Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation; Payment Policies Related to Patient Status; Corrections, 61197-61202 [2013-24211]

Agencies

• Centers for Medicare & Medicaid Services
• DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Federal Register Volume 78, Number 192 (Thursday, October 3, 2013)]
[Rules and Regulations]
[Pages 61197-61202]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-24211]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 412, 482, 485, and 489

[CMS-1599 & 1455-CN2]
RINs 0938-AR53 and 0938-AR73


Medicare Program; Hospital Inpatient Prospective Payment Systems 
for Acute Care Hospitals and the Long-Term Care Hospital Prospective 
Payment System and Fiscal Year 2014 Rates; Quality Reporting 
Requirements for Specific Providers; Hospital Conditions of 
Participation; Payment Policies Related to Patient Status; Corrections

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

ACTION: Final rule; correction.

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

SUMMARY: This document corrects technical and typographical errors in 
the final rules that appeared in the August 19, 2013 Federal Register 
titled ``Medicare Program; Hospital Inpatient Prospective Payment 
Systems for Acute Care Hospitals and the Long-Term Care Hospital 
Prospective Payment System and Fiscal Year 2014 Rates; Quality 
Reporting Requirements for Specific Providers; Hospital Conditions of 
Participation; Payment Policies Related to Patient Status.''

DATES: This correcting document is effective October 1, 2013.

FOR FURTHER INFORMATION CONTACT: Tzvi Hefter, (410) 786-4487.

SUPPLEMENTARY INFORMATION: 

I. Background

    In FR Doc. 2013-18956, which appeared in the August 19, 2013 
Federal Register (78 FR 50496), there were a number of technical errors 
that are identified and corrected in the Correction of Errors section. 
The provisions in this correction document are effective as if they had 
been included in the document that appeared in the August 19, 2013 
Federal Register.

[[Page 61198]]

Accordingly, the corrections are effective October 1, 2013.

II. Summary of Errors

A. Errors in the Preamble

    On page 50546, in our discussion of the four new procedure codes, 
we inadvertently made a typographical error in the effective date.
    On page 50591, we made a typographical error in the number of 
hospitals approved for reclassification in FY 2013.
    On pages 50630, 50631, 50634, 50641, and 50642, in our discussion 
of disproportionate share hospitals (DSHs), we made inadvertent errors 
in the: (1) Actuarial estimate of the aggregate amount of Medicare DSH 
payments for FY 2014 without regard to section 1886(r)(1) of the Social 
Security Act (the Act); (2) actuarial estimate of the aggregate amount 
of empirically justified Medicare DSH payments for FY 2014 with the 
application of section 1886(r)(1) of the Act; (3) calculation of Factor 
1; (4) determination of the amount available for uncompensated care 
payments for 2014; and (5) number of hospitals that we projected to be 
eligible to receive a Medicare DSH payment in FY 2014.
    On page 50678, in our discussion of Hospital Value-Based Purchasing 
(HVBP) Program FY 2014 payment details, we made an inadvertent error in 
the slope of the linear exchange function that was used to calculate 
the updated proxy value-based incentive payment adjustment factors in 
Table 16A.
    On page 50772, in our discussion of the LTCH PPS 25-percent 
threshold payment adjustment, we inadvertently misstated the time 
period for the application of the policy.
    On page 50859, in our discussion of LTCH CARE Data, we 
inadvertently misstated commenter's statement.
    On page 50867, in our discussion of the LTCH Quality Reporting 
(LTCHQR) Program, we made a technical error in describing a type of 
claim-based measure.
    On pages 50854, 50855, 50856, 50862, 50864, 50866, and 50876 in our 
discussion of the LTCHQR Program, we made grammatical errors.
    On pages 50855, 50858, 50859, 50860, 50861, 50871, 50876, 50879, 
50880, 50881, and 50882 in our discussion regarding the LTCHQR Program 
measures, we made typographical and technical errors in referencing an 
NQF-endorsed measure name.

B. Summary of Errors in and Corrections to Files and Tables Posted on 
the CMS Web Site

1. Errors and Corrections to the Medicare DSH Files
    Supplemental Medicare DSH File.--FY 2014 Uncompensated Care Payment 
Factors. For the FY 2014 IPPS/LTCH PPS Final Rule, we published a list 
of hospitals that we identified to be subsection (d) hospitals and 
subsection (d) Puerto Rico hospitals eligible to receive empirically 
justified Medicare DSH payment adjustments and uncompensated care 
payments for FY 2014. As stated in the FY 2014 IPPS/LTCH PPS final rule 
(78 FR 50642), we allowed the public an additional period after the 
issuance of the final rule to contact us with comments on whether any 
of the hospitals should be removed from the list or if any hospitals 
should be added to the list, based on their subsection (d) status. 
Based on the comments received during this additional period, we are 
making several corrections to the Supplemental Medicare DSH File. 
First, in calculating Factor 3 of the uncompensated care payment 
methodology, we inadvertently excluded the FY 2011 SSI days and the 
Medicaid days from the most recently available 2011 or 2010 cost report 
for certain providers that were projected to receive Medicare DSH in FY 
2014.
    These providers had submitted their 2010 and/or 2011 Medicare 
hospital cost reports to their Medicare contractor prior to the March 
2013 update of HCRIS but the Medicare contactor had been unable to 
upload either the 2010 or 2011 Medicare hospital cost reports in a 
timely manner to be included in the March 2013 update of HCRIS. As a 
result, the Medicaid days for these providers were inadvertently 
excluded from the calculation of Factor 3. In addition, due to a 
programming error, these providers had SSI days reported for their FY 
2011 SSI ratios that were inadvertently excluded in the calculation of 
their Factor 3. The Medicaid days and SSI days for these providers were 
excluded from the numerator of Factor 3 for the affected providers and 
from the denominator of Factor 3 for all providers. Second, as a result 
of the exclusion of these Medicare hospital cost reports from the March 
2013 update of HCRIS, the Medicare DSH payments for these providers 
were not included in the Office of the Actuary's Medicare DSH estimates 
for the calculation of Factor 1. Third, seven providers listed as 
eligible to receive Medicare DSH payments are no longer subsection(d) 
hospitals and have been removed from the list of hospitals eligible to 
receive empirically justified Medicare DSH payment adjustments and 
uncompensated care payments for FY 2014. We are changing the number of 
hospitals that are eligible to receive empirically justified Medicare 
DSH payment adjustments and uncompensated care payments for FY 2014. In 
order to correct these errors, we have revised Factor 3 for all 
hospitals to incorporate the changes to the data. Specifically, to 
account for the removal of hospitals that are not subsection (d) 
hospitals and the addition of data for the two hospitals whose data was 
inadvertently excluded from the calculation of Factor 3, we have 
recalculated the denominator of Factor 3 for all hospitals. In 
addition, we have also recalculated the numerator of Factor 3 for the 
hospitals that had data inadvertently excluded. We have also revised 
Factor 1 to include in our estimates the Medicare DSH payments for the 
providers whose Medicare hospital cost report data was not included in 
the March 2013 update of HCRIS.
2. Errors in and Corrections to the IPPS Tables
    We are correcting the errors in the following IPPS tables that are 
listed on page 51002 of FY 2014 IPPS/LTCH PPS final rule and are 
available on the Internet on the CMS Web site at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY-2014-IPPS-Proposed-Rule-Home-Page.html:
    In Table 2.--Acute Care Hospitals Case-Mix Indexes for Discharges 
Occurring in Federal Fiscal Year 2012; Hospital Wage Indexes for 
Federal Fiscal Year 2014; Hospital Average Hourly Wages for Federal 
Fiscal Years 2012 (2008 Wage Data), 2013 (2009 Wage Data), and 2014 
(2010 Wage Data); and 3-Year Average of Hospital Average Hourly Wages. 
We determined that we used incorrect wages and hours for provider 
040029 located in core-based statistical area (CBSA) 30780. Therefore, 
we are correcting the FY 2014 wage indexes for the following providers 
in, or reclassified into, CBSA 30780: 040007, 040014, 040016, 040029, 
040036, 040041, 040071, 040074, 040084, 040114, 040119, 040134, 040137, 
and 040147. In addition, for provider 040029, we are correcting the 
average hourly wage FY 2014, and the average hourly wage (3 Years). We 
also are making a correction to the FY 2014 wage index of provider 
330386 because we inadvertently did not treat provider 330386 as being 
redesignated under section 1886(d)(8)(B) of the Act to CBSA 39100. By 
treating provider 330386 as

[[Page 61199]]

being redesignated under section 1886(d)(8)(B) of the Act to CBSA 
39100, the reclassified wage index of CBSA 39100 is changing as well. 
Since provider 330224 is reclassifying into CBSA 39100, provider 
330224's FY 2014 wage index is being corrected accordingly.
    In Table 3A.--FY 2014 and 3-Year Average Hourly Wage for Acute Care 
Hospitals in Urban Areas by CBSA. We determined that we used incorrect 
wages and hours for provider 040029 located in CBSA 30780. Therefore, 
we are correcting the FY 2014 average hourly wage and the 3-year 
average hourly wage for CBSA 30780, Little Rock-North Little Rock-
Conway, AR.
    In Table 4A.--Wage Index and Capital Geographic Adjustment Factor 
(GAF) for Urban Areas by CBSA and by State--FY 2014. We determined that 
we used incorrect wages and hours for provider 040029 located in CBSA 
30780. Therefore, for CBSA 30780, Little Rock-North Little Rock-Conway, 
AR, we are correcting the data in the columns titled ``Wage Index'' and 
``GAF.''
    In Table 4C.--Wage Index and Capital Geographic Adjustment Factor 
(GAF) For Hospitals That Are Reclassified by CBSA and by State--FY 
2014. We determined that we used incorrect wages and hours for provider 
040029 located in CBSA 30780. Therefore, for CBSA 30780, Little Rock-
North Little Rock-Conway, AR, we are correcting the data in the columns 
titled ``Wage Index'' and ``GAF.'' We are also correcting the data in 
the columns titled ``Wage Index'' and ``GAF'' for CBSA 39100, 
Poughkeepsie-Newburgh-Middletown, NY, because we inadvertently did not 
treat provider 330386 as being redesignated under section 1886(d)(8)(B) 
of the Act to CBSA 39100, and therefore, we inadvertently excluded the 
data of provider 330386 from the calculation of the wage index and GAF 
for CBSA 39100.
    In Table 4J.--Out-Migration Adjustment for Acute Care Hospitals--FY 
2014. First, the column titled ``Reclassified for FY 2013'' is being 
corrected to read ``Reclassified for FY 2014''. Second, we determined 
that we used incorrect wages and hours for provider 040029 located in 
CBSA 30780. As a result, we are adjusting the wage index for CBSA 
30780, which, in turn, changes the out-migration adjustment of certain 
providers located in counties that are receiving an out-migration 
adjustment based on commuting into a county located within CBSA 30780. 
Specifically, we are correcting the value in the column titled ``Out-
Migration Adjustment'' of providers 040014, 040071, and 040076.
    Third, we inadvertently did not treat provider 330386 as being 
redesignated under section 1886(d)(8)(B) of the Act to CBSA 39100. 
Because we had not treated provider 330386 as being redesignated under 
section 1886(d)(8)(B) of the Act, we had listed provider 330386 in 
Table 4J as receiving the out-migration adjustment. However, since a 
hospital that is redesignated under section 1886(d)(8)(B) of the Act 
cannot simultaneously receive the out-migration adjustment, we are 
correcting Table 4J for provider 330386 by placing an asterisk in the 
column titled ``Reclassified for FY 2014'' (previously incorrectly 
titled ``Reclassified for FY 2013''), indicating that this provider is 
not receiving the out-migration adjustment.
    In Table 9A.--Hospital Reclassifications and Redesignations--FY 
2014. We inadvertently did not treat provider 330386 as being 
redesignated from rural to urban under section 1886(d)(8)(B) of the 
Act. We are correcting Table 9A to include provider 330386 as being 
redesignated from the geographic CBSA of 33 to the reclassified CBSA of 
39100, and indicating LUGAR in the column titled ``LUGAR''.
    In Table 15.--FY 2014 Readmissions Adjustment Factors, we are 
correcting a technical error in the calculation of the readmissions 
adjustment factors. For some hospitals, we inadvertently included high 
cost outlier payments in determining the base operating DRG payment 
amounts in the calculation of aggregate payments for excess 
readmissions and aggregate payments for all discharges that were used 
to calculate the readmissions adjustment factors published for the FY 
2014 IPPS/LTCH final rule. As specified in the definitions in Sec.  
412.152, the base operating DRG payment amount does not include any 
additional payments for high cost outliers under subpart F of 42 CFR 
part 412. The technical correction to the determination of the base 
operating DRG payment amounts changes the readmissions payment 
adjustment factor for some hospitals in Table 15 by a small amount.
    In Table 16A.--Updated Proxy Hospital Inpatient Value-Based 
Purchasing (VBP) Program Adjustment Factors for FY 2014. Due to a 
technical error in including high cost outlier payments for some 
hospitals in the proxy Hospital VBP Program adjustment factors 
calculations, we are correcting the proxy Hospital VBP Program 
adjustment factors for all hospitals listed in the table.
3. Errors in and Corrections to a LTCH PPS Table
    We are also correcting the errors in the following LTCH PPS table 
that is listed on page 51002 of the FY 2014 IPPS/LTCH PPS final rule 
and that available on the Internet on the CMS Web site at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/LongTermCare 
HospitalPPS/.
    Table 12A.--LTCH PPS Wage Index for Urban Areas for Discharges 
Occurring from October 1, 2013 through September 30, 2014. Due to a 
technical error found in the data of a provider in CBSA 30780, we are 
correcting the LTCH PPS wage index value for that CBSA.

III. Waiver of Proposed Rulemaking

    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 rule 
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 tables posted on 
the CMS Web site but does not make substantive changes to the policies 
or payment methodologies that were adopted in the final rule. As a 
result, this correcting document is intended to ensure that the 
preamble and tables posted on the CMS Web site accurately reflect the 
policies adopted in that final rule.
    In addition, even if this were a rule to which the notice and 
comment and delayed effective date requirements applied, we find that 
there is good cause to waive such requirements.

[[Page 61200]]

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 because it is 
in the public's interest for providers to receive appropriate payments 
in as timely a manner as possible. 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.

Correction of Errors

    In FR Doc. 2013-18956 of August 19, 2013 (78 FR 50496), make the 
following corrections:

A. Corrections of Errors in the Preamble

    1. On page 50546, first column, second full paragraph, lines 17 and 
18, the date, ``October 1, 2014'' is corrected to read ``October 1, 
2013.''
    2. On page 50591, third column, last full paragraph, line 15, the 
figure ``196'' is corrected to read ``169''.
    3. On page 50630, third column, last paragraph,
    a. Line 12, the figure ``$12.772'' is corrected to read 
``$12.775''.
    b. Line 26, the figure ``$3.193'' is corrected to read ``$3.194''.
    4. On page 50631, first column, first paragraph, line 3, the figure 
``$9.579'' is corrected to read ``$9.581''.
    5. On page 50634, first column, second full paragraph,
    a. Line 9, the figure ``$9.033'' is corrected to read ``$9.035''.
    b. Line 10, the figure ``9.579'' is corrected to read ``$9.581''.
    6. On page 50641, third column, second full paragraph,
    a. Line 12, the figure ``2,695'' is corrected to read ``2687''.
    b. Line 17, the figure ``2,437'' is corrected to read ``2430''.
    7. On page 50642, first column, first paragraph,
    a. Line 2,
    (1) The figure ``2,437'' is corrected to read ``2,430''.
    (2) The figure ``72'' is corrected to read ``71''.
    b. Line 7, the figure ``2,437'' is corrected to read ``2430''.
    8. On page 50678, top two-thirds of the page, second column, 
partial paragraph, line 30, the figure ``1.8363321306'' is corrected to 
read ``1.8363054116.''
    9. On page 50772, bottom third of the page, second column, third 
paragraph, lines 9 through 11, the phrase ``applied to discharges 
occurring on or after October 1, 2013.'' is corrected to read ``applied 
for cost reporting periods beginning on or after October 1, 2013.''
    10. On page 50854, first column,
    a. First full paragraph, last two lines, the phrase ``testing and 
development'' is corrected to read ``measure testing and development''.
    b. Second full paragraph,
    (1) Line 8, the phrase ``that are fully'' is corrected to read 
``that are either fully''.
    (2) Last line through the second column first partial paragraph 
line 1, the phrase ``why a particular measure is high priority'' is 
corrected to read ``why particular measures are high priority''.
    11. On page 50855,
    a. First column, second full paragraph, lines 31 through 33, the 
phrase ``when LTCHs are required to submit data on the new measures we 
included in the proposed rule.'' is corrected to read ``LTCHs are 
required to submit data on the new measures.''
    b. Second column, first partial paragraph, line 9, the phrase ``we 
refer readers to that final rule'' is corrected to read ``we refer 
readers to the FY 2013 IPPS/LTCH PPS final rule''.
    c. Third column,
    (1) First partial paragraph, lines 7 and 8, the phrase ``More 
specifically, this commenter'' is corrected to read ``More 
specifically, these commenters''.
    (2) Last paragraph, line 6, the phrase ``compliance for October 1, 
2012'' is corrected to read ``compliance for the October 1, 2012''.
    12. On page 50856,
    a. Upper third of the page, first column, second partial paragraph, 
line 4, the phrase ``that it will use'' is corrected to read ``that we 
will use''.
    b. Lower two-thirds of the page, third column, last paragraph, 
lines 13 and 14, the phrase ``an healthcare-associated infection 
(HAI)'' is corrected to read ``a healthcare-associated infection 
(HAI)''.
    13. On page 50858, lower two-thirds of the page, second column, 
last paragraph, line 3, the phrase ``NQF 0680, Percentage'' is 
corrected to read ``NQF 0680, Percent''.
    14. On pages 50859,
    a. Upper third of the page, in the table, PROPOSED TIMELINE FOR 
SUBMISSION OF LTCHQR PROGRAM QUALITY DATA FOR THE FY 2016 AND FY 2017 
PAYMENT DETERMINATIONS: NQF 0680 PERCENTAGE OF RESIDENTS OR 
PATIENTS WHO WERE ASSESSED AND APPROPRIATELY GIVEN THE SEASONAL 
INFLUENZA VACCINE [Short Stay], in the table heading, line 2, the 
phrase ``PERCENTAGE OF RESIDENTS'' is corrected to read ``PERCENT OF 
RESIDENTS''.
    b. Lower two-thirds of the page, second column,
    (1) Third full paragraph, line 18, the phrase ``calculation of the 
measure'' is corrected to read ``calculation and public reporting of 
the measure''.
    (2) Last paragraph, line 2, the phrase ``CMS align the data'' is 
corrected to read ``CMS update the data''.
    15. On page 50860,
    a. First column, first partial paragraph, line 18, the phrase 
``LTCHs to show if'' is corrected to read ``LTCHs to report whether''.
    b. Second column, second paragraph, line 19, the parenthetical 
phrase ``(short-stay)'' is corrected to read ``(Short-Stay)''.
    c. Third column,
    (1) Third full paragraph,
    (a) Lines 13 and 14, the parenthetical phrase ``(short-stay)'' is 
corrected to read ``(Short-Stay)''.
    (b) Line 17, the parenthetical phrase ``(short-stay)'' is corrected 
to read ``(Short-Stay)''.
    (c) Line 26, the phrase ``measure and endorsement by'' is corrected 
to read ``measure and endorsed by''.
    (2) Last paragraph, lines 5 and 6, the parenthetical phrase 
``(short-stay)'' is corrected to read ``(Short-Stay)''.
    16. On page 50861, upper half of the page,
    a. Third column, partial paragraph, line 5, the parenthetical 
phrase ``(short-stay)'' is corrected to read ``(Short-Stay)''.
    b. In the table, FINAL TIMELINE FOR SUBMISSION OF LTCHQR PROGRAM 
QUALITY DATA FOR THE FY 2016 AND FY 2017 PAYMENT DETERMINATIONS: NQF 
0680 PERCENTAGE OF RESIDENTS OR PATIENTS WHO WERE ASSESSED AND 
APPROPRIATELY GIVEN THE SEASONAL INFLUENZA VACCINE [Short Stay], in the 
table heading, line 2, the phrase ``PERCENTAGE OF RESIDENTS'' is 
corrected to read ``PERCENT OF RESIDENTS''.
    17. On page 50862,
    a. First column, third full paragraph, lines 5 and 6, the phrase, 
``setting and NQF endorsement for LTCH setting'' is corrected to read 
``setting and to obtain NQF endorsement for the LTCH setting''.
    b. Second column,
    (1) First full paragraph, lines 23 and 24, the phrase ``SNF/nursing 
home patient population'' is corrected to read ``SNF/nursing home 
short-stay resident population''.
    (2) Second full paragraph, line 4, the phrase ``ulcers and is 
committed'' is corrected to read ``ulcers, and we are committed''.
    18. On page 50864, second column,

[[Page 61201]]

    a. First full paragraph, line 5, the phrase ``commenters urge'' is 
corrected to read ``commenters urged''.
    b. Third full paragraph, line 1, the phrase ``noted it is'' is 
corrected to read ``noted that is it''.
    19. On page 50866, second column, first partial paragraph, line 19, 
the phrase ``and measuring infection rates is'' is corrected to read 
``and measuring infection rates are''.
    20. On page 50867,
    a. First column, second full paragraph, line 11, the phrase 
``LTCHQR measure scores'' is corrected to read ``LTCHQR Program 
measures scores''.
    b. Third column, first partial paragraph, line 9, the phrase 
``claims-based MRSA'' is corrected to read ``claims-based CDI''.
    21. On page 50869, third column, first full paragraph, lines 22 and 
23, the phrase ``discharge, or the date of patient death'' is corrected 
to read ``discharge or until the date of the patient's death''.
    22. On page 50870, first full paragraph, lines 5 and 6, the phrase 
``discharge date, or date of death'' is corrected to read ``discharge 
or until the date of the patient's death''.
    23. On page 50871,
    a. Second column, last paragraph, line 6, the phrase ``but note 
that but note that'' is corrected to read ``but note that''.
    b. Third column, third full paragraph, line 11, the phrase ``are 
typically not'' is corrected to read ``is typically not''.
    24. On page 50872,
    a. First column, last paragraph, lines 10 and 11, the phrase ``LTCH 
harmonizes'' is corrected to read ``LTCH readmission measure 
harmonizes''.
    b. Second column, third full paragraph,
    (1) Line 1, the phrase ``Some comments'' is corrected to read 
``Some commenters''.
    (2) Line 5, the phrase ``They suggest'' is corrected to read ``They 
suggested''.
    25. On page 50873,
    a. Second column,
    (1) First full paragraph, line 25, the phrase ``readmissions are 
considered'' is corrected to read ``readmissions were considered''.
    (2) Last paragraph, lines 1 and 2, the phrase ``The two years of 
data for each report period'' is corrected to read ``The 2 years of 
data for each reporting period''.
    b. Third column, first full paragraph, line 1, the phrase ``Some 
commenters are'' is corrected to read ``Some commenters were''.
    26. On page 50875, second column, first full paragraph,
    a. Line 1, the phrase ``We note that,'' is corrected to read ``We 
noted that,''.
    b. Line 14, the phrase ``LTCH setting'' is corrected to read ``the 
LTCH setting''.
    27. On page 50876, second column,
    a. First partial paragraph, line 1, the phrase ``but it concluded'' 
is corrected to read ``it concluded''.
    b. Last paragraph, line 14 through the third column first partial 
paragraph, the sentences ``In this instance, for example, an 
application of the Percent of Residents Experiencing One or More Falls 
with Major Injury (Long Stay) measure (NQF 0674) is NQF-
endorsed for the LTCH setting, an indication that it is appropriate for 
LTCH patients. In addition, this measure is appropriate in light of the 
fact that fall-related injury is an important patient safety concern 
for LTCH patients. For the reasons listed above, this measure is 
appropriate for LTCH patients.'' are corrected to read ``In light of 
the TEP feedback and the fact that fall-related injury is an important 
patient safety concern for patients in health care settings, including 
LTCHs, this measure is appropriate for the LTCHQR Program.''
    28. On page 50879,
    a. First column, fourth full paragraph (section heading), line 5, 
the parenthetical phrase ``(Short Stay)'' is corrected to read 
``(Short-Stay)''.
    b. Second column,
    (1) First partial paragraph, line 1, the parenthetical phrase 
``(Short Stay)'' is corrected to read ``(Short-Stay)''.
    (2) First full paragraph,
    (a) Line 8, the page reference ``277322'' is corrected to read 
``27732''.
    (b) Lines 16 and 17, the phrase ``Data collection and submission of 
this measure will continue'' is corrected to read ``We proposed in the 
FY 2014 IPPS/LTCH PPS proposed rule (78 FR 27722 and 27723) that data 
collection and submission for this measure would continue''.
    29. On page 50880, upper half of the page, the table, TIMELINE FOR 
SUBMISSION OF LTCHQR PROGRAM QUALITY DATA FOR THE FY 2016 PAYMENT 
DETERMINATION: NQF 0680 PERCENTAGE OF RESIDENTS OR PATIENTS 
WHO WERE ASSESSED AND APPROPRIATELY GIVEN THE SEASONAL INFLUENZA 
VACCINE (SHORT STAY), in the table heading,
    a. Line 2, the phrase ``PERCENTAGE OF RESIDENTS'' is corrected to 
read ``PERCENT OF RESIDENTS''.
    b. Line 3, the parenthetical phrase ``(SHORT STAY)'' is corrected 
to read ``(SHORT-STAY)''.
    30. On page 50881, lower two-thirds of the page, the table, 
TIMELINE FOR SUBMISSION OF LTCHQR PROGRAM QUALITY DATA FOR THE FY 2017 
PAYMENT DETERMINATION: NQF 0680 PERCENTAGE OF RESIDENTS OR 
PATIENTS WHO WERE ASSESSED AND APPROPRIATELY GIVEN THE SEASONAL 
INFLUENZA VACCINE (SHORT STAY), in the table heading,
    a. Line 2, the phrase ``PERCENTAGE OF RESIDENTS'' is corrected to 
read ``PERCENT OF RESIDENTS''.
    b. Line 3, the parenthetical phrase ``(SHORT STAY)'' is corrected 
to read ``(SHORT-STAY)''.
    31. On page 50882, lower two-thirds of the page,
    a. In the table, TIMELINE FOR SUBMISSION OF LTCHQR PROGRAM QUALITY 
DATA FOR THE FY 2018 PAYMENT DETERMINATION FOR ALL MEASURES EXCEPT 
0431 INFLUENZA VACCINATION COVERAGE AMONG HEALTH CARE 
PERSONNEL AND 0680 PERCENTAGE OF RESIDENTS OR PATIENTS WHO 
WERE ASSESSED AND APPROPRIATELY GIVEN THE SEASONAL INFLUENZA VACCINE 
(SHORT STAY), in the table heading,
    (1) Line 2, the phrase ``EXCEPT 0431'' is corrected to 
read ``EXCEPT NQF 0431''.
    (2) Lines 1 and 2, the phrase `` 0680 PERCENTAGE OF 
RESIDENTS'' is corrected to read ``NQF  0680 PERCENT OF 
RESIDENTS''.
    (3) Line 3, the parenthetical phrase ``(SHORT STAY)'' is corrected 
to read ``(SHORT-STAY)''.
    b. In the table TIMELINE FOR SUBMISSION OF LTCHQR PROGRAM QUALITY 
DATA FOR THE FY 2018 PAYMENT DETERMINATION: 0680 PERCENTAGE OF 
RESIDENTS OR PATIENTS WHO WERE ASSESSED AND APPROPRIATELY GIVEN THE 
SEASONAL INFLUENZA VACCINE (SHORT STAY), in the table heading,
    (1) Lines 2 and 3, the phrase `` 0680 PERCENTAGE OF 
RESIDENTS'' is corrected to read ``NQF  0680 PERCENT OF 
RESIDENTS''.
    (2) Line 4, the parenthetical phrase ``(SHORT STAY)'' is corrected 
to read ``(SHORT-STAY)''.
    32. On page 50887, second column, first full paragraph, line 2, the 
phrase ``two-percentage point reduction'' is corrected to read ``2.0 
percentage point reduction''.

(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)


[[Page 61202]]


    Dated: September 30, 2013.
Oliver Potts,
Deputy Executive Secretary to the Department, Department of Health and 
Human Services.
[FR Doc. 2013-24211 Filed 9-30-13; 4:15 pm]
BILLING CODE 4120-01-P