26264 Federal Register / Vol. 80, No. 88 / Thursday, May 7, 2015 / Notices 

EXHIBIT 2—ESTIMATED COST BURDEN FOR THE 2015 LONGITUDINAL SURVEY

Form name Number of 

respondents 

Total 

burden hours 

Average hourly 

wage rate* 

Total cost 

burden 

Prescreener Questionnaire .......................................................................... 4,326 389 $30.95 $12,040 

Establishment Questionnaire ....................................................................... 2,078 790 30.95 24,451 

Plan Questionnaire ...................................................................................... 2,078 524 30.95 16,218 

Total ...................................................................................................... 8,482 1,703 na $52,709 

* Based upon the mean hourly wage for Compensation, Benefits, and Job Analysis Specialists occupation code 13–1141, at http://www.bls.gov/ 

oes/current/oes131141.htm (U.S. Department of Labor, Bureau of Labor Statistics.) 

Request for Comments 

In accordance with the Paperwork 

Reduction Act, comments on AHRQ’s 

information collection are requested 

with regard to any of the following: (a) 

whether the proposed collection of 

information is necessary for the proper 

performance of AHRQ health care 

research and information dissemination 

functions, including whether the 

information will have practical utility; 

(b) the accuracy of AHRQ’s estimate of 

burden (including hours and costs) of 

the proposed collection(s) of 

information; (c) ways to enhance the 

quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information on 

respondents, including the use of 

automated collection techniques or 

other forms of information technology. 

Comments submitted in response to 

this notice will be summarized and 

included in the Agency’s subsequent 

request for OMB approval of the 

proposed information collection. All 

comments will become a matter of 

public record. 

Dated: April 27, 2015. 

Sharon B. Arnold, 

Deputy Director, AHRQ. 

[FR Doc. 2015–10981 Filed 5–6–15; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1623–N] 

Medicare Program; Public Meeting on 

July 16, 2015 Regarding New and 

Reconsidered Clinical Diagnostic 

Laboratory Test Codes for the Clinical 

Laboratory Fee Schedule for Calendar 

Year 2016 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces a 

public meeting to receive comments and 

recommendations (including 

accompanying data on which 

recommendations are based) from the 

public on the appropriate basis for 

establishing payment amounts for new 

or substantially revised Healthcare 

Common Procedure Coding System 

(HCPCS) codes being considered for 

Medicare payment under the clinical 

laboratory fee schedule (CLFS) for 

calendar year (CY) 2016. This meeting 

also provides a forum for those who 

submitted certain reconsideration 

requests regarding final determinations 

made last year on new test codes and for 

the public to provide comment on the 

requests. 

DATES: Meeting Date: The public 

meeting is scheduled for Thursday, July 

16, 2015 from 9:00 a.m. to 3:00 p.m., 

Eastern Daylight Savings Time. 

Deadline for Registration of Presenters 

and Submission of Presentations: All 

presenters for the public meeting must 

register and submit their presentations 

electronically to Glenn McGuirk at 

Glenn.McGuirk@cms.hhs.gov by July 2, 

2015. 

Deadline for Submitting Requests for 

Special Accommodations: Requests for 

special accommodations must be 

received no later than 5:00 p.m. on July 

2, 2015. 

Deadline for Submission of Written 

Comments: We intend to publish our 

proposed determinations for new test 

codes and our preliminary 

determinations for reconsidered codes 

(as described below) for CY 2016 by 

early September 2015. Interested parties 

may submit written comments on these 

determinations by early October, 2015 

to the address specified in the 

ADDRESSES section of this notice or 

electronically to Glenn McGuirk at 

Glenn.McGuirk@cms.hhs.gov (the 

specific date for the publication of these 

determinations on the CMS Web site, as 

well as the deadline for submitting 

comments regarding these 

determinations will be published on the 

CMS Web site). 

ADDRESSES: The public meeting will be 

held in the main auditorium of the 

Centers for Medicare & Medicaid 

Services (CMS), Central Building, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

FOR FURTHER INFORMATION CONTACT: 

Glenn McGuirk, (410) 786–5723. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Section 531(b) of the Medicare, 

Medicaid, and SCHIP Benefits 

Improvement and Protection Act of 

2000 (BIPA) (Pub. L. 106–554) requires 

the Secretary of the Department of 

Health and Human Services (the 

Secretary) to establish procedures for 

coding and payment determinations for 

new clinical diagnostic laboratory tests 

under Part B of title XVIII of the Social 

Security Act (the Act) that permit public 

consultation in a manner consistent 

with the procedures established for 

implementing coding modifications for 

International Classification of Diseases 

(ICD–9–CM). The procedures and public 

meeting announced in this notice for 

new tests are in accordance with the 

procedures published on November 23, 

2001 in the Federal Register (66 FR 

58743) to implement section 531(b) of 

BIPA. 

Section 942(b) of the Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003 (MMA) (Pub. 

L. 108–173) added section 1833(h)(8) of 

the Act. Section 1833(h)(8)(A) of the Act 

requires the Secretary to establish by 

regulation procedures for determining 

the basis for, and amount of, payment 

for any clinical diagnostic laboratory 

test with respect to which a new or 

substantially revised Healthcare 

Common Procedure Coding System 

(HCPCS) code is assigned on or after 

January 1, 2005 (hereinafter referred to 

as ‘‘new tests’’). A code is considered to 

be substantially revised if there is a 

substantive change to the definition of 

the test or procedure to which the code 

applies (such as, a new analyte or a new 

methodology for measuring an existing 

analyte-specific test). (See section 

1833(h)(8)(E)(ii) of the Act). 

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Federal Register / Vol. 80, No. 88 / Thursday, May 7, 2015 / Notices 26265 

Section 1833(h)(8)(B) of the Act sets 

forth the process for determining the 

basis for, and the amount of, payment 

for new tests. Pertinent to this notice, 

section 1833(h)(8)(B)(i) and (ii) of the 

Act requires the Secretary to make 

available to the public a list that 

includes any such test for which 

establishment of a payment amount is 

being considered for a year and, on the 

same day that the list is made available, 

cause to have published in the Federal 

Register notice of a meeting to receive 

comments and recommendations 

(including accompanying data, on 

which recommendations are based) 

from the public on the appropriate basis 

for establishing payment amounts for 

the tests on such list. This list of codes 

for which the establishment of a 

payment amount under the clinical 

laboratory fee schedule (CLFS) is being 

considered for calendar year (CY) 2016 

is posted on the CMS Web site at http:// 

www.cms.gov/Medicare/Medicare-Feefor-Service-Payment/

ClinicalLabFeeSched/Laboratory_

Public_Meetings.html. Section 

1833(h)(8)(B)(iii) of the Act requires that 

we convene the public meeting not less 

than 30 days after publication of the 

notice in the Federal Register. These 

requirements are codified at 42 CFR part 

414, subpart G. 

Two bases of payment are used to 

establish payment amounts for new 

tests. The first basis called 

‘‘crosswalking,’’ is used when a new test 

is determined to be comparable to an 

existing test code, multiple existing test 

codes, or a portion of an existing test 

code. The new test code is assigned the 

local fee schedule amounts and the 

national limitation amount of the 

existing test. Payment for the new test 

is made at the lesser of the local fee 

schedule amount or the national 

limitation amount. (See 42 CFR 

414.508(a).) 

The second basis called ‘‘gapfilling,’’ 

is used when no comparable existing 

test is available. When using this 

method, instructions are provided to 

each Part A and Part B Medicare 

Administrative Contractor (MAC) to 

determine a payment amount for its Part 

B geographic areas for use in the first 

year. The contractor-specific amounts 

are established for the new test code 

using the following sources of 

information, if available: Charges for the 

test and routine discounts to charges; 

resources required to perform the test; 

payment amounts determined by other 

payers; and charges, payment amounts, 

and resources required for other tests 

that may be comparable or otherwise 

relevant. (See 42 CFR 414.508(b) and 

§ 414.509 for more information 

regarding the gapfilling process.) 

Under section 1833(h)(8)(B)(iv) of the 

Act, the Secretary, taking into account 

the comments and recommendations 

(and accompanying data) received at the 

public meeting, develops and makes 

available to the public a list of proposed 

determinations with respect to the 

appropriate basis for establishing a 

payment amount for each code, an 

explanation of the reasons for each 

determination, the data on which the 

determinations are based, and a request 

for public written comments on the 

proposed determinations. Under section 

1833(h)(8)(B)(v) of the Act, taking into 

account the comments received during 

the public comment period, the 

Secretary develops and makes available 

to the public a list of final 

determinations of final payment 

amounts for new test codes along with 

the rationale for each determination, the 

data on which the determinations are 

based, and responses to comments and 

suggestions received from the public. 

After the final determinations have 

been posted on our Web site, the public 

may request reconsideration of the basis 

and amount of payment for a new test 

as set forth in § 414.509. Pertinent to 

this notice, those requesting that CMS 

reconsider the basis for payment or, for 

crosswalking, reconsider the payment 

amount as set forth in § 414.509(a) and 

(b)(1) may present their reconsideration 

requests at the following year’s public 

meeting provided that the requestor 

made the request to present at the 

public meeting in the written 

reconsideration request. For purposes of 

this notice, we refer to these codes as 

the ‘‘reconsidered codes.’’ The public 

may comment on the reconsideration 

requests. (See the November 27, 2007 

CY 2008 Physician Fee Schedule final 

rule with comment period (72 FR 66275 

through 66280) for more information on 

these procedures.) 

II. Format 

We are following our usual process, 

including an annual public meeting to 

determine the appropriate basis and 

payment amount for new and 

reconsidered test codes under the CLFS 

for CY 2016. 

This meeting is open to the public. 

The on-site check-in for visitors will be 

held from 8:30 a.m. to 9:00 a.m., 

followed by opening remarks. 

Registered persons from the public may 

discuss and make recommendations for 

specific new and reconsidered test 

codes for the CY 2016 CLFS. 

Because of time constraints, 

presentations must be brief, lasting no 

longer than 10 minutes, and must be 

accompanied by three written copies. In 

addition, CMS recommends that 

presenters make copies available for 

approximately 50 meeting participants, 

since CMS will not be providing 

additional copies. Written presentations 

must be electronically submitted to 

CMS on or before July 2, 2015. 

Presentation slots will be assigned on a 

first-come, first-served basis. In the 

event that there is not enough time for 

presentations by everyone who is 

interested in presenting, CMS will 

gladly accept written presentations from 

those who were unable to present due 

to time constraints. Presentations 

should be sent via email to Glenn 

McGuirk, at Glenn.McGuirk@

cms.hhs.gov. For reconsidered and new 

test codes, presenters should address all 

of the following items: 

• Reconsidered or new test code(s) 

and descriptor. 

• Test purpose and method. 

• Costs. 

• Charges. 

• A recommendation with rationale 

for one of the two bases (crosswalking 

or gapfilling) for determining payment 

for new tests, or a recommendation with 

rationale for changing the basis or 

payment amount, as applicable, for 

reconsidered tests. 

Additionally, the presenters should 

provide the data on which their 

recommendations are based. Written 

presentations from the public meeting 

will be available upon request, via 

email, to Glenn McGuirk at 

Glenn.McGuirk@cms.hhs.gov. 

Presentations regarding reconsidered 

and new test codes that do not address 

the above five items may be considered 

incomplete and may not be considered 

by CMS when making a determination. 

Taking into account the comments 

and recommendations (and 

accompanying data) received at the 

public meeting, we intend to post our 

proposed determinations with respect to 

the appropriate basis for establishing a 

payment amount for each new test code 

and our preliminary determinations 

with respect to the reconsidered codes 

along with an explanation of the reasons 

for each determination, the data on 

which the determinations are based, and 

a request for public written comments 

on these determinations on the CMS 

Web site by early September 2015. This 

Web site can be accessed at http://

www.cms.gov/Medicare/Medicare-Feefor-Service-Payment/

ClinicalLabFeeSched/Laboratory_

Public_Meetings.html. We also will 

include a summary of all comments 

received by August 6, 2015 (15 business 

days after the meeting). Interested 

parties may submit written comments 

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26266 Federal Register / Vol. 80, No. 88 / Thursday, May 7, 2015 / Notices 

on the proposed determinations for new 

test codes or the preliminary 

determinations for reconsidered codes 

by early October, 2015, to the address 

specified in the ADDRESSES section of 

this notice or electronically to Glenn 

McGuirk at Glenn.McGuirk@

cms.hhs.gov (the specific date for the 

publication of the determinations on the 

CMS Web site, as well as the deadline 

for submitting comments regarding the 

determinations will be published on the 

CMS Web site). Final determinations for 

new test codes to be included for 

payment on the CLFS for CY 2016 and 

reconsidered codes will be posted on 

our Web site in November 2015, along 

with the rationale for each 

determination, the data which the 

determinations are based, and responses 

to comments and suggestions received 

from the public. The final 

determinations with respect to 

reconsidered codes are not subject to 

further reconsideration. With respect to 

the final determinations for new test 

codes, the public may request 

reconsideration of the basis and amount 

of payment as set forth in § 414.509. 

III. Registration Instructions 

The Division of Ambulatory Services 

in the CMS Center for Medicare is 

coordinating the public meeting 

registration. Beginning June 8, 2015, 

registration may be completed on-line at 

the following Web address: http://

www.cms.gov/Medicare/Medicare-Feefor-Service-Payment/

ClinicalLabFeeSched/

index.html?redirect=/

ClinicalLabFeeSched/. All the following 

information must be submitted when 

registering: 

• Name. 

• Company name. 

• Address. 

• Telephone numbers. 

• Email addresses. 

When registering, individuals who 

want to make a presentation must also 

specify for which new test codes they 

will be presenting comments. A 

confirmation will be sent upon receipt 

of the registration. Individuals must 

register by the date specified in the 

DATES section of this notice. 

IV. Security, Building, and Parking 

Guidelines 

The meeting will be held in a Federal 

government building; therefore, Federal 

security measures are applicable. In 

planning your arrival time, we 

recommend allowing additional time to 

clear security. It is suggested that you 

arrive at the CMS facility between 8:15 

a.m. and 8:30 a.m., so that you will be 

able to arrive promptly at the meeting 

by 9:00 a.m. Individuals who are not 

registered in advance will not be 

permitted to enter the building and will 

be unable to attend the meeting. The 

public may not enter the building earlier 

than 8:15 a.m. (45 minutes before the 

convening of the meeting). 

Security measures include the 

following: 

• Presentation of government-issued 

photographic identification to the 

Federal Protective Service or Guard 

Service personnel. Persons without 

proper identification may be denied 

access to the building. 

• Interior and exterior inspection of 

vehicles (this includes engine and trunk 

inspection) at the entrance to the 

grounds. Parking permits and 

instructions will be issued after the 

vehicle inspection. 

• Passing through a metal detector 

and inspection of items brought into the 

building. We note that all items brought 

to CMS, whether personal or for the 

purpose of demonstration or to support 

a demonstration, are subject to 

inspection. We cannot assume 

responsibility for coordinating the 

receipt, transfer, transport, storage, setup, safety, or timely arrival of any 

personal belongings or items used for 

demonstration or to support a 

demonstration. 

V. Special Accommodations 

Individuals attending the meeting 

who are hearing or visually impaired 

and have special requirements, or a 

condition that requires special 

assistance, should provide that 

information upon registering for the 

meeting. The deadline for registration is 

listed in the DATES section of this notice. 

Dated: April 7, 2015. 

Andrew M. Slavitt, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

[FR Doc. 2015–11026 Filed 5–6–15; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects 

Title: Child Care Quarterly Case 

Record Report—ACF–801. 

OMB No.: 0970–0167. 

Description: Section 658K of the Child 

Care and Development Block Grant 

(CCDBG) Act (42 U.S.C. 9858, as 

amended by Public Law 113–186) 

requires that States and Territories 

submit monthly case-level data on the 

children and families receiving direct 

services under the Child Care and 

Development Fund (CCDF). The 

implementing regulations for the 

statutorily required reporting are at 45 

CFR 98.70 and 98.71. Case-level reports, 

submitted quarterly or monthly (at 

grantee option), include monthly 

sample or full population case-level 

data. The data elements to be included 

in these reports are represented in the 

ACF–801. ACF uses disaggregate data to 

determine program and participant 

characteristics as well as costs and 

levels of child care services provided. 

This provides ACF with the information 

necessary to make reports to Congress, 

address national child care needs, offer 

technical assistance to grantees, meet 

performance measures, and conduct 

research. 

Consistent with the recent 

reauthorization of the CCDBG statute, 

ACF requests extension of the ACF–801 

including a number of changes and 

clarifications to the reporting 

requirements and instructions as set 

forth below. 

• Homeless Status: Section 

658K(a)(1)(B)(xi) of the CCDBG Act now 

requires States to report whether 

children receiving assistance under this 

subchapter are homeless children. 

• Child Disability: ACF proposes to 

add a new data element indicating 

whether or not each child receiving 

services is a child with a disability, in 

part to track State implementation of 

priority for services requirements at 

section 658E(c)(3)(B) of the CCDBG Act 

(which includes children with special 

needs as defined by the State). 

• Military Status: ACF proposes to 

add a new data element to the ACF–801 

to determine the family’s status related 

to military service. 

• Family Zip Code and Provider Zip 

Code: ACF proposes to add zip codes to 

both the family and the provider records 

to identify the communities where 

CCDF families and providers are 

located, in part to support 

implementation of sections 

658E(a)(2)(M) and 658E(a)(2)(Q) of the 

CCDBG Act that require States to 

address the supply and access to highquality child care services for certain 

areas and populations. 

• Quality of Child Care Providers: 

The existing ACF–801 allows States 

several ways of reporting information on 

the quality of each child’s provider(s)— 

including: Quality Rating and 

Improvement System (QRIS) 

participation and rating, accreditation 

status, State pre-K standards, and other 

State-defined quality measure. To date, 

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