Justia Department Of Health And Human Services Centers For Medicare & Medicaid Services Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, Including Changes Related to the Electronic Health Record Incentive Program; Extensions of the Medicare-Dependent, Small Rural Hospital Program and the Low-Volume Payment Adjustment for Hospitals; Correction, 73998-73999 [2015-30248]

Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, Including Changes Related to the Electronic Health Record Incentive Program; Extensions of the Medicare-Dependent, Small Rural Hospital Program and the Low-Volume Payment Adjustment for Hospitals; Correction, 73998-73999 [2015-30248]

Download as PDF 73998 Federal Register / Vol. 80, No. 228 / Friday, November 27, 2015 / Rules and Regulations EPA-APPROVED VIRGINIA REGULATIONS AND STATUTES State citation State effective date * * * * 9 VAC 5, Chapter 10 * * 5–10–20 ....................................... * * * * Terms Defined ............................. * * * EPA Approval date * Title/Subject * * BILLING CODE 6560–50–P * 7/30/15 * * 11/27/15 [Insert Federal Register Citation]. * * Effective date: This correcting document is effective November 25, 2015. Applicability date: This correcting document is applicable to discharges beginning October 1, 2015. DATES: DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services FOR FURTHER INFORMATION CONTACT: 42 CFR Part 412 Donald Thompson, (410) 786–4487. [CMS–1632–CN2] SUPPLEMENTARY INFORMATION: RIN 0938–AS41 I. Background Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the LongTerm Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, Including Changes Related to the Electronic Health Record Incentive Program; Extensions of the Medicare-Dependent, Small Rural Hospital Program and the LowVolume Payment Adjustment for Hospitals; Correction In FR Doc. 2015–19049 which appeared in the August 17, 2015 Federal Register (80 FR 49326), entitled ‘‘Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, including Changes Related to the Electronic Health Record Incentive Program; Extensions of the MedicareDependent, Small Rural Hospital Program and the Low-Volume Payment Adjustment for Hospitals’’ (hereinafter referred to as the FY 2016 IPPS/LTCH PPS final rule), there were a number of technical and typographical errors. Therefore, we published a correcting document that appeared in the October 5, 2015 Federal Register (80 FR 60055) to correct those errors (hereinafter referred to as the FY 2016 IPPS/LTCH PPS correcting document). The provisions of the FY 2016 IPPS/LTCH PPS correcting document were effective as if they had been included in the FY 2016 IPPS/LTCH PPS final rule that appeared in the August 17, 2015 Federal Register. Accordingly, those corrections were effective October 1, 2015. Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule and interim final rule with comment period; correction. AGENCY: This document corrects technical and typographical errors in the correcting document that appeared in the October 5, 2015 Federal Register, entitled ‘‘Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, including Changes Related to the Electronic Health Record Incentive Program; Extensions of the mstockstill on DSK4VPTVN1PROD with RULES SUMMARY: VerDate Sep<11>2014 17:27 Nov 25, 2015 Jkt 238001 PO 00000 Frm 00056 * * General Definitions [Part I] Medicare-Dependent, Small Rural Hospital Program and the Low-Volume Payment Adjustment for Hospitals; Correction.’’ [FR Doc. 2015–30108 Filed 11–25–15; 8:45 am] Explanation [former SIP citation] Fmt 4700 Sfmt 4700 * * Definition of VOC is revised by adding 2amino-2-methyl-1-propanol to the list of substances not considered to be VOCs. * II. Summary of Errors and Corrections to Tables Posted on the CMS Web Site Since publication of the FY 2016 IPPS/LTCH PPS correcting document, we discovered technical and typographic errors to data that appeared in that document. Therefore, we are correcting the errors in the following IPPS tables that are listed on page 49808 of the FY 2016 IPPS/LTCH PPS final rule, that were discussed on pages 60056 and 60057 and corrected in the FY 2016 IPPS/LTCH PPS correcting document. These tables are available on the Internet on the CMS Web site at https://www.cms.gov/Medicare/ Medicare-Fee-for-Service-Payment/ AcuteInpatientPPS/FY2016-IPPS-FinalRule-Home-Page.html: Table 2—CASE MIX INDEX AND WAGE INDEX TABLE BY CCN—FY 2016 CORRECTION NOTICE. In the FY 2016 IPPS/LTCH PPS correcting document, we inadvertently changed the reclassification status for two hospitals (CCNs 050152 and 050228). In Table 2 of the FY 2016 IPPS/LTCH PPS final rule, prior to the revisions based on the FY 2016 IPPS/LTCH PPS correcting document, the reclassification status for CCNs 050152 and 050228 correctly reflected an MGCRB reclassification to Reclassified/ Redesignated CBSA 36084. For these two hospitals, the ‘‘MGCRB Reclass’’ column value will be corrected by adding a ‘‘Y’’ and the ‘‘Reclassified/ Redesignated CBSA’’ column value will be corrected by adding ‘‘36084.’’ Also, in Table 2 that was posted on the Internet in conjunction with the FY 2016 IPPS/LTCH PPS correcting document, we inadvertently listed the ‘‘County Name’’ and ‘‘County Code’’ values for CCN 050B21 as ‘‘FAIRFIELD’’ and ‘‘07000’’, and for CCN 070B22 as ‘‘FRESNO’’ and ‘‘05090’’. The ‘‘County Name’’ and ‘‘County Code’’ values for CCN 050B21 should be ‘‘FRESNO’’ and E:\FR\FM\27NOR1.SGM 27NOR1 Federal Register / Vol. 80, No. 228 / Friday, November 27, 2015 / Rules and Regulations mstockstill on DSK4VPTVN1PROD with RULES ‘‘05090’’, and for CCN 070B22 should be ‘‘FAIRFIELD’’ and ‘‘07000.’’ Therefore, the ‘‘County Name’’ and ‘‘County Code’’ for CCN 050B21 will be corrected to read ‘‘FRESNO’’ and ‘‘05090’’, respectively; and the ‘‘County Name’’ and ‘‘County Code’’ for CCN 070B22 will be corrected to read ‘‘FAIRFIELD’’ and ‘‘07000’’, respectively. Table 3—WAGE INDEX TABLE BY CBSA—FY 2016 CORRECTION NOTICE. As described previously, the reclassifications for two hospitals (CCNs 050152 and 050228) to CBSA 36084 were not properly listed and are being corrected in Table 2. Therefore, we are making corresponding changes to the ‘‘Reclassified Wage Index’’ and ‘‘Reclassified GAF’’ column values for CBSA 36084 in Table 3. III. Waiver of Proposed Rulemaking and Delay in Effective Date We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a rule take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we can waive this notice and comment procedure if the Secretary finds, for good cause, that the notice and comment process is impracticable, unnecessary, or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the notice. Section 553(d) of the APA ordinarily requires a 30-day delay in effective date of final rules after the date of their publication in the Federal Register. This 30-day delay in effective date can be waived, however, if an agency finds for good cause that the delay is impracticable, unnecessary, or contrary to the public interest, and the agency incorporates a statement of the findings and its reasons in the rule issued. We believe that 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 typographic errors in the tables referenced in the FY 2016 IPPS/LTCH PPS final rule as revised by the FY 2016 IPPS/LTCH PPS correcting document 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 tables referenced in the FY 2016 IPPS/LTCH PPS final rule accurately reflect the policies adopted in that final rule. In addition, even if this were a rule to which the notice and comment VerDate Sep<11>2014 16:09 Nov 25, 2015 Jkt 238001 procedures and delayed effective date requirements applied, we find that there is good cause to waive such requirements. Undertaking further notice and comment procedures to incorporate the corrections in this document into the final rule or delaying the effective date would be contrary to the public interest because it is in the public’s interest for providers to receive appropriate payments in as timely a manner as possible, and to ensure that the FY 2016 IPPS/LTCH PPS final rule accurately reflects our policies. Furthermore, such procedures would be unnecessary, as we are not altering our payment methodologies or policies, but rather, we are simply implementing correctly the policies that we previously proposed, received comment on, and subsequently finalized. This correcting document is intended solely to ensure that the FY 2016 IPPS/LTCH PPS final rule accurately reflects these payment methodologies and policies. Therefore, we believe we have good cause to waive the notice and comment and effective date requirements. 73999 AGENCY: the Individual Fishing Quota (IFQ) program shareholders on January 1, 2016. This final rule allows the allocations being established through Amendment 28 to the FMP (Amendment 28) to be effective for the 2016 fishing year should Amendment 28 be approved by the Secretary of Commerce (Secretary) in 2016. This final rule also makes a technical correction to re-insert regulatory text that a previous rulemaking inadvertently omitted, which specifies that the recreational annual catch limit (ACL) for red snapper is equal to the total recreational quota. DATES: This rule is effective December 28, 2015. ADDRESSES: Electronic copies of the framework action, which includes an environmental assessment, a regulatory impact review, and a Regulatory Flexibility Act (RFA) analysis may be obtained from the Southeast Regional Office (SERO) Web site at https:// sero.nmfs.noaa.gov/sustainable_ fisheries/gulf_fisheries/reef_fish/2015/ rs_framework_2016_quota/documents/ pdfs/retain_2016_red_snapper_ commercial_quota_ea.pdf. FOR FURTHER INFORMATION CONTACT: Richard Malinowski, NMFS SERO, telephone: 727–824–5305, or email: rich.malinowski@noaa.gov. SUPPLEMENTARY INFORMATION: The Gulf of Mexico (Gulf) reef fish fishery is managed under the FMP. The FMP was prepared by the Council and is implemented by NMFS through regulations at 50 CFR part 622 under the authority of the Magnuson-Stevens Fishery Conservation and Management Act (Magnuson-Stevens Act). On October 19, 2015, NMFS published a proposed rule for the framework action and requested public comment (80 FR 63190). The proposed rule and the framework action outline the rationale for the actions contained in this final rule. A summary of the actions implemented by the framework action and this final rule is provided below. NMFS issues regulations to implement management measures described in a framework action to the Fishery Management Plan for the Reef Fish Resources of the Gulf of Mexico (FMP), as prepared by the Gulf of Mexico Fishery Management Council (Council). This final rule withholds 4.9 percent of the 2016 red snapper commercial quota prior to the annual distribution of red snapper allocation to Management Measures Contained in This Final Rule This final rule withholds 4.9 percent of the 2016 red snapper commercial quota, equal to 352,000 lb (159,665 kg), round weight, and 317,117 lb (143,842 kg), gutted weight, prior to the annual distribution of allocation to the IFQ program shareholders on January 1, 2016. The framework procedures of the FMP include the authority to retain a portion of an annual quota in anticipation of future regulatory changes during the same fishing year. This final rule allows the allocations being Dated: November 18, 2015. Madhura Valverde, Executive Secretary to the Department, Department of Health and Human Services. [FR Doc. 2015–30248 Filed 11–25–15; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration 50 CFR Part 622 [Docket No. 150826781–5999–02] RIN 0648–BF33, 0648–BE91 Fisheries of the Caribbean, Gulf of Mexico, and South Atlantic; Reef Fish Fishery of the Gulf of Mexico; 2016 Red Snapper Commercial Quota Retention National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Final rule. SUMMARY: PO 00000 Frm 00057 Fmt 4700 Sfmt 4700 E:\FR\FM\27NOR1.SGM 27NOR1

Agencies

[Federal Register Volume 80, Number 228 (Friday, November 27, 2015)]
[Rules and Regulations]
[Pages 73998-73999]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-30248]


=======================================================================
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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Part 412

[CMS-1632-CN2]
RIN 0938-AS41


Medicare Program; Hospital Inpatient Prospective Payment Systems 
for Acute Care Hospitals and the Long-Term Care Hospital Prospective 
Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of 
Quality Reporting Requirements for Specific Providers, Including 
Changes Related to the Electronic Health Record Incentive Program; 
Extensions of the Medicare-Dependent, Small Rural Hospital Program and 
the Low-Volume Payment Adjustment for Hospitals; Correction

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

ACTION: Final rule and interim final rule with comment period; 
correction.

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

SUMMARY: This document corrects technical and typographical errors in 
the correcting document that appeared in the October 5, 2015 Federal 
Register, entitled ``Medicare Program; Hospital Inpatient Prospective 
Payment Systems for Acute Care Hospitals and the Long Term Care 
Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 
Rates; Revisions of Quality Reporting Requirements for Specific 
Providers, including Changes Related to the Electronic Health Record 
Incentive Program; Extensions of the Medicare-Dependent, Small Rural 
Hospital Program and the Low-Volume Payment Adjustment for Hospitals; 
Correction.''

DATES: Effective date: This correcting document is effective November 
25, 2015. Applicability date: This correcting document is applicable to 
discharges beginning October 1, 2015.

FOR FURTHER INFORMATION CONTACT: Donald Thompson, (410) 786-4487.

SUPPLEMENTARY INFORMATION: 

I. Background

    In FR Doc. 2015-19049 which appeared in the August 17, 2015 Federal 
Register (80 FR 49326), entitled ``Medicare Program; Hospital Inpatient 
Prospective Payment Systems for Acute Care Hospitals and the Long-Term 
Care Hospital Prospective Payment System Policy Changes and Fiscal Year 
2016 Rates; Revisions of Quality Reporting Requirements for Specific 
Providers, including Changes Related to the Electronic Health Record 
Incentive Program; Extensions of the Medicare-Dependent, Small Rural 
Hospital Program and the Low-Volume Payment Adjustment for Hospitals'' 
(hereinafter referred to as the FY 2016 IPPS/LTCH PPS final rule), 
there were a number of technical and typographical errors. Therefore, 
we published a correcting document that appeared in the October 5, 2015 
Federal Register (80 FR 60055) to correct those errors (hereinafter 
referred to as the FY 2016 IPPS/LTCH PPS correcting document). The 
provisions of the FY 2016 IPPS/LTCH PPS correcting document were 
effective as if they had been included in the FY 2016 IPPS/LTCH PPS 
final rule that appeared in the August 17, 2015 Federal Register. 
Accordingly, those corrections were effective October 1, 2015.

II. Summary of Errors and Corrections to Tables Posted on the CMS Web 
Site

    Since publication of the FY 2016 IPPS/LTCH PPS correcting document, 
we discovered technical and typographic errors to data that appeared in 
that document. Therefore, we are correcting the errors in the following 
IPPS tables that are listed on page 49808 of the FY 2016 IPPS/LTCH PPS 
final rule, that were discussed on pages 60056 and 60057 and corrected 
in the FY 2016 IPPS/LTCH PPS correcting document. These tables are 
available on the Internet on the CMS Web site at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY2016-IPPS-Final-Rule-Home-Page.html:
    Table 2--CASE MIX INDEX AND WAGE INDEX TABLE BY CCN--FY 2016 
CORRECTION NOTICE. In the FY 2016 IPPS/LTCH PPS correcting document, we 
inadvertently changed the reclassification status for two hospitals 
(CCNs 050152 and 050228). In Table 2 of the FY 2016 IPPS/LTCH PPS final 
rule, prior to the revisions based on the FY 2016 IPPS/LTCH PPS 
correcting document, the reclassification status for CCNs 050152 and 
050228 correctly reflected an MGCRB reclassification to Reclassified/
Redesignated CBSA 36084. For these two hospitals, the ``MGCRB Reclass'' 
column value will be corrected by adding a ``Y'' and the 
``Reclassified/Redesignated CBSA'' column value will be corrected by 
adding ``36084.''
    Also, in Table 2 that was posted on the Internet in conjunction 
with the FY 2016 IPPS/LTCH PPS correcting document, we inadvertently 
listed the ``County Name'' and ``County Code'' values for CCN 050B21 as 
``FAIRFIELD'' and ``07000'', and for CCN 070B22 as ``FRESNO'' and 
``05090''. The ``County Name'' and ``County Code'' values for CCN 
050B21 should be ``FRESNO'' and

[[Page 73999]]

``05090'', and for CCN 070B22 should be ``FAIRFIELD'' and ``07000.'' 
Therefore, the ``County Name'' and ``County Code'' for CCN 050B21 will 
be corrected to read ``FRESNO'' and ``05090'', respectively; and the 
``County Name'' and ``County Code'' for CCN 070B22 will be corrected to 
read ``FAIRFIELD'' and ``07000'', respectively.
    Table 3--WAGE INDEX TABLE BY CBSA--FY 2016 CORRECTION NOTICE. As 
described previously, the reclassifications for two hospitals (CCNs 
050152 and 050228) to CBSA 36084 were not properly listed and are being 
corrected in Table 2. Therefore, we are making corresponding changes to 
the ``Reclassified Wage Index'' and ``Reclassified GAF'' column values 
for CBSA 36084 in Table 3.

III. Waiver of Proposed Rulemaking and Delay in Effective Date

    We ordinarily publish a notice of proposed rulemaking in the 
Federal Register to provide a period for public comment before the 
provisions of a rule take effect in accordance with section 553(b) of 
the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we 
can waive this notice and comment procedure if the Secretary finds, for 
good cause, that the notice and comment process is impracticable, 
unnecessary, or contrary to the public interest, and incorporates a 
statement of the finding and the reasons therefore in the notice.
    Section 553(d) of the APA ordinarily requires a 30-day delay in 
effective date of final rules after the date of their publication in 
the Federal Register. This 30-day delay in effective date can be 
waived, however, if an agency finds for good cause that the delay is 
impracticable, unnecessary, or contrary to the public interest, and the 
agency incorporates a statement of the findings and its reasons in the 
rule issued.
    We believe that 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 typographic errors in the tables referenced in the FY 
2016 IPPS/LTCH PPS final rule as revised by the FY 2016 IPPS/LTCH PPS 
correcting document 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 
tables referenced in the FY 2016 IPPS/LTCH PPS final rule accurately 
reflect the policies adopted in that final rule.
    In addition, even if this were a rule to which the notice and 
comment procedures and delayed effective date requirements applied, we 
find that there is good cause to waive such requirements. Undertaking 
further notice and comment procedures to incorporate the corrections in 
this document into the final rule or delaying the effective date would 
be contrary to the public interest because it is in the public's 
interest for providers to receive appropriate payments in as timely a 
manner as possible, and to ensure that the FY 2016 IPPS/LTCH PPS final 
rule accurately reflects our policies. Furthermore, such procedures 
would be unnecessary, as we are not altering our payment methodologies 
or policies, but rather, we are simply implementing correctly the 
policies that we previously proposed, received comment on, and 
subsequently finalized. This correcting document is intended solely to 
ensure that the FY 2016 IPPS/LTCH PPS final rule accurately reflects 
these payment methodologies and policies. Therefore, we believe we have 
good cause to waive the notice and comment and effective date 
requirements.

    Dated: November 18, 2015.
Madhura Valverde,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2015-30248 Filed 11-25-15; 8:45 am]
 BILLING CODE 4120-01-P

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