in the DATES section of 

this notice. 

FOR FURTHER INFORMATION CONTACT: 

Kirsten Knutson, (410) 786–5886. 

Additional information about the APOE 

is available on the Internet at: http:// 

www.cms.gov/Regulations-and 

Guidance/Guidance/FACA/APOE.html. 

Press inquiries are handled through the 

CMS Press Office at (202) 690–6145. 

SUPPLEMENTARY INFORMATION: In 

accordance with section 10(a) of the 

Federal Advisory Committee Act 

(FACA), this notice announces a 

meeting of the Advisory Panel on 

Outreach and Education (APOE) (the 

Panel). Section 9(a)(2) of the Federal 

Advisory Committee Act authorizes the 

Secretary of Health and Human Services 

(the Secretary) to establish an advisory 

panel if the Secretary determines that 

the panel is ‘‘in the public interest in 

connection with the performance of 

duties imposed . . . by law.’’ Such 

duties are imposed by section 1804 of 

the Social Security Act (the Act), 

requiring the Secretary to provide 

informational materials to Medicare 

beneficiaries about the Medicare 

program, and section 1851(d) of the Act, 

requiring the Secretary to provide for 

‘‘activities . . . to broadly disseminate 

information to [M]edicare beneficiaries 

. . . on the coverage options provided 

under [Medicare Advantage] in order to 

promote an active, informed selection 

among such options.’’ 

The Panel is also authorized by 

section 1114(f) of the Act (42 U.S.C. 

1314(f)) and section 222 of the Public 

Health Service Act (42 U.S.C. 217a). The 

Secretary signed the charter establishing 

this Panel on January 21, 1999 (64 FR 

7899, February 17, 1999) and approved 

the renewal of the charter on January 21, 

2011 (76 FR 11782, March 3, 2011). 

Pursuant to the amended charter, the 

Panel advises and makes 

recommendations to the Secretary of 

Health and Human Services and the 

Administrator of the Centers for 

Medicare & Medicaid Services (CMS) 

concerning optimal strategies for the 

following: 

• Developing and implementing 

education and outreach programs for 

individuals enrolled in, or eligible for, 

Medicare, Medicaid and the Children’s 

Health Insurance Program (CHIP). 

• Enhancing the federal government’s 

effectiveness in informing Medicare, 

Medicaid and CHIP consumers, 

providers and stakeholders pursuant to 

education and outreach programs of 

issues regarding these and other health 

coverage programs, including the 

appropriate use of public-private 

partnerships to leverage the resources of 

the private sector in educating 

beneficiaries, providers and 

stakeholders. 

• Expanding outreach to vulnerable 

and underserved communities, 

including racial and ethnic minorities, 

in the context of Medicare, Medicaid 

and CHIP education programs. 

• Assembling and sharing an 

information base of ‘‘best practices’’ for 

helping consumers evaluate health plan 

options. 

• Building and leveraging existing 

community infrastructures for 

information, counseling and assistance. 

• Drawing the program link between 

outreach and education, promoting 

consumer understanding of health care 

coverage choices and facilitating 

consumer selection/enrollment, which 

in turn support the overarching goal of 

improved access to quality care, 

including prevention services, 

envisioned under health care reform. 

The current members of the Panel are: 

Samantha Artiga, Principal Policy 

Analyst, Kaiser Family Foundation; 

Joseph Baker, President, Medicare 

Rights Center; Philip Bergquist, 

Manager, Health Center Operations, 

CHIPRA Outreach & Enrollment Project 

and Director, Michigan Primary Care 

Association; Marjorie Cadogan, 

Executive Deputy Commissioner, 

Department of Social Services; Jonathan 

Dauphine, Senior Vice President, AARP; 

Barbara Ferrer, Executive Director, 

Boston Public Health Commission; 

Shelby Gonzales, Senior Health 

Outreach Associate, Center on Budget & 

Policy Priorities; Jan Henning, Benefits 

Counseling & Special Projects 

Coordinator, North Central Texas 

Council of Governments’ Area Agency 

on Aging; Warren Jones, Executive 

Director, Mississippi Institute for 

Improvement of Geographic Minority 

Health; Cathy Kaufmann, Administrator, 

Oregon Health Authority; Sandy 

Markwood, Chief Executive Officer, 

National Association of Area Agencies 

on Aging; Miriam Mobley-Smith, Dean, 

Chicago State University, College of 

Pharmacy; Ana Natale-Pereira, 

Associate Professor of Medicine, 

University of Medicine & Dentistry of 

New Jersey; Megan Padden, Vice 

President, Sentara Health Plans; David 

W. Roberts, Vice-President, Healthcare 

Information and Management System 

Society; Julie Bode ̈n Schmidt, Associate 

Vice President, National Association of 

Community Health Centers; Alan 

Spielman, President & Chief Executive 

Officer, URAC; Winston Wong, Medical 

Director, Community Benefit Director, 

Kaiser Permanente and Darlene YeeMelichar, Professor & Coordinator, San 

Francisco State University. 

The agenda for the June 24, 2013 

meeting will include the following: 

• Welcome and Listening Session with 

CMS Leadership 

• Recap of the Previous (March 27, 

2013) Meeting 

• Affordable Care Act Initiatives 

• An Opportunity for Public Comment 

• Meeting Summary, Review of 

Recommendations and Next Steps 

Individuals or organizations that wish 

to make a 5-minute oral presentation on 

an agenda topic should submit a written 

copy of the oral presentation to the DFO 

at the address listed in the ADDRESSES

section of this notice by the date listed 

in the DATES section of this notice. The 

number of oral presentations may be 

limited by the time available. 

Individuals not wishing to make a 

presentation may submit written 

comments to the DFO at the address 

listed in the ADDRESSES section of this 

notice by the date listed in the DATES

section of this notice. 

Authority: Sec. 222 of the Public Health 

Service Act (42 U.S.C. 217a) and sec. 10(a) 

of Pub. L. 92–463 (5 U.S.C. App. 2, sec. 10(a) 

and 41 CFR 102–3). 

(Catalog of Federal Domestic Assistance 

Program No. 93.733, Medicare—Hospital 

Insurance Program; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 


tkelley on DSK3SPTVN1PROD with NOTICES
32666 Federal Register / Vol. 78, No. 105 / Friday, May 31, 2013 / Notices 

Dated: May 23, 2013. 

Marilyn Tavenner, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2013–12953 Filed 5–30–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Unaccompanied Refugee Minor 

Placement and Outcomes Reports; ORR– 

3 and ORR–4. 

OMB No.: 0970–0034. 

Description: The two reports collect 

information necessary to administer the 

Unaccompanied Refugee Minor (URM) 

program. The ORR–3 (Placement 

Report) is submitted to the Office of 

Refugee Resettlement (ORR) by the State 

agency at initial placement within 30 

days of the placement, and whenever 

there is a change in the child’s status, 

including termination from the program, 

within 60 days of the change or closure 

of the case. The ORR–4 (Outcomes 

Report) is submitted within 

approximately 12 months of the initial 

placement and each subsequent 12 

months to record outcomes of the 

child’s progress toward the goals listed 

in the child’s case plan and particularly 

for youth 17 years of age and above 

related to independent living and/or 

educational plans. ORR–4 is also 

submitted as a baseline report along 

with the initial ORR–3 report for 17 

years old and above youth, and as a 

follow-up annual report for cases that 

have terminated and are 17 to 21 years 

old. ORR regulations at 45 CFR 400.120 

describes specific URM program 

reporting requirements. 

Respondents: State governments. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden hours 

ORR–3 ....................................... 15 Estimate responses 75 ................ 0.25 (15 Minutes) ...................... Estimated 281.25 

ORR–4 ....................................... 15 Estimate responses 119 .............. 1.5 (1 Hour and 30 Minutes) ..... Estimated 2,677.5 

Estimated Total Annual Burden 

Hours: 2,958.75. 

Additional Information: Copies of the 

proposed collection may be obtained by 

writing to the Administration for 

Children and Families, Office of 

Planning, Research and Evaluation, 370 

L’Enfant Promenade SW., Washington, 

DC 20447, Attn: ACF Reports Clearance 

Officer. All requests should be 

identified by the title of the information 

collection. Email address: 

infocollection@acf.hhs.gov. 

OMB Comment: OMB is required to 

make a decision concerning the 

collection of information between 30 

and 60 days after publication of this 

document in the Federal Register. 

Therefore, a comment is best assured of 

having its full effect if OMB receives it 

within 30 days of publication. Written 

comments and recommendations for the 

proposed information collection should 

be sent directly to the following: Office 

of Management and Budget, Paperwork 

Reduction Project, Fax: 202–395–7285, 

Email: 

OIRA_SUBMISSION@OMB.EOP.GOV. 

Attn: Desk Officer for the 

Administration for Children and 

Families. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2013–12875 Filed 5–30–13; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Title: Job Search Assistance (JSA) 

Strategies Evaluation. 

OMB No.: New Collection. 

Description: The Administration for 

Children and Families (ACF) is 

proposing an information collection 

activity as part of the Job Search 

Assistance (JSA) Strategies Evaluation. 

The proposed information collection 

consists of semi-structured interviews 

with key respondents involved with job 

search assistance programs in states and 

localities. Through this information 

collection and other study activities, 

ACF seeks to identify the types of job 

search assistance strategies that should 

be tested within the context of current 

TANF policies and requirements. 

Respondents: State and local TANF 

administrators, program staff, and 

stakeholders such as researchers and 

policy experts. 

ANNUAL BURDEN ESTIMATES

Instrument 

Total number 

of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total 

burden hours 

Annual 

burden hours 

Discussion Guide for Use with Researchers and Policy 

Experts ....................................................................... 15 1 1 15 7 .5 

Discussion Guide for use with State and Local TANF 

Administrators ............................................................. 35 1 2 .5 87 .5 43 .75 

Discussion Guide for Use with Program Staff ............... 50 1 2 100 50 

Estimated Total Annual Burden 

Hours: 101.25. 

In compliance with the requirements 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Administration for Children and 


tkelley on DSK3SPTVN1PROD with NOTICES