# 45233 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices

consistent in quality with inpatient

surgical services.

• To meet the requirements at

§ 482.51(b)(5), CIHQ modified its

standards to require that the operating

room register be complete and up-todate.

• To meet the requirements at

§ 482.51(b)(6), CIHQ modified its

standards to address the requirement

that an operative report must be written

or dictated immediately following

surgery and signed by the surgeon.

• To meet the requirements at

§ 482.56(a)(2), CIHQ modified its

standards to include the reference to

part 484 of the Code of Federal

Regulations.

• To meet the survey process

requirements in Appendix A of the

SOM, CIHQ revised its policies

outlining the survey size and

composition to require that every survey

will include at least one registered nurse

with hospital survey experience.

• To meet the survey process

requirements in Appendix Q of the

SOM, CIHQ revised its policies to

require notification to CMS of an

immediate jeopardy situation, the

content of the CMS notification, and the

appropriate level of citation related to

immediate jeopardy findings.

• To meet the requirements found at

Section 2728B of the SOM, CIHQ

revised its policies to require a more

detailed monitoring plan that includes

frequency of monitoring, duration of

monitoring, sample size and target

threshold, as part of a hospital’s plan of

correction for deficiencies found on

survey.

• To meet the requirements found at

Section 2005A2 of the SOM, CIHQ

revised its policies to require the

issuance of an accreditation denial for

hospitals initially seeking participation

in the Medicare program when the

hospital has been found to be noncompliant with a condition of

participation. • To meet the requirements at

§ 498.13 and Section 2008D of the SOM,

CIHQ revised its policies to clearly state

that the final accreditation decision is

based on the final survey report in

which the provider meets all

requirements or the date, which the

provider is found to meet all conditions

but has lower level deficiencies and

CIHQ has received an acceptable plan of

correction.

• To meet the requirements at Section

3012 of the SOM, CIHQ revised its

policies to accurately reflect the

requirement that follow-up surveys

must be conducted within 45 calendar

days from the survey end-date of the

survey, which the condition level

finding was cited.

• To clarify the survey process and to

ensure the consistent application of

survey activities, CIHQ updated its

policies, survey tools and guidance to

surveyors related to tracer activities,

patient interviews, and staff interviews.

• To eliminate any real or perceived

conflict of interest between CIHQ’s

consulting services through

‘‘Accreditation Resource Services’’ and

its accreditation activities, CIHQ

updated its plan to ensure that both

entities are separated by a firewall and

that information is not shared.

B. Term of Approval

Based on our review and observations

described in section III of this final

notice, we have determined that CIHQ’s

requirements for hospitals meet or

exceed our requirements. Therefore, we

approve CIHQ as a national

accreditation organization for hospitals

that request participation in the

Medicare program, effective July 26,

2013. through July 26, 2017.

V. 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).

(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: July 2, 2013.

Marilyn Tavenner,

Administrator, Centers for Medicare &

Medicaid Services.

[FR Doc. 2013–18014 Filed 7–25–13; 8:45 am]

**BILLING CODE 4120–01–P**



# DEPARTMENT OF HEALTH AND

**HUMAN SERVICES**

**Centers for Medicare & Medicaid**

**Services**

**[CMS–9080–N]**



# Medicare and Medicaid Programs;

**Quarterly Listing of Program**

**Issuances—April Through June 2013**

**AGENCY** 

# : Centers for Medicare &

Medicaid Services (CMS), HHS.

**ACTION** 

# : Notice.

**SUMMARY** 

# : This quarterly notice lists

CMS manual instructions, substantive

and interpretive regulations, and other

Federal Register notices that were

published from April through June

2013, relating to the Medicare and

Medicaid programs and other programs

administered by CMS.

**FOR FURTHER INFORMATION CONTACT** 

# : It is

possible that an interested party may

need specific information and not be

able to determine from the listed

information whether the issuance or

regulation would fulfill that need.

Consequently, we are providing contact

persons to answer general questions

concerning each of the addenda

published in this notice.


# 45234 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices

I. Background

The Centers for Medicare & Medicaid

Services (CMS) is responsible for

administering the Medicare and

Medicaid programs and coordination

and oversight of private health

insurance. Administration and oversight

of these programs involves the

following: (1) Furnishing information to

Medicare and Medicaid beneficiaries,

health care providers, and the public;

and (2) maintaining effective

communications with CMS regional

offices, state governments, state

Medicaid agencies, state survey

agencies, various providers of health

care, all Medicare contractors that

process claims and pay bills, National

Association of Insurance Commissioners

(NAIC), health insurers, and other

stakeholders. To implement the various

statutes on which the programs are

based, we issue regulations under the

authority granted to the Secretary of the

Department of Health and Human

Services under sections 1102, 1871,

1902, and related provisions of the

Social Security Act (the Act) and Public

Health Service Act. We also issue

various manuals, memoranda, and

statements necessary to administer and

oversee the programs efficiently.

Section 1871(c) of the Act requires

that we publish a list of all Medicare

manual instructions, interpretive rules,

statements of policy, and guidelines of

general applicability not issued as

regulations at least every 3 months in

the Federal Register

. II. Revised Format for the Quarterly

Issuance Notices

While we are publishing the quarterly

notice required by section 1871(c) of the

Act, we will no longer republish

duplicative information that is available

to the public elsewhere. We believe this

approach is in alignment with CMS’

commitment to the general principles of

the President’s Executive Order 13563

released January 2011entitled

‘‘Improving Regulation and Regulatory

Review,’’ which promotes modifying

and streamlining an agency’s regulatory

program to be more effective in

achieving regulatory objectives. Section

6 of Executive Order 13563 requires

agencies to identify regulations that may

be ‘‘outmoded, ineffective, insufficient,

or excessively burdensome, and to

modify, streamline, expand or repeal

them in accordance with what has been

learned.’’ This approach is also in

alignment with the President’s Open

Government and Transparency Initiative

that establishes a system of

transparency, public participation, and

collaboration.

Therefore, this quarterly notice

provides only the specific updates that

have occurred in the 3-month period

along with a hyperlink to the full listing

that is available on the CMS Web site or

the appropriate data registries that are

used as our resources. This information

is the most current up-to-date

information and will be available earlier

than we publish our quarterly notice.

We believe the Web site list provides

more timely access for beneficiaries,

providers, and suppliers. We also believe the Web site offers a more

convenient tool for the public to find

the full list of qualified providers for

these specific services and offers more

flexibility and ‘‘real time’’ accessibility.

In addition, many of the Web sites have

listservs; that is, the public can

subscribe and receive immediate

notification of any updates to the Web

site. These listservs avoid the need to

check the Web site, as notification of

updates is automatic and sent to the

subscriber as they occur. If assessing a

Web site proves to be difficult, the

contact person listed can provide

information.

III. How To Use the Notice

This notice is organized into 15

addenda so that a reader may access the

subjects published during the quarter

covered by the notice to determine

whether any are of particular interest.

We expect this notice to be used in

concert with previously published

notices. Those unfamiliar with a

description of our Medicare manuals

should view the manuals at http://

www.cms.gov/manuals.

Authority: (Catalog of Federal Domestic

Assistance Program No. 93.773, Medicare—

Hospital Insurance, Program No. 93.774,

Medicare—Supplementary Medical

Insurance Program, and Program No. 93.714,

Medical Assistance Program)

Dated: July 19, 2013.

Kathleen Cantwell,

Director, Office of Strategic Operations and

Regulatory Affairs.

**BILLING CODE 4120–01–P**



# VerDate Mar<15>2010 18:54 Jul 25, 2013 Jkt 229001 PO 00000 Frm 00066 Fmt 4703 Sfmt 4703 E:\FR\FM\26JYN1.SGM 26JYN1EN26JY13.000</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

# 45235 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices


# 45236 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices


# 45237 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices


# 45238 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices


# 45239 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices


# 45240 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices


# 45241 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices


# 45242 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices


# 45243 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices


# 45244 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices


# 45245 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices


# 45246 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices

[FR Doc. 2013–17967 Filed 7–25–13; 8:45 am]

**BILLING CODE 4120–01–C**



# DEPARTMENT OF HEALTH AND

**HUMAN SERVICES**

**Indian Health Service**

**Office of Clinical and Preventive**

**Services National HIV Program:**

**Enhanced HIV/AIDS Screening and**

**Engagement in Care**

Announcement Type: New.

Funding Announcement Number:

HHS–2013–IHS–OCPS–HIV–0001.

Catalog of Federal Domestic

Assistance Number: 93.933.

Key Dates

Application Deadline Date: August

26, 2013.

Review Date: August 29, 2013.

Earliest Anticipated Start Date:

September 15, 2013.

Signed Tribal Resolutions Due Date:

August 26, 2013.

Proof of Non-Profit Status Due Date:

August 26, 2013.

I. Funding Opportunity Description

Statutory Authority

The Indian Health Service (IHS) is

accepting competitive cooperative

agreement applications for Enhanced

HIV/AIDS Screening and Engagement in

Care. This program is funded by the

Office of the Secretary (OS), Department

of Health and Human Services (HHS).

Funding for the HIV/AIDS award will be

provided by OS via an IntraDepartmental Delegation of Authority

dated 07/17/13 to IHS to permit

obligation of funding appropriated by

the Department of Defense, Military

Construction and Veterans Affairs, and

Full-Year Continuing Appropriations

Act, 2013, Public Law 113–6. This

program is described in the Catalog of

Federal Domestic Assistance under

93.933.

Background

The IHS Office of Clinical and

Preventive Services (OCPS), National

Human Immunodeficiency Virus/

Acquired Immunodeficiency Syndrome

(HIV/AIDS) Program serves as the

primary source for national education,

policy development, budget

development, and allocation for clinical,

preventive, and public health HIV/AIDS

programs for the IHS, Area Offices, and

Service Units. It provides leadership in

articulating the clinical, preventive, and

public health needs of American Indian/

Alaska Native (AI/AN) communities and

developing, managing, and administering program functions related

to HIV/AIDS.

Purpose

The purpose of this cooperative

agreement is to meet community needs

for the enhancement of HIV/AIDS

testing activities and the provision of

HIV/AIDS-related services among AI/

AN people. Such programs are

necessary to reduce the incidence of

HIV/AIDS and improve quality of life

for People Living with HIV/AIDS

(PLWHA). The main goals are to:

increase the number of AI/AN with

awareness of his/her HIV status; and,

improve engagement and retention in

care among PLWHA. Awardee activities

will seek to: increase access to HIV

related services, reduce stigma, make

HIV testing routine, and improve

engagement in care. Emphasis should be

placed on increasing routine HIV

screening for adults as per 2006 Centers

for Disease Control and Prevention

(CDC) guidelines, provide pre- and posttest counseling (when indicated), and

developing or deploying strategies for

engaging PLWHA in appropriate,

culturally responsive HIV-related care.

II. Award Information

Type of Award

Cooperative Agreement.

Estimated Funds Available

The total amount of funding

identified for the current fiscal year

2013 is approximately $320,000.

Individual award amounts are

anticipated to be between $60,000 and

$90,000. All competing and

continuation awards issued under this

announcement are subject to the

availability of funds. In the absence of

funding, the IHS is under no obligation

to make any awards selected for funding

under this announcement.

Anticipated Number of Awards

Approximately four awards will be

issued under this program

announcement. OS and IHS will concur

on the final decision as to who will

receive awards.

Project Period

The project period will be for five

years and will run consecutively from

September 1, 2013 to August 31, 2018.

Cooperative Agreement

In the Department of Health and

Human Services (HHS), a cooperative

agreement is administered under the

same policies as a grant. The funding

agency (OS) is required to have

substantial programmatic involvement

in the project during the entire award segment. Below is a detailed description

of the level of involvement required for

both the funding agency and the

grantee. OS, through IHS, will be

responsible for activities listed under

section A and the awardee will be

responsible for activities listed under

section B as stated:

Substantial Involvement Description for

Cooperative Agreement

A. IHS Programmatic Involvement

Provide funded organizations with

ongoing consultation and technical

assistance to plan, implement, and

evaluate each component of the

comprehensive program as described

under Grantee Cooperative Agreement

Award Activities below. Consultation

and technical assistance will include,

but not be limited to, the following

areas:

(1) Interpretation of current scientific

literature related to epidemiology,

statistics, surveillance, Healthy People

2020 Objectives, and other HIV disease

control activities;

(2) Design and implementation of

program components (including, but not

limited to, program implementation

methods, surveillance, epidemiologic

analysis, outbreak investigation,

development of programmatic

evaluation, development of disease

control programs, and coordination of

activities);

(3) Implementation of program

management best practices;

(4) Conduct site visits to assess

program progress and provide

programmatic technical assistance as

travel funds allow; and

(5) Coordination of these activities

with all IHS HIV activities on a national

basis.

B. Grantee Cooperative Agreement

Award Activities

• Assist AI/AN communities and

Tribal organizations in increasing the

number of AI/ANs with awareness of

their HIV status. The grantee will assist

and facilitate reporting of HIV diagnoses

to local and State public health

authorities in the region as required by

applicable law.

• Test at least one previously

untested (not tested in the prior five

years) patient for every $75.00 in

cooperative agreement funds received,

inclusive of all ancillary and indirect

costs.

• Collaborate with national IHS

programs by providing standardized,

anonymous HIV surveillance data on a

quarterly basis, and in identifying and

documenting best practices for

implementing routine HIV testing.