Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and Fiscal Year 2010 Rates and to the Long-Term Care Hospital Prospective Payment System and Rate Year 2010 Rates; Corrections, 51496-51510 [E9-24202]
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<![CDATA[
51496
Federal Register / Vol. 74, No. 193 / Wednesday, October 7, 2009 / Rules and Regulations
to 0.3 ppm because the Agency’s
tolerance spreadsheet determined that
the lower value was more appropriate
based on the field trial data. EPA
increased the tolerance for sorghum,
grain, grain (termed sorghum, grain in
PP#8F7385) from 0.5 ppm to 0.60 ppm
because the Agency’s tolerance
spreadsheet determined that the higher
value was more appropriate based on
the field trial data.
V. Conclusion
Therefore, tolerances are established
for combined residues of pyraclostrobin
(carbamic acid, [2-[[[1-(4-chlorophenyl)1H- pyrazol-3yl]oxy]methyl]phenyl]methoxy-, methyl
ester) and its desmethoxy metabolite
(methyl N-[[[1-(4-chlorophenyl)-1Hpyrazol-3-yl]oxy]methyl]phenyl
carbamate), expressed as parent
compound, in or on coffee, bean, green
at 0.3 ppm; fruit, stone, group 12 at 2.5
ppm; sorghum, grain, forage at 5.0 ppm;
sorghum, grain, grain at 0.60 ppm; and
sorghum, grain, stover at 0.80 ppm
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VI. Statutory and Executive Order
Reviews
This final rule establishes tolerances
under section 408(d) of FFDCA in
response to a petition submitted to the
Agency. The Office of Management and
Budget (OMB) has exempted these types
of actions from review under Executive
Order 12866, entitled Regulatory
Planning and Review (58 FR 51735,
October 4, 1993). Because this final rule
has been exempted from review under
Executive Order 12866, this final rule is
not subject to Executive Order 13211,
entitled Actions Concerning Regulations
That Significantly Affect Energy Supply,
Distribution, or Use (66 FR 28355, May
22, 2001) or Executive Order 13045,
entitled Protection of Children from
Environmental Health Risks and Safety
Risks (62 FR 19885, April 23, 1997).
This final rule does not contain any
information collections subject to OMB
approval under the Paperwork
Reduction Act (PRA), 44 U.S.C. 3501 et
seq., nor does it require any special
considerations under Executive Order
12898, entitled Federal Actions to
Address Environmental Justice in
Minority Populations and Low-Income
Populations (59 FR 7629, February 16,
1994).
Since tolerances and exemptions that
are established on the basis of a petition
under section 408(d) of FFDCA, such as
the tolerance in this final rule, do not
require the issuance of a proposed rule,
the requirements of the Regulatory
Flexibility Act (RFA) (5 U.S.C. 601 et
seq.) do not apply.
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15:23 Oct 06, 2009
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This final rule directly regulates
growers, food processors, food handlers,
and food retailers, not States or tribes,
nor does this action alter the
relationships or distribution of power
and responsibilities established by
Congress in the preemption provisions
of section 408(n)(4) of FFDCA. As such,
the Agency has determined that this
action will not have a substantial direct
effect on States or tribal governments,
on the relationship between the national
government and the States or tribal
governments, or on the distribution of
power and responsibilities among the
various levels of government or between
the Federal Government and Indian
tribes. Thus, the Agency has determined
that Executive Order 13132, entitled
Federalism (64 FR 43255, August 10,
1999) and Executive Order 13175,
entitled Consultation and Coordination
with Indian Tribal Governments (65 FR
67249, November 9, 2000) do not apply
to this final rule. In addition, this final
rule does not impose any enforceable
duty or contain any unfunded mandate
as described under Title II of the
Unfunded Mandates Reform Act of 1995
(UMRA) (Public Law 104–4).
This action does not involve any
technical standards that would require
Agency consideration of voluntary
consensus standards pursuant to section
12(d) of the National Technology
Transfer and Advancement Act of 1995
(NTTAA), Public Law 104–113, section
12(d) (15 U.S.C. 272 note).
VII. Congressional Review Act
The Congressional Review Act, 5
U.S.C. 801 et seq., generally provides
that before a rule may take effect, the
agency promulgating the rule must
submit a rule report to each House of
the Congress and to the Comptroller
General of the United States. EPA will
submit a report containing this rule and
other required information to the U.S.
Senate, the U.S. House of
Representatives, and the Comptroller
General of the United States prior to
publication of this final rule in the
Federal Register. This final rule is not
a ‘‘major rule’’ as defined by 5 U.S.C.
804(2).
List of Subjects in 40 CFR Part 180
Environmental protection,
Administrative practice and procedure,
Agricultural commodities, Pesticides
and pests, Reporting and recordkeeping
requirements.
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Dated: September 25, 2009.
Lois Rossi,
Director, Registration Division, Office of
Pesticide Programs.
Therefore, 40 CFR chapter I is
amended as follows:
■
PART 180—[AMENDED]
1. The authority citation for part 180
continues to read as follows:
■
Authority: 21 U.S.C. 321(q), 346a and 371.
2. Section 180.582 is amended by
alphabetically adding the following
commodities to the table and by revising
fruit, stone, group 12 in the table in
paragraph (a)(1) read as follows:
■
180.582 Pyraclostrobin; tolerances for
residues.
(a) General. (1) * * *
Parts per
million
Commodity
*
*
*
Coffee, bean, green ..................
*
*
*
Fruit, stone, group 12 ...............
*
*
*
Sorghum, grain, forage .............
Sorghum, grain, grain ...............
Sorghum, grain, stover .............
*
*
*
*
*
*
*
*
0.31
*
2.5
*
5.0
0.60
0.80
*
1 There
is no U.S. registration on coffee,
bean, green as of September 30, 2009.
*
*
*
*
*
[FR Doc. E9–24058 Filed 10–06–09; 8:45 am]
BILLING CODE 6560–50–S
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
42 CFR Parts 412, 413, 415, 485, and
489
[CMS–1406–CN]
RINs 0938–AP33; 0938–AP39; 0938–AP76
Medicare Program; Changes to the
Hospital Inpatient Prospective
Payment Systems for Acute Care
Hospitals and Fiscal Year 2010 Rates
and to the Long-Term Care Hospital
Prospective Payment System and Rate
Year 2010 Rates; Corrections
AGENCY: Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Correction of final rules and
interim final rule with comment period.
SUMMARY: This document corrects
technical errors and typographical
errors that appeared in the final rules
and interim final rule with comment
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period published in the Federal
Register on August 27, 2009 entitled
‘‘Medicare Program; Changes to the
Hospital Inpatient Prospective Payment
Systems for Acute Care Hospitals and
Fiscal Year 2010 Rates and to the LongTerm Care Hospital Prospective
Payment System and Rate Year 2010
Rates.’’
DATES: Effective Date: This correction
document is effective October 2, 2009.
Applicability Date: This correction
document is applicable to discharges
occurring on or after October 1, 2009.
FOR FURTHER INFORMATION CONTACT: Tzvi
Hefter, (410) 786–4487.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. E8–18663 of August 27,
2009 (74 FR 43754), the final rule with
comment period entitled ‘‘Medicare
Program; Changes to the Hospital
Inpatient Prospective Payment Systems
for Acute Care Hospitals and Fiscal Year
2010 Rates and to the Long-Term Care
Hospital Prospective Payment System
and Rate Year 2010 Rates’’ (hereinafter
referred to as the FY 2010 IPPS/RY 2010
LTCH PPS final rule) there were a
number of technical errors that are
identified and corrected in the
Correction of Errors section below. The
provisions in this correction notice are
effective as if they had been included in
the document published August 27,
2009. Further, changes to our rates have
already been made through PRICER and
joint signature memoranda.
Accordingly, the corrections are
effective October 1, 2009.
II. Summary of Errors
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A. Errors in the Preamble
On page 43889, in our discussion of
the submission period for annual
electronically acknowledgement of the
completeness and accuracy of data, the
submission period was incorrectly
indicated as once between January 1,
2010 and August 15, 2010. Therefore, in
section III.A.1. of this notice, we are
correcting our discussion to require
hospitals to electronically acknowledge
their data accuracy and completeness
once between July 1, 2010 and August
15, 2010 for the FY 2011 payment
determination.
On page 43920, in our discussion of
hospital emergency services under the
Emergency Medical Treatment and
Labor Act (EMTALA), we made a
technical error in a parenthetical phrase
by noting that emphasized text was
underlined instead of italicized.
Therefore, in section III.A.2. of this
notice, we are correcting the phrase
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15:23 Oct 06, 2009
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‘‘(which are underlined)’’ to read
‘‘(which are italicized).’’
On page 43934, in our discussion
regarding critical access hospitals
(CAHs) and provider-based entities, we
inadvertently provided the following
incorrect example ‘‘For example, a
CAH-based RHC with 50 or more beds
is a provider-based entity because it is
paid based on the RHC payment
methodology at 42 CFR 405.2462.’’ In
section III.A3. of this notice, we are
correcting the example.
On page 43994, we inadvertently
misnumbered the heading for sections
‘‘XI. MedPAC Recommendations’’ and
‘‘XII. Other Required Information’’ and
we are correcting these numbering
errors in section III.A.4. of this notice.
B. Errors in the Addendum
On pages 44011, 44015, 44017, 44019,
44020, 44021, and 44031, we
inadvertently cited that the forecast of
the FY 2006-based capital input price
index (CIPI) for FY 2010 is 1.4 percent.
However, the FY 2006-based CIPI for FY
2010 is forecast 1.2 percent, as stated in
the preamble of the FY 2010 IPPS/RY
2010 LTCH PPS final rule. We are
correcting this error in the update to the
capital rates. We are also correcting that
capital outlier offset since outlier
payments are determined based on the
capital rates. (See sections III.B.3.
through 7. of this notice.)
On page 44031, in Table 1A—
National Adjusted Operating
Standardized Amounts, Labor/Nonlabor
(68.8 Percent Labor Share/31.2 Percent
Nonlabor Share If Wage Index Is Greater
Than 1) and Table 1B—National
Adjusted Operating Standardized
Amounts, Labor/Nonlabor (62 Percent
Labor Share/38 Percent Nonlabor Share
If Wage Index Is Less Than or Equal to
1), we are correcting a typographical
error in the column headings for the
‘‘reduced update.’’ Section
1886(b)(3)(B)(viii) of the Act provides
for a reduction of 2.0 percentage points
from the update percentage increase
(also known as the market basket
update) for FY 2007 and subsequent
fiscal years. As stated in the preamble
to the FY 2010 IPPS/RY 2010 LTCH PPS
final rule, the market basket update to
the national adjusted operating
standardized amounts for FY 2010 is 2.1
percent. Therefore, the reduced update
to the national adjusted operating
standardized amounts for hospitals that
fail to submit quality data consistent
with section 1886(b)(3)(B)(viii) of the
Act for FY 2010 is 0.1 percent (that is,
2.1 percent minus 2.0 percent).
However, Tables 1A and 1B erroneously
cite that the reduced update is 1.1
percent; and therefore, we are correcting
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51497
this error in the column headings. (See
section III.B.7. of this notice.)
On page 44031, in Table 1D—Capital
Standard Federal Payment Rate, we are
correcting an inadvertent error in the
update to the capital rates, wherein the
Addendum of the FY 2010 IPPS/RY
2010 LTCH PPS final rule, in
establishing the capital update, we
erroneously cited the CIPI forecast for
FY 2010 as 1.4 percent. However, as
stated in the preamble of that final rule,
the CIPI for FY 2010 is 1.2. We are
correcting this error in the update to the
capital rates (see section III.B.7. of this
notice).
On pages 44032 through 44078, in
Table 2.—Acute Care Hospitals CaseMix Indexes for Discharges Occurring in
Federal Fiscal Year 2008; Hospital Wage
Indexes for Federal Fiscal Year 2010;
Hospital Average Hourly Wages for
Federal Fiscal Years 2008 (2004 Wage
Data), 2009 (2005 Wage Data), and 2010
(2006 Wage Data); and 3-Year Average
of Hospital Average Hourly Wages, we
are correcting technical errors in
hospitals’ wage data or geographic
classifications that were used in
calculating the wage index that was
published in the FY 2010 IPPS/RY 2010
LTCH PPS final rule. We are correcting
Table 2 by adding the wage data for
provider 230105, which through an
inadvertent typographical error was
omitted from the table. In addition, we
are correcting inadvertent errors in the
case mix index and FY 2010 wage index
for provider 110230. We note that the
correction of these errors do not require
us to recalculate the wage indexes for
other providers that are located in or
reclassified to the same geographic area
because provider 110230 is a new
provider and has no average hourly
wage data. Also, in accordance with our
regulations regarding midyear
corrections to the wage index (42 CFR
412.64(k)(2)(ii)), we are correcting the
wage data for 4 providers (310034,
310052, 310073, and 330005). Other
corrections to Table 2 address the
addition of a hospital’s wage and
occupational mix data that were
erroneously excluded from the final FY
2010 wage index (provider 050335) and
the removal of a hospital’s wage data
that were erroneously included in the
final FY 2010 wage index (provider
050325). In addition, we are correcting
errors in geographic classifications for 5
providers (providers 150015, 230195,
330106, 340010, and 390201). As a
result of the wage data, occupational
mix data, and geographic classification
corrections made for the 11 providers
noted, we are also correcting the wage
index for other providers that are
located in or reclassified to the same
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Federal Register / Vol. 74, No. 193 / Wednesday, October 7, 2009 / Rules and Regulations
geographic area. (See section III.B.8. of
this notice.)
On page 44079, in Table 3A—FY 2010
and 3-Year* Average Hourly Wage for
Acute Care Hospitals in Urban Areas by
CBSA and Table 3B—FY 2010 and 3Year* Average Hourly Wage for Acute
Care Hospitals in Rural Areas by CBSA,
we are correcting certain area average
hourly wages based on corrections to
errors in hospital wage data for several
providers. As discussed previously, in
Table 2 we are correcting the wage data
for 4 providers. The corrections to the
wage data for provider 330005 also
require a correction in the associated
area average hourly wage. Therefore, in
section III.B.9. of this notice, we are
correcting the area average hourly wage
for CBSA 15380 (Buffalo-Niagara Falls,
NY). (The corrections to the wage data
for providers 310034, 310052, 310073
do not result in a change to the
associated area average hourly wage.)
On page 44084, in Table 3B—FY 2010
and 3-Year* Average Hourly Wage for
Acute Care Hospitals in Rural Areas by
CBSA, we are correcting an area average
hourly wage based on corrections to
errors in the wage data for two
providers. As discussed previously, in
Table 2 we are correcting the wage and
occupational mix data for providers
050335 and 050325. The corrections to
the wage data for these providers also
require correction of the associated area
average hourly wage. Therefore, in
section III.B.10. of this notice, we are
correcting the area average hourly wage
for CBSA 05 (California).
On pages 44085 through 44095, in
Table 4A.—Wage Index and Capital
Geographic Adjustment Factor (GAF) for
Acute Care Hospitals in Urban Areas,
Table 4B.—Wage Index and Capital
Geographic Adjustment Factor (GAF) for
Acute Care Hospitals in Rural Areas and
Table 4C.—Wage Index and Capital
Geographic Adjustment Factor (GAF) for
Acute Care Hospitals that are
Reclassified, we are correcting technical
errors in hospitals’ geographic
classifications that were used in
calculating the wage index that was
published in the FY 2010 IPPS/RY 2010
LTCH PPS final rule. After correcting
the geographic classification for
provider 230195 (that is, removing the
provider from Table 9A), there are no
longer any hospitals that are reclassified
to CBSA 19804 for the FY 2010 wage
index. (See sections III.B.11. through 13.
of this notice.)
On page 44121 and 44122, in Table
4J—Out-Migration Adjustment for Acute
Care Hospitals—FY 2010, we are
correcting a technical error in the data
that were used in computing the
outmigration adjustments that were
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published in the FY 2010 IPPS/RY 2010
LTCH PPS final rule. We are correcting
the outmigration adjustment for
providers in Wayne County, MI, only.
However, this correction has no impact
on the wage index values in Tables 2,
4A, and 4B because all of the Wayne
County providers are reclassified
instead to Ann Arbor, MI (CBSA 11460).
Therefore, they are ineligible to receive
the outmigration adjustment. (See
section III.B.14. of this notice.)
On page 44140, in Table 6E.—Revised
Diagnosis Code Titles, we made a
typographical error in the description of
diagnosis code 793.99. Therefore, we are
correcting the phrase ‘‘radiological and
other examination’’ to read ‘‘radiological
and other examinations.’’ (See section
III.B.15. of this notice.)
On page 44161 and 44173, in Table
9A.—Hospital Reclassifications and
Redesignations—FY 2010, we are
correcting technical errors in hospitals’
geographic classifications that were
used in calculating the wage index that
was published in the FY 2010 IPPS/RY
2010 LTCH PPS final rule. Providers
110230, 150015, 230195, and 390201
were erroneously listed in Table 9A of
the Addendum to that final rule as being
reclassified; and therefore, we are
correcting the table by removing these
providers. Conversely, provider 330106
was inadvertently omitted from the
Table 9A; and therefore, we are
correcting this error by adding this
provider. (See section III.B.16. of this
notice.)
On page 44173, in Table 9C.—
Hospitals Redesignated as Rural Under
Section 1886(d)(8)(E) of the Act—FY
2010, we inadvertently omitted provider
340010. Therefore we are correcting this
error by adding this provider. (See
section III.B.17. of this notice.)
On pages 44195 and 44212, in Table
12A.—LTCH PPS Wage Index for Urban
Areas for Discharges Occurring From
October 1, 2009 Through September 30,
2010 and Table 12B.—LTCH PPS Wage
Index for Rural Ares for Discharges
Occurring From October 1, 2009
Through September 30, 2010, consistent
with the corrections to the IPPS wage
data discussed in this notice, we are
correcting technical errors in hospitals’
wage data that were used in calculating
the LTCH PPS wage index that was
published in the FY 2010 IPPS/RY 2010
LTCH IPPS final rule. (See sections
III.B.18. and 19. of this notice.)
On pages 44213, 44228 through
44230, and 44234 through 44235, we are
correcting the impact analysis to reflect
the correct CIPI of 1.2 percent rather
than 1.4 percent and the payment
estimates associated with the CIPI. (See
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sections III.B.20. through 24. of this
notice.)
III. Correction of Errors
In FR Doc. E8–18663 of August 27,
2009 (74 FR 43754), make the following
corrections:
A. Corrections to the Preamble
1. On page 43889, third column,
seventh paragraph, line 10, the date
‘‘January 1, 2010’’ is corrected to read
‘‘July 1, 2010.’’
2. On page 43920, second column,
first full paragraph, line 32, the phrase
‘‘(which are underlined)’’ is corrected to
read ‘‘(which are italicized)’’.
3. On page 43934, third column,
second full paragraph, the sentence ‘‘For
example, a CAH-based RHC with 50 or
more beds is a provider-based entity
because it is paid based on the RHC
payment methodology at 42 CFR
405.2462.’’ is corrected to read ‘‘For
example, a CAH-based RHC (that is, an
RHC that is provider-based to a hospital
with fewer than 50 beds) is not subject
to the per visit payment limitations
under section 1833(f) of the Act.’’
4. On page 43994,
a. First column, after the second full
paragraph, the heading ‘‘XI. MedPAC
Recommendations’’ is corrected to read
‘‘XII. MedPAC Recommendations.’’
b. Second column, after the fourth
paragraph, the heading ‘‘XII. Other
Required Information’’ is corrected to
read ‘‘XIII. Other Required
Information.’’
B. Corrections to the Addendum
1. On page 44011, in the second
column,
a. In the second full paragraph, line
13, the figure ‘‘5.2’’ is corrected to read
‘‘5.3’’.
b. In the table following fourth
paragraph, the table is corrected to read
as follows:
Capital
Federal Rate
National .................................
Puerto ...................................
0.947484
0.935759
2. On page 44015, third column,
a. First full paragraph,
(1) Line 9, the figure ‘‘1.4’’ is
corrected to read ‘‘1.2.’’
(2) Line 13, the figure ‘‘$171’’ is
corrected to read ‘‘$154.’’
b. Second full paragraph,
(1) Line 11, the figure ‘‘1.40’’ is
corrected to read ‘‘1.20.’’
(2) Line 14, the figure ‘‘1.4’’ is
corrected to read ‘‘1.2.’’
3. On page 44017,
a. Second column,
(1) Fourth full paragraph, line 2, the
figure ‘‘1.4’’ is corrected to read ‘‘1.2.’’
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(b) Line 9, the figure ‘‘1.0013’’ is
corrected to read ‘‘1.0011.’’
(c) Line 10, the figure ‘‘0.9477’’ is
corrected to read ‘‘0.9475.’’
(d) Line 12, the figure ‘‘0.13’’ is
corrected to read ‘‘0.11.’’
4. On page 44019, third column,
Capital Input Price Index ......................
1.2
a. First full paragraph,
Subtotal .........................................
1.2
Total Update ..............................
1.2
(1) Line 3, the figure ‘‘1.4’’ is
corrected to read ‘‘1.2.’’
b. Third column,
(2) Line 5, the figure ‘‘1.4’’ is
(1) Second full paragraph,
corrected to read ‘‘1.2.’’
(a) Line 10, the figure ‘‘5.23’’ is
(3) Line 8, the figure ‘‘$430.15’’ is
corrected to read ‘‘5.25.’’
corrected to read ‘‘$429.26.’’
(b) Line 13, the figure ‘‘0.9477’’ is
b. Second full paragraph (first
corrected to read ‘‘0.9475.’’
bulleted paragraph)
(2) Third full paragraph,
(1) Line 1, the figure ‘‘1.0140’’ is
(a) Line 5, the figures ‘‘0.9477’’ and
corrected to read ‘‘1.0120.’’
‘‘0.13’’ are corrected to read ‘‘0.9475’’
(2) Line 2, the figure ‘‘1.4’’ is
and ‘‘0.11,’’ respectively.
corrected to read ‘‘1.2.’’
(2) Following the fourth full
paragraph, in the table entitled ‘‘CMS
FY 2010 Update to the Capital Federal
Rate,’’ the figures for the listed entries
are corrected to read as follows:
51499
c. Fourth full paragraph (third
bulleted paragraph), last line, the figure
‘‘0.9477’’ is corrected to read ‘‘0.9475.’’
d. Last paragraph,
(1) Line 8, the figure ‘‘1.4’’ is
corrected to read ‘‘1.2.’’
(2) Line 14, the figure ‘‘0.13’’ is
corrected to read ‘‘0.11.’’
5. On page 44020,
a. Top third of the page,
(1) Third column, line 2, the figure
‘‘1.4’’ is corrected to read ‘‘1.2.’’
(2) The table entitled ‘‘Comparison of
Factors and Adjustments: FY 2009
Capital Federal Rate and FY 2010
Capital Federal Rate’’, the listed entries
and footnote are corrected to read as
follows:
FY 2010
Update Factor 1 ....................................................................................................................................................
Outlier Adjustment Factor 2 ..................................................................................................................................
Capital Federal Rate ............................................................................................................................................
1.0120
0.9475
$429.26
Change
Percent
change
1.0120
1.0011
1.0120
1.20
0.11
1.20
2 The outlier reduction factor and the exceptions adjustment factor are not built permanently into the capital rates; that is, these factors are not
applied cumulatively in determining the capital rates. Thus, for example, the net change resulting from the application of the FY 2010 outlier adjustment factor is 0.9475/0.9465, or 1.0011.
b. Middle third of the page, the table
entitled ‘‘Comparison of Factors and
Adjustments: Proposed FY 2009 Capital
Federal Rate and Final FY 2010 Capital
Federal Rate’’, the listed entries are
corrected to read as follows:
Final
FY 2010
Update Factor ......................................................................................................................................................
Outlier Adjustment Factor ....................................................................................................................................
Capital Federal Rate ............................................................................................................................................
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c. Bottom third of the page, third
column, first full paragraph, line 4, the
figure ‘‘$204.01’’ corrected ‘‘$203.56.’’
6. On page 44021, second column,
second full paragraph,
a. Line 4, the figure ‘‘1.4’’ is corrected
to read ‘‘1.2.’’
b. Line 13, the figure ‘‘1.4’’ is
corrected to read ‘‘1.2.’’
7. On page 44031,
a. Top half of the page,
(1) Table 1A—National Adjusted
Operating Standardized Amounts,
Labor/Nonlabor (68.8 Percent Labor
Share/31.2 Percent Nonlabor Share If
Wage Index Is Greater Than 1), the
second column heading ‘‘Reduce update
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16:50 Oct 06, 2009
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(1.1 percent)’’ is corrected to read
‘‘Reduce update (0.1 percent).’’
(2) Table 1B—National Adjusted
Operating Standardized Amounts,
Labor/Nonlabor (62 Percent Labor
Share/38 Percent Nonlabor Share If
Wage Index Is Less Than or Equal to 1),
the second column heading ‘‘Reduce
update (1.1 percent)’’ is corrected to
read ‘‘Reduce update (0.1 percent).’’
b. Bottom half of the page, in Table
1D—Capital Standard Federal Payment
Rate, the rate entries are corrected to
read as follows:
Rate
National .........................................
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1.0120
0.9475
$429.26
Change
1.0000
1.0022
1.0204
Percent
change
0.00
0.22
2.04
Rate
Puerto Rico ...................................
203.56
8. On pages 44032 through 44078, in
Table 2.—Acute Care Hospitals CaseMix Indexes for Discharges Occurring in
Federal Fiscal Year 2008; Hospital Wage
Indexes for Federal Fiscal Year 2010;
Hospital Average Hourly Wages for
Federal Fiscal Years 2008 (2004 Wage
Data), 2009 (2005 Wage Data), and 2010
(2006 Wage Data); and 3-Year Average
of Hospital Average Hourly Wages, the
listed entries are corrected to read as
follows:
$429.26
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07OCR1
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Federal Register / Vol. 74, No. 193 / Wednesday, October 7, 2009 / Rules and Regulations
by CBSA, the listed entry is corrected to
read as follows:
FY 2010
average
hourly wage
CBSA code
Urban area
15380 ..............................................................................
Buffalo-Niagara Falls, NY ...............................................
10. On page 44084, in Table 3B.—FY
2010 and 3-Year* Average Hourly Wage
for Acute Care Hospitals in Rural Areas
05 ....................................................................................
California ........................................................................
Geographic Adjustment Factor (GAF) for
Acute Care Hospitals in Urban Areas by
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State
Bakersfield, CA ...............................................................................
Buffalo-Niagara Falls, NY ...............................................................
Chico, CA ........................................................................................
Detroit-Livonia-Dearborn, MI ...........................................................
El Centro, CA ..................................................................................
Fresno, CA ......................................................................................
Gary, IN ...........................................................................................
Hanford-Corcoran, CA ....................................................................
Jacksonville, NC .............................................................................
Madera-Chowchilla, CA ..................................................................
Riverside-San Bernardino-Ontario, CA ...........................................
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39.9000
3-Year
average
hourly
wage
38.2787
CBSA and by State—FY 2010, the listed
entries are corrected to read as follows:
CBSA name
.........................................
.........................................
.........................................
.........................................
.........................................
.........................................
.........................................
.........................................
.........................................
.........................................
.........................................
31.2001
FY 2010
Average
hourly
wage
Nonurban area
12540
15380
17020
19804
20940
23420
23844
25260
27340
31460
40140
32.9408
by CBSA, the listed entry is corrected to
read as follows:
CBSA code
11. On pages 44085 through 44090, in
Table 4A.—Wage Index and Capital
3-Year
average
hourly wage
E:\FR\FM\07OCR1.SGM
Wage index
CA
NY
CA
MI
CA
CA
IN
CA
NC
CA
CA
07OCR1
1.1831
0.9809
1.1831
0.9777
1.1831
1.1831
0.9168
1.1831
0.8605
1.1831
1.1831
GAF
1.1220
0.9869
1.1220
0.9847
1.1220
1.1220
0.9422
1.1220
0.9022
1.1220
1.1220
ER07OC09.005</GPH>
9. On page 44079, in Table 3A—FY
2010 and 3-Year* Average Hourly Wage
for Acute Care Hospitals in Urban Areas
51505
51506
Federal Register / Vol. 74, No. 193 / Wednesday, October 7, 2009 / Rules and Regulations
CBSA
41740
42044
47300
49700
CBSA name
.........................................
.........................................
.........................................
.........................................
State
San Diego-Carlsbad-San Marcos, CA ............................................
Santa Ana-Anaheim-Irvine, CA .......................................................
Visalia-Porterville, CA .....................................................................
Yuba City, CA .................................................................................
12. On page 44091, in Table 4B—
Wage Index and Capital Geographic
Adjustment Factor (GAF) for Acute Care
Hospitals in Rural Areas by CBSA and
Wage index
CA
CA
CA
CA
1.1831
1.1831
1.1831
1.1831
GAF
1.1220
1.1220
1.1220
1.1220
by State—FY 2010, the listed entries are
corrected to read as follows:
CBSA
CBSA name
State
05 ...............................................
34 ...............................................
California .........................................................................................
Rural North Carolina .......................................................................
Wage index
CA
NC
13. On pages 44091 through 44095, in
Table 4C.—Wage Index and Capital
Geographic Adjustment Factor (GAF) for
Acute Care Hospitals that are
Reclassified by CBSA and by State—FY
2010, the listed entries are corrected
by—
CBSA
CBSA name
State
05 .....................................................................
34 .....................................................................
34 .....................................................................
10900 ...............................................................
15380 ...............................................................
23844 ...............................................................
31084 ...............................................................
33700 ...............................................................
35644 ...............................................................
35644 ...............................................................
35644 ...............................................................
42044 ...............................................................
California ..........................................................
Rural North Carolina ........................................
Rural North Carolina ........................................
Allentown-Bethlehem-Easton, PA–NJ .............
Buffalo-Niagara Falls, NY ................................
Gary, IN ...........................................................
Los Angeles-Long Beach-Glendale, CA .........
Modesto, CA ....................................................
New York-White Plains-Wayne, NY–NJ ..........
New York-White Plains-Wayne, NY–NJ ..........
New York-White Plains-Wayne, NY–NJ ..........
Santa Ana-Anaheim-Irvine, CA .......................
CA .......................
NC .......................
TN .......................
PA .......................
NY .......................
IN .........................
CA .......................
CA .......................
CT .......................
NJ ........................
NY .......................
CA .......................
CBSA
CBSA name
State
19804 ...............................................................
Detroit-Livonia-Dearborn, MI ...........................
MI ........................
14. On pages 44121 and 44122, in
Table 4J—Out-Migration Adjustment for
Acute Care Hospitals—FY 2010, the
1.1831
0.8605
GAF
1.1220
0.9022
listed entries are corrected to read as
follows:
a. Correcting the wage indexes and
GAFs for the following CBSAs:
Wage index
1.1831
0.8605
0.8592
0.9811
0.9809
0.9168
1.1831
1.2202
1.2651
1.2722
1.2903
1.1831
GAF
1.1220
0.9022
0.9013
0.9870
0.9869
0.9422
1.1220
1.1460
1.1747
1.1792
1.1907
1.1220
b. Removing the entry for the
following CBSA:
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Provider
number
230002
230020
230024
230053
230089
230104
230135
230142
230146
230165
230176
230244
230270
230273
230297
Reclassified
for FY 2010
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
..................
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Out-migration
adjustment
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
15:23 Oct 06, 2009
0.0043
0.0043
0.0043
0.0043
0.0043
0.0043
0.0043
0.0043
0.0043
0.0043
0.0043
0.0043
0.0043
0.0043
0.0043
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Wage index
0.9788
Qualifying county name
WAYNE
WAYNE
WAYNE
WAYNE
WAYNE
WAYNE
WAYNE
WAYNE
WAYNE
WAYNE
WAYNE
WAYNE
WAYNE
WAYNE
WAYNE
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0.9854
County code
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
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GAF
07OCR1
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23810
23810
23810
23810
23810
23810
23810
23810
23810
23810
23810
23810
23810
23810
Federal Register / Vol. 74, No. 193 / Wednesday, October 7, 2009 / Rules and Regulations
15. On page 44140, in Table 6E.—
Revised Diagnosis Code Titles, in the
description (column 2) for diagnosis
code 793.99 is the phrase ‘‘radiological
and other examination’’ is corrected to
read ‘‘radiological and other
examinations.’’
16. On pages 44161 and 44173, in
Table 9A.—Hospital Reclassifications
110230
150015
230195
390201
and Redesignations—FY 2010 the table
is corrected by—
a. Removing the following entries:
Geographic
CBSA
Provider number
51507
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
Reclassified
CBSA
11
33140
47644
39
16860
23844
19804
10900
LUGAR
LUGAR
........................
........................
LUGAR
b. Adding following entry:
Geographic
CBSA
Provider number
330106 .........................................................................................................................................
17. On page 44173, in Table 9C.—
Hospitals Redesignated as Rural Under
Section 1886(d)(8)(E) of the Act—
Reclassified
CBSA
35004
35644
FY2010 is corrected by adding the listed
provider to read as follows:
Geographic
CBSA
Provider No.
340010 .....................................................................................................................................................................
18. On page 44195, in Table 12A.—
LTCH PPS Wage Index for Urban Areas
for Discharges Occurring From October
1, 2009 Through September 30, 2010,
24140
15380 ................................................
Buffalo-Niagara Falls, NY ........................................................................................................
Erie County, NY.
Niagara County, NY.
(2) First full paragraph, line 5, the
figure ‘‘0.9477’’ is corrected to read
‘‘0.9475.’’
(3) Third full paragraph, the phrase
‘‘proposed 1.4 percent’’ is corrected to
read ‘‘1.2 percent.’’
(4) Last paragraph, line 5, the figure
CBSA
LTCH PPS ‘‘1.4’’ is corrected to read ‘‘1.2.’’
Nonurban area
code
wage index
b. Third column,
(1) First partial paragraph, line 9, the
05 ........ California .................
1.2051
figure ‘‘1.9’’ is corrected to read ‘‘1.7.’’
(2) First full paragraph,
20. On page 44213, first column, third
(a) Line 3, the figure ‘‘2.0’’ is corrected
paragraph,
to read ‘‘1.8.’’
a. Line 14, the figure ‘‘$171’’ is
(b) Line 7, the figure ‘‘2.1’’ is
corrected to read ‘‘$154.’’
corrected to read ‘‘1.9.’’
b. Line 15, the figure ‘‘1.9’’ is
(c) Last line, the figure ‘‘1.5’’ is
corrected to read ‘‘1.7.’’
corrected to read ‘‘1.3.’’
21. On page 44228,
(3) Second full paragraph,
a. Second column,
(1) First partial paragraph, line 5, the
(a) Line 4, the figure ‘‘0.7’’ is corrected
figure ‘‘1.4’’ is corrected to read ‘‘1.2.’’
to read ‘‘0.5.’’
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34
LTCH PPS
wage index
Urban area (Constituent Counties)
19. On page 44212, in Table 12B.—
LTCH PPS Wage Index for Rural Areas
for Discharges Occurring From October
1, 2009 Through September 30, 2010,
the LTCH PPS wage index for the listed
entry is corrected to read as follows:
Redesignated
rural area
the LTCH PPS wage index for the listed
entry is corrected to read as follows:
CBSA code
VerDate Nov<24>2008
LUGAR
0.9740
(b) Line 6, the figure ‘‘2.8’’ is
corrected to read ‘‘2.6.’’
(4) Third full paragraph,
(a) Line 3, the figure ‘‘1.9’’ is corrected
to read ‘‘1.7.’’
(b) Line 5, the figure ‘‘2.0’’ is
corrected to read ‘‘1.8.’’
(5) Last paragraph,
(a) Line 10, the figure ‘‘2.0’’ is
corrected to read ‘‘1.8.’’
(b) Line 13, the figures ‘‘1.7’’ and
‘‘1.1’’ are corrected to read ‘‘1.4’’ and
‘‘0.9,’’ respectively.
(c) Line 17, the figure ‘‘1.9’’ is
corrected to read ‘‘1.6.’’
22. On pages 44229 and 44230, in
Table III—Comparison of Total
Payments Per Case [FY 2009 Payments
Compared to FY 2010 Payments], the
table is corrected to read as follows:
BILLING CODE 4120–01–P
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BILLING CODE 4120–01–C
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23. On page 44234, third column,
third full paragraph,
a. Line 21, the figure ‘‘2.1’’ is
corrected to read ‘‘1.7.’’
b. Line 25, the figure ‘‘$171’’ is
corrected to read ‘‘$154.’’
c. Line 28, the figure ‘‘$1.899’’ is
corrected to read ‘‘$1.892.’’
24. On page 44235, first column, in
Table V.—Accounting Statement:
Classification of Estimated Expenditures
under the IPPS from FY 2009 to FY
2010, the listed entries are corrected to
read as follows:
Category
Annualized Monetized
Transfers.
Total .....................................
VerDate Nov<24>2008
15:23 Oct 06, 2009
Transfers
$1.892 billion
$1.892 billion
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III. Waiver of Proposed Rulemaking
and Delay in 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
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51509
to the public interest, and the agency
incorporates a statement of the findings
and its reasons in the rule issued.
We are waiving 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 preamble, and addendum of the FY
2010 IPPS/RY 2010 LTCH PPS final rule
and does not make substantive changes
to the policies or payment
methodologies that were adopted in that
final rule. As a result, this notice is
intended to ensure that the FY 2010
IPPS/RY 2010 LTCH PPS final rule
accurately reflects the policies adopted
in that final rule and it would be
impracticable, unnecessary, and
contrary to the public interest to
undertake further notice and comment
procedures to incorporate these
corrections into that final rule or
delaying the effective date of these
changes, especially in light of the
October 1, 2009 start date for FY 2010.
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Federal Register / Vol. 74, No. 193 / Wednesday, October 7, 2009 / Rules and Regulations
51510
Federal Register / Vol. 74, No. 193 / Wednesday, October 7, 2009 / Rules and Regulations
Further, the changes that are being
made to the Addendum by this
Correction Notice, including the
changes to reflect the correct CIPI of 1.2
percent, do not constitute rules subject
to notice and comment rulemaking
under section 553 of the Administrative
Procedure Act, as the changes merely
ensure that the Addendum conforms to
the rules and methodologies that have
already been adopted through such
notice and comment rulemaking.
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: October 2, 2009.
Dawn L. Smalls,
Executive Secretary to the Department.
[FR Doc. E9–24202 Filed 10–2–09; 4:15 pm]
BILLING CODE 4120–01–P
GENERAL SERVICES
ADMINISTRATION
48 CFR Parts 503 and 552
GSAR Amendment 2009–12; GSAR Case
2008–G502 (Change 40) Docket 2008–0007;
Sequence 7
RIN 3090–AI63
General Services Administration
Acquisition Regulation; Rewrite of
GSAR Part 503; Improper Personal
Conflicts of Interest
General Services
Administration (GSA), Office of the
Acquisition Policy.
ACTION: Final rule.
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AGENCIES:
SUMMARY: The General Services
Administration (GSA) is amending the
General Services Administration
Acquisition Regulation (GSAR) by
revising the regulations pertaining to
Improper Business Practices and
Personal Conflicts of Interest. This rule
is a product of the GSAM Rewrite
Initiative undertaken by GSA to revise
the regulation to maintain consistency
with the FAR and implement
streamlined and innovative acquisition
procedures for contractors, offerors, and
GSA contracting personnel. The GSAM
incorporates the General Services
Administration Acquisition Regulation
(GSAR) as well as internal agency
acquisition policy.
DATES: Effective Date: October 7, 2009.
FOR FURTHER INFORMATION CONTACT: For
clarification of content, contact Ernest
Woodson, Procurement Analyst, at (202)
501–3775. For information pertaining to
status or publication schedules, contact
VerDate Nov<24>2008
15:23 Oct 06, 2009
Jkt 220001
the Regulatory Secretariat (MVR), Room
4041, 1800 F Street, NW, Washington,
DC, 20405, (202) 501–4755. Please cite
Amendment 2009–12, GSAR case 2008–
G502 (Change 40).
SUPPLEMENTARY INFORMATION:
A. Background
This final rule is a result of the
General Services Administration
Acquisition Manual (GSAM) Rewrite
initiative undertaken by GSA to revise
the GSAM to maintain consistency with
the FAR and to implement streamlined
and innovative acquisition procedures
that contractors, offerors, and GSA
acquisition personnel can use when
entering into and administering
contractual relationships. The GSAM
incorporates the General Services
Administration Acquisition Regulation
(GSAR) as well as internal agency
acquisition policy.
An Advanced Notice of Proposed
Rulemaking was published at 71 FR
7910, February 15, 2006, for the GSAM
Rewrite Projects and public comments
were received. However, none of the
comments were specific to Part 503. The
case was assigned to GSAM Part 503
Rewrite Team on February 18, 2008. A
Team report was completed on March 3,
2008.
To ensure completeness, internal
comments were solicited and received
from GSA Regions 1, 2, 3, 6, 7, 8, 10,
and 11, GSA published a proposed rule
with request for comments in the
Federal Register at 73 FR 45194, August
4, 2008. The public comment period
closed October 3, 2008. One response
was received with three comments. This
final rule reconciles the conclusions
from the Team report with the internal
comments, and public comment as
follows:
Public Comments
Comment: The respondent was
concerned that the requirement in
503.204(c) for an agency fact-finding
official to be designated by GSA Board
of Contract Appeals was not revised to
indicate that the Civilian Board of
Contract Appeals (CBCA) would
designate the official as means of
ensuring that disputes over gratuities
violations are handled independently
and objectively.
Response: The CBCA will not
designate an agency fact-finding official
for the treatment of violations under
503.204, as its current operating
procedures do not encompass the
activity. The Senior Procurement
Executive will refer matters under the
jurisdiction of GSAR 503.204 to the
Suspension and Debarment Official, in
accordance with GSAR 509.403, because
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Fmt 4700
Sfmt 4700
the Suspension and Debarment Official
is the individual who can appoint a factfinding official, should one be
necessary.
Comment: The respondent was
concerned that 503.1004 does not
provide a specific rationale for
establishing a lower threshold, or why
that threshold would be $1,000,000. The
respondent believes that the subsection
makes the threshold sound arbitrary.
Response: FAR 3.1004(b)(1)(i)
provides for agencies to establish a
threshold lower than $5,000,000.
Pursuant to FAR 1.302(b), agency
acquisition regulations may supplement
the FAR to include additional policies
and procedures that satisfy the specific
needs of the agency. GSA’s lower
threshold of $1,000,000 is based on
GSA’s unique acquisition mission and
the dollar amount of an order that may
be placed by GSA, under a task and
delivery order contract. Further, the
lower threshold insures greater visibility
for the detection of fraud in Federal
contracts ensuring protection for the
taxpayer.
Comment: 503.1004(b)—The fill-in
includes the acronym ‘‘OIG’’. Spell out
as Office of the Inspector General. The
FAR does otherwise include a reference
to OIG.
Response: GSA concurs with the
respondent and will make the change
accordingly.
The Rewrite of Part 503
This final rule contains revisions to
Part 503, Improper Business Practices
and Personal Conflicts of Interest. There
are no substantive changes to the
policies. The rule revises GSAR Subpart
503.1 Safeguards; deletes 503.104–1 and
503.104–9, to ensure consistency with
the GSAM that provides that the
acquisition of leasehold interests in real
property is established by GSAM Part
570; deletes 503.104–4, because post
employment restrictions are covered
under Federal conflicts of interest laws
and the Procurement Integrity Act that
every employee has a responsibility to
know; adds 503.104–2, to indicate that
acquisition officials are responsible for
knowing the post-employment
restrictions in FAR 3.104–2(b)(3) and in
the Procurement Integrity Act;
renumbers 503.104–5 to 503.104–4 and
revises 503.104–4, adds appropriate
GSAM and FAR references for the
release of information to outside
evaluators and deletes inappropriate
forms and language already addressed
in other GSAM subsections; and
renumbers 503.104–10 to 503.104–7, for
consistency with the FAR numbering
sequence.
E:\FR\FM\07OCR1.SGM
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]]>Agencies
[Federal Register Volume 74, Number 193 (Wednesday, October 7, 2009)]
[Rules and Regulations]
[Pages 51496-51510]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-24202]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 412, 413, 415, 485, and 489
[CMS-1406-CN]
RINs 0938-AP33; 0938-AP39; 0938-AP76
Medicare Program; Changes to the Hospital Inpatient Prospective
Payment Systems for Acute Care Hospitals and Fiscal Year 2010 Rates and
to the Long-Term Care Hospital Prospective Payment System and Rate Year
2010 Rates; Corrections
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Correction of final rules and interim final rule with comment
period.
-----------------------------------------------------------------------
SUMMARY: This document corrects technical errors and typographical
errors that appeared in the final rules and interim final rule with
comment
[[Page 51497]]
period published in the Federal Register on August 27, 2009 entitled
``Medicare Program; Changes to the Hospital Inpatient Prospective
Payment Systems for Acute Care Hospitals and Fiscal Year 2010 Rates and
to the Long-Term Care Hospital Prospective Payment System and Rate Year
2010 Rates.''
DATES: Effective Date: This correction document is effective October 2,
2009.
Applicability Date: This correction document is applicable to
discharges occurring on or after October 1, 2009.
FOR FURTHER INFORMATION CONTACT: Tzvi Hefter, (410) 786-4487.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. E8-18663 of August 27, 2009 (74 FR 43754), the final
rule with comment period entitled ``Medicare Program; Changes to the
Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals
and Fiscal Year 2010 Rates and to the Long-Term Care Hospital
Prospective Payment System and Rate Year 2010 Rates'' (hereinafter
referred to as the FY 2010 IPPS/RY 2010 LTCH PPS final rule) there were
a number of technical errors that are identified and corrected in the
Correction of Errors section below. The provisions in this correction
notice are effective as if they had been included in the document
published August 27, 2009. Further, changes to our rates have already
been made through PRICER and joint signature memoranda. Accordingly,
the corrections are effective October 1, 2009.
II. Summary of Errors
A. Errors in the Preamble
On page 43889, in our discussion of the submission period for
annual electronically acknowledgement of the completeness and accuracy
of data, the submission period was incorrectly indicated as once
between January 1, 2010 and August 15, 2010. Therefore, in section
III.A.1. of this notice, we are correcting our discussion to require
hospitals to electronically acknowledge their data accuracy and
completeness once between July 1, 2010 and August 15, 2010 for the FY
2011 payment determination.
On page 43920, in our discussion of hospital emergency services
under the Emergency Medical Treatment and Labor Act (EMTALA), we made a
technical error in a parenthetical phrase by noting that emphasized
text was underlined instead of italicized. Therefore, in section
III.A.2. of this notice, we are correcting the phrase ``(which are
underlined)'' to read ``(which are italicized).''
On page 43934, in our discussion regarding critical access
hospitals (CAHs) and provider-based entities, we inadvertently provided
the following incorrect example ``For example, a CAH-based RHC with 50
or more beds is a provider-based entity because it is paid based on the
RHC payment methodology at 42 CFR 405.2462.'' In section III.A3. of
this notice, we are correcting the example.
On page 43994, we inadvertently misnumbered the heading for
sections ``XI. MedPAC Recommendations'' and ``XII. Other Required
Information'' and we are correcting these numbering errors in section
III.A.4. of this notice.
B. Errors in the Addendum
On pages 44011, 44015, 44017, 44019, 44020, 44021, and 44031, we
inadvertently cited that the forecast of the FY 2006-based capital
input price index (CIPI) for FY 2010 is 1.4 percent. However, the FY
2006-based CIPI for FY 2010 is forecast 1.2 percent, as stated in the
preamble of the FY 2010 IPPS/RY 2010 LTCH PPS final rule. We are
correcting this error in the update to the capital rates. We are also
correcting that capital outlier offset since outlier payments are
determined based on the capital rates. (See sections III.B.3. through
7. of this notice.)
On page 44031, in Table 1A--National Adjusted Operating
Standardized Amounts, Labor/Nonlabor (68.8 Percent Labor Share/31.2
Percent Nonlabor Share If Wage Index Is Greater Than 1) and Table 1B--
National Adjusted Operating Standardized Amounts, Labor/Nonlabor (62
Percent Labor Share/38 Percent Nonlabor Share If Wage Index Is Less
Than or Equal to 1), we are correcting a typographical error in the
column headings for the ``reduced update.'' Section 1886(b)(3)(B)(viii)
of the Act provides for a reduction of 2.0 percentage points from the
update percentage increase (also known as the market basket update) for
FY 2007 and subsequent fiscal years. As stated in the preamble to the
FY 2010 IPPS/RY 2010 LTCH PPS final rule, the market basket update to
the national adjusted operating standardized amounts for FY 2010 is 2.1
percent. Therefore, the reduced update to the national adjusted
operating standardized amounts for hospitals that fail to submit
quality data consistent with section 1886(b)(3)(B)(viii) of the Act for
FY 2010 is 0.1 percent (that is, 2.1 percent minus 2.0 percent).
However, Tables 1A and 1B erroneously cite that the reduced update is
1.1 percent; and therefore, we are correcting this error in the column
headings. (See section III.B.7. of this notice.)
On page 44031, in Table 1D--Capital Standard Federal Payment Rate,
we are correcting an inadvertent error in the update to the capital
rates, wherein the Addendum of the FY 2010 IPPS/RY 2010 LTCH PPS final
rule, in establishing the capital update, we erroneously cited the CIPI
forecast for FY 2010 as 1.4 percent. However, as stated in the preamble
of that final rule, the CIPI for FY 2010 is 1.2. We are correcting this
error in the update to the capital rates (see section III.B.7. of this
notice).
On pages 44032 through 44078, in Table 2.--Acute Care Hospitals
Case-Mix Indexes for Discharges Occurring in Federal Fiscal Year 2008;
Hospital Wage Indexes for Federal Fiscal Year 2010; Hospital Average
Hourly Wages for Federal Fiscal Years 2008 (2004 Wage Data), 2009 (2005
Wage Data), and 2010 (2006 Wage Data); and 3-Year Average of Hospital
Average Hourly Wages, we are correcting technical errors in hospitals'
wage data or geographic classifications that were used in calculating
the wage index that was published in the FY 2010 IPPS/RY 2010 LTCH PPS
final rule. We are correcting Table 2 by adding the wage data for
provider 230105, which through an inadvertent typographical error was
omitted from the table. In addition, we are correcting inadvertent
errors in the case mix index and FY 2010 wage index for provider
110230. We note that the correction of these errors do not require us
to recalculate the wage indexes for other providers that are located in
or reclassified to the same geographic area because provider 110230 is
a new provider and has no average hourly wage data. Also, in accordance
with our regulations regarding midyear corrections to the wage index
(42 CFR 412.64(k)(2)(ii)), we are correcting the wage data for 4
providers (310034, 310052, 310073, and 330005). Other corrections to
Table 2 address the addition of a hospital's wage and occupational mix
data that were erroneously excluded from the final FY 2010 wage index
(provider 050335) and the removal of a hospital's wage data that were
erroneously included in the final FY 2010 wage index (provider 050325).
In addition, we are correcting errors in geographic classifications for
5 providers (providers 150015, 230195, 330106, 340010, and 390201). As
a result of the wage data, occupational mix data, and geographic
classification corrections made for the 11 providers noted, we are also
correcting the wage index for other providers that are located in or
reclassified to the same
[[Page 51498]]
geographic area. (See section III.B.8. of this notice.)
On page 44079, in Table 3A--FY 2010 and 3-Year* Average Hourly Wage
for Acute Care Hospitals in Urban Areas by CBSA and Table 3B--FY 2010
and 3-Year* Average Hourly Wage for Acute Care Hospitals in Rural Areas
by CBSA, we are correcting certain area average hourly wages based on
corrections to errors in hospital wage data for several providers. As
discussed previously, in Table 2 we are correcting the wage data for 4
providers. The corrections to the wage data for provider 330005 also
require a correction in the associated area average hourly wage.
Therefore, in section III.B.9. of this notice, we are correcting the
area average hourly wage for CBSA 15380 (Buffalo-Niagara Falls, NY).
(The corrections to the wage data for providers 310034, 310052, 310073
do not result in a change to the associated area average hourly wage.)
On page 44084, in Table 3B--FY 2010 and 3-Year* Average Hourly Wage
for Acute Care Hospitals in Rural Areas by CBSA, we are correcting an
area average hourly wage based on corrections to errors in the wage
data for two providers. As discussed previously, in Table 2 we are
correcting the wage and occupational mix data for providers 050335 and
050325. The corrections to the wage data for these providers also
require correction of the associated area average hourly wage.
Therefore, in section III.B.10. of this notice, we are correcting the
area average hourly wage for CBSA 05 (California).
On pages 44085 through 44095, in Table 4A.--Wage Index and Capital
Geographic Adjustment Factor (GAF) for Acute Care Hospitals in Urban
Areas, Table 4B.--Wage Index and Capital Geographic Adjustment Factor
(GAF) for Acute Care Hospitals in Rural Areas and Table 4C.--Wage Index
and Capital Geographic Adjustment Factor (GAF) for Acute Care Hospitals
that are Reclassified, we are correcting technical errors in hospitals'
geographic classifications that were used in calculating the wage index
that was published in the FY 2010 IPPS/RY 2010 LTCH PPS final rule.
After correcting the geographic classification for provider 230195
(that is, removing the provider from Table 9A), there are no longer any
hospitals that are reclassified to CBSA 19804 for the FY 2010 wage
index. (See sections III.B.11. through 13. of this notice.)
On page 44121 and 44122, in Table 4J--Out-Migration Adjustment for
Acute Care Hospitals--FY 2010, we are correcting a technical error in
the data that were used in computing the outmigration adjustments that
were published in the FY 2010 IPPS/RY 2010 LTCH PPS final rule. We are
correcting the outmigration adjustment for providers in Wayne County,
MI, only. However, this correction has no impact on the wage index
values in Tables 2, 4A, and 4B because all of the Wayne County
providers are reclassified instead to Ann Arbor, MI (CBSA 11460).
Therefore, they are ineligible to receive the outmigration adjustment.
(See section III.B.14. of this notice.)
On page 44140, in Table 6E.--Revised Diagnosis Code Titles, we made
a typographical error in the description of diagnosis code 793.99.
Therefore, we are correcting the phrase ``radiological and other
examination'' to read ``radiological and other examinations.'' (See
section III.B.15. of this notice.)
On page 44161 and 44173, in Table 9A.--Hospital Reclassifications
and Redesignations--FY 2010, we are correcting technical errors in
hospitals' geographic classifications that were used in calculating the
wage index that was published in the FY 2010 IPPS/RY 2010 LTCH PPS
final rule. Providers 110230, 150015, 230195, and 390201 were
erroneously listed in Table 9A of the Addendum to that final rule as
being reclassified; and therefore, we are correcting the table by
removing these providers. Conversely, provider 330106 was inadvertently
omitted from the Table 9A; and therefore, we are correcting this error
by adding this provider. (See section III.B.16. of this notice.)
On page 44173, in Table 9C.--Hospitals Redesignated as Rural Under
Section 1886(d)(8)(E) of the Act--FY 2010, we inadvertently omitted
provider 340010. Therefore we are correcting this error by adding this
provider. (See section III.B.17. of this notice.)
On pages 44195 and 44212, in Table 12A.--LTCH PPS Wage Index for
Urban Areas for Discharges Occurring From October 1, 2009 Through
September 30, 2010 and Table 12B.--LTCH PPS Wage Index for Rural Ares
for Discharges Occurring From October 1, 2009 Through September 30,
2010, consistent with the corrections to the IPPS wage data discussed
in this notice, we are correcting technical errors in hospitals' wage
data that were used in calculating the LTCH PPS wage index that was
published in the FY 2010 IPPS/RY 2010 LTCH IPPS final rule. (See
sections III.B.18. and 19. of this notice.)
On pages 44213, 44228 through 44230, and 44234 through 44235, we
are correcting the impact analysis to reflect the correct CIPI of 1.2
percent rather than 1.4 percent and the payment estimates associated
with the CIPI. (See sections III.B.20. through 24. of this notice.)
III. Correction of Errors
In FR Doc. E8-18663 of August 27, 2009 (74 FR 43754), make the
following corrections:
A. Corrections to the Preamble
1. On page 43889, third column, seventh paragraph, line 10, the
date ``January 1, 2010'' is corrected to read ``July 1, 2010.''
2. On page 43920, second column, first full paragraph, line 32, the
phrase ``(which are underlined)'' is corrected to read ``(which are
italicized)''.
3. On page 43934, third column, second full paragraph, the sentence
``For example, a CAH-based RHC with 50 or more beds is a provider-based
entity because it is paid based on the RHC payment methodology at 42
CFR 405.2462.'' is corrected to read ``For example, a CAH-based RHC
(that is, an RHC that is provider-based to a hospital with fewer than
50 beds) is not subject to the per visit payment limitations under
section 1833(f) of the Act.''
4. On page 43994,
a. First column, after the second full paragraph, the heading ``XI.
MedPAC Recommendations'' is corrected to read ``XII. MedPAC
Recommendations.''
b. Second column, after the fourth paragraph, the heading ``XII.
Other Required Information'' is corrected to read ``XIII. Other
Required Information.''
B. Corrections to the Addendum
1. On page 44011, in the second column,
a. In the second full paragraph, line 13, the figure ``5.2'' is
corrected to read ``5.3''.
b. In the table following fourth paragraph, the table is corrected
to read as follows:
------------------------------------------------------------------------
Capital
Federal Rate
------------------------------------------------------------------------
National................................................ 0.947484
Puerto.................................................. 0.935759
------------------------------------------------------------------------
2. On page 44015, third column,
a. First full paragraph,
(1) Line 9, the figure ``1.4'' is corrected to read ``1.2.''
(2) Line 13, the figure ``$171'' is corrected to read ``$154.''
b. Second full paragraph,
(1) Line 11, the figure ``1.40'' is corrected to read ``1.20.''
(2) Line 14, the figure ``1.4'' is corrected to read ``1.2.''
3. On page 44017,
a. Second column,
(1) Fourth full paragraph, line 2, the figure ``1.4'' is corrected
to read ``1.2.''
[[Page 51499]]
(2) Following the fourth full paragraph, in the table entitled
``CMS FY 2010 Update to the Capital Federal Rate,'' the figures for the
listed entries are corrected to read as follows:
------------------------------------------------------------------------
------------------------------------------------------------------------
Capital Input Price Index........................................ 1.2
Subtotal..................................................... 1.2
Total Update............................................... 1.2
------------------------------------------------------------------------
b. Third column,
(1) Second full paragraph,
(a) Line 10, the figure ``5.23'' is corrected to read ``5.25.''
(b) Line 13, the figure ``0.9477'' is corrected to read ``0.9475.''
(2) Third full paragraph,
(a) Line 5, the figures ``0.9477'' and ``0.13'' are corrected to
read ``0.9475'' and ``0.11,'' respectively.
(b) Line 9, the figure ``1.0013'' is corrected to read ``1.0011.''
(c) Line 10, the figure ``0.9477'' is corrected to read ``0.9475.''
(d) Line 12, the figure ``0.13'' is corrected to read ``0.11.''
4. On page 44019, third column,
a. First full paragraph,
(1) Line 3, the figure ``1.4'' is corrected to read ``1.2.''
(2) Line 5, the figure ``1.4'' is corrected to read ``1.2.''
(3) Line 8, the figure ``$430.15'' is corrected to read
``$429.26.''
b. Second full paragraph (first bulleted paragraph)
(1) Line 1, the figure ``1.0140'' is corrected to read ``1.0120.''
(2) Line 2, the figure ``1.4'' is corrected to read ``1.2.''
c. Fourth full paragraph (third bulleted paragraph), last line, the
figure ``0.9477'' is corrected to read ``0.9475.''
d. Last paragraph,
(1) Line 8, the figure ``1.4'' is corrected to read ``1.2.''
(2) Line 14, the figure ``0.13'' is corrected to read ``0.11.''
5. On page 44020,
a. Top third of the page,
(1) Third column, line 2, the figure ``1.4'' is corrected to read
``1.2.''
(2) The table entitled ``Comparison of Factors and Adjustments: FY
2009 Capital Federal Rate and FY 2010 Capital Federal Rate'', the
listed entries and footnote are corrected to read as follows:
------------------------------------------------------------------------
Percent
FY 2010 Change change
------------------------------------------------------------------------
Update Factor \1\...................... 1.0120 1.0120 1.20
Outlier Adjustment Factor \2\.......... 0.9475 1.0011 0.11
Capital Federal Rate................... $429.26 1.0120 1.20
------------------------------------------------------------------------
\2\ The outlier reduction factor and the exceptions adjustment factor
are not built permanently into the capital rates; that is, these
factors are not applied cumulatively in determining the capital rates.
Thus, for example, the net change resulting from the application of
the FY 2010 outlier adjustment factor is 0.9475/0.9465, or 1.0011.
b. Middle third of the page, the table entitled ``Comparison of
Factors and Adjustments: Proposed FY 2009 Capital Federal Rate and
Final FY 2010 Capital Federal Rate'', the listed entries are corrected
to read as follows:
------------------------------------------------------------------------
Final FY Percent
2010 Change change
------------------------------------------------------------------------
Update Factor.......................... 1.0120 1.0000 0.00
Outlier Adjustment Factor.............. 0.9475 1.0022 0.22
Capital Federal Rate................... $429.26 1.0204 2.04
------------------------------------------------------------------------
c. Bottom third of the page, third column, first full paragraph,
line 4, the figure ``$204.01'' corrected ``$203.56.''
6. On page 44021, second column, second full paragraph,
a. Line 4, the figure ``1.4'' is corrected to read ``1.2.''
b. Line 13, the figure ``1.4'' is corrected to read ``1.2.''
7. On page 44031,
a. Top half of the page,
(1) Table 1A--National Adjusted Operating Standardized Amounts,
Labor/Nonlabor (68.8 Percent Labor Share/31.2 Percent Nonlabor Share If
Wage Index Is Greater Than 1), the second column heading ``Reduce
update (1.1 percent)'' is corrected to read ``Reduce update (0.1
percent).''
(2) Table 1B--National Adjusted Operating Standardized Amounts,
Labor/Nonlabor (62 Percent Labor Share/38 Percent Nonlabor Share If
Wage Index Is Less Than or Equal to 1), the second column heading
``Reduce update (1.1 percent)'' is corrected to read ``Reduce update
(0.1 percent).''
b. Bottom half of the page, in Table 1D--Capital Standard Federal
Payment Rate, the rate entries are corrected to read as follows:
------------------------------------------------------------------------
Rate
------------------------------------------------------------------------
National..................................................... $429.26
Puerto Rico.................................................. 203.56
------------------------------------------------------------------------
8. On pages 44032 through 44078, in Table 2.--Acute Care Hospitals
Case-Mix Indexes for Discharges Occurring in Federal Fiscal Year 2008;
Hospital Wage Indexes for Federal Fiscal Year 2010; Hospital Average
Hourly Wages for Federal Fiscal Years 2008 (2004 Wage Data), 2009 (2005
Wage Data), and 2010 (2006 Wage Data); and 3-Year Average of Hospital
Average Hourly Wages, the listed entries are corrected to read as
follows:
[[Page 51500]]
[GRAPHIC] [TIFF OMITTED] TR07OC09.000
[[Page 51501]]
[GRAPHIC] [TIFF OMITTED] TR07OC09.001
[[Page 51502]]
[GRAPHIC] [TIFF OMITTED] TR07OC09.002
[[Page 51503]]
[GRAPHIC] [TIFF OMITTED] TR07OC09.003
[[Page 51504]]
[GRAPHIC] [TIFF OMITTED] TR07OC09.004
[[Page 51505]]
[GRAPHIC] [TIFF OMITTED] TR07OC09.005
9. On page 44079, in Table 3A--FY 2010 and 3-Year* Average Hourly
Wage for Acute Care Hospitals in Urban Areas by CBSA, the listed entry
is corrected to read as follows:
----------------------------------------------------------------------------------------------------------------
FY 2010 3-Year
CBSA code Urban area average average
hourly wage hourly wage
----------------------------------------------------------------------------------------------------------------
15380........................................... Buffalo-Niagara Falls, NY......... 32.9408 31.2001
----------------------------------------------------------------------------------------------------------------
10. On page 44084, in Table 3B.--FY 2010 and 3-Year* Average Hourly
Wage for Acute Care Hospitals in Rural Areas by CBSA, the listed entry
is corrected to read as follows:
----------------------------------------------------------------------------------------------------------------
FY 2010 3-Year
CBSA code Nonurban area Average average
hourly wage hourly wage
----------------------------------------------------------------------------------------------------------------
05.............................................. California........................ 39.9000 38.2787
----------------------------------------------------------------------------------------------------------------
11. On pages 44085 through 44090, in Table 4A.--Wage Index and
Capital Geographic Adjustment Factor (GAF) for Acute Care Hospitals in
Urban Areas by CBSA and by State--FY 2010, the listed entries are
corrected to read as follows:
----------------------------------------------------------------------------------------------------------------
CBSA CBSA name State Wage index GAF
----------------------------------------------------------------------------------------------------------------
12540..................................... Bakersfield, CA.............. CA 1.1831 1.1220
15380..................................... Buffalo-Niagara Falls, NY.... NY 0.9809 0.9869
17020..................................... Chico, CA.................... CA 1.1831 1.1220
19804..................................... Detroit-Livonia-Dearborn, MI. MI 0.9777 0.9847
20940..................................... El Centro, CA................ CA 1.1831 1.1220
23420..................................... Fresno, CA................... CA 1.1831 1.1220
23844..................................... Gary, IN..................... IN 0.9168 0.9422
25260..................................... Hanford-Corcoran, CA......... CA 1.1831 1.1220
27340..................................... Jacksonville, NC............. NC 0.8605 0.9022
31460..................................... Madera-Chowchilla, CA........ CA 1.1831 1.1220
40140..................................... Riverside-San Bernardino- CA 1.1831 1.1220
Ontario, CA.
[[Page 51506]]
41740..................................... San Diego-Carlsbad-San CA 1.1831 1.1220
Marcos, CA.
42044..................................... Santa Ana-Anaheim-Irvine, CA. CA 1.1831 1.1220
47300..................................... Visalia-Porterville, CA...... CA 1.1831 1.1220
49700..................................... Yuba City, CA................ CA 1.1831 1.1220
----------------------------------------------------------------------------------------------------------------
12. On page 44091, in Table 4B--Wage Index and Capital Geographic
Adjustment Factor (GAF) for Acute Care Hospitals in Rural Areas by CBSA
and by State--FY 2010, the listed entries are corrected to read as
follows:
----------------------------------------------------------------------------------------------------------------
CBSA CBSA name State Wage index GAF
----------------------------------------------------------------------------------------------------------------
05........................................ California................... CA 1.1831 1.1220
34........................................ Rural North Carolina......... NC 0.8605 0.9022
----------------------------------------------------------------------------------------------------------------
13. On pages 44091 through 44095, in Table 4C.--Wage Index and
Capital Geographic Adjustment Factor (GAF) for Acute Care Hospitals
that are Reclassified by CBSA and by State--FY 2010, the listed entries
are corrected by--
a. Correcting the wage indexes and GAFs for the following CBSAs:
----------------------------------------------------------------------------------------------------------------
CBSA CBSA name State Wage index GAF
----------------------------------------------------------------------------------------------------------------
05.................................. California............. CA..................... 1.1831 1.1220
34.................................. Rural North Carolina... NC..................... 0.8605 0.9022
34.................................. Rural North Carolina... TN..................... 0.8592 0.9013
10900............................... Allentown-Bethlehem- PA..................... 0.9811 0.9870
Easton, PA-NJ.
15380............................... Buffalo-Niagara Falls, NY..................... 0.9809 0.9869
NY.
23844............................... Gary, IN............... IN..................... 0.9168 0.9422
31084............................... Los Angeles-Long Beach- CA..................... 1.1831 1.1220
Glendale, CA.
33700............................... Modesto, CA............ CA..................... 1.2202 1.1460
35644............................... New York-White Plains- CT..................... 1.2651 1.1747
Wayne, NY-NJ.
35644............................... New York-White Plains- NJ..................... 1.2722 1.1792
Wayne, NY-NJ.
35644............................... New York-White Plains- NY..................... 1.2903 1.1907
Wayne, NY-NJ.
42044............................... Santa Ana-Anaheim- CA..................... 1.1831 1.1220
Irvine, CA.
----------------------------------------------------------------------------------------------------------------
b. Removing the entry for the following CBSA:
----------------------------------------------------------------------------------------------------------------
CBSA CBSA name State Wage index GAF
----------------------------------------------------------------------------------------------------------------
19804............................... Detroit-Livonia- MI..................... 0.9788 0.9854
Dearborn, MI.
----------------------------------------------------------------------------------------------------------------
14. On pages 44121 and 44122, in Table 4J--Out-Migration Adjustment
for Acute Care Hospitals--FY 2010, the listed entries are corrected to
read as follows:
----------------------------------------------------------------------------------------------------------------
Reclassified Out-migration
Provider number for FY 2010 adjustment Qualifying county name County code
----------------------------------------------------------------------------------------------------------------
230002............................... * 0.0043 WAYNE................... 23810
230020............................... * 0.0043 WAYNE................... 23810
230024............................... * 0.0043 WAYNE................... 23810
230053............................... * 0.0043 WAYNE................... 23810
230089............................... * 0.0043 WAYNE................... 23810
230104............................... * 0.0043 WAYNE................... 23810
230135............................... * 0.0043 WAYNE................... 23810
230142............................... * 0.0043 WAYNE................... 23810
230146............................... * 0.0043 WAYNE................... 23810
230165............................... * 0.0043 WAYNE................... 23810
230176............................... * 0.0043 WAYNE................... 23810
230244............................... * 0.0043 WAYNE................... 23810
230270............................... * 0.0043 WAYNE................... 23810
230273............................... * 0.0043 WAYNE................... 23810
230297............................... * 0.0043 WAYNE................... 23810
----------------------------------------------------------------------------------------------------------------
[[Page 51507]]
15. On page 44140, in Table 6E.--Revised Diagnosis Code Titles, in
the description (column 2) for diagnosis code 793.99 is the phrase
``radiological and other examination'' is corrected to read
``radiological and other examinations.''
16. On pages 44161 and 44173, in Table 9A.--Hospital
Reclassifications and Redesignations--FY 2010 the table is corrected
by--
a. Removing the following entries:
----------------------------------------------------------------------------------------------------------------
Geographic Reclassified
Provider number CBSA CBSA LUGAR
----------------------------------------------------------------------------------------------------------------
110230.......................................................... 11 16860 LUGAR
150015.......................................................... 33140 23844 ..............
230195.......................................................... 47644 19804 ..............
390201.......................................................... 39 10900 LUGAR
----------------------------------------------------------------------------------------------------------------
b. Adding following entry:
----------------------------------------------------------------------------------------------------------------
Geographic Reclassified
Provider number CBSA CBSA LUGAR
----------------------------------------------------------------------------------------------------------------
330106.......................................................... 35004 35644 ..............
----------------------------------------------------------------------------------------------------------------
17. On page 44173, in Table 9C.--Hospitals Redesignated as Rural
Under Section 1886(d)(8)(E) of the Act--FY2010 is corrected by adding
the listed provider to read as follows:
------------------------------------------------------------------------
Geographic Redesignated
Provider No. CBSA rural area
------------------------------------------------------------------------
340010.................................. 24140 34
------------------------------------------------------------------------
18. On page 44195, in Table 12A.--LTCH PPS Wage Index for Urban
Areas for Discharges Occurring From October 1, 2009 Through September
30, 2010, the LTCH PPS wage index for the listed entry is corrected to
read as follows:
------------------------------------------------------------------------
Urban area (Constituent LTCH PPS
CBSA code Counties) wage index
------------------------------------------------------------------------
15380............................ Buffalo-Niagara Falls, 0.9740
NY.
Erie County, NY........
Niagara County, NY.....
------------------------------------------------------------------------
19. On page 44212, in Table 12B.--LTCH PPS Wage Index for Rural
Areas for Discharges Occurring From October 1, 2009 Through September
30, 2010, the LTCH PPS wage index for the listed entry is corrected to
read as follows:
------------------------------------------------------------------------
LTCH PPS
CBSA code Nonurban area wage index
------------------------------------------------------------------------
05................................. California............ 1.2051
------------------------------------------------------------------------
20. On page 44213, first column, third paragraph,
a. Line 14, the figure ``$171'' is corrected to read ``$154.''
b. Line 15, the figure ``1.9'' is corrected to read ``1.7.''
21. On page 44228,
a. Second column,
(1) First partial paragraph, line 5, the figure ``1.4'' is
corrected to read ``1.2.''
(2) First full paragraph, line 5, the figure ``0.9477'' is
corrected to read ``0.9475.''
(3) Third full paragraph, the phrase ``proposed 1.4 percent'' is
corrected to read ``1.2 percent.''
(4) Last paragraph, line 5, the figure ``1.4'' is corrected to read
``1.2.''
b. Third column,
(1) First partial paragraph, line 9, the figure ``1.9'' is
corrected to read ``1.7.''
(2) First full paragraph,
(a) Line 3, the figure ``2.0'' is corrected to read ``1.8.''
(b) Line 7, the figure ``2.1'' is corrected to read ``1.9.''
(c) Last line, the figure ``1.5'' is corrected to read ``1.3.''
(3) Second full paragraph,
(a) Line 4, the figure ``0.7'' is corrected to read ``0.5.''
(b) Line 6, the figure ``2.8'' is corrected to read ``2.6.''
(4) Third full paragraph,
(a) Line 3, the figure ``1.9'' is corrected to read ``1.7.''
(b) Line 5, the figure ``2.0'' is corrected to read ``1.8.''
(5) Last paragraph,
(a) Line 10, the figure ``2.0'' is corrected to read ``1.8.''
(b) Line 13, the figures ``1.7'' and ``1.1'' are corrected to read
``1.4'' and ``0.9,'' respectively.
(c) Line 17, the figure ``1.9'' is corrected to read ``1.6.''
22. On pages 44229 and 44230, in Table III--Comparison of Total
Payments Per Case [FY 2009 Payments Compared to FY 2010 Payments], the
table is corrected to read as follows:
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[[Page 51508]]
[GRAPHIC] [TIFF OMITTED] TR07OC09.006
[[Page 51509]]
[GRAPHIC] [TIFF OMITTED] TR07OC09.007
BILLING CODE 4120-01-C
23. On page 44234, third column, third full paragraph,
a. Line 21, the figure ``2.1'' is corrected to read ``1.7.''
b. Line 25, the figure ``$171'' is corrected to read ``$154.''
c. Line 28, the figure ``$1.899'' is corrected to read ``$1.892.''
24. On page 44235, first column, in Table V.--Accounting Statement:
Classification of Estimated Expenditures under the IPPS from FY 2009 to
FY 2010, the listed entries are corrected to read as follows:
------------------------------------------------------------------------
Category Transfers
------------------------------------------------------------------------
Annualized Monetized Transfers.......... $1.892 billion
Total................................... $1.892 billion
------------------------------------------------------------------------
III. Waiver of Proposed Rulemaking and Delay in 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.
We are waiving 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 preamble, and
addendum of the FY 2010 IPPS/RY 2010 LTCH PPS final rule and does not
make substantive changes to the policies or payment methodologies that
were adopted in that final rule. As a result, this notice is intended
to ensure that the FY 2010 IPPS/RY 2010 LTCH PPS final rule accurately
reflects the policies adopted in that final rule and it would be
impracticable, unnecessary, and contrary to the public interest to
undertake further notice and comment procedures to incorporate these
corrections into that final rule or delaying the effective date of
these changes, especially in light of the October 1, 2009 start date
for FY 2010.
[[Page 51510]]
Further, the changes that are being made to the Addendum by this
Correction Notice, including the changes to reflect the correct CIPI of
1.2 percent, do not constitute rules subject to notice and comment
rulemaking under section 553 of the Administrative Procedure Act, as
the changes merely ensure that the Addendum conforms to the rules and
methodologies that have already been adopted through such notice and
comment rulemaking.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: October 2, 2009.
Dawn L. Smalls,
Executive Secretary to the Department.
[FR Doc. E9-24202 Filed 10-2-09; 4:15 pm]
BILLING CODE 4120-01-P
