80 FR 73998 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, Including Changes Related to the Electronic Health Record Incentive Program; Extensions of the Medicare-Dependent, Small Rural Hospital Program and the Low-Volume Payment Adjustment for Hospitals; Correction

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

Federal Register Volume 80, Issue 228 (November 27, 2015)

Page Range		73998-73999
FR Document		2015-30248

This document corrects technical and typographical errors in the correcting document that appeared in the October 5, 2015 Federal Register, entitled ``Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, including Changes Related to the Electronic Health Record Incentive Program; Extensions of the Medicare-Dependent, Small Rural Hospital Program and the Low-Volume Payment Adjustment for Hospitals; Correction.''

Federal Register, Volume 80 Issue 228 (Friday, November 27, 2015)

[Federal Register Volume 80, Number 228 (Friday, November 27, 2015)]
[Rules and Regulations]
[Pages 73998-73999]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-30248]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Part 412

[CMS-1632-CN2]
RIN 0938-AS41


Medicare Program; Hospital Inpatient Prospective Payment Systems 
for Acute Care Hospitals and the Long-Term Care Hospital Prospective 
Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of 
Quality Reporting Requirements for Specific Providers, Including 
Changes Related to the Electronic Health Record Incentive Program; 
Extensions of the Medicare-Dependent, Small Rural Hospital Program and 
the Low-Volume Payment Adjustment for Hospitals; Correction

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

ACTION: Final rule and interim final rule with comment period; 
correction.

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

SUMMARY: This document corrects technical and typographical errors in 
the correcting document that appeared in the October 5, 2015 Federal 
Register, entitled ``Medicare Program; Hospital Inpatient Prospective 
Payment Systems for Acute Care Hospitals and the Long Term Care 
Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 
Rates; Revisions of Quality Reporting Requirements for Specific 
Providers, including Changes Related to the Electronic Health Record 
Incentive Program; Extensions of the Medicare-Dependent, Small Rural 
Hospital Program and the Low-Volume Payment Adjustment for Hospitals; 
Correction.''

DATES: Effective date: This correcting document is effective November 
25, 2015. Applicability date: This correcting document is applicable to 
discharges beginning October 1, 2015.

FOR FURTHER INFORMATION CONTACT: Donald Thompson, (410) 786-4487.

SUPPLEMENTARY INFORMATION: 

I. Background

    In FR Doc. 2015-19049 which appeared in the August 17, 2015 Federal 
Register (80 FR 49326), entitled ``Medicare Program; Hospital Inpatient 
Prospective Payment Systems for Acute Care Hospitals and the Long-Term 
Care Hospital Prospective Payment System Policy Changes and Fiscal Year 
2016 Rates; Revisions of Quality Reporting Requirements for Specific 
Providers, including Changes Related to the Electronic Health Record 
Incentive Program; Extensions of the Medicare-Dependent, Small Rural 
Hospital Program and the Low-Volume Payment Adjustment for Hospitals'' 
(hereinafter referred to as the FY 2016 IPPS/LTCH PPS final rule), 
there were a number of technical and typographical errors. Therefore, 
we published a correcting document that appeared in the October 5, 2015 
Federal Register (80 FR 60055) to correct those errors (hereinafter 
referred to as the FY 2016 IPPS/LTCH PPS correcting document). The 
provisions of the FY 2016 IPPS/LTCH PPS correcting document were 
effective as if they had been included in the FY 2016 IPPS/LTCH PPS 
final rule that appeared in the August 17, 2015 Federal Register. 
Accordingly, those corrections were effective October 1, 2015.

II. Summary of Errors and Corrections to Tables Posted on the CMS Web 
Site

    Since publication of the FY 2016 IPPS/LTCH PPS correcting document, 
we discovered technical and typographic errors to data that appeared in 
that document. Therefore, we are correcting the errors in the following 
IPPS tables that are listed on page 49808 of the FY 2016 IPPS/LTCH PPS 
final rule, that were discussed on pages 60056 and 60057 and corrected 
in the FY 2016 IPPS/LTCH PPS correcting document. These tables are 
available on the Internet on the CMS Web site at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY2016-IPPS-Final-Rule-Home-Page.html:
    Table 2--CASE MIX INDEX AND WAGE INDEX TABLE BY CCN--FY 2016 
CORRECTION NOTICE. In the FY 2016 IPPS/LTCH PPS correcting document, we 
inadvertently changed the reclassification status for two hospitals 
(CCNs 050152 and 050228). In Table 2 of the FY 2016 IPPS/LTCH PPS final 
rule, prior to the revisions based on the FY 2016 IPPS/LTCH PPS 
correcting document, the reclassification status for CCNs 050152 and 
050228 correctly reflected an MGCRB reclassification to Reclassified/
Redesignated CBSA 36084. For these two hospitals, the ``MGCRB Reclass'' 
column value will be corrected by adding a ``Y'' and the 
``Reclassified/Redesignated CBSA'' column value will be corrected by 
adding ``36084.''
    Also, in Table 2 that was posted on the Internet in conjunction 
with the FY 2016 IPPS/LTCH PPS correcting document, we inadvertently 
listed the ``County Name'' and ``County Code'' values for CCN 050B21 as 
``FAIRFIELD'' and ``07000'', and for CCN 070B22 as ``FRESNO'' and 
``05090''. The ``County Name'' and ``County Code'' values for CCN 
050B21 should be ``FRESNO'' and

[[Page 73999]]

``05090'', and for CCN 070B22 should be ``FAIRFIELD'' and ``07000.'' 
Therefore, the ``County Name'' and ``County Code'' for CCN 050B21 will 
be corrected to read ``FRESNO'' and ``05090'', respectively; and the 
``County Name'' and ``County Code'' for CCN 070B22 will be corrected to 
read ``FAIRFIELD'' and ``07000'', respectively.
    Table 3--WAGE INDEX TABLE BY CBSA--FY 2016 CORRECTION NOTICE. As 
described previously, the reclassifications for two hospitals (CCNs 
050152 and 050228) to CBSA 36084 were not properly listed and are being 
corrected in Table 2. Therefore, we are making corresponding changes to 
the ``Reclassified Wage Index'' and ``Reclassified GAF'' column values 
for CBSA 36084 in Table 3.

III. Waiver of Proposed Rulemaking and Delay in Effective Date

    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.
    Section 553(d) of the APA ordinarily requires a 30-day delay in 
effective date of final rules after the date of their publication in 
the Federal Register. This 30-day delay in effective date can be 
waived, however, if an agency finds for good cause that the delay is 
impracticable, unnecessary, or contrary to the public interest, and the 
agency incorporates a statement of the findings and its reasons in the 
rule issued.
    We believe that this correcting document does not constitute a rule 
that would be subject to the APA notice and comment or delayed 
effective date requirements. This correcting document corrects 
technical and typographic errors in the tables referenced in the FY 
2016 IPPS/LTCH PPS final rule as revised by the FY 2016 IPPS/LTCH PPS 
correcting document but does not make substantive changes to the 
policies or payment methodologies that were adopted in the final rule. 
As a result, this correcting document is intended to ensure that the 
tables referenced in the FY 2016 IPPS/LTCH PPS final rule accurately 
reflect the policies adopted in that final rule.
    In addition, even if this were a rule to which the notice and 
comment procedures and delayed effective date requirements applied, we 
find that there is good cause to waive such requirements. Undertaking 
further notice and comment procedures to incorporate the corrections in 
this document into the final rule or delaying the effective date would 
be contrary to the public interest because it is in the public's 
interest for providers to receive appropriate payments in as timely a 
manner as possible, and to ensure that the FY 2016 IPPS/LTCH PPS final 
rule accurately reflects our policies. Furthermore, such procedures 
would be unnecessary, as we are not altering our payment methodologies 
or policies, but rather, we are simply implementing correctly the 
policies that we previously proposed, received comment on, and 
subsequently finalized. This correcting document is intended solely to 
ensure that the FY 2016 IPPS/LTCH PPS final rule accurately reflects 
these payment methodologies and policies. Therefore, we believe we have 
good cause to waive the notice and comment and effective date 
requirements.

    Dated: November 18, 2015.
Madhura Valverde,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2015-30248 Filed 11-25-15; 8:45 am]
 BILLING CODE 4120-01-P

73998 Federal Register / Vol. 80, No. 228 / Friday, November 27, 2015 / Rules and Regulations

EPA-APPROVED VIRGINIA REGULATIONS AND STATUTES
State effective Explanation
State citation Title/Subject EPA Approval date
date [former SIP citation]

* * * * * * *

9 VAC 5, Chapter 10 General Definitions [Part I]

* * * * * * *
5–10–20 ....................................... Terms Defined ............................. 7/30/15 11/27/15 [Insert Federal Definition of VOC is re-
Register Citation]. vised by adding 2-
amino-2-methyl-1-pro-
panol to the list of sub-
stances not considered
to be VOCs.

* * * * * * *

* * * * * Medicare-Dependent, Small Rural II. Summary of Errors and Corrections
[FR Doc. 2015–30108 Filed 11–25–15; 8:45 am] Hospital Program and the Low-Volume to Tables Posted on the CMS Web Site
BILLING CODE 6560–50–P Payment Adjustment for Hospitals; Since publication of the FY 2016
Correction.’’ IPPS/LTCH PPS correcting document,
DATES: Effective date: This correcting we discovered technical and
DEPARTMENT OF HEALTH AND typographic errors to data that appeared
HUMAN SERVICES document is effective November 25,
2015. Applicability date: This correcting in that document. Therefore, we are
document is applicable to discharges correcting the errors in the following
Centers for Medicare & Medicaid IPPS tables that are listed on page 49808
Services beginning October 1, 2015.
of the FY 2016 IPPS/LTCH PPS final
FOR FURTHER INFORMATION CONTACT: rule, that were discussed on pages
42 CFR Part 412 Donald Thompson, (410) 786–4487. 60056 and 60057 and corrected in the
[CMS–1632–CN2] SUPPLEMENTARY INFORMATION: FY 2016 IPPS/LTCH PPS correcting
RIN 0938–AS41 document. These tables are available on
I. Background the Internet on the CMS Web site at
Medicare Program; Hospital Inpatient In FR Doc. 2015–19049 which https://www.cms.gov/Medicare/
Prospective Payment Systems for appeared in the August 17, 2015 Medicare-Fee-for-Service-Payment/
Acute Care Hospitals and the Long- AcuteInpatientPPS/FY2016-IPPS-Final-
Federal Register (80 FR 49326), entitled
Term Care Hospital Prospective Rule-Home-Page.html:
‘‘Medicare Program; Hospital Inpatient Table 2—CASE MIX INDEX AND
Payment System Policy Changes and Prospective Payment Systems for Acute
Fiscal Year 2016 Rates; Revisions of WAGE INDEX TABLE BY CCN—FY
Care Hospitals and the Long-Term Care 2016 CORRECTION NOTICE. In the FY
Quality Reporting Requirements for Hospital Prospective Payment System
Specific Providers, Including Changes 2016 IPPS/LTCH PPS correcting
Policy Changes and Fiscal Year 2016 document, we inadvertently changed
Related to the Electronic Health Rates; Revisions of Quality Reporting
Record Incentive Program; Extensions the reclassification status for two
Requirements for Specific Providers, hospitals (CCNs 050152 and 050228). In
of the Medicare-Dependent, Small including Changes Related to the
Rural Hospital Program and the Low- Table 2 of the FY 2016 IPPS/LTCH PPS
Electronic Health Record Incentive final rule, prior to the revisions based
Volume Payment Adjustment for Program; Extensions of the Medicare-
Hospitals; Correction on the FY 2016 IPPS/LTCH PPS
Dependent, Small Rural Hospital correcting document, the
AGENCY: Centers for Medicare & Program and the Low-Volume Payment reclassification status for CCNs 050152
Medicaid Services (CMS), HHS. Adjustment for Hospitals’’ (hereinafter and 050228 correctly reflected an
ACTION: Final rule and interim final rule referred to as the FY 2016 IPPS/LTCH MGCRB reclassification to Reclassified/
with comment period; correction. PPS final rule), there were a number of Redesignated CBSA 36084. For these
technical and typographical errors. two hospitals, the ‘‘MGCRB Reclass’’
SUMMARY: This document corrects Therefore, we published a correcting column value will be corrected by
technical and typographical errors in document that appeared in the October adding a ‘‘Y’’ and the ‘‘Reclassified/
the correcting document that appeared 5, 2015 Federal Register (80 FR 60055) Redesignated CBSA’’ column value will
in the October 5, 2015 Federal Register, to correct those errors (hereinafter be corrected by adding ‘‘36084.’’
entitled ‘‘Medicare Program; Hospital referred to as the FY 2016 IPPS/LTCH Also, in Table 2 that was posted on
Inpatient Prospective Payment Systems PPS correcting document). The the Internet in conjunction with the FY
for Acute Care Hospitals and the Long provisions of the FY 2016 IPPS/LTCH 2016 IPPS/LTCH PPS correcting
mstockstill on DSK4VPTVN1PROD with RULES

Term Care Hospital Prospective PPS correcting document were effective document, we inadvertently listed the
Payment System Policy Changes and as if they had been included in the FY ‘‘County Name’’ and ‘‘County Code’’
Fiscal Year 2016 Rates; Revisions of 2016 IPPS/LTCH PPS final rule that values for CCN 050B21 as ‘‘FAIRFIELD’’
Quality Reporting Requirements for appeared in the August 17, 2015 and ‘‘07000’’, and for CCN 070B22 as
Specific Providers, including Changes Federal Register. Accordingly, those ‘‘FRESNO’’ and ‘‘05090’’. The ‘‘County
Related to the Electronic Health Record corrections were effective October 1, Name’’ and ‘‘County Code’’ values for
Incentive Program; Extensions of the 2015. CCN 050B21 should be ‘‘FRESNO’’ and

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Federal Register / Vol. 80, No. 228 / Friday, November 27, 2015 / Rules and Regulations 73999

‘‘05090’’, and for CCN 070B22 should be procedures and delayed effective date the Individual Fishing Quota (IFQ)
‘‘FAIRFIELD’’ and ‘‘07000.’’ Therefore, requirements applied, we find that there program shareholders on January 1,
the ‘‘County Name’’ and ‘‘County Code’’ is good cause to waive such 2016. This final rule allows the
for CCN 050B21 will be corrected to requirements. Undertaking further allocations being established through
read ‘‘FRESNO’’ and ‘‘05090’’, notice and comment procedures to Amendment 28 to the FMP
respectively; and the ‘‘County Name’’ incorporate the corrections in this (Amendment 28) to be effective for the
and ‘‘County Code’’ for CCN 070B22 document into the final rule or delaying 2016 fishing year should Amendment
will be corrected to read ‘‘FAIRFIELD’’ the effective date would be contrary to 28 be approved by the Secretary of
and ‘‘07000’’, respectively. the public interest because it is in the Commerce (Secretary) in 2016. This
Table 3—WAGE INDEX TABLE BY public’s interest for providers to receive final rule also makes a technical
CBSA—FY 2016 CORRECTION appropriate payments in as timely a correction to re-insert regulatory text
NOTICE. As described previously, the manner as possible, and to ensure that that a previous rulemaking
reclassifications for two hospitals (CCNs the FY 2016 IPPS/LTCH PPS final rule inadvertently omitted, which specifies
050152 and 050228) to CBSA 36084 accurately reflects our policies. that the recreational annual catch limit
were not properly listed and are being Furthermore, such procedures would be (ACL) for red snapper is equal to the
corrected in Table 2. Therefore, we are unnecessary, as we are not altering our total recreational quota.
making corresponding changes to the payment methodologies or policies, but DATES: This rule is effective December
‘‘Reclassified Wage Index’’ and rather, we are simply implementing 28, 2015.
‘‘Reclassified GAF’’ column values for correctly the policies that we previously ADDRESSES: Electronic copies of the
CBSA 36084 in Table 3. proposed, received comment on, and framework action, which includes an
III. Waiver of Proposed Rulemaking subsequently finalized. This correcting environmental assessment, a regulatory
and Delay in Effective Date document is intended solely to ensure impact review, and a Regulatory
that the FY 2016 IPPS/LTCH PPS final Flexibility Act (RFA) analysis may be
We ordinarily publish a notice of rule accurately reflects these payment
proposed rulemaking in the Federal obtained from the Southeast Regional
methodologies and policies. Therefore, Office (SERO) Web site at http://
Register to provide a period for public we believe we have good cause to waive
comment before the provisions of a rule sero.nmfs.noaa.gov/sustainable_
the notice and comment and effective fisheries/gulf_fisheries/reef_fish/2015/
take effect in accordance with section date requirements.
553(b) of the Administrative Procedure rs_framework_2016_quota/documents/
Act (APA) (5 U.S.C. 553(b)). However, Dated: November 18, 2015. pdfs/retain_2016_red_snapper_
we can waive this notice and comment Madhura Valverde, commercial_quota_ea.pdf.
procedure if the Secretary finds, for Executive Secretary to the Department, FOR FURTHER INFORMATION CONTACT:
good cause, that the notice and Department of Health and Human Services. Richard Malinowski, NMFS SERO,
comment process is impracticable, [FR Doc. 2015–30248 Filed 11–25–15; 8:45 am] telephone: 727–824–5305, or email:
unnecessary, or contrary to the public BILLING CODE 4120–01–P rich.malinowski@noaa.gov.
interest, and incorporates a statement of SUPPLEMENTARY INFORMATION: The Gulf
the finding and the reasons therefore in of Mexico (Gulf) reef fish fishery is
the notice. DEPARTMENT OF COMMERCE managed under the FMP. The FMP was
Section 553(d) of the APA ordinarily prepared by the Council and is
requires a 30-day delay in effective date National Oceanic and Atmospheric implemented by NMFS through
of final rules after the date of their Administration regulations at 50 CFR part 622 under the
publication in the Federal Register. authority of the Magnuson-Stevens
This 30-day delay in effective date can 50 CFR Part 622 Fishery Conservation and Management
be waived, however, if an agency finds [Docket No. 150826781–5999–02] Act (Magnuson-Stevens Act).
for good cause that the delay is On October 19, 2015, NMFS
impracticable, unnecessary, or contrary RIN 0648–BF33, 0648–BE91 published a proposed rule for the
to the public interest, and the agency framework action and requested public
incorporates a statement of the findings Fisheries of the Caribbean, Gulf of
comment (80 FR 63190). The proposed
and its reasons in the rule issued. Mexico, and South Atlantic; Reef Fish
rule and the framework action outline
We believe that this correcting Fishery of the Gulf of Mexico; 2016
the rationale for the actions contained in
document does not constitute a rule that Red Snapper Commercial Quota
this final rule. A summary of the actions
would be subject to the APA notice and Retention
implemented by the framework action
comment or delayed effective date AGENCY: National Marine Fisheries and this final rule is provided below.
requirements. This correcting document Service (NMFS), National Oceanic and
corrects technical and typographic Management Measures Contained in
Atmospheric Administration (NOAA), This Final Rule
errors in the tables referenced in the FY Commerce.
2016 IPPS/LTCH PPS final rule as ACTION: Final rule. This final rule withholds 4.9 percent
revised by the FY 2016 IPPS/LTCH PPS of the 2016 red snapper commercial
correcting document but does not make SUMMARY: NMFS issues regulations to quota, equal to 352,000 lb (159,665 kg),
substantive changes to the policies or implement management measures round weight, and 317,117 lb (143,842
payment methodologies that were described in a framework action to the kg), gutted weight, prior to the annual
adopted in the final rule. As a result, Fishery Management Plan for the Reef distribution of allocation to the IFQ
mstockstill on DSK4VPTVN1PROD with RULES

this correcting document is intended to Fish Resources of the Gulf of Mexico program shareholders on January 1,
ensure that the tables referenced in the (FMP), as prepared by the Gulf of 2016. The framework procedures of the
FY 2016 IPPS/LTCH PPS final rule Mexico Fishery Management Council FMP include the authority to retain a
accurately reflect the policies adopted (Council). This final rule withholds 4.9 portion of an annual quota in
in that final rule. percent of the 2016 red snapper anticipation of future regulatory changes
In addition, even if this were a rule to commercial quota prior to the annual during the same fishing year. This final
which the notice and comment distribution of red snapper allocation to rule allows the allocations being

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Document Created: 2015-12-14 14:05:04
Document Modified: 2015-12-14 14:05:04

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Rules and Regulations
Action		Final rule and interim final rule with comment period; correction.
Contact		Donald Thompson, (410) 786-4487.
FR Citation		80 FR 73998
RIN Number		0938-AS41

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services

Federal Register Volume 80, Issue 228 (November 27, 2015)

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