Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices 23013 

Dated: April 21, 2015. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2015–09591 Filed 4–23–15; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–9091–N] 

Medicare and Medicaid Programs; 

Quarterly Listing of Program 

Issuances—January through March 

2015 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This quarterly notice lists 

CMS manual instructions, substantive 

and interpretive regulations, and other 

Federal Register notices that were 

published from January through March 

2015, relating to the Medicare and 

Medicaid programs and other programs 

administered by CMS. 

FOR FURTHER INFORMATION CONTACT: It is 

possible that an interested party may 

need specific information and not be 

able to determine from the listed 

information whether the issuance or 

regulation would fulfill that need. 

Consequently, we are providing contact 

persons to answer general questions 

concerning each of the addenda 

published in this notice. 

Addenda Contact Phone number 

I CMS Manual Instructions .................................................................................................................. Ismael Torres .............. (410) 786–1864 

II Regulation Documents Published in the Federal Register ............................................................. Terri Plumb ................. (410) 786–4481 

III CMS Rulings .................................................................................................................................... Tiffany Lafferty ............ (410)786–7548 

IV Medicare National Coverage Determinations ................................................................................. Wanda Belle ................ (410) 786–7491 

V FDA-Approved Category B IDEs ..................................................................................................... John Manlove .............. (410) 786–6877 

VI Collections of Information ................................................................................................................ Mitch Bryman .............. (410) 786–5258 

VII Medicare –Approved Carotid Stent Facilities ................................................................................. Lori Ashby ................... (410) 786–6322 

VIII American College of Cardiology-National Cardiovascular Data Registry Sites ........................... Marie Casey, BSN, 

MPH.

(410) 786–7861 

IX Medicare’s Active Coverage-Related Guidance Documents .......................................................... JoAnna Baldwin .......... (410) 786–7205 

X One-time Notices Regarding National Coverage Provisions ........................................................... JoAnna Baldwin .......... (410) 786–7205 

XI National Oncologic Positron Emission Tomography Registry Sites ............................................... Stuart Caplan, RN, 

MAS.

(410) 786–8564 

XII Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities ............................ Marie Casey, BSN, 

MPH.

(410) 786–7861 

XIII Medicare-Approved Lung Volume Reduction Surgery Facilities .................................................. Marie Casey, BSN, 

MPH.

(410) 786–7861 

XIV Medicare-Approved Bariatric Surgery Facilities ........................................................................... Jamie Hermansen ....... (410) 786–2064 

XV Fluorodeoxyglucose Positron Emission Tomography for Dementia Trials ................................... Stuart Caplan, RN, 

MAS.

(410) 786–8564 

All Other Information ............................................................................................................................ Annette Brewer ........... (410) 786–6580 

SUPPLEMENTARY INFORMATION: 

I. Background 

The Centers for Medicare & Medicaid 

Services (CMS) is responsible for 

administering the Medicare and 

Medicaid programs and coordination 

and oversight of private health 

insurance. Administration and oversight 

of these programs involves the 

following: (1) Furnishing information to 

Medicare and Medicaid beneficiaries, 

health care providers, and the public; 

and (2) maintaining effective 

communications with CMS regional 

offices, state governments, state 

Medicaid agencies, state survey 

agencies, various providers of health 

care, all Medicare contractors that 

process claims and pay bills, National 

Association of Insurance Commissioners 

(NAIC), health insurers, and other 

stakeholders. To implement the various 

statutes on which the programs are 

based, we issue regulations under the 

authority granted to the Secretary of the 

Department of Health and Human 

Services under sections 1102, 1871, 

1902, and related provisions of the 

Social Security Act (the Act) and Public 

Health Service Act. We also issue 

various manuals, memoranda, and 

statements necessary to administer and 

oversee the programs efficiently. 

Section 1871(c) of the Act requires 

that we publish a list of all Medicare 

manual instructions, interpretive rules, 

statements of policy, and guidelines of 

general applicability not issued as 

regulations at least every 3 months in 

the Federal Register. 

II. Format for the Quarterly Issuance 

Notices 

This quarterly notice provides only 

the specific updates that have occurred 

in the 3-month period along with a 

hyperlink to the full listing that is 

available on the CMS Web site or the 

appropriate data registries that are used 

as our resources. This is the most 

current up-to-date information and will 

be available earlier than we publish our 

quarterly notice. We believe the Web 

site list provides more timely access for 

beneficiaries, providers, and suppliers. 

We also believe the Web site offers a 

more convenient tool for the public to 

find the full list of qualified providers 

for these specific services and offers 

more flexibility and ‘‘real time’’ 

accessibility. In addition, many of the 

Web sites have listservs; that is, the 

public can subscribe and receive 

immediate notification of any updates to 

the Web site. These listservs avoid the 

need to check the Web site, as 

notification of updates is automatic and 

sent to the subscriber as they occur. If 

assessing a Web site proves to be 

difficult, the contact person listed can 

provide information. 


tkelley on DSK3SPTVN1PROD with NOTICES
23014 Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices 

III. How To Use the Notice 

This notice is organized into 15 

addenda so that a reader may access the 

subjects published during the quarter 

covered by the notice to determine 

whether any are of particular interest. 

We expect this notice to be used in 

concert with previously published 

notices. Those unfamiliar with a 

description of our Medicare manuals 

should view the manuals at http://

www.cms.gov/manuals. 

Dated: April 20, 2015. 

Kathleen Cantwell, 

Director, Office of Strategic Operations and 

Regulatory Affairs. 


tkelley on DSK3SPTVN1PROD with NOTICES

EN24AP15.005</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

Publication Dates for the Previous Four Quarterly Notices 

We publish this notice at the end of each quarter reflecting 

information released by CMS during the previous quarter. The publication 

dates of the previous four Quarterly Listing of Program Issuances notices 

are: April25, 2014 (79 FR 22976), July 25, 2014 (79 FR 43475) and 

November 14, 2014 (79 FR 68253), and February 2, 2015 (80 FR 5537). 

For the purposes of this quarterly notice, we arc providing only the specific 

updates that have occurred in the 3-month period along with a hyperlink to 

the website to access this information and a contact person for questions or 

additional information. 

Addendum 1: Medicare and Medicaid Manual Instructions 

(January through March 2015) 

The CMS Manual System is used by CMS program components, 

partners, providers, contractors, Medicare Advantage organizations, and 

State Survey Agencies to administer CMS programs. It offers day-to-day 

operating instructions, policies, and procedures based on statutes and 

regulations, guidelines, models, and directives. In 2003, we transformed the 

CMS Program Manuals into a web user-friendly presentation and renamed 

it the CMS Online Manual System. 

How to Obtain Manuals 

The Internet-only Manuals (IOMs) are a replica of the Agency's 

official record copy. Paper-based manuals are CMS manuals that were 

officially released in hardcopy. The majority of these manuals were 

transferred into the Internet-only manual (10M) or retired. Pub 15-1, Pub 

15-2 and Pub 45 are exceptions to this rule and are still active paper-based 

manuals. The remaining paper-based manuals are for reference purposes 

only. If you notice policy contained in the paper-based manuals that was 

not transferred to the 10M, send a message via the CMS Feedback tool. 

Those wishing to subscribe to old versions of CMS manuals should 

contact the National Technical Information Service, Department of 

Commerce, 5301 Shawnee Road, Alexandria, VA 22312 Telephone 

(703-605-6050). You can download copies of the listed material free of 

charge at: 

How to Review Transmittals or Program Memoranda 

Those wishing to review transmittals and program memoranda can 

access this information at a local Federal Depository Library (FDL). Under 

the FDL program, government publications are sent to approximately 1,400 

designated libraries throughout the United State

arrangements to transfer material to a local libr

FDL. Contact any library to locate the nearest 

available at 

In addition, individuals may contact re

that receive and retain at least one copy of mos

publications, either in printed or microfilm formpublic. These libraries provide reference servic

however, they are not sales outlets. Individuals 

about the location of the nearest regional depos

library. CMS publication and transmittal numb

entitled Medicare and Medicaid Manual Instruc

tl1e materials, use tl1e CMS publication and tran

example, to find the Medicare National Covera

(CMS-Pub. 100-03) Transmittal No. 180. 

Addendum I lists a unique CMS transm

instruction in our manuals or program memoran

A transmittal may consist of a single or multipl

necessary to use information in a transmittal in 

information currently in the manual. For the pu

notice, we list only the specific updates to the l

that have occurred in the 3-month period. This 

our website 

Transmittal Manual/Subject/Publ

Rescinds/Replaces CR 746S- Updated In

Implementation Report (CRIR) and Tech

Sample Cover Letter/ Attestation Stateme

CR Implementation Report (CRIR) Tem

TDL Compliance Repmt (TCR) Templat

Contractor Implementation of Change R

Technical Direction Letters 

Reoairs, Maintenance, Replacement, and 

204 I Updates to the Medicare Internet-Only M

Facility (SNF) Providers 

Readmission to a SNF 

National Coverage Detennination (NCD) 

EN24AP15.006</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

Chamber Permanent Cardiac Pacemakers - This CR rescinds and fully 3170 Issued to a specific audience, not posted t

replaces CR 8525 Single Chamber and Dual Chamber Permanent Cardiac Confidentiality of Instruction 

Pacemakers 3171 Issued to a specific audience, not posted t

180 Removal of Multiple National Coverage Determinations Using Expedited Confidentiality of Instruction 

Process 3172 Issued to a specific audience, not posted t

I ;;c\ ,,;,{ 'i;':S('i' Confidentiality of Instruction 

3160 Preventive and Screening Services -Update - Intensive Behavioral Therapy 3173 Issued to a specific audience, not posted t

for Obesity, Screening Digital Tomosynthesis Mammography, and Anesthesia Confidentiality of Instruction 

Associated with Screening Colonoscopy 3174 Issued to a specific audience, not posted t

Table of Preventive and Screening Services Confidentiality of Instmction 

HCPCS and Diagnosis for Mammography Services 3175 Percutaneous Image, guided Lumbar Deco

Screening Digital Tomosynthesis Spinal Stenosis (LSS)-Blinded Clinical T

Claim Adjustment Reason Codes (CARCs), Remittance Advice Remark Second Claims Processing Procedure Cod

Codes (RARCs), Group Codes, and Medicare Summary Notice (MSN) 3176 Preventing Inappropriate Payments on Ho

Messages Adjustment (LUP A) Claims 

Payment Deductible and Coinsurance Policy HH PPS Claims 

Common Working File (CWF) Edits Request for Anticipated Payment (RAP) 

Professional Billing Requirements Adjustments of Episode Payment- Low 

Claim Adjustment Reason Codes (CARCs), Remittance Advice Remark (LUPAs) 

Codes (RARCs), Group Codes, and Medicare Summary Notice (MSN) 3177 Updating CMS 10M 100-04, Chapter 26 

Messages 

Institutional Billing Requirements 

3161 Remittance Advice Remark and Claims Adjustment Reason Code and 

Medicare Remit Easy Print and PC Print Update 

3162 Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid 

Nonphysician Practitioner, Supplier, and 

3178 Issued to a specific audience, not posted t

Confidentiality of Instmction 

3179 Issued to a specific audience, not posted t

Confidentiality of Instmction 

Tumors (TI1is CR rescinds and fully replaces CR84G8/TR2873 dated February 

6, 2014) 

Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid 

Tumors (This CR rescinds and fully replaces CR8468/TR2873 dated February 

6, 2014) 

Billing and Coverage Changes for PET Scans 

Billing Requirements for CMS-Approved Clinical Trials and Coverage with 

Evidence Claims for PET Scans for Neurodegenerative Diseases, Previously 

Specified Cancer Indications, and All Other Cancer Indications Not 

Previously Specit!ed 

3163 January 2015 Update of the Ambulatory Surgical Center (ASC) Payment 

System 

3164 Medicare Shared Systems Modifications Necessary to Capture Various 

3180 April2015 Quarterly Average Sales Price 

Pricing Files and Revisions to Prior Quar

11Sl Implementation of New NlJRC Condition 

medical device provided as part of a clini

Billing Requirements for Providers Billi

Involving a Category BIDE 

Billing No Cost Items Due to Recall, Re

Reporting and Charging Requirements W

Cost to the Hospital or When the Hospita

the Replacement Device Beginning Janua

3182 Healthcare Common Procedure Coding S

and I:xcluded from Clinical Laboratory h

Edits 

HIPAA Compliant Payments on the MPFS for Providers With Multiple 

Service Locations 

3165 Issued to a specific audience, not posted to Intemet/Intranet due to a 

Confidentiality of Instruction 

3183 Issued to a specific audience, not posted t

Confidentiality of Instmction 

3184 Issued to a specific audience, not posted t

Confidentiality of Instmction 

1166 Emergency Update to the CY 2015 Medicare Physician Fee Schedule 

Database (MPFSDB) 

3167 Modifications to the National Coordination of Benefits Agreement (COBA) 

Crossover Process 

3168 Issued to a specific audience, not posted to Intemet/Intranet due to a 

Confidentiality of Instruction 

3185 Issued to a specific audience, not posted t

Confidentiality of Instmction 

3186 Issued to a specific audience, not posted t

Confidentiality of Instmction 

3187 Language Only Update to Pub 100-04, Ch

References 

3169 Clinical Laboratory Fee Schedule -Medicare Travel Allowance Fees for 

Collection of Specimens Processing Initial Denials 

EN24AP15.007</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

Bill Processing Services Rendered By Nonparticipating 

Applicability ofthe Limitation on Liability Provision to Claims tor Establishing an Emergency 

Ancillary, Outpatient Provider and Rural Health Clinic Services Payable Qualifications of an Emergency Service

Under Part B Coverage Requirements for Emergency 

Preparation of Denial Notices Countries 

3188 Issued to a specific audience, not posted to Intcrnct/Intranct due to a Services Furnished in a Foreign Hospita

Confidentiality of Instmction Residence 

31S9 Clinical Laboratory Fee Schedule -Medicare Travel Allowance Fees for Coverage of Physician and Ambulance S

Collection of Specimens Claims for Services Furnished in Canad

3190 CY 2015 Update for Durable Medical Equipment, Prosthetics, Orthotics and Beneficiaries 

Supplies (DMEPOS) Fee Schedule Claims from Hospital-Leased Laborator

3191 Issued to a specific audience, not posted to Internet/Intranet due to a 

Confidentiality of Instmction 

3192 Issued to a specific audience, not posted to Internet/Intranet due to a 

Confidentiality of Instmction 

1191 Issued to a specific audience, not posted to lnternet/lntranet due to a 

Confidentiality of Instmction 

3194 Update to the federally Qualified Ilealth Centers (fQIIC) Prospective 

Payment System (PPS)- Recurring File Updates 

3195 Final MSN Redesign-Related Update to Chapter 21 of the Medicare Claims 

Processing Manual Basic Concepts and Approaches 

Format Conventions for the MSN 

Specifications for Section I: Summary (Page I) 

Specifications for Section 2: Making the Most of Your Medicare (Page 2) Specifications for Section 3: Claims 

Claims Calculations 

Specifications for Section 4 (Last Page): Denials and Appeals 

Specifications for Pay MSN Cover Sheet and Check 

Specifications for Envelopes 

Specifications for RRB Part B MSNs 

Specifications for SSA Part B MSNs 

Character Measurements for Fonts 

Specifications for Spanish MSK 

Specifications for Content Variations of Spanish MSNs 

Exhibits of the Extended Family of MSNs in Black & White 

General Information, Explanatory, and Denial Messages 

Exhibits ofMSl\s in Spanish 

Exhibits of the Extended Family of MSNs in Color 

Exhibits of Alternate Scenarios 

3196 Payment Repairs to Capped Rental Equipment Prior to the End of the 13-

Month Cap 

Maintenance and Service of Capped Rental Items 

General 

Participation 

l\onemergency Part B Medical and Othe

Elections to Dill for Services Rendered D

Processing Claims 

Contractors Designated to Process Forei

Contractor Processing Guidelines 

Medicare Approved Charges for Service

Acce<Sibility Criteria 

Medical Necessity 

Time Limitation on Emergency and fore

Payment Denial for Medicare Services F

Who Are Not Lawfully Present in the Un

Appeals on Claims for Emergency and F

Payment for Services Received By Nonp

Payment for Services from Foreign Hosp

Attending Physician's Statement and Do

Emergency 

Designated Contractors Model Letters, Nonparticipating Hospita

Model Letter to Nonparticipating Hospit

Year 

Model Letter to Nonparticipating Hmpit

Current Year 

Full Denial- Foreign Claim- Beneficiar

Full Denial- Hospital-Filed or Beneficia

Partial Denial- Hospital-Filed or Benefi

Denial - 'v!ilitary Personnel/Eligible Dep

Full Denial - Shipboard Claim - BeneficModel Letter to Nonparticipating Hmpit

3200 Issued to a specific audience, not posted t

Confidentiality of Instmction 

3201 Healthcare Provider Taxonomy Codes (H

Payment for Maintenance and Service of Equipment 

3197 Issued to a specific audience, not posted to Internet/Intranet due to a 

Confidentiality of Instmction 

3198 Instmctions for Downloading the Medicare ZIP Code File for July 2015 

3199 Revisions to Medicare Claims Processing Manual for Foreign, Emergency 

and Shipboard Claims 

Emergency and Foreign Hospital Services 

3202 Common Edits and Enhancements Modul

3203 Automation of the Request for Reopening 

Special Claim Types 

3204 National Coverage Detennination (NCD) 

Chamber Permanent Cardiac Pacemakers 

replaces CR 8525 TOC 

Cardiac Pacemakers: Single Chamber an

EN24AP15.008</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

Cardiac Pacemakers:Single Chamber and Dual Chamber Policy Decision Logic Used by the Pricer on C

Cardiac Pacemaker Healthcare Common Procedure Coding System Annual Updates to the SNF Pricer 

(HCPCS) and Current Procedural Terminology (CPT) Codes Leave of Absence 

Cardiac Pacemaker Covered ICD-9/ICD-10 Diagnosis Codes Other Excluded Services Beyond the Sc

Cardiac Pacemaker Claims Non-Covered ICD-9/ICD-10 Diagnosis Codes: 3217 April2015 Update of the Hospital Outpat

Denial Messages only Services 

Cardiac Pacemaker Claims Without the KX modifier Cse of HCPCS Modifier- PO 

Cardiac Pacemaker Non -Covered !CD-I 0 Diagnosis Codes Payment Window for Outpatient Service

Cardiac Pacemaker Claims Require the KX Modifier System (OPPS) 

3205 Issued to a specific audience, not posted to Intemet/Intranet due to a 3218 April20 15 Integrated Outpatient Code Ed

Confidentiality of Instruction 16.1 

3206 Issued to a specific audience, not posted to Intemet/Intranet due to a 3219 Automation of the Request for Reopening 

Confidentiality of Instruction Special Claim Types 

3207 New Waived Tests 3220 Update to Pub. I 00-04, Chapters S and 6 

3208 Issued to a specific audience, not posted to Intemet/Intranet due to a Changes for Updating ICD-10, ASC Xl2

Confidentiality of Instruction Contractor (MAC) Implementation 

3209 Issued to a specific audience, not posted to Intemet/Intranet due to a Part R Outpatient Rehahilitation and Co

Confidentiality of Instruction Rehabilitation Facility (CORF

3210 Final MSN Redesign-Related Update to Chapter 21 of the Medicare Claims Application of Financial Limitations 

Processing Manual Multiple Procedure Payment Reductions 

Format Conventions for the MSN Services 

Basic Concepts and Approaches Reporting of Service Units With HCPCS 

3211 Issued to a specific audience, not posted to Intemet/Intranet due to a Coding Guidance for Certain CPT Code

Confidentiality of Instruction General 

3212 April2015 Update of the Ambulatory Surgical Center (ASC) Payment 

System 

3213 Issued to a specific audience, not posted to Intemet/Intranet due to a 

Sensitivity of Instruction 

3214 April2015 Update of the Ambulatory Surgical Center (ASC) Payment 

System 

3215 Screening for Hepatitis C Virus (HCV) in Adults 

Common Working File (CWF) Edits 

Institutional Billing Requirements 

Professional Billing Requirements 

Claim Adjustment Reason Codes (CARCs), Remittance Advice Remark 

Codes (RARCs), Group Codes, and Medicare Summary Notice (MSN) 

Messages 

Screening for Hepatitis C Virus (HCV) 

3216 Updates to the .\iledicare Internet-Only Manual Chapters for Skilled Nursing 

Facility (SNF) Providers 

Hospital's "Facility Charge" in Connection with Clinic Services of a 

Physician Transportation of Equipment Billed by a SNF to a MAC 

Screening and Preventive Services 

SNI' CD Annual Update Process for Part A MACs 

Health Insurance Prospective Payment System (HIPPS) Rate Code 

Coding PPS Bills for Ancillary Services 

Adjustment Requests 

Off-Site CORF Services 

K otifying Patient of Service Denial 

Billing for DME, Prosthetic and Orthoti

Addendum A- Chapter 5, Section 20.4- 

Codes - All Claims 

Other Billing Situations 

Billing SNF PPS Services 

Billing Procedures for Periodic Interim P

Total and K uncovered Charges 

Services in Excess of Covered Services 

Reporting Accommodations on Claims Bills with Covered and Noncovered Day

Billing in Benefits Exhaust and No-Paym

Consolidated Rilling Requirement for SN

3221 Issued to a specific audience, not posted t

Confidentiality of Instruction 

3222 Quarterly Update to the Correct Coding I

Effective July I, 20 IS 

3223 Issued to a specific audience, not posted t

Confidentiality of Instruction 

3224 Issued to a specific audience, not posted t

Confidentiality of Instruction 

'''"'')' 

SNF PPS Pricer Software 110 None 

Input/Output Record Layout ) 

SNF PPS Rate Components 249 Notice of 'lew Interest Rate for Medicare 

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-2nd Qtr Notification for FY 2015 Model Acknowledgement Letter 

p,;''0¥'c;ii, ':\ .\ Acknowledgement Letter Example 

131 New to State Operations Manual (SOM). Appendix N- Psychiatric Residential Model Revalidation Letter 

Treatment Facilities (PRTF) Interpretive Guidance Model Revalidation Letter- CHOW Sce

132 New Additions to State Operating Manual (SOM), Psychiatric Residential Model Large Group Revalidation Notifi

Treatment facilities (PRTf) Chapter 2 Model Revalidation Pend Letter 

133 Revisions to the State Operations Manual (SOM) - Appendix PP -Guidance 

to Surveyors for Long-Term Care Facilities 

134 Revisions to State Operations Manual (SOM) Exhibit 138 EMTALA 

Physician Review Worksheet Revisions 

135 Revisions to State Operations Manual (SOM) Appendix J, Part IIInterpretive Guidelines- Responsibilities of Intem1ediate Care facilities for 

Individuals with Intellectual Disabilities Revisions. 

Deactivation Actions 

Approval Letter Guidance 

Denial Example #6- Existing or Delinq

Revocation Letter Guidance Provider and Supplier Revalidations 

Revalidation Lists Mailing Revalidation Letters 

An addition of a New Exhibit to the State Operations Manual (SOM) for 

Intennediate Care Facilities for Individuals with- Intellectual Disabilities 

!\on-Response to Revalidation Actions 

Phone Calls 

(ICF/IID), Probes and Procedures for Appendix J, Part II Interpretive 

Guidelines- Responsibilities ofTntermediate Care Facilities for Individuals 

with Intellectual Disabilities 

Pend Status 

Model Revalidation Deactivation Letter 

Manual (PLv!), Chapter 15 

136 Revisions to State Operations Manual (SOM) Appendices A, G, Land T 

related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and 

Swing Beds 

Y; .. ' ' '\,, ' 

566 New Timeframe for Response to Additional Documentation Requests TimeFrames for Submission 

579 Issued to a specific audience, not posted t

Confidentiality of Instruction 

580 Issued to a specific audience, not posted t

Confidentiality oflnstruclion 

581 Incorporation of Certain Provider Enrollm

Pub. 100-08, Program Integrity Manual (P

567 New Timeframe for Response to Additional Documentation Requests 

568 Review Timeliness Requirements for Prepay Review 

569 Issued to a specific audience, not posted to Intemet/ Intranet due to 

Confidentiality of Instruction 

570 Issued to a specific audience, not posted to Intemet/ Intranet due to 

Confidentiality of Instruction 

571 Issued to a specific audience, not posted to Internet/ Intranet due to 

Confidentiality of Instruction 

Deceased Practitioners 

Denials 

Establishing an Effective Date of Medic

Model Revocation Letter for Part B Sup

Suppliers 

Corrective Action Plans (CAPs) Corrective Action Plans (CAPs 

Revocations Definitions 

572 Issued to a specific audience, not posted to Intemet/ Intranet due to 

Confidentiality of Instruction 

573 Issued to a specific audience, not posted to Intemet/ Intranet due to 

582 Incorporation of Certain Provider Enrollm

Pub. 100-08, Program Integrity Manual (P

Definitions 

Confidentiality of Instruction Denials 

574 Issued to a specific audience, not posted to Internet/ Intranet due to Deceased Practitioners 

Confidentiality of Instruction 

575 Incorporation of Revalidation Policies into Pub. 100-08, Program Integrity 

Manual (PIM), Chapter 15 

Model Revocation Letter for Part B Sup

Suppliers 

Corrective Action Plans (CAPs) 

576 Issued to a specific audience, not posted to Internet/ Intranet due to Corrective Action Plans (CAPs) 

Confidentiality of Instruction Revocations 

577 Issued to a specific audience, not posted to Internet/ Intranet due to Establishing an Effective Date of Medic

Confidentiality of Instruction 583 Issued to a specific audience, not posted t

578 Incorporation of Revalidation Policies into Pub. 100-08, Program Integrity Confidentiality of Instruction 

NPI Punctuation Licenses and Certifications 584 Issued to a specific audience, not posted t

Section 2 of the Form CMS-855I Confidentiality of Instruction 

Practice Location Infom1ation 

Voluntarv Terminations 

EN24AP15.010</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

1'-"' <;:<. 1461 Issued to a specific, audience not to Intem

31 Update of !OM Pub. I 00-09, Chapter 6, section 30.2.11 to include the Instruction 

requirements for implementing Quality Assurance Monitoring at the Medicare 1462 Identifying "No Documentation" Medical 

Administrative Contractors. Flagged for Recovery Auditor Review 

Contingency Plans 1463 Identification of Obsolete Shared System 

Direct Monitoring 1464 Issued to a specific, audience not to Intem

Quality Assurance Monitoring (QAM) Instruction 

Remote Monitoring 1465 Issued to a specific, audience not to Intem

Monitoring CSR Calls Instruction 

'''· . ·· 1466 Use of Modifiers KK, KG, KC, and KW 

None Equipment, Prosthetics, Orthotics and Su

""'''"'"'''·• Bidding Program 

00 None 1467 Reporting Force Balance Claim Payment 

Advice (ERA) 835 and Cross Over Benef

None Transactions 

I've; :_,,,,;,.,; •': •:'"' Et 1468 Identification of Obsolete Shared System 

120 Chapter 4, Quality Improvement Program 1469 Develop Rough Order of Magnitude (RO

!:c:,,\;\'''j Preparation for Implementation of Intema

None lOth Revision (ICD-10) 

f;.": .• _,\! '\';'2/;,: 1470 Durable Medical Equipment Prosthetics O

115 Implementation of the Intravenous Immune Globulin (IVIG) demonstrationProcessing for home health service overlap editing Competitive Bidding Program (CBP): Ad

Grandfathered Items Subject to CBP 

116 Implementing Home Health Travel Reimbursement Payment Changes for 

l'CIIIP (l'rontier Community Health Integration Project) Mandated by section 

1471 Renaming PPS-FLX6- PAYMENT Field 

Payment System (IPPS) Pricer Output 

123 ofMIPPA 2008 and as amended by section 3126 of the ACA 2010 1472 Intcmational Classification of Diseases, l

'i\;;;;; ,•;; • ,; 0!{. ( £; Acknowledgement Testing with Provider

1450 Moratorium on Classification of Long-Term Care Hospitals (L TCH) or 1473 Correction of the Maintenance of the Med

Satellites/Increase in Certified LTCH Beds 1474 Issued to a specific, audience not to Intem

1451 Intemational Classification of Diseases, Tenth Revision (ICD-10) Limited Instruction 

End-to-end testing with Submitters for 2015 1475 Health Insurance Portability and Account

1452 Issued to a specific, audience not to Intemet/ Intranet due to a Sensitivity of Updates for April20 15 

Instruction 1476 Health Insurance Portability and Account

1453 Issued to a specific, audience not to Intemet/ Intranet due to a Sensitivity of Updates for April20 15 

Instruction 1477 Issued to a specific, audience not to Intem

1454 Issued to a specific, audience not to Intemet/ Intranet due to a Confidentiality Instruction 

of Instruction 1478 10 Conversion/Coding Infrastmcture Rev

1455 Corrections to Processing Service Facility Information on Hospice Claims Coverage Determinations (NCDs)--2nd M

1456 Phase Two: Changing Fiscal Intermediary Shared System (FISS) Action on 

Informational Unsolicited Responses (IURs) From Canceled Claims to 

1479 Issued to a specific, audience not to Intem

Instruction 

Adjustments 1480 Health Insurance Portability and Account

1457 Renaming PPS-FLX6- PAYMENT Field in the Inpatient Prospective Updates for July 2015 

Payment System (IPPS) Pricer Output 14Sl Issued to a specific, audience not to Intem

1458 Fee for Service Beneficiary Data Streamlining (FFS BDS) Phase II Instmction 

Beneficiary Address Analysis and Design 1482 Use of Modifiers KK, KG, KC, and KW 

1459 Continuation of Systematic Validation of Payment Group Codes for 

Prospective Pavment Systems (PPS) Based on Patient Assessments 

Equipment, Prosthetics, Orthotics and Su

Bidding Program 

1460 Health Insurance Portability and Accountability Act (HIP AA) ED! Front End 

Updates for July 2015 

1483 Identifying "No Documentation" Medical 

Flagged for Recovery Auditor Review 

EN24AP15.011</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

' 

39 Payments to Hospice Agencies That Do Not Submit Required Quality Data l\(,;i >.,, ?\ 

None 

Addendum II: Regulation Documents Published 

in the Federal Register (January through March 2015) 

Regulations and Notices 

Regulations and notices are published in the daily Federal 

Register. To purchase individual copies or subscribe to the Federal Register, contact GPO at When ordering individual 

copies, it is necessary to cite either the date of publication or the volume 

number and page number. 

The Federal Register is available as an online database through 

GPO Access. The online database is updated by 6 a.m. each day the 

Federal Register is published. The database includes both text and 

graphics from Volume 59, Number 1 (January 2, 1994) through the present 

date and can be accessed at The 

following website provides 

information on how to access electronic editions, printed editions, and 

reference copies. 

This information is available on our website at: 

For questions or additional information, contact Terri Plumb 

(410-786-4481). 

Addendum III: CMS Rulings 

CMS Rulings are decisions of the Administrator that serve as 

precedent final opinions and orders and statements of policy and 

interpretation. They provide clarification and interpretation of complex or 

ambiguous provisions of the law or regulations relating to Medicare, 

Medicaid, Utilization and Quality Control Peer Review, private health 

insurance, and related matters. 

The rulings can be accessed at 

For questions or additional information, 

contact Tiffany Lafferty (410-786-7548). 

Addendum IV: Medicare National Cov

(January through Marc

Addendum IV includes completed nat

determinations (NCDs), or reconsiderations of 

quarter covered by this notice. Completed deci

section of the NCD Manual (NCDM) in which 

title, the date the publication was issued, and th

decision. An NCD is a determination by the Se

particular item or service is covered nationally 

(title XVIII of the Act), but does not include a 

any, that is assigned to a particular covered item 

determination for a particular covered item or s

include information concerning completed deci

program and decision memoranda, which also 

some cases, explain why it was not appropriate 

Information on completed decisions as well as 

been posted on the CMS website. For the purp

we list only the specific updates that have occu

Tins infonnation is available at: 

For questions or additional informat

(410-786-7491). 

Title NCDM Transmit

Section Number 

Removal of Multiple NCD50.6, 

National Coverage NCD160.4, 

Determinations Using NCD160.6, 

Expedited Process NCD160.9, R80 

NCD190.4, NCD220.7, NCD220.8 

National Coverage 

Determination (NCD) for 

Single Chamber and Dual NCD20.8.3 R179 

Cham her Permanent Cardiac Pacemakers 

Addendum V: FDA-Approved Category 

Exemptions (IDEs) (January thro

Addendum V includes listings of the F

investigational device exemption (IDE) numbe

listings are organized according to the categori

assigned (that is, Category A or Category B), a

EN24AP15.012</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

number. For the purposes of this quarterly notice, we list only the specific 

updates to the Category B IDEs as of the ending date of the period covered 

by this notice and a contact person for questions or additional infmmation. 

For questions or additional information, contact John Manlove ( 410-786-

6877). 

Under the Food, Drug, and Cosmetic Act (21 U.S. C. 360c) devices 

fall into one of three classes. To assist CMS under this categorization 

process, the FDA assigns one of two categories to each FDA-approved 

investigational device exemption (IDE). Category A refers to experimental IDEs, and Category B refers to non-experimental IDEs. To obtain more 

information about the classes or categories, please refer to the notice 

published in the April21, 1997 Federal Register (62 FR 19328). 

IDE Device Start Date 

Gl40237 Ncruostar TMS Therapy 01/02/2015 

G140244 Cochlear Implant 01/07/2015 

Gl40218 Automated Remote Ischemic Conditioning (autoRIC) Device 01/08/2015 Gl40209 Inspire Upper Airway Stimulation (UAS) 01/09/2015 Gl40246 SENZA Spinal Cord Stimulation (SCS) System 01/09/2015 Gl40041 Penumbra, TREVO, and Solitaire 01/14/2015 

G140178 Resolute Onyx Zotarolimus Coronary Stent System 01/15/2015 

Gl30195 LUM 2.6 Imaging System 01/16/2015 Gl40253 EmboTrap Revascularization Device 01/27/2015 

Gl40254 BreathiD MCS 01/28/2015 

Gl40252 Myeloma Prognostic Risk Signaure, MYPRS 01/28/2015 

G140251 Physio-Stim Model33150A 01/29/2015 

Gl40255 SmartPatch PNS System For T11e Treatment of Pain Following 01/29/2015 

Total Knee Arthroplasty (TKA) Utilizing Preoperative Lead 

Placement 

Gl40078 Osiro Sirolimus Eluting Coronary Stent System 01/30/2015 

G150004 Diode Laser 02/05/2015 

Gl40213 Embosphere Microspheres 02/06/2015 Gl50006 Neuroform Atlas Stent System 02/06/2015 Gl50012 Occlusin 500 Artificial 02/12/2015 Gl40071 Juvedenn 02/13/2015 

G140211 Substernal Pacing Acute Clinical Evaluation (Space) Study 02/13/2015 

Gl40118 COMBO Bio-engineered Sirolimus Eluting Stent 02/19/2015 Gl50020 Injectible Calcium Hydroxylapatite With And Without 02/20/2015 

Triamcinalone Acetate For The Treatment of Volume Loss To 

Dorsum Areas of the Hands 

Gl50019 CorMalrix ECM Tricuspod Valve 02/25/2015 

Gl50024 Endurant Evo AAA Stent Graft System 02/27/2015 

Gl50026 High-Resolution Microendoscopy (HRME) 02/27/2015 Gl50028 Trevo Retriever; Solitare FR Revascularization Device; 03/04/2015 

Penumbra system thrombectomy system 

IDE Device 

Gl40134 Lenstec SBL-3 Multifocal Posterior Chambe

(MIOL) 

Gl40130 Embosphere Microspheres Gl50030 BK Medical/ Analogic 8666-RF laparoscopic 

bedside flex Focus 1202 imaging system (Int

during video-assisted thoracoscopy 

Gl50031 Hyalrheuma Injectable Viscosupplement 

Gl40154 Simplify Disc Gl50007 Asahi Gudiewires & Corsair Microcatheter Gl20054 GAMMAPOD 

G140245 Syncardia Temporary Total Artificial Heart (

Gl50037 HEMOBLAST Bellows Hemostatic Agent 

Gl50036 Simplicity Spyral Multi-Electrode Renal Den

and Symplicity G3 Renal Denervation RF G

Gl30021 NANOKNIPE System 

Addendum VI: Approval Numbers for C

(January through Marc

All approval numbers are available to 

Under the review process, approved informatio

assigned OMB control numbers. A single cont

several related information collections. This in

For qu

information, contact Mitch Bryman ( 410-786-5

Addendum VII: Medicare-Approved C

(January through Marc

Addendum VII includes listings of Me

stent facilities. All facilities listed meet CMS s

carotid artery stenting for high risk patients. O

our decision memorandum on carotid artery ste

carotid artery stenting with embolic protection 

only if performed in facilities that have been de

performing the evaluation, procedure, and follo

optimal patient outcomes. We have created a l

facilities modeled in part on professional societ

All facilities must at least meet our standards in 

for carotid artery stenting for high risk patients

quarterly notice, we are providing only the speoccurred in the 3-month period. This informat

EN24AP15.013</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

For questions or additional infonnation, contact Lori Ashby 

( 410-786-6322). 

Facility Provider Effective 

Number Date 

f '.\'''' , •• ,,. ::i, 

The Rochester General Hospital 70005A 01/15/2015 

1425 Portland Avenue Rochester, NY 14621 

Methodist Richardson Medical Center 430537 02/26/2015 

2831 E. President George Bush Highway 

Richardson TX 75082-3561 

;vi:•ic·;· ;'''"·" ''·;•: • · 

Rhode Island Hospital 410007 07/07/2005 

593 Eddy Street Providence, RI 02903 

FROM: Franciscan Health System d/b/a St. 500108 07/31/2006 

Joseph Medical Center 

TO: CIII Franciscan Health- St. Joseph Medical 

Center 

1717 South J Street Tacoma, WA 98401-2197 

FROM: St. Joseph Medical Center Heart 210063 05/17/2005 

Institute 

TO: University Of Maryland St. Joseph Medical 

Center 7601 Osler Drive Towson, 'v!D 21204-7582 

FROM: The Baldwin County Eastern Shore 010100 04/07/2005 Health Care Authority d/b/a Thomas Hospital 

TO: Gulf Health Hospitals, Inc. d/b/a Thomas 

Hospital 

750 Morphy Avenue Fairhope, AL 36532 

FROM: St John's Mercy Medical Center 260020 08/24/2005 

TO: Mercy Hospital St Louis 

615 South New Ballas Road St. Louis. MO 63141 

FROM: Town and Country Hospital 100255 05/05/2005 

TO: Tampa Community Hospital 

6001 Webb Road Tampa, FL 33615-3241 

FROM: Bon Secours Cottage Health Services 230089 09/15/2005 

TO: Beaumont Grosse Pointe 

468 Cadieux Road Grosse Pointe, MI 48230 FROM: Carolinas Medical Center Mercy 340098 11108/2007 

TO: Carolinas HealthCare System - Pineville 

10628 Park Road Charlotte. NC 28210 

Kaiser Sunnyside Medical Center 380091 06/30/2010 

10180 SE Sunnyside Road Clackamas, OR 97015 

Good Samaritan Regional Health Center 140046 04/25/2013 

1 Good Samaritan Way Mt Vernon, IL 62864 

Porter Regional Hospital 150035 05/02/2006 

85 East US 6 Valparaiso, IN 46383 

State 

NY 

TX 

.• 

RI 

WA 

MD 

AL 

MO FL MI 

NC 

OR 

IL IN 

Facility P

N

FROM: Regional Medical Center of Hopkins 1

County 

TO: Baptist Health Madisonville 

900 Hospital Drive Madisonville, KY 42431 

Addendum VIII: 

American College of Cardiology's Nation

Registry Sites (January through 

Addendum VIII includes a list of the A

Cardiology's National Cardiovascular Data Reg

implantable cardioverter defibrillators (ICDs) f

indications, as long as information about the pr

central registry. Detailed descriptions of the co

available in the NCD. In January 2005, CMS e

Abstraction Tool through the Quality Network 

temporary data collection mechanism. On Octo

armounced that the American College of Cardio

Cardiovascular Data Registry (ACC-NCDR) IC

reporting requirements in the NCD. Hospitals 

ACC-NCDR ICD Registry by April 2006. 

Effective January 27, 2005, to obtain r

NCD policy requires that providers implanting 

clinical indications (that is, patients without a h

spontaneous arrhythmia) report data on each pr

procedure. Details of the clinical indications th

and their respective data reporting requirements 

Medicare NCD Manual, which is on the CMS w

A provider can use either of two mech

reporting requirement. Patients may be enrolle

Device Exemption trial studying ICDs as identi

ACC-NCDR lCD registry. Therefore, for a ben

Medicare-covered lCD implantation for primar

must receive the scan in a facility that participa

registry. The entire list of facilities that particip

registry can be found at 

For the purposes of this quarterly notic

specific updates that have occurred in the 3-mo

EN24AP15.014</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

is available by accessing our website and clicking on the link for the 

American College of Cardiology's National Cardiovascular Data Registry 

at: For questions or additional 

information, contact Marie Casey, BSN, MPH (410-786-7861). 

Facility City State 

.\ .• ' i ;'\/ .':' 

Owensboro Health Regional Hospital Owensboro KY 

Yakima Valley Memorial Hospital Yakima WA 

University Hospitals Bedford Medical Center Bedford OH University Hospitals Richmond Medical Center Richmond Heights OH 

Doctors Hospital-Tidwell Houston TX 

Resolute Health Hospital New Braunfels TX 

Baylor Jack and Jane Hamilton At Fort Worth Dallas TX 

Children's Hospital of The King's Daughters, Inc. Norfolk VA 

Ranchos Los Amigos l\ational Rehabilitation Center Downev CA 

Unity Medical and Surgical Hospital Mishawaka IN 

Presbyterian Hospital-Huntersville Huntersville NC 

McLaren Lapeer Region Lapeer MI 

Vail Valley Medical Center Vail co 

St. Joseph's Hospital - South Riverview FL 

Bayonne Medical Center Bayonne NJ 

Phelps Memorial Hospital Center Sleepy Hollow NY Beth Israel Deaconess Hospital-Plymouth, Inc. Plymouth MA Mercy St. Anne Hospital Toledo OH 

Apogee Surgery Center Redding CA 

Physicians of Winter Haven D/b/A/ Day Surgery Winter Haven FL 

Center 

Mercy Hospital Moose Lake MI 

Southern California Hospital At Culver City Culver City CA 

Harrison Memorial Hospital Cynthiana KY 

Florida Hospital - Altamonte Springs Orlando FL 

Memorial Hermann Katy Hospital Katy TX 

S;;c:.;:;•: i 

Avera St. Luke's Aberdeen SD 

Holy Cross Hospital Taos NM 

Waco Surgery Center Waco TX 

Trios Health Kennewick WA 

Fleming Cmmty Hospital Flemingsburg KY 

MaryV ale Hospital Phoenix AZ 

Addendum IX: Active CMS Coverage-Related Guidance Documents 

(January through March 2015) 

CMS issued a guidance document on November 20, 2014 titled 

"Guidance for the Public, Industry, and CMS Staff: Coverage with 

Evidence Development Document". Although CMS has several policy 

vehicles relating to evidence development act

investigational device exemption (IDE), the ccoverage determinations and local coverage d

document is principally intended to help the p

implementation of coverage with evidence de

national coverage determination process. The Active CMS Coverage-Related Guidance Doc

through March 2015 quarter. For questions o

contact JoAnna Baldwin ( 410-786-7205). 

Addendum X: 

List of Special One-Time Notices Rega

Provisions (January through 

There were no special one-time notic

coverage provisions published in the January 

This information is available at 

or additional information, contact JoAnna Bal

Addendum XI: National Oncologic 

(January through Mar

Addendum XI includes a listing of N

Emission Tomography Registry (NOPR) sites

tomography (PET) scans for particular oncolo

performed in a facility that participates in the 

In January 2005, we issued our decis

emission tomography (PET) scans, which sta

PET scans for particular oncologic indications

performed in the context of a clinical study. W

National Oncologic PET Registry as one of th

Therefore, in order for a beneficiary to receive 

scan, the beneficiary must receive the scan in 

the registry. There were no additions, deletion

listing of National Oncologic Positron Emissi

(NOPR) in the January through March 2015 q

available at 

For questions or additional infonnation, conta

(410-786-8564). 

EN24AP15.015</GPH>tkelley on DSK3SPTVN1PROD with NOTICES

Addendum XII: Medicare-Approved Ventricular Assist Device 

(Destination Therapy) Facilities (January through March 2015) 

Addendum XII includes a listing of Medicare-approved facilities 

that receive coverage for ventricular assist devices (V ADs) used as 

destination therapy. All facilities were required to meet our standards in order to receive coverage for V ADs implanted as destination therapy. On 

October 1, 2003, we issued our decision memorandum on V ADs for the 

clinical indication of destination therapy. We determined that V ADs used 

as destination therapy are reasonable and necessary only if performed in 

facilities that have been determined to have the experience and 

infrastructure to ensure optimal patient outcomes. We established facility 

standards and an application process. All facilities were required to meet 

our standards in order to receive coverage for V ADs implanted as 

destination therapy. 

For the purposes of this quarterly notice, we are providing only the 

specific updates that have occurred to the list of Medicare-approved 

facilities that meet our standards in the 3-month period. This information is 

available at 

For questions or additional information, contact Marie Casey, BSN, MPH 

(410-786-7861). 

Facility Provider Number Date Approved State Mercy Medical Center 16-00S:> 01/07/2015 TA 

1111 6th Avenue Des Moines, IA 50314 

CHI Health Nebraska Heart 28-0128 11119/2014 NE 

7500 South 9lst Street Lincoln, NE 68526 

Memorial Regional Hospital 10-0038 08/20/2014 IA 

1111 6th Avenue Des Moines, IA 50314 

Mercy Hospital Springfield 260065 02/1112015 MO 

1235 East Cherokee 

Springfield, MO 65804 

St. Luke· s Hospital 390049 12/18/2014 PA 

SOl Ostrum Street Bethlehem PA 1 S015 

•is"l; •; •' ,,., .. ';.; 

The Indiana Heart Hospital, LLC 150154 10/0112014 IN 

8075 N Shadeland Avenue 

Indianapolis, IN 46250 

Addendum XIII: Lung Volume Red

(January through Mar

Addendum XIII includes a listing of 

that are eligible to receive coverage for lung v

Until May 17, 2007, facilities that participate

Treatment Trial were also eligible to receive 

types of facilities are eligible for reimbursem

Reduction Surgery (L VRS): 

• National Emphysema Treatment Trial 

05/07/2007, these will no longer automaticall

with the other programs); 

• Credentialed by the Joint Commission 

Commision on Accreditation ofHealthcare O

their Disease Specific Certification Program f

• Medicare approved for lung transplant

Only the first two types are in the lis

the listing of facilities for lung volume reduct

January through March 2015 quarter. This in

questions or additional information, contact M

( 410-786-7861 ). 

Addendum XIV: Medicare-Approved B

(January through Mar

Addendum XIV includes a listing of 

that meet minimum standards for facilities mo

society statements on competency. All facilit

order to receive coverage for bariatric surgery 

2006, we issued our decision memorandum o

We determined that bariatric surgical procedu

necessary for Medicare beneficiaries who hav

greater than or equal to 35, have at least one c

and have been previously unsuccessful with m

This decision also stipulated that covered bar

reasonable and necessary only when perform

certified by the American College of Surgeon

Surgery Center (program standards and requi

15, 2006); or (2) certified by the American So

(ASBS) as a Bariatric Surgery Center of Exce

standards and requirements in effect on Febru
23026 Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices 

[FR Doc. 2015–09539 Filed 4–23–15; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Administration for Native Americans; 

Notice of Meeting 

AGENCY: Administration for Children 

and Families, Department of Health and 

Human Services. 

ACTION: Notice of tribal consultation. 

SUMMARY: The Department of Health and 

Human Services, Administration for 

Children and Families, Administration 

for Native Americans (ANA) will host a 

Tribal Consultation to consult on the 

Community Native Language 

Coordination Initiative, an expansion of 

funding for ANA proposed in the 

President’s fiscal year 2016 budget. 

DATES: May 20, 2015. 

ADDRESSES: 200 Independence Ave. 

SW., Washington, DC. 

FOR FURTHER INFORMATION CONTACT: 

Lillian A. Sparks Robinson, 


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