[Federal Register Volume 85, Number 86 (Monday, May 4, 2020)]
[Proposed Rules]
[Page 26438]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-09392]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Chapter IV

[CMS-2324-N]


Coordinating Care From Out-of-State Providers for Medicaid-
Eligible Children With Medically Complex Conditions; Reopening of 
Comment Period

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice; reopening of comment period.

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SUMMARY: This document reopens the comment period for the January 21, 
2020 request for information entitled ``Coordinating Care From Out-of-
State Providers for Medicaid-Eligible Children With Medically Complex 
Conditions''. That document requested information (RFI) to seek public 
comments regarding the coordination of care from out-of-state providers 
for Medicaid-eligible children with medically complex conditions. We 
wish to identify best practices for using out-of-state providers to 
provide care to children with medically complex conditions; determine 
how care is coordinated for such children when that care is provided by 
out-of-state providers, including when care is provided in emergency 
and nonemergency situations; reduce barriers that prevent such children 
from receiving care from out-of-state providers in a timely fashion; 
and identify processes for screening and enrolling out-of-state 
providers in Medicaid, including efforts to streamline such processes 
for out-of-state providers or to reduce the burden of such processes on 
them. We intend to use the information received in response to the RFI 
to issue guidance to state Medicaid directors on the coordination of 
care from out-of-state providers for children with medically complex 
conditions. The comment period for the RFI, which ended on March 23, 
2020, is reopened for 30 days from the date of publication of this 
notice.

DATES: The comment period for the RFI published on January 21, 2020, at 
85 FR 3330, is reopened. Comments will be accepted until 5 p.m., 
eastern daylight time, on June 3, 2020.

ADDRESSES: You may submit comments as outlined in the January 21, 2020 
RFI (85 FR 3330). Please choose only one method listed.

FOR FURTHER INFORMATION CONTACT: Nicole Gillette-Payne, (212) 616-2465.

SUPPLEMENTARY INFORMATION: In the ``Coordinating Care From Out-of-State 
Providers for Medicaid-Eligible Children With Medically Complex 
Conditions'' request for information (referred to in this document as 
the RFI) that appeared in the January 21, 2020 Federal Register (85 FR 
3330), CMS requested public comments regarding the coordination of care 
from out-of-state providers for Medicaid-eligible children with 
medically complex conditions. We wish to identify best practices for 
using out of-state providers to provide care to children with medically 
complex conditions; determine how care is coordinated for such children 
when that care is provided by out-of-state providers, including when 
care is provided in emergency and nonemergency situations; reduce 
barriers that prevent such children from receiving care from out-of-
state providers in a timely fashion; and identify processes for 
screening and enrolling out-of-state providers in Medicaid, including 
efforts to streamline such processes for out-of-state providers or to 
reduce the burden of such processes on them.
    Since the issuance of the RFI, the COVID-19 global pandemic has 
affected many businesses and individuals and impacted healthcare 
systems. Responding to the public health emergency has been a priority 
for many of the stakeholders whose input we value. In addition, some 
stakeholders have reached out to request additional time to consider 
their recommendations related to this RFI. To maximize the opportunity 
for the public to provide meaningful input to CMS on the various topics 
raised in the RFI, we believe that it is important to allow additional 
time for the public to prepare comments on the RFI. We believe that 
reopening the public comment period in this instance would further our 
overall objective to obtain public input. Therefore, we are reopening 
the comment period for the RFI for an additional 30 days from the date 
of publication of this notice.
    The Administrator of the Centers for Medicare & Medicaid Services 
(CMS), Seema Verma, having reviewed and approved this document, 
authorizes Evell J. Barco Holland, who is the Federal Register Liaison, 
to electronically sign this document for purposes of publication in the 
Federal Register.

    Dated: April 28, 2020.
Evell J. Barco Holland,
Federal Register Liaison, Department of Health and Human Services.
[FR Doc. 2020-09392 Filed 5-1-20; 8:45 am]
BILLING CODE 4120-01-P