Federal Register / Vol. 86, No. 138 / Thursday, July 22, 2021 / Rules and Regulations 38569 

human health or environmental effects 

on minority or low-income populations 

because it does not affect the level of 

protection provided to human health or 

the environment. EPA has assessed the 

overall protectiveness of expanding the 

Port Everglades ODMDS against the 

criteria established pursuant to the 

MPRSA to ensure that any adverse 

impact to the environment will be 

mitigated to the greatest extent 

practicable. 

List of Subjects in 40 CFR Part 228 

Environmental protection, Water 

pollution control. 

Authority: This action is issued under the 

authority of Section 102 of the Marine 

Protection, Research, and Sanctuaries Act, as 

amended, 33 U.S.C. 1412 and 1418. 

Dated: July 13, 2021. 

John Blevins, 

Acting Regional Administrator, EPA Region 

4. 

For the reasons set out in the 

preamble, EPA amends chapter I, title 

40 of the Code of Federal Regulations as 

follows: 

PART 228—CRITERIA FOR THE 

MANAGEMENT OF DISPOSAL SITES 

FOR OCEAN DUMPING 

■ 1. The authority citation for part 228 

continues to read as follows: 

Authority: 33 U.S.C. 1412 and 1418. 

■ 2. Section 228.15 is amended by 

revising paragraphs (h)(22)(i) through 

(iii) and (vi) to read as follows: 

§ 228.15 Dumping sites designated on a 

final basis. 

* * * * * 

(h) * * * 

(22) * * * 

(i) Location: Corner Coordinates (NAD 

1983) 26°06.500′, 80°01.000′; 26°06.500′, 

80°02.578′; 26°08.750′, 80°02.578′; 

26°08.750′, 80°01.000′. 

(ii) Size: Approximately 3.2 square 

nautical miles in size. 

(iii) Depth: Ranges from 

approximately 587 to 761 feet (179 to 

232 meters). 

* * * * * 

(vi) Restrictions: 

(A) Disposal shall be limited to 

dredged material from the Port 

Everglades, Florida, area; 

(B) Disposal shall be limited to 

dredged material determined to be 

suitable for ocean disposal according to 

40 CFR parts 227 and 228; and 

(C) Transportation and disposal shall 

comply with conditions and monitoring 

requirements set forth in the most recent 

approved Site Management and 

Monitoring Plan and conditions and 

monitoring requirements incorporated 

into the permit or Federal project 

authorization. 

* * * * * 

[FR Doc. 2021–15529 Filed 7–21–21; 8:45 am] 

BILLING CODE 6560–50–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Part 414 

[CMS–5534–N] 

Medicare Program; Calendar Year 2021 

Alternative Payment Model (APM) 

Incentive Payment Advisory for 

Clinicians—Request for Current Billing 

Information for Qualifying APM 

Participants 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), Health and 

Human Services (HHS). 

ACTION: Payment advisory. 

SUMMARY: This advisory is to alert 

certain clinicians who are Qualifying 

APM participants (QPs) and eligible to 

receive an Alternative Payment Model 

(APM) Incentive Payment that CMS 

does not have the current billing 

information needed to disburse the 

payment. This advisory provides 

information to these clinicians on how 

to update their billing information to 

receive this payment. 

DATES: Updated billing information 

must be received no later than 

November 1, 2021 (see SUPPLEMENTARY

INFORMATION for details). 

FOR FURTHER INFORMATION CONTACT: 

Tanya Dorm, (410) 786–2216. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Under the Medicare Quality Payment 

Program, an eligible clinician who 

participates in an Advanced Alternative 

Payment Model (APM) and meets the 

applicable payment amount or patient 

count thresholds for a performance year 

is a Qualifying APM Participant (QP) for 

that year. An eligible clinician who is a 

QP for a year based on their 

performance in a QP Performance 

Period earns a 5-percent lump sum APM 

Incentive Payment that is paid in a 

payment year that occurs 2 years after 

the QP Performance Period. The amount 

of the APM Incentive Payment is equal 

to 5 percent of the estimated aggregate 

paid amounts for covered professional 

services furnished by the QP during the 

calendar year (CY) immediately 

preceding the payment year. 

II. Provisions of the Advisory 

The Centers for Medicare & Medicaid 

Services (CMS) has identified those 

eligible clinicians who earned an APM 

Incentive Payment in CY 2021 based on 

their CY 2019 QP status. 

When CMS disbursed the CY 2021 

APM Incentive Payments, CMS was 

unable to verify current Medicare billing 

information for some QPs and was 

therefore unable to issue payment. In 

order to successfully disburse the APM 

Incentive Payment, CMS is requesting 

assistance in identifying current 

Medicare billing information for these 

QPs in accordance with 42 CFR 

414.1450(c)(8). 

CMS has compiled a list of QPs we 

have identified as having unverified 

billing information. These QPs, and any 

others who anticipated receiving an 

APM Incentive Payment but have not, 

should follow the instructions to 

provide CMS with updated billing 

information at the following web 

address: https://qpp-cm-prodcontent.s3.amazonaws.com/uploads/ 

1498/QP%20Notice%

20for%20APM%20Incentiv

e%20Payment.zip. 

If you have any questions concerning 

submission of information through the 

website, please contact the Quality 

Payment Program Help Desk at 1–866– 

288–8292. 

All submissions must be received no 

later than November 1, 2021. After that 

time, any claims by a QP to an APM 

Incentive Payment will be forfeited for 

the CY 2021 payment year. 

The Administrator of the Centers for 

Medicare & Medicaid Services (CMS), 

Chiquita Brooks-LaSure, having 

reviewed and approved this document, 

authorizes Lynette Wilson, who is the 

Federal Register Liaison, to 

electronically sign this document for 

purposes of publication in the Federal 

Register. 

Dated: July 19, 2021. 

Lynette Wilson, 

Federal Register Liaison, Centers for Medicare 

& Medicaid Services. 

[FR Doc. 2021–15652 Filed 7–21–21; 8:45 am] 

BILLING CODE 4120–01–P 


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