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Federal Register / Vol. 71, No.

226 / Friday, November 24, 2006 / Notices 67875

Dated: October 31, 2006. the Administrator, CMS, (the Dated: October 31, 2006.
Leslie V. Norwalk, Administrator) concerning the clinical Leslie V. Norwalk,
Acting Administrator, Centers for Medicare integrity of the APC groups and their Acting Administrator, Centers for Medicare
& Medicaid Services. associated weights. The advice provided & Medicaid Services.
[FR Doc. E6–19432 Filed 11–22–06; 8:45 am] by the Panel will be considered as CMS [FR Doc. E6–19761 Filed 11–22–06; 8:45 am]
BILLING CODE 4120–01–P prepares its annual updates of the BILLING CODE 4120–01–P
hospital OPPS through rulemaking.
The Panel membership must be fairly
DEPARTMENT OF HEALTH AND balanced in terms of the points of view DEPARTMENT OF HEALTH AND
HUMAN SERVICES represented and the functions to be HUMAN SERVICES
performed. The Panel consists of up to Centers for Medicare & Medicaid
Centers for Medicare & Medicaid
15 members. Each Panel member must Services
Services
be employed full-time by a hospital or
[CMS–1326–N] other Medicare provider subject to the [CMS–4128–N]
OPPS; have technical expertise to
Medicare Program; Rechartering of the enable him or her to fully participate in Medicare Program; Decisions Affecting
Advisory Panel on Ambulatory the work of the Panel; and have a Medicare Advantage Plans Deemed by
Payment Classification Groups minimum of 5 years experience in his/ Joint Commission for the
her area(s) of expertise. For purposes of Accreditation of Health Care
AGENCY: Centers for Medicare & Organizations
Medicaid Services (CMS), Department this Panel, consultants or independent
of Health and Human Services (DHHS). contractors are not considered to be full- AGENCY: Centers for Medicare &
ACTION: Notice. time employees of providers. Medicaid Services (CMS), HHS.
A Federal official serves as the Chair ACTION: Notice.
SUMMARY: This notice announces the and facilitates the Panel meetings. A
rechartering of the Advisory Panel on SUMMARY: This notice announces our
DFO is appointed to the Panel as
Ambulatory Payment Classification decisions regarding deemed status of
provided by the Federal Advisory
(APC) Groups (the Panel) by the Joint Commission for the Accreditation
Committee Act (FACA).
Secretary of DHHS (the Secretary) for a of Health Care Organization-accredited
2-year period with the new Charter Meetings are held up to three times a Medicare Advantage plans. These
effective until November 21, 2008. year at the call of the DFO, and are open decisions follow business decisions
to the public, except as determined made by Joint Commission for the
FOR FURTHER INFORMATION CONTACT:
otherwise by the Secretary or other Accreditation of Health Care
Shirl Ackerman-Ross, Designated
official to whom the authority has been Organization in late 2005 which affect
Federal Official (DFO), Advisory Panel
delegated in accordance with the its deeming operations beginning
on APC Groups; Center for Medicare
Government in the Sunshine Act (5 January 1, 2006 and continue until Joint
Management, Hospital and Ambulatory
U.S.C. 552b(c)). Advance notice of all Commission for the Accreditation of
Policy Group, Division of Outpatient
meetings is published in the Federal Health Care Organization’s deeming
Care; 7500 Security Boulevard, Mail
Register, as required by applicable laws authority expires on March 24, 2008.
Stop C4–05–17; Baltimore, MD 21244–
and Departmental regulations, stating DATES: Effective January 1, 2006 through
1850. You may also contact the DFO by
reasonably accessible and convenient March 24, 2008.
phone at 410–786–4474 or by e-mail at
locations and times.
CMS_ APCPanel@cms.hhs.gov. FOR FURTHER INFORMATION CONTACT:
For additional information on the II. Provisions of this Notice Shaheen Halim, (410) 786–0641.
APC Panel and updates to the Panel’s
The effective date of the APC Panel I. Background on Medicare Advantage
activities, please search our Web site at:
Charter renewal is November 21, 2006. Deeming Program
http://www.cms.hhs.gov/FACA/
05_AdvisoryPanelonAmbulatory The Charter will terminate on November Under the Medicare program, eligible
PaymentClassification 21, 2008, unless rechartered by the beneficiaries may receive covered
Groups.asp#TopOfPage. You may also Secretary before the expiration date. services through a managed care
refer to the CMS Federal Advisory organization (MCO) that has a Medicare
III. Copies of the Charter
Committee Hotline at 1–877–449–5659 Advantage (MA) (formerly,
(toll-free) or call 410–786–9379 (local) You may obtain a copy of the APC Medicare+Choice) contract with the
for additional information. News media Panel’s Charter by submitting a request Centers for Medicare & Medicaid
representatives should contact the CMS to the DFO at the street or e-mail Services (CMS). The regulations
Press Office at 202–690–6145. addresses listed above or by calling her specifying the Medicare requirements
SUPPLEMENTARY INFORMATION: at 410–786–4474. that must be met in order for an MCO
to enter into an MA contract with CMS
I. Background Authority: Section 1833(t)(9)(A) of the Act
are located at 42 CFR part 22. These
(42 U.S.C. 1395l(t)(9)(A)). The Panel is
The Secretary is required by section governed by the provisions of Public Law 92– regulations implement Part C of Title
1833(t)(9)(A) of the Social Security Act 463, as amended (5 U.S.C. Appendix 2). XVIII of the Social Security Act (the
(the Act) to consult with an expert, Act), which specifies the services that
outside advisory panel on the The Panel was established by statute an MCO must provide and the
ambulatory payment classification and has functions that are of a requirements that the organization must
cprice-sewell on PROD1PC66 with NOTICES

(APC) groups established under the continuing nature. Therefore, its meet to be an MA contractor. Other
Medicare hospital Outpatient duration is not governed by section relevant sections of the Act are Parts A
Prospective Payment System (OPPS). 14(a) of FACA, but rather it is otherwise and B of Title XVIII and Part A of Title
The purpose of the Panel is to review provided by law. The Panel is XI pertaining to the provision of
the APC groups and their associated rechartered in accordance with section services by Medicare certified providers
weights and to advise the Secretary and 14(b)(2) of FACA. and suppliers.

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