Federal Register / Vol. 80, No. 94 / Friday, May 15, 2015 / Proposed Rules 27883 

‘‘Home health aide 

services’’,‘‘Homemaker services’’, 

‘‘Long-term care’’, and ‘‘Other place of 

residence’’; 

■ e. In the definition of ‘‘Outpatient 

care’’ adding ‘‘day health care and’’ 

immediately after the word ‘‘including’’; 

and 

■ f. Revising the definition of ‘‘Respite 

care’’. 

The additions and revision read as 

follows: 

§ 17.900 Definitions. 

* * * * * 

Day health care means a therapeutic 

program prescribed by an approved 

health care provider that provides 

necessary medical services, 

rehabilitation, therapeutic activities, 

socialization, nutrition, and 

transportation services in a congregate 

setting. Day health care may be 

provided as a component of outpatient 

care or respite care. 

* * * * * 

Health-related services means 

homemaker or home health aide 

services furnished in the individual’s 

home or other place of residence to the 

extent that those services provide 

assistance with Activities of Daily 

Living and Instrumental Activities of 

Daily Living that have therapeutic 

value. 

* * * * * 

Home health aide services is a 

component of health-related services 

providing personal care and related 

support services to an individual in the 

home or other place of residence. Home 

health aide services may include 

assistance with Activities of Daily 

Living such as: Bathing; toileting; 

eating; dressing; aid in ambulating or 

transfers; active and passive exercises; 

assistance with medical equipment; and 

routine health monitoring. Home health 

aide services must be provided 

according to the individual’s written 

plan of care and must be prescribed by 

an approved health care provider. 

Homemaker services is a component 

of health-related services encompassing 

certain activities that help to maintain a 

safe, healthy environment for an 

individual in the home or other place of 

residence. Such services contribute to 

the prevention, delay, or reduction of 

risk of harm or hospital, nursing home, 

or other institutional care. Homemaker 

services include assistance with 

personal care; home management; 

completion of simple household tasks; 

nutrition, including menu planning and 

meal preparation; consumer education; 

and hygiene education. Homemaker 

services may include assistance with 

Instrumental Activities of Daily Living, 

such as: Light housekeeping; 

laundering; meal preparation; necessary 

services to maintain a safe and sanitary 

environment in the areas of the home 

used by the individual; and services 

essential to the comfort and cleanliness 

of the individual and ensuring 

individual safety. Homemaker services 

must be provided according to the 

individual’s written plan of care and 

must be prescribed by an approved 

health care provider. 

* * * * * 

Long-term care means home care, 

nursing home care, and respite care. 

* * * * * 

Other place of residence includes an 

assisted living facility or residential 

group home. 

* * * * * 

Respite care means care, including 

day health care, furnished by an 

approved health care provider on an 

intermittent basis for a limited period to 

an individual who resides primarily in 

a private residence when such care will 

help the individual continue residing in 

such private residence. 

* * * * * 

■ 3. Amend § 17.902 by: 

■ a. Revising the first three sentences of 

paragraph (a); and 

■ b. At the end of the section, removing 

‘‘2900–0578’’ from the notice of the 

Office of Management and Budget 

control number and adding, in its place, 

‘‘2900–0219’’. 

The revisions read as follows: 

§ 17.902 Preauthorization. 

(a) Preauthorization from VA is 

required for the following services or 

benefits under §§ 17.900 through 

17.905: Rental or purchase of durable 

medical equipment with a total rental or 

purchase price in excess of $300, 

respectively, day health care provided 

as outpatient care; dental services; 

homemaker services; outpatient mental 

health services in excess of 23 visits in 

a calendar year; substance abuse 

treatment; training; transplantation 

services; and travel (other than mileage 

at the General Services Administration 

rate for privately owned automobiles). 

Authorization will only be given in 

spina bifida cases where it is 

demonstrated that the care is medically 

necessary. In cases of other covered 

birth defects, authorization will only be 

given where it is demonstrated that the 

care is medically necessary and related 

to the covered birth defects. * * * 

* * * * * 

■ 4. Amend § 17.903 by: 

■ a. In paragraph (a)(1), adding a second 

sentence; and 

■ b. At the end of the section, removing 

‘‘2900–0578’’ from the notice of the 

Office of Management and Budget 

control number and adding, in its place, 

‘‘2900–0219’’. 

The addition reads as follows: 

§ 17.903 Payment. 

(a)(1) * * * For those services or 

benefits covered by §§ 17.900 through 

17.905 but not covered by CHAMPVA 

we will use payment methodologies the 

same or similar to those used for 

equivalent services or benefits provided 

to veterans. 

* * * * * 

§ 17.904 [Amended] 

■ 5. Amending § 17.904 by, at the end 

of the section, removing ‘‘2900–0578’’ 

from the notice of the Office of 

Management and Budget control 

number and adding, in its place, ‘‘2900– 

0219’’. 

[FR Doc. 2015–11718 Filed 5–14–15; 8:45 am] 

BILLING CODE 8320–01–P 

ENVIRONMENTAL PROTECTION 

AGENCY 

40 CFR Part 300 

[EPA–HQ–SFUND–1986–0005; FRL–9927– 

73–Region 5] 

National Oil and Hazardous 

Substances Pollution Contingency 

Plan; National Priorities List Deletion 

of the Burrows Sanitation Superfund 

Site 

AGENCY: Environmental Protection 

Agency. 

ACTION: Proposed rule; notice of intent. 

SUMMARY: The U.S. Environmental 

Protection Agency (EPA) Region 5 is 

issuing a Notice of Intent to Delete the 

Burrows Sanitation Superfund Site 

located in Hartford Township, Van 

Buren County, Michigan from the 

National Priorities List (NPL) and 

requests public comments on this 

proposed action. The NPL, promulgated 

pursuant to section 105 of the 

Comprehensive Environmental 

Response, Compensation, and Liability 

Act (CERCLA) of 1980, as amended, is 

an appendix of the National Oil and 

Hazardous Substances Pollution 

Contingency Plan (NCP). EPA and the 

State of Michigan, through the Michigan 

Department of Environment Quality 

(MDEQ), have determined that all 

appropriate response actions under 

CERCLA have been completed. 

However, this deletion does not 

preclude future actions under 

Superfund. 


wreier-aviles on DSK5TPTVN1PROD with PROPOSALS
27884 Federal Register / Vol. 80, No. 94 / Friday, May 15, 2015 / Proposed Rules 

DATES: Comments must be received by 

June 15, 2015. 

ADDRESSES: Submit your comments, 

identified by Docket ID No. EPA–HQ– 

SFUND–1986–0005, by one of the 

following methods: 

• http://www.regulations.gov: Follow 

online instructions for submitting 

comments. 

• Email: Jeffrey Gore, Remedial 

Project Manager, at gore.jeffrey@epa.gov 

or Cheryl Allen, Community 

Involvement Coordinator, at 

allen.cheryl@epa.gov. 

• Fax: Gladys Beard, NPL Deletion 

Process Manager, at (312) 697–2077. 

• Mail: Jeffrey Gore, Remedial Project 

Manager, U.S. Environmental Protection 

Agency (SR–6J), 77 West Jackson 

Boulevard, Chicago, IL 60604, (312) 

886–6552, or Cheryl Allen, Community 

Involvement Coordinator, U.S. 

Environmental Protection Agency (SI– 

7J), 77 West Jackson Boulevard, 

Chicago, IL 60604, (312) 353–6196 or 

(800) 621–8431. 

• Hand delivery: Cheryl Allen, 

Community Involvement Coordinator, 

U.S. Environmental Protection Agency 

(SI–7J), 77 West Jackson Boulevard, 

Chicago, IL 60604. Such deliveries are 

only accepted during the docket’s 

normal hours of operation, and special 

arrangements should be made for 

deliveries of boxed information. The 

normal business hours are Monday 

through Friday, 8:30 a.m. to 4:30 p.m. 

CST, excluding federal holidays. 

Instructions: Direct your comments to 

Docket ID No. EPA–HQ–SFUND–1986– 

0005. EPA’s policy is that all comments 

received will be included in the public 

docket without change and may be 

made available online at http://

www.regulations.gov, including any 

personal information provided, unless 

the comment includes information 

claimed to be Confidential Business 

Information (CBI) or other information 

whose disclosure is restricted by statute. 

Do not submit information that you 

consider to be CBI or otherwise 

protected through http://

www.regulations.gov or email. The 

http://www.regulations.gov Web site is 

an ‘‘anonymous access’’ system, which 

means EPA will not know your identity 

or contact information unless you 

provide it in the body of your comment. 

If you send an email comment directly 

to EPA without going through http://

www.regulations.gov, your email 

address will be automatically captured 

and included as part of the comment 

that is placed in the public docket and 

made available on the Internet. If you 

submit an electronic comment, EPA 

recommends that you include your 

name and other contact information in 

the body of your comment and with any 

disk or CD–ROM you submit. If EPA 

cannot read your comment due to 

technical difficulties and cannot contact 

you for clarification, EPA may not be 

able to consider your comment. 

Electronic files should avoid the use of 

special characters, any form of 

encryption, and be free of any defects or 

viruses. 

Docket: All documents in the docket 

are listed in the http://

www.regulations.gov index. Although 

listed in the index, some information 

may not be publicly available, e.g., CBI 

or other information whose disclosure is 

restricted by statute. Certain other 

material, such as copyrighted material, 

will be publicly available only in the 

hard copy. Publicly available docket 

materials are available either 

electronically at http://

www.regulations.gov or in hard copy at: 

• U.S. Environmental Protection 

Agency—Region 5, 77 West Jackson 

Boulevard, Chicago, IL 60604, Phone: 

(312) 353–1063, Hours: Monday through 

Friday, 8:30 a.m. to 4:30 p.m. CST, 

excluding federal holidays. 

• Harford Public Library, 15 Franklin 

Street, Hartford, MI 49057, Phone: (269) 

621–3408, Hours: Monday through 

Wednesday, 10:00 a.m. to 7:00 p.m., 

Thursday and Friday 10:00 a.m. to 5:00 

p.m., Saturday 10:00 a.m. to 5:00 p.m. 

FOR FURTHER INFORMATION CONTACT: 

Jeffrey Gore, Remedial Project Manager, 

U.S. Environmental Protection Agency 

(SR–6J), 77 West Jackson Boulevard, 

Chicago, IL 60604, (312) 886–6552, or 

gore.jeffrey@epa.gov. 

SUPPLEMENTARY INFORMATION: In the 

‘‘Rules and Regulations’’ section of 

today’s Federal Register, we are 

publishing a direct final Notice of 

Deletion of the Burrows Sanitation 

Superfund Site without prior Notice of 

Intent to Delete because we view this as 

a noncontroversial decision and 

anticipate no adverse comment. We 

have explained our reasons for this 

deletion in the preamble to the direct 

final Notice of Deletion, and those 

reasons are incorporated herein. If we 

receive no adverse comment(s) on this 

deletion action, we will not take further 

action on this Notice of Intent to Delete. 

If we receive adverse comment(s), we 

will withdraw the direct final Notice of 

Deletion, and it will not take effect. We 

will, as appropriate, address all public 

comments in a subsequent final Notice 

of Deletion based on this Notice of 

Intent to Delete. We will not institute a 

second comment period on this Notice 

of Intent to Delete. Any parties 

interested in commenting must do so at 

this time. 

For additional information, see the 

direct final Notice of Deletion which is 

located in the ‘‘Rules and Regulations’’ 

section of this Federal Register. 

List of Subjects in 40 CFR Part 300 

Environmental protection, Air 

pollution control, Chemicals, Hazardous 

substances, Hazardous waste, 

Intergovernmental relations, Penalties, 

Reporting and recordkeeping 

requirements, Superfund, Water 

pollution control, and Water supply. 

Authority: 33 U.S.C. 1321(d); 42 U.S.C. 

9601–9657; E.O. 13626, 77 FR 56749, 3CFR, 

2013 Comp., p. 306; E.O. 12777, 56 FR 54757, 

3 CFR, 1991 Comp., p. 351; E.O. 12580, 52 

FR 2923, 3 CFR, 1987 Comp., p. 193. 

Dated: April 30, 2015. 

Susan Hedman, 

Regional Administrator, Region 5. 

[FR Doc. 2015–11800 Filed 5–14–15; 8:45 am] 

BILLING CODE 6560–50–P 


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