Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNF) Final Rule for FY 2019, SNF Value-Based Purchasing Program, and SNF Quality Reporting Program; Correction, 49832-49836 [2018-21499]
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49832
Federal Register / Vol. 83, No. 192 / Wednesday, October 3, 2018 / Rules and Regulations
EPA-APPROVED KANSAS REGULATIONS—Continued
Kansas citation
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BILLING CODE 6560–50–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
42 CFR Parts 411, 413, and 424
[CMS–1696–CN]
RIN 0938–AT24
Medicare Program; Prospective
Payment System and Consolidated
Billing for Skilled Nursing Facilities
(SNF) Final Rule for FY 2019, SNF
Value-Based Purchasing Program, and
SNF Quality Reporting Program;
Correction
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Final rule; correction.
AGENCY:
This document corrects
technical errors in the final rule that
appeared in the August 8, 2018 Federal
Register (83 FR 39162) entitled
‘‘Medicare Program; Prospective
Payment System and Consolidated
Billing for Skilled Nursing Facilities
(SNF) Final Rule for FY 2019, SNF
Value-Based Purchasing Program, and
SNF Quality Reporting Program.’’
DATES: The corrections in this document
are effective October 1, 2018.
FOR FURTHER INFORMATION CONTACT: John
Kane, (410) 786–0557.
SUPPLEMENTARY INFORMATION:
SUMMARY:
daltland on DSKBBV9HB2PROD with RULES
I. Background
In FR Doc. 2018–16570 of August 8,
2018 (83 FR 39162 through 39290),
there were a number of technical errors
that are identified and corrected in
Correction of Errors section (section IV.
of this correction notice). The
provisions in this correcting document
are effective as if they had been
included in the document that appeared
in the August 8, 2018 Federal Register
(83 FR 39162 through 39290)
(hereinafter referred to as the FY 2019
SNF PPS final rule).
Accordingly, the corrections in this
document are effective October 1, 2018.
16:40 Oct 02, 2018
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EPA approval
date
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II. Summary of Errors
*
[FR Doc. 2018–21434 Filed 10–2–18; 8:45 am]
VerDate Sep<11>2014
State
effective
date
Title
Jkt 247001
A. Summary of Errors in the Preamble
On pages 39170 through 39172,
39222, 39285 and 39287, we made
inadvertent technical errors.
Specifically, in Tables 6 and 7 on pages
39170 through 39172 of the FY 2019
SNF PPS final rule, we made errors in
copying values into the ‘‘total rate’’
column of the tables used in the final
rule preamble, so the numbers in this
column did not accurately reflect the
total case-mix adjusted federal per diem
rates. On page 39222, we made a
typographical error in Table 27 in the
MDS item number reference (column 2)
associated with one of the conditions
and extensive services used for NTA
classification. Additionally, in Table 45
on page 39285 of the FY 2019 SNF PPS
final rule, we misordered the ownership
labels in the table as ‘‘Government,
Profit, Non-Profit’’, instead of ‘‘Profit,
Non-Profit, Government.’’ Finally, on
page 39287, we inadvertently typed
‘‘urban rural West South Central
region,’’ when we intended to state
‘‘rural West South Central region.’’
The corrections to these errors are
found in section IV. of this document.
B. Summary of Errors in and Corrections
to Tables Posted on the CMS Website
We are correcting the wage indexes in
Tables A and B setting forth the wage
indexes for urban areas based on CBSA
labor market areas (Table A) and the
wage indexes for rural areas based on
CBSA labor market areas (Table B),
which are available exclusively on the
CMS website at https://www.cms.gov/
Medicare/Medicare-Fee-for-ServicePayment/SNFPPS/WageIndex.html. As
discussed in the FY 2019 SNF PPS final
rule (83 FR 39172 through 39178), in
developing the wage index to be applied
to SNFs under the SNF PPS, we use the
updated, pre-reclassified, pre-rural floor
hospital inpatient PPS (IPPS) wage data,
exclusive of the occupational mix
adjustment. For FY 2019, the updated,
unadjusted, pre-reclassified, pre-rural
floor IPPS wage data used under the
SNF PPS are for cost reporting periods
beginning on or after October 1, 2014
and before October 1, 2015 (FY 2015
cost report data), as discussed in the
final rule entitled, ‘‘Medicare Program;
Hospital Inpatient Prospective Payment
PO 00000
Frm 00064
Fmt 4700
Sfmt 4700
Explanation
*
*
Systems for Acute Care Hospitals and
the Long Term Care Hospital
Prospective Payment System and Policy
Changes and Fiscal Year 2019 Rates;
Quality Reporting Requirements for
Specific Providers; Medicare and
Medicaid Electronic Health Record
(EHR) Incentive Programs (Promoting
Interoperability Programs) Requirements
for Eligible Hospitals, Critical Access
Hospitals, and Eligible Professionals;
Medicare Cost Reporting Requirements;
and Physician Certification and
Recertification of Claims’’ (83 FR 41144,
41364) (hereinafter referred to as the FY
2019 IPPS final rule). In calculating the
wage index under the FY 2019 IPPS
final rule, we made inadvertent errors
related to the calculation of the wage
index. These errors are identified,
discussed and corrected in the
correction notice entitled, ‘‘Medicare
Program; Hospital Inpatient Prospective
Payment Systems for Acute Care
Hospitals and the Long Term Care
Hospital Prospective Payment System
and Policy Changes and Fiscal Year
2019 Rates; Quality Reporting
Requirements for Specific Providers;
Medicare and Medicaid Electronic
Health Record (EHR) Incentive Programs
(Promoting Interoperability Programs)
Requirements for Eligible Hospitals,
Critical Access Hospitals, and Eligible
Professionals; Medicare Cost Reporting
Requirements; and Physician
Certification and Recertification of
Claims; Correction.’’ Among the errors
discussed there, the two errors that
affect the unadjusted, pre-reclassified,
pre-rural floor IPPS wage data, and
thereby affect the SNF PPS wage data
were errors in the wage data collected
from the Medicare cost reports of one
hospital (CMS Certification Number
(CCN) 100044—CBSA 38940 Port St.
Lucie, Florida) and the mistaken
inclusion of a Critical Access Hospital
(CAH) in the wage data (CCN 060016—
CBSA 06 Colorado). Finally, in
constructing Table A, we made errors in
copying values into the ‘‘wage index’’
column of the table posted to the CMS
website.
Given these errors, we are
republishing the wage indexes in Tables
A and B accordingly on the CMS
website at https://www.cms.gov/
Medicare/Medicare-Fee-for-ServicePayment/SNFPPS/WageIndex.html.
E:\FR\FM\03OCR1.SGM
03OCR1
Federal Register / Vol. 83, No. 192 / Wednesday, October 3, 2018 / Rules and Regulations
III. Waiver of Proposed Rulemaking
and Delayed Effective Date
Under 5 U.S.C. 553(b) of the
Administrative Procedure Act (APA),
the agency is required to publish a
notice of the proposed rule in the
Federal Register before the provisions
of a rule take effect. Similarly, section
1871(b)(1) of the Act requires the
Secretary to provide for notice of the
proposed rule in the Federal Register
and provide a period of not less than 60
days for public comment. In addition,
section 553(d) of the APA, and section
1871(e)(1)(B)(i) of the Act mandate a 30day delay in effective date after issuance
or publication of a rule. Sections
553(b)(B) and 553(d)(3) of the APA
provide for exceptions from the notice
and comment and delay in effective date
APA requirements; in cases in which
these exceptions apply, sections
1871(b)(2)(C) and 1871(e)(1)(B)(ii) of the
Act provide exceptions from the notice
and 60-day comment period and delay
in effective date requirements of the Act
as well.
Section 553(b)(B) of the APA and
section 1871(b)(2)(C) of the Act
authorize an agency to dispense with
normal rulemaking requirements for
good cause if the agency makes a
finding that the notice and comment
process are impracticable, unnecessary,
or contrary to the public interest. In
addition, both section 553(d)(3) of the
APA and section 1871(e)(1)(B)(ii) of the
Act allow the agency to avoid the 30day delay in effective date where such
delay is contrary to the public interest
and an agency includes a statement of
support.
We believe that this correcting
document does not constitute a rule that
would be subject to the notice and
comment or delayed effective date
requirements. This document corrects
technical errors in the FY 2019 SNF PPS
final rule and in the tables referenced in
the final rule, but does not make
substantive changes to the policies or
payment methodologies that were
adopted in the final rule. As a result,
this correction notice is intended to
ensure that the information in the FY
2019 SNF PPS final rule accurately
reflects 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 2019 SNF PPS final rule and the
tables referenced in the final rule
accurately reflect our methodologies,
payment rates, and policies.
Furthermore, such procedures would be
unnecessary, as we are not making
substantive changes to our payment
methodologies or policies, but rather,
we are simply implementing correctly
the methodologies and policies that we
previously proposed, requested
comment on, and subsequently
finalized. This correcting document is
intended solely to ensure that the FY
2019 SNF PPS final rule and the tables
referenced in the final rule accurately
reflect these methodologies and
policies. Therefore, we believe we have
good cause to waive the notice and
comment and effective date
requirements.
IV. Correction of Errors
In FR Doc. 2018–16570 of August 8,
2018 (83 FR 39162), make the following
corrections:
1. On pages 39170 through 39171,
TABLE 6—RUG–IV Case-Mix Adjusted
Federal Rates and Associated Indexes—
Urban is corrected to read as follows:
TABLE 6—RUG–IV CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES—URBAN
daltland on DSKBBV9HB2PROD with RULES
RUG–IV category
RUX ...............
RUL ...............
RVX ...............
RVL ...............
RHX ...............
RHL ...............
RMX ..............
RML ...............
RLX ...............
RUC ...............
RUB ...............
RUA ...............
RVC ...............
RVB ...............
RVA ...............
RHC ...............
RHB ...............
RHA ...............
RMC ..............
RMB ..............
RMA ..............
RLB ...............
RLA ...............
ES3 ...............
ES2 ...............
ES1 ...............
HE2 ...............
HE1 ...............
HD2 ...............
HD1 ...............
HC2 ...............
HC1 ...............
VerDate Sep<11>2014
Nursing index
Therapy index
2.67
2.57
2.61
2.19
2.55
2.15
2.47
2.19
2.26
1.56
1.56
0.99
1.51
1.11
1.10
1.45
1.19
0.91
1.36
1.22
0.84
1.50
0.71
3.58
2.67
2.32
2.22
1.74
2.04
1.60
1.89
1.48
1.87
1.87
1.28
1.28
0.85
0.85
0.55
0.55
0.28
1.87
1.87
1.87
1.28
1.28
1.28
0.85
0.85
0.85
0.55
0.55
0.55
0.28
0.28
........................
........................
........................
........................
........................
........................
........................
........................
........................
16:40 Oct 02, 2018
Jkt 247001
PO 00000
Nursing
component
$484.44
466.30
473.56
397.35
462.67
390.10
448.16
397.35
410.05
283.05
283.05
179.63
273.97
201.40
199.58
263.09
215.91
165.11
246.76
221.36
152.41
272.16
128.82
649.56
484.44
420.94
402.80
315.71
370.14
290.30
342.92
268.53
Frm 00065
Therapy
component
Non-case mix
therapy comp
Non-case mix
component
$255.57
255.57
174.94
174.94
116.17
116.17
75.17
75.17
38.27
255.57
255.57
255.57
174.94
174.94
174.94
116.17
116.17
116.17
75.17
75.17
75.17
38.27
38.27
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
$18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
$92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
Fmt 4700
Sfmt 4700
49833
E:\FR\FM\03OCR1.SGM
03OCR1
Total rate
$832.61
814.47
741.10
664.89
671.44
598.87
615.93
565.12
540.92
631.22
631.22
527.80
541.51
468.94
467.12
471.86
424.68
373.88
414.53
389.13
320.18
403.03
259.69
760.16
595.04
531.54
513.40
426.31
480.74
400.90
453.52
379.13
49834
Federal Register / Vol. 83, No. 192 / Wednesday, October 3, 2018 / Rules and Regulations
TABLE 6—RUG–IV CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES—URBAN—Continued
RUG–IV category
HB2 ...............
HB1 ...............
LE2 ................
LE1 ................
LD2 ................
LD1 ................
LC2 ................
LC1 ................
LB2 ................
LB1 ................
CE2 ...............
CE1 ...............
CD2 ...............
CD1 ...............
CC2 ...............
CC1 ...............
CB2 ...............
CB1 ...............
CA2 ...............
CA1 ...............
BB2 ...............
BB1 ...............
BA2 ...............
BA1 ...............
PE2 ...............
PE1 ...............
PD2 ...............
PD1 ...............
PC2 ...............
PC1 ...............
PB2 ...............
PB1 ...............
PA2 ...............
PA1 ...............
Nursing
component
Nursing index
Therapy index
1.86
1.46
1.96
1.54
1.86
1.46
1.56
1.22
1.45
1.14
1.68
1.50
1.56
1.38
1.29
1.15
1.15
1.02
0.88
0.78
0.97
0.90
0.70
0.64
1.50
1.40
1.38
1.28
1.10
1.02
0.84
0.78
0.59
0.54
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
2. On pages 39171 through 39172,
TABLE 7—RUG–IV Case-Mix Adjusted
337.48
264.90
355.62
279.42
337.48
264.90
283.05
221.36
263.09
206.84
304.82
272.16
283.05
250.39
234.06
208.66
208.66
185.07
159.67
141.52
176.00
163.30
127.01
116.12
272.16
254.02
250.39
232.24
199.58
185.07
152.41
141.52
107.05
97.98
Therapy
component
Non-case mix
therapy comp
Non-case mix
component
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
18.00
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
92.60
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
Total rate
448.08
375.50
466.22
390.02
448.08
375.50
393.65
331.96
373.69
317.44
415.42
382.76
393.65
360.99
344.66
319.26
319.26
295.67
270.27
252.12
286.60
273.90
237.61
226.72
382.76
364.62
360.99
342.84
310.18
295.67
263.01
252.12
217.65
208.58
Federal Rates and Associated Indexes—
Rural is corrected to read as follows:
TABLE 7—RUG–IV CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES—RURAL
daltland on DSKBBV9HB2PROD with RULES
RUG–IV
RUX ...............
RUL ...............
RVX ...............
RVL ...............
RHX ...............
RHL ...............
RMX ..............
RML ...............
RLX ...............
RUC ...............
RUB ...............
RUA ...............
RVC ...............
RVB ...............
RVA ...............
RHC ...............
RHB ...............
RHA ...............
RMC ..............
RMB ..............
RMA ..............
RLB ...............
RLA ...............
ES3 ...............
ES2 ...............
ES1 ...............
VerDate Sep<11>2014
Nursing index
Therapy index
2.67
2.57
2.61
2.19
2.55
2.15
2.47
2.19
2.26
1.56
1.56
0.99
1.51
1.11
1.10
1.45
1.19
0.91
1.36
1.22
0.84
1.50
0.71
3.58
2.67
2.32
1.87
1.87
1.28
1.28
0.85
0.85
0.55
0.55
0.28
1.87
1.87
1.87
1.28
1.28
1.28
0.85
0.85
0.85
0.55
0.55
0.55
0.28
0.28
........................
........................
........................
16:40 Oct 02, 2018
Jkt 247001
PO 00000
Nursing
component
$462.82
445.48
452.42
379.61
442.02
372.68
428.15
379.61
391.75
270.41
270.41
171.61
261.74
192.41
190.67
251.34
206.27
157.74
235.74
211.47
145.61
260.01
123.07
620.56
462.82
402.15
Frm 00066
Therapy
component
Non-case mix
therapy comp
Non-case Mix
component
$294.71
294.71
201.73
201.73
133.96
133.96
86.68
86.68
44.13
294.71
294.71
294.71
201.73
201.73
201.73
133.96
133.96
133.96
86.68
86.68
86.68
44.13
44.13
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
$19.23
19.23
19.23
$94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
Fmt 4700
Sfmt 4700
E:\FR\FM\03OCR1.SGM
03OCR1
Total rate
$851.84
834.50
748.46
675.65
670.29
600.95
609.14
560.60
530.19
659.43
659.43
560.63
557.78
488.45
486.71
479.61
434.54
386.01
416.73
392.46
326.60
398.45
261.51
734.10
576.36
515.69
Federal Register / Vol. 83, No. 192 / Wednesday, October 3, 2018 / Rules and Regulations
49835
TABLE 7—RUG–IV CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES—RURAL—Continued
RUG–IV
HE2 ...............
HE1 ...............
HD2 ...............
HD1 ...............
HC2 ...............
HC1 ...............
HB2 ...............
HB1 ...............
LE2 ................
LE1 ................
LD2 ................
LD1 ................
LC2 ................
LC1 ................
LB2 ................
LB1 ................
CE2 ...............
CE1 ...............
CD2 ...............
CD1 ...............
CC2 ...............
CC1 ...............
CB2 ...............
CB1 ...............
CA2 ...............
CA1 ...............
BB2 ...............
BB1 ...............
BA2 ...............
BA1 ...............
PE2 ...............
PE1 ...............
PD2 ...............
PD1 ...............
PC2 ...............
PC1 ...............
PB2 ...............
PB1 ...............
PA2 ...............
PA1 ...............
Nursing
component
Nursing index
Therapy index
2.22
1.74
2.04
1.60
1.89
1.48
1.86
1.46
1.96
1.54
1.86
1.46
1.56
1.22
1.45
1.14
1.68
1.50
1.56
1.38
1.29
1.15
1.15
1.02
0.88
0.78
0.97
0.90
0.70
0.64
1.50
1.40
1.38
1.28
1.10
1.02
0.84
0.78
0.59
0.54
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
5. On page 39222, in Table 27,
column 2, line 29, the reference ‘‘MDS
384.81
301.61
353.61
277.34
327.61
256.54
322.41
253.08
339.75
266.94
322.41
253.08
270.41
211.47
251.34
197.61
291.21
260.01
270.41
239.21
223.61
199.34
199.34
176.81
152.54
135.21
168.14
156.01
121.34
110.94
260.01
242.68
239.21
221.88
190.67
176.81
145.61
135.21
102.27
93.60
Therapy
component
Non-case mix
therapy comp
Non-case Mix
component
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
19.23
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
94.31
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
........................
Item M0300X1’’ is corrected to read
‘‘MDS Item M0300D1.’’
Total rate
498.35
415.15
467.15
390.88
441.15
370.08
435.95
366.62
453.29
380.48
435.95
366.62
383.95
325.01
364.88
311.15
404.75
373.55
383.95
352.75
337.15
312.88
312.88
290.35
266.08
248.75
281.68
269.55
234.88
224.48
373.55
356.22
352.75
335.42
304.21
290.35
259.15
248.75
215.81
207.14
6. On page 39285, TABLE 45—Impact
to the SNF PPS for FY 2019 is corrected
to read as follows:
TABLE 45—IMPACT TO THE SNF PPS FOR FY 2019
daltland on DSKBBV9HB2PROD with RULES
Number
of
facilities
FY 2019
Group:
Total ..............................................................................................................................................................
Urban ............................................................................................................................................................
Rural .............................................................................................................................................................
Hospital-based urban ...................................................................................................................................
Freestanding urban ......................................................................................................................................
Hospital-based rural .....................................................................................................................................
Freestanding rural ........................................................................................................................................
Urban by region:
New England ................................................................................................................................................
Middle Atlantic ..............................................................................................................................................
South Atlantic ...............................................................................................................................................
East North Central ........................................................................................................................................
East South Central .......................................................................................................................................
West North Central .......................................................................................................................................
West South Central ......................................................................................................................................
Mountain .......................................................................................................................................................
VerDate Sep<11>2014
16:40 Oct 02, 2018
Jkt 247001
PO 00000
Frm 00067
Fmt 4700
Sfmt 4700
E:\FR\FM\03OCR1.SGM
03OCR1
Update
wage
data
(%)
Total
change
(%)
15,471
11,042
4,429
498
10,544
555
3,874
0.0
0.0
0.1
0.0
0.0
0.0
0.2
2.4
2.4
2.5
2.4
2.4
2.4
2.6
790
1,481
1,869
2,127
555
920
1,346
527
¥0.7
0.0
¥0.1
¥0.4
¥0.2
¥0.4
0.3
¥0.8
1.7
2.4
2.3
2.0
2.2
2.0
2.7
1.6
49836
Federal Register / Vol. 83, No. 192 / Wednesday, October 3, 2018 / Rules and Regulations
TABLE 45—IMPACT TO THE SNF PPS FOR FY 2019—Continued
Number
of
facilities
FY 2019
Pacific ...........................................................................................................................................................
Outlying .........................................................................................................................................................
Rural by region:
New England ................................................................................................................................................
Middle Atlantic ..............................................................................................................................................
South Atlantic ...............................................................................................................................................
East North Central ........................................................................................................................................
East South Central .......................................................................................................................................
West North Central .......................................................................................................................................
West South Central ......................................................................................................................................
Mountain .......................................................................................................................................................
Pacific ...........................................................................................................................................................
Ownership:
Profit .............................................................................................................................................................
Non-Profit ......................................................................................................................................................
Government ..................................................................................................................................................
Update
wage
data
(%)
Total
change
(%)
1,421
6
1.0
¥0.5
3.4
1.9
134
215
494
931
523
1,074
734
229
95
¥0.7
0.1
0.1
0.1
¥0.3
0.3
1.0
0.2
¥0.5
1.6
2.5
2.5
2.5
2.1
2.7
3.5
2.6
1.9
10,887
3,570
1,014
0.0
¥0.1
0.0
2.4
2.3
2.4
Note: The Total column includes the 2.4 percent market basket increase required by section 53111 of the BBA 2018. Additionally, we found
no SNFs in rural outlying areas.
7. On page 39287, bottom of the page,
column 2, line 6 and 7 the phrase
‘‘urban rural West South Central region’’
is corrected to read ‘‘rural West South
Central region.’’
II. Summary of Errors
Final rule; correction.
[CMS–1694–CN2]
This document corrects
technical and typographical errors in
the final rule that appeared in the
August 17, 2018 issue of the Federal
Register titled ‘‘Medicare Program;
Hospital Inpatient Prospective Payment
Systems for Acute Care Hospitals and
the Long Term Care Hospital
Prospective Payment System and Policy
Changes and Fiscal Year 2019 Rates;
Quality Reporting Requirements for
Specific Providers; Medicare and
Medicaid Electronic Health Record
(EHR) Incentive Programs (Promoting
Interoperability Programs) Requirements
for Eligible Hospitals, Critical Access
Hospitals, and Eligible Professionals;
Medicare Cost Reporting Requirements;
and Physician Certification and
Recertification of Claims’’.
RIN 0938–AT27
DATES:
Dated: September 27, 2018.
Ann C. Agnew,
Executive Secretary to the Department,
Department of Health and Human Services.
[FR Doc. 2018–21499 Filed 9–28–18; 4:15 pm]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
42 CFR Parts 412, 413, 424, and 495
daltland on DSKBBV9HB2PROD with RULES
ACTION:
Medicare Program; Hospital Inpatient
Prospective Payment Systems for
Acute Care Hospitals and the Long
Term Care Hospital Prospective
Payment System and Policy Changes
and Fiscal Year 2019 Rates; Quality
Reporting Requirements for Specific
Providers; Medicare and Medicaid
Electronic Health Record (EHR)
Incentive Programs (Promoting
Interoperability Programs)
Requirements for Eligible Hospitals,
Critical Access Hospitals, and Eligible
Professionals; Medicare Cost
Reporting Requirements; and
Physician Certification and
Recertification of Claims; Correction
Centers for Medicare &
Medicaid Services (CMS), HHS.
AGENCY:
VerDate Sep<11>2014
16:40 Oct 02, 2018
Jkt 247001
SUMMARY:
The corrections in this document
are effective October 1, 2018.
FOR FURTHER INFORMATION CONTACT:
Donald Thompson and Michele
Hudson, (410) 786–4487.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2018–16766 of August 17,
2018 (83 FR 41144) there were a number
of technical and typographical errors
that are identified and corrected by the
Correction of Errors section of this
correcting document. The provisions in
this correcting document are effective as
if they had been included in the
document that appeared in the August
17, 2018 Federal Register. Accordingly,
the corrections are effective October 1,
2018.
PO 00000
Frm 00068
Fmt 4700
Sfmt 4700
A. Summary of Errors in the Preamble
On page 41144, under FOR FURTHER
INFORMATION CONTACT section, we are
correcting the names of the contacts for
Medicare Promoting Interoperability
Program issues.
On page 41151, in our discussion
regarding Changes to the Hospital
Readmissions Reduction Program under
‘‘Summary of Cost and Benefits’’, we
made errors in the impact figures.
On pages 41200, 41219, 41236, and
41313, we made a technical error in
using the term ‘‘primary’’ rather than
‘‘principal’’ when in describing certain
diagnosis codes or conditions.
On page 41254, we inadvertently
omitted a base MS–DRG group to which
the listed thoracoscopic procedures of
pericardium and pleura may be
assigned. Specifically, we are correcting
the list of MS–DRGs on page 41254 to
include MS–DRGs 166, 167, and 168
(Other Respiratory System O.R.
Procedures with MCC, with CC, and
without CC/MCC, respectively) in MDC
4 (Diseases and Disorders of the
Respiratory System), consistent with the
MS–DRGs to which other approaches
for procedures involving drainage or
extirpation of matter from the pleura are
assigned.
On page 41299, we made a technical
error in describing which ICD–10–PCS
procedure codes will be used to identify
cases involving the use of KYMRIAH
and YESCARTA that are eligible for new
technology add-on payments in FY
2019. Specifically, cases involving the
use of KYMRIAH and YESCARTA that
are eligible for new technology add-on
payments will be identified by either of
E:\FR\FM\03OCR1.SGM
03OCR1
]]>Agencies
[Federal Register Volume 83, Number 192 (Wednesday, October 3, 2018)]
[Rules and Regulations]
[Pages 49832-49836]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-21499]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 411, 413, and 424
[CMS-1696-CN]
RIN 0938-AT24
Medicare Program; Prospective Payment System and Consolidated
Billing for Skilled Nursing Facilities (SNF) Final Rule for FY 2019,
SNF Value-Based Purchasing Program, and SNF Quality Reporting Program;
Correction
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Final rule; correction.
-----------------------------------------------------------------------
SUMMARY: This document corrects technical errors in the final rule that
appeared in the August 8, 2018 Federal Register (83 FR 39162) entitled
``Medicare Program; Prospective Payment System and Consolidated Billing
for Skilled Nursing Facilities (SNF) Final Rule for FY 2019, SNF Value-
Based Purchasing Program, and SNF Quality Reporting Program.''
DATES: The corrections in this document are effective October 1, 2018.
FOR FURTHER INFORMATION CONTACT: John Kane, (410) 786-0557.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2018-16570 of August 8, 2018 (83 FR 39162 through
39290), there were a number of technical errors that are identified and
corrected in Correction of Errors section (section IV. of this
correction notice). The provisions in this correcting document are
effective as if they had been included in the document that appeared in
the August 8, 2018 Federal Register (83 FR 39162 through 39290)
(hereinafter referred to as the FY 2019 SNF PPS final rule).
Accordingly, the corrections in this document are effective October
1, 2018.
II. Summary of Errors
A. Summary of Errors in the Preamble
On pages 39170 through 39172, 39222, 39285 and 39287, we made
inadvertent technical errors. Specifically, in Tables 6 and 7 on pages
39170 through 39172 of the FY 2019 SNF PPS final rule, we made errors
in copying values into the ``total rate'' column of the tables used in
the final rule preamble, so the numbers in this column did not
accurately reflect the total case-mix adjusted federal per diem rates.
On page 39222, we made a typographical error in Table 27 in the MDS
item number reference (column 2) associated with one of the conditions
and extensive services used for NTA classification. Additionally, in
Table 45 on page 39285 of the FY 2019 SNF PPS final rule, we misordered
the ownership labels in the table as ``Government, Profit, Non-
Profit'', instead of ``Profit, Non-Profit, Government.'' Finally, on
page 39287, we inadvertently typed ``urban rural West South Central
region,'' when we intended to state ``rural West South Central
region.''
The corrections to these errors are found in section IV. of this
document.
B. Summary of Errors in and Corrections to Tables Posted on the CMS
Website
We are correcting the wage indexes in Tables A and B setting forth
the wage indexes for urban areas based on CBSA labor market areas
(Table A) and the wage indexes for rural areas based on CBSA labor
market areas (Table B), which are available exclusively on the CMS
website at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/WageIndex.html. As discussed in the FY 2019 SNF PPS
final rule (83 FR 39172 through 39178), in developing the wage index to
be applied to SNFs under the SNF PPS, we use the updated, pre-
reclassified, pre-rural floor hospital inpatient PPS (IPPS) wage data,
exclusive of the occupational mix adjustment. For FY 2019, the updated,
unadjusted, pre-reclassified, pre-rural floor IPPS wage data used under
the SNF PPS are for cost reporting periods beginning on or after
October 1, 2014 and before October 1, 2015 (FY 2015 cost report data),
as discussed in the final rule entitled, ``Medicare Program; Hospital
Inpatient Prospective Payment Systems for Acute Care Hospitals and the
Long Term Care Hospital Prospective Payment System and Policy Changes
and Fiscal Year 2019 Rates; Quality Reporting Requirements for Specific
Providers; Medicare and Medicaid Electronic Health Record (EHR)
Incentive Programs (Promoting Interoperability Programs) Requirements
for Eligible Hospitals, Critical Access Hospitals, and Eligible
Professionals; Medicare Cost Reporting Requirements; and Physician
Certification and Recertification of Claims'' (83 FR 41144, 41364)
(hereinafter referred to as the FY 2019 IPPS final rule). In
calculating the wage index under the FY 2019 IPPS final rule, we made
inadvertent errors related to the calculation of the wage index. These
errors are identified, discussed and corrected in the correction notice
entitled, ``Medicare Program; Hospital Inpatient Prospective Payment
Systems for Acute Care Hospitals and the Long Term Care Hospital
Prospective Payment System and Policy Changes and Fiscal Year 2019
Rates; Quality Reporting Requirements for Specific Providers; Medicare
and Medicaid Electronic Health Record (EHR) Incentive Programs
(Promoting Interoperability Programs) Requirements for Eligible
Hospitals, Critical Access Hospitals, and Eligible Professionals;
Medicare Cost Reporting Requirements; and Physician Certification and
Recertification of Claims; Correction.'' Among the errors discussed
there, the two errors that affect the unadjusted, pre-reclassified,
pre-rural floor IPPS wage data, and thereby affect the SNF PPS wage
data were errors in the wage data collected from the Medicare cost
reports of one hospital (CMS Certification Number (CCN) 100044--CBSA
38940 Port St. Lucie, Florida) and the mistaken inclusion of a Critical
Access Hospital (CAH) in the wage data (CCN 060016--CBSA 06 Colorado).
Finally, in constructing Table A, we made errors in copying values into
the ``wage index'' column of the table posted to the CMS website.
Given these errors, we are republishing the wage indexes in Tables
A and B accordingly on the CMS website at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/WageIndex.html.
[[Page 49833]]
III. Waiver of Proposed Rulemaking and Delayed Effective Date
Under 5 U.S.C. 553(b) of the Administrative Procedure Act (APA),
the agency is required to publish a notice of the proposed rule in the
Federal Register before the provisions of a rule take effect.
Similarly, section 1871(b)(1) of the Act requires the Secretary to
provide for notice of the proposed rule in the Federal Register and
provide a period of not less than 60 days for public comment. In
addition, section 553(d) of the APA, and section 1871(e)(1)(B)(i) of
the Act mandate a 30-day delay in effective date after issuance or
publication of a rule. Sections 553(b)(B) and 553(d)(3) of the APA
provide for exceptions from the notice and comment and delay in
effective date APA requirements; in cases in which these exceptions
apply, sections 1871(b)(2)(C) and 1871(e)(1)(B)(ii) of the Act provide
exceptions from the notice and 60-day comment period and delay in
effective date requirements of the Act as well.
Section 553(b)(B) of the APA and section 1871(b)(2)(C) of the Act
authorize an agency to dispense with normal rulemaking requirements for
good cause if the agency makes a finding that the notice and comment
process are impracticable, unnecessary, or contrary to the public
interest. In addition, both section 553(d)(3) of the APA and section
1871(e)(1)(B)(ii) of the Act allow the agency to avoid the 30-day delay
in effective date where such delay is contrary to the public interest
and an agency includes a statement of support.
We believe that this correcting document does not constitute a rule
that would be subject to the notice and comment or delayed effective
date requirements. This document corrects technical errors in the FY
2019 SNF PPS final rule and in the tables referenced in the final rule,
but does not make substantive changes to the policies or payment
methodologies that were adopted in the final rule. As a result, this
correction notice is intended to ensure that the information in the FY
2019 SNF PPS final rule accurately reflects 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 2019 SNF PPS final rule
and the tables referenced in the final rule accurately reflect our
methodologies, payment rates, and policies. Furthermore, such
procedures would be unnecessary, as we are not making substantive
changes to our payment methodologies or policies, but rather, we are
simply implementing correctly the methodologies and policies that we
previously proposed, requested comment on, and subsequently finalized.
This correcting document is intended solely to ensure that the FY 2019
SNF PPS final rule and the tables referenced in the final rule
accurately reflect these methodologies and policies. Therefore, we
believe we have good cause to waive the notice and comment and
effective date requirements.
IV. Correction of Errors
In FR Doc. 2018-16570 of August 8, 2018 (83 FR 39162), make the
following corrections:
1. On pages 39170 through 39171, TABLE 6--RUG-IV Case-Mix Adjusted
Federal Rates and Associated Indexes--Urban is corrected to read as
follows:
Table 6--RUG-IV Case-Mix Adjusted Federal Rates and Associated Indexes--Urban
--------------------------------------------------------------------------------------------------------------------------------------------------------
Nursing Therapy Non-case mix Non-case mix
RUG-IV category Nursing index Therapy index component component therapy comp component Total rate
-------------------------------------------------------------------------------------------------------------------------------------------------
RUX............................. 2.67 1.87 $484.44 $255.57 .............. $92.60 $832.61
RUL............................. 2.57 1.87 466.30 255.57 .............. 92.60 814.47
RVX............................. 2.61 1.28 473.56 174.94 .............. 92.60 741.10
RVL............................. 2.19 1.28 397.35 174.94 .............. 92.60 664.89
RHX............................. 2.55 0.85 462.67 116.17 .............. 92.60 671.44
RHL............................. 2.15 0.85 390.10 116.17 .............. 92.60 598.87
RMX............................. 2.47 0.55 448.16 75.17 .............. 92.60 615.93
RML............................. 2.19 0.55 397.35 75.17 .............. 92.60 565.12
RLX............................. 2.26 0.28 410.05 38.27 .............. 92.60 540.92
RUC............................. 1.56 1.87 283.05 255.57 .............. 92.60 631.22
RUB............................. 1.56 1.87 283.05 255.57 .............. 92.60 631.22
RUA............................. 0.99 1.87 179.63 255.57 .............. 92.60 527.80
RVC............................. 1.51 1.28 273.97 174.94 .............. 92.60 541.51
RVB............................. 1.11 1.28 201.40 174.94 .............. 92.60 468.94
RVA............................. 1.10 1.28 199.58 174.94 .............. 92.60 467.12
RHC............................. 1.45 0.85 263.09 116.17 .............. 92.60 471.86
RHB............................. 1.19 0.85 215.91 116.17 .............. 92.60 424.68
RHA............................. 0.91 0.85 165.11 116.17 .............. 92.60 373.88
RMC............................. 1.36 0.55 246.76 75.17 .............. 92.60 414.53
RMB............................. 1.22 0.55 221.36 75.17 .............. 92.60 389.13
RMA............................. 0.84 0.55 152.41 75.17 .............. 92.60 320.18
RLB............................. 1.50 0.28 272.16 38.27 .............. 92.60 403.03
RLA............................. 0.71 0.28 128.82 38.27 .............. 92.60 259.69
ES3............................. 3.58 .............. 649.56 .............. $18.00 92.60 760.16
ES2............................. 2.67 .............. 484.44 .............. 18.00 92.60 595.04
ES1............................. 2.32 .............. 420.94 .............. 18.00 92.60 531.54
HE2............................. 2.22 .............. 402.80 .............. 18.00 92.60 513.40
HE1............................. 1.74 .............. 315.71 .............. 18.00 92.60 426.31
HD2............................. 2.04 .............. 370.14 .............. 18.00 92.60 480.74
HD1............................. 1.60 .............. 290.30 .............. 18.00 92.60 400.90
HC2............................. 1.89 .............. 342.92 .............. 18.00 92.60 453.52
HC1............................. 1.48 .............. 268.53 .............. 18.00 92.60 379.13
[[Page 49834]]
HB2............................. 1.86 .............. 337.48 .............. 18.00 92.60 448.08
HB1............................. 1.46 .............. 264.90 .............. 18.00 92.60 375.50
LE2............................. 1.96 .............. 355.62 .............. 18.00 92.60 466.22
LE1............................. 1.54 .............. 279.42 .............. 18.00 92.60 390.02
LD2............................. 1.86 .............. 337.48 .............. 18.00 92.60 448.08
LD1............................. 1.46 .............. 264.90 .............. 18.00 92.60 375.50
LC2............................. 1.56 .............. 283.05 .............. 18.00 92.60 393.65
LC1............................. 1.22 .............. 221.36 .............. 18.00 92.60 331.96
LB2............................. 1.45 .............. 263.09 .............. 18.00 92.60 373.69
LB1............................. 1.14 .............. 206.84 .............. 18.00 92.60 317.44
CE2............................. 1.68 .............. 304.82 .............. 18.00 92.60 415.42
CE1............................. 1.50 .............. 272.16 .............. 18.00 92.60 382.76
CD2............................. 1.56 .............. 283.05 .............. 18.00 92.60 393.65
CD1............................. 1.38 .............. 250.39 .............. 18.00 92.60 360.99
CC2............................. 1.29 .............. 234.06 .............. 18.00 92.60 344.66
CC1............................. 1.15 .............. 208.66 .............. 18.00 92.60 319.26
CB2............................. 1.15 .............. 208.66 .............. 18.00 92.60 319.26
CB1............................. 1.02 .............. 185.07 .............. 18.00 92.60 295.67
CA2............................. 0.88 .............. 159.67 .............. 18.00 92.60 270.27
CA1............................. 0.78 .............. 141.52 .............. 18.00 92.60 252.12
BB2............................. 0.97 .............. 176.00 .............. 18.00 92.60 286.60
BB1............................. 0.90 .............. 163.30 .............. 18.00 92.60 273.90
BA2............................. 0.70 .............. 127.01 .............. 18.00 92.60 237.61
BA1............................. 0.64 .............. 116.12 .............. 18.00 92.60 226.72
PE2............................. 1.50 .............. 272.16 .............. 18.00 92.60 382.76
PE1............................. 1.40 .............. 254.02 .............. 18.00 92.60 364.62
PD2............................. 1.38 .............. 250.39 .............. 18.00 92.60 360.99
PD1............................. 1.28 .............. 232.24 .............. 18.00 92.60 342.84
PC2............................. 1.10 .............. 199.58 .............. 18.00 92.60 310.18
PC1............................. 1.02 .............. 185.07 .............. 18.00 92.60 295.67
PB2............................. 0.84 .............. 152.41 .............. 18.00 92.60 263.01
PB1............................. 0.78 .............. 141.52 .............. 18.00 92.60 252.12
PA2............................. 0.59 .............. 107.05 .............. 18.00 92.60 217.65
PA1............................. 0.54 .............. 97.98 .............. 18.00 92.60 208.58
--------------------------------------------------------------------------------------------------------------------------------------------------------
2. On pages 39171 through 39172, TABLE 7--RUG-IV Case-Mix Adjusted
Federal Rates and Associated Indexes--Rural is corrected to read as
follows:
Table 7--RUG-IV Case-Mix Adjusted Federal Rates and Associated Indexes--Rural
--------------------------------------------------------------------------------------------------------------------------------------------------------
Nursing Therapy Non-case mix Non-case Mix
RUG-IV Nursing index Therapy index component component therapy comp component Total rate
-------------------------------------------------------------------------------------------------------------------------------------------------
RUX............................. 2.67 1.87 $462.82 $294.71 .............. $94.31 $851.84
RUL............................. 2.57 1.87 445.48 294.71 .............. 94.31 834.50
RVX............................. 2.61 1.28 452.42 201.73 .............. 94.31 748.46
RVL............................. 2.19 1.28 379.61 201.73 .............. 94.31 675.65
RHX............................. 2.55 0.85 442.02 133.96 .............. 94.31 670.29
RHL............................. 2.15 0.85 372.68 133.96 .............. 94.31 600.95
RMX............................. 2.47 0.55 428.15 86.68 .............. 94.31 609.14
RML............................. 2.19 0.55 379.61 86.68 .............. 94.31 560.60
RLX............................. 2.26 0.28 391.75 44.13 .............. 94.31 530.19
RUC............................. 1.56 1.87 270.41 294.71 .............. 94.31 659.43
RUB............................. 1.56 1.87 270.41 294.71 .............. 94.31 659.43
RUA............................. 0.99 1.87 171.61 294.71 .............. 94.31 560.63
RVC............................. 1.51 1.28 261.74 201.73 .............. 94.31 557.78
RVB............................. 1.11 1.28 192.41 201.73 .............. 94.31 488.45
RVA............................. 1.10 1.28 190.67 201.73 .............. 94.31 486.71
RHC............................. 1.45 0.85 251.34 133.96 .............. 94.31 479.61
RHB............................. 1.19 0.85 206.27 133.96 .............. 94.31 434.54
RHA............................. 0.91 0.85 157.74 133.96 .............. 94.31 386.01
RMC............................. 1.36 0.55 235.74 86.68 .............. 94.31 416.73
RMB............................. 1.22 0.55 211.47 86.68 .............. 94.31 392.46
RMA............................. 0.84 0.55 145.61 86.68 .............. 94.31 326.60
RLB............................. 1.50 0.28 260.01 44.13 .............. 94.31 398.45
RLA............................. 0.71 0.28 123.07 44.13 .............. 94.31 261.51
ES3............................. 3.58 .............. 620.56 .............. $19.23 94.31 734.10
ES2............................. 2.67 .............. 462.82 .............. 19.23 94.31 576.36
ES1............................. 2.32 .............. 402.15 .............. 19.23 94.31 515.69
[[Page 49835]]
HE2............................. 2.22 .............. 384.81 .............. 19.23 94.31 498.35
HE1............................. 1.74 .............. 301.61 .............. 19.23 94.31 415.15
HD2............................. 2.04 .............. 353.61 .............. 19.23 94.31 467.15
HD1............................. 1.60 .............. 277.34 .............. 19.23 94.31 390.88
HC2............................. 1.89 .............. 327.61 .............. 19.23 94.31 441.15
HC1............................. 1.48 .............. 256.54 .............. 19.23 94.31 370.08
HB2............................. 1.86 .............. 322.41 .............. 19.23 94.31 435.95
HB1............................. 1.46 .............. 253.08 .............. 19.23 94.31 366.62
LE2............................. 1.96 .............. 339.75 .............. 19.23 94.31 453.29
LE1............................. 1.54 .............. 266.94 .............. 19.23 94.31 380.48
LD2............................. 1.86 .............. 322.41 .............. 19.23 94.31 435.95
LD1............................. 1.46 .............. 253.08 .............. 19.23 94.31 366.62
LC2............................. 1.56 .............. 270.41 .............. 19.23 94.31 383.95
LC1............................. 1.22 .............. 211.47 .............. 19.23 94.31 325.01
LB2............................. 1.45 .............. 251.34 .............. 19.23 94.31 364.88
LB1............................. 1.14 .............. 197.61 .............. 19.23 94.31 311.15
CE2............................. 1.68 .............. 291.21 .............. 19.23 94.31 404.75
CE1............................. 1.50 .............. 260.01 .............. 19.23 94.31 373.55
CD2............................. 1.56 .............. 270.41 .............. 19.23 94.31 383.95
CD1............................. 1.38 .............. 239.21 .............. 19.23 94.31 352.75
CC2............................. 1.29 .............. 223.61 .............. 19.23 94.31 337.15
CC1............................. 1.15 .............. 199.34 .............. 19.23 94.31 312.88
CB2............................. 1.15 .............. 199.34 .............. 19.23 94.31 312.88
CB1............................. 1.02 .............. 176.81 .............. 19.23 94.31 290.35
CA2............................. 0.88 .............. 152.54 .............. 19.23 94.31 266.08
CA1............................. 0.78 .............. 135.21 .............. 19.23 94.31 248.75
BB2............................. 0.97 .............. 168.14 .............. 19.23 94.31 281.68
BB1............................. 0.90 .............. 156.01 .............. 19.23 94.31 269.55
BA2............................. 0.70 .............. 121.34 .............. 19.23 94.31 234.88
BA1............................. 0.64 .............. 110.94 .............. 19.23 94.31 224.48
PE2............................. 1.50 .............. 260.01 .............. 19.23 94.31 373.55
PE1............................. 1.40 .............. 242.68 .............. 19.23 94.31 356.22
PD2............................. 1.38 .............. 239.21 .............. 19.23 94.31 352.75
PD1............................. 1.28 .............. 221.88 .............. 19.23 94.31 335.42
PC2............................. 1.10 .............. 190.67 .............. 19.23 94.31 304.21
PC1............................. 1.02 .............. 176.81 .............. 19.23 94.31 290.35
PB2............................. 0.84 .............. 145.61 .............. 19.23 94.31 259.15
PB1............................. 0.78 .............. 135.21 .............. 19.23 94.31 248.75
PA2............................. 0.59 .............. 102.27 .............. 19.23 94.31 215.81
PA1............................. 0.54 .............. 93.60 .............. 19.23 94.31 207.14
--------------------------------------------------------------------------------------------------------------------------------------------------------
5. On page 39222, in Table 27, column 2, line 29, the reference
``MDS Item M0300X1'' is corrected to read ``MDS Item M0300D1.''
6. On page 39285, TABLE 45--Impact to the SNF PPS for FY 2019 is
corrected to read as follows:
Table 45--Impact to the SNF PPS for FY 2019
------------------------------------------------------------------------
Number of Update Total
facilities wage data change
FY 2019 (%) (%)
------------------------------------------------------------------------
Group:
Total............................. 15,471 0.0 2.4
Urban............................. 11,042 0.0 2.4
Rural............................. 4,429 0.1 2.5
Hospital-based urban.............. 498 0.0 2.4
Freestanding urban................ 10,544 0.0 2.4
Hospital-based rural.............. 555 0.0 2.4
Freestanding rural................ 3,874 0.2 2.6
Urban by region:
New England....................... 790 -0.7 1.7
Middle Atlantic................... 1,481 0.0 2.4
South Atlantic.................... 1,869 -0.1 2.3
East North Central................ 2,127 -0.4 2.0
East South Central................ 555 -0.2 2.2
West North Central................ 920 -0.4 2.0
West South Central................ 1,346 0.3 2.7
Mountain.......................... 527 -0.8 1.6
[[Page 49836]]
Pacific........................... 1,421 1.0 3.4
Outlying.......................... 6 -0.5 1.9
Rural by region:
New England....................... 134 -0.7 1.6
Middle Atlantic................... 215 0.1 2.5
South Atlantic.................... 494 0.1 2.5
East North Central................ 931 0.1 2.5
East South Central................ 523 -0.3 2.1
West North Central................ 1,074 0.3 2.7
West South Central................ 734 1.0 3.5
Mountain.......................... 229 0.2 2.6
Pacific........................... 95 -0.5 1.9
Ownership:
Profit............................ 10,887 0.0 2.4
Non-Profit........................ 3,570 -0.1 2.3
Government........................ 1,014 0.0 2.4
------------------------------------------------------------------------
Note: The Total column includes the 2.4 percent market basket increase
required by section 53111 of the BBA 2018. Additionally, we found no
SNFs in rural outlying areas.
7. On page 39287, bottom of the page, column 2, line 6 and 7 the
phrase ``urban rural West South Central region'' is corrected to read
``rural West South Central region.''
Dated: September 27, 2018.
Ann C. Agnew,
Executive Secretary to the Department, Department of Health and Human
Services.
[FR Doc. 2018-21499 Filed 9-28-18; 4:15 pm]
BILLING CODE 4120-01-P
