80_FR_13300 80 FR 13251 - Medicare Program; Quality Incentive Program; Correction

80 FR 13251 - Medicare Program; Quality Incentive Program; Correction

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 80, Issue 49 (March 13, 2015)

Page Range13251-13252
FR Document2015-05766

This document corrects technical errors that appeared in the final rule published in the Federal Register on November 6, 2014 entitled ``End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies.''

Federal Register, Volume 80 Issue 49 (Friday, March 13, 2015)
[Federal Register Volume 80, Number 49 (Friday, March 13, 2015)]
[Rules and Regulations]
[Pages 13251-13252]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-05766]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 405, 411, 413 and 414

[CMS-1614-CN]
RIN 0938-AS13


Medicare Program; Quality Incentive Program; Correction

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

ACTION: Final rule; correction.

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

SUMMARY: This document corrects technical errors that appeared in the 
final rule published in the Federal Register on November 6, 2014 
entitled ``End-Stage Renal Disease Prospective Payment System, Quality 
Incentive Program, and Durable Medical Equipment, Prosthetics, 
Orthotics, and Supplies.''

DATES: This correction is effective on March 13, 2015.

FOR FURTHER INFORMATION CONTACT: Tamyra Garcia, (410) 786-0856.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 2014-26182 of November 6, 2014 (79 FR 66120), there were 
technical and typographical errors that are identified and corrected in 
the Correction of Errors section below. The provisions in this 
correction document are effective as if they had been included in the 
document published on November 6, 2014. Accordingly, the corrections 
are effective March 13, 2015.

II. Summary of Errors

    On page 66184 of the preamble, we have determined that there were 
errors in the performance standard, achievement threshold, and 
benchmark values presented in the Numerical Values for the Performance 
Standards for the Payment Year (PY) 2017 End-Stage Renal Disease (ESRD) 
Quality Incentive Program (QIP) Clinical Measures Using the Most 
Recently Available Data table for PY 2017 of the ESRD QIP (Table 23). 
Specifically, the numerical values published for the Standardized 
Readmission Ratio clinical measure were calculated using only 6 months 
of data from calendar year 2013 instead of the full 12 months, as 
specified under our finalized policy (79 FR 66183). Therefore, we are 
publishing this technical correction to ensure that these numerical 
standards align with the finalized policies for the PY 2017 ESRD QIP.

III. Waiver of Proposed Rulemaking

    We ordinarily publish a notice of proposed rulemaking in the 
Federal Register to provide a period for public comment before the 
provisions of a rule take effect in accordance with section 553(b) of 
the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we 
can waive this notice and comment procedure if the Secretary finds, for 
good cause, that the notice and comment process is impracticable, 
unnecessary, or contrary to the public interest, and incorporates a 
statement of the finding and the reasons; therefore, in the notice.
    Since this rule correction is simply correcting technical and 
typographical errors in the preamble, but does not make substantive 
changes to the policies or payment methodologies that were adopted in 
the final rule, it is unnecessary to follow the notice and comment 
procedure in this instance. Therefore, we believe that we have good 
cause to forego notice and a period for comment.

IV. Correction of Errors

    In FR Doc. 2014-26182 of November 6, 2014 (79 FR 66120) make the 
following corrections:
    1. On page 66184, in Table 23 ``Numerical Values for the 
Performance Standards for the PY 2017 ESRD QIP Clinical Measures Using 
the Most

[[Page 13252]]

Recently Available Data''; in the fifth row titled ``Standardized 
Readmission Ratio'' remove the existing values and add the following 
values in their place:

----------------------------------------------------------------------------------------------------------------
                                                                 Performance      Achievement
                           Measure                                 standard        threshold        Benchmark
----------------------------------------------------------------------------------------------------------------
Standardized Readmission Ratio...............................           0.648            1.261            0.998
----------------------------------------------------------------------------------------------------------------


    Dated: March 6, 2015.
C'Reda Weeden,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2015-05766 Filed 3-12-15; 8:45 am]
 BILLING CODE 4120-01-P



                                                                Federal Register / Vol. 80, No. 49 / Friday, March 13, 2015 / Rules and Regulations                                         13251

                                            ENVIRONMENTAL PROTECTION                                 Dated: February 19, 2015.                            are identified and corrected in the
                                            AGENCY                                                  Nanci E. Gelb,                                        Correction of Errors section below. The
                                                                                                    Acting Assistant Administrator, Office of             provisions in this correction document
                                            40 CFR Part 22                                          Administration and Resources Management.              are effective as if they had been
                                            [EPA–HQ–OECA–2014–0551; FRL–9922–                         Accordingly, 40 CFR part 22 is                      included in the document published on
                                            62–OECA]                                                corrected by making the following                     November 6, 2014. Accordingly, the
                                                                                                    correcting amendment:                                 corrections are effective March 13, 2015.
                                            Consolidated Rules of Practice
                                                                                                    PART 22—CONSOLIDATED RULES OF                         II. Summary of Errors
                                            Governing the Administrative
                                            Assessment of Civil Penalties,                          PRACTICE GOVERNING THE                                   On page 66184 of the preamble, we
                                            Issuance of Compliance or Corrective                    ADMINISTRATIVE ASSESSMENT OF                          have determined that there were errors
                                            Action Orders, and the Revocation,                      CIVIL PENALTIES AND THE                               in the performance standard,
                                            Termination or Suspension of Permits;                   REVOCATION, TERMINATION OR                            achievement threshold, and benchmark
                                            Correction                                              SUSPENSION OF PERMITS                                 values presented in the Numerical
                                                                                                                                                          Values for the Performance Standards
                                            AGENCY:  Environmental Protection                       ■ 1. The authority citation for part 22               for the Payment Year (PY) 2017 End-
                                            Agency.                                                 continues to read as follows:                         Stage Renal Disease (ESRD) Quality
                                            ACTION: Correcting amendment.                             Authority: 7 U.S.C. 136(l); 15 U.S.C. 2615;         Incentive Program (QIP) Clinical
                                                                                                    33 U.S.C. 1319, 1342, 1361, 1415 and 1418;            Measures Using the Most Recently
                                            SUMMARY:   The Environmental Protection
                                                                                                    42 U.S.C. 300g–3(g), 6912, 6925, 6928, 6991e          Available Data table for PY 2017 of the
                                            Agency (EPA) published a document in                    and 6992d; 42 U.S.C. 7413(d), 7524(c),                ESRD QIP (Table 23). Specifically, the
                                            the Federal Register on November 6,                     7545(d), 7547, 7601 and 7607(a), 9609, and            numerical values published for the
                                            2014. That document included the                        11045.                                                Standardized Readmission Ratio clinical
                                            correct mailing and hand delivery
                                                                                                    § 22.30   [Corrected]                                 measure were calculated using only 6
                                            addresses for the Environmental
                                                                                                                                                          months of data from calendar year 2013
                                            Appeals Board, but inadvertently failed                 ■ 2. In § 22.30, paragraph (a)(1) is                  instead of the full 12 months, as
                                            to omit the incorrect addresses. This                   amended by removing the second and                    specified under our finalized policy (79
                                            amendment deletes the incorrect                         third sentences.                                      FR 66183). Therefore, we are publishing
                                            addresses.                                              [FR Doc. 2015–05438 Filed 3–12–15; 8:45 am]           this technical correction to ensure that
                                            DATES: Effective on March 13, 2015.                     BILLING CODE 6560–50–P                                these numerical standards align with
                                            FOR FURTHER INFORMATION CONTACT:                                                                              the finalized policies for the PY 2017
                                            Ammie Roseman-Orr, Environmental                                                                              ESRD QIP.
                                            Appeals Board, U.S. Environmental                       DEPARTMENT OF HEALTH AND
                                            Protection Agency, William Jefferson                                                                          III. Waiver of Proposed Rulemaking
                                                                                                    HUMAN SERVICES
                                            Clinton Building East, Room 3332, 1200                                                                           We ordinarily publish a notice of
                                            Pennsylvania Ave. NW., Mail Code                        Centers for Medicare & Medicaid                       proposed rulemaking in the Federal
                                            1103M, Washington DC 20460, phone                       Services                                              Register to provide a period for public
                                            number (202) 233–0122 or by email at                                                                          comment before the provisions of a rule
                                            roseman-orr.ammie@epa.gov.                              42 CFR Parts 405, 411, 413 and 414                    take effect in accordance with section
                                            SUPPLEMENTARY INFORMATION:                                                                                    553(b) of the Administrative Procedure
                                                                                                    [CMS–1614–CN]
                                                                                                                                                          Act (APA) (5 U.S.C. 553(b)). However,
                                            Background                                              RIN 0938–AS13                                         we can waive this notice and comment
                                              The rule amendment published on                                                                             procedure if the Secretary finds, for
                                            November 6, 2014 (79 FR 65897),                         Medicare Program; Quality Incentive                   good cause, that the notice and
                                            corrected the mailing and hand delivery                 Program; Correction                                   comment process is impracticable,
                                            addresses for the Environmental                         AGENCY:  Centers for Medicare &                       unnecessary, or contrary to the public
                                            Appeals Board in § 22.5(a) to reflect the               Medicaid Services (CMS), HHS.                         interest, and incorporates a statement of
                                            Board’s relocation. The rule also revised               ACTION: Final rule; correction.
                                                                                                                                                          the finding and the reasons; therefore, in
                                            § 22.30(a)(1) by adding a reference to the                                                                    the notice.
                                            corrected addresses in § 22.5(a). This                  SUMMARY:   This document corrects                        Since this rule correction is simply
                                            amendment, however, inadvertently did                   technical errors that appeared in the                 correcting technical and typographical
                                            not omit the Board’s incorrect addresses                final rule published in the Federal                   errors in the preamble, but does not
                                            in the second and third sentences of                    Register on November 6, 2014 entitled                 make substantive changes to the policies
                                            § 22.30(a)(1).                                          ‘‘End-Stage Renal Disease Prospective                 or payment methodologies that were
                                                                                                    Payment System, Quality Incentive                     adopted in the final rule, it is
                                            Need for Correction                                                                                           unnecessary to follow the notice and
                                                                                                    Program, and Durable Medical
                                              As published on November 6, 2014                      Equipment, Prosthetics, Orthotics, and                comment procedure in this instance.
                                            (79 FR 65897), the final regulation                     Supplies.’’                                           Therefore, we believe that we have good
                                            contains an error which may prove to be                                                                       cause to forego notice and a period for
                                            misleading and is in need of                            DATES: This correction is effective on
                                                                                                                                                          comment.
                                            clarification.                                          March 13, 2015.
                                                                                                    FOR FURTHER INFORMATION CONTACT:                      IV. Correction of Errors
                                            List of Subjects in 40 CFR Part 22                      Tamyra Garcia, (410) 786–0856.                           In FR Doc. 2014–26182 of November
tkelley on DSK3SPTVN1PROD with RULES




                                              Environmental protection,                             SUPPLEMENTARY INFORMATION:                            6, 2014 (79 FR 66120) make the
                                            Administrative practice and procedure,                                                                        following corrections:
                                            Air pollution control, Hazardous                        I. Background                                            1. On page 66184, in Table 23
                                            substances, Hazardous waste, Penalties,                    In FR Doc. 2014–26182 of November                  ‘‘Numerical Values for the Performance
                                            Pesticides and pests, Poison prevention,                6, 2014 (79 FR 66120), there were                     Standards for the PY 2017 ESRD QIP
                                            Water pollution control.                                technical and typographical errors that               Clinical Measures Using the Most


                                       VerDate Sep<11>2014   16:34 Mar 12, 2015   Jkt 235001   PO 00000   Frm 00053   Fmt 4700   Sfmt 4700   E:\FR\FM\13MRR1.SGM   13MRR1


                                            13252                    Federal Register / Vol. 80, No. 49 / Friday, March 13, 2015 / Rules and Regulations

                                            Recently Available Data’’; in the fifth                           Ratio’’ remove the existing values and
                                            row titled ‘‘Standardized Readmission                             add the following values in their place:

                                                                                                                                                                              Performance         Achievement
                                                                                                     Measure                                                                                                    Benchmark
                                                                                                                                                                               standard            threshold

                                            Standardized Readmission Ratio ................................................................................................      0.648               1.261        0.998



                                              Dated: March 6, 2015.                                           describes the Department’s symbol, seal,                         Identifiers — the Department Logo, Seal,
                                            C’Reda Weeden,                                                    and logo.                                                        and Signatures.
                                            Executive Secretary to the Department,                                                                                                (b) The Symbol is described as
                                                                                                              Executive Order No. 12866                                        follows: The outline of an American
                                            Department of Health and Human Services.
                                            [FR Doc. 2015–05766 Filed 3–12–15; 8:45 am]                          This rule does not meet the criteria for                      Eagle, facing left, with one of its wings
                                            BILLING CODE 4120–01–P                                            a significant regulatory action under                            stretched upward and the other wing
                                                                                                              Executive Order 12866. Thus, review by                           pointed downward, is flanked on its
                                                                                                              the Office of Management and Budget is                           right side by two outlines of the profile
                                            DEPARTMENT OF HEALTH AND                                          not required.                                                    of a human head, both of which are
                                            HUMAN SERVICES                                                                                                                     located in between the eagle’s wings.
                                                                                                              Regulatory Flexibility Act                                       One of the profile outlines is smaller
                                            45 CFR Part 18                                                      This rule will not have a significant                          than the other and is nestled in the
                                                                                                              economic impact on a substantial                                 larger outline.
                                            Official Symbol, Logo and Seal                                    number of small entities. Therefore, a
                                            AGENCY:      Office of the Secretary, HHS.                        regulatory flexibility analysis as
                                                                                                              provided by the Regulatory Flexibility
                                            ACTION:     Final rule.                                           Act, as amended, is not required.
                                            SUMMARY:     The U.S. Department of                               Paperwork Reduction Act
                                            Health and Human Services (HHS) is
                                            adopting final regulations containing a                             This rule does not contain any
                                            description of its official symbol, logo,                         collections of information subject to the
                                            and seal.                                                         Paperwork Reduction Act.
                                            DATES: This rule is effective April 13,                           List of Subjects in 45 CFR Part 18
                                            2015 without further action.                                                                                                          (c) The HHS Departmental Logo
                                                                                                                  Seals and insignia.                                          (Logo) incorporates the Symbol and is
                                            FOR FURTHER INFORMATION CONTACT:                                                                                                   described as follows: From the tip of the
                                            Gloria Barnes, Office of the Assistant                              For the reasons set out in the
                                                                                                              preamble, HHS adds Part 18 to Title 45,                          outstretched wing of the American Eagle
                                            Secretary for Public Affairs                                                                                                       in symbol to the tip of the other,
                                            (gloria.barnes@hhs.gov).                                          Subtitle A, subchapter A of the Code of
                                                                                                              Federal Regulations as follows:                                  downward-facing wing, the words,
                                            SUPPLEMENTARY INFORMATION: HHS is                                                                                                  ‘‘DEPARTMENT OF HEALTH &
                                            adopting regulations (45 CFR part 18)                             Subtitle A—DEPARTMENT OF HEALTH                                  HUMAN SERVICES • USA’’ form a
                                                                                                              AND HUMAN SERVICES
                                            describing its official logo and seal. HHS                                                                                         circular arc. The official colors of the
                                            has developed a symbol, logo, and seal                            Subchapter A—GENERAL                                             Logo are either Black or Reflex Blue.
                                            that signifies the authoritativeness of the                       ADMINISTRATION                                                   Reflex Blue RGB Numbers: 0/0/153 (R0,
                                            item or document to which it is affixed                                                                                            G0, B153)
                                            as an official endorsement of HHS.                                PART 18—OFFICIAL SYMBOL, LOGO,
                                            Pursuant to 5 U.S.C. 553(b)(A), notice                            AND SEAL
                                            and comment are not required because                              Sec.
                                            this rule only impacts HHS’ procedure                             18.1     Description of the Symbol, Logo, and
                                            and practice. In addition, pursuant to 5                                 Seal.
                                            U.S.C. 553(b)(B), there is good cause to                            Authority: 42 U.S.C. 3505 and 5 U.S.C.
                                            waive notice and comment as                                       301.
                                            unnecessary, because this rule is non-
                                            controversial and merely describes                                § 18.1 Description of the Symbol, Logo,
                                            HHS’ official symbol, logo, and seal.                             and Seal.
                                               HHS previously published a Direct                                (a) The Departmental Symbol
                                            Final Rule on April 14, 2014 (79 FR                               (Symbol) of the Department of Health                                (d) The HHS Departmental Seal (Seal)
                                            20801). In response, HHS received two                             and Human Services (HHS) is the key                              incorporates the Symbol and is
                                            public comments. Among other things,                              element in Department identification. It                         described as follows: Starting from the
                                            both comments argued that the rule                                represents the American People                                   tip of the downward-facing wing of the
                                            violated the First Amendment. The                                 sheltered in the wing of the American                            American Eagle in the HHS symbol and
                                            commenters argued that restrictions in                            Eagle, suggesting the Department’s                               forming a complete circle clockwise
                                            the Direct Final Rule violated the First                          concern and responsibility for the                               around the HHS symbol, the words,
tkelley on DSK3SPTVN1PROD with RULES




                                            Amendment by not including                                        welfare of the people. This Symbol is                            ‘‘DEPARTMENT OF HEALTH &
                                                                                                                                                                                                                            ER13MR15.003</GPH>




                                            exceptions for certain uses of the seal                           the visual link which connects the                               HUMAN SERVICES • USA •’’ are
                                            (e.g., for illustrative purposes by the                           graphic communications of all                                    printed, surrounded by a border
                                            media). HHS withdrew this rule on June                            components and programs of the                                   composed of a solid inner ring at the
                                            4, 2014 (79 FR 32170). HHS is now                                 Department. It is the major design                               base of the text and a triangular,
                                                                                                                                                                                                                            ER13MR15.002</GPH>




                                            publishing a Final Rule that merely                               component for the Department                                     scalloped edge at the top of the text. The


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Document Created: 2015-12-18 11:41:44
Document Modified: 2015-12-18 11:41:44
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionFinal rule; correction.
DatesThis correction is effective on March 13, 2015.
ContactTamyra Garcia, (410) 786-0856.
FR Citation80 FR 13251 
RIN Number0938-AS13
CFR Citation42 CFR 405
42 CFR 411
42 CFR 413
42 CFR 414

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