Federal Register / Vol. 76, No. 98 / Friday, May 20, 2011 / Notices 29249 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10232, CMS– 

10251, CMS–R–185, and CMS–R–211] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this 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 function; 

(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. 

1. Type of Information Collection 

Request: Revision of currently approved 

collection; Title of Information 

Collection: State Plan Template to 

Implement Section 6062 of the Deficit 

Reduction Act; Form No.: CMS–10232 

(OMB#: 0938–1045); Use: The Deficit 

Reduction Act (DRA) provides States 

with numerous flexibilities in operating 

their State Medicaid Programs. Section 

6062 of the DRA (Opportunity for 

families of Disabled Children to 

Purchase Medicaid Coverage for Such 

Children) provides States the 

opportunity to provide Medicaid 

benefits to disabled children who would 

otherwise be ineligible because of 

family income that is above the State’s 

highest Medicaid eligibility standards 

for children. States must establish a 

State Plan for medical assistance to 

implement this provision. To do this, 

State Medicaid Agencies will complete 

the template. CMS will review the 

information to determine if the State has 

met all the requirements of the DRA 

provision; Frequency: Once; Affected 

Public: State, Federal, or Tribal 

Governments; Number of Respondents: 

56; Total Annual Responses: 10; Total 

Annual Hours: 60. (For policy questions 

regarding this collection contact Barbara 

Washington at 410–786–9964. For all 

other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Integrated 

Medicare and Medicaid State Plan 

Preprint; Form No.: CMS–10251 (OMB#: 

0938–1047); Use: The Integrated Care 

Preprint is an optional tool for use by 

States to highlight the arrangements 

provided between the State and 

Medicare Advantage Special Needs 

Plans that are also providing Medicaid 

services. The preprint also provides the 

opportunity for States to confirm that 

their integrated care model complies 

with Federal statutory and regulatory 

requirements. State Medicaid Agencies 

may complete the preprint and CMS 

will review the information provided to 

determine if the State has properly 

completed and explained their 

integrated care arrangements and that 

the appropriate assurances have been 

met; Frequency: Once; Affected Public: 

State, Local, or Tribal Governments; 

Number of Respondents: 56; Total 

Annual Responses: 10; Total Annual 

Hours: 200. (For policy questions 

regarding this collection contact Mary 

Pat Farkas at 410–786–5731. For all 

other issues call 410–786–1326.) 

3. Type of Information Collection 

Request: Extension of currently 

approved collection; Title of 

Information Collection: Granting and 

Withdrawal of Deeming Authority to 

Private Nonprofit Accreditation 

Organizations and of State Exemption 

Under State Laboratory Programs and 

Supporting Regulations; Form No.: 

CMS–R–185 (OMB#: 0938–0686); Use: 

The information required is necessary to 

determine whether a private 

accreditation organization/State 

licensure program standards and 

accreditation/licensure process is at 

least equal to or more stringent than 

those of the Clinical Laboratory 

Improvement Amendments of 1988 

(CLIA). If an accreditation organization 

is approved, the laboratories that it 

accredits are ‘‘deemed’’ to meet the CLIA 

requirements based on this 

accreditation. Similarly, if a State 

licensure program is determined to have 

requirements that are equal to or more 

stringent than those of CLIA, its 

laboratories are considered to be exempt 

from CLIA certification and 

requirements. The information collected 

will be used by HHS to: Determine 

comparability/equivalency of the 

accreditation organization standards 

and policies or State licensure program 

standards and policies to those of the 

CLIA program; to ensure the continued 

comparability/equivalency of the 

standards; and to fulfill certain statutory 

reporting requirements; Frequency: 

Occasionally; Affected Public: Private 

Sector: Business or other for-profits, 

Not-for-profit institutions; Number of 

Respondents: 8; Total Annual 

Responses: 96; Total Annual Hours: 

384. (For policy questions regarding this 

collection contact Minnie Christian at 

410–786–3339. For all other issues call 

410–786–1326.) 

4. Type of Information Collection 

Request: Revision of currently approved 

collection; Title of Information 

Collection: Model Application Template 

and Instructions for State Child Health 

Plan Under Title XXI of the Social 

Security Act, State Children’s Health 

Insurance Program; Form No.: CMS–R– 

211 (OMB#: 0938–0707); Use: The 

information will be used to assess State 

plan performance and health outcomes 

and to evaluate the amount of substitute 

private coverage and the effect of 

subsidies on access to coverage; 

Frequency: Yearly, occasionally; 

Affected Public: State, Federal, or Tribal 

Governments; Number of Respondents: 

40; Total Annual Responses: 40; Total 

Annual Hours: 3,200. (For policy 

questions regarding this collection 

contact Nancy Goetschius at 410–786– 

0707. For all other issues call 410–786– 

1326.) 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on June 20, 2011. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov. 

Dated: May 16, 2011. 

Martique Jones, 

Director, Regulations Development Group, 

Division-B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–12394 Filed 5–19–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5501–N] 

Medicare Program; Pioneer 

Accountable Care Organization Model: 

Request for Applications 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 


jlentini on DSK4TPTVN1PROD with NOTICES
29250 Federal Register / Vol. 76, No. 98 / Friday, May 20, 2011 / Notices 

SUMMARY: This notice announces a 

request for applications for 

organizations to participate in the 

Pioneer Accountable Care Organization 

Model for a period beginning in 2011 

and ending December 2016. 

DATES: Letter of Intent Submission 

Deadline: Interested organizations must 

submit a nonbinding letter of intent by 

June 10, 2011 as described on the 

Innovation Center Web site http:// 

innovations.cms.gov/areas-of-focus/ 

seamless-and-coordinated-care-models/ 

pioneer-aco. 

Application Submission Deadline: 

Applications must be received on or 

before July 19, 2011. 

ADDRESSES: Applications should be 

submitted by mail to the following 

address by the date specified in the 

DATES section of this notice: Pioneer 

ACO Model, Attention: Maria 

Alexander, Center for Medicare and 

Medicaid Innovation, Centers for 

Medicare and Medicaid Services, Mail 

Stop S3–13–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

FOR FURTHER INFORMATION CONTACT: 

PioneerACO@cms.hhs.gov for questions 

regarding the aspects of the Pioneer 

Accountable Care Organization Model 

or the application process. 

SUPPLEMENTARY INFORMATION: 

I. Background 

We are committed to achieving the 

three-part aim of better health, better 

health care, and lower per-capita costs 

for Medicare, Medicaid, and Childrens’ 

Health Insurance Program beneficiaries. 

One potential mechanism for achieving 

this goal is for CMS to partner with 

groups of health care providers of 

services and suppliers with a 

mechanism for shared governance that 

have formed an Accountable Care 

Organization (ACO) through which they 

work together to manage and coordinate 

care for a specified group of patients. 

We will pursue such partnerships 

through two complementary efforts—the 

Medicare Shared Savings Program and 

initiatives undertaken by the Center for 

Medicare and Medicaid Innovation 

(Innovation Center). The Pioneer ACO 

Model is an Innovation Center initiative 

targeted at organizations that can 

demonstrate the improvements in 

financial and clinical performance with 

respect to the care of Medicare 

beneficiaries that are possible in a 

mature ACO. To be eligible to 

participate in the Pioneer ACO Model, 

organizations would ideally already be 

coordinating care for a significant 

portion of patients under financial risk 

sharing contracts and be positioned to 

transform both their care and financial 

models from fee-for-service to a threepart aim, value based model. This notice 

provides a general overview of the 

Pioneer ACO Model. For more details 

see the request for application which is 

available on the Innovation Center Web 

site at http://innovations.cms.gov/areasof-focus/seamless-and-coordinatedcare-models/pioneer-aco. 

II. Provisions of the Notice 

Consistent with its authority under 

section 1115A of the Social Security Act 

(of the Act), as added by section 3021 

of the Affordable Care Act, to test 

innovative payment and service 

delivery models that reduce spending 

under Medicare, Medicaid, or CHIP, 

while preserving or enhancing the 

quality of care, the Innovation Center 

aims to achieve the following goals 

through implementation of the Pioneer 

ACO Model: 

• Test a more rapid transition for 

providers from volume based FFS 

payments to payment for coordination 

and outcomes. 

• Promote a diversity of successful 

ACOs, including physician-led ACOs 

and those serving indigent or rural 

populations. 

This Model will test the effectiveness 

of a combination of the following: 

• Payment arrangements that place a 

group of providers at joint risk for 

quality performance and financial 

performance for the majority of their 

patients and revenues (including nonMedicare patients and revenues). Such 

payment arrangements will require 

participants to transition from fee-forservice to population-based payment by 

the third performance year. We believe 

the payment arrangements being tested 

will provide more opportunities for 

rapid escalation of shared savings and 

risk compared to the Medicare Shared 

Savings Program. 

• Technical support in the form of 

rapid data feedback and shared learning 

activities. 

• Size and scope of testing: We expect 

to partner with approximately 30 

organizations in the Model, with a 

minimum of 15,000 Medicare 

beneficiaries each (5,000 for rural 

ACOs). The application process and 

selection criteria are described in 

Section IV of the Request for 

Applications but in general, 

applications will be prioritized based on 

the strength of their care improvement 

plans, leadership, and commitment to 

outcomes-based contracts with nonMedicare purchasers. Final selection 

will be based on the strength of the 

application and interviews of finalists, 

together with other factors to promote 

representation of diverse geographic 

areas, types of organizations, and types 

of Medicare populations served. 

• Population: ACOs will be 

accountable for all fee-for-service 

Medicare beneficiaries that CMS 

determines are aligned with them, and 

who have continuous enrollment in 

Parts A and B during baseline and 

performance periods, with emphasis on 

encouraging care of underserved 

populations and dual eligibles. 

• Duration: Between 5 and 6 years 

(start third or fourth quarter of 2011 and 

end December 2016, which includes 

two 1-year optional periods). 

III. Collection of Information 

Requirements 

Section 1115A(d) of the Act waives 

the requirements of the Paperwork 

Reduction Act of 1995 for the 

Innovation Center for purposes of 

testing new payment and service 

delivery models. 

Authority: Section 1115A of the Social 

Security Act. 

Dated: March 10, 2011. 

Donald M. Berwick, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2011–12383 Filed 5–17–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

President’s Committee for People With 

Intellectual Disabilities; Notice of 

Meeting 

AGENCY: President’s Committee for 

People with Intellectual Disabilities 

(PCPID), HHS. 

ACTION: Notice of Quarterly Meeting. 

DATES: Thursday, June 16, 2011, from 

9:30 a.m. to 4 p.m. EST; and Friday, 

June 17, 2011, from 9 a.m. to 5 p.m. 

EST. The meeting will be open to the 

public. 

ADDRESSES: The meeting will be held in 

Room 800 on the Penthouse Level of the 

Hubert H. Humphrey Building, U.S. 

Department of Health and Human 

Services, 200 Independence Avenue, 

SW., Washington, DC 20201. 

Individuals who would like to 

participate via conference call may do 

so by dialing 888–323–9869, pass code: 

PCPID. Individuals who will need 

accommodations for a disability in order 

to attend the meeting (e.g., sign language 

interpreting services, assistive listening 

devices, materials in alternative format 


jlentini on DSK4TPTVN1PROD with NOTICES