United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2014_register executive 2014-11-06 article Part III Rules and Regulations D09002ee1c7f84595 D09002ee1c7f84659 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule will update and make revisions to the End- Stage Renal Disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2015. This rule also finalizes requirements for the ESRD quality incentive program (QIP), including for payment years (PYs) 2017 and 2018. This rule will also make a technical correction to remove outdated terms and definitions. In addition, this final rule sets forth the methodology for adjusting Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule payment amounts using information from the Medicare DMEPOS Competitive Bidding Program (CBP); makes alternative payment rules for certain DME under the Medicare DMEPOS CBP; clarifies the statutory Medicare hearing aid coverage exclusion and specifies devices not subject to the hearing aid exclusion; will not update the definition of minimal self-adjustment; clarifies the Change of Ownership (CHOW) and provides for an exception to the current requirements; revises the appeal provisions for termination of a CBP contract, including the beneficiary notification requirement under the Medicare DMEPOS CBP, and makes a technical change to the regulation related to the conditions for awarding contracts for furnishing infusion drugs under the Medicare DMEPOS CBP. 79 FR 66120 https://www.govinfo.gov/app/details/FR-2014-11-06/2014-26182 2014-26182 fr06no14-13 RIN 0938-AS13 4120-01-P CMS-1614-F https://www.govinfo.gov/app/details/FR-2014-11-06/2014-26182 https://www.govinfo.gov/content/pkg/FR-2014-11-06/html/2014-26182.htm https://www.govinfo.gov/content/pkg/FR-2014-11-06/pdf/2014-26182.pdf Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medical Devices Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Physician Referral 146 p. 66120 66265 79 FR 66120 Title 42 Part 405 42 CFR Part 405 Title 42 Part 411 42 CFR Part 411 Title 42 Part 413 42 CFR Part 413 Title 42 Part 414 42 CFR Part 414 RIN 0938-AS13 Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies; Federal Register Vol. 79, Issue RULE 2014-26182 III DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2015-01-01 CMS-1614-F 4120-01-P 2014-26182 Final rule.

This final rule will update and make revisions to the End- Stage Renal Disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2015. This rule also finalizes requirements for the ESRD quality incentive program (QIP), including for payment years (PYs) 2017 and 2018. This rule will also make a technical correction to remove outdated terms and definitions. In addition, this final rule sets forth the methodology for adjusting Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule payment amounts using information from the Medicare DMEPOS Competitive Bidding Program (CBP); makes alternative payment rules for certain DME under the Medicare DMEPOS CBP; clarifies the statutory Medicare hearing aid coverage exclusion and specifies devices not subject to the hearing aid exclusion; will not update the definition of minimal self-adjustment; clarifies the Change of Ownership (CHOW) and provides for an exception to the current requirements; revises the appeal provisions for termination of a CBP contract, including the beneficiary notification requirement under the Medicare DMEPOS CBP, and makes a technical change to the regulation related to the conditions for awarding contracts for furnishing infusion drugs under the Medicare DMEPOS CBP.

Effective on January 1, 2015. Stephanie Frilling, (410) 786-4507, for issues related to the ESRD PPS, the ESRD PPS CY 2015 Base Rate, Wage Indices, Drugs Used for the Treatment of ESRD, and Payment for Frequent Hemodialysis. Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medical Devices Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Physician Referral Medicare Programs: End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies , ichcahps@rti.org http://cms.gov/Medicare/Coding/ICD10/index.html http://ichcahps.org http://oig.hhs.gov/oei/reports/oei-03-12-00550.asp http://ww3.aievolution.com/nkf1301/index.cfm?do=abs.pubSearchAbstracts http://www.ahrq.gov/workingforquality/nqs/nqs2013annlrpt.htm http://www.bea.gov/ http://www.cdc.gov/nhsn/dialysis/dialysis-event.html http://www.cdc.gov/nhsn/nqf/ http://www.cdc.gov/nhsn/PDFs/dialysis/NHSN-ARM.pdf http://www.cdc.gov/nhsn/PDFs/HPS-manual/vaccination/HPS-flu-vaccine-protocol.pdf http://www.census.gov/services/sas/about_the_surveys.html http://www.cms.gov/ESRDPayment/PAY/list.asp http://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/Downloads/GuidePartD http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/061_TechnicalSpecifications.html http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ESRDQIP/Downloads/AnalysisoftheReliabilityoftheProposedSRRandSTrRMeasures.pdf http://www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order/LimitedDataSets/EndStageRenalDiseaseSystemFile.html http://www.cms.gov/research-statistics-data-and=systems/files-for-order/limiteddatasets/endstagerenaldiseasesystemfile.html http://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=7065f17b411e37b3788b6e7fcce21f89&rgn=div8&view=text&node=42:3.0.1.1.1.9.1.3amp http://www.gpo.gov/fdsys/ http://www.hcup-us.ahrq.gov/toolssoftware/ccs/AppendixASingleDX.txt http://www.hhs.gov/ash/initiatives/hai/esrd.html http://www.hhs.gov/strategic-plan/priorities.html http://www.qualityforum.org/docs/measure_evaluation_criteria.aspx#scientific http://www.qualityforum.org/QPS/0431 http://www.sba.gov/content/small-business-size-standards http://www.whitehouse.gov/omb/bulletins_index2003-2005 http://www.whitehouse.gov/omb/circulars_a004_a-4 http://www.whitehouse.gov/sites/default/files/omb/assets/omb/inforeg/pmc_survey_guidance_2006.pdf http://www.whitehouse.gov/sites/default/files/omb/assets/omb/inforeg/statpolicy/standards_stat_surveys.pdf http://www.whitehouse.gov/sites/default/files/omb/bulletins/2013/b-13- https://archive.org/stream/cochlearimplantd00feig/cochlearimplantd00feig_djvu.txt https://ichcahps.org https://ichcahps.org/Portals/0/ICH_Composites_English.pdf https://oig.hhs.gov/oei/reports/oei-03-12-00550.pdf https://www.bea.gov/regional/definitions/nextpage.cfm?key=Regions https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/MeasuresManagementSystemBlueprint.html https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/ncd103c1_Part1.pdf www.dialysisreports.org www.qualitynet.org Vol. 79, no. 215 Office of the Federal Register, National Archives and Records Administration 2014-11-06 continuing daily deposited born digital 413 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2014-11-06 P0b002ee18a0d7544 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr06no14 https://www.govinfo.gov/app/details/FR-2014-11-06 https://www.govinfo.gov/content/pkg/FR-2014-11-06/pdf/FR-2014-11-06.pdf https://www.govinfo.gov/content/pkg/FR-2014-11-06/xml/FR-2014-11-06.xml fdlp 65863 66265 DGPO 2014-11-06 2024-06-02 FR-2014-11-06 machine generated eng FR FR-2014-11-06 79 215