Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates; Correction, 62585-62587 [07-5513]

Download as PDF Federal Register / Vol. 72, No. 214 / Tuesday, November 6, 2007 / Rules and Regulations of Beauregard, Grant, and St. Mary parishes on November 6, 2007. * * * * * [FR Doc. E7–21687 Filed 11–5–07; 8:45 am] BILLING CODE 6560–50–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 411, 412, 413, and 489 [CMS–1533–CN3] RIN 0938–A070 Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates; Correction Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Correction of final rule with comment period. AGENCY: SUMMARY: This document corrects wage index, case-mix index, and geographic adjustment factor errors in the final rule with comment period that appeared in the August 22, 2007 Federal Register entitled ‘‘Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates Final Rule’’; and the correction notice that appeared in the October 10, 2007 Federal Register entitled ‘‘Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates; Correction’’. DATES: Effective Date: October 1, 2007. FOR FURTHER INFORMATION CONTACT: Miechal Lefkowitz, (410) 786–5316. Valerie Miller, (410) 786–4535. SUPPLEMENTARY INFORMATION: mstockstill on PROD1PC66 with RULES I. Background In FR Doc 07–3820 of August 22, 2007 (72 FR 47130) and in FR Doc. 07–4875 of October 10, 2007 (72 FR 57634), there were a number of technical and typographical errors that are identified and corrected in the Correction of Errors section of this notice. We issued the fiscal year (FY) 2008 hospital inpatient prospective payment systems (IPPS) final rule with comment period on August 1, 2007. The FY 2008 IPPS final rule with comment period appeared in the August 22, 2007 Federal Register, hereinafter referred to as the FY 2008 IPPS final rule with comment period. We issued a correction notice for the FY 2008 IPPS final rule with comment VerDate Aug<31>2005 16:30 Nov 05, 2007 Jkt 214001 period on September 28, 2007. The correction notice appeared in the October 10, 2007 Federal Register hereinafter referred to as the second FY 2008 IPPS correction notice. The provisions in this correction notice are effective as if they had been included in the FY 2008 IPPS final rule with comment period. Accordingly, the corrections are effective October 1, 2007. II. Summary of Errors We recently discovered a small number of inadvertent technical or typographical errors. Therefore, this notice corrects the errors that appeared in the FY 2008 IPPS final rule with comment period and the second FY 2008 IPPS correction notice. In the second FY 2008 IPPS correction notice (72 FR 57637), there were typographical errors in some of the case mix indices listed in Table 2. The case mix index (CMI) values for some of the providers listed in Table 2 of that correction notice were intended to be the same as the CMI values in Table 2 of the FY 2008 IPPS final rule with comment period. However, there was an inadvertent typographical error that resulted in the CMI values for certain providers being displayed on the wrong line. Therefore, in this notice, we are correcting some of the entries in Table 2 to reflect the proper CMI values for these providers. Table 2 also contained errors in wage indices for providers 140B10 and 220074. Each hospital is a part of a multicampus hospital, and each hospital is reclassified to the labor market area where other hospitals associated with its provider number are located. We note that these hospitals were properly assigned the reclassified wage index in the FY 2008 IPPS final rule with comment period. However, in the second FY 2008 IPPS correction notice, Table 2 inadvertently listed each hospital’s geographic area wage index rather than the hospital’s reclassified wage index. Provider 140B10 was mistakenly assigned 1.0583, the area wage index for Lake County-Kenosha County, IL–WA (CBSA 29404). Therefore, in section III. item 1 of this notice (correction of Table 2), the wage index for provider 140B10 is corrected to 1.0472, the reclassified wage index for Chicago-Naperville-Joliet, IL (CBSA 16974). In addition, provider 220074 was mistakenly assigned 1.0533, the area wage index value for ProvidenceNew Bedford-Fall River, RI–MA (CBSA 39300). Therefore, in section III. item 1 of this notice (correction of Table 2), the wage index for provider 220074 is corrected to 1.1304, the reclassified PO 00000 Frm 00027 Fmt 4700 Sfmt 4700 62585 wage index for Boston-Quincy, MA (CBSA 14484). In Tables 2, 4A, and 4C of the FY 2008 IPPS final rule with comment period and the second FY 2008 IPPS correction notice, there was also an inadvertent error in the wage index calculation for two core-based statistical areas (CBSAs). In calculating the wage indices in the FY 2008 IPPS final rule with comment period, a provider was inadvertently included in CBSA 16180 Carson City, NV, when it is actually geographically located in CBSA 39900 Reno-Sparks, NV. The effect of this change is that the wage indices for the eight providers in these two CBSAs will change. Therefore, in section III. of this notice, we are correcting the wage indices for these providers in these two CBSAs in Tables 2, 4A, and 4C. We note that wage index corrections may be retroactive to the beginning of the Federal fiscal year if the requirements specified in § 412.64(k)(2)(ii) are met. The requirements in § 412.64(k)(2)(ii) are as follows: (1) The fiscal intermediary or Medicare Administrative Contractor (FI/MAC) or CMS made an error in tabulating data used for the wage index calculation; (2) the hospital knew about the error in its wage data and requested the FI/MAC and CMS to correct the error both within the established schedule for making corrections to the wage data (which is at least before the beginning of the fiscal year for the applicable update to the hospital inpatient prospective payment system) and using the established process; and (3) CMS agreed before October 1 that the FI/MAC or CMS made an error in tabulating the hospital’s wage data and the wage index should be corrected. Since the wage indices errors that are corrected in this notice meet the requirements specified in § 412.64 of our regulations, these corrections are effective October 1, 2007. Table 4C of the second FY 2008 IPPS correction notice also contained typographical errors in the geographic adjustment factor (GAF) for two CBSAs, CBSA 13820 (Birmingham-Hoover, AL) and CBSA 26620 (Huntsville, AL). Therefore, in this notice, we are correcting the GAFs for these CBSAs. We note that the wage indices for these CBSAs were correct in the second FY 2008 IPPS correction notice and are included in this notice to provide the reader with the wage indices and along with the corrected GAFs. III. Correction of Errors In FR Doc. 07–4875 of October 10, 2007 (72 FR 57634), make the following corrections: E:\FR\FM\06NOR1.SGM 06NOR1 62586 Federal Register / Vol. 72, No. 214 / Tuesday, November 6, 2007 / Rules and Regulations 1. On pages 57637 through 57698, in Table 2— Hospital Case-Mix Indexes for Discharges Occurring in Federal Fiscal Year 2006; Hospital Wage Indexes for Federal Fiscal Year 2008; Hospital Average Hourly Wages for Federal Fiscal Years 2006 (2002 Wage Data), 2007 (2003 Wage Data), and 2008 (2004 Wage Data); and 3-Year Average of Hospital Average Hourly Wages, the listed entries are corrected to read as follows: TABLE 2.—HOSPITAL CASE-MIX INDEXES FOR DISCHARGES OCCURING IN FEDERAL FISCAL YEAR 2006; HOSPITAL WAGE INDEXES FOR FEDERAL FISCAL YEAR 2008; HOSPITAL AVERAGE HOURLY WAGES FOR FEDERAL FISCAL YEARS 2006 (2002 WAGE DATA), 2007 (2003 WAGE DATA), AND 2008 (2004 WAGE DATA); AND 3-YEAR AVERAGE OF HOSPITAL AVERAGE HOURLY WAGES Provider No. Case-mix index FY 2008 wage index Average hourly wage FY 2006 Average hourly wage FY 2007 Average hourly wage FY 2008 Average hourly wage (3 years) 140001 ............................. 140002 ............................. 140007 ............................. 140008 ............................. 140B10 3 ........................... 220001 ............................. 220002 ............................. 220003 ............................. 220006 ............................. 220008 ............................. 220010 ............................. 220011 ............................. 220012 ............................. 220015 ............................. 220016 ............................. 220017 ............................. 220019 ............................. 220020 ............................. 220024 ............................. 220025 ............................. 220028 ............................. 220029 ............................. 220030 ............................. 220031 ............................. 220033 ............................. 220035 ............................. 220036 ............................. 220046 ............................. 220049 ............................. 220050 ............................. 220051 ............................. 220052 ............................. 220058 ............................. 220060 ............................. 220062 ............................. 220063 ............................. 220065 ............................. 220066 ............................. 220067 ............................. 220070 ............................. 220071 ............................. 220073 ............................. 220074 ............................. 290001 ............................. 290002 ............................. 290006 ............................. 290009 ............................. 290019 ............................. 290032 ............................. 290049 ............................. 290051 ............................. 1.1034 1.3394 1.3523 1.4485 ............................ 1.1993 1.3836 1.1827 ............................ 1.2814 1.2471 1.1289 1.5403 1.1909 1.1221 1.2751 1.0840 1.2035 1.2983 1.0403 ............................ 1.1319 1.1315 1.6670 1.2129 1.4179 1.5119 1.4766 1.2148 1.0817 1.3058 1.1342 0.9584 1.1735 0.5718 1.2551 1.2422 1.3440 1.1846 1.1331 1.8639 1.1778 ............................ 1.8514 0.9058 1.1835 1.7155 1.4106 1.4261 1.3649 1.6073 0.8715 0.8983 1.0588 1.0588 1.0472 1.1355 1.1488 ............................ ............................ 1.1304 1.1304 1.1488 1.2612 1.0451 1.0451 1.1844 1.1355 1.1304 1.0451 1.1355 ............................ 1.1304 1.0451 1.1844 1.1304 1.1304 1.1844 1.0053 1.1488 1.0451 0.9706 1.1844 1.1355 1.1844 1.1355 1.1488 1.0451 1.0451 1.1844 1.1488 1.1844 1.1304 1.1304 1.0836 0.9704 1.0680 1.0836 1.0680 1.0836 1.0836 0.9865 22.3170 24.6954 28.3482 28.5297 35.1024 29.0014 30.3598 22.0549 30.8599 30.1043 29.7998 34.4064 35.7872 28.3397 28.0608 29.7108 23.2544 26.5305 27.3488 23.0637 32.0980 28.6970 24.4289 34.8183 28.2539 28.6238 31.5184 28.1396 27.7518 26.3768 29.8380 29.8577 24.9642 32.3362 24.2779 27.3968 26.5513 27.1317 29.8911 31.9283 32.2936 31.3566 28.4930 31.1981 18.3469 27.9501 29.8019 28.6158 31.7105 ............................ ............................ 22.3001 27.0165 30.7378 29.1767 31.8806 30.6070 32.4356 ............................ 30.7673 31.3385 30.7804 34.7655 37.8763 29.6315 30.4813 31.6170 24.4009 28.5288 28.7342 25.6478 31.7122 30.6935 26.8849 36.8477 31.8249 31.4470 33.1436 30.4460 30.4740 28.3434 30.2552 32.4130 25.7247 32.5477 25.0766 30.2866 27.6009 27.8073 30.2222 33.1299 36.5065 34.2989 30.5607 36.3129 17.3876 31.7301 36.2724 29.3650 31.6711 ............................ ............................ 22.2003 27.4779 31.4024 31.8008 40.1360 31.2316 33.6649 ............................ 33.6438 34.7924 32.0925 36.5640 39.7564 32.4903 32.5863 33.3020 25.7855 30.8458 31.9491 30.4369 39.3089 31.6363 28.1347 38.9433 32.3495 34.8739 35.9124 31.4510 32.4652 29.5194 30.1022 32.3532 27.8893 34.7336 25.4224 32.9283 30.1103 29.9736 32.4019 34.2598 37.4087 36.0289 31.4730 35.5113 23.9348 31.9838 32.3348 30.5964 34.6589 26.0725 ............................ 22.2726 26.4101 30.1866 29.7872 35.1264 30.2898 32.2137 22.0549 31.7232 32.1143 30.8934 35.2410 37.8806 30.2089 30.3587 31.5466 24.4947 28.6772 29.2912 26.1069 34.1922 30.3492 26.5400 36.9174 30.8022 32.8577 33.5798 30.0573 30.2584 28.1065 30.0683 31.5202 26.1881 33.2260 24.9426 30.2274 28.0583 28.3106 30.8648 33.1439 35.4748 33.8953 30.1564 34.2992 19.4284 30.5940 32.7010 29.5670 32.6749 26.0725 ............................ mstockstill on PROD1PC66 with RULES 3 This provider, 140B10, is part of a multi-campus provider, 140010, that is comprised of campuses that are located in two different CBSAs. For the FY 2008 wage index, a new provider record was created, designated with a ‘‘B’’ in the 4th position of the provider number, to distinguish between the portion of the wages and hours of the multi-campus facility that is being allocated between the two different CBSAs. Please refer to the FY 2008 final rule, section III.H.I.7 ‘‘Geographic Reclassification for Multi-campus Hospitals,’’ for more details on this provision. 2. On pages 57698 through 57721, in Table 4A—Wage Index and Capital VerDate Aug<31>2005 16:30 Nov 05, 2007 Jkt 214001 Geographic Adjustment Factor (GAF) for Urban Areas by CBSA—FY 2008, the PO 00000 Frm 00028 Fmt 4700 Sfmt 4700 listed entries are corrected to read as follows: E:\FR\FM\06NOR1.SGM 06NOR1 Federal Register / Vol. 72, No. 214 / Tuesday, November 6, 2007 / Rules and Regulations 62587 TABLE 4A.—WAGE INDEX AND CAPITAL GEOGRAPHIC ADJUSTMENT FACTOR (GAF) FOR URBAN AREAS BY CBSA—FY 2008 Wage index CBSA code Urban area (constituent counties) 16180 ........................................... Carson City, NV2 ........................................................................................................... Carson City, NV. Reno-Sparks, NV .......................................................................................................... Storey County, NV. Washoe County, NV. 39900 ........................................... GAF 0.9865 0.9907 1.0836 1.0565 2 Hospitals geographically located in the area are assigned the statewide rural wage index for FY 2008. New Jersey floor is imputed as discussed in the FY 2005 IPPS final rule (69 FR 49109) and in section III.G.2 of the preamble in this final rule. 3. On pages 57722 through 57726, in Table 4C—Wage Index and Capital Geographic Adjustment (GAF) for Hospitals that are Reclassified by CBSA, the listed entries are corrected to read as follows: TABLE 4C.—WAGE INDEX AND CAPITAL GEOGRAPHIC ADJUSTMENT FACTOR (GAF) FOR HOSPITALS THAT ARE RECLASSIFIED BY CBSA—FY 2008 CBSA code 13820 16180 26620 39900 ........................................... ........................................... ........................................... ........................................... Birmingham-Hoover, AL ................................................................................................ Carson City, NV ............................................................................................................ Huntsville, AL ................................................................................................................ Reno-Sparks, NV .......................................................................................................... mstockstill on PROD1PC66 with RULES IV. Waiver of Proposed Rulemaking and the 30-Day Delay in the Effective Date We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a rule take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we can waive this notice and comment procedure if the Secretary finds, for good cause, that the notice and comment process is impracticable, unnecessary, or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the notice. Section 553(d) of the APA ordinarily requires a 30-day delay in effective date of final rules after the date of their publication in the Federal Register. This 30-day delay in effective date can be waived, however, if an agency finds for good cause that the delay is impracticable, unnecessary, or contrary to the public interest, and the agency incorporates a statement of the findings and its reasons in the rule issued. For reasons noted below, we find good cause to waive proposed rulemaking and the 30-day delayed effective date for the technical corrections in this notice. This notice merely corrects typographical and technical errors in the addendum of the FY 2008 IPPS final rule with comment period and the second FY 2008 IPPS correction notice and does not make VerDate Aug<31>2005 16:30 Nov 05, 2007 Wage index Area Jkt 214001 substantive changes to the policies or payment methodologies that were adopted in the final rule with comment period. As a result, this notice is intended to ensure that the FY 2008 IPPS final rule with comment period accurately reflects the policies adopted in the FY 2008 IPPS final rule with comment period. Therefore, we find that undertaking further notice and comment procedures to incorporate these corrections into the final rule or delaying the effective date of these changes is unnecessary and contrary to the public interest. (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program) Dated: October 31, 2007. Ann C. Agnew, Executive Secretary to the Department. [FR Doc. 07–5513 Filed 11–1–07; 10:12 am] BILLING CODE 4120–01–P PO 00000 Frm 00029 Fmt 4700 Sfmt 4700 0.8690 0.9704 0.8725 1.0680 GAF 0.9083 0.9796 0.9108 1.0461 DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration 50 CFR Part 229 [Docket No. 071030629–7630–01] RIN 0648–XD72 Taking of Marine Mammals Incidental to Commercial Fishing Operations; Atlantic Large Whale Take Reduction Plan National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Temporary rule. AGENCY: SUMMARY: The Assistant Administrator for Fisheries (AA), NOAA, announces temporary restrictions consistent with the requirements of the Atlantic Large Whale Take Reduction Plan’s (ALWTRP) implementing regulations. These regulations apply to lobster trap/ pot and anchored gillnet fishermen in an area totaling approximately 2,031 nm2 (6,966 km2), southeast of Portland, Maine, for 15 days. The purpose of this action is to provide protection to an aggregation of northern right whales (right whales). DATES: Effective beginning at 0001 hours November 8, 2007, through 2400 hours November 22, 2007. ADDRESSES: Copies of the proposed and final Dynamic Area Management (DAM) E:\FR\FM\06NOR1.SGM 06NOR1

Agencies

[Federal Register Volume 72, Number 214 (Tuesday, November 6, 2007)]
[Rules and Regulations]
[Pages 62585-62587]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 07-5513]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 411, 412, 413, and 489

[CMS-1533-CN3]
RIN 0938-A070

Medicare Program; Changes to the Hospital Inpatient Prospective
Payment Systems and Fiscal Year 2008 Rates; Correction

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

ACTION: Correction of final rule with comment period.

-----------------------------------------------------------------------

SUMMARY: This document corrects wage index, case-mix index, and
geographic adjustment factor errors in the final rule with comment
period that appeared in the August 22, 2007 Federal Register entitled
``Medicare Program; Changes to the Hospital Inpatient Prospective
Payment Systems and Fiscal Year 2008 Rates Final Rule''; and the
correction notice that appeared in the October 10, 2007 Federal
Register entitled ``Medicare Program; Changes to the Hospital Inpatient
Prospective Payment Systems and Fiscal Year 2008 Rates; Correction''.

DATES: Effective Date: October 1, 2007.

FOR FURTHER INFORMATION CONTACT: Miechal Lefkowitz, (410) 786-5316.
Valerie Miller, (410) 786-4535.

SUPPLEMENTARY INFORMATION:

I. Background

In FR Doc 07-3820 of August 22, 2007 (72 FR 47130) and in FR Doc.
07-4875 of October 10, 2007 (72 FR 57634), there were a number of
technical and typographical errors that are identified and corrected in
the Correction of Errors section of this notice.
We issued the fiscal year (FY) 2008 hospital inpatient prospective
payment systems (IPPS) final rule with comment period on August 1,
2007. The FY 2008 IPPS final rule with comment period appeared in the
August 22, 2007 Federal Register, hereinafter referred to as the FY
2008 IPPS final rule with comment period.
We issued a correction notice for the FY 2008 IPPS final rule with
comment period on September 28, 2007. The correction notice appeared in
the October 10, 2007 Federal Register hereinafter referred to as the
second FY 2008 IPPS correction notice.
The provisions in this correction notice are effective as if they
had been included in the FY 2008 IPPS final rule with comment period.
Accordingly, the corrections are effective October 1, 2007.

II. Summary of Errors

We recently discovered a small number of inadvertent technical or
typographical errors. Therefore, this notice corrects the errors that
appeared in the FY 2008 IPPS final rule with comment period and the
second FY 2008 IPPS correction notice.
In the second FY 2008 IPPS correction notice (72 FR 57637), there
were typographical errors in some of the case mix indices listed in
Table 2. The case mix index (CMI) values for some of the providers
listed in Table 2 of that correction notice were intended to be the
same as the CMI values in Table 2 of the FY 2008 IPPS final rule with
comment period. However, there was an inadvertent typographical error
that resulted in the CMI values for certain providers being displayed
on the wrong line. Therefore, in this notice, we are correcting some of
the entries in Table 2 to reflect the proper CMI values for these
providers.
Table 2 also contained errors in wage indices for providers 140B10
and 220074. Each hospital is a part of a multicampus hospital, and each
hospital is reclassified to the labor market area where other hospitals
associated with its provider number are located. We note that these
hospitals were properly assigned the reclassified wage index in the FY
2008 IPPS final rule with comment period. However, in the second FY
2008 IPPS correction notice, Table 2 inadvertently listed each
hospital's geographic area wage index rather than the hospital's
reclassified wage index. Provider 140B10 was mistakenly assigned
1.0583, the area wage index for Lake County-Kenosha County, IL-WA (CBSA
29404). Therefore, in section III. item 1 of this notice (correction of
Table 2), the wage index for provider 140B10 is corrected to 1.0472,
the reclassified wage index for Chicago-Naperville-Joliet, IL (CBSA
16974). In addition, provider 220074 was mistakenly assigned 1.0533,
the area wage index value for Providence-New Bedford-Fall River, RI-MA
(CBSA 39300). Therefore, in section III. item 1 of this notice
(correction of Table 2), the wage index for provider 220074 is
corrected to 1.1304, the reclassified wage index for Boston-Quincy, MA
(CBSA 14484).
In Tables 2, 4A, and 4C of the FY 2008 IPPS final rule with comment
period and the second FY 2008 IPPS correction notice, there was also an
inadvertent error in the wage index calculation for two core-based
statistical areas (CBSAs). In calculating the wage indices in the FY
2008 IPPS final rule with comment period, a provider was inadvertently
included in CBSA 16180 Carson City, NV, when it is actually
geographically located in CBSA 39900 Reno-Sparks, NV. The effect of
this change is that the wage indices for the eight providers in these
two CBSAs will change. Therefore, in section III. of this notice, we
are correcting the wage indices for these providers in these two CBSAs
in Tables 2, 4A, and 4C. We note that wage index corrections may be
retroactive to the beginning of the Federal fiscal year if the
requirements specified in Sec. 412.64(k)(2)(ii) are met. The
requirements in Sec. 412.64(k)(2)(ii) are as follows: (1) The fiscal
intermediary or Medicare Administrative Contractor (FI/MAC) or CMS made
an error in tabulating data used for the wage index calculation; (2)
the hospital knew about the error in its wage data and requested the
FI/MAC and CMS to correct the error both within the established
schedule for making corrections to the wage data (which is at least
before the beginning of the fiscal year for the applicable update to
the hospital inpatient prospective payment system) and using the
established process; and (3) CMS agreed before October 1 that the FI/
MAC or CMS made an error in tabulating the hospital's wage data and the
wage index should be corrected. Since the wage indices errors that are
corrected in this notice meet the requirements specified in Sec.
412.64 of our regulations, these corrections are effective October 1,
2007.
Table 4C of the second FY 2008 IPPS correction notice also
contained typographical errors in the geographic adjustment factor
(GAF) for two CBSAs, CBSA 13820 (Birmingham-Hoover, AL) and CBSA 26620
(Huntsville, AL). Therefore, in this notice, we are correcting the GAFs
for these CBSAs. We note that the wage indices for these CBSAs were
correct in the second FY 2008 IPPS correction notice and are included
in this notice to provide the reader with the wage indices and along
with the corrected GAFs.

III. Correction of Errors

In FR Doc. 07-4875 of October 10, 2007 (72 FR 57634), make the
following corrections:

[[Page 62586]]

1. On pages 57637 through 57698, in Table 2-- Hospital Case-Mix
Indexes for Discharges Occurring in Federal Fiscal Year 2006; Hospital
Wage Indexes for Federal Fiscal Year 2008; Hospital Average Hourly
Wages for Federal Fiscal Years 2006 (2002 Wage Data), 2007 (2003 Wage
Data), and 2008 (2004 Wage Data); and 3-Year Average of Hospital
Average Hourly Wages, the listed entries are corrected to read as
follows:

Table 2.--Hospital Case-Mix Indexes for Discharges Occuring in Federal Fiscal Year 2006; Hospital Wage Indexes for Federal Fiscal Year 2008; Hospital
Average Hourly Wages for Federal Fiscal Years 2006 (2002 Wage Data), 2007 (2003 Wage Data), and 2008 (2004 Wage Data); and 3-Year Average of Hospital
Average Hourly Wages
--------------------------------------------------------------------------------------------------------------------------------------------------------
FY 2008 wage Average hourly Average hourly Average hourly Average hourly
Provider No. Case-mix index index wage FY 2006 wage FY 2007 wage FY 2008 wage (3 years)
--------------------------------------------------------------------------------------------------------------------------------------------------------
140001...................................... 1.1034 0.8715 22.3170 22.3001 22.2003 22.2726
140002...................................... 1.3394 0.8983 24.6954 27.0165 27.4779 26.4101
140007...................................... 1.3523 1.0588 28.3482 30.7378 31.4024 30.1866
140008...................................... 1.4485 1.0588 28.5297 29.1767 31.8008 29.7872
140B10 \3\.................................. ................ 1.0472 35.1024 31.8806 40.1360 35.1264
220001...................................... 1.1993 1.1355 29.0014 30.6070 31.2316 30.2898
220002...................................... 1.3836 1.1488 30.3598 32.4356 33.6649 32.2137
220003...................................... 1.1827 ................ 22.0549 ................ ................ 22.0549
220006...................................... ................ ................ 30.8599 30.7673 33.6438 31.7232
220008...................................... 1.2814 1.1304 30.1043 31.3385 34.7924 32.1143
220010...................................... 1.2471 1.1304 29.7998 30.7804 32.0925 30.8934
220011...................................... 1.1289 1.1488 34.4064 34.7655 36.5640 35.2410
220012...................................... 1.5403 1.2612 35.7872 37.8763 39.7564 37.8806
220015...................................... 1.1909 1.0451 28.3397 29.6315 32.4903 30.2089
220016...................................... 1.1221 1.0451 28.0608 30.4813 32.5863 30.3587
220017...................................... 1.2751 1.1844 29.7108 31.6170 33.3020 31.5466
220019...................................... 1.0840 1.1355 23.2544 24.4009 25.7855 24.4947
220020...................................... 1.2035 1.1304 26.5305 28.5288 30.8458 28.6772
220024...................................... 1.2983 1.0451 27.3488 28.7342 31.9491 29.2912
220025...................................... 1.0403 1.1355 23.0637 25.6478 30.4369 26.1069
220028...................................... ................ ................ 32.0980 31.7122 39.3089 34.1922
220029...................................... 1.1319 1.1304 28.6970 30.6935 31.6363 30.3492
220030...................................... 1.1315 1.0451 24.4289 26.8849 28.1347 26.5400
220031...................................... 1.6670 1.1844 34.8183 36.8477 38.9433 36.9174
220033...................................... 1.2129 1.1304 28.2539 31.8249 32.3495 30.8022
220035...................................... 1.4179 1.1304 28.6238 31.4470 34.8739 32.8577
220036...................................... 1.5119 1.1844 31.5184 33.1436 35.9124 33.5798
220046...................................... 1.4766 1.0053 28.1396 30.4460 31.4510 30.0573
220049...................................... 1.2148 1.1488 27.7518 30.4740 32.4652 30.2584
220050...................................... 1.0817 1.0451 26.3768 28.3434 29.5194 28.1065
220051...................................... 1.3058 0.9706 29.8380 30.2552 30.1022 30.0683
220052...................................... 1.1342 1.1844 29.8577 32.4130 32.3532 31.5202
220058...................................... 0.9584 1.1355 24.9642 25.7247 27.8893 26.1881
220060...................................... 1.1735 1.1844 32.3362 32.5477 34.7336 33.2260
220062...................................... 0.5718 1.1355 24.2779 25.0766 25.4224 24.9426
220063...................................... 1.2551 1.1488 27.3968 30.2866 32.9283 30.2274
220065...................................... 1.2422 1.0451 26.5513 27.6009 30.1103 28.0583
220066...................................... 1.3440 1.0451 27.1317 27.8073 29.9736 28.3106
220067...................................... 1.1846 1.1844 29.8911 30.2222 32.4019 30.8648
220070...................................... 1.1331 1.1488 31.9283 33.1299 34.2598 33.1439
220071...................................... 1.8639 1.1844 32.2936 36.5065 37.4087 35.4748
220073...................................... 1.1778 1.1304 31.3566 34.2989 36.0289 33.8953
220074...................................... ................ 1.1304 28.4930 30.5607 31.4730 30.1564
290001...................................... 1.8514 1.0836 31.1981 36.3129 35.5113 34.2992
290002...................................... 0.9058 0.9704 18.3469 17.3876 23.9348 19.4284
290006...................................... 1.1835 1.0680 27.9501 31.7301 31.9838 30.5940
290009...................................... 1.7155 1.0836 29.8019 36.2724 32.3348 32.7010
290019...................................... 1.4106 1.0680 28.6158 29.3650 30.5964 29.5670
290032...................................... 1.4261 1.0836 31.7105 31.6711 34.6589 32.6749
290049...................................... 1.3649 1.0836 ................ ................ 26.0725 26.0725
290051...................................... 1.6073 0.9865 ................ ................ ................ ................
--------------------------------------------------------------------------------------------------------------------------------------------------------
\3\ This provider, 140B10, is part of a multi-campus provider, 140010, that is comprised of campuses that are located in two different CBSAs. For the FY
2008 wage index, a new provider record was created, designated with a ``B'' in the 4th position of the provider number, to distinguish between the
portion of the wages and hours of the multi-campus facility that is being allocated between the two different CBSAs. Please refer to the FY 2008 final
rule, section III.H.I.7 ``Geographic Reclassification for Multi-campus Hospitals,'' for more details on this provision.

2. On pages 57698 through 57721, in Table 4A--Wage Index and
Capital Geographic Adjustment Factor (GAF) for Urban Areas by CBSA--FY
2008, the listed entries are corrected to read as follows:

[[Page 62587]]

Table 4A.--Wage Index and Capital Geographic Adjustment Factor (GAF)
for Urban Areas by CBSA--FY 2008
------------------------------------------------------------------------
Urban area
CBSA code (constituent Wage GAF
counties) index
------------------------------------------------------------------------
16180....................... Carson City, NV\2\.. 0.9865 0.9907
Carson City, NV.....
39900....................... Reno-Sparks, NV..... 1.0836 1.0565
Storey County, NV...
Washoe County, NV...
------------------------------------------------------------------------
\2\ Hospitals geographically located in the area are assigned the
statewide rural wage index for FY 2008. New Jersey floor is imputed as
discussed in the FY 2005 IPPS final rule (69 FR 49109) and in section
III.G.2 of the preamble in this final rule.

3. On pages 57722 through 57726, in Table 4C--Wage Index and
Capital Geographic Adjustment (GAF) for Hospitals that are Reclassified
by CBSA, the listed entries are corrected to read as follows:

Table 4C.--Wage Index and Capital Geographic Adjustment Factor (GAF) for
Hospitals That Are Reclassified by CBSA--FY 2008
------------------------------------------------------------------------
Wage
CBSA code Area index GAF
------------------------------------------------------------------------
13820....................... Birmingham-Hoover, 0.8690 0.9083
AL.
16180....................... Carson City, NV..... 0.9704 0.9796
26620....................... Huntsville, AL...... 0.8725 0.9108
39900....................... Reno-Sparks, NV..... 1.0680 1.0461
------------------------------------------------------------------------

IV. Waiver of Proposed Rulemaking and the 30-Day Delay in the Effective
Date

We ordinarily publish a notice of proposed rulemaking in the
Federal Register to provide a period for public comment before the
provisions of a rule take effect in accordance with section 553(b) of
the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we
can waive this notice and comment procedure if the Secretary finds, for
good cause, that the notice and comment process is impracticable,
unnecessary, or contrary to the public interest, and incorporates a
statement of the finding and the reasons therefore in the notice.
Section 553(d) of the APA ordinarily requires a 30-day delay in
effective date of final rules after the date of their publication in
the Federal Register. This 30-day delay in effective date can be
waived, however, if an agency finds for good cause that the delay is
impracticable, unnecessary, or contrary to the public interest, and the
agency incorporates a statement of the findings and its reasons in the
rule issued.
For reasons noted below, we find good cause to waive proposed
rulemaking and the 30-day delayed effective date for the technical
corrections in this notice. This notice merely corrects typographical
and technical errors in the addendum of the FY 2008 IPPS final rule
with comment period and the second FY 2008 IPPS correction notice and
does not make substantive changes to the policies or payment
methodologies that were adopted in the final rule with comment period.
As a result, this notice is intended to ensure that the FY 2008 IPPS
final rule with comment period accurately reflects the policies adopted
in the FY 2008 IPPS final rule with comment period. Therefore, we find
that undertaking further notice and comment procedures to incorporate
these corrections into the final rule or delaying the effective date of
these changes is unnecessary and contrary to the public interest.

(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)

Dated: October 31, 2007.
Ann C. Agnew,
Executive Secretary to the Department.
[FR Doc. 07-5513 Filed 11-1-07; 10:12 am]
BILLING CODE 4120-01-P

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