81_FR_75538 81 FR 75328 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2017 Rates; Quality Reporting Requirements for Specific Providers; Graduate Medical Education; Hospital Notification Procedures Applicable to Beneficiaries Receiving Observation Services; Technical Changes Relating to Costs to Organizations and Medicare Cost Reports; Finalization of Interim Final Rules With Comment Period on LTCH PPS Payments for Severe Wounds, Modifications of Limitations on Redesignation by the Medicare Geographic Classification Review Board, and Extensions of Payments to MDHs and Low-Volume Hospitals; Correction

81 FR 75328 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2017 Rates; Quality Reporting Requirements for Specific Providers; Graduate Medical Education; Hospital Notification Procedures Applicable to Beneficiaries Receiving Observation Services; Technical Changes Relating to Costs to Organizations and Medicare Cost Reports; Finalization of Interim Final Rules With Comment Period on LTCH PPS Payments for Severe Wounds, Modifications of Limitations on Redesignation by the Medicare Geographic Classification Review Board, and Extensions of Payments to MDHs and Low-Volume Hospitals; Correction

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

Federal Register Volume 81, Issue 210 (October 31, 2016)

Page Range75328-75330
FR Document2016-26182

This document corrects a typographical error in the final rule that appeared in the August 22, 2016 Federal Register as well as additional typographical errors in a related correction to that rule that appeared in the October 5, 2016 Federal Register. The final rule was titled ``Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2017 Rates; Quality Reporting Requirements for Specific Providers; Graduate Medical Education; Hospital Notification Procedures Applicable to Beneficiaries Receiving Observation Services; Technical Changes Relating to Costs to Organizations and Medicare Cost Reports; Finalization of Interim Final Rules With Comment Period on LTCH PPS Payments for Severe Wounds, Modifications of Limitations on Redesignation by the Medicare Geographic Classification Review Board, and Extensions of Payments to MDHs and Low-Volume Hospitals''.

Federal Register, Volume 81 Issue 210 (Monday, October 31, 2016)
[Federal Register Volume 81, Number 210 (Monday, October 31, 2016)]
[Rules and Regulations]
[Pages 75328-75330]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-26182]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 405, 412, 413, and 489

[CMS-1655-CN3]
RINs 0938-AS77; 0938-AS88; 0938-AS41


Medicare Program; Hospital Inpatient Prospective Payment Systems 
for Acute Care Hospitals and the Long-Term Care Hospital Prospective 
Payment System and Policy Changes and Fiscal Year 2017 Rates; Quality 
Reporting Requirements for Specific Providers; Graduate Medical 
Education; Hospital Notification Procedures Applicable to Beneficiaries 
Receiving Observation Services; Technical Changes Relating to Costs to 
Organizations and Medicare Cost Reports; Finalization of Interim Final 
Rules With Comment Period on LTCH PPS Payments for Severe Wounds, 
Modifications of Limitations on Redesignation by the Medicare 
Geographic Classification Review Board, and Extensions of Payments to 
MDHs and Low-Volume Hospitals; Correction

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

ACTION: Final rule; correction.

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

SUMMARY: This document corrects a typographical error in the final rule 
that appeared in the August 22, 2016 Federal Register as well as 
additional typographical errors in a related correction to that rule 
that appeared in the October 5, 2016 Federal Register. The final rule 
was titled ``Medicare Program; Hospital Inpatient Prospective Payment 
Systems for Acute Care Hospitals and the Long-Term Care Hospital 
Prospective Payment System and Policy Changes and Fiscal Year 2017 
Rates; Quality Reporting Requirements for Specific Providers; Graduate 
Medical Education; Hospital Notification Procedures Applicable to 
Beneficiaries Receiving Observation Services; Technical Changes 
Relating to Costs to Organizations and Medicare Cost Reports; 
Finalization of Interim Final Rules With Comment Period on LTCH PPS 
Payments for Severe Wounds, Modifications of Limitations on 
Redesignation by the Medicare Geographic Classification Review Board, 
and Extensions of Payments to MDHs and Low-Volume Hospitals''.

DATES: 
    Effective Date: This correcting document is effective on October 
28, 2016.
    Applicability Date: This correcting document is applicable for 
discharges beginning October 1, 2016.

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

SUPPLEMENTARY INFORMATION: 

I. Background

    In the final rule which appeared in the August 22, 2016 Federal 
Register (81 FR 56761) entitled ``Medicare Program; Hospital Inpatient 
Prospective Payment Systems for Acute Care Hospitals and the Long Term 
Care Hospital Prospective Payment System and Policy Changes and Fiscal 
Year 2017 Rates; Quality Reporting Requirements for Specific Providers; 
Graduate Medical Education; Hospital Notification Procedures Applicable 
to Beneficiaries Receiving Observation Services; Technical Changes 
Relating to Costs to Organizations and Medicare Cost Reports; 
Finalization of Interim Final Rules with Comment Period on LTCH PPS 
Payments for Severe Wounds, Modifications of Limitations on 
Redesignation by the Medicare Geographic Classification Review Board, 
and Extensions of Payments to MDHs and Low Volume Hospitals'' 
(hereinafter referred to as the FY 2017 IPPS/LTCH PPS final rule), 
there were a number of technical and typographical errors. To correct 
the typographical and technical errors in the FY 2017 IPPS/LTCH PPS 
final rule, we published a correcting document that appeared in the 
October 5, 2016 Federal Register (81 FR 68947) (hereinafter referred to 
as the FY 2017 IPPS/LTCH PPS correcting document).

II. Summary of Errors

A. Summary of Errors in the FY 2017 IPPS/LTCH PPS Final Rule

    On page 57105, we inadvertently made a typographical error in 
defining an MSA-dominant hospital.

B. Summary of Errors in the FY 2017 IPPS/LTCH PPS Correcting Document

    On page 68953 in the table titled ``CHANGE OF FY 2016 STANDARDIZED 
AMOUNTS TO THE FY 2017 STANDARDIZED AMOUNTS,'' we inadvertently made a 
typographical error in the Labor figure for the ``National Standardized 
Amount for FY 2017 if Wage Index is Greater than

[[Page 75329]]

1.0000; Labor/Non-Labor Share Percentage (69.6/30.4)'' under the 
classification of ``Hospital did NOT submit quality data and is a 
meaningful EHR user''.
    On page 68955 in the table titled ``Table 1A--NATIONAL ADJUSTED 
OPERATING STANDARDIZED AMOUNTS, LABOR/NONLABOR (69.6 PERCENT LABOR 
SHARE/30.4 PERCENT NONLABOR SHARE IF WAGE INDEX IS GREATER THAN 1)--FY 
2017,'' we inadvertently made a typographical error in the Nonlabor 
figure under the classification of ``Hospital submitted quality data 
and is a meaningful EHR user (update = 1.65 percent)''.
    On page 68958 in the table titled ``FY 2017 IPPS ESTIMATED PAYMENTS 
DUE TO RURAL AND IMPUTED FLOOR WITH NATIONAL BUDGET NEUTRALITY,'' we 
made errors in the alignment of the data in the fourth column titled 
``Difference (in $ millions)''. Specifically, when creating the table 
in the correcting document, the data in the fourth column was 
inadvertently misaligned starting with the entry for Washington, DC and 
continuing to the end, resulting in incorrect values in that column.

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 the 
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 
typographical errors in the FY 2017 IPPS/LTCH PPS final rule and the FY 
2017 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 information in the FY 2017 IPPS/LTCH PPS final rule 
accurately reflects the policies adopted in that final rule.
    In addition, even if this were a rule to which the notice and 
comment procedures and delayed effective date requirements applied, we 
find that there is good cause to waive such requirements. Undertaking 
further notice and comment procedures to incorporate the corrections in 
this document into the final rule or delaying the effective date would 
be contrary to the public interest because it is in the public's 
interest for providers to receive appropriate payments in as timely a 
manner as possible, and to ensure that the FY 2017 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 2017 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.

IV. Correction of Errors

A. Correction of Errors in the Final Rule

    In FR Doc. 2016-18476 of August 22, 2016 (81 FR 56761), we are 
making the following correction:
    1. On page 57105, first column, first partial paragraph, lines 6 
and 7, the phrase ``total hospital's Medicare discharges'' is corrected 
to read ``total hospital Medicare discharges''.

B. Correction of Errors in the Correcting Document

    In FR Doc. 2016-24042 of October 5, 2016 (81 FR 68947), we are 
making the following corrections:
    1. On pages 68952 through 68954 in the table titled, ``CHANGE OF FY 
2016 STANDARDIZED AMOUNTS TO THE FY 2017 STANDARDIZED AMOUNTS'', the 
last entry on page 68953 is corrected to read as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                 Hospital submitted quality     Hospital submitted quality      Hospital did NOT submit        Hospital did NOT submit
                                data and is a meaningful EHR   data and is NOT a meaningful      quality data and is a        quality data and is NOT a
                                            user                         EHR user                 meaningful EHR user            meaningful EHR user
--------------------------------------------------------------------------------------------------------------------------------------------------------
National Standardized Amount   Labor: $3,839.23.............  Labor: $3,762.75.............  Labor: $3,813.74.............  Labor: $3,737.25.
 for FY 2017 if Wage Index is  Nonlabor: $1,676.91..........  Nonlabor: $1,643.50..........  Nonlabor: $1,665.77..........  Nonlabor: $1,632.37.
 Greater Than 1.0000; Labor/
 Non-Labor Share Percentage
 (69.6/30.4).
--------------------------------------------------------------------------------------------------------------------------------------------------------

    2. On page 68955, top of the page in the table titled, ``Table 1A--
NATIONAL ADJUSTED OPERATING STANDARDIZED AMOUNTS, LABOR/NONLABOR (69.6 
PERCENT LABOR SHARE/30.4 PERCENT NONLABOR SHARE IF WAGE INDEX IS 
GREATER THAN 1)--FY 2017'', the first column of the table is corrected 
to read as follows:

------------------------------------------------------------------------
 Hospital submitted quality data and is a meaningful EHR User (update =
                              1.65 percent)
-------------------------------------------------------------------------
                         Labor                               Nonlabor
------------------------------------------------------------------------
$3,839.23..............................................       $1,676.91
------------------------------------------------------------------------

    3. On page 68958, top of the page, the table titled, ``FY 2017 IPPS 
ESTIMATED PAYMENTS DUE TO RURAL AND IMPUTED FLOOR WITH NATIONAL BUDGET 
NEUTRALITY'' is corrected to read as follows:

[[Page 75330]]



         FY 2017 IPPS Estimated Payments Due to Rural and Imputed Floor With National Budget Neutrality
----------------------------------------------------------------------------------------------------------------
                                                                                  Percent change
                                                                                    in payments
                                                                     Number of        due to
                                                                  hospitals that  application of
                      State                          Number of     will receive     rural floor   Difference (in
                                                     hospitals       the rural      and imputed     $ millions)
                                                                     floor or       floor with
                                                                   imputed floor      budget
                                                                                    neutrality
                                                             (1)             (2)             (3)             (4)
----------------------------------------------------------------------------------------------------------------
Alabama.........................................              83               6            -0.3              -6
Alaska..........................................               6               4             2.1               4
Arizona.........................................              57              46             3.5              63
Arkansas........................................              44               0            -0.4              -4
California......................................             301             186             1.3             131
Colorado........................................              48               3             0.2               3
Connecticut.....................................              31               8             0.2               4
Delaware........................................               6               2               0               0
Washington, DC..................................               7               0            -0.4              -2
Florida.........................................             171              16            -0.3             -18
Georgia.........................................             105               0            -0.4             -10
Hawaii..........................................              12               0            -0.3              -1
Idaho...........................................              14               0            -0.3              -1
Illinois........................................             126               3            -0.4             -19
Indiana.........................................              89               0            -0.4             -11
Iowa............................................              35               0            -0.4              -4
Kansas..........................................              53               0            -0.3              -3
Kentucky........................................              65               0            -0.4              -6
Louisiana.......................................              95               2            -0.4              -5
Maine...........................................              18               0            -0.4              -2
Massachusetts...................................              58              15             0.6              22
Michigan........................................              95               0            -0.4             -18
Minnesota.......................................              49               0            -0.3              -6
Mississippi.....................................              62               0            -0.4              -4
Missouri........................................              74               2            -0.3              -8
Montana.........................................              12               4             0.3               1
Nebraska........................................              26               0            -0.3              -2
Nevada..........................................              24               3            -0.2              -2
New Hampshire...................................              13               9             2.2              11
New Jersey......................................              64              18             0.2               6
New Mexico......................................              25               0            -0.3              -1
New York........................................             154              21            -0.3             -20
North Carolina..................................              84               1            -0.4             -12
North Dakota....................................               6               1            -0.3              -1
Ohio............................................             130              10            -0.4             -13
Oklahoma........................................              86               2            -0.3              -4
Oregon..........................................              34               2            -0.4              -4
Pennsylvania....................................             151               5            -0.4             -20
Puerto Rico.....................................              51              12             0.1               0
Rhode Island....................................              11              10             4.7              18
South Carolina..................................              57               5            -0.1              -2
South Dakota....................................              18               0            -0.2              -1
Tennessee.......................................              92              20            -0.3              -7
Texas...........................................             320               3            -0.4             -26
Utah............................................              33               1            -0.3              -2
Vermont.........................................               6               0            -0.2              -1
Virginia........................................              76               1            -0.3              -8
Washington......................................              49               6            -0.1              -1
West Virginia...................................              29               3            -0.2              -1
Wisconsin.......................................              65               6            -0.3              -5
Wyoming.........................................              10               0            -0.1               0
----------------------------------------------------------------------------------------------------------------


    Dated: October 26, 2016.
Madhura Valverde,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2016-26182 Filed 10-28-16; 8:45 am]
BILLING CODE 4120-01-P



                                           75328            Federal Register / Vol. 81, No. 210 / Monday, October 31, 2016 / Rules and Regulations

                                              The bridge owner, New York City                        Dated: October 26, 2016.                            Wounds, Modifications of Limitations
                                           DOT, requested a temporary deviation                    C.J. Bisignano,                                       on Redesignation by the Medicare
                                           from the normal operating schedule to                   Supervisory Bridge Management Specialist,             Geographic Classification Review Board,
                                           perform span locks adjustment at the                    First Coast Guard District.                           and Extensions of Payments to MDHs
                                           bridge.                                                 [FR Doc. 2016–26235 Filed 10–28–16; 8:45 am]          and Low-Volume Hospitals’’.
                                              Under this temporary deviation, the                  BILLING CODE 9110–04–P                                DATES:
                                           Pulaski Bridge shall remain in the                                                                              Effective Date: This correcting
                                           closed position as follows:                                                                                   document is effective on October 28,
                                              November 8, 2016 between 12:01 a.m.                  DEPARTMENT OF HEALTH AND                              2016.
                                           and 5 a.m.                                              HUMAN SERVICES                                          Applicability Date: This correcting
                                                                                                                                                         document is applicable for discharges
                                              November 9, 2016 between 12:01 a.m.
                                                                                                   Centers for Medicare & Medicaid                       beginning October 1, 2016.
                                           and 5 a.m.
                                                                                                   Services                                              FOR FURTHER INFORMATION CONTACT:
                                              November 10, 2016 between 12:01                                                                            Donald Thompson, (410) 786–4487.
                                           a.m. and 5 a.m.
                                                                                                   42 CFR Parts 405, 412, 413, and 489                   SUPPLEMENTARY INFORMATION:
                                              November 11, 2016 between 12:01
                                           a.m. and 5 a.m.                                         [CMS–1655–CN3]                                        I. Background
                                              November 15, 2016 between 12:01                      RINs 0938–AS77; 0938–AS88; 0938–AS41                     In the final rule which appeared in
                                           a.m. and 5 a.m.                                                                                               the August 22, 2016 Federal Register
                                              November 16, 2016 between 12:01                      Medicare Program; Hospital Inpatient                  (81 FR 56761) entitled ‘‘Medicare
                                           a.m. and 5 a.m.                                         Prospective Payment Systems for                       Program; Hospital Inpatient Prospective
                                                                                                   Acute Care Hospitals and the Long-                    Payment Systems for Acute Care
                                              November 17, 2016 between 12:01
                                                                                                   Term Care Hospital Prospective                        Hospitals and the Long Term Care
                                           a.m. and 5 a.m.
                                                                                                   Payment System and Policy Changes                     Hospital Prospective Payment System
                                              November 18, 2016 between 12:01                      and Fiscal Year 2017 Rates; Quality
                                           a.m. and 5 a.m.                                                                                               and Policy Changes and Fiscal Year
                                                                                                   Reporting Requirements for Specific                   2017 Rates; Quality Reporting
                                              November 22, 2016 between 12:01                      Providers; Graduate Medical                           Requirements for Specific Providers;
                                           a.m. and 5 a.m.                                         Education; Hospital Notification                      Graduate Medical Education; Hospital
                                              November 23, 2016 between 12:01                      Procedures Applicable to Beneficiaries                Notification Procedures Applicable to
                                           a.m. and 5 a.m.                                         Receiving Observation Services;                       Beneficiaries Receiving Observation
                                              November 24, 2016 between 12:01                      Technical Changes Relating to Costs                   Services; Technical Changes Relating to
                                           a.m. and 5 a.m.                                         to Organizations and Medicare Cost                    Costs to Organizations and Medicare
                                              November 25, 2016 between 12:01                      Reports; Finalization of Interim Final                Cost Reports; Finalization of Interim
                                           a.m. and 5 a.m.                                         Rules With Comment Period on LTCH                     Final Rules with Comment Period on
                                                                                                   PPS Payments for Severe Wounds,                       LTCH PPS Payments for Severe
                                              November 29, 2016 between 12:01
                                                                                                   Modifications of Limitations on                       Wounds, Modifications of Limitations
                                           a.m. and 5 a.m.
                                                                                                   Redesignation by the Medicare                         on Redesignation by the Medicare
                                              November 30, 2016 between 12:01                      Geographic Classification Review
                                           a.m. and 5 a.m.                                                                                               Geographic Classification Review Board,
                                                                                                   Board, and Extensions of Payments to                  and Extensions of Payments to MDHs
                                              December 1, 2016 between 12:01 a.m.                  MDHs and Low-Volume Hospitals;                        and Low Volume Hospitals’’ (hereinafter
                                           and 5 a.m.                                              Correction                                            referred to as the FY 2017 IPPS/LTCH
                                              December 2, 2016 between 12:01 a.m.                                                                        PPS final rule), there were a number of
                                           and 5 a.m.                                              AGENCY:  Centers for Medicare &
                                                                                                   Medicaid Services (CMS), HHS.                         technical and typographical errors. To
                                              Vessels able to pass under the bridge                                                                      correct the typographical and technical
                                                                                                   ACTION: Final rule; correction.
                                           in the closed position may do so at                                                                           errors in the FY 2017 IPPS/LTCH PPS
                                           anytime. The bridge will not be able to                 SUMMARY:   This document corrects a                   final rule, we published a correcting
                                           open for emergencies and there is no                    typographical error in the final rule that            document that appeared in the October
                                           immediate alternate route for vessels to                appeared in the August 22, 2016                       5, 2016 Federal Register (81 FR 68947)
                                           pass.                                                   Federal Register as well as additional                (hereinafter referred to as the FY 2017
                                              The Coast Guard will inform the users                typographical errors in a related                     IPPS/LTCH PPS correcting document).
                                           of the waterways through our Local                      correction to that rule that appeared in              II. Summary of Errors
                                           Notice and Broadcast to Mariners of the                 the October 5, 2016 Federal Register.
                                           change in operating schedule for the                    The final rule was titled ‘‘Medicare                  A. Summary of Errors in the FY 2017
                                           bridge so that vessel operations can                    Program; Hospital Inpatient Prospective               IPPS/LTCH PPS Final Rule
                                           arrange their transits to minimize any                  Payment Systems for Acute Care                          On page 57105, we inadvertently
                                           impact caused by the temporary                          Hospitals and the Long-Term Care                      made a typographical error in defining
                                           deviation. The Coast Guard notified                     Hospital Prospective Payment System                   an MSA-dominant hospital.
                                           known companies of the commercial oil                   and Policy Changes and Fiscal Year
                                           and barge vessels in the area and they                  2017 Rates; Quality Reporting                         B. Summary of Errors in the FY 2017
                                           have no objections to the temporary                     Requirements for Specific Providers;                  IPPS/LTCH PPS Correcting Document
                                           deviation.                                              Graduate Medical Education; Hospital                     On page 68953 in the table titled
                                              In accordance with 33 CFR 117.35(e),                 Notification Procedures Applicable to                 ‘‘CHANGE OF FY 2016
Lhorne on DSK30JT082PROD with RULES




                                           the drawbridge must return to its regular               Beneficiaries Receiving Observation                   STANDARDIZED AMOUNTS TO THE
                                           operating schedule immediately at the                   Services; Technical Changes Relating to               FY 2017 STANDARDIZED AMOUNTS,’’
                                           end of the effective period of this                     Costs to Organizations and Medicare                   we inadvertently made a typographical
                                           temporary deviation. This deviation                     Cost Reports; Finalization of Interim                 error in the Labor figure for the
                                           from the operating regulations is                       Final Rules With Comment Period on                    ‘‘National Standardized Amount for FY
                                           authorized under 33 CFR 117.35.                         LTCH PPS Payments for Severe                          2017 if Wage Index is Greater than


                                      VerDate Sep<11>2014   14:07 Oct 28, 2016   Jkt 241001   PO 00000   Frm 00014   Fmt 4700   Sfmt 4700   E:\FR\FM\31OCR1.SGM   31OCR1


                                                            Federal Register / Vol. 81, No. 210 / Monday, October 31, 2016 / Rules and Regulations                                                    75329

                                           1.0000; Labor/Non-Labor Share                            good cause, that the notice and                           the public interest because it is in the
                                           Percentage (69.6/30.4)’’ under the                       comment process is impracticable,                         public’s interest for providers to receive
                                           classification of ‘‘Hospital did NOT                     unnecessary, or contrary to the public                    appropriate payments in as timely a
                                           submit quality data and is a meaningful                  interest, and incorporates a statement of                 manner as possible, and to ensure that
                                           EHR user’’.                                              the finding and the reasons therefore in                  the FY 2017 IPPS/LTCH PPS final rule
                                              On page 68955 in the table titled                     the notice.                                               accurately reflects our policies.
                                           ‘‘Table 1A—NATIONAL ADJUSTED                                Section 553(d) of the APA ordinarily                   Furthermore, such procedures would be
                                           OPERATING STANDARDIZED                                   requires a 30-day delay in the effective                  unnecessary, as we are not altering our
                                           AMOUNTS, LABOR/NONLABOR (69.6                            date of final rules after the date of their               payment methodologies or policies, but
                                           PERCENT LABOR SHARE/30.4                                 publication in the Federal Register.                      rather, we are simply implementing
                                           PERCENT NONLABOR SHARE IF                                This 30-day delay in effective date can                   correctly the policies that we previously
                                           WAGE INDEX IS GREATER THAN 1)—                           be waived, however, if an agency finds                    proposed, received comment on, and
                                           FY 2017,’’ we inadvertently made a                       for good cause that the delay is                          subsequently finalized. This correcting
                                           typographical error in the Nonlabor                      impracticable, unnecessary, or contrary                   document is intended solely to ensure
                                           figure under the classification of                       to the public interest, and the agency                    that the FY 2017 IPPS/LTCH PPS final
                                           ‘‘Hospital submitted quality data and is                 incorporates a statement of the findings                  rule accurately reflects these payment
                                           a meaningful EHR user (update = 1.65                     and its reasons in the rule issued.                       methodologies and policies. Therefore,
                                           percent)’’.                                                 We believe that this correcting                        we believe we have good cause to waive
                                              On page 68958 in the table titled ‘‘FY                document does not constitute a rule that                  the notice and comment and effective
                                           2017 IPPS ESTIMATED PAYMENTS                             would be subject to the APA notice and                    date requirements.
                                           DUE TO RURAL AND IMPUTED                                 comment or delayed effective date
                                           FLOOR WITH NATIONAL BUDGET                               requirements. This correcting document                    IV. Correction of Errors
                                           NEUTRALITY,’’ we made errors in the                      corrects typographical errors in the FY                   A. Correction of Errors in the Final Rule
                                           alignment of the data in the fourth                      2017 IPPS/LTCH PPS final rule and the
                                           column titled ‘‘Difference (in $                         FY 2017 IPPS/LTCH PPS correcting                            In FR Doc. 2016–18476 of August 22,
                                           millions)’’. Specifically, when creating                 document but does not make                                2016 (81 FR 56761), we are making the
                                           the table in the correcting document, the                substantive changes to the policies or                    following correction:
                                           data in the fourth column was                            payment methodologies that were                             1. On page 57105, first column, first
                                           inadvertently misaligned starting with                   adopted in the final rule. As a result,                   partial paragraph, lines 6 and 7, the
                                           the entry for Washington, DC and                         this correcting document is intended to                   phrase ‘‘total hospital’s Medicare
                                           continuing to the end, resulting in                      ensure that the information in the FY                     discharges’’ is corrected to read ‘‘total
                                           incorrect values in that column.                         2017 IPPS/LTCH PPS final rule                             hospital Medicare discharges’’.
                                                                                                    accurately reflects the policies adopted                  B. Correction of Errors in the Correcting
                                           III. Waiver of Proposed Rulemaking                       in that final rule.
                                           and Delay in Effective Date                                                                                        Document
                                                                                                       In addition, even if this were a rule to
                                             We ordinarily publish a notice of                      which the notice and comment                                In FR Doc. 2016–24042 of October 5,
                                           proposed rulemaking in the Federal                       procedures and delayed effective date                     2016 (81 FR 68947), we are making the
                                           Register to provide a period for public                  requirements applied, we find that there                  following corrections:
                                           comment before the provisions of a rule                  is good cause to waive such                                 1. On pages 68952 through 68954 in
                                           take effect in accordance with section                   requirements. Undertaking further                         the table titled, ‘‘CHANGE OF FY 2016
                                           553(b) of the Administrative Procedure                   notice and comment procedures to                          STANDARDIZED AMOUNTS TO THE
                                           Act (APA) (5 U.S.C. 553(b)). However,                    incorporate the corrections in this                       FY 2017 STANDARDIZED AMOUNTS’’,
                                           we can waive this notice and comment                     document into the final rule or delaying                  the last entry on page 68953 is corrected
                                           procedure if the Secretary finds, for                    the effective date would be contrary to                   to read as follows:

                                                                                                                                                                                           Hospital did NOT
                                                                                                Hospital submitted               Hospital submitted           Hospital did NOT            submit quality data
                                                                                                quality data and is              quality data and is         submit quality data              and is NOT
                                                                                                  a meaningful                   NOT a meaningful            and is a meaningful             a meaningful
                                                                                                    EHR user                         EHR user                     EHR user                     EHR user

                                           National Standardized Amount for FY                Labor: $3,839.23 .........   Labor: $3,762.75 .........      Labor: $3,813.74 .........   Labor: $3,737.25.
                                             2017 if Wage Index is Greater Than               Nonlabor: $1,676.91 ....     Nonlabor: $1,643.50 ....        Nonlabor: $1,665.77 ....     Nonlabor: $1,632.37.
                                             1.0000; Labor/Non-Labor Share Per-
                                             centage (69.6/30.4).



                                             2. On page 68955, top of the page in                        Hospital submitted quality data and is a               3. On page 68958, top of the page, the
                                           the table titled, ‘‘Table 1A—NATIONAL                                  meaningful EHR User                         table titled, ‘‘FY 2017 IPPS ESTIMATED
                                           ADJUSTED OPERATING                                                    (update = 1.65 percent)                      PAYMENTS DUE TO RURAL AND
                                           STANDARDIZED AMOUNTS, LABOR/                                          Labor                         Nonlabor       IMPUTED FLOOR WITH NATIONAL
                                           NONLABOR (69.6 PERCENT LABOR                                                                                       BUDGET NEUTRALITY’’ is corrected to
                                           SHARE/30.4 PERCENT NONLABOR                                         $3,839.23                       $1,676.91      read as follows:
                                           SHARE IF WAGE INDEX IS GREATER
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                                           THAN 1)—FY 2017’’, the first column of
                                           the table is corrected to read as follows:




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                                           75330                    Federal Register / Vol. 81, No. 210 / Monday, October 31, 2016 / Rules and Regulations

                                                  FY 2017 IPPS ESTIMATED PAYMENTS DUE TO RURAL AND IMPUTED FLOOR WITH NATIONAL BUDGET NEUTRALITY
                                                                                                                                                                                                                Percent
                                                                                                                                                                                                            change in pay-
                                                                                                                                                                                          Number of          ments due to
                                                                                                                                                                                       hospitals that
                                                                                                                                                                      Number of                              application of      Difference
                                                                                                  State                                                                                will receive the
                                                                                                                                                                       hospitals                            rural floor and    (in $ millions)
                                                                                                                                                                                         rural floor or      imputed floor
                                                                                                                                                                                        imputed floor         with budget
                                                                                                                                                                                                               neutrality

                                                                                                                                                                           (1)               (2)                  (3)               (4)

                                           Alabama ...........................................................................................................                    83                 6                  ¥0.3               ¥6
                                           Alaska ..............................................................................................................                   6                 4                   2.1                4
                                           Arizona .............................................................................................................                  57                46                   3.5               63
                                           Arkansas ..........................................................................................................                    44                 0                  ¥0.4               ¥4
                                           California ..........................................................................................................                 301               186                   1.3              131
                                           Colorado ..........................................................................................................                    48                 3                   0.2                3
                                           Connecticut ......................................................................................................                     31                 8                   0.2                4
                                           Delaware ..........................................................................................................                     6                 2                     0                0
                                           Washington, DC ...............................................................................................                          7                 0                  ¥0.4               ¥2
                                           Florida ..............................................................................................................                171                16                  ¥0.3              ¥18
                                           Georgia ............................................................................................................                  105                 0                  ¥0.4              ¥10
                                           Hawaii ..............................................................................................................                  12                 0                  ¥0.3               ¥1
                                           Idaho ................................................................................................................                 14                 0                  ¥0.3               ¥1
                                           Illinois ...............................................................................................................              126                 3                  ¥0.4              ¥19
                                           Indiana .............................................................................................................                  89                 0                  ¥0.4              ¥11
                                           Iowa .................................................................................................................                 35                 0                  ¥0.4               ¥4
                                           Kansas .............................................................................................................                   53                 0                  ¥0.3               ¥3
                                           Kentucky ..........................................................................................................                    65                 0                  ¥0.4               ¥6
                                           Louisiana ..........................................................................................................                   95                 2                  ¥0.4               ¥5
                                           Maine ...............................................................................................................                  18                 0                  ¥0.4               ¥2
                                           Massachusetts .................................................................................................                        58                15                   0.6               22
                                           Michigan ...........................................................................................................                   95                 0                  ¥0.4              ¥18
                                           Minnesota ........................................................................................................                     49                 0                  ¥0.3               ¥6
                                           Mississippi ........................................................................................................                   62                 0                  ¥0.4               ¥4
                                           Missouri ............................................................................................................                  74                 2                  ¥0.3               ¥8
                                           Montana ...........................................................................................................                    12                 4                   0.3                1
                                           Nebraska ..........................................................................................................                    26                 0                  ¥0.3               ¥2
                                           Nevada .............................................................................................................                   24                 3                  ¥0.2               ¥2
                                           New Hampshire ...............................................................................................                          13                 9                   2.2               11
                                           New Jersey ......................................................................................................                      64                18                   0.2                6
                                           New Mexico .....................................................................................................                       25                 0                  ¥0.3               ¥1
                                           New York .........................................................................................................                    154                21                  ¥0.3              ¥20
                                           North Carolina ..................................................................................................                      84                 1                  ¥0.4              ¥12
                                           North Dakota ....................................................................................................                       6                 1                  ¥0.3               ¥1
                                           Ohio .................................................................................................................                130                10                  ¥0.4              ¥13
                                           Oklahoma .........................................................................................................                     86                 2                  ¥0.3               ¥4
                                           Oregon .............................................................................................................                   34                 2                  ¥0.4               ¥4
                                           Pennsylvania ....................................................................................................                     151                 5                  ¥0.4              ¥20
                                           Puerto Rico ......................................................................................................                     51                12                   0.1                0
                                           Rhode Island ....................................................................................................                      11                10                   4.7               18
                                           South Carolina .................................................................................................                       57                 5                  ¥0.1               ¥2
                                           South Dakota ...................................................................................................                       18                 0                  ¥0.2               ¥1
                                           Tennessee .......................................................................................................                      92                20                  ¥0.3               ¥7
                                           Texas ...............................................................................................................                 320                 3                  ¥0.4              ¥26
                                           Utah .................................................................................................................                 33                 1                  ¥0.3               ¥2
                                           Vermont ...........................................................................................................                     6                 0                  ¥0.2               ¥1
                                           Virginia .............................................................................................................                 76                 1                  ¥0.3               ¥8
                                           Washington ......................................................................................................                      49                 6                  ¥0.1               ¥1
                                           West Virginia ....................................................................................................                     29                 3                  ¥0.2               ¥1
                                           Wisconsin .........................................................................................................                    65                 6                  ¥0.3               ¥5
                                           Wyoming ..........................................................................................................                     10                 0                  ¥0.1                0


                                             Dated: October 26, 2016.                                                   LEGAL SERVICES CORPORATION                                             Final rule, request for
                                                                                                                                                                                         ACTION:
                                           Madhura Valverde,                                                                                                                             comments.
                                           Executive Secretary to the Department,                                       45 CFR Part 1602
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                                           Department of Health and Human Services.                                                                                                      SUMMARY:  The Legal Services
                                           [FR Doc. 2016–26182 Filed 10–28–16; 8:45 am]
                                                                                                                        Procedures for Disclosure of                                     Corporation (LSC) is publishing for
                                                                                                                        Information Under the Freedom of                                 public comment a proposed final rule to
                                           BILLING CODE 4120–01–P
                                                                                                                        Information Act                                                  implement the statutorily required
                                                                                                                                                                                         amendments in the FOIA Improvement
                                                                                                                        AGENCY:         Legal Services Corporation.                      Act of 2016. LSC is also making


                                      VerDate Sep<11>2014          14:07 Oct 28, 2016         Jkt 241001       PO 00000        Frm 00016        Fmt 4700       Sfmt 4700   E:\FR\FM\31OCR1.SGM     31OCR1



Document Created: 2018-02-02 12:13:47
Document Modified: 2018-02-02 12:13:47
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.
DatesEffective Date: This correcting document is effective on October 28, 2016.
ContactDonald Thompson, (410) 786-4487.
FR Citation81 FR 75328 
CFR Citation42 CFR 405
42 CFR 412
42 CFR 413
42 CFR 489

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