60 day FRN Rural Health Coordination Program 0024

Federal Register / Vol. 85, No. 230 / Monday, November 30, 2020 / Notices
ADDRESSES) between 9 a.m. and 4 p.m.,
Monday through Friday, 240–402–7500.

website address for the FACA database
is http://www.facadatabase.gov/.

Dated: November 23, 2020.
Lauren K. Roth,
Acting Principal Associate Commissioner for
Policy.

Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2020–26247 Filed 11–27–20; 8:45 am]
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[FR Doc. 2020–26250 Filed 11–27–20; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Health Resources and Services
Administration

Recharter for the National Advisory
Council on Nurse Education and
Practice
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services (HHS).
ACTION: Notice.
AGENCY:

In accordance with the
Federal Advisory Committee Act, HHS
is hereby giving notice that the National
Advisory Council on Nurse Education
and Practice (NACNEP) has been
rechartered. The effective date of the
recharter is November 30, 2020.
FOR FURTHER INFORMATION CONTACT:
Camillus Ezeike, Ph.D., JD, LLM, RN,
PMP, Designated Federal Officer,
Bureau of Health Workforce, Division of
Nursing and Public Health, HRSA, 5600
Fishers Lane, Rockville, Maryland
20857; 301–443–2866; or
[email protected].
SUPPLEMENTARY INFORMATION: NACNEP
provides advice and recommendations
to the Secretary of HHS (‘‘Secretary’’)
and Congress on policy matters and the
preparation of general regulations
concerning activities under Title VIII of
the Public Health Service (PHS) Act,
including the range of issues relating to
the nurse workforce, education, and
practice improvement. NACNEP also
prepares and submits an annual report
to the Secretary and Congress describing
its activities, including NACNEP’s
findings and recommendations
concerning activities under Title VIII, as
required by the PHS Act.
The recharter of NACNEP was
approved on November 30, 2020, which
will also stand as the filing date. The
recharter of NACNEP gives
authorization for the Council to operate
until November 30, 2022.
A copy of the NACNEP charter is
available on the NACNEP website at
https://www.hrsa.gov/advisorycommittees/nursing/about.html. A copy
of the charter can also be obtained by
accessing the FACA database that is
maintained by the Committee
Management Secretariat under the
General Services Administration. The

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SUMMARY:

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Agency Information Collection
Activities: Proposed Collection: Public
Comment Request; Information
Collection Request Title: Rural Health
Care Coordination Program OMB No.
0906–0024—Reinstate With Changes
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:

In compliance with the
requirement for opportunity for public
comment on the proposed data
collection projects of the Paperwork
Reduction Act of 1995, HRSA
announces plans to submit an
Information Collection Request (ICR),
described below, to the Office of
Management and Budget (OMB). Prior
to submitting the ICR to OMB, HRSA
seeks comments from the public
regarding the burden estimate, below, or
any other aspect of the ICR.
DATES: Comments on this ICR should be
received no later than January 29, 2021.
ADDRESSES: Submit your comments to
[email protected] or mail the HRSA
Information Collection Clearance
Officer, Room 14N136B, 5600 Fishers
Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the data collection plans and draft
instruments, email [email protected]
or call Lisa Wright-Solomon, the HRSA
Information Collection Clearance Officer
at (301) 443–1984.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the
information request collection title for
reference.
Information Collection Request Title:
Rural Health Care Coordination Program
OMB No. 0906–0024—Reinstate with
Changes.
Abstract: The Rural Health Care
Coordination Program (Care
Coordination Program) is authorized
under Section 330A(e) of the Public
Health Service Act (42 U.S.C. 254(e)), as
SUMMARY:

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amended, to ‘‘improve access and
quality of care through the application
of care coordination strategies with the
focus areas of collaboration, leadership
and workforce, improved outcomes, and
sustainability in rural communities.’’
This authority permits HRSA’s Federal
Office of Rural Health Policy to support
rural health consortiums/networks
aiming to achieve the overall goals of
improving access, delivery, and quality
of care through the application of care
coordination strategies in rural
communities.
This ICR was discontinued in January
2020. HRSA is requesting a
reinstatement with changes as it was
decided to re-compete this pilot
program.
The proposed Rural Health Care
Coordination Program draft measures
for information collection reflect
changes to the Clinical Measures
section, which was previously in
section eight and now currently in
section six. The Clinical Measures
Section now expands previous project
focus from three chronic diseases (i.e.
Type 2 diabetes, Congestive Heart
Failure, and Chronic Obstructive
Pulmonary Disease) to an inclusive list
of clinical measures in order to reflect
a patient’s overall health and well-being
as well as the organization’s overall
improved outcomes for the project.
Proposed revisions also include
measures to examine key elements cited
for a successful rural care coordination
program: (1) Collaboration, (2)
leadership and workforce, (3) improved
outcomes, and (4) sustainability.
1. Collaboration—Utilizing a
collaborative approach to coordinate
and deliver health care services through
a consortium, in which member
organizations actively engage in
integrated, coordinated, patientcentered delivery of health care
services.
2. Leadership and Workforce—
Developing and strengthening a highly
skilled care coordination workforce to
respond to vulnerable populations’
unmet needs within the rural
communities.
3. Improved Outcomes—Expanding
access and improving care quality and
delivery, and health outcomes through
evidence-based model and/or promising
practices tailored to meet the local
populations’ needs.
4. Sustainability—Developing and
strengthening care coordination
program’s financial sustainability by
establishing effective revenue sources
such as expanded service
reimbursement, resource sharing, and/or
contributions from partners at the

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Federal Register / Vol. 85, No. 230 / Monday, November 30, 2020 / Notices

community, county, regional, and state
levels.
With the continuing shift in the
healthcare environment towards
provision of value-based care and
utilization of reimbursement strategies
through Centers for Medicare and
Medicaid Services quality reporting
programs, the latest competitive Rural
Health Care Coordination Program
cohort also aligned with this shift. An
increased number of sophisticated
applicants leveraging increasingly
intricate reporting methodologies for
quality data collection, utilization and
analysis has resulted in an estimate of
burden hours more in line with the
realities of the health care landscape. In
addition, the total number of responses
has increased to 10 since the previous
Notice of Award. This is due to a new
Rural Health Care Coordination Program
grant cycle with an increased number of

awardees and therefore an increased
number of respondents.
Need and Proposed Use of the
Information: For this program,
performance measures were drafted to
provide data to the program and to
enable HRSA to provide aggregate
program data required by Congress
under the Government Performance and
Results Act of 1993. These measures
cover the principal topic areas of
interest to the Federal Office of Rural
Health Policy, including: (a) Access to
care; (b) population demographics; (c)
staffing; (d) consortium/network; (e)
sustainability; and (f) project specific
domains. All measures will speak to
HRSA’s progress toward meeting the
goals set.
Likely Respondents: Recipients of the
Rural Health Care Coordination Program
funding.

Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install, and utilize
technology and systems for the purpose
of collecting, validating, and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents

Form name

Rural Health Care Coordination Grant Program Measures
Total ..............................................................................

HRSA specifically requests comments
on: (1) The necessity and utility of the
proposed information collection for the
proper performance of the agency’s
functions, (2) the accuracy of the
estimated burden, (3) ways to enhance
the quality, utility, and clarity of the
information to be collected, and (4) the
use of automated collection techniques
or other forms of information
technology to minimize the information
collection burden.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2020–26254 Filed 11–27–20; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Federal Financial Participation in State
Assistance Expenditures; Federal
Matching Shares for Medicaid, the
Children’s Health Insurance Program,
and Aid to Needy Aged, Blind, or
Disabled Persons for October 1, 2021
Through September 30, 2022
Office of the Secretary, HHS.
Notice.

AGENCY:
ACTION:

The percentages listed in Table
1 will be effective for each of the four

DATES:

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Number of
responses per
respondent

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Total
burden
hours

10

1

10

3.5

35

10

........................

10

........................

35

quarter-year periods beginning October
1, 2021 and ending September 30, 2022.
FOR FURTHER INFORMATION CONTACT: Ann
Conmy, Office of Health Policy, Office
of the Assistant Secretary for Planning
and Evaluation, Room 447D—Hubert H.
Humphrey Building, 200 Independence
Avenue SW, Washington, DC 20201,
(202) 690–6870.
SUPPLEMENTARY INFORMATION: The
Federal Medical Assistance Percentages
(FMAP), Enhanced Federal Medical
Assistance Percentages (eFMAP), and
disaster-recovery FMAP adjustments for
Fiscal Year 2022 have been calculated
pursuant to the Social Security Act (the
Act). These percentages will be effective
from October 1, 2021 through
September 30, 2022. This notice
announces the calculated FMAP rates,
in accordance with sections 1101(a)(8)
and 1905(b) of the Act, that the U.S.
Department of Health and Human
Services (HHS) will use in determining
the amount of federal matching for state
medical assistance (Medicaid),
Temporary Assistance for Needy
Families (TANF) Contingency Funds,
Child Support Enforcement collections,
Child Care Mandatory and Matching
Funds of the Child Care and
Development Fund, Title IV–E Foster
Care Maintenance payments, Adoption

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Average
burden per
response
(in hours)

Total
responses

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Assistance payments and Kinship
Guardianship Assistance payments, and
the eFMAP rates for the Children’s
Health Insurance Program (CHIP)
expenditures. Table 1 gives figures for
each of the 50 states, the District of
Columbia, Puerto Rico, the Virgin
Islands, Guam, American Samoa, and
the Commonwealth of the Northern
Mariana Islands. This notice reminds
states of adjustments available for states
meeting requirements for
disproportionate employer pension or
insurance fund contributions and
adjustments for disaster recovery. At
this time, no state qualifies for such
adjustments, and territories are not
eligible.
The FY 2022 FMAP rates do not
include the 6.2 percentage point
increase in the FMAP provided under
Section 6008 of the Families First
Coronavirus Response Act (FFCRA)
(Pub. L. 116–127) because the increase
depends upon states meeting statutory
requirements in FFCRA that cannot be
assumed. If applied, the temporary 6.2
percentage increase in the FMAP is
effective beginning January 1, 2020 and
can extend through the last day of the
calendar quarter in which the public
health emergency declared by the
Secretary of Health and Human Services

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