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

‘‘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.


### 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**