Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability and Patient Access for Medicare Advantage Organization and Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans in the Federally-facilitated Exchanges and Health Care Providers; Supplement and Extension of Comment Period

Published date23 April 2019
Citation84 FR 16834
Record Number2019-08181
SectionProposed rules
CourtCenters For Medicare & Medicaid Services
Federal Register, Volume 84 Issue 78 (Tuesday, April 23, 2019)
[Federal Register Volume 84, Number 78 (Tuesday, April 23, 2019)]
                [Proposed Rules]
                [Page 16834]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2019-08181]
                [[Page 16834]]
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                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Centers for Medicare & Medicaid Services
                42 CFR Parts 406, 407, 422, 423, 431, 438, 457, 482, and 485
                [CMS-9115-N]
                RIN 0938-AT79
                Medicare and Medicaid Programs; Patient Protection and Affordable
                Care Act; Interoperability and Patient Access for Medicare Advantage
                Organization and Medicaid Managed Care Plans, State Medicaid Agencies,
                CHIP Agencies and CHIP Managed Care Entities, Issuers of Qualified
                Health Plans in the Federally-facilitated Exchanges and Health Care
                Providers; Supplement and Extension of Comment Period
                AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
                ACTION: Proposed rule; supplement and extension of comment period.
                -----------------------------------------------------------------------
                SUMMARY: This document extends the comment period for the proposed rule
                entitled ``Medicare and Medicaid Programs; Patient Protection and
                Affordable Care Act; Interoperability and Patient Access for Medicare
                Advantage Organization and Medicaid Managed Care Plans, State Medicaid
                Agencies, CHIP Agencies and CHIP Managed Care Entities, Issuers of
                Qualified Health Plans in the Federally-facilitated Exchanges and
                Health Care Providers'' that appeared in the March 4, 2019 Federal
                Register. The comment period for the proposed rule, which would end on
                May 3, 2019, is extended 30 days to June 3, 2019. We additionally note
                that based on public comments received on this proposed rule, we will
                adjust the effective dates of our policies to allow for adequate
                implementation timelines, as appropriate.
                DATES: The comment period for the proposed rule (84 FR 7610) is
                extended to 5 p.m., eastern daylight time, on June 3, 2019.
                ADDRESSES: You may submit comments as outlined in the March 4, 2019
                proposed rule (84 FR 7610). Please choose only one method listed.
                FOR FURTHER INFORMATION CONTACT: Alexandra Mugge, (410) 786-4457, for
                issues related to interoperability, CMS health IT strategy, technical
                standards and patient matching.
                 Natalie Albright, (410) 786-1671, for issues related to Medicare
                Advantage.
                 John Giles, (410) 786-1255, for issues related to Medicaid.
                 Emily Pedneau, (301) 492-4448, for issues related to Qualified
                Health Plans.
                 Meg Barry, (410) 786-1536, for issues related to CHIP.
                 Thomas Novak, (202) 322-7235, for issues related to trust exchange
                networks and payer to payer coordination.
                 Sharon Donovan, (410) 786-9187, for issues related to federal-state
                data exchange.
                 Daniel Riner, (410) 786-0237, for issues related to Physician
                Compare.
                 Ashley Hain, (410) 786-7603, for issues related to hospital public
                reporting.
                 Melissa Singer, (410) 786-0365, for issues related to provider
                directories.
                 CAPT Scott Cooper, USPHS, (410) 786-9465, for issues related to
                hospital and critical access hospital conditions of participation.
                 Lisa Bari, (410) 786-0087, for issues related to advancing
                interoperability in innovative models.
                 Russell Hendel, (410) 786-0329, for issues related to the
                Collection of Information or the Regulation Impact Analysis sections.
                SUPPLEMENTARY INFORMATION: In the ``Medicare and Medicaid Programs;
                Patient Protection and Affordable Care Act; Interoperability and
                Patient Access for Medicare Advantage Organization and Medicaid Managed
                Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed
                Care Entities, Issuers of Qualified Health Plans in the Federally-
                facilitated Exchanges and Health Care Providers'' proposed rule that
                appeared in the March 4, 2019 Federal Register (84 FR 7610), we
                solicited public comments on proposed policies that aim to move the
                health care ecosystem in the direction of interoperability, and to
                signal our commitment to the vision set out in the 21st Century Cures
                Act and Executive Order 13813 to improve access to, and the quality of,
                information that Americans need to make informed health care decisions,
                including data about health care prices and outcomes, while minimizing
                reporting burdens on affected plans, health care providers, or payers.
                 Since the issuance of the proposed rule, we have received inquiries
                from a variety of stakeholders, including healthcare provider
                organizations and industry representatives requesting an extension to
                the comment period. In order to maximize the opportunity for the public
                to provide meaningful input to CMS, we believe that it is important to
                allow additional time for the public to prepare comments on the
                proposed rule. In addition, we believe that granting an extension to
                the public comment period in this instance would further our overall
                objective to obtain public input on the proposed provisions to move the
                health care ecosystem in the direction of interoperability. Therefore,
                we are extending the comment period for the proposed rule for an
                additional 30 days.
                 While we believe it is in the best interest of the public and our
                proposed policies to extend the comment period for this proposed rule,
                we also acknowledge that stakeholders require appropriate
                implementation timelines that could be impacted by this extension.
                Therefore, we note that based on public comments received on this
                proposed rule, we will adjust the effective dates of our policies to
                allow for adequate implementation timelines as appropriate.
                 Dated: April 18, 2019.
                Seema Verma,
                Administrator, Centers for Medicare & Medicaid Services.
                [FR Doc. 2019-08181 Filed 4-19-19; 8:45 am]
                BILLING CODE 4120-01-P
                

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