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

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. 


tkelley on DSK3SPTVN1PROD with NOTICES
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 


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EN26JY13.001</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

Publication Dates for the Previous Four Quarterly Notices 

We publish this notice at the end of each quarter reflecting 

information released by CMS during the previous quarter. The publication 

dates of the previous four Quarterly Listing of Program Issuances notices 

are: May 18,2012 (77 FR 29648), August 17,2012 (77 FR 49799), 

November 9, 2012 (77 FR 67368) and May 3, 2013 (78 FR 26038). For the 

purposes of this quarterly notice, we are providing only the specific updates 

that have occurred in the 3-month period along with a hyperlink to the 

website to access this information and a contact person for questions or 

additional information. 

Addendum I: Medicare and Medicaid Manual Instructions 

(April through June 2013) 

The CMS Manual System is used by CMS program components, 

partners, providers, contractors, Medicare Advantage organizations, and 

State Survey Agencies to administer CMS programs. It offers day-to-day 

operating instructions, policies, and procedures based on statutes and 

regulations, guidelines, models, and directives. In 2003, we transformed the 

CMS Program Manuals into a web user-friendly presentation and renamed 

it the CMS Online Manual System. 

How to Obtain Manuals 

The Interuet-only Manuals (lOMs) are a replica ofthe Agency's 

official record copy. Paper-based manuals are CMS manuals that were 

officially released in hardcopy. The majority of these manuals were 

transferred into the Internet-only manual (10M) or retired. Pub 15-1, Pub 

15-2 and Pub 45 are exceptions to this rule and are still active paper-based 

manuals. The remaining paper-based manuals are for reference purposes 

only. If you notice policy contained in the paper-based manuals that was 

not transferred to the 10M, send a message via the CMS Feedback tool. 

Those wishing to subscribe to old versions of CMS manuals should 

contact the National Technical Information Service, Department of 

Commerce, 5301 Shawnee Road, Alexandria, VA 22312 Telephone (703-

605-6050). You can download copies of the listed material free of charge 

at: hnIrJi!;.!.!lli:.gQYLlllil!l!!f1@. 

How to Review Transmittals or Program Memoranda 

Those wishing to review transmittals and program memoranda can 

access this information at a local Federal Depository Library (FDL). Under 

the FDL program, government publications are sent to approximately 1,400 

designated libraries throughout the United State

arrangements to transfer material to a local libr

FDL. Contact any library to locate the nearest 

available at 

In addition, individuals may contact re

that receive and retain at least one copy of mos

publications, either in printed or microfilm form

public. These libraries provide reference servic

however, they are not sales outlets. Individuals 

about the location of the nearest regional depos

library. CMS publication and transmittal numb

entitled Medicare and Medicaid Manual Instruc

the materials, use the CMS publication and tran

example, to find the Medicare Claims Processin

Status Category and Claim Status Codes Updat

Transmittal No. 2681. 

Addendum I lists a unique CMS transm

instruction in our manuals or program memoran

A transmittal may consist of a single or multipl

necessary to use information in a transmittal in 

information currently in the manual. For the pu

notice, we list only the specific updates to the l

that have occurred in the 3-month period. This 

our website at 

Transmittal Manual/Subject/Publ

Number 

00 None 

170 Updates to Medicare Coverage of Hepatit

and Medicare Coverage of the Annual We

Personalized Prevention Plan Services (PP

Antigens 

Immunizations 

Annual Wellness Visit (A WV) Providing 

Services (PPPS) 

Routine Services and Appliances 

171 Implementation oethe End Stage Renal D

System (PPS) 

Definitions Relating to ESRD 

Renal Dialysis Items and Services 

Composite Rate Items and Services 

Drugs and Biologicals 

EN26JY13.002</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

ESRD Prospective Payment System (PPS) Base Rate Applicable Types of Bill 

Bad Debts Billing for Biofeedback Training for the T

Reserved Allowable Revenue Codes on CORF 75X 

Composite Rate Tests for Hemodialysis, IPD, CCPD, and Hemofiltration Outpatient Mentalllealth Treatment Limi

Composite Rate Tests for CAPD Billing for Social Work and Psychologica

Brief History of ESRD Composite Payment Rates for Outpatient Maintenance 2691 Issued to a specific, audience not posted t

Dialysis Confidentiality of Instruction 

2692 Issued to a specific, audience not posted t

153 Autologous Platelet-Rich Plasma (PRP) for Chronic Non-Healing Wounds Confidentiality ofInstruction 

Blood-Derived Products for Chronic Non-Healing Wounds 2693 Issued to a specific, audience not posted t

154 Autologous Platelet-Rich Plasma (PRP) for Chronic Non-Healing Wounds of Instruction 

Blood-Derived Products for Chronic Non-Healing Wounds 2694 Discontinuation of Home Health Type of

155 Ocular Photodynamic Therapy (OPT) with Verteporfin for Macular Noncovered Charges on Outpatient Bills 

Degeneration Claim Submission and Processing 

Photodynamic Therapy Chart Summarizing the Effects of RAP/C

Ocular Photodynamic Therapy (OPT) Episode 

Photosensitive Drugs File 

Verteporfin Request for Anticipated Payment (RAP)/I

Collection of Deductible and Coinsurance 

2680 Dala Repurting un !-Iume !-Icallh Prospc<.:tivc Payment System (HH PPS) General 

Claims Medical and Other Health Services Not C

HH PPS Claims Type 34X) 

Input/Output Record Layout Osteoporosis Injections as HHA Benefit 

2681 Claim Status Categorv and Claim Status Codes Update 2695 Quarterly Healthcare Common Procedure 

2682 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics Drug/Biological Code Changes - July 201

and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2013 2696 Issued to a specific, audience not posted tCompetitive Bidding Durable Medical Equipment, Prosthetics, Orthotics, and of Instruction 

Supplies (DMEPOS) Single Payment Amounts 2697 New Non-Physician Specialty Code for C

2683 Non-systems Internet Only Manual (10M) Changes Practitioner, Supplier, and Provider Speci

2684 Common Edits and Enhancements Modules (CEM) Code Set Update 2698 Issued to a specific, audience not posted t

2685 Issued to a specific, audience not posted to Internet/Intranet due to Confidentiality of Instruction 

Confidentialitv of Instruction 2699 Part B Claims Submission under the Indir

2686 Remittance Advice Remark and Claims Adjustment Reason Code and 2700 Quarterly Update to the Correct Coding I

Medicare Remit Easy Print and PC Print Update Effective July 1,2013 

2687 Clarify the definition of customized durable medical equipment (DME) Items 2701 Issued to a speciJic, audience not posted t

2688 Reporting End Stage Renal Disease (ESRD) Drugs Administered Through the Confidentiality of Instruction. 

Dialysate 2702 Issued to a specific, audience not posted t

2689 National Coverage Determination (NCD) for Transcatheter Aortic Valve of Instruction 

Replacement (T A VR) Implementation of Mandatory Reporting of Clinical 2703 Amhulance Payment Reduction for Non-E

Trial Number (BLS) 

Claims Processing Requirements for TA VR Services on Professional Claims Transports to and from Renal Dialysis Fa

Claims Processing Requirements for T A VR Services on Inpatient Hospital Payment for Non-Emergency BLS Trips t

Claims CMS Supplied National ZIP Code File an

2690 Billing Social Work and Psychological Services in Comprehensive Outpatient File 

Rehabilitation Facilities (CORFs) 2704 July 2013 Integrated Outpatient Code Edi

Application of Financial Limitations 14.2 

Notification for Beneficiaries Exceeding Financial Limitations 2705 Common Edits and Enhancements Modul

Procedure Payment Reductions for Outpatient Rehabilitation 2706 Indian Health Services (IHS) Hospital Pay

Services 2707 Instructions for Downloading the Medicar

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2708 July Update to the CY 2013 Medicare Physician Fee Schedule Database Solicit the Views of the Provider 

(MPFSDB) Make Determination and Notify Required 

2709 July Quarterly Update for 2013 Durable Medical Equipment, Prosthetics, Effect of a QIO Expedited Determination 

Orthotics, and Supplies (DMEPOS) Fee Schedule Right to Pursue an Expedited Reconsidera

Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) EITect ofQIO Determination on Continua

Fee Schedule Right to Pursue the Standard Claims Appe

Quarterly Update Schedule For DMEPOS Fee Schedule Record Layout for Expedited Determination Notice Associat

DMEPOS Fee Schedule Notices 

2710 Autologous Platelet-Rich Plasma (PRP) for Chronic Non-Healing Wounds Expedited Determination Notice Associat

Autologous Platelet-Rich Plasma (PRP) for Chronic Non-Healing Wounds Notices 

Policy 2712 Quarterly Update for the Durable Medica

Healthcare Common Procedure Coding System (HCPCS) Codes and and Supplies (DMEPOS) Competitive Bid

Diagnosis 2013 

Coding 2713 Claim Status Category and Claim Status C

Types of Bill CroB) 2714 Updates to Chapter 12 and Chapter 16 of 

Payment Method Manual to Revise Instructions Regarding 

Place of Service (POS) Professional Claims Pathology Services Furnished to Hospital 

Medicare Summary Notices (MSNs), Remittance Advice Remark Codes Payment for Pathology Services 

(RARCs), Claim Adjustment Reason Codes (CARCs), and Group Codes Technical Component (TC) of Physician P

2711 Expedited Determinations for Provider Service Terminations Patients 

Statutory Authority 2715 October 2013 Quarterly Average Sales Pr

Scope Pricing Files and Revisions (0 Prior Quart

Exceptions 2716 Internet Only Manual (10M) Update to Pa

Notice of Medicare Non-Coverage Services Furnished by CRNAs. This CR r

Alterations to the NOMNC Qualified Nonphysician Anesthetist Servi

Completing the NOMNC Qualified Nonphysician Anesthetists 

Provider Delivery oflhe NOMNC Entity or Individual to Whom Fee Schedu

Required Delivery Timeframes Nonphysician anesthetists 

Refusal to Sign the NOMNC Anesthesia Fee Schedule Payment for Qu

Financial Liability for Failure to Deliver a Valid NOMNC Conversion Factors Used on or After Janu

Amending the Date of the NOMNC Nonphysician Anesthetists 

NOMNC Delivery to Representatives Anesthesia Time and Calculation of Anes

Notice Retention for the NOMNC Billing Modifiers 

Hours ofNOMNC Delivery General Billing Instructions 

Expedited Determination Process Qualified Nonphysician Anesthetist Speci

Beneficiary Responsibilities An Anesthesiologist and Qualified Nonph

Timeirame for Requesting an Expedited Determination Qualified Nonphysician Anesthetist and a

Provide Information to QIO Anesthesia Procedure 

Obtain Physician Certification of Risk (Home Health and CORF services Payment for Medical or Surgical Services 

only) Conversion Factors for Anesthesia Servic

Beneficiary Liability During QIO Review Anesthetists Furnished on or After Januar

Untimely Requests for Review 2717 July 2013 Update ofthe Ambulatory Surg

Provider Responsibilities 

The Detailed Explanation of Non-Coverage 

2718 July 2013 Update of the Hospital Outpatie

(OPPS) 

QIO Responsibilities 

Receive Beneficiary Requests for Expedited Review 

Notify Providers and Allow Explanation of Why Covered Services Should 

Eud 

Billing for Brachytherapy Sources - GenePayment for New Brachytherapy Sources 

2719 Pass-through Payments for Certified Regi

Services and Related Care 

Validate Delivery of the NOMNC 

Solicit the Views of the Beneficiary Pass-through Payments for Certified Regi

Services and Related Care 

EN26JY13.004</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

Payment for CRNA Pass-Through Services (PPS) Pricer Update FY 2014 

Payment for Anesthesia Services by a CRNA (Method II CAH only) 

2720 Autologous Platelet-Rich Plasma (PRP) for Chronic Non-Healing Wounds 92 Medicare Contractors submission of Presc

Autologous Platelet-Rich Plasma (PRP) for Chronic Non-Healing Wounds Working File Assistance Requests to the C

Policy through the ECRS Web Portal Healthcare Common Procedure Coding System (HCPCS) Codes and ECRS Web Quick Reference Card Versio

Diagnosis ECRS Web User Guide Version 

Coding 93 Medicare Contractors submission of Presc

Types of Bill (TOB) Payment Method Working File Assistance Requests to the C

Place of Service (POS) Professional Claims through the ECRS Web Portal 

Medicare Summary Notices (MSNs), Remittance Advice Remark Codes ECRS Web Quick Reference Card Versio

(RARCs), Claim Adjustment Reason Codes (CARCs), and Group Codes ECRS Web User Guide Version 

2721 New Non-Physician Specialty Code for Indirect Payment Procedure (IPP) 

Non-physician Practitioner, Supplier, and Provider Specialty Codes 218 Notice of New Interest Rate for Medicare 

2722 Changes to Contractor Designation in Processing Foreign, Emergency and -3rd qtr Notfication for FY 20B 

Shipboard Claims 219 New Non-Physician Specialty Code for C

Contractors Designated to Process Foreign Claims 

Source of Part B Claims 

220 Removal ofPOR and PSOR instructions a

from the Intel1let Only Manual, Publicatio

Designated Contractors 

2723 None 

221 New Non-Physician Specialty Code for In

Non-Physician Practitioner/Supplier Spec

2724 July 2013 Integrated Outpatient Code Editor (1I0CE) Specifications Version 

14.2 

222 Revisions and Deletions to the Intel1let On

Chapter 3, Overpayments; Section 140.2.3 

2725 Corrections to the Medicare Claims Processing Manual Line in the Sand 

Foreword Filing Bankruptcy Draws a Line in the Sa

Line-Item Modifiers Related to Reporting of Non-covered Charges When 

Covered and Non-covered Services Are on the Same Outpatient Claim 

Liability Considerations for Bundled Services 

Coding That Results from Processing Noncovered Charges 

Claims Processing Requirements for Financial Limitations 

Physician Fee Schedule Payment Policy Indicator File Record Layout 

83 Revisions to Appendix E and Chapter 2 se

Operations Manual (SOM) 

84 Revised Appendix A, Interpretive Guideli

Interpretive Guidelines for Ambulatory 

Guidelines for Critical Acces

General Billing Requirements 

Payment 

CWF General Information 

2726 Coding Requirements for Laboratory Specimen Collection Update 

457 Model Letter Revisions 

Denials 

Model Letter Guidance 

2727 Medicare Contractor Annual Update of the International Classification of 

Diseases, Ninth Revision, Clinical ModiJication (ICD-9-CM) 

2728 Ocular Photodynamic Therapy (OPT) with Verteporfin for Macular 

Degeneration 

Billing Requirements for Ocular Photodynamic Therapy (OPT) with 

Verteporfin 

Coding Requirements for OPT with VerteporJin 

Model Acknowledgement Letter 

Acknowledgement Letter Example 

Development Letter Guidance 

Model Development Letter Model Rejection Letter 

Model Retul1led Application Letter 

Model Revalidation Letter 

Claims Processing Requirements for OPT with Verteporfin Services on 458 esMD RC Public Announcement 

Professional Claims and Outpatient Facility Claims 

Claims Processing Requirements for OPT with VerteporJin Services on 

Inpatient Facility Claims 

Medicare Summary Notice (MSN) and Remittance Advice (RA) Messages 

2729 Appeals Revisions-Final Regulation 

Acceptable Submission Methods 

459 Tax Identification Numbers of Foreign Ow

Individuals 

460 Clarify the deJinition of customized durab

Definition of Customized DME 

2730 Coding Requirements for Laboratory Specimen Collection Update 

Coding Requirements for Specimen Collection 

2731 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System 

461 Update to Chapter 15 ofthe Program Inte

Psychologists 

EN26JY13.005</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

Practice Location Infonnation Recompete 

Movement of Providers and Suppliers into the High Level 1220 Health Insurance Portability and Account

Reconsideration Requests Updates for October 2013 

462 Update to Chapter 15 of the Program Integrity Manual (PIM) 1221 I ssued to a speci fic audience, not posted t

463 Model Letter Revisions Confidentiality of Instruction 

1222 Issued to a specific audience, not posted t

00 None of Instruction 

1223 Issued to a specific audience, not posted t

00 None of Instruction 

1224 Phase III ERA Eurollment Operating Rule

III Chapter 9, Employer/Union-Sponsored Group Health Plans 1225 Reporting of Principal and Interest when r

112 Adding MSP Validity Indicator to the CWF to MBD Feed Working Aged money - Analysis 

Adjustment 1226 Issued to a specific audience, not posted t

113 Chapter 12, Effect of Change of Ownership Confidentiality of Instruction 

Entire Chapter 1227 Update to the Common Working File (CW

114 Risk Adjustment Nursing Facility (SNF) and Swing Bed (S

Entire Chapter 1228 Debts Referred to Treasury through the H

';I'" Accounting System (HIGLAS) 

00 Nunc 1229 Issued to a specific audience, not posted t

Contidentiality of Instruction 

00 None 1230 Issued to a speciflc audience, not posted t

Confidentiality of Instruction 

1205 Incentive Payment Related to Prior Authorization for Power Mobility Devices 

(PMD). 

1207 Direct Mailing to Referral Agents about the DMEPOS Competitive Bidding 

Program Round 2 and National Mail-Order for Diabetic Testing Supplies 

1208 Use ofQ6 Modifier for Locum Tenens by Providing Performing Provider 

NPT "FOR ANAL YSIS ONLY" 

1231 Common Working File (CWF) Infonnatio

Reject Jor a new patient visit billed by the 

within the past three years. 

1232 New Healthcare Common Procedure Cod

Customized Durable Medical Equipment 

1233 Standardizing the standard - Operating Ru

1209 Recovery of Annual Wellness Visit (A WV) Overpayments 

1210 Implementing the Recompetition Award for the Jurisdiction C Durable 

Medical Equipment (DME) Medicare Administrative Contractor (MAC) 

Workload 

Advice 

1234 MSP Claims and use ofCARC 23 - Analy

1235 Phase TIl ERA Enrollment Operating Rule

1236 Standardizing the Standard - Phase 1 

1211 Modification to Change Request (CR)7254 

1212 MCS Prepayment Review Report 

1213 Updating the Shared Systems and Common Working File (CWF) to no 

Longer Create Veteran Affairs (VA) "I" records in the Medicare Secondary 

Payer (MSP) Auxiliary File 

1214 Medicare System Update to Include Line Level National Provider Identifier 

(NPI) Sanction Editing on Critical Access Hospital (CAH) Method II 

Outpatient Claims 

1237 Analysis and Design of VMS for impleme

Bankrupt Suppliers 

1238 Issued to a specific audience, not posted t

of Instruction 

1239 New Healthcare Common Procedure Cod

Customized Durable Medical Equipment 

1240 Issued to a specific audience, not posted t

of Instruction 

1215 VMS Prepayment Review Report 

1216 Applying Multiple Procedure Payment Reductions to Therapy Cap Amounts 

for Critical Access Hospital Claims 

1241 Issued to a Specific audience not posted to 

Confidentiality of Instruction 

1242 Change in Creation Date for CMS Standa

1217 CWF Editing for Vaccines Furnished at Hospice 

1218 American Recovery and Reinvestment Act of2009 Electronic Health Record 

(EHR) Incentive: New Critical Access Hospital Banking Information File 

Transfer for Eligible Professional Payment 

1243 Implementation ofCMS Ruling 1455-R (

Hospitals) 

1244 Common Working File (CWF) Infonnatio

Reject for a new patient visit billed by the 

1219 National Competitive Bidding Program (CBP): Instructions for Processing 

CBP Oxygen and Capped Rentalltem Claims with the Start of the Round One 

within the past three years. 

1245 Implementing the Recompetition Award f

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Jurisdiction 12) Part AlPart B Medicare Administrative Contractor (AlB 

MAC) Workload 

1246 Implementation of the Award for the Jurisdiction K (JK) Part A and Part B 

Medicare Administrative Contractor (AlB MAC) to National Government 

Services 

1247 Implementation ofCMS Ruling 1455-R (Medicare Program; Part B Billing in 

Hospitals) 

1248 Multi Carrier System (MCS) Modifications to Liability Assignment 

Regarding Therapy Cap Claim Denials 

Addendum II: Regulation Documents Published 

in the Federal Register (April through June 2013) 

Regulations and Notices 

Regulations and notices are published in the daily Federal 

Register. To purchase individual copies or subscribe to the Federal 

Register, contact GPO at When ordering individual 

copies, it is necessary to cite either the date of publication or the volume 

number and page number. 

The Federal Register is available as an online database through 

GPO Access. The online database is updated by 6 a.m. each day the 

Federal Register is published. The database includes both text and 

graphics from Volume 59, Number 1 (January 2, 1994) through the present 

date and can be accessed at The 

following website provides 

infonnation on how to access electronic editions, printed editions, and 

reference copies. 

This infonnation is available on our website at: 

For questions or additional infonnation, contact Terri Plumb 

(410-786-4481). 

Addendum III: CMS Rulings 

CMS Rulings are decisions of the Administrator that serve as 

precedent final opinions and orders and statements of policy and 

interpretation. They provide clarification and interpretation of complex or 

ambiguous provisions ofthe law or regulations relating to Medicare, 

Medicaid, Utilization and Quality Control Peer Review, private health 

insurance, and related matters. 

The rulings can be accessed at 

For questions or 

additional infonnation, contact Tiffany Lafferty (410-786-7548). 

Addendum IV: Medicare National Cov

(April through June 2

Addendum IV includes completed nat

detenninations (NCDs), or reconsiderations of 

quarter covered by this notice. Completed deci

section of the NCD Manual (NCDM) in which 

title, the date the publication was issued, and th

decision. An NCD is a detennination by the Se

particular item or service is covered nationally 

(title XVIII of the Act), but does not include a d

any, that is assigned to a particular covered item 

detennination for a particular covered item or s

include infonnation concerning completed deci

program and decision memoranda, which also a

some cases, explain why it was not appropriate 

Information on completed decisions as well as 

been posted on the CMS website. For the purp

we list only the specific updates that have occu

This infonnation is available at: 

For questions or additional infonnat

(410-786-7491 ). 

Title NCDM Transmitt

Section Number 

T A VR Mandatory Clinical NCD20.32 TN2689 Trail Number 

OPT with Vetieporfin for NCD80.3.1 TNl55 

Macular Degeneration 

Autologous Platelet-Rich 

Plasma (PRP) for Chronic NCD270.3 TNI54 

Non-Healing Wounds 

Addendum V: FDA-Approved Category 

Exemptions (IDEs) (April throu

Addendum V includes listings ofthe F

investigational device exemption (IDE) numbe

listings are organized according to the categori

assigned (that is, Category A or Category B), a

number. For the purposes of this quarterly noti

updates to the Category B IDEs as of the endin

EN26JY13.007</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

by this notice and a contact person for questions or additional information. 

For questions or additional information, contact John Manlove (410-786-

6877). 

Under the Food, Drug, and Cosmetic Act (21 U.S.C. 360c) devices 

fall into one of three classes. To assist CMS under this categorization 

process, the FDA assigns one of two categories to each FDA-approved 

investigational device exemption (IDE). Category A refers to experimental 

IDEs, and Category B refers to non-experimental IDEs. To obtain more 

information about the classes or categories, please refer to the notice 

published in the April 21, 1997 Federal Register (62 FR 19328). 

IDE Device Start Date 

0130054 luvederm Volbella XC 04/03/2013 0130056 Sensor Optimization of CRT Response (SOCR) Study 04/03/2013 0130055 Neuroport Array and Neuroport System 04/04/2013 0120243 Abdominal Compression Elastic Support (ACES) 04/11/2013 0120053 Perceval S Heart Valve 04112/2013 0130007 Model 9005 Lutonix DCB 04118/2013 0130068 Ulthera System 04/19/2013 Gl20172 Mguard Prime Micronet Covered Coronary Stent System 04119/2013 0120266 Angel Catheter 04119/2013 0130012 9.4 Tesla 80 CM MR Scanner 04/24/2013 Gl30069 Pantaprazole 13C Breath Test (PTZ-BT) 04/24/2013 0120275 Enlightn Renal Denervation System 04/25/2013 0130073 NRAS Q61 Mutation test 04/26/2013 0130078 Gel-One 04/26/2013 G130077 Brava Systems 04/26/2013 Gl30084 EPI-Sense-AF Guided Coagulation System with Visitrax 05/03/2013 GI30087 Oastric Emptying Breath Test (GEBT) 05/08/2013 0130082 Cortical Recording and Stimulation Array System 05110/2013 0130048 MECT A 5000Q Feast Drive 05/15/2013 G120160 Direct Flow Medical Trans Catheter Aortic Valve System 0511512013 GI20254 VORTXRX 05/22/2013 G130046 Magnamosis Magnetic Compression Anastomosis Device 05/23/2013 0130093 Veni RF Plus Endovenous Ablation System 05/24/2013 0130095 Lap-Band & MetFonnin 05/28/2013 G130094 Dermaveil 05/29/2013 G130097 Multimodality Image-Guided (MIMIO) System 05/30/2013 G130081 Intuitive Surgical Da Vinci Single-Site Instruments And 05/3112013 

Accessories 

0120300 GE Datex-Ohmeda AISYS With Smartflow 05/3112013 

G130099 Exablate 2000 MROHIFU System 06/04/2013 

G130141 Cook Cervical Ripening Balloon 06/04/2013 G120263 Portico Transcatheter Aortic Valve Implant 06/05/2013 Gl20235 Entrainment Based Mechanical Ventilation 06/06/2013 GI30108 Rezum Generator, Rezum Delivery Device, Rezum Accessory 06/06/2013 

Pack 

0130100 Neural Prosthetic System 2 (NPS2) 0130111 AxialifSystem 

GIIOO72 Perclot Polysacharide Hemostatis System 

0130110 Essure System For Permanent Birth Control 

G130113 Integrated Bracanalysis 

0130024 Perfusion-Induced Systemic-Hyperthermia (P

G070038 Aethlon ONA Hemopurifier 

GI20015 Croma Eyefill Viscoelastic Device 

G130105 Medtronic Application Card For Spinal Cord 

8870 

0130120 Gore Tag Thoracic Branch Endoprosthesis 

G130080 PantoPrazole-C Breath Test (PTZ-BT) G130130 DAKO MET 2 Pharmdx Kit G130123 Tristan 621 Biomagnctometer GI30126 tvtedtro_nic Sy

Addendum VI: Approval Numbers for Coll

(April through Ju

All approval numbers are available to 

Under the review process, approved informatio

assigned OMB control numbers. A single cont

several related information collections. This in

For qu

information, contact Mitch Bryman (410-786-5

Addendum VII: Medicare-Approved C

(April through June 2

Addendum VII includes listings of Me

stent facilities. All facilities listed meet CMS s

carotid artery stenting for high risk patients. O

our decision memorandum on carotid artery ste

carotid artery stenting with embolic protection 

only if performed in facilities that have been de

perfonning the evaluation, procedure, and follo

optimal patient outcomes. We have created a l

facilities modeled in part on professional societ

All facilities must at least meet our standards in 

for carotid artery stenting for high risk patients

quarterly notice, we are providing only the spec

occurred in the 3-month period. This informati

EN26JY13.008</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

For questions or additional infonnation, contact Lori Ashby 

(410-786-6322). 

Facility Provider Effective 

Number Date 

Northside Hospital Atlanta 1457396079 04/25/20\3 

1000 Johnson Ferry Road, NE 

Atlanta, GA 30342 

MemoriallIospital 1447206438 04/25/20\3 

3625 University Boulevard South 

Jacksonville, FL 32216 

Saint Mary's Regional Medical Center 1801152566 04/25/20\3 

235 West Sixth Street 

Reno, NV 89503 

Good Samaritan Regional Health Center 441221 04/25/2013 

1 Good Samaritan Way 

Mt. Vernon, IL 62864 

Wayne Memorial Hospital 1750353462 04/25/2013 

2700 Wayne Memorial Drive 

Goldsboro, NC 27534 

Lowell General Hospital 220063 05/17/2013 

295 Varnum Avenue 

Lowell, MA 01854 

ARH Regional Medical Center 180002 05/17/2013 

100 Medical Center Drive 

Hazard, KY 41701 

Providence Holy Cross Medical Center 1477587632 05117/2013 

15031 Rinaldi Street 

P.O. Box 9600 

Mission Hills, CA 91346 

Memorial Hospital at Gulfport 1639401318 06/05/2013 

4500 13th Street 

Gulfport, MS 39501 

Kaiser Foundation llospital Redwood City 050541 06105/2013 

1150 Veterans Boulevard 

901 Marshall Building 3td Floor 

Redwood City, CA 94063 

University of South Alabama Medical Center 010087 06/26/2013 

2451 Fillingim Street 

Mobile, AL 36617 

Wake Forest Baptist Medical Center 340047 06/27/2005 

Medical Center Boulevard 

Winston-Salem, NC 27157 

Sherman Health 140030 11118/2005 

1425 North Randall Road 

Elgin, IL 60123 

State 

GA 

FL 

NV 

IL 

NC 

MA KY 

CA 

MS 

CA 

AL 

"c'" 

NC 

IL 

Addendum VIII

American College of Cardiology's Natio

Registry Sites (April throug

Addendum VIII includes a list of the 

Cardiology's National Cardiovascular Data R

implantable cardioverter defibrillators (ICDs) 

indications, as long as infonnation about the pcentral registry. Detailed descriptions ofthe c

available in the NCD. In January 2005, CMS 

Abstraction Tool through the Quality Network 

temporary data collection mechanism. On Oc

announced that the American College of Card

Cardiovascular Data Registry (ACC-NCDR) l

reporting requirements in the NCD. Hospitals 

ACC-NCDR ICD Registry by April 2006. 

Effective January 27, 2005, to obtain 

NCD policy requires that providers implanting 

clinical indications (that is, patients without a 

spontaneous arrhythmia) report data on each p

procedure. Details of the clinical indications 

and their respective data reporting requiremen

Medicare NCD Manual, which is on the CMS 

A provider can use either of two mec

reporting requirement. Patients may be enroll

Device Exemption trial studying ICDs as iden

ACC-NCDR ICD registry. Therefore, for a b

Medicare-covered lCD implantation for prima

must receive the scan in a facility that participregistry. The entire list offacilities that partic

registry can be found at 

For the purposes of this quarterly not

specific updates that have occurred in the 3-m

is available by accessing our website and click

American College of Cardiology's National C

at: For que

infonnation, contact Marie Casey, BSN, MPH 

EN26JY13.009</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

Facility City State 

Verdugo Hills Hospital Glendale CA 

Forest Hills Hospital Forest Hills NY 

Spring Valley Hospital Las Vegas NV 

The Hospital at Westlake Medical Center Austin TX Carondelet St Mary's Hospital Tucson AZ 

Soin Medical Center Beavercreek OH 

Gulf Breeze Hospital Gulf Breeze FL 

Florida Hospital Heartland Sebring FL 

Saint Mary's Ilealth Center Jefferson City MO 

Women and Children's Hospital Lake Charles LA 

Palms West Hospital Loxahatchee FL 

Children's Medical Center of Dallas Dallas TX 

Sumner Regional Medical Center Gallatin TN 

Waccamaw Community Hospital Murrells Inlet SC 

Delnor Hospital Geneva IL 

Newman Regional Health Emporia KS 

Health Alliance Hospital Leominster MA Mercy Western Hills Cincinnati OH 

Greene Memorial Hospital Xenia OH 

Addendum IX: Active CMS Coverage-Related Guidance Documents 

(April through June 2013) 

There are no CMS coverage-related guidance documents published 

in the April through June 20 l3 quarter. To obtain the document, visit the 

CMS coverage website at 

For questions or additional information, contact Lori Ashby (410-786-

6322). 

Addendum X: 

List of Special One-Time Notices Regarding National Coverage 

Provisions (April through June 2013) 

There were no special one-time notices regarding national 

coverage provisions published in the April through June 2013 quarter. This 

information is available at For questions or 

additional information, contact Lori Ashby (410-786-6322). 

Addendum XI: National Oncologic PET Registry (NOPR) 

(April through June 2

Addendum Xl includes a listing of Na

Emission Tomography Registry (NOPR) sites. 

tomography (PET) scans for particular oncolog

performed in a facility that participates in the N

In January 2005, we issued our decisio

emission tomography (PET) scans, which stat

PET scans for particular oncologic indications, 

performed in the context of a clinical study. W

National Oncologic PET Registry as one of the

Therefore, in order for a beneficiary to receive 

scan, the beneficiary must receive the scan in a 

the registry. There were no updates to the listin

Positron Emission Tomography Registry (NOPMarch 2013 quarter. This information is availab

For questions or additional information, contac

(410-786-8564) 

New Facility P

N

University Radiology Associates, LLP 3

550 Harrison Street 

Suite #100; Telephone: 315-464-2226 

"""'MUM NY 13202 

Old name: Medcenter One 1

New name: Sanford Health Bismarck 

300 North 7th Street 

Bismarck, ND 58506-5525 

Old name: Hackensack Medical and Molecular 1

Imaging 

New name: American Imaging 

155 State Street 

Hackensack, NJ 07601 

Addendum XII: Medicare-Approved 

(Destination Therapy) Facilities (Apri

Addendum XII includes a listing of M

that receive coverage for ventricular assist devi

destination therapy. All facilities were required order to receive coverage for VADs implanted 

October 1, 2003, we issued our decision memo

EN26JY13.010</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

clinical indication of destination therapy. We detennined that VADs used 

as destination therapy are reasonable and necessary only if perfonned in 

facilities that have been detennined to have the experience and 

infrastructure to ensure optimal patient outcomes. We established facility 

standards and an application process. All facilities were required to meet 

our standards in order to receive coverage for V ADs implanted as 

destination therapy. 

For the purposes of this quarterly notice, we are providing only the 

specific updates that have occurred to the list of Medicare-approved 

facilities that meet our standards in the 3-month period. This infonnation is 

available at 

For questions or additional infonnation, contact Marie Casey, BSN, MPH 

(4lO-786-7861 ). 

Facilitv Provider Number Date Approved 

Memorial Hermann Hospital 450068 04110/2013 

6411 Fannin Street 

Houston TX 77030 

From: University Hospital 360003 0111112012 

To: University Cincinnati Medical 

Center 

234 Goodman Street 

Cincinnati, OH 45219 

Addendum XIII: Lung Volume Reduction Surgery (LVRS) 

(April through June 2013) 

State 

TX 

OH 

Addendum XIII includes a listing of Medicare-approved facilities 

that are eligible to receive coverage for lung volume reduction surgery. 

Until May 17,2007, facilities that participated in the National Emphysema 

Treatment Trial were also eligible to receive coverage. The following three 

types of facilities are eligible for reimbursement for Lung Volume 

Reduction Surgery (LVRS): 

• National Emphysema Treatment Trial (NETT) approved (Beginning 

05/07/2007, these will no longer automatically qualifY and can qualify only 

with the other programs); 

• Credentialed by the Joint Commission (fonnerly, the Joint 

Commision on Accreditation of Healthcare Organizations (JCAHO» under 

their Disease Specific Certification Program for L VRS; and 

• Medicare approved for lung transplants. 

Only the first two types are in the list. 

the listing of facilities for lung volume reductio

April through June 2013 quarter. This infonna

questions or additional infonnation, contact Ma

(410-786-7861 ). 

Addendum XIV: Medicare-Approved Ba

(April through June 2

Addendum XIV includes a listing of M

that meet minimum standards for facilities mod

society statements on competency. All facilitie

order to receive coverage for bariatric surgery p

2006, we issued our decision memorandum on 

We detennined that bariatric surgical procedure

necessary for Medicare beneficiaries who have 

greater than or equal to 35, have at least one co

and have been previously unsuccessful with me

This decision also stipulated that covered baria

reasonable and necessary only when performed 

certified by the American College of Surgeons 

Surgery Center (program standards and require

15,2006); or (2) certified by the American Soc

(ASBS) as a Bariatric Surgery Center of Excell

standards and requirements in effect on Februa

For the purposes of this quarterly notic

updates to Medicare-approved facilities that me

standards for bariatric surgery and have been ce

ASMBS in the 3-month period. This informati

questions or additional information, contact Ka

(410-786-9252). 

Facility Provide

MedStar Washington Hospital Center 1548378

110 Irving Street NW 

Washington, DC 20010 

Kenneth Alexander (202) 877-3152 

Crouse Hospital 1033107

736 Irvine Avenue 

EN26JY13.011</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

Syracuse, NY 

(315) 470-711l; ASMBS 

Crittenton Hospital Medical Center (CHMC) 

1101 W. University Drive 

Rochester, MI 48307 

Moe Gamal (248) 643-4646 

Cooper University Hospital 

1 Cooper Plaza 

Camden, NJ 08103 

ASMBS 

Herrin Hospital 

20 I S 14th Street 

Herrin, IL 62948 

ASMBS 

Memorial Hospital of Florida LP 

12901 Swann Avenue 

Tampa, FL 33609-4056 

St. Vincent's Medical Center 

13500 North Meridian Street 

Carmel, IN 46032 

Ted Eads (317) 582-7737 

Boston Medical Center 

732 Harrison Avenue, 2"d Floor 

Boston, MA 02118 

Melody Route (617) 414-6833 

The Ohio State University Hospital 

410 W. 10th Avenue 

Columbus, OH 43210 

Etene Terrell (614) 293-3504 

Bradley Needleman (614) 293-3504 

University of Alabama at Birmingham 

Hospital 

1813 6th Avenue South, MEB 300, zip 3293 

Birmingham, AL 35294-0016 

Deborah Thedford (205) 996-6984 

St. Vincent's Medical Center 

I ShircliffWay 

Jacksonville, FL 32204 

Kalherine Jewell (904) 308-3664 

Penrose- St. Francis Health Services 

2222 North Nevada Avenue 

Colorado Springs, CO 80907 

ASMBS (719) 776-5359 

The Methodist Hospital 

6565 Fannin, NBI-OOI 

Houston, TX 77030 

Marietta Schmid (713) 441-5970 

Carolinas Medical Center Mercy 

1437176203 04111/2013 MJ 

310014 04/30/2013 NJ 

1528158573 04/02/2013 IL 

100206 08/30/2011 FL 

1639124134 05/18/2010 IN 

220031/1346218294 12119/2012 MA 

360085 01101/2010 OH 

1154435824 12/08/2012 AL 

1134117575 12114/20012 FL 

060031 02/24/2006 CO 

450358 03/23/2013 TX 

1497792550 04/01/2013 NC 

2608 E 7th Street 

Charlotte, NC 28204 Constance Simms (704) 446-4075 

William Beaumont Hospital- Royal Oak 230130/

360 I West Thirteen Mile Road 

Royal Oak, MI 48073-6769 

Elizabeth Gates (248) 551-9705 

Meriter Hospital (NPI#) 520089 202 South Park Street 

Madison, WI 53715 

ASMBS (608) 890-9996 

Addendum XV: FDG-PET for Dementia 

Diseases Clinical Trials (April thr

There were no FDG-PET for Dementi

Diseases Clinical Trials published in the April t

This information is available on our w

For questions or additional information, contac

(410-786-8564). 
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. 


tkelley on DSK3SPTVN1PROD with NOTICES