Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices 23009 

review by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. Chapter 35). 

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

Dated: April 16, 2015. 

Patrick Conway, 

Acting Principal Deputy Administrator, 

Deputy Administrator for Innovation and 

Quality, CMS Chief Medical Officer, Centers 

for Medicare & Medicaid Services. 

[FR Doc. 2015–09607 Filed 4–23–15; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1639–N] 

Medicare Program: Renewal of the 

Advisory Panel on Hospital Outpatient 

Payment 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), Department 

of Health and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: This notice announces the 

renewal of the Advisory Panel (the 

Panel) on Hospital Outpatient Payment 

(HOP) charter. The charter was 

approved on November 6, 2014 for a 2- 

year period effective through November 

6, 2016. This notice publicly announces 

the renewal of the HOP Panel for 

another 2-year period. The purpose of 

the Panel is to advise the Secretary of 

the Department of Health and Human 

Services (DHHS) and the Administrator 

of the Centers for Medicare & Medicaid 

Services (CMS) concerning the clinical 

integrity of the Ambulatory Payment 

Classification groups and their relative 

payment weights. The Panel also 

addresses and makes recommendations 

regarding supervision of hospital 

outpatient services. The advice 

provided by the Panel will be 

considered as we prepare the annual 

updates for the hospital outpatient 

prospective payment system. 

DATES: April 24, 2015. 

ADDRESSES: Web site: For additional 

information on the Panel meeting dates, 

agenda topics, copy of the charter, and 

updates to the Panel’s activities, we 

refer readers to our Web site at the 

following address: https://

www.cms.gov/Regulations-andGuidance/Guidance/FACA/Advisory

PanelonAmbulatoryPayment

ClassificationGroups.html. 

FOR FURTHER INFORMATION CONTACT: 

Designated Federal Official (DFO): Carol 

Schwartz, DFO, 7500 Security 

Boulevard, Mail Stop: C4–04–25, 

Woodlawn, MD 21244–1850. Phone: 

(410) 786–3985. Email: APCPanel@

cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

I. Background 

The Secretary of the Department of 

Health and Human Services (the 

Secretary) is required by section 

1833(t)(9)(A) of the Social Security Act 

(the Act) (42 U.S.C. 1395l(t)(9)(A)) and 

is allowed by section 222 of the Public 

Health Service Act (PHS Act) (42 U.S.C. 

217(a)) to consult with an expert outside 

advisory panel on the clinical integrity 

of the Ambulatory Payment 

Classification (APC) groups and relative 

payment weights, which are major 

elements of the Medicare Hospital 

Outpatient Prospective Payment System 

(OPPS), and the appropriate supervision 

level for hospital outpatient services. 

The Panel is governed by the provisions 

of the Federal Advisory Committee Act 

(FACA) (Pub. L. 92–463), as amended (5 

U.S.C. Appendix 2), which sets forth 

standards for the formation and use of 

advisory panels. 

The Panel Charter provides that the 

Panel shall meet up to 3 times annually. 

We consider the technical advice 

provided by the Panel as we prepare the 

proposed and final rules to update the 

OPPS for the following calendar year. 

II. Renewal of the Hospital Outpatient 

Payment (HOP) Panel 

The Panel was originally chartered on 

November 21, 2000 and the Panel 

requires a recharter every 2 years. This 

notice announces the renewal of the 

HOP Panel charter, which was approved 

on November 6, 2014 for a 2-year period 

effective through November 6, 2016. 

The charter will terminate on November 

6, 2016, unless renewed by appropriate 

action. CMS intends to recharter the 

Panel for another 2-year period prior to 

the expiration of the current charter. 

Pursuant to the renewed charter, the 

Panel will advise the Secretary and CMS 

concerning optimal strategies for the 

following: 

• Addressing whether procedures 

within an APC group are similar both 

clinically and in terms of resource use. 

• Reconfiguring APCs (for example, 

splitting of APCs, moving Healthcare 

Common Procedures Coding System 

(HCPCS) codes from one APC to 

another, and moving HCPCS codes from 

new technology APCs to clinical APCs). 

• Evaluating APC group weights. 

• Reviewing packaging the cost of 

items and services, including drugs and 

devices into procedures and services; 

including the methodology for 

packaging and the impact of packaging 

the cost of those items and services on 

APC group structure and payment. 

• Removing procedures from the 

inpatient list for payment under the 

OPPS payment system. 

• Using claims and cost report data 

for CMS’ determination of APC group 

costs. 

• Addressing other technical issues 

concerning APC group structure. 

• Evaluating the required level of 

supervision for hospital outpatient 

services. 

III. Copies of the Charter 

To obtain a copy of the Panel’s 

Charter, we refer readers to the CMS 

Web site at: http://www.cms.gov/

Regulations-andGuidance/Guidance/

FACA/AdvisoryPanelonAmbulatory

PaymentClassificationGroups.html. 

Also, a copy of the Panel’s Charter can 

be received by submitting a request to 

the contact listed in the FOR FURTHER

INFORMATION section of this notice. 

IV. Collection of Information 

Requirements 

This document does not impose 

information collection requirements, 

that is, reporting, recordkeeping or 

third-party disclosure requirements. 

Consequently, there is no need for 

review by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. Chapter 35). 

Dated: April 13, 2015. 

Andrew M. Slavitt, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

[FR Doc. 2015–09609 Filed 4–23–15; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–3315–PN] 

Medicare and Medicaid Programs; 

Application by the American 

Association of Diabetes Educators for 

Continued Deeming Authority for 

Diabetes Self-Management Training 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Proposed notice. 

SUMMARY: This proposed notice 

announces the receipt of an application 

from the American Association of 

Diabetes Educators for continued 

recognition as a national accreditation 


tkelley on DSK3SPTVN1PROD with NOTICES
23010 Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices 

program for accrediting entities that 

wish to furnish outpatient diabetes selfmanagement training to Medicare 

beneficiaries. 

DATES: To be assured consideration, 

comments must be received at one of 

the addresses provided below, no later 

than 5 p.m. on May 26, 2015. 

ADDRESSES: In commenting, refer to file 

code CMS–3315–PN. Because of staff 

and resource limitations, we cannot 

accept comments by facsimile (FAX) 

transmission. 

You may submit comments in one of 

four ways (please choose only one of the 

ways listed): 

1. Electronically. You may submit 

electronic comments on this regulation 

to http://www.regulations.gov. Follow 

the ‘‘Submit a comment’’ instructions. 

2. By regular mail. You may mail 

written comments to the following 

address ONLY: Centers for Medicare & 

Medicaid Services, Department of 

Health and Human Services, Attention: 

CMS–3315–PN, P.O. Box 8010, 

Baltimore, MD 21244–8010. 

Please allow sufficient time for mailed 

comments to be received before the 

close of the comment period. 

3. By express or overnight mail. You 

may send written comments to the 

following address ONLY: Centers for 

Medicare & Medicaid Services, 

Department of Health and Human 

Services, Attention: CMS–3315–PN, 

Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

4. By hand or courier. Alternatively, 

you may deliver (by hand or courier) 

your written ONLY to the following 

addresses: 

a. For delivery in Washington, DC— 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, Room 445–G, Hubert 

H. Humphrey Building, 200 

Independence Avenue SW., 

Washington, DC 20201. (Because access 

to the interior of the Hubert H. 

Humphrey Building is not readily 

available to persons without Federal 

government identification, commenters 

are encouraged to leave their comments 

in the CMS drop slots located in the 

main lobby of the building. A stamp-in 

clock is available for persons wishing to 

retain a proof of filing by stamping in 

and retaining an extra copy of the 

comments being filed.) 

b. For delivery in Baltimore, MD— 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

If you intend to deliver your 

comments to the Baltimore address, call 

telephone number (410) 786–9994 in 

advance to schedule your arrival with 

one of our staff members. 

Comments erroneously mailed to the 

addresses indicated as appropriate for 

hand or courier delivery may be delayed 

and received after the comment period. 

For information on viewing public 

comments, see the beginning of the 

SUPPLEMENTARY INFORMATION section. 

FOR FURTHER INFORMATION CONTACT: 

Kristin Shifflett, (410) 786–4133. 

Jacqueline Leach, (410) 786–4282. 

SUPPLEMENTARY INFORMATION: Inspection 

of Public Comments: All comments 

received before the close of the 

comment period are available for 

viewing by the public, including any 

personally identifiable or confidential 

business information that is included in 

a comment. We post all comments 

received before the close of the 

comment period on the following Web 

site as soon as possible after they have 

been received: http://

www.regulations.gov. Follow the search 

instructions on that Web site to view 

public comments. 

Comments received timely will also 

be available for public inspection as 

they are received, generally beginning 

approximately 3 weeks after publication 

of a document, at the headquarters of 

the Centers for Medicare & Medicaid 

Services, 7500 Security Boulevard, 

Baltimore, Maryland 21244, Monday 

through Friday of each week from 8:30 

a.m. to 4 p.m. To schedule an 

appointment to view public comments, 

phone 1–800–743–3951. 

I. Background 

Under the Medicare program, eligible 

beneficiaries may receive outpatient 

Diabetes Self-Management Training 

(DSMT) when ordered by the physician 

(or qualified non-physician practitioner) 

treating the beneficiary’s diabetes, 

provided certain requirements are met. 

Pursuant to our regulations at 42 CFR 

410.141(e)(3), we use national 

accrediting organizations to assess 

whether provider entities meet 

Medicare requirements when providing 

services for which Medicare payment is 

made. If a provider entity is accredited 

by an approved accrediting 

organization, it is ‘‘deemed’’ to meet 

applicable Medicare requirements. 

Under section 1865(a)(1)(B) of the 

Social Security Act (the Act), a national 

accrediting organization must have an 

agreement in effect with the Secretary of 

the Department of Health and Human 

Services (the Secretary) and meet the 

standards and requirements specified by 

the Secretary in 42 CFR part 410, 

subpart H, to qualify for deeming 

authority. Our regulations pertaining to 

application procedures for the national 

accreditation organizations for DSMT 

are specified at § 410.142 (CMS process 

for approving national accreditation 

organizations). 

A national accreditation organization 

applying for deeming authority must 

provide CMS with reasonable assurance 

that the accrediting organization 

requires accredited entities to meet 

requirements that are at least as 

stringent as the Medicare requirements. 

We may approve and recognize a 

nonprofit organization with 

demonstrated experience in 

representing the interests of individuals 

with diabetes to accredit entities to 

furnish training. The accreditation 

organization, after being approved and 

recognized by CMS, may accredit an 

entity to meet one of the sets of quality 

standards in § 410.144 (Quality 

standards for deemed entities). 

II. Approval of Deeming Organizations 

Section 1865(a)(2) of the Act further 

requires that we review the applying 

accreditation organization’s 

requirements for accreditation, as 

follows: 

• Survey procedures; 

• Ability to provide adequate 

resources for conducting required 

surveys; 

• Ability to supply information for 

use in enforcement activities; 

• Monitoring procedures for 

providers found out of compliance with 

the conditions or requirements; and 

• Ability to provide CMS with 

necessary data for validation. 

We then examine the national 

accreditation organization’s 

accreditation requirements to determine 

if they meet or exceed the Medicare 

conditions as we would have applied 

them. Section 1865(a)(3)(A) of the Act 

requires that we publish a notice 

identifying the national accreditation 

organization that is making the request 

for approval or renewal within 60 days 

of receipt of a completed application. 

The notice must describe the nature of 

the request and provide at least a 30-day 

public comment period. We have 210 

days from receipt of the request to 

publish a finding of approval or denial 

of the application. If CMS recognizes an 

accreditation organization in this 

manner, any entity accredited by the 

national accreditation organization’s 

program for that service will be deemed 

to meet the Medicare conditions for 

coverage. 

III. Evaluation of Deeming Authority 

Request 

The purpose of this notice is to notify 

the public of the American Association 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices 23011 

of Diabetes Educators’ (AADE) request 

for the Secretary’s approval of its 

accreditation program for outpatient 

DSMT services. The AADE submitted 

all the necessary materials to enable us 

to make a determination concerning its 

request for re-approval as a deeming 

organization for DSMTs. AADE was 

initially accredited on August 27, 2012, 

for a period of 3 years. This application 

was determined to be complete on 

February 27, 2015. This notice also 

solicits public comments on the ability 

of the AADE to continue to develop 

standards that meet or exceed the 

Medicare conditions for coverage and 

apply them to entities furnishing 

outpatient. 

The regulations specifying the 

Medicare conditions for coverage for 

outpatient diabetes self-management 

training services are located in parts 

410, subpart H. These conditions 

implement section 1861(qq) of the Act, 

which provides for Medicare Part B 

coverage of outpatient DSMT services 

specified by the Secretary. 

Under section 1865(a)(2) of the Act 

and our regulations at § 410.142 (CMS 

process for approving accreditation 

organizations) and § 410.143 

(Requirements for approved 

accreditation organizations), we review 

and evaluate a national accreditation 

organization based on (but not 

necessarily limited to) the criteria set 

forth in § 410.142(b). 

We may conduct on-site inspections 

of a national accreditation 

organization’s operations and office to 

verify information in the organization’s 

application and assess the 

organization’s compliance with its own 

policies and procedures. The on-site 

inspection may include, but is not 

limited to, reviewing documents, 

auditing documentation of meetings 

concerning the accreditation process, 

evaluating accreditation results or the 

accreditation status decision making 

process, and interviewing the 

organization’s staff. 

IV. Collection of Information 

Requirements 

This document does not impose 

information collection requirements, 

that is, reporting, recordkeeping or 

third-party disclosure requirements. 

Consequently, there is no need for 

review by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. 3501 et seq.). 

V. Response to 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 

notice in the Federal Register 

announcing the result of our evaluation. 

Dated: April 7, 2015. 

Andrew M. Slavitt, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

[FR Doc. 2015–09610 Filed 4–23–15; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10392 and CMS– 

10418] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 

(PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, and to allow 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the burden estimate or any 

other aspect of this collection of 

information, including any of the 

following subjects: (1) The necessity and 

utility of the proposed information 

collection for the proper performance of 

the agency’s functions; (2) the accuracy 

of the estimated burden; (3) ways to 

enhance the quality, utility, and clarity 

of the information to be collected; and 

(4) the use of automated collection 

techniques or other forms of information 

technology to minimize the information 

collection burden. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by May 26, 2015. 

ADDRESSES: When commenting on the 

proposed information collections, 

please reference the document identifier 

or OMB control number. To be assured 

consideration, comments and 

recommendations must be received by 

the OMB desk officer via one of the 

following transmissions: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–5806 OR, Email: 

OIRA_submission@omb.eop.gov. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, you may make your request 

using one of following: 

1. Access CMS’ Web site address at 

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

PaperworkReductionActof1995. 

2. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

3. Call the Reports Clearance Office at 

(410) 786–1326. 

FOR FURTHER INFORMATION CONTACT: 

Reports Clearance Office at (410) 786– 

1326. 

SUPPLEMENTARY INFORMATION: Under the 

Paperwork Reduction Act of 1995 (PRA) 

(44 U.S.C. 3501–3520), federal agencies 

must obtain approval from the Office of 

Management and Budget (OMB) for each 

collection of information they conduct 

or sponsor. The term ‘‘collection of 

information’’ is defined in 44 U.S.C. 

3502(3) and 5 CFR 1320.3(c) and 

includes agency requests or 

requirements that members of the public 

submit reports, keep records, or provide 

information to a third party. Section 

3506(c)(2)(A) of the PRA (44 U.S.C. 

3506(c)(2)(A)) requires federal agencies 

to publish a 30-day notice in the 

Federal Register concerning each 

proposed collection of information, 

including each proposed extension or 

reinstatement of an existing collection 

of information, before submitting the 

collection to OMB for approval. To 

comply with this requirement, CMS is 

publishing this notice that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: Revision of a currently 

approved information collection; Title 

of Information Collection: Consumer 

Operated and Oriented (CO–OP) 

Program; Use: The Consumer Operated 

and Oriented Plan (CO–OP) program 

was established by Section 1322 of the 

Affordable Care Act. This program 

provides for loans to establish at least 

one consumer-operated, qualified 

nonprofit health insurance issuer in 

each State. Issuers supported by the 


tkelley on DSK3SPTVN1PROD with NOTICES