Federal Register / Vol. 75, No. 146 / Friday, July 30, 2010 / Notices 44971 

provide all Medicare and Medicaid 

covered services including hospital, 

nursing home, home health, and other 

specialized services. Financing of this 

model is accomplished through 

prospective capitation of both Medicare 

and Medicaid payments. The 

information collection requirements are 

necessary to ensure that only 

appropriate organizations are selected to 

become PACE organizations and that 

CMS has the information necessary to 

monitor the care provided to the frail, 

vulnerable population served. Form 

Number: CMS–R–244 (OMB#: 0938– 

0790); Frequency: Once and 

Occasionally; Affected Public: State, 

Local, or Tribal Governments and Notfor-profit institutions; Number of 

Respondents: 99; Total Annual 

Responses: 99; Total Annual Hours: 

81,911.5. (For policy questions 

regarding this collection contact 

Daniella Stanley at 410–786–3723. For 

all other issues call 410–786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web Site 

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

PaperworkReductionActof1995, or Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by September 28, 2010: 

1. Electronically. You may submit 

your comments electronically to 

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

instructions for ‘‘Comment or 

Submission’’or ‘‘More Search Options’’to 

find the information collection 

document(s) accepting comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: July 26, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–18611 Filed 7–29–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–2480–NC] 

Medicaid Program; Request for 

Comments on Legislative Changes To 

Provide Quality of Care to Children 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice with Comments. 

SUMMARY: This notice requests 

comments from the public for our 

consideration in developing the 

Secretary’s recommendations for 

legislative changes to improve the 

quality of care provided to children 

under Medicaid and the Children’s 

Health Insurance Program, including 

recommendations for quality reporting 

by the States. The Children’s Health 

Insurance Program Reauthorization Act 

of 2009 (CHIPRA) requires the Secretary 

of Health and Human Services to 

provide to Congress recommendations 

for legislative changes to improve the 

quality of care provided to children 

under Medicaid and the Children’s 

Health Insurance Program. 

DATES: Comment Date: To be assured 

consideration, comments must be 

received at one of the addresses 

provided below, no later than 5 p.m. on 

August 30, 2010. 

ADDRESSES: In commenting, please refer 

to file code CMS–2480–NC. 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 instructions under the ‘‘More Search 

Options’’ tab. 

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–2480–NC, P.O. Box 8010, 

Baltimore, MD 21244–1850. 

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–2480–NC, 

Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

[Note: This zip code for express mail or 

courier delivery only. This zip code 

specifies the agency’s physical location.] 

4. By hand or courier. If you prefer, 

you may deliver (by hand or courier) 

your written comments before the close 

of the comment period to either of 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. 

[Note: This zip code for express mail or 

courier delivery only. This zip code 

specifies the agency’s physical location.] 

If you intend to deliver your 

comments to the Baltimore address, 

please call telephone number (410) 786– 

7195 in advance to schedule your 

arrival with one of our staff members. 

Comments 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: 

Charles K. MacKay (410) 786–2106. 

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 


srobinson on DSKHWCL6B1PROD with NOTICES
44972 Federal Register / Vol. 75, No. 146 / Friday, July 30, 2010 / Notices 

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 

Section 401(a) of the Children’s 

Health Insurance Program 

Reauthorization Act of 2009 (Pub. L. 

111–3) (CHIPRA), added section 1139A 

to the Social Security Act (the Act). 

Section 1139A(a)(6), as added by section 

(401)(a), requires the Secretary to report 

to the Congress by January 1, 2011, and 

every 3 years thereafter, on the status of 

the following factors that influence the 

quality of care given to children under 

the Medicaid and Children’s Health 

Insurance Program. 

• The duration and stability of health 

insurance coverage for children under 

titles XIX and XXI of the Social Security 

Act. 

• The quality of care provided under 

titles XIX and XXI for: 

+ Preventive health care services. 

+ Health care for acute conditions. 

+ Chronic health care. 

+ Health services to ameliorate the 

effects of physical and mental 

conditions and to aid in the growth 

and development of infants, young 

children, school-age children, and 

adolescents with special health care 

needs. 

• The quality of children’s health care 

under titles XIX and XXI, across the 

various domains of quality, including: 

+ Clinical quality. 

+ Health care safety. 

+ Family experience with health care. 

+ Health care in the most integrated 

setting. 

+ Elimination of racial, ethnic, and 

socio-economic disparities in health 

and health care. 

• The status of voluntary reporting by 

States under titles XIX and XXI, 

utilizing the initial core quality 

measurement set. Based on the 

assessment of these factors affecting the 

quality of care given to children under 

titles XIX and XXI, the Secretary is also 

required to make any recommendations 

for legislative changes that are needed to 

improve the quality of care provided to 

children under titles XIX and XXI, 

including recommendations for quality 

reporting by the States. 

II. Solicitation of Comments 

We request public comments for 

consideration in the formulation of 

legislative changes to be recommended 

by the Secretary, including 

requirements for the process and 

content of quality reporting by the 

States. We request that these suggestions 

address the dimensions of quality and 

the subject areas listed above. 

III. 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. 

(Catalog of Federal Domestic Assistance 

Program No. 93.778, Medical Assistance 

Program) 

Dated: July 19, 2010. 

Marilyn Tavenner, 

Principal Deputy Administrator, Centers for 

Medicare & Medicaid Services. 

[FR Doc. 2010–18140 Filed 7–29–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1579–NC] 

Medicare and Medicaid Programs; 

Announcement of an Application From 

a Hospital Seeking To Enter Into an 

Agreement With a Different Organ 

Procurement Organization 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice with comment period. 

SUMMARY: A hospital that had 

previously been granted a waiver under 

section 1138(a)(2) of the Social Security 

Act (the Act), has requested to enter into 

an agreement with a different Organ 

Procurement Organization (OPO). This 

notice requests comments from 

hospitals, OPOs, and the general public 

for our consideration in determining 

whether we should grant the request. 

We are particularly interested in 

information and material that will help 

determine whether the change is likely 

to increase organ donation and will 

ensure equitable treatment for patients 

in both affected OPO service areas. 

DATES: Comment Date: To be assured 

consideration, comments must be 

received at one of the addresses 

provided below, no later than 5 p.m. on 

September 28, 2010. 

ADDRESSES: In commenting, please refer 

to file code CMS–1579–NC. 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–1579–NC, P.O. Box 8010, 

Baltimore, MD 21244–1850. 

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–1579–NC, 

Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

4. By hand or courier. If you prefer, 

you may deliver (by hand or courier) 

your written comments before the close 

of the comment period to either of 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, 

please call telephone number (410) 786– 

9994 in advance to schedule your 

arrival with one of our staff members. 

Comments mailed to the addresses 

indicated as appropriate for hand or 

courier delivery may be delayed and 

received after the comment period. 

FOR FURTHER INFORMATION CONTACT: 

Mark A. Horney, (410) 786–4554. 

SUPPLEMENTARY INFORMATION: Inspection 

of Public Comments: All comments 


srobinson on DSKHWCL6B1PROD with NOTICES