Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2014; Correction, 61202-61203 [2013-24080]

Download as PDF 61202 Federal Register / Vol. 78, No. 192 / Thursday, October 3, 2013 / Rules and Regulations Dated: September 30, 2013. Oliver Potts, Deputy Executive Secretary to the Department, Department of Health and Human Services. Manual (CMS Publication 100–02) was inadvertently abbreviated incorrectly. B. Summary of Errors in the Addenda On pages 47969 through 47975, in Table A: FY 2014 Wage Index for Urban Areas Based on CBSA Labor Market Areas, we inadvertently included several incorrect urban area titles for certain core-based statistical areas (CBSAs). As the result of receiving a corrected hospital cost report file, we also determined that we had inadvertently used incorrect wage data in calculating the wage index value for CBSA 30780 (Little Rock-North Little Rock-Conway AR), producing an incorrect wage index value for this CBSA. [FR Doc. 2013–24211 Filed 9–30–13; 4:15 pm] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 413 and 424 [CMS–1446–CN] RIN 0938–AR65 Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2014; Correction Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule; correction. AGENCY: This document corrects technical errors that appeared in the final rule published in the August 6, 2013, Federal Register entitled ‘‘Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2014.’’ DATES: These corrections are effective October 1, 2013. FOR FURTHER INFORMATION CONTACT: John Kane, (410) 786–0557. SUPPLEMENTARY INFORMATION: SUMMARY: I. Background In FR Doc. 2013–18776 of August 6, 2013 (78 FR 47936), there were a number of technical errors that are identified and corrected in the Correction of Errors section below. The provisions in this correction document are effective as if they had been included in FR Doc. 2013–18776 published August 6, 2013, hereinafter referred to as the FY 2014 SNF PPS final rule. Accordingly, the corrections are effective October 1, 2013. II. Summary of Errors sroberts on DSK5SPTVN1PROD with RULES A. Summary of Errors in the Preamble On page 47958, in our discussion of consolidated billing, a citation to the Medicare Claims Processing Manual (CMS Publication 100–04) was inadvertently abbreviated incorrectly. On page 47963, in our discussion of ensuring accuracy in grouping to rehabilitation RUG–IV categories, a citation to the Medicare Benefit Policy VerDate Mar<15>2010 15:47 Oct 02, 2013 Jkt 232001 III. Waiver of Proposed Rulemaking and Delayed 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 find for good cause that it is unnecessary to undertake notice and comment rulemaking because this document merely provides technical corrections to the FY 2014 SNF PPS final rule in the preamble and addenda. We are not making substantive changes to our payment methodologies or policies, but rather, are simply implementing correctly the payment methodologies and policies that we previously proposed, received comment on, and subsequently finalized. This correction document is intended solely to ensure that the FY 2014 SNF PPS final rule accurately reflects these payment methodologies and policies. Therefore, we believe that undertaking further notice and comment rulemaking activity in connection with it would be PO 00000 Frm 00050 Fmt 4700 Sfmt 4700 unnecessary and contrary to the public interest. Further, we believe a delayed effective date is unnecessary because this correction document merely corrects inadvertent technical errors. The corrections noted above do not make any substantive changes to the SNF PPS payment methodologies or policies. Moreover, we regard imposing a delay in the effective date as being contrary to the public interest. We believe that it is in the public interest for providers to receive appropriate SNF PPS payments in as timely a manner as possible and to ensure that the FY 2014 SNF PPS final rule accurately reflects our payment methodologies, payment rates, and policies. Therefore, we find good cause to waive notice and comment procedures, as well as the 30day delay in effective date. Correction of Errors In FR Doc. 2013–18776 of August 6, 2013 (78 FR 47936), make the following corrections: A. Corrections to the Preamble 1. On page 47958, third column, first paragraph, lines 30 and 31, the parenthetical citation ‘‘(see Pub. L. 100– 04, ch. 6, § 20.4)’’ is corrected to read ‘‘(see Pub. 100–04, ch. 6, § 20.4)’’. 2. On page 47963, first column, third full paragraph, lines 10 and 11, the parenthetical citation ‘‘(see Pub. L. 100– 02, ch. 8, § 30.6)’’ is corrected to read ‘‘(see Pub. 100–02, ch. 8, sec. 30.6)’’. B. Corrections to the Addendum 1. On pages 47969 through 47975 in Table A—FY 2014 Wage Index for Urban Areas Based on CBSA Labor Market Areas, a. The urban areas for the listed entries (CBSAs) are corrected to read as follows: CBSA code Urban area (constituent counties) 12420 ..... Austin-Round RockSan Marcos, TX. Bakersfield-Delano, CA. Bethesda-RockvilleFrederick, MD. Charlotte-GastoniaRock Hill, NC-SC. Fort Lauderdale-Pompano Beach-Deerfield, FL. 12540 ..... 13644 ..... 16740 ..... 22744 ..... Wage index 0.9576 1.1579 1.0319 0.9447 1.0378 b. The wage index for the listed entry (CBSA 30780) is corrected to read as follows: E:\FR\FM\03OCR1.SGM 03OCR1 Federal Register / Vol. 78, No. 192 / Thursday, October 3, 2013 / Rules and Regulations Tim Maguire, Mobility Division, Wireless Telecommunications Bureau at (202) 30780 ..... Little Rock-North Little 0.8632 418–2155. Rock-Conway, AR. SUPPLEMENTARY INFORMATION: This is a summary of the Commission’s Report c. The urban areas for the listed and Order (R&O), in WT Docket No. 10– entries (CBSAs) are corrected to read as 61; FCC 13–30, adopted February 28, follows: 2013, and released March 1, 2013. The full text of this document is available for CBSA Urban area Wage inspection and copying during normal code (constituent counties) index business hours in the FCC Reference 36740 ..... Orlando-Kissimmee0.9063 Center, 445 12th Street SW., Room CY– Sanford, FL. A257, Washington, DC 20554, or by 38900 ..... Portland-Vancouver1.1766 downloading the text from the Hillsboro, OR-WA. 41700 ..... San Antonio-New 0.8911 Commission’s Web site at https:// transition.fcc.gov/Daily_Releases/Daily_ Braunfels, TX. Business/2013/db0301/FCC-1330A1.pdf. The complete text also may (Catalog of Federal Domestic Assistance be purchased from the Commission’s Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, duplicating contractor, Best Copy and Medicare—Supplementary Medical Printing, Inc., Portals II, 445 12th Street Insurance Program) SW., Suite CY–B402, Washington, DC 20554. Alternative formats are available Dated: September 27, 2013. for people with disabilities (Braille, Jennifer M. Cannistra, large print, electronic files, audio Executive Secretary to the Department, format), by sending an email to Department of Health and Human Services. FCC504@fcc.gov or calling the [FR Doc. 2013–24080 Filed 9–30–13; 4:15 pm] Consumer and Government Affairs BILLING CODE 4120–01–P Bureau at (202) 418–0530 (voice), (202) 418–0432 (TTY). CBSA code Urban area (constituent counties) Wage index Background FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 87 [WT Docket Nos. 10–61 and 09–42, RM– 11503, RM–11596; FCC 13–30] Aviation Services Federal Communications Commission. ACTION: Final rule. AGENCY: In this document, the Federal Communications Commission (Commission) amends its rules to authorize the use of frequency 1090 MHz by aeronautical utility mobile stations for airport surface detection equipment, commonly referred to as vehicle ‘‘squitters,’’ to help reduce collisions between aircraft and airport ground vehicles. In addition, we establish service rules for audio visual warning systems to help aircraft in flight avoid antenna structures and other obstacles. We also adopt rules to permit ground testing of aviation data link systems, and decline to authorize remote monitoring of certain automated ground stations. DATES: Effective November 4, 2013. The incorporation by reference of certain publications listed in the rule is approved by the Director of the Federal Register as of November 4, 2013. sroberts on DSK5SPTVN1PROD with RULES SUMMARY: VerDate Mar<15>2010 15:47 Oct 02, 2013 Jkt 232001 FOR FURTHER INFORMATION CONTACT: 1. Air traffic controllers utilize airport surface detection equipment (ASDE–X) to manage the movement of aircraft on airport surfaces, but the current system does not allow the positive identification of ground vehicles such as snowplows and maintenance vehicles that routinely operate on the runway movement area. See 47 CFR 87.345. Unless the vehicle is visible from the control tower, air traffic controllers can determine only its location, but not the vehicle type or the operator. See NPRM, 25 FCC Rcd at 3356 para. 3. In response to growing concerns about airplanes colliding with or having to take evasive maneuvers to avoid vehicles on the airport surface, the Federal Aviation Administration (FAA) seeks to expand the use of ASDE–X to manage the movement of service vehicles as well as aircraft in the runway movement area. 2. The National Telecommunications and Information Administration (NTIA), supported by the FAA, filed a petition for rulemaking requesting that the Commission amend part 87 of the Commission’s rules to allow use of frequency 1090 MHz for tracking of ground vehicle movements on the airport surface. See Petition for Rulemaking of the National Telecommunications and Information Administration (July 29, 2008). In the Notice of Proposed Rulemaking and PO 00000 Frm 00051 Fmt 4700 Sfmt 4700 61203 Order (NPRM), the Commission noted that the frequency 1090 MHz is currently used for ASDE–X to manage the movement of aircraft on airport surfaces and for other things, such as the Traffic Alert and Collision Avoidance System (TCAS),1 but tentatively concluded that permitting use of the frequency by vehicle squitters would further the public interest. See NPRM, 25 FCC Rcd at 3356 paras. 6–7. 3. Accordingly, the Commission sought comment on proposed technical and service rules for vehicle squitters on frequency 1090 MHz. See NPRM, 25 FCC Rcd at 3357 paras. 9–14. The NPRM sought comment on whether the Commission should limit operation of vehicle squitters to the runway movement area to prevent use of the system for purposes other than vehicle and aircraft safety (such as tracking baggage carts). See NPRM, 25 FCC Rcd at 3357 paras. 12. The NPRM also tentatively agreed with NTIA’s proposal that the Commission coordinate applications with the FAA through the Interdepartment Radio Advisory Committee (IRAC), and it sought comment on whether the Commission should require applicants to precoordinate with the relevant FAA Regional Office before filing an application with the Commission. See NPRM, 25 FCC Rcd at 3357 para. 13. I. Procedural Matters A. Paperwork Reduction Act Analysis 4. This document contains new or modified information collection requirements subject to the Paperwork Reduction Act of 1995 (PRA), Public Law 104–13. Specifically, it requires prospective DLT station licensees to coordinate their applications with ASRI, the aeronautical enroute station 1 TCAS is an airborne warning system designed to avert mid-air collisions. See Review of part 87 of the Commission’s Rules Concerning the Aviation Radio Service, Report and Order and Further Notice of Proposed Rule Making, WT Docket No. 01–289, 18 FCC Rcd 21432, 21467 n.265 (2003) (Part 87 Report and Order). In the Part 87 Report and Order, the Commission adopted a proposal to permit ground testing of TCAS on frequency 1090 MHz, and amended § 87.475(c)(2) of the rules, 47 CFR 87.475(c)(2), accordingly. See Part 87 Report and Order, 18 FCC Rcd at 21467 para. 74. When it amended § 87.475(c)(2) later in that proceeding, however, the Commission inadvertently removed the language authorizing ground testing of TCAS on 1090 MHz. See Review of Part 87 of the Commission’s Rules Concerning the Aviation Radio Service, Second Report and Order and Second Further Notice of Proposed Rule Making, WT Docket No. 01–289, 21 FCC Rcd 11582, 11587–88 para. 6 (2006) (Part 87 Second Report and Order). In the NPRM in this proceeding, the Commission proposed to correct that error by amending § 87.475(c)(2) to restore the deleted language. See NPRM, 25 FCC Rcd at 3357 n.13. We now adopt the proposed correction. E:\FR\FM\03OCR1.SGM 03OCR1

Agencies

[Federal Register Volume 78, Number 192 (Thursday, October 3, 2013)]
[Rules and Regulations]
[Pages 61202-61203]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-24080]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 413 and 424

[CMS-1446-CN]
RIN 0938-AR65


Medicare Program; Prospective Payment System and Consolidated 
Billing for Skilled Nursing Facilities for FY 2014; Correction

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

ACTION: Final rule; correction.

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

SUMMARY: This document corrects technical errors that appeared in the 
final rule published in the August 6, 2013, Federal Register entitled 
``Medicare Program; Prospective Payment System and Consolidated Billing 
for Skilled Nursing Facilities for FY 2014.''

DATES: These corrections are effective October 1, 2013.

FOR FURTHER INFORMATION CONTACT: John Kane, (410) 786-0557.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 2013-18776 of August 6, 2013 (78 FR 47936), there were a 
number of technical errors that are identified and corrected in the 
Correction of Errors section below. The provisions in this correction 
document are effective as if they had been included in FR Doc. 2013-
18776 published August 6, 2013, hereinafter referred to as the FY 2014 
SNF PPS final rule. Accordingly, the corrections are effective October 
1, 2013.

II. Summary of Errors

A. Summary of Errors in the Preamble

    On page 47958, in our discussion of consolidated billing, a 
citation to the Medicare Claims Processing Manual (CMS Publication 100-
04) was inadvertently abbreviated incorrectly.
    On page 47963, in our discussion of ensuring accuracy in grouping 
to rehabilitation RUG-IV categories, a citation to the Medicare Benefit 
Policy Manual (CMS Publication 100-02) was inadvertently abbreviated 
incorrectly.

B. Summary of Errors in the Addenda

    On pages 47969 through 47975, in Table A: FY 2014 Wage Index for 
Urban Areas Based on CBSA Labor Market Areas, we inadvertently included 
several incorrect urban area titles for certain core-based statistical 
areas (CBSAs). As the result of receiving a corrected hospital cost 
report file, we also determined that we had inadvertently used 
incorrect wage data in calculating the wage index value for CBSA 30780 
(Little Rock-North Little Rock-Conway AR), producing an incorrect wage 
index value for this CBSA.

III. Waiver of Proposed Rulemaking and Delayed 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 find for good cause that it is unnecessary to undertake notice 
and comment rulemaking because this document merely provides technical 
corrections to the FY 2014 SNF PPS final rule in the preamble and 
addenda. We are not making substantive changes to our payment 
methodologies or policies, but rather, are simply implementing 
correctly the payment methodologies and policies that we previously 
proposed, received comment on, and subsequently finalized. This 
correction document is intended solely to ensure that the FY 2014 SNF 
PPS final rule accurately reflects these payment methodologies and 
policies. Therefore, we believe that undertaking further notice and 
comment rulemaking activity in connection with it would be unnecessary 
and contrary to the public interest.
    Further, we believe a delayed effective date is unnecessary because 
this correction document merely corrects inadvertent technical errors. 
The corrections noted above do not make any substantive changes to the 
SNF PPS payment methodologies or policies. Moreover, we regard imposing 
a delay in the effective date as being contrary to the public interest. 
We believe that it is in the public interest for providers to receive 
appropriate SNF PPS payments in as timely a manner as possible and to 
ensure that the FY 2014 SNF PPS final rule accurately reflects our 
payment methodologies, payment rates, and policies. Therefore, we find 
good cause to waive notice and comment procedures, as well as the 30-
day delay in effective date.

Correction of Errors

    In FR Doc. 2013-18776 of August 6, 2013 (78 FR 47936), make the 
following corrections:

A. Corrections to the Preamble

    1. On page 47958, third column, first paragraph, lines 30 and 31, 
the parenthetical citation ``(see Pub. L. 100-04, ch. 6, Sec.  20.4)'' 
is corrected to read ``(see Pub. 100-04, ch. 6, Sec.  20.4)''.
    2. On page 47963, first column, third full paragraph, lines 10 and 
11, the parenthetical citation ``(see Pub. L. 100-02, ch. 8, Sec.  
30.6)'' is corrected to read ``(see Pub. 100-02, ch. 8, sec. 30.6)''.

B. Corrections to the Addendum

    1. On pages 47969 through 47975 in Table A--FY 2014 Wage Index for 
Urban Areas Based on CBSA Labor Market Areas,
    a. The urban areas for the listed entries (CBSAs) are corrected to 
read as follows:

------------------------------------------------------------------------
                                   Urban area  (constituent       Wage
          CBSA code                       counties)               index
------------------------------------------------------------------------
12420........................  Austin-Round Rock-San Marcos,      0.9576
                                TX.
12540........................  Bakersfield-Delano, CA.........    1.1579
13644........................  Bethesda-Rockville-Frederick,      1.0319
                                MD.
16740........................  Charlotte-Gastonia-Rock Hill,      0.9447
                                NC-SC.
22744........................  Fort Lauderdale-Pompano Beach-     1.0378
                                Deerfield, FL.
------------------------------------------------------------------------

    b. The wage index for the listed entry (CBSA 30780) is corrected to 
read as follows:

[[Page 61203]]



------------------------------------------------------------------------
                                   Urban area  (constituent       Wage
          CBSA code                       counties)               index
------------------------------------------------------------------------
30780........................  Little Rock-North Little Rock-     0.8632
                                Conway, AR.
------------------------------------------------------------------------

    c. The urban areas for the listed entries (CBSAs) are corrected to 
read as follows:

------------------------------------------------------------------------
                                   Urban area  (constituent       Wage
          CBSA code                       counties)               index
------------------------------------------------------------------------
36740........................  Orlando-Kissimmee-Sanford, FL..    0.9063
38900........................  Portland-Vancouver-Hillsboro,      1.1766
                                OR-WA.
41700........................  San Antonio-New Braunfels, TX..    0.8911
------------------------------------------------------------------------

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

    Dated: September 27, 2013.
Jennifer M. Cannistra,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2013-24080 Filed 9-30-13; 4:15 pm]
BILLING CODE 4120-01-P
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