Federal Register / Vol. 79, No. 74 / Thursday, April 17, 2014 / Notices 21763 

prevention efforts and impact of HAI 

prevention programs; and (9) works 

with the Emerging Infections Program 

and other partners to identify emerging 

issues. 

Dated: April 7, 2014. 

Sherri A. Berger, 

Chief Operating Officer, Centers for Disease 

Control and Prevention. 

[FR Doc. 2014–08551 Filed 4–16–14; 8:45 am] 

BILLING CODE 4160–18–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5506–N4] 

Medicare Program; Comprehensive 

ESRD Care Initiative; Extension of the 

Submission Deadlines for the Letters 

of Intent and Applications 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Reopening of the application 

period. 

SUMMARY: This notice reopens the 

application period and provides 

information on new dates for the 

submission of the Comprehensive ESRD 

Care initiative letters of intent and 

application. The letter of intent 

submission date for End-stage Renal 

Disease Seamless Care Organizations 

(ESCOs) that include a dialysis facility 

from a large dialysis organization (LDO) 

is June 23, 2014, and the submission 

deadline for the LDO application is June 

23, 2014. The letter of intent submission 

date for ESCOs that include a non-LDO 

facility is September 15, 2014, and the 

submission deadline for the non-LDO 

application is September 15, 2014. 

DATES: Letter of Intent Submission 

Deadline: Interested large dialysis 

organizations (LDOs) must submit a 

non-binding letter of intent on or before 

June 23, 2014, and interested non-large 

dialysis organizations (non-LDOs) must 

submit a non-binding letter of intent on 

or before September 15, 2014, by an 

online form at: http://

innovationgov.force.com/cec. 

Application Submission Deadline: 

Interested LDO applicants must submit 

an application on or before June 23, 

2014, and interested non-LDO 

applicants must submit an application 

on or before September 15, 2014, by an 

online form at: http://

innovationgov.force.com/rfa. 

An updated Request for Applications 

which includes the new submission 

deadlines and additional updates is 

available on the Innovation Center Web 

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

initiatives/comprehensive-ESRD-care. 

FOR FURTHER INFORMATION CONTACT: 

Alefiyah Mesiwala, (410) 786–2224 or 

ESRD-CMMI@cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

I. Background 

The Center for Medicare and 

Medicaid Innovation (Innovation 

Center) is interested in identifying 

models designed to improve care for 

beneficiaries with end-stage renal 

disease (ESRD). To promote seamless 

and integrated care for beneficiaries 

with ESRD, we are developing a 

comprehensive care delivery model to 

emphasize coordination of a full-range 

of clinical and non-clinical services 

across providers, suppliers, and settings. 

Through the Comprehensive ESRD Care 

Model, we seek to identify ways to 

improve the coordination and quality of 

care for this population, while lowering 

total per-capita expenditures to the 

Medicare program. We anticipate that 

the Comprehensive ESRD Care Model 

would result in improved health 

outcomes for beneficiaries with ESRD 

regarding the functional status, quality 

of life, and overall well-being, as well as 

increased beneficiary and caregiver 

engagement, and lower costs to 

Medicare through improved care 

coordination. 

On February 6, 2013, we published a 

notice in the Federal Register 

announcing a request for applications 

from organizations to participate in the 

testing of the Comprehensive ESRD Care 

Model, for a period beginning in 2013 

and ending in 2016, with a possible 

extension into subsequent years. In that 

notice, we stated that organizations 

interested in applying to participate in 

the testing of the Comprehensive ESRD 

Care Model must submit a non-binding 

letter of intent by March 15, 2013, and 

an application by May 1, 2013. 

Several stakeholders requested 

additional time to prepare their 

applications and form partnerships. 

Therefore, the Innovation Center 

extended the deadlines relating to the 

Comprehensive ESRD Care initiative. 

On July 17, 2013, we published a notice 

in the Federal Register announcing an 

extension of deadlines. The new 

deadlines were July 19, 2013 for the 

Letter of Intent and August 1, 2013 for 

the application. On August 9, 2013, we 

published an additional notice in the 

Federal Register announcing an 

extension of deadlines. The notice 

reopened the Letters of Intent 

submission period and extended the 

deadlines for submission of both the 

Letters of Intent and the Applications to 

August 30, 2013. 

II. Provisions of the Notice 

Since the publication of the August 9, 

2013 notice, we have made several 

revisions to the design of the 

Comprehensive ESRD Care initiative. 

Therefore, for the Comprehensive ESRD 

Care Initiative, the Innovation Center is 

reopening the Letters of Intent 

submission period and extending the 

deadlines for submission of both the 

Letters of Intent and the Applications. 

The new deadline for submission of the 

letter of intent is June 23, 2014 for LDO 

applicants and September 15, 2014 for 

non-LDO applicants; and the new 

deadline for submission of the 

application is June 23, 2014, for LDO 

applicants and September 15, 2014 for 

non-LDO applicants. 

In the DATES section of this notice, we 

are including the new submissions 

deadlines. For additional information 

on the Comprehensive ESRD Care 

Model, and how to apply, we refer the 

reader to click on the Request for 

Applications located on the Innovation 

Center Web site at: http://

innovation.cms.gov/initiatives/

comprehensive-ESRD-care. 

Dated: April 11, 2014. 

Marilyn Tavenner, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2014–08758 Filed 4–15–14; 11:15 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: OCSE–157 Child Support 

Enforcement Program Annual Data 

Report. 

OMB No.: 0970–0177. 

Description: The information obtained 

from this form will be used to: (1) 

Report Child Support Enforcement 

activities to the Congress as required by 

law; (2) calculate incentive measures 

performance and performance 

indicators utilized in the program; and 

(3) assist the Office of Child Support 

Enforcement (OCSE) in monitoring and 

evaluating State Child Support 

programs. 

OCSE is proposing minor updates to 

the OCSE–157 report instructions to 

update submission procedures. 

Respondents will no longer have the 


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