Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-Mix Methodology; Extension of Comment Period, 27222-27223 [2017-12324]

Download as PDF 27222 Federal Register / Vol. 82, No. 113 / Wednesday, June 14, 2017 / Proposed Rules 2008 8-hour ozone national ambient air quality standards (NAAQS). The SIP revision pertains to CAA 2008 ozone NAAQS requirements for vehicle inspection and maintenance and nonattainment new source review in the Dallas/Fort Worth ozone nonattainment area. DEPARTMENT OF HEALTH AND HUMAN SERVICES Written comments should be received on or before July 14, 2017. RIN 0938–AT17 DATES: Submit your comments, identified by EPA–R06–OAR–2015– 0833, at https://www.regulations.gov or via email to young.carl@epa.gov. For additional information on how to submit comments see the detailed instructions in the ADDRESSES section of the direct final rule located in the rules section of this Federal Register. ADDRESSES: Carl Young, (214) 665–6645, young.carl@ epa.gov. FOR FURTHER INFORMATION CONTACT: In the final rules section of this Federal Register, the EPA is approving the State’s SIP submittal as a direct rule without prior proposal because the Agency views this as noncontroversial submittal and anticipates no adverse comments. A detailed rationale for the approval is set forth in the direct final rule. If no relevant adverse comments are received in response to this action no further activity is contemplated. If the EPA receives relevant adverse comments, the direct final rule will be withdrawn and all public comments received will be addressed in a subsequent final rule based on this proposed rule. The EPA will not institute a second comment period. Any parties interested in commenting on this action should do so at this time. For additional information, see the direct final rule which is located in the rules section of this Federal Register. SUPPLEMENTARY INFORMATION: Dated: June 1, 2017. Samuel Coleman, Acting Regional Administrator, Region 6. [FR Doc. 2017–12211 Filed 6–13–17; 8:45 am] mstockstill on DSK30JT082PROD with PROPOSALS BILLING CODE 6560–50–P VerDate Sep<11>2014 17:21 Jun 13, 2017 Jkt 241001 Centers for Medicare & Medicaid Services 42 CFR Parts 409 and 488 [CMS–1686–N] Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-Mix Methodology; Extension of Comment Period Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Advance notice of proposed rulemaking with comment; extension of comment period. AGENCY: This document extends the comment period for the advance notice of proposed rulemaking with comment entitled ‘‘Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology’’ that appeared in the May 4, 2017 Federal Register (82 FR 20980) (the ANPRM). The comment period for the ANPRM, which would end on June 26, 2017, is extended until August 25, 2017. DATES: The comment period for the ANPRM (82 FR 20980) is extended to 5 p.m., eastern daylight time, on August 25, 2017. ADDRESSES: In commenting, please refer to file code CMS–1686–ANPRM. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. You may submit comments in one of four ways (please choose only one of the ways listed): 1. Electronically. You may submit electronic comments on this regulation to https://www.regulations.gov. Within the search bar, enter the Regulation Identifier Number associated with this regulation, RIN 0938–AT17, and then click on the ‘‘Comment Now’’ box. 2. By regular mail. You may mail written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS–1686–ANPRM, P.O. Box 8016, Baltimore, MD 21244–8016. Please allow sufficient time for mailed comments to be received before the close of the comment period. 3. By express or overnight mail. You may send written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human SUMMARY: PO 00000 Frm 00006 Fmt 4702 Sfmt 4702 Services, Attention: CMS–1686– ANPRM, Mail Stop C4–26–05, 7500 Security Boulevard, Baltimore, MD 21244–1850. 4. By hand or courier. If you prefer, you may deliver (by hand or courier) your written comments before the close of the comment period to either of the following addresses: a. Centers for Medicare & Medicaid Services, Department of Health and Human Services, Room 445–G, Hubert H. Humphrey Building, 200 Independence Avenue SW., Washington, DC 20201. (Because access to the interior of the Hubert H. Humphrey Building is not readily available to persons without Federal Government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp-in clock is available for persons wishing to retain a proof of filing by stamping in and retaining an extra copy of the comments being filed.) b. Centers for Medicare & Medicaid Services, Department of Health and Human Services, 7500 Security Boulevard, Baltimore, MD 21244–1850. If you intend to deliver your comments to the Baltimore address, please call telephone number (410) 786– 7195 in advance to schedule your arrival with one of our staff members. Comments mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and received after the comment period. FOR FURTHER INFORMATION CONTACT: John Kane, (410) 786–0557. SUPPLEMENTARY INFORMATION: In the advance notice of proposed rulemaking with comment that appeared in the Federal Register on May 4, 2017 entitled, ‘‘Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology’’ (82 FR 20980) (the ANPRM), we solicited public comments on potential options we may consider for revising certain aspects of the existing skilled nursing facility (SNF) prospective payment system (PPS) payment methodology to improve its accuracy, based on the results of our SNF Payment Models Research (SNF PMR) project. In particular, in the ANPRM, we sought comments on the possibility of proposing to replace the SNF PPS’ existing case-mix classification model, the Resource Utilization Groups, Version 4 (RUG–IV), with a new model, the Resident Classification System, Version I (RCS–I). We also discussed options for how such a change could be implemented, as well E:\FR\FM\14JNP1.SGM 14JNP1 Federal Register / Vol. 82, No. 113 / Wednesday, June 14, 2017 / Proposed Rules as a number of other policy changes we may consider proposing to complement implementation of RCS–I. We have received an inquiry from professional associations and national industry organizations regarding the 60day comment period for the ANPRM. These organizations stated that by providing all stakeholders additional time to review and comment upon the ANPRM, they will be able to conduct a more comprehensive review of the refinements we are considering to the SNF PPS payment methodology and provide more meaningful comments. In order to maximize the opportunity for the public to provide meaningful input to CMS, we believe that it is important to allow additional time for the public to prepare comments on the ANPRM. In addition, we believe that granting an extension to the public comment period in this instance would further our overall objective to obtain public input on the potential refinements to the SNF PPS we are considering. Therefore, we are extending the comment period for the ANPRM for an additional 60 days. This document announces the extension of the public comment period for the ANPRM until August 25, 2017. Dated: June 7, 2017. Seema Verma, Administrator, Centers for Medicare & Medicaid Services. [FR Doc. 2017–12324 Filed 6–13–17; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration 50 CFR Part 648 RIN 0648–BF86 Fisheries of the Northeastern United States; Amendment 6 to the Tilefish Fishery Management Plan National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice of availability; request for comments. AGENCY: NMFS announces that the Mid-Atlantic Fishery Management Council has submitted Amendment 6 to the Tilefish Fishery Management Plan for review and approval by the Secretary mstockstill on DSK30JT082PROD with PROPOSALS SUMMARY: VerDate Sep<11>2014 17:21 Jun 13, 2017 Jkt 241001 of Commerce. We are requesting comments from the public on the amendment. Amendment 6 would establish management measures for the blueline tilefish fishery north of the Virginia/North Carolina border, including: Permitting, recordkeeping, and reporting requirements; trip limits for both the commercial and recreational sectors of the fishery; and the process for setting specifications and annual catch limits. In addition, this action would set 2017 harvest limits. DATES: Comments must be received on or before August 14, 2017. ADDRESSES: You may submit comments, identified by NOAA–NMFS–2016–0025, by either of the following methods: • Electronic Submissions: Submit all electronic public comments via the Federal e-Rulemaking Portal. Go to www.regulations.gov/#!docketDetail;D= NOAA-NMFS-2016-0025, click the ‘‘Comment Now!’’ icon, complete the required fields, and enter or attach your comments. • Mail: John K. Bullard, Regional Administrator, NMFS, Greater Atlantic Regional Fisheries Office, 55 Great Republic Drive, Gloucester, MA 01930. Mark the outside of the envelope: ‘‘Comments on Blueline Tilefish Amendment.’’ Instructions: Comments sent by any other method, to any other address or individual, or received after the end of the comment period, may not be considered by NMFS. All comments received are part of the public record and will generally be posted to www.regulations.gov without change. All personal identifying information (e.g., name, address, etc.) voluntarily submitted by the commenter may be publicly accessible. Do not submit confidential business information or otherwise sensitive or protected information. NMFS will accept anonymous comments. Attachments to electronic comments will be accepted via Microsoft Word, Microsoft Excel, WordPerfect, or Adobe PDF file formats only. Copies of Amendment 6, and of the draft Environmental Assessment and preliminary Regulatory Impact Review (EA/RIR), are available from the MidAtlantic Fishery Management Council, 800 North State Street, Suite 201, Dover, DE 19901. The EA/RIR is also accessible via the Internet at: www.greateratlantic.fisheries.noaa.gov. PO 00000 Frm 00007 Fmt 4702 Sfmt 9990 27223 FOR FURTHER INFORMATION CONTACT: Douglas Potts, Fishery Policy Analyst, 978–281–9341. We are soliciting public comments on Amendment 6 and its incorporated documents through the end of the comment period stated in this notice of availability. We will publish a proposed rule in the Federal Register that would implement the amendment’s management measures for additional public comment, following NMFS’s evaluation of the proposed rule under the procedures of the Magnuson-Stevens Fishery Conservation and Management Act. Public comments on the proposed rule must be received by the end of the comment period provided in this notice of availability to be considered in the approval/disapproval decision on the amendment. All comments received by August 14, 2017, whether specifically directed to the amendment or the proposed rule will be considered in the approval/disapproval decision on the amendment. To be considered, comments must be received by close of business on the last day of the comment period. Comments received after that date will not be considered in the decision to approve or disapprove Amendment 6, including those postmarked or otherwise transmitted by the last day of the comment period. The Mid-Atlantic Fishery Management Council developed this amendment to establish management measures for the blueline tilefish fishery north of the Virginia/North Carolina border. This proposed action would establish the management framework for this fishery including: Permitting, recordkeeping, and reporting requirements; trip limits for both the commercial and recreational sectors of the fishery; and the process for setting specifications and annual catch limits. In addition, this action would set harvest quotas and commercial and recreational management measures for the 2017 fishing year. Additional details of the proposed measures are available in the amendment document and the proposed rule. SUPPLEMENTARY INFORMATION: Authority: 16 U.S.C. 1801 et seq. Dated: June 9, 2017. Margo B. Schulze-Haugen, Acting Deputy Director, Office of Sustainable Fisheries, National Marine Fisheries Service. [FR Doc. 2017–12307 Filed 6–13–17; 8:45 am] BILLING CODE 3510–22–P E:\FR\FM\14JNP1.SGM 14JNP1

Agencies

[Federal Register Volume 82, Number 113 (Wednesday, June 14, 2017)]
[Proposed Rules]
[Pages 27222-27223]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-12324]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 409 and 488

[CMS-1686-N]
RIN 0938-AT17


Medicare Program; Prospective Payment System and Consolidated 
Billing for Skilled Nursing Facilities: Revisions to Case-Mix 
Methodology; Extension of Comment Period

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

ACTION: Advance notice of proposed rulemaking with comment; extension 
of comment period.

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

SUMMARY: This document extends the comment period for the advance 
notice of proposed rulemaking with comment entitled ``Medicare Program; 
Prospective Payment System and Consolidated Billing for Skilled Nursing 
Facilities: Revisions to Case-mix Methodology'' that appeared in the 
May 4, 2017 Federal Register (82 FR 20980) (the ANPRM). The comment 
period for the ANPRM, which would end on June 26, 2017, is extended 
until August 25, 2017.

DATES: The comment period for the ANPRM (82 FR 20980) is extended to 5 
p.m., eastern daylight time, on August 25, 2017.

ADDRESSES: In commenting, please refer to file code CMS-1686-ANPRM. 
Because of staff and resource limitations, we cannot accept comments by 
facsimile (FAX) transmission.
    You may submit comments in one of four ways (please choose only one 
of the ways listed):
    1. Electronically. You may submit electronic comments on this 
regulation to https://www.regulations.gov. Within the search bar, enter 
the Regulation Identifier Number associated with this regulation, RIN 
0938-AT17, and then click on the ``Comment Now'' box.
    2. By regular mail. You may mail written comments to the following 
address ONLY: Centers for Medicare & Medicaid Services, Department of 
Health and Human Services, Attention: CMS-1686-ANPRM, P.O. Box 8016, 
Baltimore, MD 21244-8016.
    Please allow sufficient time for mailed comments to be received 
before the close of the comment period.
    3. By express or overnight mail. You may send written comments to 
the following address ONLY: Centers for Medicare & Medicaid Services, 
Department of Health and Human Services, Attention: CMS-1686-ANPRM, 
Mail Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.
    4. By hand or courier. If you prefer, you may deliver (by hand or 
courier) your written comments before the close of the comment period 
to either of the following addresses:
    a. Centers for Medicare & Medicaid Services, Department of Health 
and Human Services, Room 445-G, Hubert H. Humphrey Building, 200 
Independence Avenue SW., Washington, DC 20201.
    (Because access to the interior of the Hubert H. Humphrey Building 
is not readily available to persons without Federal Government 
identification, commenters are encouraged to leave their comments in 
the CMS drop slots located in the main lobby of the building. A stamp-
in clock is available for persons wishing to retain a proof of filing 
by stamping in and retaining an extra copy of the comments being 
filed.)
    b. Centers for Medicare & Medicaid Services, Department of Health 
and Human Services, 7500 Security Boulevard, Baltimore, MD 21244-1850.
    If you intend to deliver your comments to the Baltimore address, 
please call telephone number (410) 786-7195 in advance to schedule your 
arrival with one of our staff members.
    Comments mailed to the addresses indicated as appropriate for hand 
or courier delivery may be delayed and received after the comment 
period.

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

SUPPLEMENTARY INFORMATION: In the advance notice of proposed rulemaking 
with comment that appeared in the Federal Register on May 4, 2017 
entitled, ``Medicare Program; Prospective Payment System and 
Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-
mix Methodology'' (82 FR 20980) (the ANPRM), we solicited public 
comments on potential options we may consider for revising certain 
aspects of the existing skilled nursing facility (SNF) prospective 
payment system (PPS) payment methodology to improve its accuracy, based 
on the results of our SNF Payment Models Research (SNF PMR) project. In 
particular, in the ANPRM, we sought comments on the possibility of 
proposing to replace the SNF PPS' existing case-mix classification 
model, the Resource Utilization Groups, Version 4 (RUG-IV), with a new 
model, the Resident Classification System, Version I (RCS-I). We also 
discussed options for how such a change could be implemented, as well

[[Page 27223]]

as a number of other policy changes we may consider proposing to 
complement implementation of RCS-I.
    We have received an inquiry from professional associations and 
national industry organizations regarding the 60-day comment period for 
the ANPRM. These organizations stated that by providing all 
stakeholders additional time to review and comment upon the ANPRM, they 
will be able to conduct a more comprehensive review of the refinements 
we are considering to the SNF PPS payment methodology and provide more 
meaningful comments. In order to maximize the opportunity for the 
public to provide meaningful input to CMS, we believe that it is 
important to allow additional time for the public to prepare comments 
on the ANPRM. In addition, we believe that granting an extension to the 
public comment period in this instance would further our overall 
objective to obtain public input on the potential refinements to the 
SNF PPS we are considering. Therefore, we are extending the comment 
period for the ANPRM for an additional 60 days. This document announces 
the extension of the public comment period for the ANPRM until August 
25, 2017.

    Dated: June 7, 2017.
Seema Verma,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2017-12324 Filed 6-13-17; 8:45 am]
 BILLING CODE 4120-01-P
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