81_FR_47184 81 FR 47045 - Medicaid and Children's Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability; Correcting Amendment

81 FR 47045 - Medicaid and Children's Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability; Correcting Amendment

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

Federal Register Volume 81, Issue 139 (July 20, 2016)

Page Range47045-47046
FR Document2016-17157

This document corrects a technical error that appeared in the final rule published in the May 6, 2016 Federal Register (81 FR 27498 through 27901) entitled, ``Medicaid and Children's Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability.'' The effective date for the rule was July 5, 2016.

Federal Register, Volume 81 Issue 139 (Wednesday, July 20, 2016)
[Federal Register Volume 81, Number 139 (Wednesday, July 20, 2016)]
[Rules and Regulations]
[Pages 47045-47046]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-17157]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Part 457

[CMS-2390-F2]
RIN-0938-AS25


Medicaid and Children's Health Insurance Program (CHIP) Programs; 
Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions 
Related to Third Party Liability; Correcting Amendment

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

ACTION: Final rule; correcting amendment.

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

SUMMARY: This document corrects a technical error that appeared in the 
final rule published in the May 6, 2016 Federal Register (81 FR 27498 
through 27901) entitled, ``Medicaid and Children's Health Insurance 
Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in 
Managed Care, and Revisions Related to Third Party Liability.'' The 
effective date for the rule was July 5, 2016.

DATES: Effective Date: This correcting document is effective July 18, 
2016.
    Applicability Date: The corrections indicated in this document are 
applicable beginning July 5, 2016.

FOR FURTHER INFORMATION CONTACT: Melissa Williams, (410) 786-4435, 
CHIP.

SUPPLEMENTARY INFORMATION: 

I. Background

    In FR Doc. 2016-09581 (81 FR 27498 through 27901), the final rule 
entitled, ``Medicaid and Children's Health Insurance Program (CHIP) 
Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, and 
Revisions Related to Third Party Liability'' there was a technical 
error that is identified and corrected in this correcting document. The 
correction is applicable as of July 5, 2016.

II. Summary of Errors in the Regulations Text

    On page 27896 of the Medicaid and Children's Health Insurance 
Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in 
Managed Care, and Revisions Related to Third Party Liability final 
rule, we made a technical error in the regulation text of Sec.  457.10. 
In this paragraph, we inadvertently omitted an amendatory instruction 
to add the definition of ``Federally Qualified HMO'' in alphabetical 
order. Accordingly, we are revising the amendatory instruction for 
Sec.  457.10 to add this definition as it was published in the May 6, 
2016 Federal Register.

III. Waiver of Proposed Rulemaking and Delay in Effective Date

    Under 5 U.S.C. 553(b) of the Administrative Procedure Act (APA), 
the agency is required to publish a notice of the proposed rule in the 
Federal Register before the provisions of a rule take effect. In 
addition, section 553(d) of the APA mandates a 30-day delay in 
effective date after issuance or publication of a rule. Sections 
553(b)(B) and 553(d)(3) of the APA provide for exceptions from the 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 notice. In 
addition, section 553(d)(3) of the APA allows the agency to avoid the 
30-day delay in effective date where such delay is contrary to the 
public interest 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 
merely corrects technical errors in the Medicaid and Children's Health 
Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP 
Delivered in Managed Care, and Revisions Related to Third Party 
Liability final rule. The corrections contained in this document are 
consistent with, and do not make substantive changes to, the policies 
and payment methodologies that were adopted subject to notice and 
comment procedures in the Medicaid and Children's Health Insurance 
Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in 
Managed Care, and Revisions Related to Third Party Liability final 
rule. As a result, the corrections made through this correcting 
document are intended to ensure that the Medicaid and Children's Health 
Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP 
Delivered in Managed Care, and Revisions Related to Third Party 
Liability final rule accurately reflects the policies adopted in that 
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 Medicaid and Children's Health Insurance Program (CHIP) Programs; 
Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions 
Related to Third Party Liability 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 Medicaid and 
Children's Health Insurance Program (CHIP) Programs; Medicaid Managed 
Care, CHIP Delivered in Managed Care, and Revisions Related to Third 
Party Liability final rule accurately reflects our final policies as 
soon as possible following the date they take effect. Further, such 
procedures would be unnecessary, because we are not altering the 
payment methodologies or policies or making any substantive revision to 
the description of the definition as proposed or purported to be 
finalized in the preamble of the final rule, but rather, we are simply 
correcting the Federal Register document to reflect the policies that 
we previously proposed, received comment on, and subsequently 
finalized. This correcting document is intended solely to ensure that 
the Medicaid and Children's Health Insurance Program (CHIP) Programs; 
Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions 
Related to Third Party Liability final rule accurately reflects these 
policies. For these reasons, we believe there is good cause to waive 
the

[[Page 47046]]

requirements for notice and comment and delay in effective date.

List of Subjects in 42 CFR Part 457

    Administrative practice and procedure, Grant programs-health, 
Health insurance, Reporting and recordkeeping requirements.

    Accordingly, 42 CFR chapter IV is corrected by making the following 
correcting amendment to part 457:

PART 457--ALLOTMENTS AND GRANTS TO STATES

0
1. The authority citation for part 457 continues to read as follows:

    Authority:  Section 1102 of the Social Security Act (42 U.S.C. 
1302).


0
2. Section 457.10 is amended by adding the definition of ``Federally 
Qualified HMO'' in alphabetical order to read as follows:


Sec.  457.10  Definitions and use of terms.

* * * * *
    Federally qualified HMO means an HMO that CMS has determined is a 
qualified HMO under section 2791(b)(3) of the Public Health Service 
Act.
* * * * *

    Dated: July 14, 2016.
Madhura Valverde,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2016-17157 Filed 7-18-16; 4:15 pm]
 BILLING CODE 4120-01-P



                                                               Federal Register / Vol. 81, No. 139 / Wednesday, July 20, 2016 / Rules and Regulations                                                      47045

                                                                                                                          Polymer                                                                     CAS No.


                                                       *                           *                           *                          *                        *                     *             *



                                             [FR Doc. 2016–17165 Filed 7–19–16; 8:45 am]                  II. Summary of Errors in the                                  adopted subject to notice and comment
                                             BILLING CODE 6560–50–P                                       Regulations Text                                              procedures in the Medicaid and
                                                                                                             On page 27896 of the Medicaid and                          Children’s Health Insurance Program
                                                                                                          Children’s Health Insurance Program                           (CHIP) Programs; Medicaid Managed
                                                                                                          (CHIP) Programs; Medicaid Managed                             Care, CHIP Delivered in Managed Care,
                                             DEPARTMENT OF HEALTH AND                                     Care, CHIP Delivered in Managed Care,                         and Revisions Related to Third Party
                                             HUMAN SERVICES                                               and Revisions Related to Third Party                          Liability final rule. As a result, the
                                                                                                          Liability final rule, we made a technical                     corrections made through this correcting
                                             Centers for Medicare & Medicaid                                                                                            document are intended to ensure that
                                             Services                                                     error in the regulation text of § 457.10.
                                                                                                          In this paragraph, we inadvertently                           the Medicaid and Children’s Health
                                                                                                          omitted an amendatory instruction to                          Insurance Program (CHIP) Programs;
                                             42 CFR Part 457                                                                                                            Medicaid Managed Care, CHIP
                                                                                                          add the definition of ‘‘Federally
                                                                                                          Qualified HMO’’ in alphabetical order.                        Delivered in Managed Care, and
                                             [CMS–2390–F2]                                                                                                              Revisions Related to Third Party
                                                                                                          Accordingly, we are revising the
                                                                                                          amendatory instruction for § 457.10 to                        Liability final rule accurately reflects
                                             RIN–0938–AS25                                                add this definition as it was published                       the policies adopted in that rule.
                                                                                                          in the May 6, 2016 Federal Register.                             Even if this were a rulemaking to
                                             Medicaid and Children’s Health                                                                                             which the notice and comment and
                                             Insurance Program (CHIP) Programs;                           III. Waiver of Proposed Rulemaking                            delayed effective date requirements
                                             Medicaid Managed Care, CHIP                                  and Delay in Effective Date                                   applied, we find that there is good cause
                                             Delivered in Managed Care, and                                  Under 5 U.S.C. 553(b) of the                               to waive such requirements.
                                             Revisions Related to Third Party                             Administrative Procedure Act (APA),                           Undertaking further notice and
                                             Liability; Correcting Amendment                              the agency is required to publish a                           comment procedures to incorporate the
                                             AGENCY:  Centers for Medicare &                              notice of the proposed rule in the                            corrections in this document into the
                                             Medicaid Services (CMS), HHS.                                Federal Register before the provisions                        Medicaid and Children’s Health
                                                                                                          of a rule take effect. In addition, section                   Insurance Program (CHIP) Programs;
                                             ACTION: Final rule; correcting
                                                                                                          553(d) of the APA mandates a 30-day                           Medicaid Managed Care, CHIP
                                             amendment.                                                                                                                 Delivered in Managed Care, and
                                                                                                          delay in effective date after issuance or
                                             SUMMARY:    This document corrects a                         publication of a rule. Sections 553(b)(B)                     Revisions Related to Third Party
                                             technical error that appeared in the final                   and 553(d)(3) of the APA provide for                          Liability final rule or delaying the
                                             rule published in the May 6, 2016                            exceptions from the APA notice and                            effective date of the corrections would
                                             Federal Register (81 FR 27498 through                        comment, and delay in effective date                          be contrary to the public interest
                                             27901) entitled, ‘‘Medicaid and                              requirements. Section 553(b)(B) of the                        because it is in the public interest to
                                             Children’s Health Insurance Program                          APA authorizes an agency to dispense                          ensure that the Medicaid and Children’s
                                             (CHIP) Programs; Medicaid Managed                            with normal notice and comment                                Health Insurance Program (CHIP)
                                             Care, CHIP Delivered in Managed Care,                        rulemaking procedures for good cause if                       Programs; Medicaid Managed Care,
                                             and Revisions Related to Third Party                         the agency makes a finding that the                           CHIP Delivered in Managed Care, and
                                             Liability.’’ The effective date for the rule                 notice and comment process is                                 Revisions Related to Third Party
                                             was July 5, 2016.                                            impracticable, unnecessary, or contrary                       Liability final rule accurately reflects
                                                                                                          to the public interest; and includes a                        our final policies as soon as possible
                                             DATES: Effective Date: This correcting
                                                                                                          statement of the finding and the reasons                      following the date they take effect.
                                             document is effective July 18, 2016.
                                                                                                          for it in the notice. In addition, section                    Further, such procedures would be
                                               Applicability Date: The corrections
                                                                                                          553(d)(3) of the APA allows the agency                        unnecessary, because we are not altering
                                             indicated in this document are
                                                                                                          to avoid the 30-day delay in effective                        the payment methodologies or policies
                                             applicable beginning July 5, 2016.
                                                                                                          date where such delay is contrary to the                      or making any substantive revision to
                                             FOR FURTHER INFORMATION CONTACT:                             public interest and the agency includes                       the description of the definition as
                                             Melissa Williams, (410) 786–4435,                            in the rule a statement of the finding                        proposed or purported to be finalized in
                                             CHIP.                                                        and the reasons for it.                                       the preamble of the final rule, but
                                             SUPPLEMENTARY INFORMATION:                                      In our view, this correcting document                      rather, we are simply correcting the
                                                                                                          does not constitute a rulemaking that                         Federal Register document to reflect the
                                             I. Background                                                would be subject to these requirements.                       policies that we previously proposed,
                                               In FR Doc. 2016–09581 (81 FR 27498                         This document merely corrects                                 received comment on, and subsequently
                                             through 27901), the final rule entitled,                     technical errors in the Medicaid and                          finalized. This correcting document is
                                             ‘‘Medicaid and Children’s Health                             Children’s Health Insurance Program                           intended solely to ensure that the
                                             Insurance Program (CHIP) Programs;                           (CHIP) Programs; Medicaid Managed                             Medicaid and Children’s Health
                                             Medicaid Managed Care, CHIP                                  Care, CHIP Delivered in Managed Care,                         Insurance Program (CHIP) Programs;
rmajette on DSK2TPTVN1PROD with RULES




                                             Delivered in Managed Care, and                               and Revisions Related to Third Party                          Medicaid Managed Care, CHIP
                                             Revisions Related to Third Party                             Liability final rule. The corrections                         Delivered in Managed Care, and
                                             Liability’’ there was a technical error                      contained in this document are                                Revisions Related to Third Party
                                             that is identified and corrected in this                     consistent with, and do not make                              Liability final rule accurately reflects
                                             correcting document. The correction is                       substantive changes to, the policies and                      these policies. For these reasons, we
                                             applicable as of July 5, 2016.                               payment methodologies that were                               believe there is good cause to waive the


                                        VerDate Sep<11>2014   14:53 Jul 19, 2016       Jkt 238001   PO 00000       Frm 00045   Fmt 4700       Sfmt 4700   E:\FR\FM\20JYR1.SGM   20JYR1


                                             47046             Federal Register / Vol. 81, No. 139 / Wednesday, July 20, 2016 / Rules and Regulations

                                             requirements for notice and comment                      publish a timely withdrawal of this rule              amendment and does not anticipate any
                                             and delay in effective date.                             in the Federal Register. Submit                       adverse comments. This rule will be
                                                                                                      comments on or before September 19,                   effective on the date specified in the
                                             List of Subjects in 42 CFR Part 457
                                                                                                      2016.                                                 DATES section above without further
                                               Administrative practice and                                                                                  notice unless adverse comment(s) are
                                                                                                      ADDRESSES:   Address all comments
                                             procedure, Grant programs-health,                                                                              received by the date specified in the
                                                                                                      concerning this notice to Lyudmila
                                             Health insurance, Reporting and                                                                                DATES section above.
                                                                                                      Bond, Bureau for Management, Office of
                                             recordkeeping requirements.                                                                                       USAID will only address substantive
                                                                                                      Acquisition and Assistance, Policy
                                               Accordingly, 42 CFR chapter IV is                      Division (M/OAA/P), Room 867J, SA–                    comments on the rule. Comments that
                                             corrected by making the following                        44, Washington, DC 20523–2052.                        are insubstantial or outside the scope of
                                             correcting amendment to part 457:                        Submit comments, identified by title of               the rule may not be considered.
                                                                                                      the action and Regulation Identifier                     If adverse comments are received on
                                             PART 457—ALLOTMENTS AND                                                                                        the direct final rule, USAID will publish
                                             GRANTS TO STATES                                         Number (RIN) by any of the following
                                                                                                      methods:                                              a timely withdrawal in the Federal
                                                                                                        1. Through the Federal eRulemaking                  Register informing the public that this
                                             ■ 1. The authority citation for part 457
                                                                                                      Portal at http://www.regulations.gov by               rule will not take effect. If no adverse
                                             continues to read as follows:
                                                                                                      following the instructions for submitting             comments are received, this final rule
                                               Authority: Section 1102 of the Social                                                                        will become final after the designated
                                             Security Act (42 U.S.C. 1302).
                                                                                                      comments.
                                                                                                        2. By Email: Submit electronic                      period. Additionally, USAID is
                                             ■ 2. Section 457.10 is amended by                        comments to lbond@usaid.gov. See                      publishing a separate document in the
                                             adding the definition of ‘‘Federally                     SUPPLEMENTARY INFORMATION for file                    ‘‘Proposed Rules’’ section of this
                                             Qualified HMO’’ in alphabetical order to                 formats and other information about                   Federal Register that will serve as the
                                             read as follows:                                         electronic filing.                                    proposal to approve these AIDAR
                                                                                                        3. By Mail addressed to: USAID,                     revisions if adverse comments are
                                             § 457.10   Definitions and use of terms.                                                                       received.
                                                                                                      Bureau for Management, Office of
                                             *     *    *    *     *                                  Acquisition & Assistance, Policy                         USAID will address all public
                                               Federally qualified HMO means an                       Division, Room 867J, SA–44, 1300                      comments in a subsequent final rule
                                             HMO that CMS has determined is a                         Pennsylvania Ave. NW., Washington,                    based on the proposed rule. USAID will
                                             qualified HMO under section 2791(b)(3)                   DC 20523–2052.                                        not institute a second comment period
                                             of the Public Health Service Act.                                                                              on this action. Any parties interested in
                                                                                                      FOR FURTHER INFORMATION CONTACT:
                                             *     *    *    *     *                                  Lyudmila Bond, Telephone: 202–567–                    commenting must do so at this time.
                                               Dated: July 14, 2016.                                  4753 or Email: lbond@usaid.gov.                       B. Background
                                             Madhura Valverde,                                        SUPPLEMENTARY INFORMATION:
                                                                                                                                                              USAID is revising AIDAR section
                                             Executive Secretary to the Department,
                                                                                                      A. Instructions                                       752.247–70, Preference for privately
                                             Department of Health and Human Services.
                                                                                                                                                            owned U.S.-flag commercial vessels to
                                             [FR Doc. 2016–17157 Filed 7–18–16; 4:15 pm]                 All comments must be in writing and
                                                                                                                                                            conform to the current requirements of
                                             BILLING CODE 4120–01–P                                   submitted through one of the methods
                                                                                                                                                            the Cargo Preference Act of 1954. The
                                                                                                      specified in the ADDRESSES section
                                                                                                                                                            Act mandates that at least 50 percent of
                                                                                                      above. All submissions must include the
                                                                                                                                                            the gross tonnage of all Government
                                             AGENCY FOR INTERNATIONAL                                 title of the action and RIN for this
                                                                                                                                                            generated cargo be transported on
                                             DEVELOPMENT                                              rulemaking. Please include your name,
                                                                                                                                                            privately owned, U.S.-flag commercial
                                                                                                      title, organization, postal address,
                                                                                                                                                            vessels, to the extent such vessels are
                                             48 CFR Part 752                                          telephone number, and email address in
                                                                                                                                                            available at fair and reasonable rates.
                                                                                                      the text of the message.
                                             RIN 0412–AA82                                               Comments submitted by email must                   Other changes to the clause include up-
                                                                                                      be included in the text of the email or               to-date submission requirements to the
                                             Agency for International Development                                                                           Maritime Administration (MARAD).
                                             Acquisition Regulation (AIDAR):                          attached as a PDF file. Please avoid
                                                                                                      using special characters and any form of              The changes will not impose any
                                             Preference for Privately Owned U.S.-                                                                           additional requirements on contractors.
                                             Flag Commercial Vessels.                                 encryption. Please note that USAID
                                                                                                      recommends sending all comments to                    C. Impact assessment
                                             AGENCY: U.S. Agency for International                    the Federal eRulemaking Portal because
                                             Development.                                             security screening precautions have                   (1) Regulatory Planning and Review
                                             ACTION: Direct final rule.                               slowed the delivery and dependability                    Under E.O. 12866, USAID must
                                                                                                      of surface mail to USAID/Washington.                  determine whether a regulatory action is
                                             SUMMARY:   The U.S. Agency for                              After receipt of a comment and until               ‘‘significant’’ and therefore subject to
                                             International Development (USAID) is                     finalization of the action, all comments              the requirements of the E.O. and subject
                                             revising the Agency for International                    will be made available at http://                     to review by the Office of Management
                                             Development Acquisition Regulation                       www.regulations.gov for public review                 and Budget (OMB). USAID has
                                             (AIDAR) clause to conform to the                         without change, including any personal                determined that this Rule is not an
                                             current requirements of the Cargo                        information provided. We recommend                    ‘‘economically significant regulatory
                                             Preference Act of 1954 and provide up-                   you do not submit information that you                action’’ under Section 3(f)(1) of E.O.
                                             to-date submission instructions to the
rmajette on DSK2TPTVN1PROD with RULES




                                                                                                      consider Confidential Business                        12866. This rule is not a major rule
                                             Maritime Administration (MARAD).                         Information (CBI) or any information                  under 5 U.S.C. 804.
                                             DATES: This rule is effective October 18,                that is otherwise protected from
                                             2016 without further action, unless                                                                            (2) Regulatory Flexibility Act
                                                                                                      disclosure by statute.
                                             adverse comments are received by                            USAID is publishing this revision as                  The rule will not have an impact on
                                             September 19, 2016. If adverse                           a direct final rule as the Agency views               a substantial number of small entities
                                             comments are received, USAID will                        this as a conforming and administrative               within the meaning of the Regulatory


                                        VerDate Sep<11>2014   14:53 Jul 19, 2016   Jkt 238001   PO 00000   Frm 00046   Fmt 4700   Sfmt 4700   E:\FR\FM\20JYR1.SGM   20JYR1



Document Created: 2018-02-08 07:57:08
Document Modified: 2018-02-08 07:57:08
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; correcting amendment.
DatesEffective Date: This correcting document is effective July 18, 2016.
ContactMelissa Williams, (410) 786-4435, CHIP.
FR Citation81 FR 47045 
CFR AssociatedAdministrative Practice and Procedure; Grant Programs-Health; Health Insurance and Reporting and Recordkeeping Requirements

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR