### 10163 Federal Register / Vol. 79, No. 36 / Monday, February 24, 2014 / Notices

accredited provider entities to meet requirements that are at least as stringent as the Medicare conditions.

II. Approval of Deeming Organizations

Section 1865(a)(2) of the Act and our regulations at § 488.8(a) require that our findings concerning review and approval of a national accrediting organization’s requirements consider, among other factors, the applying accrediting organization’s requirements for accreditation; survey procedures; resources for conducting required surveys; capacity to furnish information for use in enforcement activities; monitoring procedures for provider entities found not in compliance with the conditions or requirements; and ability to provide CMS with the necessary data for validation.

Section 1865(a)(3)(A) of the Act further requires that we publish, within 60 days of receipt of an organization’s complete application, a notice identifying the national accrediting body making the request, describing the nature of the request, and providing at least a 30-day public comment period. We have 210 days from the receipt of a complete application to publish notice of approval or denial of the application.

The purpose of this proposed notice is to inform the public of The Compliance Team’s request for initial CMS approval of its RHC accreditation program. This notice also solicits public comment on whether The Compliance Team’s requirements meet or exceed the
Medicare conditions for certification for RHC. We originally published a notice on September 20, 2013 (78 FR 57857). The application described in the notice was withdrawn at the request of the applicant. This document notifies the public that The Compliance Team resubmitted its RHC application for

review.

III. Evaluation of Deeming Authority Request

The Compliance Team submitted all the necessary materials to enable us to make a determination concerning its request for initial approval of its RHC accreditation program. This application was determined to be complete on January 2, 2014. Under section 1865(a)(2) of the Act and our regulations at § 488.8 (federal review of accrediting organizations), our review and evaluation of The Compliance Team will be conducted in accordance with, but not necessarily limited to, the following factors:

• The equivalency of The Compliance Team’s standards for RHCs as compared
with CMS’ RHC conditions for
certification. • The Compliance Team’s survey process to determine the following:

++ The composition of the survey team, surveyor qualifications, and the ability of the organization to provide continuing surveyor training.

++ The comparability of The Compliance Team’s processes to those of state survey agencies, including survey frequency, and the ability to investigate and respond appropriately to complaints against accredited facilities.

++ The Compliance Team’s processes and procedures for monitoring a RHC found out of compliance with The Compliance Team’s program requirements. These monitoring procedures are used only when The Compliance Team identifies noncompliance. If noncompliance is identified through validation reviews or complaint surveys, the state survey agency monitors corrections as specified at § 488.7(d).

++ The Compliance Team’s capacity to report deficiencies to the surveyed facilities and respond to the facility’s plan of correction in a timely manner.

++ The Compliance Team’s capacity to provide CMS with electronic data and reports necessary for effective validation and assessment of the organization’s

survey process.

++ The adequacy of The Compliance Team’s staff and other resources, and its financial viability.

++ The Compliance Team’s capacity to adequately fund required surveys.

++ The Compliance Team’s policies with respect to whether surveys are announced or unannounced, to assure that surveys are unannounced.

++ The Compliance Team’s agreement to provide CMS with a copy of the most current accreditation survey together with any other information related to the survey as CMS may require (including corrective action plans).

IV. 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. 35).

V. Response to Public Comments

Because of the large number of public comments we normally receive on Federal Register documents, we are not able to acknowledge or respond to them individually. We will consider all comments we receive by the date and time specified in the **DATES** section of this preamble, and, when we proceed with a subsequent document, we will respond to the comments in the preamble to that document.

Upon completion of our evaluation, including evaluation of comments received as a result of this notice, we will publish a final notice in the Federal Register announcing the result of our
evaluation.

(Catalog of Federal Domestic Assistance Program No. 93.778, Medical Assistance Program; No. 93.773 Medicare—Hospital Insurance Program; and No. 93.774, Medicare—Supplementary Medical Insurance Program)

Dated: February 18, 2014. Marilyn Tavenner, Administrator, Centers for Medicare &
Medicaid Services.

[FR Doc. 2014–03905 Filed 2–21–14; 8:45 am]

**BILLING CODE 4120–01–P**

**DEPARTMENT OF HEALTH AND**
**HUMAN SERVICES**

**Centers for Medicare & Medicaid**
**Services**

**[CMS–1603–N]**

**Medicare Program; Public Meetings in**
**Calendar Year 2014 for All New Public Requests for Revisions to the**  **Healthcare Common Procedure Coding System (HCPCS) Coding and Payment** 
**Determinations**

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

**ACTION :**  Notice.

**SUMMARY :**  This notice announces the dates, time, and location of the Healthcare Common Procedure Coding System (HCPCS) public meetings to be held in calendar year 2014 to discuss our preliminary coding and payment determinations for all new public requests for revisions to the HCPCS. These meetings provide a forum for interested parties to make oral presentations or to submit written comments in response to preliminary coding and payment determinations.
The discussion will be focused on responses to our specific preliminary
recommendations and will include all items on the public meeting agenda.

**DATES :**  Meeting Dates: The following are the 2014 HCPCS public meeting dates:

1. Tuesday, May 20, 2014, 9 a.m. to 5 p.m. eastern daylight time (e.d.t.) (Drugs/Biologicals/ Radiopharmaceuticals/Radiologic Imaging Agents).

2. Wednesday, May 21, 2014, 9 a.m. to 5 p.m. e.d.t. (Drugs/Biologicals/


### 10164 Federal Register / Vol. 79, No. 36 / Monday, February 24, 2014 / Notices

Radiopharmaceuticals/Radiologic Imaging Agents).

3. Wednesday, May 28, 2014, 9 a.m. to 5 p.m. e.d.t. (Supplies and Other).

4. Tuesday, June 3, 2014, 9 a.m. to 5 p.m. e.d.t. Durable Medical Equipment (DME) and Accessories; and Orthotics and Prosthetics (O&P).

Deadlines for Primary Speaker Registration and Presentation Materials: The deadline for registering to be a primary speaker and submitting materials and writings that will be used in support of an oral presentation are as
follows:

• May 6, 2014 for the May 20, 2014 and May 21, 2014 public meetings.

• May 14, 2014 for the May 28, 2014 public meeting.

• May 21, 2014 for the June 3, 2014 public meeting.

Registration Deadline for Attendees that are Foreign Nationals: Attendees that are foreign nationals (as described in section IV. of this notice) are required to identify themselves as such, and provide the necessary information for security clearance (as described in section IV. of this notice) to the public meeting coordinator at least 12 business days in advance of the date of the public meeting the individual plans to attend. Therefore, the deadlines for attendees that are foreign nationals are as follows:

• May 5, 2014 for the May 20, 2014 and May 21, 2014 public meetings.

• May 9, 2014 for the May 28, 2014 public meeting.

• May 15, 2014 for the June 3, 2014 public meeting.

Registration Deadlines for all Other
Attendees: All individuals who are not foreign nationals who plan to enter the building to attend the public meeting must register for each date that they plan on attending. The registration deadlines are different for each meeting. Registration deadlines are as follows:

• May 14, 2014 for the May 20, 2014 and May 21, 2014 public meeting dates.

• May 21, 2014 for the May 28, 2014 public meeting date.

• May 27, 2013 for the June 3, 2014 public meeting date.

Deadlines for Requesting Special
Accommodations: Individuals who plan to attend the public meetings and require sign-language interpretation or other special assistance must request these services by the following
deadlines:

• May 13, 2014 for the May 20, 2014 and May 21, 2014 public meetings.

• May 21, 2014 for the May 28, 2014 public meeting.

• May 27, 2014 for the June 3, 2014 public meeting.

Deadline for Submission of Written

Comments: Written comments must be received by the date of the meeting at which the code request is scheduled for
discussion.

**ADDRESSES :**  Meeting Location: The public meetings will be held in the main auditorium of the central building of the
Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244–1850.

Submission of Written Comments: Written comments may either be
emailed to HCPCS@cms.hhs.gov or sent via regular mail to Jennifer Carver or Kimberlee Combs Miller, HCPCS Public Meeting Coordinator, Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Mail Stop C5–08– 27, Baltimore, MD 21244–1850.

Registration and Special
Accommodations: Individuals wishing to participate or who need special accommodations or both must register by completing the on-line registration
located at www.cms.hhs.gov/ medhcpcsgeninfo or by contacting one of the following persons: Jennifer Carver at (410) 786–6610 or Jennifer.Carver@ cms.hhs.gov; or Kimberlee Combs Miller at (410) 786–6707 or Kimberlee.CombsMiller@cms.hhs.gov.

**FOR FURTHER INFORMATION CONTACT :**  Jennifer Carver at (410) 786–6610 or Jennifer.Carver@cms.hhs.gov. Kimberlee Combs Miller at (410) 786–6707 or Kimberlee.CombsMiller@cms.hhs.gov.

**SUPPLEMENTARY INFORMATION :** 
I. Background

On December 21, 2000, the Congress passed the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) (Pub. L. 106–554). Section 531(b) of BIPA mandated that we establish procedures that permit public consultation for coding and payment determinations for new durable medical equipment (DME)
under Medicare Part B of title XVIII of the Social Security Act (the Act). The procedures and public meetings
announced in this notice for new DME are in response to the mandate of section 531(b) of BIPA.

In the November 23, 2001 Federal Register (66 FR 58743), we published a notice providing information regarding the establishment of the public meeting process for DME. It is our intent to distribute any materials submitted to
CMS to the Healthcare Common Procedure Coding System (HCPCS) workgroup members for their
consideration. CMS and the HCPCS workgroup members require sufficient preparation time to review all relevant materials. Therefore, we are implementing a 10-page submission limit and firm deadlines for receipt of any presentation materials a meeting speaker wishes us to consider. For this reason, our HCPCS Public Meeting Coordinators will only accept and review presentation materials received by the deadline for each public meeting, as specified in the ‘‘DATES’’ section of
this notice.

The public meeting process provides an opportunity for the public to become aware of coding changes under consideration, as well as an opportunity for CMS to gather public input.

II. Meeting Registration

A. Required Information for Registration

The following information must be provided when registering:

• Name.

• Company name and address.

• Direct-dial telephone and fax
numbers.

• Email address.

• Special needs information. A CMS staff member will confirm your registration by email.

B. Registration Process

1. Primary Speakers

Individuals must also indicate whether they are the ‘‘primary speaker’’ for an agenda item. Primary speakers must be designated by the entity that submitted the HCPCS coding request. When registering, primary speakers must provide a brief written statement regarding the nature of the information they intend to provide, and advise the HCPCS Public Meeting Coordinator regarding needs for audio/visual support. To avoid disruption of the meeting and ensure compatibility with our systems, tapes and disk files are tested and arranged in speaker sequence well in advance of the meeting. We will accept tapes and disk files that are received by the deadline for submissions for each public meeting as specified in the **DATES** section of this
notice. The sum of all materials including the presentation may not exceed 10 pages (each side of a page counts as 1 page). An exception will be made to the 10-page limit for relevant studies published between the application deadline and the public meeting date, in which case, we would like a copy of the complete publication as soon as possible. This exception applies only to the page limit and not
the submission deadline.

The materials may be emailed or delivered by regular mail to one of the HCPCS Public Meeting Coordinators as specified in the **ADDRESSES** section of
this notice. The materials must be emailed or postmarked no later than the deadline specified in the **DATES** section


### 10165 Federal Register / Vol. 79, No. 36 / Monday, February 24, 2014 / Notices

of this notice. Individuals will need to provide 35 copies if materials are delivered by mail.

2. 5-Minute Speakers

To afford the same opportunity to all attendees, 5-minute speakers are not required to register as primary speakers. However, 5-minute speakers must still register as attendees by the deadline set forth under ‘‘Registration Deadlines for
all Other Attendees’’ in the **DATES** section of this notice. Attendees can sign up only on the day of the meeting to do a 5-minute presentation. Individuals must provide their name, company name and address, contact information as specified on the sign-up sheet, and identify the specific agenda item that they will address.

C. Additional Meeting/Registration Information

We were able this year to combine the Orthotics/Prosthetics and DME meeting into one public meeting date. That public meeting will be Tuesday, June 3,

2014.

The product category reported in the HCPCS code application by the applicant may not be the same as that assigned by us. Prior to registering to attend a public meeting, all participants are advised to review the public meeting agendas at www.cms.hhs.gov/ medhcpcsgeninfo which identify our category determinations, and the dates
each item will be discussed. Draft agendas, including a summary of each request and our preliminary decision will be posted on our HCPCS Web site

at www.cms.hhs.gov/medhcpcsgeninfo at least 4 weeks before each meeting.

Additional details regarding the public meeting process for all new public requests for revisions to the HCPCS, along with information on how to register and guidelines for an effective presentation, will be posted at least 4 weeks before the first meeting
date on the official HCPCS Web site at www.cms.hhs.gov/medhcpcsgeninfo.
The document titled ‘‘Guidelines for Participation in Public Meetings for All New Public Requests for Revisions to
the Healthcare Common Procedure Coding System (HCPCS)’’ will be made
available on the HCPCS Web site at least 4 weeks before the first public meeting in 2014 for all new public requests for
revisions to the HCPCS. Individuals who intend to provide a presentation at a public meeting need to familiarize
themselves with the HCPCS Web site and the valuable information it provides to prospective registrants. The HCPCS
Web site also contains a document titled ‘‘Healthcare Common Procedure Coding System (HCPCS) Level II Coding Procedures,’’ which is a description of the HCPCS coding process, including a detailed explanation of the procedures used to make coding determinations for all the products, supplies, and services
that are coded in the HCPCS.

The HCPCS Web site also contains a
document titled ‘‘HCPCS Decision Tree & Definitions’’ which illustrates, in flow diagram format, HCPCS coding standards as described in our Coding
Procedures document.

A summary of each public meeting will be posted on the HCPCS Web site by the end of August 2014.

III. Presentations and Comment Format

We can only estimate the amount of meeting time that will be needed since it is difficult to anticipate the total number of speakers that will register for each meeting. Meeting participants should arrive early to allow time to clear security and sign-in. Each meeting is expected to begin promptly as scheduled. Meetings may end earlier than the stated ending time.

A. Oral Presentation Procedures

All primary speakers must register as provided under the section titled ‘‘Meeting Registration.’’ Materials and writings that will be used in support of an oral presentation should be
submitted to one of the HCPCS Public Meeting Coordinators.

The materials may be emailed or delivered by regular mail to one of the HCPCS Public Meeting Coordinators as specified in the **ADDRESSES** section of
this notice. The materials must be emailed or postmarked no later than the deadline specified in the **DATES** section of this notice. Individuals will need to include 35 copies if materials are delivered by mail.

B. Primary Speaker Presentations

The individual or entity requesting revisions to the HCPCS coding system for a particular agenda item may designate one ‘‘primary speaker’’ to make a presentation for a maximum of
15 minutes. Fifteen minutes is the total time interval for the presentation, and the presentation must incorporate the demonstration, set-up, and distribution of material. In establishing the public meeting agenda, we may group multiple, related requests under the same agenda item. In that case, we will
decide whether additional time will be allotted, and may opt to increase the amount of time allotted to the speaker by increments of less than 15 minutes.

Individuals designated to be the primary speaker must register to attend the meeting using the registration procedures described under the ‘‘Meeting Registration’’ section of this
notice and contact one of the HCPCS Public Meeting Coordinators, specified
in the **ADDRESSES** section. Primary speakers must also separately register as primary speakers by the date specified
in the **DATES** section of this notice.

C. ‘‘5-Minute’’ Speaker Presentations

Meeting attendees can sign up at the meeting, on a first-come, first-served basis, to make 5-minute presentations on individual agenda items. Based on the number of items on the agenda and the progress of the meeting, a
determination will be made at the meeting by the meeting coordinator and the meeting moderator regarding how many 5-minute speakers can be
accommodated and/or whether the 5-
minute time allocation would be reduced, to accommodate the number of speakers.

D. Speaker Declaration

On the day of the meeting, before the end of the meeting, all primary speakers and 5-minute speakers must provide a brief written summary of their
comments and conclusions to the HCPCS Public Meeting Coordinator.

Every primary speaker and 5-minute speaker must declare at the beginning of their presentation at the meeting, as well as in their written summary, whether they have any financial
involvement with the manufacturers or competitors of any items being discussed; this includes any payment, salary, remuneration, or benefit provided to that speaker by the
manufacturer or the manufacturer’s representatives.

E. Written Comments From Meeting Attendees

Written comments will be accepted from the general public and meeting registrants anytime up to the date of the public meeting at which a request is
discussed. Comments must be sent to
the address listed in the **ADDRESSES** section of this notice.

Meeting attendees may also submit their written comments at the meeting. Due to the close timing of the public meetings, subsequent workgroup reconsiderations, and final decisions, we are able to consider only those comments received in writing by the close of the public meeting at which the request is discussed.

IV. Security, Building, and Parking
Guidelines

The meetings are held within the CMS Complex which is not open to the general public. Visitors to the complex are required to show a valid


### 10166 Federal Register / Vol. 79, No. 36 / Monday, February 24, 2014 / Notices

Government issued photo identification, preferably a driver’s license, at the time of entry. Participants will also be subject to a vehicle security inspection before access to the complex is granted. Participants not in possession of a valid identification or who are in possession of prohibited items will be denied access to the complex. Prohibited items on Federal property include but are not limited to, alcoholic beverages, illegal narcotics, explosives, firearms or other dangerous weapons (including pocket knives), dogs or other animals except service animals. Once cleared for entry to the complex participants will be directed to visitor parking by a security
officer.

In order to ensure expedited entry into the building it is recommended that participants have their ID and a copy of their written meeting registration confirmation readily available and that they do not bring large/bulky items into the building. Participants are reminded that photography on the CMS complex is prohibited. CMS has also been declared a tobacco free campus and violators are subject to legal action. In planning arrival time, we recommend allowing additional time to clear security. 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 before the convening of the meeting each day.

Guest access to the complex is limited to the meeting area, the main lobby, and
the cafeteria. If a visitor is found outside of those areas without proper escort they may be escorted off of the premises. Also be mindful that there will be an opportunity for everyone to speak and we request that everyone waits for the appropriate time to present their product or opinions. Disruptive behavior will not be tolerated and may result in removal from the meetings and escort from the complex. No visitor is allowed to attach USB cables, thumb drives or any other equipment to any CMS information technology (IT) system or hardware for any purpose at anytime. Additionally, CMS staff is prohibited from taking such actions on behalf of a visitor or utilizing any removable media provided by a visitor.

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 demonstration or to support a presentation. Special arrangements and approvals are required at least 2 weeks prior to each public meeting in order to bring pieces of equipment or medical devices. These arrangements need to be made with the public meeting coordinator. It is possible that certain requests made in advance of the public meeting could be denied because of unique safety, security or handling issues related to the equipment. A minimum of 2 weeks is required for approvals and security procedures. Any request not submitted at least 2 weeks in advance of the public meeting will be
denied.

CMS policy requires that every foreign national (as defined by the Department of Homeland Security, a foreign national is ‘‘an individual who is a citizen of any country other than the United States’’) is assigned a host (in accordance with the Department Foreign Visitor Management Policy, Appendix C, Guidelines for Hosts and Escorts). The host/hosting official is required to inform the Division of Critical Infrastructure Protection (DCIP) at least 12 business days in advance of any visit by a foreign national. Foreign nationals will be required to produce a valid passport at the time of entry.

Attendees that are foreign nationals must identify themselves as such, and provide the following information for security clearance to the public meeting coordinator by the date specified in the

**DATES** section of this notice:

• Visitor’s full name (as it appears on passport).

• Gender.

• Country of origin and citizenship.

• Biographical data and related
information.

• Date of birth.

• Place of birth.

• Passport number.

• Passport issue date.

• Passport expiration date.

• Visa Type.

• Visa Number.

• Dates of visits.

• Company Name.

• Position/Title.

Dated: February 10, 2014.
Marilyn Tavenner,
Administrator, Centers for Medicare &
Medicaid Services.

[FR Doc. 2014–03902 Filed 2–21–14; 8:45 am]

**BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND** 
**HUMAN SERVICES**

**Centers for Medicare & Medicaid**
**Services**

**[CMS–7032–N]**

**Health Insurance Marketplace, Medicare, Medicaid, and Children’s**  **Health Insurance Programs; Meeting of the Advisory Panel on Outreach and**  **Education (APOE), March 17, 2014**

**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 Health Insurance Marketplace, Medicare, Medicaid, and
the Children’s Health Insurance Program (CHIP). This meeting is open to the public.

**DATES :**  Meeting Date: Monday, March 17, 2014, 8:30 a.m. to 4:00 p.m. eastern daylight time (e.d.t.).

Deadline for Meeting Registration,
Presentations and Comments: Monday, March 3, 2014, 5:00 p.m., e.d.t.

Deadline for Requesting Special
Accommodations: Monday, March 3, 2014, 5:00 p.m., e.d.t.

**ADDRESSES :** 

Meeting Location: Department of Health & Human Services, Hubert H. Humphrey Building, 200 Independence Avenue SW., Room 705A, Washington,

DC 20201.

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/

APOEMAR2014MTG 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