Federal Register / Vol. 78, No. 38 / Tuesday, February 26, 2013 / Notices 13059 

Medicare, but denied in an individual 

case under specific statutory exclusions, 

if the beneficiary is informed prior to 

furnishing the issues or services that 

Medicare is likely to deny payment. 

When required, the ABN is delivered 

by Part B paid physicians, providers 

(including institutional providers like 

outpatient hospitals) practitioners (such 

as chiropractors), and suppliers, as well 

as hospice providers and Religious Nonmedical Health Care Institutions paid 

under Part A. Other Medicare 

institutional providers paid under Part 

A use other approved notice for this 

purpose. 

The revised ABN in this information 

collection request incorporates 

expanded use by Home Health Agencies 

(HHAs). There have been no substantive 

changes to the form. There are no 

changes that will affect existing ABN 

users. Form Number: CMS–R–131 

(OMB#: 0938–0566); Frequency: 

Reporting—Occasionally; Affected 

Public: Private Sector—Business or 

other for-profits and Not-for-profit 

institutions; Number of Respondents: 

1,288,837; Total Annual Responses: 

52,967,771; Total Annual Hours: 

6,177,101. (For policy questions 

regarding this collection contact Evelyn 

Blaemire at 410–786–1803. For all other 

issues call 410–786–1326.) 

4. Type of Information Collection 

Request: New collection; Title: Home 

Health Change of Care Notice (HHCCN); 

Use: Home health agencies (HHAs) are 

required to provide written notice to 

original Medicare beneficiaries under 

various circumstances involving the 

initiation, reduction, or termination of 

services. The notice used in these 

situations has been the Home Health 

Advance Beneficiary Notice (HHABN), 

CMS–R–296. 

The HHABN, originally a liability 

notice specifically for HHA issuance, 

was first approved for use and 

implementation in 2000 with the home 

health prospective payment system 

transition. In 2006, the notice 

underwent significant modifications 

subsequent to the decision of the U.S. 

Court of Appeals (2nd Circuit) in Lutwin 

v. Thompson. HHABN content and 

formatting were revised so that it could 

be used to provide beneficiaries with 

change of care notification consistent 

with HHA Conditions of Participation 

(COPs) in addition to its liability notice 

function. Three interchangeable option 

boxes were introduced to the HHABN to 

support the added notification 

purposes. Option Box 1 addressed 

liability, Option Box 2 addressed change 

of care for agency reasons, and Option 

Box 3 addressed change of care due to 

provider orders. HHABN Collection 

0938–0781 last received PRA approval 

in 2009 following minor notice changes 

such as accessibility reformatting for 

compliance with Section 508 of the 

Rehabilitation Act of 1973, as amended 

in 1998, and removal of the 

beneficiary’s health insurance claim 

number (HICN). 

In an effort to streamline, reduce, and 

simplify notices issued to Medicare 

beneficiaries, HHABN Option Box 1, the 

liability notice portion, will be replaced 

by the existing Advanced Beneficiary 

Notice of Noncoverage (ABN) which is 

approved by OMB (0938–0566), for 

conveying information on beneficiary 

liability. Written notices to inform 

beneficiaries of their liability under 

specific conditions have been available 

since the ‘‘limitation on liability’’ 

provisions in section 1879 of the Social 

Security Act were enacted in 1972 (Pub. 

L. 92–603). The ABN (CMS–R–131) is 

presently used by providers and 

suppliers other than HHAs to inform fee 

for service (FFS) Medicare beneficiaries 

of potential liability for certain items/ 

services that might be billed to 

Medicare. The HHABN was developed 

specifically as the liability notice for 

HHA issuance. Since 2006, the HHABN 

has evolved to serve both liability and 

change of care notification purposes. 

Pursuant to a separate PRA package 

revising the use of the ABN, HHAs will 

now use the ABN for liability 

notification, and the HHCCN will be 

introduced as a separate, distinct 

document to give change of care notice 

in compliance with HHA conditions of 

participation. The HHCCN will replace 

both Option Box 2 and Option Box 3 

formats of the HHABN. The single page 

format of the HHCCN is designed to 

specify whether the change of care is 

due to agency reasons or provider 

orders. Form Number: CMS–10280 

(OCN: 0938-New); Frequency: 

Occasionally; Affected Public: Private 

Sector—Business or other for-profits 

and not-for-profit institutions; Number 

of Respondents: 10,914; Total Annual 

Responses: 14,126,428; Total Annual 

Hours: 941,385. (For policy questions 

regarding this collection contact Evelyn 

Blaemire at 410–786–1803. 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 

address 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. 

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 March 28, 2013. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS 

Desk Officer, Fax Number: (202) 395– 

6974, Email: 

OIRA_submission@omb.eop.gov. 

Dated: February 20, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–04313 Filed 2–25–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–3283–N] 

Medicare Program; Meeting of the 

Medicare Evidence Development and 

Coverage Advisory Committee—May 1, 

2013 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice of meeting. 

SUMMARY: This notice announces that a 

public meeting of the Medicare 

Evidence Development & Coverage 

Advisory Committee (MEDCAC) 

(‘‘Committee’’) will be held on 

Wednesday, May 1, 2013. The 

Committee generally provides advice 

and recommendations concerning the 

adequacy of scientific evidence needed 

to determine whether certain medical 

items and services can be covered under 

the Medicare statute. This meeting will 

focus on selected genetic tests for cancer 

diagnosis (for cancers of unknown 

primary site and for cervical cytology 

findings of uncertain clinical 

significance). This meeting is open to 

the public in accordance with the 

Federal Advisory Committee Act (5 

U.S.C. App. 2, section 10(a)). 

DATES: Meeting Date: The public 

meeting will be held on Wednesday, 

May 1, 2013 from 7:30 a.m. until 4:30 

p.m., Eastern Daylight Time (EDT). 

Deadline for Submission of Written 

Comments: Written comments must be 

received at the address specified in the 

ADDRESSES section of this notice by 5 

p.m., EDT, Monday, March 25, 2013. 

Once submitted, all comments are final. 

Deadlines for Speaker Registration 

and Presentation Materials: The 


tkelley on DSK3SPTVN1PROD with NOTICES
13060 Federal Register / Vol. 78, No. 38 / Tuesday, February 26, 2013 / Notices 

deadline to register to be a speaker and 

to submit PowerPoint presentation 

materials and writings that will be used 

in support of an oral presentation is 5:00 

p.m., EDT on Monday, April 1, 2013. 

Speakers may register by phone or via 

email by contacting the person listed in 

the FOR FURTHER INFORMATION CONTACT

section of this notice. Presentation 

materials must be received at the 

address specified in the ADDRESSES

section of this notice. 

Deadline for All Other Attendees 

Registration: Individuals may register 

online at http://www.cms.gov/apps/

events/upcomingevents.asp?strOrder

By=1&type=3 or by phone by contacting 

the person listed in the FOR FURTHER

INFORMATION CONTACT section of this 

notice by 5 p.m. EDT, Wednesday, April 

24, 2013. 

We will be broadcasting the meeting 

live via Webcast at http://www.cms.gov/ 

live/. 

Deadline for Submitting a Request for 

Special Accommodations: Persons 

attending the meeting who are hearing 

or visually impaired, or have a 

condition that requires special 

assistance or accommodations, are 

asked to contact the Executive Secretary 

as specified in the FOR FURTHER

INFORMATION CONTACT section of this 

notice no later than 5:00 p.m., EDT 

Friday, April 12, 2013. 

ADDRESSES: Meeting Location: The 

meeting will be held in the main 

auditorium of the Centers for Medicare 

& Medicaid Services, 7500 Security 

Boulevard, Baltimore, MD 21244. 

Submission of Presentations and 

Comments: Presentation materials and 

written comments that will be presented 

at the meeting must be submitted via 

email to 

MedCACpresentations@cms.hhs.gov or 

by regular mail to the contact listed in 

the FOR FURTHER INFORMATION CONTACT

section of this notice by the date 

specified in the DATES section of this 

notice. 

FOR FURTHER INFORMATION CONTACT: 

Maria Ellis, Executive Secretary for 

MEDCAC, Centers for Medicare & 

Medicaid Services, Center for Clinical 

Standards and Quality, Coverage and 

Analysis Group, S3–02–01, 7500 

Security Boulevard, Baltimore, MD 

21244 or contact Ms. Ellis by phone 

(410–786–0309) or via email at 

Maria.Ellis@cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

I. Background 

MEDCAC, formerly known as the 

Medicare Coverage Advisory Committee 

(MCAC), provides advice and 

recommendations to CMS regarding 

clinical issues. (For more information 

on MCAC, see the December 14, 1998 

Federal Register (63 FR 68780). This 

notice announces the Wednesday, May 

1, 2013, public meeting of the 

Committee. During this meeting, the 

Committee will discuss selected genetic 

tests for cancer diagnosis (for cancers of 

unknown primary site and for cervical 

cytology findings of uncertain clinical 

significance). 

Background information about this 

topic, including panel materials, is 

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

medicare-coverage-database/indexes/

medcac-meetings-index.aspx?bc=

BAAAAAAAAAAA&. We will no longer 

be providing paper copies of the 

handouts for the meeting. Electronic 

copies of all the meeting materials will 

be on the CMS Web site no later than 

2 business days before the meeting. We 

encourage the participation of 

appropriate organizations with expertise 

in selected genetic tests for cancer 

diagnosis. 

II. Meeting Format 

This meeting is open to the public. 

The Committee will hear oral 

presentations from the public for 

approximately 45 minutes. Time 

allotted for each presentation may be 

limited. If the number of registrants 

requesting to speak is greater than can 

be reasonably accommodated during the 

scheduled open public hearing session, 

we may conduct a lottery to determine 

the speakers for the scheduled open 

public hearing session. The contact 

person will notify interested persons 

regarding their request to speak by April 

1, 2013. Your comments should focus 

on issues specific to the list of topics 

that we have proposed to the 

Committee. The list of research topics to 

be discussed at the meeting will be 

available on the following Web site 

prior to the meeting: http://

www.cms.gov/medicare-coveragedatabase/indexes/medcac-meetingsindex.aspx?bc=BAAAAAAAAAAA&. 

We require that you declare at the 

meeting whether you have any financial 

involvement with manufacturers (or 

their competitors) of any items or 

services being discussed. Speakers 

presenting at the MEDCAC meeting 

must include a full disclosure slide as 

their second slide in their presentation 

for financial interests (for example, type 

of financial association—consultant, 

research support, advisory board, and 

an indication of level, such as minor 

association < $10,000 or major 

association > $10,000) as well as 

intellectual conflicts of interest (for 

example, involvement in a federal or 

nonfederal advisory committee that has 

discussed the issue) that may pertain in 

any way to the subject of this meeting. 

If you are representing an organization, 

we require that you also disclose 

conflict of interest information for that 

organization. If you do not have a 

powerpoint presentation, you will need 

to present the full disclosure 

information requested previously at the 

beginning of your statement to the 

Committee. 

The Committee will deliberate openly 

on the topics under consideration. 

Interested persons may observe the 

deliberations, but the Committee will 

not hear further comments during this 

time except at the request of the 

chairperson. The Committee will also 

allow a 15-minute unscheduled open 

public session for any attendee to 

address issues specific to the topics 

under consideration. At the conclusion 

of the day, the members will vote and 

the Committee will make its 

recommendation(s) to CMS. 

III. Registration Instructions 

CMS’ Coverage and Analysis Group is 

coordinating meeting registration. While 

there is no registration fee, individuals 

must register to attend. You may register 

online at http://www.cms.gov/apps/

events/upcomingevents.asp?strOrder

By=1&type=3 or by phone by contacting 

the person listed in the FOR FURTHER

INFORMATION CONTACT section of this 

notice by the deadline listed in the 

DATES section of this notice. Please 

provide your full name (as it appears on 

your state-issued driver’s license), 

address, organization, telephone, fax 

number(s), and email address. You will 

receive a registration confirmation with 

instructions for your arrival at the CMS 

complex or you will be notified that the 

seating capacity has been reached. 

IV. Security, Building, and Parking 

Guidelines 

This meeting will be held in a federal 

government building; therefore, federal 

security measures are applicable. We 

recommend that confirmed registrants 

arrive reasonably early, but no earlier 

than 45 minutes prior to the start of the 

meeting, to allow additional time to 

clear security. Security measures 

include the following: 

• Presentation of government-issued 

photographic identification to the 

Federal Protective Service or Guard 

Service personnel. 

• Inspection of vehicle’s interior and 

exterior (this includes engine and trunk 

inspection) at the entrance to the 

grounds. Parking permits and 

instructions will be issued after the 

vehicle inspection. 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 38 / Tuesday, February 26, 2013 / Notices 13061 

• Inspection, via metal detector or 

other applicable means, of all persons 

entering the building. We note that all 

items brought into CMS, whether 

personal or for the purpose of 

presentation or to support a 

presentation, are subject to inspection. 

We cannot assume responsibility for 

coordinating the receipt, transfer, 

transport, storage, set-up, safety, or 

timely arrival of any personal 

belongings or items used for 

presentation or to support a 

presentation. 

Note: 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 45 minutes prior to the 

convening of the meeting. All visitors must 

be escorted in areas other than the lower and 

first floor levels in the Central Building. 

Authority: 5 U.S.C. App. 2, section 10(a). 

(Catalog of Federal Domestic Assistance 

Program No. 93.773, Medicare—Hospital 

Insurance; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: February 13, 2013. 

Patrick Conway, 

CMS Chief Medical Officer and Director, 

Center for Clinical Standards and Quality, 

Centers for Medicare & Medicaid Services. 

[FR Doc. 2013–04288 Filed 2–25–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Child Care and Development 

Fund Plan for States/Territories for FFY 

2014–2015 (ACF–118). 

OMB No.: 0970–0114. 

Description: The Child Care and 

Development Fund (CCDF) Plan (the 

Plan) for States and Territories is 

required from each CCDF Lead agency 

in accordance with Section 658E of the 

Child Care and Development Block 

Grant Act of 1990, as amended (Pub. L. 

101–508, Pub. L. 104–193, and 42 U.S.C. 

9858). The implementing regulations for 

the statutorily required Plan are set forth 

at 45 CFR 98.10 through 98.18. The 

Plan, submitted on the ACF–118, is 

required biennially, and remains in 

effect for two years. The Plan provides 

ACF and the public with a description 

of, and assurance about, the States’ and 

Territories’ child care programs. The 

ACF–118 is currently approved through 

December 31, 2013, making it available 

to States and Territories needing to 

submit Plan Amendments through the 

end of the FY 2013 Plan Period. 

However, on July 1, 2013, States and 

Territories will be required to submit 

their FY 2014–2015 Plans for approval 

by September 30, 2013. Consistent with 

the statute and regulations, ACF 

requests revision of the ACF–118 with 

minor corrections and modifications. 

The Office of Child Care (OCC) has 

given thoughtful consideration to the 

comments received from the 1st Public 

Notice. OCC has revised the document 

to reflect some of the changes made to 

minimize the burden of the collection of 

information on respondents. The 

revised document contains revisions to 

improve the accuracy and clarity of 

questions in order to improve the 

quality of information that is collected. 

This second Public Comment Period 

provides an opportunity for the public 

to submit comments to the Office of 

Management and Budget (OMB). The 

Tribal Plan (ACF–118a) will be 

addressed under a separate notice. 

Copies of the proposed collection may 

be obtained by writing to the 

Administration for Children and 

Families, Office of Administration, 

Office of Information Services, 370 

L’Enfant Promenade SW., Washington, 

DC 20447, Attn: ACF Reports Clearance 

Officer. All requests should be 

identified by the title of the information 

collection. Email address: 

infocollection@acf.hhs.gov. 

Respondents: State and Territory 

CCDF Lead Agencies (56). 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

ACF–118 .......................................................................................................... 56 0.50 162.50 4,550 

Estimated Total Annual Burden 

Hours: 4,550. 

Additional Information: Copies of the 

proposed collection may be obtained by 

writing to the Administration for 

Children and Families, Office of 

Planning, Research and Evaluation, 370 

L’Enfant Promenade SW., Washington, 

DC 20447, Attn: ACF Reports Clearance 

Officer. All requests should be 

identified by the title of the information 

collection. Email address: 

infocollection@acf.hhs.gov. 

OMB Comment: OMB is required to 

make a decision concerning the 

collection of information between 30 

and 60 days after publication of this 

document in the Federal Register. 

Therefore, a comment is best assured of 

having its full effect if OMB receives it 

within 30 days of publication. Written 

comments and recommendations for the 

proposed information collection should 

be sent directly to the following: Office 

of Management and Budget, Paperwork 

Reduction Project, Fax: 202–395–7285, 

Email: 

OIRA_SUBMISSION@OMB.EOP.GOV, 

Attn: Desk Officer for the 

Administration for Children and 

Families. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2013–04284 Filed 2–25–13; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Child Care and Development 

Fund Tribal Plan Preprint—ACF–118– 

A. 

OMB No.: 0970–0198. 

Description: The Child Care and 

Development Fund (CCDF) Plan (the 

Plan) for Tribes (Indian Tribes, Tribal 

consortia and Tribal organizations) is 

required from each CCDF Lead agency 

in accordance with Section 658E of the 

Child Care and Development Block 

Grant Act of 1990, as amended (Pub. L. 

101–508, Pub. L. 104–193, and 42 U.S.C. 

9858). The implementing regulations for 


tkelley on DSK3SPTVN1PROD with NOTICES