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]
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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withdrawn and all public comments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]
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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
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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
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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
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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
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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]
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]]>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]
=======================================================================
-----------------------------------------------------------------------
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
