15750 Federal Register / Vol. 79, No. 55 / Friday, March 21, 2014 / Notices 

HIV/AIDS awareness activities are 

planned and implemented. 

These survey results will provide 

important information that will be used 

to develop HIV/AIDS prevention 

activities. The computer-based surveys 

take up to one hour. 

There are no costs to the respondents 

other than their time. The total 

estimated annual burden hours are 375. 

ESTIMATED ANNUALIZED BURDEN HOURS

Respondents Form name Number of 

respondents 

Responses 

per 

respondent 

Average 

burden per 

response 

(In hours) 

African-American HIV/AIDS awareness day 

activity planners.

National Black HIV/AIDS Awareness Day 

Evaluation Report.

200 1 1 

Asian and Pacific Islander HIV/AIDS awareness day activity planners.National Asian & Pacific Islander HIV/AIDS 

Awareness Day Evaluation Report.

15 1 1 

Latino HIV/AIDS awareness day activity planners.National Latino AIDS Awareness Day Evaluation Report.125 1 1 

Native HIV/AIDS awareness day activity planners.National Native HIV/AIDS Awareness Day 

Evaluation Report.

35 1 1 

LeRoy Richardson, 

Chief, Information Collection Review Office, 

Office of Scientific Integrity, Office of the 

Associate Director for Science, Office of the 

Director, Centers for Disease Control and 

Prevention. 

[FR Doc. 2014–06218 Filed 3–20–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5512–N] 

Medicare Program; Request for 

Applications for the Medicare Care 

Choices Model 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice informs interested 

parties of an opportunity to apply for 

participation in the Medicare Care 

Choices Model. The primary goal of the 

Medicare Care Choices Model is to test 

whether Medicare beneficiaries who 

meet Medicare hospice eligibility 

requirements would elect hospice if 

they could continue to seek curative 

services. 

DATES: Applications will be considered 

timely if they are received on or before 

June 19, 2014. 

Applications received after this date 

will not be considered. Applicants must 

submit their application in a manner 

that provides proof of timely delivery, 

for example, FedEx, UPS, or USPS 

Express Mail. It is the applicant’s 

responsibility to be able to prove 

delivery of the complete application by 

the due date. 

ADDRESSES: Applications should be 

mailed to the following address: Centers 

for Medicare & Medicaid Services, 

Center for Medicare and Medicaid 

Innovation, Attention: Cindy Massuda, 

Mail Stop: WB–06–05, 7500 Security 

Boulevard, Baltimore, Maryland 21244– 

1850. 

FOR FURTHER INFORMATION CONTACT: 

Cindy Massuda at (410) 786–0652 or 

Georganne Kuberski at (410) 786–0799 

or by email at address: CareChoices@

cms.hhs.gov. 

The Innovation Center Web site at 

http://innovation.cms.gov/. 

SUPPLEMENTARY INFORMATION: 

General Information: In submitting 

application, refer to file code (CMS– 

5512–N). 

Application requirements: 

Applications must be typed for clarity 

with a minimum font size of 12 using 

Microsoft Word and should not exceed 

40 double-spaced pages, exclusive of 

cover letter, the executive summary, 

resumes, and letters of engagement from 

referring providers. Follow guidance in 

this Request for Application for 

elements to include in the application, 

specifically those elements outlined in 

the selection criteria. 

Submission of Application: 

Applicants must submit a total of 10 

hard copies printed single-sided with 

page numbers in the bottom right-hand 

corner to ensure that each reviewer 

receives an application in the manner 

intended by the applicant (for example, 

collated, tabulated, or color copies). 

Applicants must designate 1 copy as the 

official proposal. Applicants must 

provide 10 hard copies and 1 electronic 

copy saved onto a USB flash drive of the 

full application as the basic requirement 

of what constitutes submission of an 

application. Hard copies and electronic 

copies must be identical. 

Note: We will not accept applications 

by any other means such as facsimile 

(FAX) transmission or by email. 

Eligible Organizations: Eligible 

providers for this Model are Medicare 

certified and enrolled hospice programs 

based on their Medicare provider 

number, in good standing and of all 

sizes, located in a mix of rural and 

urban areas that are experienced in care 

coordination with their referring 

network of providers. 

I. Background 

The Center for Medicare and 

Medicaid Innovation (Innovation 

Center), within the Centers for Medicare 

& Medicaid Services (CMS), was created 

to test innovative payment and service 

delivery models to reduce program 

expenditures while preserving or 

enhancing the quality of care for 

Medicare, Medicaid, and Children’s 

Health Insurance Program beneficiaries. 

We are interested in identifying 

models designed to improve care for 

specific populations. One such 

population is terminally ill Medicare 

beneficiaries who qualify for, but do not 

elect to use the hospice benefit until late 

in their disease process. There is 

evidence that providing hospice care to 

terminally ill Medicare beneficiaries can 

reduce program expenditures while 

improving beneficiary satisfaction. 

Despite this evidence, only 44 percent 

of Medicare beneficiaries reach the end 

of life while using the hospice benefit, 

and most use the benefit for only a short 

period of time. While the average length 

of stay on Medicare hospice has grown 

over time, the median length of stay has 

remained stable at about 17 days. The 

hospice industry and other stakeholders 

often cite the requirement to forgo 

curative treatment as a primary reason 

patients do not elect hospice until the 

final days of their lives. 

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Federal Register / Vol. 79, No. 55 / Friday, March 21, 2014 / Notices 15751 

The Medicare Care Choices Model 

design is based on established 

relationships hospices have with their 

referring network of providers. Many 

hospices already have care coordination 

programs in place to coordinate hospice 

support services with the curative care 

services. This Model leverages those 

established relationships to allow 

Medicare to test and evaluate this care 

coordination concept. 

The Medicare Care Choices Model 

seeks to test whether traditional 

Medicare beneficiaries with certain 

types of advanced cancers, congestive 

heart failure (CHF), human 

immunodeficiency virus (HIV), and 

chronic obstructive pulmonary disease 

(COPD) who meet Medicare hospice 

eligibility requirements under either the 

Medicare or Medicaid Hospice Benefit 

would elect to receive hospice 

supportive services earlier in their 

disease trajectories if they could 

continue to seek curative services. The 

Model will evaluate whether there are 

associated improvements in patient 

care, patient and family or caregiver 

satisfaction with care, and quality of life 

at the end-of-life. 

II. Provisions of This Notice 

The Medicare Care Choices Model 

participating hospices will use care 

coordination services both within the 

hospice and between the hospice and 

other providers and suppliers to 

effectively manage hospice-eligible 

Medicare beneficiaries and report 

process and outcome measures on their 

results. The Medicare Care Choices 

Model participating hospices will be 

paid a $400 per beneficiary per month 

fee for certain hospice support services 

furnished to traditional fee-for-service 

Medicare beneficiaries who are hospice 

eligible and meet the criteria stated in 

the Request for Application (RFA). 

In selecting hospices to participate in 

the program, CMS seeks eligible 

beneficiaries from a mix of rural and 

urban areas representing Medicare 

hospices of all sizes. These hospice 

providers must demonstrate experience 

with care coordination between 

providers including physicians, 

hospitals, pharmacies, DME suppliers, 

other suppliers, and skilled nursing 

facilities. 

We expect to select at least 30 

Medicare certified and enrolled 

hospices based on their Medicare 

provider number to participate in the 

Medicare Care Choices Model. The 

Medicare Care Choices Model period of 

performance will be 3 years. Applicants 

must present evidence that their 

network of referring providers is capable 

of successfully identifying beneficiaries 

who meet the Medicare Care Choice 

Model eligibility requirements. 

Applicants are required to provide a 

detailed narrative with supporting 

documentation describing the 

beneficiary population they intend to 

serve, how services will be provided, 

the quality measures in place and 

planned, and the number of 

beneficiaries expected for each year of 

the 3-year Medicare Care Choices Model 

period. 

CMS will use a competitive process to 

select eligible organizations to 

participate in the Medicare Care Choices 

Model. We will accept timely 

applications in the standard format 

outlined in the Medicare Care Choices 

Model RFA in order to be considered for 

review by an internal technical panel. 

Applications that are not received in 

this format will not be considered for 

review. 

For more specific details regarding the 

Medicare Care Choices Model 

(including the RFA), we refer applicants 

to the informational materials on the 

Innovation Center Web site at: http://

innovation.cms.gov/. Applicants are 

responsible for monitoring the Web site 

to obtain the most current information 

available. 

III. Collection of Information 

Requirements 

Section 1115A(d)(3) of the Act, as 

added by section 3021 of the Affordable 

Care Act, states that chapter 35 of title 

44, United States Code (the Paperwork 

Reduction Act of 1995), shall not apply 

to the testing and evaluation of models 

or expansion of such models under this 

section. Consequently, this document 

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). 

Dated: November 14, 2013. 

Marilyn Tavenner, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2014–06158 Filed 3–18–14; 4:15 pm] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Community Living 

Agency Information Collection 

Activities; Proposed Collection; 

Comment Request; Extension of 

Certification on Maintenance of Effort 

for the Title III and Minor Revisions to 

the Certification of Long-Term Care 

Ombudsman Program Expenditures 

AGENCY: Administration for Community 

Living, HHS. 

ACTION: Notice. 

SUMMARY: The Administration for 

Community Living (ACL) is announcing 

an opportunity for public comment on 

the proposed collection of certain 

information by the agency. Under the 

Paperwork Reduction Act of 1995 (the 

PRA), Federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension of an existing collection of 

information, and to allow 60 days for 

public comment in response to the 

notice. This notice solicits comments on 

the information collection requirements 

relating to the Certification on 

Maintenance of Effort under Title III and 

Certification of Long-Term Care 

Ombudsman Program Expenditures for 

OAA Title III and Title VII Grantees. 

DATES: Submit written or electronic 

comments on the collection of 

information by May 20, 2014. 

ADDRESSES: Submit electronic 

comments on the collection of 

information to: BeckyKurtz@

aoa.hhs.gov. Submit written comments 

on the collection of information to 

Administration for Community Living, 

Washington, DC 20201, attention Becky 

Kurtz. 

FOR FURTHER INFORMATION CONTACT: 

Becky Kurtz, National Long Term Care 

Ombudsman, Administration for 

Community Living, Washington, DC 

20201. 

SUPPLEMENTARY INFORMATION: Under the 

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. 

‘‘Collection of information’’ is defined 

in 44 U.S.C. 3502(3) and 5 CFR 

1320.3(c) and includes agency request 

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 provide a 60-day notice in 

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