Medicare and Medicaid Programs; Electronic Health Record Incentive Program-Stage 2; Corrections, 64755-64758 [2012-25975]
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64755
Federal Register / Vol. 77, No. 205 / Tuesday, October 23, 2012 / Rules and Regulations
already received. In such case, there
will be no additional opportunity to
comment.
Dated: September 19, 2012.
Susan Hedman,
Regional Administrator, U.S. EPA, Region 5.
Authority: 33 U.S.C. 1321(c)(2); 42 U.S.C.
9601–9657; E.O. 12777, 56 FR 54757, 3 CFR,
1991 Comp., p. 351; E.O. 12580, 52 FR 2923;
3 CFR, 1987 Comp., p. 193.
List of Subjects in 40 CFR Part 300
For the reasons set out in this
document, 40 CFR part 300 is amended
as follows:
Appendix B—[Amended]
Environmental protection, Air
pollution control, Chemicals, Hazardous
waste, Hazardous substances,
Intergovernmental relations, Penalties,
Reporting and recordkeeping
requirements, Superfund, Water
pollution control, Water supply.
PART 300—[AMENDED]
2. In table 1 of Appendix B to part
300, under Michigan ‘‘MI’’, the entry for
‘‘Torch Lake’’, ‘‘Houghton County,
Michigan’’ is revised to read as follows:
1. The authority citation for part 300
continues to read as follows:
Appendix B to Part 300—National
Priorities List
■
■
TABLE 1—GENERAL SUPERFUND SECTION
(Notes) thnsp;a
State
Site name
City/County
*
*
MI ............................................................
*
*
Torch Lake .............................................
*
*
Houghton ................................................
*
*
*
*
*
*
*
P
*
(a) A = Based on issuance of health advisory by Agency for Toxic Substances and Disease Registry (if scored, HRS score need not be >28.50).
*
*
*
*
*
*
*
P = Sites with partial deletion(s).
[FR Doc. 2012–25968 Filed 10–22–12; 8:45 am]
I. Background
BILLING CODE 6560–50–P
42 CFR Parts 412, 413, and 495
In FR Doc. 2012–21050 of September
4, 2012 (77 FR 53968), the final rule
entitled ‘‘Medicare and Medicaid
Programs; Electronic Health Record
Incentive Program—Stage 2’’ there were
a number of technical errors and
typographical errors that are identified
in the Summary of Errors section and
corrected in the Correction of Errors
section.
[CMS–0044–CN2]
II. Summary of Errors
RIN–0938–AQ84
A. Summary of Errors in the Preamble
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
Medicare and Medicaid Programs;
Electronic Health Record Incentive
Program—Stage 2; Corrections
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Final rule; correction.
AGENCY:
This document corrects
technical errors and typographical
errors in the final rule entitled
‘‘Medicare and Medicaid Programs;
Electronic Health Record Incentive
Program—Stage 2’’ which appeared in
the September 4, 2012 issue of the
Federal Register.
DATES: Effective Date: This document is
effective on November 12, 2012, except
that the correction to instruction 8.NN
(77 FR 54149) is effective October 23,
2012.
tkelley on DSK3SPTVN1PROD with RULES
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
Travis Broome, (214) 767–4450.
SUPPLEMENTARY INFORMATION:
VerDate Mar<15>2010
16:04 Oct 22, 2012
Jkt 229001
On page 54041 in our response to a
public comment regarding the
meaningful use objective ‘‘provide
structured electronic lab results to
eligible professionals,’’ we inadvertently
did not replace a placeholder ‘‘ONC
reference once available’’ with the
reference when it became available.
On page 54051, in our discussion of
the submission period for electronic
submissions, we inadvertently omitted
references to the applicable provider or
supplier (that is, eligible professional
(EP), eligible hospital, and critical
access hospital) that has to meet the
calendar year or fiscal year submission
period requirements. Also on this page
in the footnote following Table 5, we
made errors in our description of the
providers and suppliers that are in the
first year of demonstrating meaningful
use for purposes of avoiding a payment
adjustment.
On page 54052 in our response to
public comments regarding the
PO 00000
Frm 00063
Fmt 4700
Sfmt 4700
transition to electronic health record
(EHR) technology certified to the 2014
Edition EHR certification criteria, we
inadvertently omitted certain CQMs that
we included in the Stage 1 final rule but
are not finalizing in the Stage 2 final
rule for reporting beginning in CY 2014
after consideration of the public
comments. Also on this page, in another
response to public comments regarding
2011 Edition of EHR certification
criteria, we made a grammatical error.
On page 54053, we inadvertently
omitted certain CQMs that would be
excluded from an EP’s option of
reporting in the Stage 1 final rule.
On pages 54044, 54055, 54056, 54058,
54068, 54079, 54081, and 54120, we
made inadvertent errors in the
numbering and referencing of several
tables.
On page 54056, we made inadvertent
errors in specifying the providers and
suppliers that would receive the annual
fiscal or calendar year updates to the
clinical quality measure (CQM)
specifications.
On pages 54069, 54072, and 54073, in
Table 8—CQMs Finalized for Medicare
and Medicaid EPs Beginning with CY
2014, we made several typographical
and technical errors in the titles/
descriptions of several CQMs. We also
made typographical errors in
referencing the footnotes for CQM 0418.
B. Summary of Errors in the Regulations
Text
On page 54149, we made a technical
error in an amendatory statement (NN)
E:\FR\FM\23OCR1.SGM
23OCR1
64756
Federal Register / Vol. 77, No. 205 / Tuesday, October 23, 2012 / Rules and Regulations
for § 495.6. In the amendatory
statement, we erroneously stated that
we were adding paragraphs (f)(1)(ii)(B)
and (C) instead of stating that we were
adding paragraph (f)(1)(ii)(B).
On pages 54155 and 54157, we made
technical errors by omitting qualifying
language in § 495.6(l)(6)(ii) and
§ 495.6(m)(4)(ii).
On page 54153 (in
§ 495.6(j)(14)(ii)(C)(1)), we made a
typographical error in the regulatory
citation.
tkelley on DSK3SPTVN1PROD with RULES
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.
In our view, this correcting document
does not constitute a rulemaking that
would be subject to the APA notice and
comment or delayed effective date
requirements. This correcting document
corrects technical and typographical
errors in the preamble and regulations
text of the September 4, 2012 final rule
and does not make substantive changes
to the policies that were adopted. As a
result, this correcting document is
intended to ensure that the final rule
accurately reflects the policies adopted
in that rule.
In addition, even if this were a
rulemaking to which the notice and
comment and delayed effective date
VerDate Mar<15>2010
16:04 Oct 22, 2012
Jkt 229001
requirements applied, we find that there
is good cause to waive such
requirements. Undertaking further
notice and comment procedures to
incorporate the corrections in this
document into the final rule or delaying
the effective date would be contrary to
the public interest. Furthermore, such
procedures would be unnecessary, as
we are not altering the policies that
were already subject to comment and
finalized in our final rule. Therefore, we
believe we have good cause to waive the
notice and comment and effective date
requirements.
IV. Correction of Errors
In FR Doc. 2012–21050 of September
4, 2012 (77 FR 53968), make the
following corrections:
A. Correction of Errors in the Preamble
1. On page 54041, second column,
third paragraph, line 17, the phrase
‘‘criteria at (ONC reference once
available)’’ is corrected to read ‘‘criteria
at 45 CFR 170.314(b)(6)’’.
2. On page 54044, lower half of the
page, in the table heading for Table B5—
Stage 2 Objectives and Measures, the
table number ‘‘Table B5’’ is corrected to
read ‘‘Table 4A’’.
3. On page 54051—
a. Top quarter of the page, second
column, first full paragraph, line 4, the
phrase ‘‘CY or FY respectively.’’ is
corrected to read ‘‘CY or FY for EPs,
eligible hospitals, and CAHs,
respectively.’’.
b. Second quarter of the page, in Table
5 Reporting and Submission Periods for
EPs, Eligible Hospitals and CAHs in
Their First Year of Meaningful Use
Submitting CQMs Via Attestation
Beginning With CY/FY 2014, the
footnote following the table, line 1, the
phrase ‘‘Medicare EPs and eligible
hospitals’’ is corrected to read ‘‘EPs,
eligible hospitals, and CAHs in the
Medicare EHR Incentive Program’’.
4. On page 54052, third column—
a. First partial paragraph, line 1, the
phrase ‘‘0013, 0027, 0084).’’ is corrected
to read ‘‘0013, 0027, 0084) as well as 9
CQMs that we included in the Stage 1
final rule but are not finalizing in this
Stage 2 final rule for reporting beginning
in CY 2014 (NQF 0001, 0012, 0014,
0047, 0061, 0067, 0073, 0074, 0575)).’’.
PO 00000
Frm 00064
Fmt 4700
Sfmt 4700
b. Last paragraph, lines 2 and 3, the
phrase ‘‘EHR technology should based’’
is corrected to read ‘‘EHR technology
should be based’’.
5. On page 54053, first column, last
bulleted paragraph, line 9, the phrase
‘‘reporting NQF 0013, 0027, 0084’’ is
corrected to read ‘‘reporting NQF 0013,
0027, 0084, 0001, 0012, 0014, 0047,
0061, 0067, 0073, 0074, 0575’’.
6. On page 54055, first column, first
full paragraph, lines 22 and 23, the
phrase ‘‘MAP in Tables 7 (EPs) and 8
(eligible hospitals and CAHs)’’ is
corrected to read ‘‘MAP in Tables 8
(EPs) (77 FR 13749 through 13757 and
9 (eligible hospitals and CAHs) (77 FR
13760 through 13763)’’.
7. On page 54056, second column,
fourth full paragraph—
a. Line 7, the phrase ‘‘FY/CY for
hospitals and EPs respectively.’’ is
corrected to read ‘‘FY and CY for
eligible hospitals and CAHs, and EPs,
respectively.’’.
b. Line 29, the reference ‘‘Table 7’’ is
corrected to read ‘‘Table 8’’.
c. Line 32, the reference ‘‘Table 8’’ is
corrected to read ‘‘Table 10’’.
8. On page 54058—
a. Second column, fourth full
paragraph, line 4, the reference ‘‘Table
7’’ is corrected to read ‘‘Table 8’’.
b. Third column, first partial
paragraph, line 2, the reference ‘‘Table
7’’ is corrected to read ‘‘Table 8’’.
9. On page 54068,
a. First column, first full paragraph—
(1) Line 5, the reference ‘‘Table 7’’ is
corrected to read ‘‘Table 8’’.
(2) Line 7, the reference ‘‘Table 7’’ is
corrected to read ‘‘Table 8 ‘‘.
(b) First column, second full
paragraph, line 3, ‘‘Table 7’’ is corrected
to read ‘‘Table 8’’.
c. Third column, first full paragraph,
line 3, the reference ‘‘Table 7’’ is
corrected to read ‘‘Table 8’’.
10. On pages 54069 through 54075, in
Table 8—CQMs Finalized for Medicare
and Medicaid EPs Beginning with CY
2014, we make the following
corrections:
a. Column 2 (CQM title and
description) is corrected for the
following entries:
E:\FR\FM\23OCR1.SGM
23OCR1
Federal Register / Vol. 77, No. 205 / Tuesday, October 23, 2012 / Rules and Regulations
CQM No.
CQM title & description
Measure steward &
contact information
NQF 0018 * ..........
Title: Controlling High Blood
Pressure.
Description: Percentage of patients 18-85 years of age
who had a diagnosis of hypertension and whose blood
pressure was adequately
controlled (<140/90mmHg)
during the measurement period.
Title: Colon Cancer: Chemotherapy for AJCC Stage III
Colon Cancer Patients.
Description: Percentage of patients aged 18 through 80
years with AJCC Stage III
colon cancer who are referred for adjuvant chemotherapy, prescribed adjuvant
chemotherapy, or have previously received adjuvant
chemotherapy within the
12-month reporting period.
Title: HIV/AIDS: Medical Visit
Description: Percentage of patients, regardless of age,
with a diagnosis of HIV/
AIDS with at least two medical visits during the measurement year with a minimum of 90 days between
each visit.
Title: HIV/AIDS: RNA control
for Patients with HIV.
Description: Percentage of patients aged 13 years and
older with a diagnosis of
HIV/AIDS, with at least two
visits during the measurement year, with at least 90
days between each visit,
whose most recent HIV
RNA level is <200 copies/
mL.
Title: Preventive Care and
Screening: Body Mass
Index (BMI) Screening and
Follow-Up.
Description: Percentage of patients aged 18 years and
older with an encounter during the reporting period with
a documented calculated
BMI during the encounter or
during the previous six
months AND when the BMI
is outside of normal parameters, follow-up plan is documented during the encounter or during the previous 6
months of the encounter
with the BMI outside of normal parameters.
Normal Parameters: Age 65
years and older BMI ≥ 23
and < 30.
Age 18-64 years BMI ≥ 18.5
and < 25.
NCQA ................................
Contact Information:
www.ncqa.org.
NQF 0385 ............
NQF 0403 ............
TBD (proposed as
NQF 0407).
tkelley on DSK3SPTVN1PROD with RULES
NQF 0421 * ..........
VerDate Mar<15>2010
16:04 Oct 22, 2012
Jkt 229001
PO 00000
Other quality
measure programs
that use the same
CQM ***
64757
New CQM
Domain
EHR PQRS, ACO,
Group Reporting
PQRS, UDS.
.................
Clinical Process/Effectiveness.
AMA–PCPI ........................
Contact Information:
cpe@ama-assn.org;
American Society of
Clinical Oncology
(ASCO): www.asco.org;
National Comprehensive
Cancer Network
(NCCN): www.nccn.org.
EHR PQRS ...............
.................
Clinical Process/Effectiveness.
AMA–PCPI ........................
Contact Information:
cpe@ama-assn.org;
NCQA
Contact Information:
www.ncqa.org.
...................................
New .........
Clinical Process/Effectiveness.
NCQA ................................
Contact Information:
www.ncqa.org.
PQRS .......................
New .........
Clinical Process/Effectiveness.
Centers for Medicare and
Medicaid Services
(CMS), 1–888–734–
6433 or https://questions.cms.hhs.gov/app/
ask/p/21,26,1139;
QIP
Contact Information:
www.usqualitymeasures.org.
EHR PQRS, ACO,
Group Reporting
PQRS, UDS.
.................
Population/Public
Health.
Frm 00065
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Sfmt 4700
E:\FR\FM\23OCR1.SGM
23OCR1
64758
Federal Register / Vol. 77, No. 205 / Tuesday, October 23, 2012 / Rules and Regulations
b. Column 1 (CQM number) is
corrected for the following entry:
Measure steward &
contact information
CQM No.
CQM title & description
NQF 0418* and **
Title: Preventive Care and
Screening: Screening for
Clinical Depression and Follow-Up Plan.
Description: Percentage of patients aged 12 years and
older screened for clinical
depression on the date of
the encounter using an age
appropriate standardized
depression screening tool
AND if positive, a follow-up
plan is documented on the
date of the positive screen.
11. On page 54079, in the third
column, second full paragraph—
a. Line 3, the reference ‘‘Table 8’’ is
corrected to read ‘‘Table 10’’.
b. Line 24, the reference ‘‘Table 8’’is
corrected to read ‘‘Table 10’’.
12. On page 54081, first column,
second full paragraph, line 2, the
reference ‘‘Table 8’’ is corrected to read
‘‘Table 10’’.
13. On page 54120, middle of the
page, in the table heading Table E1—
Determination of Net Average Allowable
Costs for the First Payment Year, the
table number ‘‘Table E1’’ is corrected to
read ‘‘Table 19A’’.
B. Correction of Errors in the
Regulations Text
tkelley on DSK3SPTVN1PROD with RULES
§ 495.6
(Catalog of Federal Domestic Assistance
Program No. 93.778, Medical Assistance
Program)
16:04 Oct 22, 2012
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: October 16, 2012.
Oliver Potts,
Deputy Executive Secretary to the
Department, Department of Health and
Human Services.
[FR Doc. 2012–25975 Filed 10–22–12; 8:45 am]
BILLING CODE 4120–01–P
FEDERAL MARITIME COMMISSION
46 CFR Part 502
RIN 3072–AC43
[Corrected]
Jkt 229001
Amendments to Commission’s Rules
of Practice and Procedure—Subparts E
and L; Correction
Federal Maritime Commission.
Final rule; correction.
AGENCY:
ACTION:
The Federal Maritime
Commission (Commission) is correcting
a final rule that appeared in the Federal
Register of October 10, 2012 (77 FR
61519). The final rule revises the
Commission’s rules of practice and
procedure to update and clarify the
rules and to reduce the burden on
parties to proceedings before the
Commission. This document corrects
errors in the final rule.
DATES: Effective: November 12, 2012.
FOR FURTHER INFORMATION CONTACT:
Karen V. Gregory, Secretary, Federal
Maritime Commission, 800 North
Capitol Street NW., Washington, DC
20573–0001, Phone: (202) 523–5725,
Email: secretary@fmc.gov.
SUMMARY:
PO 00000
Frm 00066
Fmt 4700
Sfmt 4700
New CQM
EHR PQRS, ACO,
Group Reporting
PQRS.
[Docket No. 11–05]
1. On page 54149, third column, lines
60 and 61, the sentence ‘‘NN. Adding
paragraphs (f)(1)(ii)(B) and (C).’’ is
corrected to read ‘‘NN. Adding
paragraph (f)(1)(ii)(B).’’
2. On page 54153, third column,
fourth full paragraph
(§ 495.6(j)(14)(ii)(C)(1)), line 10, the
reference ‘‘CFR 107.314(b)(2)’’ is
corrected to read ‘‘CFR 170.314(b)(2)’’.
3. On page 54155, second column,
14th paragraph (§ 495.6(l)(6)(ii)), line 1,
the phrase ‘‘More than 55 percent of’’ is
corrected to read ‘‘Subject to paragraph
(c) of this section, more than 55 percent
of’’.
3. On page 54157, first column,
seventh paragraph (§ 495.6(m)(4)(ii)),
line 1, the phrase ‘‘More than 10 percent
of’’ is corrected to read ‘‘Subject to
paragraph (c) of this section, more than
10 percent of’’.
VerDate Mar<15>2010
Centers for Medicare and
Medicaid Services
(CMS), 1–888–734–
6433 or https://questions.cms.hhs.gov/app/
ask/p/21,26,1139;
Quality Insights of Pennsylvania (QIP)
Contact Information:
www.usqualitymeasures.org.
Other quality
measure programs
that use the same
CQM***
New .........
Domain
Population/Public
Health.
In the
final rule for the Commission’s Rules of
Practice and Procedure (Commission
Docket No. 11–05) appearing on page
61519 in the Federal Register of
Wednesday, October 10, 2012, the
following corrections are made:
SUPPLEMENTARY INFORMATION:
§ 502.62
[Corrected]
1. On page 61524, in the third
column, in § 502.62(a)(3)(iii), remove ‘‘;
and’’ at the end of the paragraph and
add in its place ‘‘, and a statement
showing that the complainant is entitled
to relief;’’
2. In paragraph (a)(3)(iv), remove a
period at the end of the paragraph and
add in its place ‘‘; and’’
3. On page 61525, in the first column,
in paragraph (b)(2)(iii), remove ‘‘, and a
statement showing that the complainant
is entitled to relief;’’ at the end of the
paragraph and add in its place ‘‘; and’’
4. In paragraph (b)(2)(iv), remove ‘‘;
and’’ at the end of the paragraph and
add in its place a period.
Karen V. Gregory,
Secretary.
[FR Doc. 2012–26007 Filed 10–22–12; 8:45 am]
BILLING CODE 6730–01–P
FEDERAL COMMUNICATIONS
COMMISSION
47 CFR Part 73
[MB Docket No. 12–177; RM–11665; DA 12–
1554]
Radio Broadcasting Services;
Randsburg, CA
Federal Communications
Commission.
ACTION: Final rule.
AGENCY:
E:\FR\FM\23OCR1.SGM
23OCR1
Agencies
[Federal Register Volume 77, Number 205 (Tuesday, October 23, 2012)]
[Rules and Regulations]
[Pages 64755-64758]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-25975]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 412, 413, and 495
[CMS-0044-CN2]
RIN-0938-AQ84
Medicare and Medicaid Programs; Electronic Health Record
Incentive Program--Stage 2; Corrections
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Final rule; correction.
-----------------------------------------------------------------------
SUMMARY: This document corrects technical errors and typographical
errors in the final rule entitled ``Medicare and Medicaid Programs;
Electronic Health Record Incentive Program--Stage 2'' which appeared in
the September 4, 2012 issue of the Federal Register.
DATES: Effective Date: This document is effective on November 12, 2012,
except that the correction to instruction 8.NN (77 FR 54149) is
effective October 23, 2012.
FOR FURTHER INFORMATION CONTACT: Travis Broome, (214) 767-4450.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2012-21050 of September 4, 2012 (77 FR 53968), the final
rule entitled ``Medicare and Medicaid Programs; Electronic Health
Record Incentive Program--Stage 2'' there were a number of technical
errors and typographical errors that are identified in the Summary of
Errors section and corrected in the Correction of Errors section.
II. Summary of Errors
A. Summary of Errors in the Preamble
On page 54041 in our response to a public comment regarding the
meaningful use objective ``provide structured electronic lab results to
eligible professionals,'' we inadvertently did not replace a
placeholder ``ONC reference once available'' with the reference when it
became available.
On page 54051, in our discussion of the submission period for
electronic submissions, we inadvertently omitted references to the
applicable provider or supplier (that is, eligible professional (EP),
eligible hospital, and critical access hospital) that has to meet the
calendar year or fiscal year submission period requirements. Also on
this page in the footnote following Table 5, we made errors in our
description of the providers and suppliers that are in the first year
of demonstrating meaningful use for purposes of avoiding a payment
adjustment.
On page 54052 in our response to public comments regarding the
transition to electronic health record (EHR) technology certified to
the 2014 Edition EHR certification criteria, we inadvertently omitted
certain CQMs that we included in the Stage 1 final rule but are not
finalizing in the Stage 2 final rule for reporting beginning in CY 2014
after consideration of the public comments. Also on this page, in
another response to public comments regarding 2011 Edition of EHR
certification criteria, we made a grammatical error.
On page 54053, we inadvertently omitted certain CQMs that would be
excluded from an EP's option of reporting in the Stage 1 final rule.
On pages 54044, 54055, 54056, 54058, 54068, 54079, 54081, and
54120, we made inadvertent errors in the numbering and referencing of
several tables.
On page 54056, we made inadvertent errors in specifying the
providers and suppliers that would receive the annual fiscal or
calendar year updates to the clinical quality measure (CQM)
specifications.
On pages 54069, 54072, and 54073, in Table 8--CQMs Finalized for
Medicare and Medicaid EPs Beginning with CY 2014, we made several
typographical and technical errors in the titles/descriptions of
several CQMs. We also made typographical errors in referencing the
footnotes for CQM 0418.
B. Summary of Errors in the Regulations Text
On page 54149, we made a technical error in an amendatory statement
(NN)
[[Page 64756]]
for Sec. 495.6. In the amendatory statement, we erroneously stated
that we were adding paragraphs (f)(1)(ii)(B) and (C) instead of stating
that we were adding paragraph (f)(1)(ii)(B).
On pages 54155 and 54157, we made technical errors by omitting
qualifying language in Sec. 495.6(l)(6)(ii) and Sec. 495.6(m)(4)(ii).
On page 54153 (in Sec. 495.6(j)(14)(ii)(C)(1)), we made a
typographical error in the regulatory citation.
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.
In our view, this correcting document does not constitute a
rulemaking that would be subject to the APA notice and comment or
delayed effective date requirements. This correcting document corrects
technical and typographical errors in the preamble and regulations text
of the September 4, 2012 final rule and does not make substantive
changes to the policies that were adopted. As a result, this correcting
document is intended to ensure that the final rule accurately reflects
the policies adopted in that rule.
In addition, even if this were a rulemaking to which the notice and
comment and delayed effective date requirements applied, we find that
there is good cause to waive such requirements. Undertaking further
notice and comment procedures to incorporate the corrections in this
document into the final rule or delaying the effective date would be
contrary to the public interest. Furthermore, such procedures would be
unnecessary, as we are not altering the policies that were already
subject to comment and finalized in our final rule. Therefore, we
believe we have good cause to waive the notice and comment and
effective date requirements.
IV. Correction of Errors
In FR Doc. 2012-21050 of September 4, 2012 (77 FR 53968), make the
following corrections:
A. Correction of Errors in the Preamble
1. On page 54041, second column, third paragraph, line 17, the
phrase ``criteria at (ONC reference once available)'' is corrected to
read ``criteria at 45 CFR 170.314(b)(6)''.
2. On page 54044, lower half of the page, in the table heading for
Table B5--Stage 2 Objectives and Measures, the table number ``Table
B5'' is corrected to read ``Table 4A''.
3. On page 54051--
a. Top quarter of the page, second column, first full paragraph,
line 4, the phrase ``CY or FY respectively.'' is corrected to read ``CY
or FY for EPs, eligible hospitals, and CAHs, respectively.''.
b. Second quarter of the page, in Table 5 Reporting and Submission
Periods for EPs, Eligible Hospitals and CAHs in Their First Year of
Meaningful Use Submitting CQMs Via Attestation Beginning With CY/FY
2014, the footnote following the table, line 1, the phrase ``Medicare
EPs and eligible hospitals'' is corrected to read ``EPs, eligible
hospitals, and CAHs in the Medicare EHR Incentive Program''.
4. On page 54052, third column--
a. First partial paragraph, line 1, the phrase ``0013, 0027,
0084).'' is corrected to read ``0013, 0027, 0084) as well as 9 CQMs
that we included in the Stage 1 final rule but are not finalizing in
this Stage 2 final rule for reporting beginning in CY 2014 (NQF 0001,
0012, 0014, 0047, 0061, 0067, 0073, 0074, 0575)).''.
b. Last paragraph, lines 2 and 3, the phrase ``EHR technology
should based'' is corrected to read ``EHR technology should be based''.
5. On page 54053, first column, last bulleted paragraph, line 9,
the phrase ``reporting NQF 0013, 0027, 0084'' is corrected to read
``reporting NQF 0013, 0027, 0084, 0001, 0012, 0014, 0047, 0061, 0067,
0073, 0074, 0575''.
6. On page 54055, first column, first full paragraph, lines 22 and
23, the phrase ``MAP in Tables 7 (EPs) and 8 (eligible hospitals and
CAHs)'' is corrected to read ``MAP in Tables 8 (EPs) (77 FR 13749
through 13757 and 9 (eligible hospitals and CAHs) (77 FR 13760 through
13763)''.
7. On page 54056, second column, fourth full paragraph--
a. Line 7, the phrase ``FY/CY for hospitals and EPs respectively.''
is corrected to read ``FY and CY for eligible hospitals and CAHs, and
EPs, respectively.''.
b. Line 29, the reference ``Table 7'' is corrected to read ``Table
8''.
c. Line 32, the reference ``Table 8'' is corrected to read ``Table
10''.
8. On page 54058--
a. Second column, fourth full paragraph, line 4, the reference
``Table 7'' is corrected to read ``Table 8''.
b. Third column, first partial paragraph, line 2, the reference
``Table 7'' is corrected to read ``Table 8''.
9. On page 54068,
a. First column, first full paragraph--
(1) Line 5, the reference ``Table 7'' is corrected to read ``Table
8''.
(2) Line 7, the reference ``Table 7'' is corrected to read ``Table
8 ``.
(b) First column, second full paragraph, line 3, ``Table 7'' is
corrected to read ``Table 8''.
c. Third column, first full paragraph, line 3, the reference
``Table 7'' is corrected to read ``Table 8''.
10. On pages 54069 through 54075, in Table 8--CQMs Finalized for
Medicare and Medicaid EPs Beginning with CY 2014, we make the following
corrections:
a. Column 2 (CQM title and description) is corrected for the
following entries:
[[Page 64757]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Other quality
Measure steward & measure programs
CQM No. CQM title & description contact information that use the same New CQM Domain
CQM ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
NQF 0018 *......................... Title: Controlling High NCQA................. EHR PQRS, ACO, Group ..................... Clinical Process/
Blood Pressure. Contact Information: Reporting PQRS, UDS. Effectiveness.
Description: Percentage www.ncqa.org..
of patients 18[dash]85
years of age who had a
diagnosis of
hypertension and whose
blood pressure was
adequately controlled
(<140/90mmHg) during
the measurement period.
NQF 0385........................... Title: Colon Cancer: AMA-PCPI............. EHR PQRS............. ..................... Clinical Process/
Chemotherapy for AJCC Contact Information: Effectiveness.
Stage III Colon Cancer cpe@ama[dash]assn.or
Patients. g;.
Description: Percentage American Society of
of patients aged 18 Clinical Oncology
through 80 years with (ASCO):
AJCC Stage III colon www.asco.org;.
cancer who are National
referred for adjuvant Comprehensive Cancer
chemotherapy, Network (NCCN):
prescribed adjuvant www.nccn.org..
chemotherapy, or have
previously received
adjuvant chemotherapy
within the
12[dash]month
reporting period.
NQF 0403........................... Title: HIV/AIDS: AMA-PCPI............. ..................... New.................. Clinical Process/
Medical Visit. Contact Information:. Effectiveness.
Description: Percentage cpe@ama[dash]assn.or
of patients, g;.
regardless of age, NCQA................
with a diagnosis of Contact Information:
HIV/AIDS with at least www.ncqa.org..
two medical visits
during the measurement
year with a minimum of
90 days between each
visit.
TBD (proposed as NQF 0407)......... Title: HIV/AIDS: RNA NCQA................. PQRS................. New.................. Clinical Process/
control for Patients Contact Information: Effectiveness.
with HIV. www.ncqa.org..
Description: Percentage
of patients aged 13
years and older with a
diagnosis of HIV/AIDS,
with at least two
visits during the
measurement year, with
at least 90 days
between each visit,
whose most recent HIV
RNA level is <200
copies/mL.
NQF 0421 *......................... Title: Preventive Care Centers for Medicare EHR PQRS, ACO, Group ..................... Population/Public
and Screening: Body and Medicaid Reporting PQRS, UDS. Health.
Mass Index (BMI) Services (CMS), 1-
Screening and 888-734-6433 or
Follow[dash]Up. https://
Description: Percentage questions.cms.hhs.go
of patients aged 18 v/app/ask/p/
years and older with 21,26,1139;
an encounter during QIP..................
the reporting period Contact Information:
with a documented www.usqualitymeasure
calculated BMI during s.org..
the encounter or
during the previous
six months AND when
the BMI is outside of
normal parameters,
follow[dash]up plan is
documented during the
encounter or during
the previous 6 months
of the encounter with
the BMI outside of
normal parameters.
Normal Parameters: Age
65 years and older BMI
>= 23 and < 30.
Age 18[dash]64 years
BMI >= 18.5 and < 25.
--------------------------------------------------------------------------------------------------------------------------------------------------------
[[Page 64758]]
b. Column 1 (CQM number) is corrected for the following entry:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Other quality
Measure steward & measure programs
CQM No. CQM title & description contact information that use the same New CQM Domain
CQM***
--------------------------------------------------------------------------------------------------------------------------------------------------------
NQF 0418* and **................... Title: Preventive Care Centers for Medicare EHR PQRS, ACO, Group New.................. Population/Public
and Screening: and Medicaid Reporting PQRS. Health.
Screening for Clinical Services (CMS), 1-
Depression and 888-734-6433 or
Follow[dash]Up Plan. https://
Description: Percentage questions.cms.hhs.go
of patients aged 12 v/app/ask/p/
years and older 21,26,1139;
screened for clinical Quality Insights of
depression on the date Pennsylvania (QIP).
of the encounter using Contact Information:
an age appropriate www.usqualitymeasure
standardized s.org.
depression screening
tool AND if positive,
a follow[dash]up plan
is documented on the
date of the positive
screen.
--------------------------------------------------------------------------------------------------------------------------------------------------------
11. On page 54079, in the third column, second full paragraph--
a. Line 3, the reference ``Table 8'' is corrected to read ``Table
10''.
b. Line 24, the reference ``Table 8''is corrected to read ``Table
10''.
12. On page 54081, first column, second full paragraph, line 2, the
reference ``Table 8'' is corrected to read ``Table 10''.
13. On page 54120, middle of the page, in the table heading Table
E1--Determination of Net Average Allowable Costs for the First Payment
Year, the table number ``Table E1'' is corrected to read ``Table 19A''.
B. Correction of Errors in the Regulations Text
Sec. 495.6 [Corrected]
1. On page 54149, third column, lines 60 and 61, the sentence ``NN.
Adding paragraphs (f)(1)(ii)(B) and (C).'' is corrected to read ``NN.
Adding paragraph (f)(1)(ii)(B).''
2. On page 54153, third column, fourth full paragraph (Sec.
495.6(j)(14)(ii)(C)(1)), line 10, the reference ``CFR 107.314(b)(2)''
is corrected to read ``CFR 170.314(b)(2)''.
3. On page 54155, second column, 14th paragraph (Sec.
495.6(l)(6)(ii)), line 1, the phrase ``More than 55 percent of'' is
corrected to read ``Subject to paragraph (c) of this section, more than
55 percent of''.
3. On page 54157, first column, seventh paragraph (Sec.
495.6(m)(4)(ii)), line 1, the phrase ``More than 10 percent of'' is
corrected to read ``Subject to paragraph (c) of this section, more than
10 percent of''.
(Catalog of Federal Domestic Assistance Program No. 93.778, Medical
Assistance Program)
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: October 16, 2012.
Oliver Potts,
Deputy Executive Secretary to the Department, Department of Health and
Human Services.
[FR Doc. 2012-25975 Filed 10-22-12; 8:45 am]
BILLING CODE 4120-01-P