Professional Documents
Culture Documents
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30422 Federal Register / Vol. 71, No. 102 / Friday, May 26, 2006 / Notices
two-year demonstration ‘‘to evaluate the CMS–3017–IFC (70 FR 50940).; Form application. We did not receive any
feasibility and advisability of covering Number: CMS–10116 (OMB#: 0938– public comments during the public
chiropractic services under Medicare’’. 0971); Frequency: Recordkeeping and comment period, which ended on April
The Demonstration aims to evaluate Reporting—On occasion; Affected 28, 2006.
both the costs and the benefits of Public: Business or other for-profit, Not- FOR FURTHER INFORMATION CONTACT:
expanded coverage for chiropractic for-profit institutions, Federal Shaheen Halim, Ph.D., (410) 786–0641.
services. The evaluation will examine government, State, Local, or Tribal
the achievements as well as the governments; Number of Respondents: I. Background
difficulties inherent in demonstration 17,000; Total Annual Responses: Under the Medicare program, eligible
implementation. The study includes a 37,400; Total Annual Hours: 37,400. beneficiaries may receive covered
descriptive evaluation of the program, a To obtain copies of the supporting services through a managed care
survey of a total of 2,000 beneficiaries statement and any related forms for the organization (MCO) that has a Medicare
using expanded services, analyses of proposed paperwork collections Advantage (MA) (formerly,
medical claims to determine service referenced above, access CMS Web site Medicare+Choice) contract with the
utilization and expenditures, as well as address at http://www.cms.hhs.gov/ Centers for Medicare & Medicaid
the cost impact on the Medicare PaperworkReductionActof1995, or E- Services (CMS). The regulations
program. These data will allow the mail your request, including your specifying the Medicare requirements
researchers to examine use, address, phone number, OMB number, that must be met in order for an MCO
effectiveness, and satisfaction of and CMS document identifier, to to enter into an MA contract with CMS
Medicare beneficiaries with the Paperwork@cms.hhs.gov, or call the are located at 42 CFR part 422. These
chiropractic services they receive in Reports Clearance Office on (410) 786– regulations implement Part C of Title
relation to their demographic and 1326. XVIII of the Social Security Act (the
clinical characteristics. The results will Written comments and Act), which specifies the services that
help CMS to understand the user’s recommendations for the proposed an MCO must provide and the
experience with chiropractic services information collections must be mailed requirements that the organization must
and with this Medicare demonstration.; or faxed within 30 days of this notice meet to be an MA contractor. Other
Form Number: CMS–10187 (OMB#: directly to the OMB desk officer: OMB relevant sections of the Act are Parts A
0938-New); Frequency: Reporting— Human Resources and Housing Branch, and B of Title XVIII and Part A of Title
Monthly; Affected Public: Individuals or Attention: Carolyn Lovett, New XI pertaining to the provision of
Households; Number of Respondents: Executive Office Building, Room 10235, services by Medicare-certified providers
2000; Total Annual Responses: 2000; Washington, DC 20503. Fax Number: and suppliers.
Total Annual Hours: 667. (202) 395–6974. Generally, for an organization to enter
Dated: May 15, 2006.
into an MA contract, the organization
5. Type of Information Collection must be licensed by the State as a risk-
Request: Extension of a currently Michelle Shortt,
bearing organization as set forth in part
approved collection; Title of Director, Regulations Development Group, 422 of our regulations. Additionally, the
Information Collection: Conditions of Office of Strategic Operations and Regulatory
Affairs.
organization must file an application
Payment of Power Mobility Devices, demonstrating that it meets other
including Power Wheelchairs and [FR Doc. E6–7944 Filed 5–25–06; 8:45 am]
Medicare requirements in part 422 of
Power-Operated Vehicles (CMS–3017– BILLING CODE 4120–01–P
our regulations. Following approval of
IFC); Use: CMS–3017–IFC (Conditions the contract, we engage in routine
for Payment of Power Mobility Devices, monitoring and oversight audits of the
including Power Wheelchairs and DEPARTMENT OF HEALTH AND
MA organization to ensure continuing
Power-Operated Vehicles) provides HUMAN SERVICES
compliance. The monitoring and
further guidance with respect to the oversight audit process is
Centers for Medicare & Medicaid
prescribing of and payment for Power comprehensive and uses a written
Services
Mobility Devices (PMDs). This rule protocol that itemizes the Medicare
defines the term power mobility devices [CMS–4117–FN] requirements the MA organization must
(PMDs) as power wheelchairs and meet.
power operated vehicles (POVs or Medicare Program; Approval of URAC As an alternative for meeting some
scooters). This rule conforms our for Deeming Authority for Medicare Medicare requirements, an MA
regulations to section 302(a)(2)(E)(iv) of Advantage Health Maintenance organization may be exempt from our
the Medicare Prescription Drug, Organizations and Local Preferred monitoring of certain requirements in
Improvement, and Modernization Act of Provider Organizations subsets listed in section 1852(e)(4)(B) of
2003 (MMA). The MMA mandated: (1) AGENCY: Centers for Medicare & the Act as a result of an MA
A face-to-face examination of the Medicaid Services (CMS), HHS. organization’s accreditation by a CMS-
individual be conducted by a physician ACTION: Final notice. approved accrediting organization (AO).
(as defined in section 1861(r)(1) of the In essence, the Secretary ‘‘deems’’ that
Social Security Act (the Act)), a SUMMARY: This final notice announces the Medicare requirements are met
physician assistant, a nurse practitioner the approval of URAC for deeming based on a determination that the AO’s
or a clinical nurse specialist (as those authority as a national accreditation standards are at least as stringent as
terms are defined in section 1861(aa)(5) organization for health maintenance Medicare requirements.
of the Act; and (2) that payment may not organizations and local preferred An organization that applies for MA
be made for a power wheelchair unless provider organizations participating in deeming authority is generally
jlentini on PROD1PC65 with NOTICES
the physician or treating practitioner the Medicare Advantage program, for a recognized by the industry as an entity
has written a prescription for the item. term of 6 years upon publication of this that accredits MCOs that are licensed as
With this information collection notice in the Federal Register. This a health maintenance organization
request, CMS is seeking approval for the notice describes the processes and (HMO) or a preferred provider
collection requirements associated with criteria used in evaluating the organization (PPO). As we specify at
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