Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, Clinical Laboratory Fee Schedule, Access to Identifiable Data for the Center for Medicare and Medicaid Innovation Models & Other Revisions to Part B for CY 2015; Corrections, 78716-78719 [2014-30663]
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78716
Federal Register / Vol. 79, No. 250 / Wednesday, December 31, 2014 / Rules and Regulations
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Priority Mail Express, Priority Mail & FirstClass Package Service Contract 1
Priority Mail Express, Priority Mail & FirstClass Package Service Contract 2
Priority Mail Express, Priority Mail & FirstClass Package Service Contract 3
Priority Mail Express, Priority Mail & FirstClass Package Service Contract 4
Priority Mail & First-Class Package Service
Contract 1
Outbound International*
Global Expedited Package Services (GEPS)
Contracts GEPS 3
Global Direct Contracts
Global Direct Contracts 1
Global Bulk Economy (GBE) Contracts
Global Plus Contracts
Global Plus 1C
Global Plus 2C
Global Reseller Expedited Package
Contracts
Global Reseller Expedited Package Services
1
Global Reseller Expedited Package Services
2
Global Reseller Expedited Package Services
3
Global Reseller Expedited Package Services
4
Global Expedited Package Services
(GEPS)—Non-Published Rates
Global Expedited Package Services
(GEPS)—Non-Published Rates 2
Global Expedited Package Services
(GEPS)—Non-Published Rates 3
Global Expedited Package Services
(GEPS)—Non-Published Rates 4
Priority Mail International Regional Rate
Boxes—Non-Published Rates
Outbound Competitive International
Merchandise Return Service Agreement
with Royal Mail Group, Ltd.
Inbound International*
International Business Reply Service
(IBRS) Competitive Contracts
International Business Reply Service
Competitive Contract 1
International Business Reply Service
Competitive Contract 3
Inbound Direct Entry Contracts with
Customers
Inbound Direct Entry Contracts with
Foreign Postal Administrations
Inbound Direct Entry Contracts with
Foreign Postal Administrations
Inbound Direct Entry Contracts with
Foreign Postal Administrations 1
Inbound EMS
Inbound EMS 2
VerDate Sep<11>2014
16:08 Dec 30, 2014
Jkt 235001
Inbound Air Parcel Post (at non-UPU rates)
Royal Mail Group Inbound Air Parcel Post
Agreement
Inbound Competitive Multi-Service
Agreements with Foreign Postal
Operators 1
Special Services*
Address Enhancement Services
Greeting Cards, Gift Cards, and Stationery
International Ancillary Services
International Money Transfer Service—
Outbound
International Money Transfer Service—
Inbound
Premium Forwarding Service
Shipping and Mailing Supplies
Post Office Box Service
Competitive Ancillary Services
Nonpostal Services*
Advertising
Licensing of Intellectual Property other
than Officially Licensed Retail Products
(OLRP)
Mail Service Promotion
Officially Licensed Retail Products (OLRP)
Passport Photo Service
Photocopying Service
Rental, Leasing, Licensing or other NonSale Disposition of Tangible Property
Training Facilities and Related Services
USPS Electronic Postmark (EPM) Program
Market Tests*
Metro Post
International Merchandise Return Service
(IMRS)—Non-Published Rates
Customized Delivery
Shoshana M. Grove,
Secretary.
[FR Doc. 2014–30565 Filed 12–30–14; 8:45 am]
BILLING CODE 7710–FW–P
November 13, 2014, entitled ‘‘Medicare
Program; Revisions to Payment Policies
Under the Physician Fee Schedule,
Clinical Laboratory Fee Schedule,
Access to Identifiable Data for the
Center for Medicare and Medicaid
Innovation Models & Other Revisions to
Part B for CY 2015.’’
DATES: The correcting document is
effective January 1, 2015.
FOR FURTHER INFORMATION CONTACT:
Melissa Heesters (410) 786–0618, for
issues related to reports of payments or
other transfers of value to covered
recipients.
Amy Gruber (410) 786–1542, for
issues related to changes in geographic
area designations for ambulance
payment.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2014–26183 of November
13, 2014 (79 FR 67547 through 68092),
there were a number of technical errors
that are identified and corrected in the
Correction of Errors section below.
These corrections are effective January
1, 2015. We note that the ambulance fee
schedule ZIP code files for the CY 2015
Physician Fee Schedule (PFS) final rule
with comment period as corrected in
this correction notice are available on
the CMS Web site at https://
www.cms.gov/Medicare/Medicare-Feefor-Service-Payment/
AmbulanceFeeSchedule/.
II. Summary of Errors
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
42 CFR Parts 403, 405, 410, 411, 412,
413, 414, 425, 489, 495, and 498
[CMS–1612–CN]
RIN 0938–AS12
Medicare Program; Revisions to
Payment Policies Under the Physician
Fee Schedule, Clinical Laboratory Fee
Schedule, Access to Identifiable Data
for the Center for Medicare and
Medicaid Innovation Models & Other
Revisions to Part B for CY 2015;
Corrections
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Correction of final rule with
comment period.
AGENCY:
This document corrects
technical errors that appeared in the
final rule with comment period
published in the Federal Register on
SUMMARY:
PO 00000
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Fmt 4700
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A. Summary of Errors in the Preamble
On page 67548, we inadvertently only
listed § 403.904(c)(8) with a compliance
date of January 1, 2016 for new data
collection requirements. However, all of
the changes in § 403.904 are effective
January 1, 2016.
On pages 67747, 67749, 67750 and
67993 in our discussion of the updated
Zip code analysis based on OMB’s
revised delineations and updated RuralUrban Commuting Area (RUCA) codes,
the percentages and totals of the ZIP
codes changing from urban to rural and
from rural to urban, the percentages and
totals of the ZIP codes not changed, and
the referenced state impacts are
incorrect due to a technical error in the
application of the updated RUCA codes.
In addition, the total number of ZIP
codes is incorrect.
On pages 67748 through 67749, in
Table 47: Updated ZIP Codes Analysis
Based on OMB’s Revised Delineations
and Updated RUCA Codes, the totals
and percentages of the ZIP codes
changing from urban to rural and from
rural to urban, and the totals and
percentages of the ZIP codes not
E:\FR\FM\31DER1.SGM
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Federal Register / Vol. 79, No. 250 / Wednesday, December 31, 2014 / Rules and Regulations
changed are incorrect in certain rows of
the table due to a technical error in the
application of the updated RUCA codes.
In addition, the total number of ZIP
codes in East Missouri and the total
number of ZIP codes in the country are
incorrect.
B. Summary and Correction of Errors on
the CMS Web Site
As discussed in section II.A. of this
correcting document, as a result of a
technical error in the application of the
updated RUCA codes, certain ZIP code
data in Table 47 of the CY 2015 PFS
final rule with comment period and the
updated analysis of this data in that
final rule with comment period were
incorrect. For the same reason, there
were errors in the ambulance fee
schedule ZIP code files that were made
available on the CMS Web site. These
errors are corrected in the revised ZIP
code files available on the CMS Web site
at https://www.cms.gov/Medicare/
Medicare-Fee-for-Service-Payment/
AmbulanceFeeSchedule/.
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 the 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
tkelley on DSK3SPTVN1PROD with RULES
AK ................................................................
AL .................................................................
AR ................................................................
AS ................................................................
AZ .................................................................
CA ................................................................
CO ................................................................
CT ................................................................
DC ................................................................
DE ................................................................
EK ................................................................
16:08 Dec 30, 2014
IV. Correction of Errors
In FR Doc. 2014–26183 of November
13, 2014 (79 FR 67547), make the
following corrections:
A. Correction of Errors in the Preamble
1. On page 67548, first column, fourth
full paragraph, line 3, remove ‘‘(c)(8)’’.
2. On page 67747, second column,
first full paragraph,
a. Line 6, the phrase ‘‘42,918 ZIP
codes’’ is corrected to read ‘‘42,919 ZIP
codes’’.
b. Line 9, the phrase ‘‘approximately
92.02’’ is corrected to read
‘‘approximately 95.22’’.
c. Line 14, the phrase ‘‘from rural to
urban (3,038’’ is corrected to read ‘‘from
rural to urban (1,600’’.
d. Line 15, the phrase ‘‘or 7.08
percent)’’ is corrected to read ‘‘or 3.73
percent)’’.
e. Line 16, the phrase ‘‘(387 or 0.90
percent)’’ is corrected to read ‘‘(451 or
1.05 percent).’’.
f. Line 21, the phrase ‘‘providers and
suppliers in 387 ZIP’’ is corrected to
read ‘‘providers and suppliers in 451
ZIP’’.
3. On page 67747, third column,
a. Line 1, the phrase ‘‘codes within 41
states’’ is corrected to read ‘‘codes
within 42 states’’.
b. Line 6, the phrase ‘‘state of
California’’ is corrected to read ‘‘state of
Ohio’’.
c. Line 8, the phrase ‘‘a total of 43, or
1.58 percent’’ is corrected to read ‘‘a
total of 54, or 3.63 percent.’’.
d. Line 9, the phrase ‘‘providers and
suppliers in 3, 038 ZIP’’ is corrected to
read ‘‘providers and suppliers in 1,600
ZIP’’.
e. Line 10, the phrase ‘‘within 46
states’’ is corrected to read ‘‘within 44
states’’.
f. Line 15, the phrase ‘‘The state of
Pennsylvania has’’ is corrected to read
‘‘The state of West Virginia has’’.
g. Line 17, the phrase ‘‘urban (293, or
13.06 percent)’’ is corrected to read
‘‘urban (149, or 15.92 percent).’’.
h. Lines 17 through 21, the phrase ‘‘,
while West Virginia has the greatest
percentage of ZIP codes changing from
rural to urban (269 Zip codes, or 28.74
percent)’’ is removed.
4. On pages 67748 through 67749,
Table 47: Updated ZIP Codes Analysis
Based on OMB’s Revised Delineations
and Updated RUCA Codes, the table is
corrected to read as follows:
Total ZIP
codes
State/
Territory *
VerDate Sep<11>2014
incorporates a statement of the findings
and its reasons in the rule issued.
This document merely corrects
typographical and technical errors in
the preamble of the CY 2015 PFS final
rule with comment period. The
provisions of that final rule with
comment period have been subjected to
notice and comment procedures. The
corrections contained in this document
are consistent with, and do not make
substantive changes to, the policies and
payment methodologies that were
adopted in the CY 2015 PFS final rule
with comment period. As a result, the
corrections made through this correcting
document are intended to ensure that
the CY 2015 PFS final rule with
comment period accurately reflects the
policies adopted in that rule. Therefore,
we find for good cause that it is
unnecessary and would be contrary to
the public interest to undertake further
notice and comment procedures to
incorporate the corrections in this
document into the CY 2015 PFS final
rule with comment period. For the same
reasons, we find that there is good cause
to waive the 30-day delay in the
effective date for these corrections.
Further, we believe that it is in the
public interest to ensure that the CY
2015 PFS final rule with comment
period accurately reflects our policies as
of the date they take effect. Therefore,
we find that delaying the effective date
of these corrections beyond the effective
date of the final rule with comment
period would be contrary to the public
interest. In so doing, we find good cause
to waive the 30-day delay in effective
date.
78717
Jkt 235001
Total ZIP
codes
changed
rural to
urban
Percentage of
total ZIP
codes
Total ZIP
codes
changed
urban to
rural
Percentage of
total ZIP
codes
Total ZIP
codes not
changed
Percentage of
total ZIP
codes not
changed
276
854
725
1
569
2723
677
445
303
99
63
0
43
19
0
21
85
4
37
0
6
0
0.00
5.04
2.62
0.00
3.69
3.12
0.59
8.31
0.00
6.06
0.00
0
8
9
0
7
43
9
0
0
0
0
0.00
0.94
1.24
0.00
1.23
1.58
1.33
0.00
0.00
0.00
0.00
276
803
697
1
541
2595
664
408
303
93
63
100.00
94.03
96.14
100.00
95.08
95.30
98.08
91.69
100.00
93.94
100.00
PO 00000
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Fmt 4700
Sfmt 4700
E:\FR\FM\31DER1.SGM
31DER1
78718
Federal Register / Vol. 79, No. 250 / Wednesday, December 31, 2014 / Rules and Regulations
Total ZIP
codes
Total ZIP
codes
changed
rural to
urban
Percentage of
total ZIP
codes
Total ZIP
codes
changed
urban to
rural
Percentage of
total ZIP
codes
Total ZIP
codes not
changed
Percentage of
total ZIP
codes not
changed
EM ................................................................
FL .................................................................
FM ................................................................
GA ................................................................
GU ................................................................
HI ..................................................................
IA ..................................................................
ID ..................................................................
IL ..................................................................
IN ..................................................................
KY ................................................................
LA .................................................................
MA ................................................................
MD ................................................................
ME ................................................................
MH ................................................................
MI .................................................................
MN ................................................................
MP ................................................................
MS ................................................................
MT ................................................................
NC ................................................................
ND ................................................................
NE ................................................................
NH ................................................................
NJ .................................................................
NM ................................................................
NV ................................................................
NY ................................................................
OH ................................................................
OK ................................................................
OR ................................................................
PA ................................................................
PR ................................................................
PW ...............................................................
RI ..................................................................
SC ................................................................
SD ................................................................
TN ................................................................
TX .................................................................
UT ................................................................
VA ................................................................
VI ..................................................................
VT .................................................................
WA ...............................................................
WI .................................................................
WK ...............................................................
WM ...............................................................
WV ...............................................................
WY ...............................................................
857
1513
4
1032
21
143
1080
335
1628
1000
1030
739
751
630
505
2
1185
1043
3
541
411
1101
419
632
292
747
438
257
2246
1487
791
495
2244
177
2
91
543
418
814
2726
359
1277
16
309
744
919
711
342
936
198
35
69
0
47
0
9
20
0
68
33
30
69
8
69
5
0
22
31
0
14
0
87
2
7
0
1
4
1
84
23
5
26
129
21
0
2
47
0
52
64
2
98
0
3
17
19
11
2
149
0
4.08
4.56
0.00
4.55
0.00
6.29
1.85
0.00
4.18
3.30
2.91
9.34
1.07
10.95
0.99
0.00
1.86
2.97
0.00
2.59
0.00
7.90
0.48
1.11
0.00
0.13
0.91
0.39
3.74
1.55
0.63
5.25
5.75
11.86
0.00
2.20
8.66
0.00
6.39
2.35
0.56
7.67
0.00
0.97
2.28
2.07
1.55
0.58
15.92
0.00
4
9
0
4
0
3
3
0
7
20
5
1
9
0
12
0
21
7
0
1
3
10
0
6
2
2
2
2
42
54
7
9
38
0
0
1
2
1
12
32
0
19
0
0
6
5
7
3
3
1
0.47
0.59
0.00
0.39
0.00
2.10
0.28
0.00
0.43
2.00
0.49
0.14
1.20
0.00
2.38
0.00
1.77
0.67
0.00
0.18
0.73
0.91
0.00
0.95
0.68
0.27
0.46
0.78
1.87
3.63
0.88
1.82
1.69
0.00
0.00
1.10
0.37
0.24
1.47
1.17
0.00
1.49
0.00
0.00
0.81
0.54
0.98
0.88
0.32
0.51
818
1435
4
981
21
131
1057
335
1553
947
995
669
734
561
488
2
1142
1005
3
526
408
1004
417
619
290
744
432
254
2120
1410
779
460
2077
156
2
88
494
417
750
2630
357
1160
16
306
721
895
693
337
784
197
95.45
94.84
100.00
95.06
100.00
91.61
97.87
100.00
95.39
94.70
96.60
90.53
97.74
89.05
96.63
100.00
96.37
96.36
100.00
97.23
99.27
91.19
99.52
97.94
99.32
99.60
98.63
98.83
94.39
94.82
98.48
92.93
92.56
88.14
100.00
96.70
90.98
99.76
92.14
96.48
99.44
90.84
100.00
99.03
96.91
97.39
97.47
98.54
83.76
99.49
TOTALS ................................................
42919
1600
3.73
451
1.05
40868
95.22
State/
Territory *
tkelley on DSK3SPTVN1PROD with RULES
* ZIP code analysis includes U.S. States and Territories (FM—Federated States of Micronesia, GU—Guam, MH—Marshall Islands, MP—Northern Mariana Islands, PW—Palau, AS—American Samoa; VI—Virgin Islands; PR—Puerto Rico). Missouri is divided into east and west regions
due to work distribution of the Medicare Administrative Contractors (MACs): EM—East Missouri, WM—West Missouri. Johnson and Wyandotte
counties in Kansas were changed as of January 2010 to East Kansas (EK) and the rest of the state is West Kansas (WK).
5. On page 67749, third column, first
partial paragraph,
a. Line 4, the phrase ‘‘indicates that
3,038 ZIP codes’’ is corrected to read
‘‘indicates that 1,600 ZIP codes’’.
b. Line 9, the phrase ‘‘analysis
indicates 387 ZIP codes’’ is corrected to
read ‘‘analysis indicates 451 ZIP codes’’.
6. On page 67750, second column,
second full paragraph,
VerDate Sep<11>2014
16:08 Dec 30, 2014
Jkt 235001
a. Line 4, the phrase ‘‘(a total of 3,425
ZIP codes’’ is corrected to read ‘‘(a total
of 2,051 ZIP codes’’.
b. Line 6, the phrase ‘‘42,918 ZIP
codes, or 7.98 percent)’’ is corrected to
read ‘‘42,919 ZIP codes, or 4.78
percent)’’.
7. On page 67993, first column, third
full paragraph,
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Fmt 4700
Sfmt 4700
a. Line 2, the phrase ‘‘approximately
92.02’’ is corrected to read
‘‘approximately 95.22’’.
b. Line 7, the phrase ‘‘from rural to
urban (3,038’’ is corrected to read ‘‘from
rural to urban (1,600’’.
c. Line 8, the phrase ‘‘or 7.08
percent)’’ is corrected to read ‘‘or 3.73
percent)’’.
E:\FR\FM\31DER1.SGM
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Federal Register / Vol. 79, No. 250 / Wednesday, December 31, 2014 / Rules and Regulations
d. Line 9, the phrase ‘‘(387 or 0.90
percent)’’ is corrected to read ‘‘(451 or
1.05 percent).’’.
e. Line 14, the phrase ‘‘providers and
suppliers in 387 ZIP’’ is corrected to
read ‘‘providers and suppliers in 451
ZIP’’.
f. Line 15, the phrase ‘‘codes within
41 states’’ is corrected to read ‘‘codes
within 42 states’’.
g. Line 21, the phrase ‘‘3,038 ZIP
codes within 46 states’’ is corrected to
read ‘‘1,600 ZIP codes within 44 states’’.
Dated: December 23, 2014.
C’Reda Weeden,
Executive Secretary to the Department,
Department of Health and Human Services.
[FR Doc. 2014–30663 Filed 12–30–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HOMELAND
SECURITY
Federal Emergency Management
Agency
44 CFR Part 64
[Docket ID FEMA–2014–0002; Internal
Agency Docket No. FEMA–8363]
Suspension of Community Eligibility
Federal Emergency
Management Agency, DHS.
ACTION: Final rule.
AGENCY:
This rule identifies
communities where the sale of flood
insurance has been authorized under
the National Flood Insurance Program
(NFIP) that are scheduled for
suspension on the effective dates listed
within this rule because of
noncompliance with the floodplain
management requirements of the
program. If the Federal Emergency
Management Agency (FEMA) receives
documentation that the community has
adopted the required floodplain
management measures prior to the
effective suspension date given in this
rule, the suspension will not occur and
a notice of this will be provided by
publication in the Federal Register on a
subsequent date. Also, information
identifying the current participation
status of a community can be obtained
from FEMA’s Community Status Book
(CSB). The CSB is available at https://
www.fema.gov/fema/csb.shtm.
DATES: Effective Dates: The effective
date of each community’s scheduled
suspension is the third date (‘‘Susp.’’)
listed in the third column of the
following tables.
FOR FURTHER INFORMATION CONTACT: If
you want to determine whether a
tkelley on DSK3SPTVN1PROD with RULES
SUMMARY:
VerDate Sep<11>2014
16:08 Dec 30, 2014
Jkt 235001
particular community was suspended
on the suspension date or for further
information, contact David Stearrett,
Federal Insurance and Mitigation
Administration, Federal Emergency
Management Agency, 500 C Street SW.,
Washington, DC 20472, (202) 646–2953.
SUPPLEMENTARY INFORMATION: The NFIP
enables property owners to purchase
Federal flood insurance that is not
otherwise generally available from
private insurers. In return, communities
agree to adopt and administer local
floodplain management measures aimed
at protecting lives and new construction
from future flooding. Section 1315 of
the National Flood Insurance Act of
1968, as amended, 42 U.S.C. 4022,
prohibits the sale of NFIP flood
insurance unless an appropriate public
body adopts adequate floodplain
management measures with effective
enforcement measures. The
communities listed in this document no
longer meet that statutory requirement
for compliance with program
regulations, 44 CFR part 59.
Accordingly, the communities will be
suspended on the effective date in the
third column. As of that date, flood
insurance will no longer be available in
the community. We recognize that some
of these communities may adopt and
submit the required documentation of
legally enforceable floodplain
management measures after this rule is
published but prior to the actual
suspension date. These communities
will not be suspended and will continue
to be eligible for the sale of NFIP flood
insurance. A notice withdrawing the
suspension of such communities will be
published in the Federal Register.
In addition, FEMA publishes a Flood
Insurance Rate Map (FIRM) that
identifies the Special Flood Hazard
Areas (SFHAs) in these communities.
The date of the FIRM, if one has been
published, is indicated in the fourth
column of the table. No direct Federal
financial assistance (except assistance
pursuant to the Robert T. Stafford
Disaster Relief and Emergency
Assistance Act not in connection with a
flood) may be provided for construction
or acquisition of buildings in identified
SFHAs for communities not
participating in the NFIP and identified
for more than a year on FEMA’s initial
FIRM for the community as having
flood-prone areas (section 202(a) of the
Flood Disaster Protection Act of 1973,
42 U.S.C. 4106(a), as amended). This
prohibition against certain types of
Federal assistance becomes effective for
the communities listed on the date
shown in the last column. The
Administrator finds that notice and
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Fmt 4700
Sfmt 4700
78719
public comment procedures under 5
U.S.C. 553(b), are impracticable and
unnecessary because communities listed
in this final rule have been adequately
notified.
Each community receives 6-month,
90-day, and 30-day notification letters
addressed to the Chief Executive Officer
stating that the community will be
suspended unless the required
floodplain management measures are
met prior to the effective suspension
date. Since these notifications were
made, this final rule may take effect
within less than 30 days.
National Environmental Policy Act.
This rule is categorically excluded from
the requirements of 44 CFR part 10,
Environmental Considerations. No
environmental impact assessment has
been prepared.
Regulatory Flexibility Act. The
Administrator has determined that this
rule is exempt from the requirements of
the Regulatory Flexibility Act because
the National Flood Insurance Act of
1968, as amended, Section 1315, 42
U.S.C. 4022, prohibits flood insurance
coverage unless an appropriate public
body adopts adequate floodplain
management measures with effective
enforcement measures. The
communities listed no longer comply
with the statutory requirements, and
after the effective date, flood insurance
will no longer be available in the
communities unless remedial action
takes place.
Regulatory Classification. This final
rule is not a significant regulatory action
under the criteria of section 3(f) of
Executive Order 12866 of September 30,
1993, Regulatory Planning and Review,
58 FR 51735.
Executive Order 13132, Federalism.
This rule involves no policies that have
federalism implications under Executive
Order 13132.
Executive Order 12988, Civil Justice
Reform. This rule meets the applicable
standards of Executive Order 12988.
Paperwork Reduction Act. This rule
does not involve any collection of
information for purposes of the
Paperwork Reduction Act, 44 U.S.C.
3501 et seq.
List of Subjects in 44 CFR Part 64
Flood insurance, Floodplains.
Accordingly, 44 CFR part 64 is
amended as follows:
PART 64—[AMENDED]
1. The authority citation for Part 64
continues to read as follows:
■
Authority: 42 U.S.C. 4001 et seq.;
Reorganization Plan No. 3 of 1978, 3 CFR,
1978 Comp.; p. 329; E.O. 12127, 44 FR 19367,
3 CFR, 1979 Comp.; p. 376.
E:\FR\FM\31DER1.SGM
31DER1
]]>Agencies
[Federal Register Volume 79, Number 250 (Wednesday, December 31, 2014)]
[Rules and Regulations]
[Pages 78716-78719]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-30663]
=======================================================================
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 403, 405, 410, 411, 412, 413, 414, 425, 489, 495, and
498
[CMS-1612-CN]
RIN 0938-AS12
Medicare Program; Revisions to Payment Policies Under the
Physician Fee Schedule, Clinical Laboratory Fee Schedule, Access to
Identifiable Data for the Center for Medicare and Medicaid Innovation
Models & Other Revisions to Part B for CY 2015; Corrections
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Correction of final rule with comment period.
-----------------------------------------------------------------------
SUMMARY: This document corrects technical errors that appeared in the
final rule with comment period published in the Federal Register on
November 13, 2014, entitled ``Medicare Program; Revisions to Payment
Policies Under the Physician Fee Schedule, Clinical Laboratory Fee
Schedule, Access to Identifiable Data for the Center for Medicare and
Medicaid Innovation Models & Other Revisions to Part B for CY 2015.''
DATES: The correcting document is effective January 1, 2015.
FOR FURTHER INFORMATION CONTACT: Melissa Heesters (410) 786-0618, for
issues related to reports of payments or other transfers of value to
covered recipients.
Amy Gruber (410) 786-1542, for issues related to changes in
geographic area designations for ambulance payment.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2014-26183 of November 13, 2014 (79 FR 67547 through
68092), there were a number of technical errors that are identified and
corrected in the Correction of Errors section below. These corrections
are effective January 1, 2015. We note that the ambulance fee schedule
ZIP code files for the CY 2015 Physician Fee Schedule (PFS) final rule
with comment period as corrected in this correction notice are
available on the CMS Web site at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AmbulanceFeeSchedule/.
II. Summary of Errors
A. Summary of Errors in the Preamble
On page 67548, we inadvertently only listed Sec. 403.904(c)(8)
with a compliance date of January 1, 2016 for new data collection
requirements. However, all of the changes in Sec. 403.904 are
effective January 1, 2016.
On pages 67747, 67749, 67750 and 67993 in our discussion of the
updated Zip code analysis based on OMB's revised delineations and
updated Rural-Urban Commuting Area (RUCA) codes, the percentages and
totals of the ZIP codes changing from urban to rural and from rural to
urban, the percentages and totals of the ZIP codes not changed, and the
referenced state impacts are incorrect due to a technical error in the
application of the updated RUCA codes. In addition, the total number of
ZIP codes is incorrect.
On pages 67748 through 67749, in Table 47: Updated ZIP Codes
Analysis Based on OMB's Revised Delineations and Updated RUCA Codes,
the totals and percentages of the ZIP codes changing from urban to
rural and from rural to urban, and the totals and percentages of the
ZIP codes not
[[Page 78717]]
changed are incorrect in certain rows of the table due to a technical
error in the application of the updated RUCA codes. In addition, the
total number of ZIP codes in East Missouri and the total number of ZIP
codes in the country are incorrect.
B. Summary and Correction of Errors on the CMS Web Site
As discussed in section II.A. of this correcting document, as a
result of a technical error in the application of the updated RUCA
codes, certain ZIP code data in Table 47 of the CY 2015 PFS final rule
with comment period and the updated analysis of this data in that final
rule with comment period were incorrect. For the same reason, there
were errors in the ambulance fee schedule ZIP code files that were made
available on the CMS Web site. These errors are corrected in the
revised ZIP code files available on the CMS Web site at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AmbulanceFeeSchedule/.
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 the
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.
This document merely corrects typographical and technical errors in
the preamble of the CY 2015 PFS final rule with comment period. The
provisions of that final rule with comment period have been subjected
to notice and comment procedures. The corrections contained in this
document are consistent with, and do not make substantive changes to,
the policies and payment methodologies that were adopted in the CY 2015
PFS final rule with comment period. As a result, the corrections made
through this correcting document are intended to ensure that the CY
2015 PFS final rule with comment period accurately reflects the
policies adopted in that rule. Therefore, we find for good cause that
it is unnecessary and would be contrary to the public interest to
undertake further notice and comment procedures to incorporate the
corrections in this document into the CY 2015 PFS final rule with
comment period. For the same reasons, we find that there is good cause
to waive the 30-day delay in the effective date for these corrections.
Further, we believe that it is in the public interest to ensure
that the CY 2015 PFS final rule with comment period accurately reflects
our policies as of the date they take effect. Therefore, we find that
delaying the effective date of these corrections beyond the effective
date of the final rule with comment period would be contrary to the
public interest. In so doing, we find good cause to waive the 30-day
delay in effective date.
IV. Correction of Errors
In FR Doc. 2014-26183 of November 13, 2014 (79 FR 67547), make the
following corrections:
A. Correction of Errors in the Preamble
1. On page 67548, first column, fourth full paragraph, line 3,
remove ``(c)(8)''.
2. On page 67747, second column, first full paragraph,
a. Line 6, the phrase ``42,918 ZIP codes'' is corrected to read
``42,919 ZIP codes''.
b. Line 9, the phrase ``approximately 92.02'' is corrected to read
``approximately 95.22''.
c. Line 14, the phrase ``from rural to urban (3,038'' is corrected
to read ``from rural to urban (1,600''.
d. Line 15, the phrase ``or 7.08 percent)'' is corrected to read
``or 3.73 percent)''.
e. Line 16, the phrase ``(387 or 0.90 percent)'' is corrected to
read ``(451 or 1.05 percent).''.
f. Line 21, the phrase ``providers and suppliers in 387 ZIP'' is
corrected to read ``providers and suppliers in 451 ZIP''.
3. On page 67747, third column,
a. Line 1, the phrase ``codes within 41 states'' is corrected to
read ``codes within 42 states''.
b. Line 6, the phrase ``state of California'' is corrected to read
``state of Ohio''.
c. Line 8, the phrase ``a total of 43, or 1.58 percent'' is
corrected to read ``a total of 54, or 3.63 percent.''.
d. Line 9, the phrase ``providers and suppliers in 3, 038 ZIP'' is
corrected to read ``providers and suppliers in 1,600 ZIP''.
e. Line 10, the phrase ``within 46 states'' is corrected to read
``within 44 states''.
f. Line 15, the phrase ``The state of Pennsylvania has'' is
corrected to read ``The state of West Virginia has''.
g. Line 17, the phrase ``urban (293, or 13.06 percent)'' is
corrected to read ``urban (149, or 15.92 percent).''.
h. Lines 17 through 21, the phrase ``, while West Virginia has the
greatest percentage of ZIP codes changing from rural to urban (269 Zip
codes, or 28.74 percent)'' is removed.
4. On pages 67748 through 67749, Table 47: Updated ZIP Codes
Analysis Based on OMB's Revised Delineations and Updated RUCA Codes,
the table is corrected to read as follows:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total ZIP Total ZIP
codes Percentage of codes Percentage of Total ZIP Percentage of
State/ Territory * Total ZIP changed total ZIP changed total ZIP codes not total ZIP
codes rural to codes urban to codes changed codes not
urban rural changed
--------------------------------------------------------------------------------------------------------------------------------------------------------
AK.......................................................... 276 0 0.00 0 0.00 276 100.00
AL.......................................................... 854 43 5.04 8 0.94 803 94.03
AR.......................................................... 725 19 2.62 9 1.24 697 96.14
AS.......................................................... 1 0 0.00 0 0.00 1 100.00
AZ.......................................................... 569 21 3.69 7 1.23 541 95.08
CA.......................................................... 2723 85 3.12 43 1.58 2595 95.30
CO.......................................................... 677 4 0.59 9 1.33 664 98.08
CT.......................................................... 445 37 8.31 0 0.00 408 91.69
DC.......................................................... 303 0 0.00 0 0.00 303 100.00
DE.......................................................... 99 6 6.06 0 0.00 93 93.94
EK.......................................................... 63 0 0.00 0 0.00 63 100.00
[[Page 78718]]
EM.......................................................... 857 35 4.08 4 0.47 818 95.45
FL.......................................................... 1513 69 4.56 9 0.59 1435 94.84
FM.......................................................... 4 0 0.00 0 0.00 4 100.00
GA.......................................................... 1032 47 4.55 4 0.39 981 95.06
GU.......................................................... 21 0 0.00 0 0.00 21 100.00
HI.......................................................... 143 9 6.29 3 2.10 131 91.61
IA.......................................................... 1080 20 1.85 3 0.28 1057 97.87
ID.......................................................... 335 0 0.00 0 0.00 335 100.00
IL.......................................................... 1628 68 4.18 7 0.43 1553 95.39
IN.......................................................... 1000 33 3.30 20 2.00 947 94.70
KY.......................................................... 1030 30 2.91 5 0.49 995 96.60
LA.......................................................... 739 69 9.34 1 0.14 669 90.53
MA.......................................................... 751 8 1.07 9 1.20 734 97.74
MD.......................................................... 630 69 10.95 0 0.00 561 89.05
ME.......................................................... 505 5 0.99 12 2.38 488 96.63
MH.......................................................... 2 0 0.00 0 0.00 2 100.00
MI.......................................................... 1185 22 1.86 21 1.77 1142 96.37
MN.......................................................... 1043 31 2.97 7 0.67 1005 96.36
MP.......................................................... 3 0 0.00 0 0.00 3 100.00
MS.......................................................... 541 14 2.59 1 0.18 526 97.23
MT.......................................................... 411 0 0.00 3 0.73 408 99.27
NC.......................................................... 1101 87 7.90 10 0.91 1004 91.19
ND.......................................................... 419 2 0.48 0 0.00 417 99.52
NE.......................................................... 632 7 1.11 6 0.95 619 97.94
NH.......................................................... 292 0 0.00 2 0.68 290 99.32
NJ.......................................................... 747 1 0.13 2 0.27 744 99.60
NM.......................................................... 438 4 0.91 2 0.46 432 98.63
NV.......................................................... 257 1 0.39 2 0.78 254 98.83
NY.......................................................... 2246 84 3.74 42 1.87 2120 94.39
OH.......................................................... 1487 23 1.55 54 3.63 1410 94.82
OK.......................................................... 791 5 0.63 7 0.88 779 98.48
OR.......................................................... 495 26 5.25 9 1.82 460 92.93
PA.......................................................... 2244 129 5.75 38 1.69 2077 92.56
PR.......................................................... 177 21 11.86 0 0.00 156 88.14
PW.......................................................... 2 0 0.00 0 0.00 2 100.00
RI.......................................................... 91 2 2.20 1 1.10 88 96.70
SC.......................................................... 543 47 8.66 2 0.37 494 90.98
SD.......................................................... 418 0 0.00 1 0.24 417 99.76
TN.......................................................... 814 52 6.39 12 1.47 750 92.14
TX.......................................................... 2726 64 2.35 32 1.17 2630 96.48
UT.......................................................... 359 2 0.56 0 0.00 357 99.44
VA.......................................................... 1277 98 7.67 19 1.49 1160 90.84
VI.......................................................... 16 0 0.00 0 0.00 16 100.00
VT.......................................................... 309 3 0.97 0 0.00 306 99.03
WA.......................................................... 744 17 2.28 6 0.81 721 96.91
WI.......................................................... 919 19 2.07 5 0.54 895 97.39
WK.......................................................... 711 11 1.55 7 0.98 693 97.47
WM.......................................................... 342 2 0.58 3 0.88 337 98.54
WV.......................................................... 936 149 15.92 3 0.32 784 83.76
WY.......................................................... 198 0 0.00 1 0.51 197 99.49
-------------------------------------------------------------------------------------------
TOTALS.................................................. 42919 1600 3.73 451 1.05 40868 95.22
--------------------------------------------------------------------------------------------------------------------------------------------------------
* ZIP code analysis includes U.S. States and Territories (FM--Federated States of Micronesia, GU--Guam, MH--Marshall Islands, MP--Northern Mariana
Islands, PW--Palau, AS--American Samoa; VI--Virgin Islands; PR--Puerto Rico). Missouri is divided into east and west regions due to work distribution
of the Medicare Administrative Contractors (MACs): EM--East Missouri, WM--West Missouri. Johnson and Wyandotte counties in Kansas were changed as of
January 2010 to East Kansas (EK) and the rest of the state is West Kansas (WK).
5. On page 67749, third column, first partial paragraph,
a. Line 4, the phrase ``indicates that 3,038 ZIP codes'' is
corrected to read ``indicates that 1,600 ZIP codes''.
b. Line 9, the phrase ``analysis indicates 387 ZIP codes'' is
corrected to read ``analysis indicates 451 ZIP codes''.
6. On page 67750, second column, second full paragraph,
a. Line 4, the phrase ``(a total of 3,425 ZIP codes'' is corrected
to read ``(a total of 2,051 ZIP codes''.
b. Line 6, the phrase ``42,918 ZIP codes, or 7.98 percent)'' is
corrected to read ``42,919 ZIP codes, or 4.78 percent)''.
7. On page 67993, first column, third full paragraph,
a. Line 2, the phrase ``approximately 92.02'' is corrected to read
``approximately 95.22''.
b. Line 7, the phrase ``from rural to urban (3,038'' is corrected
to read ``from rural to urban (1,600''.
c. Line 8, the phrase ``or 7.08 percent)'' is corrected to read
``or 3.73 percent)''.
[[Page 78719]]
d. Line 9, the phrase ``(387 or 0.90 percent)'' is corrected to
read ``(451 or 1.05 percent).''.
e. Line 14, the phrase ``providers and suppliers in 387 ZIP'' is
corrected to read ``providers and suppliers in 451 ZIP''.
f. Line 15, the phrase ``codes within 41 states'' is corrected to
read ``codes within 42 states''.
g. Line 21, the phrase ``3,038 ZIP codes within 46 states'' is
corrected to read ``1,600 ZIP codes within 44 states''.
Dated: December 23, 2014.
C'Reda Weeden,
Executive Secretary to the Department, Department of Health and Human
Services.
[FR Doc. 2014-30663 Filed 12-30-14; 8:45 am]
BILLING CODE 4120-01-P
