[Federal Register Volume 76, Number 214 (Friday, November 4, 2011)]
[Notices]
[Pages 68467-68486]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-28636]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9067-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--April Through June 2011

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 April through June 2011, 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         Terri Plumb......  (410) 786-4481
 Published in the Federal
 Register.
III CMS Rulings...............  Tiffany Lafferty.  (410)786-7548
IV Medicare National Coverage   Wanda Belle......  (410) 786-7491
 Determinations.
V FDA-Approved Category B IDEs  John Manlove.....  (410) 786-6877
VI Collections of Information.  Mitch Bryman.....  (410) 786-5258
VII Medicare-Approved Carotid   Sarah J. McClain.  (410) 786-2294
 Stent Facilities.
VIII American College of        JoAnna Baldwin,    (410) 786-7205
 Cardiology-National             MS.
 Cardiovascular Data Registry
 Sites.
IX Medicare's Active Coverage-  Lori Ashby.......  (410) 786-6322
 Related Guidance Documents.
X One-time Notices Regarding    Lori Ashby.......  (410) 786-6322
 National Coverage Provisions.
XI National Oncologic Positron  Stuart Caplan,     (410) 786-8564
 Emission Tomography Registry    RN, MAS.
 Sites.
XII Medicare-Approved           JoAnna Baldwin,    (410) 786-7205
 Ventricular Assist Device       MS.
 (Destination Therapy)
 Facilities.
XIII Medicare-Approved Lung     JoAnna Baldwin,    (410) 786-7205
 Volume Reduction Surgery        MS.
 Facilities.
XIV Medicare-Approved           Kate Tillman, RN,  (410) 786-9252
 Bariatric Surgery Facilities.   MAS.
XV Fluorodeoxyglucose Positron  Stuart Caplan,     (410) 786-8564
 Emission Tomography for         RN, MAS.
 Dementia Trials.
All Other Information.........  Annette Brewer...  (410) 786-6580
------------------------------------------------------------------------

I. Background

    Among other things, 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. Summary of the Solicitation for Comments and Response to Comments

    As explained in the notice with comment period that published in 
the August 8, 2011 Federal Register (76 FR 48564), technology has 
advanced since we published our first notice on June 9, 1988, and the 
information provided in this notice is now available in more efficient, 
economical, and accessible ways to meet the requirement for publication 
set forth in the statute. Each quarter, we publish the most current and 
relevant information; however, many of the quarterly notices simply 
duplicate the information that was previously published, since there 
often are no new relevant updates in some categories for the quarter. 
In addition, there is a 3-month lapse between the information available 
on the Web site and information covered by this quarterly notice.
    In the August 8, 2011 notice (76 FR 48564), we solicited comments 
on alternative formats to provide this

[[Page 68468]]

information to the public. For example, we explained that we could 
publish a notice that provided only Web links to the addenda, or 
provide this information on a newly-created CMS Quarterly Issuance Web 
page. We solicited comments and any additional information as to 
whether these alternative processes would improve accessibility to 
information. We also inquired whether a new format would pose a problem 
to those who access the information contained in this notice or pose an 
unintended burden to beneficiaries, providers, and suppliers. We did 
not receive any comments in response to our solicitation.

III. Revised Format for the Quarterly Issuance Notices

    While we are publishing the quarterly notice required by section 
1871(c) of the Act, we will no longer republish duplicative information 
that is available to the public elsewhere. We believe this approach is 
in alignment with CMS' commitment to the general principles of the 
President's Executive Order 13563 released January 2011entitled 
``Improving Regulation and Regulatory Review,'' which promotes 
modifying and streamlining an agency's regulatory program to be more 
effective in achieving regulatory objectives. Section 6 of Executive 
Order 13563 requires agencies to identify regulations that may be 
``outmoded, ineffective, insufficient, or excessively burdensome, and 
to modify, streamline, expand or repeal them in accordance with what 
has been learned.'' This approach is also in alignment with the 
President's Open Government and Transparency Initiative that 
establishes a system of transparency, public participation, and 
collaboration.
    Therefore, beginning with this quarterly notice, we will provide 
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 information 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.

IV. 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.

(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance, Program No. 93.774, Medicare--
Supplementary Medical Insurance Program, and Program No. 93.714, 
Medical Assistance Program)

    Dated: October 27, 2011.
Jacquelyn Y. White,
Director, Office of Strategic Operations and Regulatory Affairs.
BILLING CODE 4120-01-P

[[Page 68469]]

[GRAPHIC] [TIFF OMITTED] TN04NO11.033


[[Page 68470]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.034


[[Page 68471]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.035


[[Page 68472]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.036


[[Page 68473]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.037


[[Page 68474]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.038


[[Page 68475]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.039


[[Page 68476]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.040


[[Page 68477]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.041


[[Page 68478]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.042


[[Page 68479]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.043


[[Page 68480]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.044


[[Page 68481]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.045


[[Page 68482]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.046


[[Page 68483]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.047


[[Page 68484]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.048


[[Page 68485]]


[GRAPHIC] [TIFF OMITTED] TN04NO11.049


[[Page 68486]]


[FR Doc. 2011-28636 Filed 11-3-11; 8:45 am]
BILLING CODE 4120-01-C