Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices 29139 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by July 16, 2013: 

1. Electronically. You may submit 

your comments electronically to http:// 

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) accepting comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number ____, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: May 14, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–11812 Filed 5–16–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5504–N3] 

Medicare Program; Bundled Payments 

for Care Improvement Model 1 Open 

Period 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces an 

open period for additional organizations 

to be considered for participation in 

Model 1 of the Bundled Payments for 

Care Improvement initiative. 

DATES: Model 1 of the Bundled 

Payments for Care Improvement 

Deadline: Interested organizations must 

submit a Model 1 Open Period 

Information Intake form by July 31, 

2013. 

FOR FURTHER INFORMATION CONTACT: 

BPModel1@cms.hhs.gov for questions 

regarding Model 1 of the Bundled 

Payments for Care Improvement 

initiative. For additional information on 

this initiative go to the CMS Center for 

Medicare and Medicaid Innovation Web 

site at http://innovation.cms.gov/ 

initiatives/BPCI-Model-1/index.html. 

SUPPLEMENTARY INFORMATION: 

I. Background 

We are committed to achieving better 

health, better care, and lower costs 

through continuous improvement for 

Medicare, Medicaid and Children’s 

Health Insurance Program (CHIP) 

beneficiaries. Beneficiaries can 

experience improved health outcomes 

and encounters in the health care 

system when providers work in a 

coordinated and person-centered 

manner. To this end, we are interested 

in partnering with providers that are 

working to redesign care to meet these 

goals. Payment approaches that reward 

providers that assume payment 

accountability at the individual level for 

a particular ‘‘episode’’ of care are 

potential mechanisms for developing 

these partnerships. 

The CMS Center for Medicare and 

Medicaid Innovation (Innovation 

Center) is testing four episode payment 

models. Testing of the first model, 

Model 1 of the Bundled Payments for 

Care Improvement initiative, began in 

April 2013 following a review of 

applications submitted in response to a 

Request for Application released by the 

Innovation Center in August 2011. For 

additional information about Model 1 of 

the Bundled Payments for Care 

Improvement initiative that began in 

April 2013, please visit the Innovation 

Center Web site as specified in the FOR

FURTHER INFORMATION CONTACT section of 

this notice. 

The Innovation Center is announcing 

an open period for additional 

organizations to be considered for 

participation in Model 1 of the Bundled 

Payments for Care Improvement 

initiative. Interested organizations can 

find information about the intake 

process, eligible organizations, and 

model requirements on the Web site as 

specified in the FOR FURTHER

INFORMATION CONTACT section of this 

notice. 

II. Provisions of the Notice 

We seek to achieve the following 

goals through implementation, 

consistent with the authority under 

section 1115A of the Social Security Act 

(the Act), as added by section 3021 of 

the Affordable Care Act, to test 

innovative payment and service 

delivery models that reduce spending 

under Medicare, Medicaid, or CHIP, 

while preserving or enhancing the 

quality of care: 

• Improve care coordination, 

beneficiary experience, and 

accountability in a person-centered 

manner. 

• Support and encourage providers 

that are interested in continuously 

reengineering care to deliver better care 

and better health at lower costs through 

continuous improvement. 

• Create a cycle that leads to 

continually decreasing the cost of an 

acute or chronic episode of care while 

fostering quality improvement. 

• Develop and test payment models 

that create extended accountability for 

better care, better health at lower costs 

for the full range of health care services. 

• Shorten the cycle time for adoption 

of evidence-based care. 

• Create environments that stimulate 

rapid development of new evidencebased knowledge. 

We are announcing an open period for 

additional organizations to be 

considered for participation in Model 1 

of the Bundled Payments for Care 

Improvement initiative. Acute care 

hospitals paid under the inpatient 

prospective payment systems (IPPS) and 

organizations that wish to convene 

acute care hospitals in a facilitator 

convener role are eligible to be 

considered for participation in Model 1. 

Interested organizations must submit a 

Model 1 Open Period Information Intake 

form for a copy of the form go to the 

CMS Web site as specified in the FOR

FURTHER INFORMATION CONTACT section of 

this notice. Once organizations submit 

the intake form to 

BPModel1@cms.hhs.gov, we will review 

the information provided and screen 

organizations for suitability for 

participation in Model 1. For 

information on the screening process go 

to the CMS Center for Medicare and 

Medicaid Innovation Web site as 

specified in the FOR FURTHER

INFORMATION CONTACT section. We 

expect to offer Model 1 participation 

agreements to those organizations that 

demonstrate their fitness for 

participation in Model 1. More 

information about the participation 

process and model requirements can be 

found on the Web site as specified in 

the FOR FURTHER INFORMATION CONTACT

section of this notice. 

III. Collection of Information 

Requirements 

Section 1115A(d) of the Act waives 

the requirements of the Paperwork 

Reduction Act of 1995 for purposes of 

testing and evaluation of new models or 

expansion of such models under section 

1115A under this section. 

Authority: Section 1115A of the Social 

Security Act (42 U.S.C. 1315a) 

(Catalog of Federal Domestic Assistance No. 

93.773 Medicare—Hospital Insurance 

Program; and No. 93.774, Medicare— 

Supplementary Medical Insurance Program) 


wreier-aviles on DSK5TPTVN1PROD with NOTICES
29140 Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices 

Dated: May 3, 2013. 

Marilyn Tavenner, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

[FR Doc. 2013–11819 Filed 5–16–13; 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 

Title: Subsidized and Transitional 

Employment Demonstration (STED) and 

Enhanced Transitional Jobs 

Demonstration (ETJD). 

OMB No.: 0970–0413. 

Description: The Administration for 

Children and Families (ACF) within the 

U.S. Department of Health and Human 

Services (HHS) has launched a national 

evaluation called the Subsidized and 

Transitional Employment 

Demonstration (STED). At the same 

time, the Employment and Training 

Administration (ETA) within the 

Department of labor (DOL) is 

conducting an evaluation of the 

Enhanced Transistional Jobs 

Demonstration (ETJD). These 

evaluations will inform the Federal 

government about the effectiveness of 

subsidized and transitional employment 

programs in helping vulnerable 

populations secure unsubsidized jobs in 

the labor market and achieve selfsufficiency. The projects will evaluate 

up to twelve subsidized and transitional 

employment programs nationwide. ACF 

and ETA are collaborating on the two 

evaluations. In 2011, ETA awarded 

grants to seven transitional jobs 

programs as part of the ETJD, which is 

testing the effect of combining 

transitional jobs with enhanced services 

to assist ex-offenders and noncustodial 

parents improve labor market outcomes, 

reduce criminal recidivism and improve 

family engagement. 

The STED and ETJD projects have 

complementary goals and are focusing 

on related program models and target 

populations. Thus, ACF and ETA have 

agreed to collaborate on the design of 

data collection instruments to promote 

consistency across the projects. In 

addition, two of the seven DOL-funded 

ETJD programs will be evaluated as part 

of the STED project. Data for the study 

will be collected from the following 

three major sources: Baseline Forms; 

Follow-Up Surveys (6, 12, and 30 

months); and Implementation Research 

and Site Visits. 

The proposed revised information 

collection includes alternate 6- and 12- 

month survey instruments which were 

developed for the STED sites serving 

young adults. It is being submitted by 

ACF on behalf of both collaborating 

agencies. 

Respondents: The respondents to the 

young adult baseline and follow-up 

surveys include study participants 

identified as young adults in the 

treatment and control groups. 

Annual Burden Estimates 

Note: No additional burden is requested 

from the already approved information 

collection. 

Instrument Annual number of respondents 

Number of 

responses per 

respondent 

Average 

burden hour 

per response 

Total 

annual burden 

hours 1

6-month survey: 

Youth Respondents (amended version) 533 ................................................................ 1 .5 267 

Adult Respondents (already approved) .. 1,334 ............................................................. 1 .5 667 

12-month survey: 

Youth Respondents (amended version) 533 ................................................................ 1 .75 400 

Adult Respondents (already approved) .. 2,667 ............................................................. 1 .75 2,000 

Total Burden for Surveys ................ ........................................................................ ........................ ........................ 3,334 

1 Rounding may cause slight discrepancies between annual and total estimated burden hours. 

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: OPRE Reports Clearance 

Officer. All requests should be 

identified by the title of the information 

collection. Email address: 

OPREinfocollection@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, Email: 

OIRA_SUBMISSION@OMB.EOP.GOV, 

Attn: Desk Officer for the 

Administration for Children and 

Families. 

Steven M. Hanmer, 

OPRE Reports Clearance Officer. 

[FR Doc. 2013–11762 Filed 5–16–13; 8:45 am] 

BILLING CODE 4184–09–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No. FDA–2013–D–0501] 

Center for Devices and Radiological 

Health Appeals Processes: Questions 

and Answers About 517A; Draft 

Guidance for Industry and Food and 

Drug Administration Staff; Availability 

AGENCY: Food and Drug Administration, 

HHS. 

ACTION: Notice. 

SUMMARY: The Food and Drug 

Administration (FDA) is announcing the 

availability of the draft guidance 

entitled ‘‘Center for Devices and 

Radiological Health (CDRH) Appeals 

Processes: Questions and Answers 

About 517A.’’ This draft document 

provides CDRH’s proposed 

interpretation of key provisions of the 

Federal Food Drug and Cosmetic Act 


wreier-aviles on DSK5TPTVN1PROD with NOTICES