Medicaid Program; Ensuring Access to Medicaid Services; Correction, 53497-53502 [2024-14030]
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Federal Register / Vol. 89, No. 124 / Thursday, June 27, 2024 / Rules and Regulations
Categories. For part 61 NESHAPs,
TDEC–APC requested to change the
delegation mechanism from ‘‘case-bycase’’ to ‘‘adopt-by-reference.’’ For part
63 NESHAPs, TDEC–APC requested to
change the delegation mechanism from
‘‘automatic’’ to ‘‘adopt-by-reference.’’
With these NESHAPs and NESHAPs
for Source Categories delegation
mechanisms in place, once a new or
revised NESHAP or NESHAP for Source
Categories is promulgated by the EPA,
delegation of authority from the EPA to
the TDEC–APC will become effective on
the date the NESHAP is adopted into
State rules by TDEC–APC. No further
State requests for delegation will be
necessary. Likewise, no further Federal
Register notifications will be published.
EPA continues to retain authority to
implement the Federal NESHAP and
NESHAP for Source Categories directly
and continues to retain concurrent
enforcement authority. EPA is providing
notice that it approved TDEC–APC’s
request on February 26, 2024.
II. Update to Delegation Methods
After a thorough review of the
request, the Regional Administrator has
determined that the laws, rules, and
regulations for the State agency provide
an adequate and effective procedure for
implementation and enforcement of
parts 61 and 63 NESHAPs. EPA,
therefore, hereby notifies the public that
it has approved the adopt-by-reference
delegation mechanism for delegation of
the part 61 NESHAP and part 63
NESHAPs for Source Categories. This
approval became effective on February
26, 2024. A copy of EPA’s letter
approving TDEC–APC’s request, with
enclosures, is available at Docket ID No.
EPA–R04–OAR–2024–0141 at https://
www.regulations.gov.
Authority: This notification is issued
under the authority of sections 101, 112(l),
and 301 of the CAA, as amended (42 U.S.C.
7401, 7412, and 7601).
Date: June 13, 2024.
Jeaneanne Gettle,
Acting Regional Administrator, Region 4.
[FR Doc. 2024–13896 Filed 6–26–24; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
42 CFR Parts 431, 438, 441, 447
[CMS–2442–CN]
RIN 0938–AU68
Medicaid Program; Ensuring Access to
Medicaid Services; Correction
Centers for Medicare &
Medicaid Services (CMS), Department
of Health and Human Services (HHS).
ACTION: Final rule; correction.
AGENCY:
This document corrects
technical and typographical errors in
the final rule that appeared in the May
10, 2024 Federal Register, entitled
‘‘Medicaid Program; Ensuring Access to
Medicaid Services (referred to hereafter
as the ‘‘Access final rule’’). The effective
date of the Access final rule is July 9,
2024.
DATES: This correction is effective July
9, 2024.
FOR FURTHER INFORMATION CONTACT:
Karen LLanos, (410) 786–9071, for
Medicaid Advisory Committee.
Jennifer Bowdoin, (410) 786–8551, for
Home and Community-Based Services.
Jeremy Silanskis, (410) 786–1592, for
Fee-for-Service Payment.
SUPPLEMENTARY INFORMATION:
SUMMARY:
I. Background
In FR Doc. 2024–08363 of May 10,
2024 (89 FR 40542), there were
technical errors that are identified and
corrected in this correcting document.
These corrections are applicable as if
they had been included in the Access
final rule, which is effective July 9,
2024. Accordingly, the corrections are
effective July 9, 2024.
II. Summary of Errors
A. Summary of Errors in the Preamble
On page 40550, in Table 1: Provisions
and Relevant Timing Information and
Dates, we made errors listing the
applicability dates and did not include
all of the regulatory citations for the
table rows that referenced the Medicaid
Advisory Committee & Beneficiary
Advisory Council § 431.12.
On pages 40556, 40557, and 40565,
we made errors listing the applicability
dates.
On page 40570, we made minor
technical and typographical errors,
including cross-references to regulatory
citations and a preamble section.
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53497
On page 40577, we made
typographical errors in regulatory
citations.
On page 40578, we made a
typographical error in a Federal
Register reference.
On page 40580, we made a
typographical error when discussing a
modification to regulatory language.
On page 40586, we made a
typographical error in a regulatory
citation.
On page 40587, we made a
typographical error when discussing a
modification to regulatory language.
On page 40594, we erroneously
included an incorrect statement related
to formatting when discussing a
modification to regulatory language.
On page 40596, we made a
typographical error when discussing a
modification to regulatory language.
On page 40599, we made
typographical errors in references to a
preamble section number and a
regulatory citation.
On page 40611, we made
typographical errors in a statutory
citation and a regulatory citation.
On page 40614, we made a
typographical error in a statutory
citation.
On page 40615, we erroneously
included the incorrect Federal Register
citation.
On page 40616, we made minor
technical errors in discussing a
modification to regulatory language,
including inadvertently omitting a
regulatory citation.
On page 40619, we erroneously
omitted a word in a policy statement.
On pages 40624, 40627, 40633, and
40640, we made typographical errors in
regulatory citations.
On page 40643, we made a
typographical error in a summary of
regulatory language we finalized.
On page 40646, we made a
typographical error in a regulatory
citation.
On page 40650, we made a
typographical error in a reference to a
preamble section.
On pages 40653, 40660, and 40661,
we made typographical errors in
regulatory citations.
On page 40662, we erroneously
omitted a word and made a
typographical error in a regulatory
citation.
On page 40671, we made
typographical and minor technical
errors when discussing regulatory
language we finalized.
On page 40673, we made
typographical errors in regulatory
citations.
On page 40675, we made
typographical errors in a regulatory
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Federal Register / Vol. 89, No. 124 / Thursday, June 27, 2024 / Rules and Regulations
citation and in references to preamble
sections.
On page 40727, we erroneously
omitted words when discussing
publication requirements.
On page 40858, in the table titled
‘‘TABLE 48: Accounting Table,’’ we
inadvertently included incorrect
summary figures in the table.
B. Summary of Errors in the Regulation
Text
On page 40862, in the regulation text
for § 431.12(d)(1), we listed incorrect
applicability dates.
On page 40863, in amendatory
instruction 5, we inadvertently noted
the changes to § 438.72 incorrectly.
On page 40869, in the regulation text
for § 441.312(c)(3)(iv), we made a
typographical error.
On page 40869, in the regulation text
for § 441.312(g), we made a
typographical error in a cross-reference.
III. Waiver of Proposed Rulemaking
and Delay in Effective Date
Under 5 U.S.C. 553(b) of the
Administrative Procedure Act (the
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. In addition, section
553(d) of the APA mandates a 30-day
delay in effective date after issuance or
publication of a substantive rule.
Sections 553(b)(B) and 553(d)(3) of the
APA provide for exceptions from the
APA notice and comment, and delay in
effective date requirements. Section
553(b)(B) of the APA authorizes an
agency to dispense with normal notice
and comment rulemaking procedures
for good cause if the agency makes a
finding that the notice and comment
process is impracticable, unnecessary,
or contrary to the public interest, and
includes a statement of the finding and
the reasons for it in the rule. Similarly,
section 553(d)(3) of the APA allows the
agency to avoid the 30-day delay in
effective date where good cause is found
and the agency includes in the rule a
statement of the finding and the reasons
for it. In our view, this correcting
document does not constitute a
rulemaking that would be subject to
these requirements.
This document corrects technical
errors in the Access final rule. The
corrections contained in this document
are consistent with, and do not make
substantive changes to, the policies that
were proposed, subject to notice and
comment procedures, and adopted in
the Access final rule. As a result, the
corrections made through this correcting
document are intended to resolve
inadvertent errors so that the rule
accurately reflects the policies adopted
in the final rule. Even if this were a
rulemaking to which the notice and
comment 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 Access final rule or
delaying the effective date of the
corrections would be contrary to the
public interest because it is in the
public interest to ensure that the rule
accurately reflects our policies as of the
date they take effect. Further, such
procedures would be unnecessary
because we are not making any
substantive revisions to the final rule,
but rather, we are simply correcting the
Federal Register document to reflect the
policies that we previously proposed,
received public comment on, and
subsequently finalized in the final rule.
For these reasons, we believe there is
good cause to waive the requirements
for notice and comment and delay in
effective date.
IV. Correction of Errors
In FR Doc. 2024–08363 of May 10,
2024 (89 FR 40542), make the following
corrections:
A. Correction of Errors in the Preamble
1. On page 40550, Table 1: Provisions
and Relevant Timing Information and
Dates, under Medicaid Advisory
Committee (MAC) & Beneficiary
Advisory Council (BAC) § 431.12, the
second column, rows 1 through 3,
which read:
Applicability Dates**
Establishment ofMAC and BAC: l year after the effective
date of the fmal rule.
Ree:ulation Section(s) in Title 42 of the CFR
BAC crossover on MAC: For the period from the effective
date of the fmal rule through 1 year after the effective date,
10 percent; for the period from year 1 plus one day through
year 2 after the effective date of the fmal rule, 20 percent;
and thereafter, 25 percent of committee members must be
from the BAC
Annual report: States have 2 years from the effective date of
the fmal rule to fmalize the first annual report. After the
report has been fmalized, States will have 30 days to post the
annual report.
Medicaid Advisory Committee (MAC) & Beneficiary
Advisory Council (BAC) § 431.12
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is corrected to read:
Federal Register / Vol. 89, No. 124 / Thursday, June 27, 2024 / Rules and Regulations
Aoolicability Dates**
§ 431.12 MAC & BAC: Except as noted in paragraphs (d)(l)
and (i)(3), the requirements in paragraphs (a) through G) are
applicable 1 year after the effective date of the final rule.
§ 431.12 (d)(l) BAC crossover on MAC: For the period from 1
year after the effective date of the final rule through 2 years
after the effective date of the final rule, 10 percent; for the
period from 2 years plus one day after the effective date of the
final rule through 3 years after the effective date of the final
rule, 20 percent; and thereafter, 25 percent of committee
members must be from the BAC
§ 431.12 (i)(3) Annual report: States have 2 years from the
effective date of the fmal rule to fmalize the first annual report.
After the report has been fmalized, States will have 30 days to
post the annual report.
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Medicaid Advisory Committee (MAC) & Beneficiary
Advisory Council (BAC) § 431.12
2. On page 40556, second column,
first full paragraph, lines 17 through 28,
the sentence that reads:
‘‘Instead of the 25 percent minimum
threshold coming into effect right away,
we are revising this final rule to provide
in § 431.12(d)(1) that, for the period
from July 9, 2024 through July 9, 2025,
10 percent of the MAC members must
come from the BAC; for the period from
July 10, 2025 through July 9, 2026 20
percent of MAC members must come
from the BAC; and thereafter, 25 percent
of MAC members must come from the
BAC.’’
is corrected to read:
‘‘Instead of the 25 percent minimum
threshold coming into effect right away,
we are revising this final rule to provide
in § 431.12(d)(1) that, for the period
from July 9, 2025 through July 9, 2026,
10 percent of the MAC members must
come from the BAC; for the period from
July 10, 2026 through July 9, 2027, 20
percent of MAC members must come
from the BAC; and thereafter, 25 percent
of MAC members must come from the
BAC.’’
3. On page 40557, first column,
second bullet in the second full
paragraph, lines 1 through 13, the
sentences that read:
‘‘Replacing the language at § 431.12
(d)(1) to clarify the timeframe for States
to reach 25 percent of MAC members
coming from the BAC. The new
sentence will now read, ‘‘For the period
from July 9, 2024 through July 9, 2025,
10 percent of the MAC members must
come from the BAC; for the period from
July 10, 2025 through July 10, 2026 20
percent of MAC members must come
from the BAC; and thereafter, 25 percent
of MAC members must come from the
BAC.’’
are corrected to read:
‘‘Replacing the language at § 431.12
(d)(1) to clarify the timeframe for States
to reach 25 percent of MAC members
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coming from the BAC. The new
sentence will now read, ‘‘For the period
from July 9, 2025 through July 9, 2026,
10 percent of the MAC members must
come from the BAC; for the period from
July 10, 2026 through July 10, 2027, 20
percent of MAC members must come
from the BAC; and thereafter, 25 percent
of MAC members must come from the
BAC.’’
4. On page 40565, second column,
first full paragraph, lines 9 through 18,
the sentences that read:
‘‘The finalized provision at
§ 431.12(d)(1) will require that, for the
period from July 9, 2024 through July 9,
2025, 10 percent of the MAC members
must come from the BAC; for the period
from July 10, 2025 through July 9, 2026,
20 percent of MAC members must come
from the BAC; and thereafter, 25 percent
of MAC members must come from the
BAC.’’
are corrected to read:
‘‘The finalized provision at
§ 431.12(d)(1) will require that, for the
period from July 9, 2025 through July 9,
2026, 10 percent of the MAC members
must come from the BAC; for the period
from July 10, 2026 through July 9, 2027,
20 percent of MAC members must come
from the BAC; and thereafter, 25 percent
of MAC members must come from the
BAC.’’
5. On page 40570,
a. Second column, second full
paragraph, lines 8 through 22, the
sentences that read:
‘‘This statement was published in
error, and we did not intend to propose
this specific regulation text include
reference to § 438.208(c). We note that
§ 438.208(c)(3)(v) already requires that
managed care plans comply with
§ 441.301(c)(3), generally, so we believe
that referencing § 438.208(c) is not
necessary. We also note that
§ 438.208(c)(3)(ii) requires compliance
with the other person-centered planning
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requirements at § 441.301(c)(1) and (2).
Thus, also referring to § 438.208(c)
would be unnecessary.’’
are corrected to read:
‘‘This statement was published in
error, and we did not intend to propose
to add requirements at § 441.301(c)(3) to
this specific regulation text at
§ 438.208(c). We note that
§ 438.208(c)(3)(v) already requires that
managed care plans comply with
§ 441.301(c)(3), generally, so we believe
that adding the requirements at
§ 441.301(c)(3) to § 438.208(c) is not
necessary. We also note that
§ 438.208(c)(3)(ii) requires compliance
with the other person-centered planning
requirements at § 441.301(c)(1) and (2).
Thus, also adding the requirements at
§ 441.301(c)(3) to § 438.208(c) would be
unnecessary.’’.
b. In the third column, second full
paragraph, line 17, the section reference
that reads, ‘‘II.B.11’’ is corrected to read,
‘‘II.B.10’’.
6. On page 40577, second column,
first full and non-bulleted paragraph,
a. Line 16, the regulatory citation that
reads ‘‘§ 441.301(c)(4)(ii)’’ is corrected to
read ‘‘§ 441.301(c)(4)(iii)’’.
b. Line 27, the regulatory citation that
reads ‘‘(v)(B)’’ is corrected to ‘‘(vi)(B)’’.
7. On page 40578, third column, first
partial paragraph, lines 3 through 4, the
Federal Register reference that reads
‘‘(88 FR 28080)’’ is corrected to ‘‘(88 FR
27976).’’
8. On page 40580, third column, third
full paragraph, lines 1 through 6, the
paragraph that reads ‘‘We are finalizing
§ 441.301(c)(7)(iii)(B)(1) with a
modification to correct an erroneous
reference to subchapter in the regulatory
language and replace subchapter with
paragraph (c)(7)’’ is corrected to read
‘‘We are finalizing
§ 441.301(c)(7)(iii)(B)(1) with a
modification to correct an erroneous
reference to subsection in the regulatory
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language and replace subsection with
paragraph (c)(7).’’.
9. On page 40586, first column, first
partial paragraph, line 17, the regulatory
citation that reads
‘‘§ 441.301(c)(7)(iii)(C)(3)(ii)’’ is
corrected to read
‘‘§ 441.301(c)(7)(iii)(C)(3)(iii)’’.
10. On page 40587, third column, last
paragraph, lines 3 through 7, the
sentence that reads ‘‘We are finalizing
§ 441.301(c)(7)(iii)(B)(1) with a
modification to correct an erroneous
reference to subchapter by replacing
subchapter with paragraph (c)(7).’’ is
corrected to read ‘‘We are finalizing
§ 441.301(c)(7)(iii)(B)(1) with a
modification to correct an erroneous
reference to subsection by replacing
subsection with paragraph (c)(7).’’.
11. On page 40594, first column, last
paragraph, line 16, the sentence that
reads ‘‘(New text in bolded font.)’’ is
deleted.
12. On page 40596, in the third
column, third full bulleted paragraph,
lines 1 through 5, that reads ‘‘We are
finalizing § 441.301(c)(7)(iii)(B)(1) with
a modification to correct an erroneous
reference to subchapter by replacing
subchapter with paragraph (c)(7).’’ is
corrected to read ‘‘We are finalizing
§ 441.301(c)(7)(iii)(B)(1) with a
modification to correct an erroneous
reference to subsection by replacing
subsection with paragraph (c)(7).’’.
13. On page 40599,
a. First column, second paragraph,
line 38, the section reference that reads
‘‘II.B.3.i’’ is corrected to read ‘‘II.B.3.j.’’.
b. Third column, last paragraph, line
9, the regulatory citation that reads
‘‘§ 441.703(a)’’ is corrected to read
‘‘§ 441.303(a)’’.
14. On page 40611,
a. First column, first partial
paragraph, lines 13 through 14, the
statutory citation that reads ‘‘section
1902(a)(3)(A)’’ is corrected to read
‘‘section 1902(a)(30)(A)’’.
b. Second column, heading b. that
reads ‘‘b. Minimum Performance
Requirement and Flexibilities
(§ 441.302(k)(2), (3), (4), (5), and (6))’’ is
corrected to read ‘‘b. Minimum
Performance Requirement and
Flexibilities (§ 441.302(k)(2), (3), (4), (5),
(6), and (7)).’’
15. On page 40614, third column, first
full paragraph, the last line that reads
‘‘section 2402(a)(iii)(B)’’ is corrected to
read ‘‘section 2402(a)(3)(B)(iii)’’.
16. On page 40615, first column, last
full paragraph, line 2, the Federal
Register citation that reads ‘‘(88 FR
27982)’’ is corrected to read ‘‘(88 FR
27982 through 27984)’’.
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17. On page 40616, third column,
second paragraph, lines 2 through 9, the
sentence that reads:
‘‘As discussed in greater detail later in
this section, we are modifying the
policy we proposed at § 441.302(k)(3) to
establish certain exceptions from the
minimum performance level, and to
establish a 6- year effective date, rather
than the 4 years we had proposed.’’
is corrected to read:
‘‘As discussed in greater detail later in
this section, we are modifying the
policy we proposed, at § 441.302(k)(3),
to establish certain exceptions from the
minimum performance level, and, at
§ 441.302(k)(8), to establish a that States
must comply beginning 6 years after the
effective date of this rule, rather than
the 4 years we had proposed at
§ 441.302(k)(4).’’.
18. On page 40619, first column, first
full paragraph, line 34 through the end
of the paragraph, the sentence that
reads:
‘‘We note that we expect that most
providers would be subject to a
hardship exemption on a temporary
basis, and that States would still need
to collect and report data as required in
§ 441.302(k)(2) and § 441.311(e) for
providers with hardship exemptions.’’
is corrected to read:
‘‘We note that we expect that most
exempted providers would be subject to
a hardship exemption on a temporary
basis, and that States would still need
to collect and report data as required in
§ 441.302(k)(2) and § 441.311(e) for
providers with hardship exemptions.’’
19. On page 40624, first column,
second full paragraph, line 17, the
regulatory citation that reads
‘‘§ 441.302(k)(3)(iii)’’ is corrected to read
‘‘§ 441.302(k)(1)(iii)’’.
20. On page 40627, third column,
fourth full paragraph, line 14, the
regulatory citation that reads
‘‘§ 441.302(k)(1)(i)(A)’’ is corrected to
read ‘‘§ 441.302(k)(1)(ii)(A)’’.
21. On page 40633, first column, last
paragraph, line 5, the regulatory citation
that reads ‘‘§ 441.311I’’ is corrected to
read ‘‘§ 441.311(e)’’.
22. On page 40640, second column,
second full paragraph, line 2, the
regulatory citation that reads
‘‘§ 441.301(c)(3)(ii)’’ is corrected to read
‘‘§ 441.311(b)(3)’’.
23. On page 40643, second column,
third full paragraph, lines 1 through 5,
the sentence that reads ‘‘After
consideration of public comments
received, we are finalizing the HCBS
Quality Measure Set reporting
requirements at § 441.311(c) with
modifications.’’ is corrected to read
‘‘After consideration of public
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comments received, we are finalizing
the HCBS Quality Measure Set reporting
requirements at § 441.311(c) with no
modifications.’’.
24. On page 40646, first column, last
paragraph, line 6, the regulatory citation
that reads ‘‘§ 441.331(d)(1)’’ is corrected
to read ‘‘§ 441.311(d)(1)’’.
25. On page 40650, second column,
last paragraph, line 2, the section
reference that reads ‘‘II.B.7.e.’’ is
corrected to read ‘‘II.B.7.f.’’.
26. On page 40653,
a. First column, last paragraph, line
10, the regulatory citation that reads
‘‘§ 411.302(k)’’ is corrected to read
‘‘§ 441.302(k)’’.
b. First column, last paragraph, line
11, the regulatory citation that reads
‘‘§ 411.311(e)(2)’’ is corrected to read
‘‘§ 441.311(e)(2)’’.
c. First column, last paragraph, line
14, the regulatory citation that reads
‘‘§ 411.302(k)(3)’’ is corrected to read
‘‘§ 441.302(k)(3)’’.
d. Second column, first partial
paragraph, line 3, the regulatory citation
that reads ‘‘§ 411.302(k)’’ is corrected to
read ‘‘§ 441.302(k)’’.
e. Second column, first partial
paragraph, line 6, the regulatory citation
that reads ‘‘§ 411.311(e)(2)’’ is corrected
to read ‘‘§ 441.311(e)(2)’’.
f. Second column, first partial
paragraph, line 10, the regulatory
citation that reads ‘‘§ 411.302(k)(3)’’ is
corrected to read ‘‘§ 441.302(k)(3)’’.
g. Second column, first partial
paragraph, line 11, the regulatory
citation that reads ‘‘§ 411.302(k)(3)’’ is
corrected to read ‘‘§ 441.302(k)(3)’’.
h. Second column, first full
paragraph, line 4, the regulatory citation
that reads ‘‘§ 411.311(e)(2)’’ is corrected
to read ‘‘§ 441.311(e)(2)’’.
27. On page 40660, third column,
heading f. at the bottom of the page, the
regulatory citation that reads
‘‘441.745(a)(1)(iii)’’ is corrected to read
‘‘441.745(a)(1)(vii)’’.
28. On page 40661, first column, first
partial paragraph, line 16, the regulatory
citation that reads ‘‘§ 441.302(a)(6)’’ is
corrected to read ‘‘§ 441.311’’.
29. On page 40662, third column, first
bulleted paragraph, the paragraph that
reads:
‘‘We are finalizing the HCBS Quality
Measure Set reporting requirements at
§ 441.311(c) with modifications. At
§ 441.311(c), we are finalizing a date of
4 years, rather than 3 years, for States
to comply with the HCBS Quality
Measure Set reporting requirements at
§ 441.311(c).’’
is corrected to read:
‘‘We are finalizing the HCBS Quality
Measure Set reporting requirements at
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§ 441.311(c) with no modifications. At
§ 441.311(f)(2), we are finalizing a date
of 4 years, rather than 3 years, for States
to comply with the HCBS Quality
Measure Set reporting requirements at
§ 441.311(c).’’.
30. On page 40671,
a. First column, first full paragraph,
lines 2 through 11, the sentence that
reads:
‘‘As noted previously, we are
finalizing § 441.312(c)(1) and (2) with
modifications to indicate that we will
identify, and update no more frequently
than every other year, beginning no later
than December 31, 2026, the quality
measures to be included in the HCBS
Quality Measure Set as defined in
paragraph (b) of this section.’’
is corrected to read:
‘‘As noted previously, we are
finalizing § 441.312(c)(1) and (2) with
modifications to indicate that: we will
identify, and update no more frequently
than every other year, beginning no later
than December 31, 2026, the quality
measures to be included in the HCBS
Quality Measure Set as defined in
paragraph (b) of this section; and we
will make technical updates and
corrections to the HCBS Quality
Measure Set annually as appropriate.’’.
b. First column, second full
paragraph, lines 1 through 3, the
sentence that reads ‘‘We will make
technical updates and corrections to the
HCBS Quality Measure Set annually as
appropriate.’’ is deleted.
c. Third column, second full (and
second bulleted) paragraph, the
sentence that reads ‘‘We are finalizing
the definition of attribution rules and
Home and Community-Based Services
Quality Measure Set at § 441.312(b)(1)
with a minor formatting change.’’ is
corrected to read ‘‘We are finalizing the
definitions of attribution rules and
Home and Community-Based Services
Quality Measure Set at § 441.312(b)(1)
and (2), respectively, with minor
modifications.’’.
31. On page 40673, first column,
a. Third full paragraph, line 11, the
regulatory citation that reads ‘‘§ 441.33’’
is corrected to read ‘‘§ 441.313’’.
b. Fourth full paragraph, lines 6 and
8, the regulatory citation that reads
‘‘§ 441.311’’ is corrected to ‘‘§ 441.313’’
in both instances.
32. On page 40675,
a. First column, first full paragraph,
line 7, the regulatory citation that reads
53501
‘‘§ 441.3131(c)’’ is corrected to read
‘‘§ 441.313(c)’’.
b. Third column, last full paragraph,
lines 1 through 3, the phrase that reads
‘‘As discussed earlier in sections II.B.1.,
II.B.4., II.B.5., II.B.7., and II.J. of this
rule’’ is corrected to read ‘‘As discussed
earlier in sections II.B.1., II.B.3., II.B.5.,
II.B.7., and II.B.9. of this rule’’.
33. On page 40727, second column,
second paragraph, lines 1 through 6, the
sentence that reads:
‘‘The State agency is required to
publish a hyperlink where the
comparative, as well as the payment rate
disclosure and payment rate
transparency publication, on the State
Medicaid agency’s website.’’
is corrected to read:
‘‘The State agency is required to
publish a hyperlink to where the
comparative payment rate analysis, as
well as the payment rate disclosure and
payment rate transparency publication,
is located on the State Medicaid
agency’s website.’’
34. On page 40858, in the middle of
the page, TABLE 48: Accounting Table,
is corrected to read as follows:
TABLE 48: Accounting Table
lotter on DSK11XQN23PROD with RULES1
§ 431.12
[Corrected]
1. On page 40862, first column, fourth
full paragraph, the regulation text for
§ 431.12(d)(1) that reads:
‘‘(1) For the period from July 9, 2024
through July 9, 2025, 10 percent of the
MAC members must come from the
BAC; for the period from July 10, 2025
■
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15:47 Jun 26, 2024
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is corrected to read:
‘‘(1) For the period from July 9, 2025
through July 9, 2026, 10 percent of the
MAC members must come from the
BAC; for the period from July 10, 2026
through July 9, 2027, 20 percent of MAC
PO 00000
Frm 00021
Fmt 4700
Sfmt 4700
members must come from the BAC; and
thereafter, 25 percent of MAC members
must come from the BAC.’’
§ 438.72
[Corrected]
2. On page 40863, second column,
amendment 5, the instruction and
accompanying regulation text that reads:
■ ‘‘5. Section 438.72 is added to subpart
B to read as follows:
■
E:\FR\FM\27JNR1.SGM
27JNR1
ER27JN24.007
through July 9, 2026, 20 percent of MAC
members must come from the BAC; and
thereafter, 25 percent of MAC members
must come from the BAC.’’
B. Corrections of Errors in the
Regulation Text
53502
Federal Register / Vol. 89, No. 124 / Thursday, June 27, 2024 / Rules and Regulations
§ 438.72 Additional requirements for longterm services and supports.
(a) [Reserved]
(b) Services authorized under section
1915(c) waivers and section 1915(i), (j),
and (k) State plan authorities. The State
must comply with the requirements at
§§ 441.301(c)(1) through (3),
441.302(a)(6), 441.302(k), 441.311, and
441.313 for services authorized under
section 1915(c) waivers and section
1915(i), (j), and (k) State plan
authorities.’’
is corrected to read:
■ ‘‘5. Section 438.72 is amended by
adding paragraph (b) to read as follows:
§ 438.72 Additional requirements for longterm services and supports.
*
*
*
*
*
(b) Services authorized under section
1915(c) waivers and section 1915(i), (j),
and (k) State plan authorities. The State
must comply with the requirements at
§§ 441.301(c)(1) through (3),
441.302(a)(6), 441.302(k), 441.311, and
441.313 for services authorized under
section 1915(c) waivers and section
1915(i), (j), and (k) State plan
authorities.’’
§ 441.312
[Corrected]
3. On page 40869,
a. First column, sixth paragraph, the
regulation text for § 441.312(c)(3)(iv)
that reads:
‘‘(iv) Ensure that all measures
included in the Home and CommunityBased Quality Measure Set reflect an
evidenced-based process including
testing, validation, and consensus
among interested parties; are
meaningful for States; and are feasible
for State-level, program-level, or
provider-level reporting as appropriate.’’
is corrected to:
‘‘(iv) Ensure that all measures
included in the Home and CommunityBased Quality Measure Set reflect an
evidence-based process including
testing, validation, and consensus
among interested parties; are
meaningful for States; and are feasible
for State-level, program-level, or
provider-level reporting as appropriate.’’
■ b. Third column, first full paragraph,
the regulation text for § 441.312(g) that
reads:
‘‘(g) Consultation with interested
parties. For purposes of paragraph (c)(2)
of this section, the Secretary must
consult with interested parties as
described in this paragraph to include
the following:’’
is corrected to:
‘‘(g) Consultation with interested
parties. For purposes of paragraph (c)(3)
of this section, the Secretary must
lotter on DSK11XQN23PROD with RULES1
■
■
VerDate Sep<11>2014
15:47 Jun 26, 2024
Jkt 262001
consult with interested parties as
described in this paragraph to include
the following:’’
II. Publication of This Final Rule for
Public Comment Is Not Required by
Statute
Elizabeth J. Gramling,
Executive Secretary to the Department,
Department of Health and Human Services.
The statute that applies to the
publication of the Federal Acquisition
Regulation (FAR) is 41 U.S.C. 1707,
Publication of Proposed Regulations.
Subsection (a)(1) of the statute requires
that a procurement policy, regulation,
procedure, or form (including an
amendment or modification thereof)
must be published for public comment
if it relates to the expenditure of
appropriated funds, and has either a
significant effect beyond the internal
operating procedures of the agency
issuing the policy, regulation,
procedure, or form, or has a significant
cost or administrative impact on
contractors or offerors. This final rule is
not required to be published for public
comment, because the rule addresses
internal operating procedures of the
Government.
[FR Doc. 2024–14030 Filed 6–26–24; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF DEFENSE
Defense Acquisition Regulations
System
48 CFR Part 236
[Docket DARS–2024–0019]
RIN 0750–AM16
Defense Federal Acquisition
Regulation Supplement: Architect and
Engineering Service Fees (DFARS
Case 2024–D019)
Defense Acquisition
Regulations System, Department of
Defense (DoD).
ACTION: Final rule.
AGENCY:
DoD is issuing a final rule
amending the Defense Federal
Acquisition Regulation Supplement
(DFARS) to implement a section of the
National Defense Authorization Act for
Fiscal Year 2024 that increases the
statutory fee limit for architect and
engineering services.
DATES: Effective August 26, 2024.
FOR FURTHER INFORMATION CONTACT: Mr.
Jon Snyder, telephone 703–945–5341.
SUPPLEMENTARY INFORMATION:
SUMMARY:
I. Background
This final rule revises the DFARS to
implement section 2881 of the National
Defense Authorization Act (NDAA) for
Fiscal Year (FY) 2024 (Pub. L. 118–31).
Section 2881 increases the statutory fee
limitation at 10 U.S.C. 7540, 8612, and
9540 from six to 10 percent that may be
earned by contractors providing certain
architect and engineering services under
contracts with the Departments of the
Army, Navy, and Air Force.
At DFARS 236.606–70, Statutory fee
limitation, DoD increased the statutory
fee that contractors may earn under
contracts for architect-engineer services
for the preparation of designs, plans,
drawings, and specifications. The fee is
increased to 10 percent of the project’s
estimated construction cost. Minor
editorial revisions are made to the text
of section 236.606–70 to comply with
drafting conventions.
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Frm 00022
Fmt 4700
Sfmt 4700
III. Applicability to Contracts at or
Below the Simplified Acquisition
Threshold (SAT), for Commercial
Products (Including Commercially
Available Off-the-Shelf (COTS) Items),
and for Commercial Services
This final rule does not create any
new solicitation provisions or contract
clauses. It does not impact any existing
solicitation provisions or contract
clauses or their applicability to
contracts valued at or below the
simplified acquisition threshold, for
commercial products including COTS
items, or for commercial services.
IV. Expected Impact of the Rule
Architects and engineers are limited
in the amount they can charge the
Departments of the Army, Navy, and Air
Force for producing and delivering
designs, plans, drawings, and
specifications. The limitation is a
percentage of the architect and
engineer’s estimate of the construction
costs for the project. The limitation is
specified at 10 U.S.C. 7540, 8612, and
9540; the limitation has been 6 percent
of the estimated construction costs.
Section 2881 of the National Defense
Authorization Act for Fiscal Year 2024
increases the percentage at 10 U.S.C.
7540, 8612, and 9540 to 10 percent of
the estimated construction costs. This
updated statutory limit only applies to
requirements of the Departments of the
Army, Navy, and Air Force; it does not
apply to the rest of DoD or to civilian
agencies.
Currently, DoD contracting officers
evaluate architect and engineering
proposals in accordance with FAR
36.602 and DFARS 236.602. Army,
E:\FR\FM\27JNR1.SGM
27JNR1
Agencies
[Federal Register Volume 89, Number 124 (Thursday, June 27, 2024)]
[Rules and Regulations]
[Pages 53497-53502]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-14030]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 431, 438, 441, 447
[CMS-2442-CN]
RIN 0938-AU68
Medicaid Program; Ensuring Access to Medicaid Services;
Correction
AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of
Health and Human Services (HHS).
ACTION: Final rule; correction.
-----------------------------------------------------------------------
SUMMARY: This document corrects technical and typographical errors in
the final rule that appeared in the May 10, 2024 Federal Register,
entitled ``Medicaid Program; Ensuring Access to Medicaid Services
(referred to hereafter as the ``Access final rule''). The effective
date of the Access final rule is July 9, 2024.
DATES: This correction is effective July 9, 2024.
FOR FURTHER INFORMATION CONTACT:
Karen LLanos, (410) 786-9071, for Medicaid Advisory Committee.
Jennifer Bowdoin, (410) 786-8551, for Home and Community-Based
Services.
Jeremy Silanskis, (410) 786-1592, for Fee-for-Service Payment.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2024-08363 of May 10, 2024 (89 FR 40542), there were
technical errors that are identified and corrected in this correcting
document. These corrections are applicable as if they had been included
in the Access final rule, which is effective July 9, 2024. Accordingly,
the corrections are effective July 9, 2024.
II. Summary of Errors
A. Summary of Errors in the Preamble
On page 40550, in Table 1: Provisions and Relevant Timing
Information and Dates, we made errors listing the applicability dates
and did not include all of the regulatory citations for the table rows
that referenced the Medicaid Advisory Committee & Beneficiary Advisory
Council Sec. 431.12.
On pages 40556, 40557, and 40565, we made errors listing the
applicability dates.
On page 40570, we made minor technical and typographical errors,
including cross-references to regulatory citations and a preamble
section.
On page 40577, we made typographical errors in regulatory
citations.
On page 40578, we made a typographical error in a Federal Register
reference.
On page 40580, we made a typographical error when discussing a
modification to regulatory language.
On page 40586, we made a typographical error in a regulatory
citation.
On page 40587, we made a typographical error when discussing a
modification to regulatory language.
On page 40594, we erroneously included an incorrect statement
related to formatting when discussing a modification to regulatory
language.
On page 40596, we made a typographical error when discussing a
modification to regulatory language.
On page 40599, we made typographical errors in references to a
preamble section number and a regulatory citation.
On page 40611, we made typographical errors in a statutory citation
and a regulatory citation.
On page 40614, we made a typographical error in a statutory
citation.
On page 40615, we erroneously included the incorrect Federal
Register citation.
On page 40616, we made minor technical errors in discussing a
modification to regulatory language, including inadvertently omitting a
regulatory citation.
On page 40619, we erroneously omitted a word in a policy statement.
On pages 40624, 40627, 40633, and 40640, we made typographical
errors in regulatory citations.
On page 40643, we made a typographical error in a summary of
regulatory language we finalized.
On page 40646, we made a typographical error in a regulatory
citation.
On page 40650, we made a typographical error in a reference to a
preamble section.
On pages 40653, 40660, and 40661, we made typographical errors in
regulatory citations.
On page 40662, we erroneously omitted a word and made a
typographical error in a regulatory citation.
On page 40671, we made typographical and minor technical errors
when discussing regulatory language we finalized.
On page 40673, we made typographical errors in regulatory
citations.
On page 40675, we made typographical errors in a regulatory
[[Page 53498]]
citation and in references to preamble sections.
On page 40727, we erroneously omitted words when discussing
publication requirements.
On page 40858, in the table titled ``TABLE 48: Accounting Table,''
we inadvertently included incorrect summary figures in the table.
B. Summary of Errors in the Regulation Text
On page 40862, in the regulation text for Sec. 431.12(d)(1), we
listed incorrect applicability dates.
On page 40863, in amendatory instruction 5, we inadvertently noted
the changes to Sec. 438.72 incorrectly.
On page 40869, in the regulation text for Sec. 441.312(c)(3)(iv),
we made a typographical error.
On page 40869, in the regulation text for Sec. 441.312(g), we made
a typographical error in a cross-reference.
III. Waiver of Proposed Rulemaking and Delay in Effective Date
Under 5 U.S.C. 553(b) of the Administrative Procedure Act (the
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. In
addition, section 553(d) of the APA mandates a 30-day delay in
effective date after issuance or publication of a substantive rule.
Sections 553(b)(B) and 553(d)(3) of the APA provide for exceptions from
the APA notice and comment, and delay in effective date requirements.
Section 553(b)(B) of the APA authorizes an agency to dispense with
normal notice and comment rulemaking procedures for good cause if the
agency makes a finding that the notice and comment process is
impracticable, unnecessary, or contrary to the public interest, and
includes a statement of the finding and the reasons for it in the rule.
Similarly, section 553(d)(3) of the APA allows the agency to avoid the
30-day delay in effective date where good cause is found and the agency
includes in the rule a statement of the finding and the reasons for it.
In our view, this correcting document does not constitute a rulemaking
that would be subject to these requirements.
This document corrects technical errors in the Access final rule.
The corrections contained in this document are consistent with, and do
not make substantive changes to, the policies that were proposed,
subject to notice and comment procedures, and adopted in the Access
final rule. As a result, the corrections made through this correcting
document are intended to resolve inadvertent errors so that the rule
accurately reflects the policies adopted in the final rule. Even if
this were a rulemaking to which the notice and comment 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
Access final rule or delaying the effective date of the corrections
would be contrary to the public interest because it is in the public
interest to ensure that the rule accurately reflects our policies as of
the date they take effect. Further, such procedures would be
unnecessary because we are not making any substantive revisions to the
final rule, but rather, we are simply correcting the Federal Register
document to reflect the policies that we previously proposed, received
public comment on, and subsequently finalized in the final rule. For
these reasons, we believe there is good cause to waive the requirements
for notice and comment and delay in effective date.
IV. Correction of Errors
In FR Doc. 2024-08363 of May 10, 2024 (89 FR 40542), make the
following corrections:
A. Correction of Errors in the Preamble
1. On page 40550, Table 1: Provisions and Relevant Timing
Information and Dates, under Medicaid Advisory Committee (MAC) &
Beneficiary Advisory Council (BAC) Sec. 431.12, the second column,
rows 1 through 3, which read:
[GRAPHIC] [TIFF OMITTED] TR27JN24.005
is corrected to read:
[[Page 53499]]
[GRAPHIC] [TIFF OMITTED] TR27JN24.006
2. On page 40556, second column, first full paragraph, lines 17
through 28, the sentence that reads:
``Instead of the 25 percent minimum threshold coming into effect
right away, we are revising this final rule to provide in Sec.
431.12(d)(1) that, for the period from July 9, 2024 through July 9,
2025, 10 percent of the MAC members must come from the BAC; for the
period from July 10, 2025 through July 9, 2026 20 percent of MAC
members must come from the BAC; and thereafter, 25 percent of MAC
members must come from the BAC.''
is corrected to read:
``Instead of the 25 percent minimum threshold coming into effect
right away, we are revising this final rule to provide in Sec.
431.12(d)(1) that, for the period from July 9, 2025 through July 9,
2026, 10 percent of the MAC members must come from the BAC; for the
period from July 10, 2026 through July 9, 2027, 20 percent of MAC
members must come from the BAC; and thereafter, 25 percent of MAC
members must come from the BAC.''
3. On page 40557, first column, second bullet in the second full
paragraph, lines 1 through 13, the sentences that read:
``Replacing the language at Sec. 431.12 (d)(1) to clarify the
timeframe for States to reach 25 percent of MAC members coming from the
BAC. The new sentence will now read, ``For the period from July 9, 2024
through July 9, 2025, 10 percent of the MAC members must come from the
BAC; for the period from July 10, 2025 through July 10, 2026 20 percent
of MAC members must come from the BAC; and thereafter, 25 percent of
MAC members must come from the BAC.''
are corrected to read:
``Replacing the language at Sec. 431.12 (d)(1) to clarify the
timeframe for States to reach 25 percent of MAC members coming from the
BAC. The new sentence will now read, ``For the period from July 9, 2025
through July 9, 2026, 10 percent of the MAC members must come from the
BAC; for the period from July 10, 2026 through July 10, 2027, 20
percent of MAC members must come from the BAC; and thereafter, 25
percent of MAC members must come from the BAC.''
4. On page 40565, second column, first full paragraph, lines 9
through 18, the sentences that read:
``The finalized provision at Sec. 431.12(d)(1) will require that,
for the period from July 9, 2024 through July 9, 2025, 10 percent of
the MAC members must come from the BAC; for the period from July 10,
2025 through July 9, 2026, 20 percent of MAC members must come from the
BAC; and thereafter, 25 percent of MAC members must come from the
BAC.''
are corrected to read:
``The finalized provision at Sec. 431.12(d)(1) will require that,
for the period from July 9, 2025 through July 9, 2026, 10 percent of
the MAC members must come from the BAC; for the period from July 10,
2026 through July 9, 2027, 20 percent of MAC members must come from the
BAC; and thereafter, 25 percent of MAC members must come from the
BAC.''
5. On page 40570,
a. Second column, second full paragraph, lines 8 through 22, the
sentences that read:
``This statement was published in error, and we did not intend to
propose this specific regulation text include reference to Sec.
438.208(c). We note that Sec. 438.208(c)(3)(v) already requires that
managed care plans comply with Sec. 441.301(c)(3), generally, so we
believe that referencing Sec. 438.208(c) is not necessary. We also
note that Sec. 438.208(c)(3)(ii) requires compliance with the other
person-centered planning requirements at Sec. 441.301(c)(1) and (2).
Thus, also referring to Sec. 438.208(c) would be unnecessary.''
are corrected to read:
``This statement was published in error, and we did not intend to
propose to add requirements at Sec. 441.301(c)(3) to this specific
regulation text at Sec. 438.208(c). We note that Sec.
438.208(c)(3)(v) already requires that managed care plans comply with
Sec. 441.301(c)(3), generally, so we believe that adding the
requirements at Sec. 441.301(c)(3) to Sec. 438.208(c) is not
necessary. We also note that Sec. 438.208(c)(3)(ii) requires
compliance with the other person-centered planning requirements at
Sec. 441.301(c)(1) and (2). Thus, also adding the requirements at
Sec. 441.301(c)(3) to Sec. 438.208(c) would be unnecessary.''.
b. In the third column, second full paragraph, line 17, the section
reference that reads, ``II.B.11'' is corrected to read, ``II.B.10''.
6. On page 40577, second column, first full and non-bulleted
paragraph,
a. Line 16, the regulatory citation that reads ``Sec.
441.301(c)(4)(ii)'' is corrected to read ``Sec. 441.301(c)(4)(iii)''.
b. Line 27, the regulatory citation that reads ``(v)(B)'' is
corrected to ``(vi)(B)''.
7. On page 40578, third column, first partial paragraph, lines 3
through 4, the Federal Register reference that reads ``(88 FR 28080)''
is corrected to ``(88 FR 27976).''
8. On page 40580, third column, third full paragraph, lines 1
through 6, the paragraph that reads ``We are finalizing Sec.
441.301(c)(7)(iii)(B)(1) with a modification to correct an erroneous
reference to subchapter in the regulatory language and replace
subchapter with paragraph (c)(7)'' is corrected to read ``We are
finalizing Sec. 441.301(c)(7)(iii)(B)(1) with a modification to
correct an erroneous reference to subsection in the regulatory
[[Page 53500]]
language and replace subsection with paragraph (c)(7).''.
9. On page 40586, first column, first partial paragraph, line 17,
the regulatory citation that reads ``Sec.
441.301(c)(7)(iii)(C)(3)(ii)'' is corrected to read ``Sec.
441.301(c)(7)(iii)(C)(3)(iii)''.
10. On page 40587, third column, last paragraph, lines 3 through 7,
the sentence that reads ``We are finalizing Sec.
441.301(c)(7)(iii)(B)(1) with a modification to correct an erroneous
reference to subchapter by replacing subchapter with paragraph
(c)(7).'' is corrected to read ``We are finalizing Sec.
441.301(c)(7)(iii)(B)(1) with a modification to correct an erroneous
reference to subsection by replacing subsection with paragraph
(c)(7).''.
11. On page 40594, first column, last paragraph, line 16, the
sentence that reads ``(New text in bolded font.)'' is deleted.
12. On page 40596, in the third column, third full bulleted
paragraph, lines 1 through 5, that reads ``We are finalizing Sec.
441.301(c)(7)(iii)(B)(1) with a modification to correct an erroneous
reference to subchapter by replacing subchapter with paragraph
(c)(7).'' is corrected to read ``We are finalizing Sec.
441.301(c)(7)(iii)(B)(1) with a modification to correct an erroneous
reference to subsection by replacing subsection with paragraph
(c)(7).''.
13. On page 40599,
a. First column, second paragraph, line 38, the section reference
that reads ``II.B.3.i'' is corrected to read ``II.B.3.j.''.
b. Third column, last paragraph, line 9, the regulatory citation
that reads ``Sec. 441.703(a)'' is corrected to read ``Sec.
441.303(a)''.
14. On page 40611,
a. First column, first partial paragraph, lines 13 through 14, the
statutory citation that reads ``section 1902(a)(3)(A)'' is corrected to
read ``section 1902(a)(30)(A)''.
b. Second column, heading b. that reads ``b. Minimum Performance
Requirement and Flexibilities (Sec. 441.302(k)(2), (3), (4), (5), and
(6))'' is corrected to read ``b. Minimum Performance Requirement and
Flexibilities (Sec. 441.302(k)(2), (3), (4), (5), (6), and (7)).''
15. On page 40614, third column, first full paragraph, the last
line that reads ``section 2402(a)(iii)(B)'' is corrected to read
``section 2402(a)(3)(B)(iii)''.
16. On page 40615, first column, last full paragraph, line 2, the
Federal Register citation that reads ``(88 FR 27982)'' is corrected to
read ``(88 FR 27982 through 27984)''.
17. On page 40616, third column, second paragraph, lines 2 through
9, the sentence that reads:
``As discussed in greater detail later in this section, we are
modifying the policy we proposed at Sec. 441.302(k)(3) to establish
certain exceptions from the minimum performance level, and to establish
a 6- year effective date, rather than the 4 years we had proposed.''
is corrected to read:
``As discussed in greater detail later in this section, we are
modifying the policy we proposed, at Sec. 441.302(k)(3), to establish
certain exceptions from the minimum performance level, and, at Sec.
441.302(k)(8), to establish a that States must comply beginning 6 years
after the effective date of this rule, rather than the 4 years we had
proposed at Sec. 441.302(k)(4).''.
18. On page 40619, first column, first full paragraph, line 34
through the end of the paragraph, the sentence that reads:
``We note that we expect that most providers would be subject to a
hardship exemption on a temporary basis, and that States would still
need to collect and report data as required in Sec. 441.302(k)(2) and
Sec. 441.311(e) for providers with hardship exemptions.''
is corrected to read:
``We note that we expect that most exempted providers would be
subject to a hardship exemption on a temporary basis, and that States
would still need to collect and report data as required in Sec.
441.302(k)(2) and Sec. 441.311(e) for providers with hardship
exemptions.''
19. On page 40624, first column, second full paragraph, line 17,
the regulatory citation that reads ``Sec. 441.302(k)(3)(iii)'' is
corrected to read ``Sec. 441.302(k)(1)(iii)''.
20. On page 40627, third column, fourth full paragraph, line 14,
the regulatory citation that reads ``Sec. 441.302(k)(1)(i)(A)'' is
corrected to read ``Sec. 441.302(k)(1)(ii)(A)''.
21. On page 40633, first column, last paragraph, line 5, the
regulatory citation that reads ``Sec. 441.311I'' is corrected to read
``Sec. 441.311(e)''.
22. On page 40640, second column, second full paragraph, line 2,
the regulatory citation that reads ``Sec. 441.301(c)(3)(ii)'' is
corrected to read ``Sec. 441.311(b)(3)''.
23. On page 40643, second column, third full paragraph, lines 1
through 5, the sentence that reads ``After consideration of public
comments received, we are finalizing the HCBS Quality Measure Set
reporting requirements at Sec. 441.311(c) with modifications.'' is
corrected to read ``After consideration of public comments received, we
are finalizing the HCBS Quality Measure Set reporting requirements at
Sec. 441.311(c) with no modifications.''.
24. On page 40646, first column, last paragraph, line 6, the
regulatory citation that reads ``Sec. 441.331(d)(1)'' is corrected to
read ``Sec. 441.311(d)(1)''.
25. On page 40650, second column, last paragraph, line 2, the
section reference that reads ``II.B.7.e.'' is corrected to read
``II.B.7.f.''.
26. On page 40653,
a. First column, last paragraph, line 10, the regulatory citation
that reads ``Sec. 411.302(k)'' is corrected to read ``Sec.
441.302(k)''.
b. First column, last paragraph, line 11, the regulatory citation
that reads ``Sec. 411.311(e)(2)'' is corrected to read ``Sec.
441.311(e)(2)''.
c. First column, last paragraph, line 14, the regulatory citation
that reads ``Sec. 411.302(k)(3)'' is corrected to read ``Sec.
441.302(k)(3)''.
d. Second column, first partial paragraph, line 3, the regulatory
citation that reads ``Sec. 411.302(k)'' is corrected to read ``Sec.
441.302(k)''.
e. Second column, first partial paragraph, line 6, the regulatory
citation that reads ``Sec. 411.311(e)(2)'' is corrected to read
``Sec. 441.311(e)(2)''.
f. Second column, first partial paragraph, line 10, the regulatory
citation that reads ``Sec. 411.302(k)(3)'' is corrected to read
``Sec. 441.302(k)(3)''.
g. Second column, first partial paragraph, line 11, the regulatory
citation that reads ``Sec. 411.302(k)(3)'' is corrected to read
``Sec. 441.302(k)(3)''.
h. Second column, first full paragraph, line 4, the regulatory
citation that reads ``Sec. 411.311(e)(2)'' is corrected to read
``Sec. 441.311(e)(2)''.
27. On page 40660, third column, heading f. at the bottom of the
page, the regulatory citation that reads ``441.745(a)(1)(iii)'' is
corrected to read ``441.745(a)(1)(vii)''.
28. On page 40661, first column, first partial paragraph, line 16,
the regulatory citation that reads ``Sec. 441.302(a)(6)'' is corrected
to read ``Sec. 441.311''.
29. On page 40662, third column, first bulleted paragraph, the
paragraph that reads:
``We are finalizing the HCBS Quality Measure Set reporting
requirements at Sec. 441.311(c) with modifications. At Sec.
441.311(c), we are finalizing a date of 4 years, rather than 3 years,
for States to comply with the HCBS Quality Measure Set reporting
requirements at Sec. 441.311(c).''
is corrected to read:
``We are finalizing the HCBS Quality Measure Set reporting
requirements at
[[Page 53501]]
Sec. 441.311(c) with no modifications. At Sec. 441.311(f)(2), we are
finalizing a date of 4 years, rather than 3 years, for States to comply
with the HCBS Quality Measure Set reporting requirements at Sec.
441.311(c).''.
30. On page 40671,
a. First column, first full paragraph, lines 2 through 11, the
sentence that reads:
``As noted previously, we are finalizing Sec. 441.312(c)(1) and
(2) with modifications to indicate that we will identify, and update no
more frequently than every other year, beginning no later than December
31, 2026, the quality measures to be included in the HCBS Quality
Measure Set as defined in paragraph (b) of this section.''
is corrected to read:
``As noted previously, we are finalizing Sec. 441.312(c)(1) and
(2) with modifications to indicate that: we will identify, and update
no more frequently than every other year, beginning no later than
December 31, 2026, the quality measures to be included in the HCBS
Quality Measure Set as defined in paragraph (b) of this section; and we
will make technical updates and corrections to the HCBS Quality Measure
Set annually as appropriate.''.
b. First column, second full paragraph, lines 1 through 3, the
sentence that reads ``We will make technical updates and corrections to
the HCBS Quality Measure Set annually as appropriate.'' is deleted.
c. Third column, second full (and second bulleted) paragraph, the
sentence that reads ``We are finalizing the definition of attribution
rules and Home and Community-Based Services Quality Measure Set at
Sec. 441.312(b)(1) with a minor formatting change.'' is corrected to
read ``We are finalizing the definitions of attribution rules and Home
and Community-Based Services Quality Measure Set at Sec. 441.312(b)(1)
and (2), respectively, with minor modifications.''.
31. On page 40673, first column,
a. Third full paragraph, line 11, the regulatory citation that
reads ``Sec. 441.33'' is corrected to read ``Sec. 441.313''.
b. Fourth full paragraph, lines 6 and 8, the regulatory citation
that reads ``Sec. 441.311'' is corrected to ``Sec. 441.313'' in both
instances.
32. On page 40675,
a. First column, first full paragraph, line 7, the regulatory
citation that reads ``Sec. 441.3131(c)'' is corrected to read ``Sec.
441.313(c)''.
b. Third column, last full paragraph, lines 1 through 3, the phrase
that reads ``As discussed earlier in sections II.B.1., II.B.4.,
II.B.5., II.B.7., and II.J. of this rule'' is corrected to read ``As
discussed earlier in sections II.B.1., II.B.3., II.B.5., II.B.7., and
II.B.9. of this rule''.
33. On page 40727, second column, second paragraph, lines 1 through
6, the sentence that reads:
``The State agency is required to publish a hyperlink where the
comparative, as well as the payment rate disclosure and payment rate
transparency publication, on the State Medicaid agency's website.''
is corrected to read:
``The State agency is required to publish a hyperlink to where the
comparative payment rate analysis, as well as the payment rate
disclosure and payment rate transparency publication, is located on the
State Medicaid agency's website.''
34. On page 40858, in the middle of the page, TABLE 48: Accounting
Table, is corrected to read as follows:
[GRAPHIC] [TIFF OMITTED] TR27JN24.007
B. Corrections of Errors in the Regulation Text
Sec. 431.12 [Corrected]
0
1. On page 40862, first column, fourth full paragraph, the regulation
text for Sec. 431.12(d)(1) that reads:
``(1) For the period from July 9, 2024 through July 9, 2025, 10
percent of the MAC members must come from the BAC; for the period from
July 10, 2025 through July 9, 2026, 20 percent of MAC members must come
from the BAC; and thereafter, 25 percent of MAC members must come from
the BAC.''
is corrected to read:
``(1) For the period from July 9, 2025 through July 9, 2026, 10
percent of the MAC members must come from the BAC; for the period from
July 10, 2026 through July 9, 2027, 20 percent of MAC members must come
from the BAC; and thereafter, 25 percent of MAC members must come from
the BAC.''
Sec. 438.72 [Corrected]
0
2. On page 40863, second column, amendment 5, the instruction and
accompanying regulation text that reads:
0
``5. Section 438.72 is added to subpart B to read as follows:
[[Page 53502]]
Sec. 438.72 Additional requirements for long-term services and
supports.
(a) [Reserved]
(b) Services authorized under section 1915(c) waivers and section
1915(i), (j), and (k) State plan authorities. The State must comply
with the requirements at Sec. Sec. 441.301(c)(1) through (3),
441.302(a)(6), 441.302(k), 441.311, and 441.313 for services authorized
under section 1915(c) waivers and section 1915(i), (j), and (k) State
plan authorities.''
is corrected to read:
0
``5. Section 438.72 is amended by adding paragraph (b) to read as
follows:
Sec. 438.72 Additional requirements for long-term services and
supports.
* * * * *
(b) Services authorized under section 1915(c) waivers and section
1915(i), (j), and (k) State plan authorities. The State must comply
with the requirements at Sec. Sec. 441.301(c)(1) through (3),
441.302(a)(6), 441.302(k), 441.311, and 441.313 for services authorized
under section 1915(c) waivers and section 1915(i), (j), and (k) State
plan authorities.''
Sec. 441.312 [Corrected]
0
3. On page 40869,
0
a. First column, sixth paragraph, the regulation text for Sec.
441.312(c)(3)(iv) that reads:
``(iv) Ensure that all measures included in the Home and Community-
Based Quality Measure Set reflect an evidenced-based process including
testing, validation, and consensus among interested parties; are
meaningful for States; and are feasible for State-level, program-level,
or provider-level reporting as appropriate.''
is corrected to:
``(iv) Ensure that all measures included in the Home and Community-
Based Quality Measure Set reflect an evidence-based process including
testing, validation, and consensus among interested parties; are
meaningful for States; and are feasible for State-level, program-level,
or provider-level reporting as appropriate.''
0
b. Third column, first full paragraph, the regulation text for Sec.
441.312(g) that reads:
``(g) Consultation with interested parties. For purposes of
paragraph (c)(2) of this section, the Secretary must consult with
interested parties as described in this paragraph to include the
following:''
is corrected to:
``(g) Consultation with interested parties. For purposes of
paragraph (c)(3) of this section, the Secretary must consult with
interested parties as described in this paragraph to include the
following:''
Elizabeth J. Gramling,
Executive Secretary to the Department, Department of Health and Human
Services.
[FR Doc. 2024-14030 Filed 6-26-24; 8:45 am]
BILLING CODE 4120-01-P