Medicare Program; Rural Community Hospital Demonstration Program; Solicitation of Additional Participants, 6971-6973 [08-511]
Download as PDF
Federal Register / Vol. 73, No. 25 / Wednesday, February 6, 2008 / Notices
Americas Bank, N.A., both of Atlanta,
Georgia.
C. Federal Reserve Bank of Kansas
City (Todd Offenbacker, Assistant Vice
President) 925 Grand Avenue, Kansas
City, Missouri 64198–0001:
1. Kelly J. Schoen; to acquire voting
shares of Freedom Bancshares, Inc., and
thereby indirectly acquire voting shares
of Freedom Bank, all of Overland Park,
Kansas.
Board of Governors of the Federal Reserve
System, February 1, 2008.
Jennifer J. Johnson,
Secretary of the Board.
[FR Doc. E8–2126 Filed 2–5–08; 8:45 am]
BILLING CODE 6210–01–S
FEDERAL RESERVE SYSTEM
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Formations of, Acquisitions by, and
Mergers of Bank Holding Companies
The companies listed in this notice
have applied to the Board for approval,
pursuant to the Bank Holding Company
Act of 1956 (12 U.S.C. 1841 et seq.)
(BHC Act), Regulation Y (12 CFR Part
225), and all other applicable statutes
and regulations to become a bank
holding company and/or to acquire the
assets or the ownership of, control of, or
the power to vote shares of a bank or
bank holding company and all of the
banks and nonbanking companies
owned by the bank holding company,
including the companies listed below.
The applications listed below, as well
as other related filings required by the
Board, are available for immediate
inspection at the Federal Reserve Bank
indicated. The applications also will be
available for inspection at the offices of
the Board of Governors. Interested
persons may express their views in
writing on the standards enumerated in
the BHC Act (12 U.S.C. 1842(c)). If the
proposal also involves the acquisition of
a nonbanking company, the review also
includes whether the acquisition of the
nonbanking company complies with the
standards in section 4 of the BHC Act
(12 U.S.C. 1843). Unless otherwise
noted, nonbanking activities will be
conducted throughout the United States.
Additional information on all bank
holding companies may be obtained
from the National Information Center
website at www.ffiec.gov/nic/.
Unless otherwise noted, comments
regarding each of these applications
must be received at the Reserve Bank
indicated or the offices of the Board of
Governors not later than March 3, 2008.
A. Federal Reserve Bank of Chicago
(Burl Thornton, Assistant Vice
President) 230 South LaSalle Street,
Chicago, Illinois 60690–1414:
VerDate Aug<31>2005
18:21 Feb 05, 2008
Jkt 214001
1. West Suburban Bancorp, Inc.,
Lombard, Illinois; to acquire 100
percent of the voting shares of G.R.
Bancorp, Ltd., and thereby indirectly
acquire voting shares of The First
National Bank of Grand Ridge, both of
Grand Ridge, Illinois.
B. Federal Reserve Bank of Kansas
City (Todd Offenbacker, Assistant Vice
President) 925 Grand Avenue, Kansas
City, Missouri 64198–0001:
1. ENB Acquisition Corporation,
Oklahoma City, Oklahoma; to become a
bank holding company by acquiring 100
percent of the voting shares of Exchange
Bancshares of Moore, Inc., and thereby
indirectly acquire Exchange National
Bank of Moore, both of Moore,
Oklahoma.
Board of Governors of the Federal Reserve
System, February 1, 2008.
Jennifer J. Johnson,
Secretary of the Board.
[FR Doc. E8–2125 Filed 2–5–08; 8:45 am]
BILLING CODE 6210–01–S
FEDERAL RESERVE SYSTEM
Formations of, Acquisitions by, and
Mergers of Bank Holding Companies;
Correction
This notice corrects a notice (FR Doc.
E8–1202 published on page 4573 of the
issue for Friday, January 25, 2008.
Under the Federal Reserve Bank of
Kansas City heading, the entry for
HOTC, Inc., Wray, Coloardo, is revised
to read as follows:
A. Federal Reserve Bank of Kansas
City (Todd Offenbacker, Assistant Vice
President) 925 Grand Avenue, Kansas
City, Missouri 64198–0001:
1. HOTC, Investment Company, to
become a bank holding company by
acquiring 100 percent of the voting
shares of Wray State Bank, both of
Wray, Colorado.
Comments on this application must
be received by February 19, 2008.
Board of Governors of the Federal Reserve
System, February 1, 2008.
Jennifer J. Johnson,
Secretary of the Board.
[FR Doc. E8–2127 Filed 2–5–08 8:45 am]
BILLING CODE 6210–01–S
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the National Coordinator for
Health Information Technology;
American Health Information
Community Meeting
ACTION:
PO 00000
Meeting announcement.
Frm 00052
Fmt 4703
Sfmt 4703
6971
SUMMARY: This notice announces the
meeting date for the 20th meeting of the
American Health Information
Community in accordance with the
Federal Advisory Committee Act (Pub.
L. No. 92–463, 5 U.S.C., App.). The
American Health Information
Community will advise the Secretary
and recommend specific actions to
achieve a common interoperability
framework for health information
technology (IT).
DATES: Meeting Date: February 26, 2008,
from 10:30 a.m. to 3 p.m. (Eastern time).
ADDRESSES: Rosen Centre Hotel, Salon 9
and 10, 9840 International Drive,
Orlando, FL 32819. This meeting will be
held in conjunction with the Healthcare
Information and Management Systems
Society (HIMSS) annual conference.
SUPPLEMENTARY INFORMATION: The
meeting will include presentations by
the Confidentiality, Privacy and
Security Workgroup and the
Personalized Healthcare Workgroup on
Recommendations to the Community;
an update on the Nationwide Health
Information Network (NHIN); and an
update on the AHIC Successor.
FOR FURTHER INFORMATION: Visit https://
www.hhs.gov/healthit/ahic.html. A Web
cast of the Community meeting will be
available on the NIH Web site at:
https://www.videocast.nih.gov/.
If you have special needs for the
meeting, please contact (202) 690–7151.
Dated: January 29, 2008.
Judith Sparrow,
Director, American Health Information
Community, Office of Programs and
Coordination, Office of the National
Coordinator for Health Information
Technology.
[FR Doc. 08–516 Filed 2–5–08; 8:45 am]
BILLING CODE 4150–45–M
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–5014–N]
Medicare Program; Rural Community
Hospital Demonstration Program;
Solicitation of Additional Participants
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
SUMMARY: This notice announces a
solicitation for up to six additional
hospitals to participate in the Rural
Community Hospital Demonstration
Program for the remainder of the 5-year
time period allowed by section 410A of
E:\FR\FM\06FEN1.SGM
06FEN1
6972
Federal Register / Vol. 73, No. 25 / Wednesday, February 6, 2008 / Notices
pwalker on PROD1PC71 with NOTICES
the MMA that is currently scheduled to
end in 2010.
DATES: Application Submission
Deadline: Applications must be received
by 5 p.m., e.s.t. on or before March 24,
2008. Only applications that are
considered ‘‘timely’’ will be reviewed
and considered by the technical panel.
ADDRESSES: The applications should be
MAILED or sent by an overnight
delivery service to the following
address: Centers for Medicare &
Medicaid Services, ATTN: Sid
Mazumdar, Rural Community Hospital
Demonstration, Medicare
Demonstrations Program Group, Mail
Stop C4–17–27, 7500 Security
Boulevard, Baltimore, MD 21244.
Please allow sufficient time for mailed
information to be received in a timely
manner in the event of delivery delays.
Because of staffing and resources
limitations, and because we require an
application containing an original
signature, we cannot accept applications
by facsimile (Fax) transmission.
FOR FURTHER INFORMATION CONTACT: Sid
Mazumdar at (410) 786–6673 or by email at:
Siddhartha.mazumdar@cms.hhs.gov.
SUPPLEMENTARY INFORMATION:
I. Background
Section 410A(a) of the Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003 (Pub. L. 108–
173) (MMA) requires the Secretary to
establish a demonstration to test the
feasibility and advisability of
establishing ‘‘rural community
hospitals’’ for Medicare payment
purposes for covered hospital inpatient
services furnished to Medicare
beneficiaries. A rural community
hospital, as defined in section
410A(f)(1) of the MMA, is a hospital
that—
• Is located in a rural area (as defined
in section 1886(d)(2)(D) of the Social
Security Act (the Act) (42 U.S.C.
1395ww(d)(2)(D))) or treated as being so
located pursuant to section
1886(d)(8)(E) of the Act (42 U.S.C.
1395ww(d)(8)(E));
• Has fewer than 51 acute care
inpatient beds, as reported in its most
recent cost report;
• Makes available 24-hour emergency
care services; and
• Is not eligible for critical access
hospital (CAH) designation, or has not
been designated a CAH under section
1820 of the Act.
Section 410A(a)(4) of the MMA
specifies that the Secretary is to select
for participation no more than 15 rural
community hospitals in rural areas of
States that the Secretary identifies as
VerDate Aug<31>2005
18:21 Feb 05, 2008
Jkt 214001
having low population densities. Using
2002 data from the U.S. Census Bureau,
we identified the 10 States with the
lowest population densities in which
rural community hospitals must be
located to participate in the
demonstration: Alaska, Idaho, Montana,
Nebraska, Nevada, New Mexico, North
Dakota, South Dakota, Utah, and
Wyoming. (Source: U.S. Census Bureau,
Statistical Abstract of the United States:
2003).
The demonstration is designed to test
the feasibility and advisability of
reasonable cost reimbursement for
inpatient services to small rural
hospitals. The demonstration is aimed
at increasing the capability of the
selected rural hospitals to meet the
needs of their service areas.
Section 410A(a)(5) of the MMA states
the Secretary shall conduct the
demonstration program for a 5-year
period. We originally solicited
applicants for the demonstration in May
2004; 13 hospitals began participation
with cost report years beginning on or
after October 1, 2004. Four of these 13
hospitals have withdrawn from the
program and have become CAHs. For
the remaining 9 participating hospitals,
the demonstration will end in 2010
when each hospital has completed its
fifth cost report year.
II. Provisions of the Notice
This notice announces the solicitation
for up to six additional hospitals to
participate in the Rural Community
Hospital Demonstration Program.
Hospitals that enter the demonstration
under this solicitation will be able to
participate for no more than 2 years. We
will adhere to the requirement under
section 410A of the MMA to limit the
demonstration to 5 years, that is, the
program will end in 2010.
A. Demonstration Payment Methodology
Section 410A of the MMA requires
that ‘‘in conducting the demonstration
program under this section, the
Secretary shall ensure that the aggregate
payments made by the Secretary do not
exceed the amount which the Secretary
would have paid if the demonstration
program under this section was not
implemented.’’ In order to achieve
budget neutrality for this demonstration
program for FYs 2005, 2006, 2007, and
2008, we adjusted the national hospital
inpatient prospective payment system
(IPPS) rates by an amount sufficient to
offset the added costs of this
demonstration program. We will present
an estimate of the amount needed to
offset the additional costs incurred
under the demonstration in FY 2009,
including the cost of newly selected
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Frm 00053
Fmt 4703
Sfmt 4703
rural community hospitals, in the FY
2009 IPPS proposed rule.
Hospitals selected for participation in
the demonstration will receive payment
for covered inpatient services, with the
exclusion of services furnished in a
psychiatric or rehabilitation unit that is
a distinct part of the hospital, using the
following rules. For discharges
occurring—
• In the first cost reporting period on
or after the implementation of the
program, their reasonable costs for
covered inpatient services; or
• During the second or subsequent
cost reporting period, the lesser of their
reasonable costs or a target amount. The
target amount in the second cost
reporting period is defined as the
reasonable costs of providing covered
inpatient hospital services in the first
cost reporting period, increased by the
IPPS update factor (as defined in section
1886(b)(3)(B) of the Act) for that
particular cost reporting period. The
target amount in subsequent cost
reporting periods is defined as the
preceding cost reporting period’s target
amount increased by the IPPS update
factor for that particular cost reporting
period.
Covered inpatient hospital services
means inpatient hospital services
(defined in section 1861(b) of the Act)
and including extended care services
furnished under an agreement under
section 1883 of the Act.
B. Participation in the Demonstration
To participate in this demonstration,
a hospital must be located in one of the
identified States and meet the criteria
for a rural community hospital. Eligible
hospitals that desire to participate in the
demonstration must submit an
application to CMS. Information about
the demonstration and details on how to
apply can be found on the CMS Web
site at https://www.cms.hhs.gov/Demo
ProjectsEvalRpts/downloads/
2004_Rural_Community_Hospital_Demonstration_Program.pdf.
III. Collection of Information
Requirements
The information collection
requirements contained in this notice
are subject to the Paperwork Reduction
Act of 1995 (PRA). As discussed in
section II.B. of this notice, a hospital
must submit the required information
on the cover sheet of the CMS Medicare
Waiver Demonstration Application to
receive consideration by the technical
review panel. The burden associated
with voluntary requirement is the time
and effort necessary to complete the
Medicare Waiver Demonstration
Application and submit the information
E:\FR\FM\06FEN1.SGM
06FEN1
Federal Register / Vol. 73, No. 25 / Wednesday, February 6, 2008 / Notices
to CMS. The burden associated with this
requirement is currently approved
under OMB control number 0938–0880
with an expiration date of November 20,
2010.
Authority: Section 410A of the Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003, Pub. L. No. 108–
173. (Catalog of Federal Domestic Assistance
Program No. 93.773 Medicare—Hospital
Insurance Program; and No. 93.774,
Medicare—Supplementary Medical
Insurance Program).
Dated: January 11, 2008.
Kerry Weems,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. 08–511 Filed 2–1–08; 10:00 am]
BILLING CODE 4120–01–P
requests for single copies of the
guidance to the Office of Food Safety
(HFS–317), Center for Food Safety and
Applied Nutrition, 5100 Paint Branch
Pkwy., College Park, MD 20740. Send
one self-addressed adhesive label to
assist the office in processing your
request, or fax your request to 301–436–
2651. See the SUPPLEMENTARY
INFORMATION section for electronic
access to the guidance document.
FOR FURTHER INFORMATION CONTACT:
Byron Truglio, Center for Food Safety
and Applied Nutrition (HFS–325), Food
and Drug Administration, 5100 Paint
Branch Pkwy., College Park, MD 20740,
301–436–1420.
SUPPLEMENTARY INFORMATION:
I. Background
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2008–D–0079]
Guidance for Industry: Fish and
Fisheries Products Hazards and
Controls Guidance Third Edition June
2001: Letter to Seafood Processors
that Purchase Grouper, Amberjack,
and Related Predatory Reef Species
Captured in the Northern Gulf of
Mexico
AGENCY:
Food and Drug Administration,
HHS.
pwalker on PROD1PC71 with NOTICES
ACTION:
Notice.
SUMMARY: The Food and Drug
Administration (FDA) is announcing the
availability of a guidance document
entitled ‘‘Fish and Fisheries Products
Hazards and Controls Guidance, Third
Edition June 2001: Letter to Seafood
Processors that Purchase Grouper,
Amberjack and Related Predatory Reef
Species Captured in the Northern Gulf
of Mexico.’’ The guidance sets forth the
agency’s recommendations for ensuring
the safety of grouper, amberjack, and
related predatory reef species captured
in the northern Gulf of Mexico with
respect to ciguatera fish poisoning
(CFP). The guidance is in response to
recent cases of CFP that have occurred
in the United States.
DATES: This guidance is final February
6, 2008. Submit written or electronic
comments on the guidance document at
any time.
ADDRESSES: Submit written comments
on the guidance to the Division of
Dockets Management (HFA–305), Food
and Drug Administration, 5630 Fishers
Lane, rm. 1061, Rockville, MD 20852.
Submit electronic comments to https://
www.regulations.gov. Submit written
VerDate Aug<31>2005
18:21 Feb 05, 2008
Jkt 214001
FDA is announcing the availability of
a guidance document entitled ‘‘Fish and
Fisheries Products Hazards and Controls
Guidance, Third Edition June 2001:
Letter to Seafood Processors that
Purchase Grouper, Amberjack and
Related Predatory Reef Species
Captured in the Northern Gulf of
Mexico.’’ The purpose of the document
is to revise guidance provided to
industry for processing potentially
ciguatoxic fish species captured in the
northern Gulf of Mexico which are
subject to the provisions of the Hazard
Analysis and Critical Control Point
regulation for seafood (21 CFR part 123)
(the seafood HACCP regulation). This
guidance is in response to recent CFP
outbreaks that have been traced to fish
captured in an area in the United States
where ciguatera was previously
extremely rare. CFP is caused by
consumption of fish that have eaten
toxic marine algae directly or that have
eaten other toxin-contaminated fish.
CFP can result in gastrointestinal,
cardiovascular, and neurological
symptoms. In severe cases, recurring
neurological symptoms can persist for
months to years.
FDA is issuing this guidance as level
1 guidance consistent with FDA’s good
guidance practices regulation (§ 10.115
(21 CFR 10.115)). Consistent with FDA’s
good guidance practices regulation, the
agency will accept comment, but is
implementing the guidance document
immediately in accordance with
§ 10.115(g) (2) because the agency has
determined that prior public
participation is not feasible or
appropriate in light of the need to
respond expeditiously to the recent
cases of CFP. The guidance represents
the agency’s current thinking on CFP
from fish in the Northern Gulf of
Mexico. It does not create or confer any
rights for or on any person and does not
PO 00000
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Fmt 4703
Sfmt 4703
6973
operate to bind FDA or the public. An
alternative approach may be used if
such approach satisfies the
requirements of the applicable statutes
and regulations. This guidance modifies
our previous guidance on this subject
(See ‘‘Fish and Fisheries Products
Hazards and Controls Guidance, Third
Edition June 2001’’ https://
www.cfsan.fda.gov/guidance.html). The
recommendations in this guidance only
pertain to grouper, amberjack, and
related predatory reef species associated
with CFP that have been captured in the
Northern Gulf of Mexico. This guidance
does not pertain to other species of fish
that have not been associated with CFP.
II. Comments
Interested persons may submit to the
Division of Dockets Management (see
ADDRESSES) written or electronic
comments regarding this guidance.
Submit a single copy of electronic
comments or two paper copies of any
mailed comments, except that
individuals may submit one paper copy.
Comments are to be identified with the
docket number found in brackets in the
heading of this document. The guidance
and received comments may be seen in
the Division of Dockets Management
between 9 a.m. and 4 p.m., Monday
through Friday.
Please note that on January 15, 2008,
the FDA Web site transitioned to the
Federal Dockets Management System
(FDMS). FDMS is a Government-wide,
electronic docket management system.
Electronic submissions will be accepted
by FDA through FDMS only.
III. Electronic Access
Persons with access to the Internet
may obtain the guidance document at
https://www.cfsan.fda.gov/
guidance.html.
Dated: January 31, 2008.
Jeffrey Shuren,
Assistant Commissioner for Policy.
[FR Doc. 08–537 Filed 2–1–08; 4:38 pm]
BILLING CODE 4160–01–S
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[FDA No. 225–07–8007]
Memorandum of Understanding
Between the Food and Drug
Administration and the National
Institutes of Health
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
E:\FR\FM\06FEN1.SGM
Notice.
06FEN1
Agencies
[Federal Register Volume 73, Number 25 (Wednesday, February 6, 2008)]
[Notices]
[Pages 6971-6973]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 08-511]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-5014-N]
Medicare Program; Rural Community Hospital Demonstration Program;
Solicitation of Additional Participants
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice announces a solicitation for up to six additional
hospitals to participate in the Rural Community Hospital Demonstration
Program for the remainder of the 5-year time period allowed by section
410A of
[[Page 6972]]
the MMA that is currently scheduled to end in 2010.
DATES: Application Submission Deadline: Applications must be received
by 5 p.m., e.s.t. on or before March 24, 2008. Only applications that
are considered ``timely'' will be reviewed and considered by the
technical panel.
ADDRESSES: The applications should be MAILED or sent by an overnight
delivery service to the following address: Centers for Medicare &
Medicaid Services, ATTN: Sid Mazumdar, Rural Community Hospital
Demonstration, Medicare Demonstrations Program Group, Mail Stop C4-17-
27, 7500 Security Boulevard, Baltimore, MD 21244.
Please allow sufficient time for mailed information to be received
in a timely manner in the event of delivery delays. Because of staffing
and resources limitations, and because we require an application
containing an original signature, we cannot accept applications by
facsimile (Fax) transmission.
FOR FURTHER INFORMATION CONTACT: Sid Mazumdar at (410) 786-6673 or by
e-mail at: Siddhartha.mazumdar@cms.hhs.gov.
SUPPLEMENTARY INFORMATION:
I. Background
Section 410A(a) of the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (Pub. L. 108-173) (MMA) requires the
Secretary to establish a demonstration to test the feasibility and
advisability of establishing ``rural community hospitals'' for Medicare
payment purposes for covered hospital inpatient services furnished to
Medicare beneficiaries. A rural community hospital, as defined in
section 410A(f)(1) of the MMA, is a hospital that--
Is located in a rural area (as defined in section
1886(d)(2)(D) of the Social Security Act (the Act) (42 U.S.C.
1395ww(d)(2)(D))) or treated as being so located pursuant to section
1886(d)(8)(E) of the Act (42 U.S.C. 1395ww(d)(8)(E));
Has fewer than 51 acute care inpatient beds, as reported
in its most recent cost report;
Makes available 24-hour emergency care services; and
Is not eligible for critical access hospital (CAH)
designation, or has not been designated a CAH under section 1820 of the
Act.
Section 410A(a)(4) of the MMA specifies that the Secretary is to
select for participation no more than 15 rural community hospitals in
rural areas of States that the Secretary identifies as having low
population densities. Using 2002 data from the U.S. Census Bureau, we
identified the 10 States with the lowest population densities in which
rural community hospitals must be located to participate in the
demonstration: Alaska, Idaho, Montana, Nebraska, Nevada, New Mexico,
North Dakota, South Dakota, Utah, and Wyoming. (Source: U.S. Census
Bureau, Statistical Abstract of the United States: 2003).
The demonstration is designed to test the feasibility and
advisability of reasonable cost reimbursement for inpatient services to
small rural hospitals. The demonstration is aimed at increasing the
capability of the selected rural hospitals to meet the needs of their
service areas.
Section 410A(a)(5) of the MMA states the Secretary shall conduct
the demonstration program for a 5-year period. We originally solicited
applicants for the demonstration in May 2004; 13 hospitals began
participation with cost report years beginning on or after October 1,
2004. Four of these 13 hospitals have withdrawn from the program and
have become CAHs. For the remaining 9 participating hospitals, the
demonstration will end in 2010 when each hospital has completed its
fifth cost report year.
II. Provisions of the Notice
This notice announces the solicitation for up to six additional
hospitals to participate in the Rural Community Hospital Demonstration
Program. Hospitals that enter the demonstration under this solicitation
will be able to participate for no more than 2 years. We will adhere to
the requirement under section 410A of the MMA to limit the
demonstration to 5 years, that is, the program will end in 2010.
A. Demonstration Payment Methodology
Section 410A of the MMA requires that ``in conducting the
demonstration program under this section, the Secretary shall ensure
that the aggregate payments made by the Secretary do not exceed the
amount which the Secretary would have paid if the demonstration program
under this section was not implemented.'' In order to achieve budget
neutrality for this demonstration program for FYs 2005, 2006, 2007, and
2008, we adjusted the national hospital inpatient prospective payment
system (IPPS) rates by an amount sufficient to offset the added costs
of this demonstration program. We will present an estimate of the
amount needed to offset the additional costs incurred under the
demonstration in FY 2009, including the cost of newly selected rural
community hospitals, in the FY 2009 IPPS proposed rule.
Hospitals selected for participation in the demonstration will
receive payment for covered inpatient services, with the exclusion of
services furnished in a psychiatric or rehabilitation unit that is a
distinct part of the hospital, using the following rules. For
discharges occurring--
In the first cost reporting period on or after the
implementation of the program, their reasonable costs for covered
inpatient services; or
During the second or subsequent cost reporting period, the
lesser of their reasonable costs or a target amount. The target amount
in the second cost reporting period is defined as the reasonable costs
of providing covered inpatient hospital services in the first cost
reporting period, increased by the IPPS update factor (as defined in
section 1886(b)(3)(B) of the Act) for that particular cost reporting
period. The target amount in subsequent cost reporting periods is
defined as the preceding cost reporting period's target amount
increased by the IPPS update factor for that particular cost reporting
period.
Covered inpatient hospital services means inpatient hospital
services (defined in section 1861(b) of the Act) and including extended
care services furnished under an agreement under section 1883 of the
Act.
B. Participation in the Demonstration
To participate in this demonstration, a hospital must be located in
one of the identified States and meet the criteria for a rural
community hospital. Eligible hospitals that desire to participate in
the demonstration must submit an application to CMS. Information about
the demonstration and details on how to apply can be found on the CMS
Web site at https://www.cms.hhs.gov/DemoProjectsEvalRpts/downloads/
2004_Rural_Community_Hospital_Dem-onstration_Program.pdf.
III. Collection of Information Requirements
The information collection requirements contained in this notice
are subject to the Paperwork Reduction Act of 1995 (PRA). As discussed
in section II.B. of this notice, a hospital must submit the required
information on the cover sheet of the CMS Medicare Waiver Demonstration
Application to receive consideration by the technical review panel. The
burden associated with voluntary requirement is the time and effort
necessary to complete the Medicare Waiver Demonstration Application and
submit the information
[[Page 6973]]
to CMS. The burden associated with this requirement is currently
approved under OMB control number 0938-0880 with an expiration date of
November 20, 2010.
Authority: Section 410A of the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003, Pub. L. No. 108-173.
(Catalog of Federal Domestic Assistance Program No. 93.773
Medicare--Hospital Insurance Program; and No. 93.774, Medicare--
Supplementary Medical Insurance Program).
Dated: January 11, 2008.
Kerry Weems,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 08-511 Filed 2-1-08; 10:00 am]
BILLING CODE 4120-01-P