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Federal Register / Vol. 86, No. 138 / Thursday, July 22, 2021 / Rules and Regulations human health or environmental effects on minority or low-income populations because it does not affect the level of protection provided to human health or the environment. EPA has assessed the overall protectiveness of expanding the Port Everglades ODMDS against the criteria established pursuant to the MPRSA to ensure that any adverse impact to the environment will be mitigated to the greatest extent practicable.
List of Subjects in 40 CFR Part 228
Environmental protection, Water pollution control.

Dated: July 13, 2021.
John Blevins, Acting Regional Administrator, EPA Region 4.

For the reasons set out in the preamble, EPA amends chapter I, title 40 of the Code of Federal Regulations as follows:
PART 228CRITERIA FOR THE
MANAGEMENT OF DISPOSAL SITES
FOR OCEAN DUMPING
1. The authority citation for part 228
continues to read as follows:

Authority: 33 U.S.C. 1412 and 1418.

2. Section 228.15 is amended by revising paragraphs h22i through iii and vi to read as follows:

228.15 Dumping sites designated on a final basis.

lotter on DSK11XQN23PROD with RULES1

h
22
i Location: Corner Coordinates NAD
1983 2606.500, 8001.000; 2606.500, 8002.578; 2608.750, 8002.578;
2608.750, 8001.000.
ii Size: Approximately 3.2 square nautical miles in size.
iii Depth: Ranges from approximately 587 to 761 feet 179 to 232 meters.

vi Restrictions:
A Disposal shall be limited to dredged material from the Port Everglades, Florida, area;
B Disposal shall be limited to dredged material determined to be suitable for ocean disposal according to 40 CFR parts 227 and 228; and C Transportation and disposal shall comply with conditions and monitoring requirements set forth in the most recent approved Site Management and Monitoring Plan and conditions and
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid Services 42 CFR Part 414

Authority: This action is issued under the authority of Section 102 of the Marine Protection, Research, and Sanctuaries Act, as amended, 33 U.S.C. 1412 and 1418.

monitoring requirements incorporated into the permit or Federal project authorization.

CMS5534N

Medicare Program; Calendar Year 2021
Alternative Payment Model APM
Incentive Payment Advisory for CliniciansRequest for Current Billing Information for Qualifying APM
Participants Centers for Medicare &
Medicaid Services CMS, Health and Human Services HHS.
ACTION: Payment advisory.
AGENCY:

This advisory is to alert certain clinicians who are Qualifying APM participants QPs and eligible to receive an Alternative Payment Model APM Incentive Payment that CMS
does not have the current billing information needed to disburse the payment. This advisory provides information to these clinicians on how to update their billing information to receive this payment.
DATES: Updated billing information must be received no later than November 1, 2021 see SUPPLEMENTARY
INFORMATION for details.
FOR FURTHER INFORMATION CONTACT:
Tanya Dorm, 410 7862216.
SUPPLEMENTARY INFORMATION:
SUMMARY:

I. Background Under the Medicare Quality Payment Program, an eligible clinician who participates in an Advanced Alternative Payment Model APM and meets the applicable payment amount or patient count thresholds for a performance year is a Qualifying APM Participant QP for that year. An eligible clinician who is a QP for a year based on their performance in a QP Performance Period earns a 5-percent lump sum APM
Incentive Payment that is paid in a payment year that occurs 2 years after the QP Performance Period. The amount of the APM Incentive Payment is equal to 5 percent of the estimated aggregate paid amounts for covered professional services furnished by the QP during the calendar year CY immediately preceding the payment year.

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II. Provisions of the Advisory The Centers for Medicare & Medicaid Services CMS has identified those eligible clinicians who earned an APM
Incentive Payment in CY 2021 based on their CY 2019 QP status.
When CMS disbursed the CY 2021
APM Incentive Payments, CMS was unable to verify current Medicare billing information for some QPs and was therefore unable to issue payment. In order to successfully disburse the APM
Incentive Payment, CMS is requesting assistance in identifying current Medicare billing information for these QPs in accordance with 42 CFR
414.1450c8.
CMS has compiled a list of QPs we have identified as having unverified billing information. These QPs, and any others who anticipated receiving an APM Incentive Payment but have not, should follow the instructions to provide CMS with updated billing information at the following web address: https qpp-cm-prodcontent.s3.amazonaws.com/uploads/
1498/QP%20Notice%
20for%20APM%20Incentiv e%20Payment.zip.
If you have any questions concerning submission of information through the website, please contact the Quality Payment Program Help Desk at 1866
2888292.
All submissions must be received no later than November 1, 2021. After that time, any claims by a QP to an APM
Incentive Payment will be forfeited for the CY 2021 payment year.
The Administrator of the Centers for Medicare & Medicaid Services CMS, Chiquita Brooks-LaSure, having reviewed and approved this document, authorizes Lynette Wilson, who is the Federal Register Liaison, to electronically sign this document for purposes of publication in the Federal Register.
Dated: July 19, 2021.
Lynette Wilson, Federal Register Liaison, Centers for Medicare & Medicaid Services.
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