82_FR_12551 82 FR 12509 - Medicaid and Children's Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability; Corrections

82 FR 12509 - Medicaid and Children's Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability; Corrections

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

Federal Register Volume 82, Issue 42 (March 6, 2017)

Page Range12509-12510
FR Document2017-04307

This document corrects technical errors that appeared in the correcting amendment published in the January 3, 2017 Federal Register (82 FR 37 through 40) 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; Corrections.''

Federal Register, Volume 82 Issue 42 (Monday, March 6, 2017)
[Federal Register Volume 82, Number 42 (Monday, March 6, 2017)]
[Rules and Regulations]
[Pages 12509-12510]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-04307]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Part 438

[CMS-2390-F4]
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; Corrections

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

ACTION: Final rule; correcting amendment.

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

SUMMARY: This document corrects technical errors that appeared in the 
correcting amendment published in the January 3, 2017 Federal Register 
(82 FR 37 through 40) 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; Corrections.''

DATES: Effective Date: This correcting document is effective March 3, 
2017.
    Applicability Date: The corrections indicated in this document are 
applicable beginning immediately.

FOR FURTHER INFORMATION CONTACT: Elmer Barksdale, 410-786-1943, Gaysha 
Brooks, 410-409-3837, or Annette Brewer, 410-786-6580.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 2016-31650 (82 FR 37 through 40), the correcting 
amendment 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; Corrections'' there 
were technical errors that are identified and corrected in this 
correcting document. These corrections are applicable immediately.

II. Summary of Errors in Regulation Text

    On page 39, we made technical errors in the amendatory instructions 
amending the regulation text of Sec.  438.358(c)(3) and (4). Therefore, 
the Office of the Federal Register was not able to properly correct the 
regulations text as intended.

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 
requirement for 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 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; Corrections correcting amendment. 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 could result in a period of confusion about the 
applicability of the rules while those procedures are pending. Further, 
such procedures would be unnecessary, because the corrections in this 
document do not make substantive changes in the underlying policies but 
are limited to technical errors. 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 the final policy determinations that were set forth 
in the overall rulemaking record. For these reasons, we believe there 
is good cause to waive the requirements for notice and comment and 
delay in effective date.

List of Subjects in 42 CFR Part 438

    Grant programs--health, Medicaid, Reporting and recordkeeping 
requirements.

Correction

    In FR Doc. 2016-31650, published on January 3, 2017 (82 FR 37), 
make the following correction:
    On page 39, in the third column, remove amendatory instructions 8 
and 9 and their amendments to Sec.  438.358.
    Accordingly, 42 CFR chapter IV is corrected by making the following 
correcting amendments to part 438:

[[Page 12510]]

PART 438--MANAGED CARE

0
1. The authority citation for part 438 continues to read as follows:

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


Sec.  438.358   [Amended]

0
2. In Sec.  438.358--
0
a. Amend paragraph (c)(3) by removing the reference ``(b)(2) of this 
section.'' and adding in its place the reference ``paragraph (b)(1)(ii) 
of this section.''; and
0
b. Amend paragraph (c)(4) by removing the reference ``(b)(1) of this 
section.'' and adding in its place the reference ``paragraph (b)(1)(i) 
of this section.''.


    Dated: February 28, 2017.
Wilma M. Robinson,
Deputy Executive Secretary to the Department, Department of Health and 
Human Services.
[FR Doc. 2017-04307 Filed 3-3-17; 8:45 am]
BILLING CODE 4120-01-P



                                                                      Federal Register / Vol. 82, No. 42 / Monday, March 6, 2017 / Rules and Regulations                                         12509

                                                  Register on January 24, 2017 (82 FR                     FOR FURTHER INFORMATION CONTACT:                      comment procedures in the Medicaid
                                                  8346) instructed federal agencies to                    Elmer Barksdale, 410–786–1943, Gaysha                 and Children’s Health Insurance
                                                  delay the effective date of rules                       Brooks, 410–409–3837, or Annette                      Program (CHIP) Programs; Medicaid
                                                  published in the Federal Register, but                  Brewer, 410–786–6580.                                 Managed Care, CHIP Delivered in
                                                  which have not yet taken effect, for a                  SUPPLEMENTARY INFORMATION:                            Managed Care, and Revisions Related to
                                                  period of 60 days from the date of the                                                                        Third Party Liability final rule. As a
                                                  memorandum. The final rule sets forth                   I. Background                                         result, the corrections made through this
                                                  the calculation of the 340B ceiling price                  In FR Doc. 2016–31650 (82 FR 37                    correcting document are intended to
                                                  and application of civil monetary                       through 40), the correcting amendment                 ensure that the Medicaid and Children’s
                                                  penalties (CMPs). The effective date of                 entitled, ‘‘Medicaid and Children’s                   Health Insurance Program (CHIP)
                                                  that rule, which would have been March                  Health Insurance Program (CHIP)                       Programs; Medicaid Managed Care,
                                                  6, 2017, is now March 21, 2017. The                     Programs; Medicaid Managed Care,                      CHIP Delivered in Managed Care, and
                                                  temporary delay in the effective date of                CHIP Delivered in Managed Care, and                   Revisions Related to Third Party
                                                  this final rule is necessary to give                    Revisions Related to Third Party                      Liability final rule accurately reflects
                                                  Department officials the opportunity for                Liability; Corrections’’ there were                   the policies adopted in that rule.
                                                  further review and consideration of new                 technical errors that are identified and                 Even if this were a rulemaking to
                                                  regulations, consistent with the                        corrected in this correcting document.                which the notice and comment and
                                                  Assistant to the President and Chief of                 These corrections are applicable                      delayed effective date requirements
                                                  Staff’s memorandum.                                     immediately.                                          applied, we find that there is good cause
                                                                                                                                                                to waive such requirements.
                                                    Dated: February 23, 2017.                             II. Summary of Errors in Regulation
                                                                                                                                                                Undertaking further notice and
                                                  James Macrae,                                           Text
                                                                                                                                                                comment procedures to incorporate the
                                                  Acting Administrator, Health Resources and                 On page 39, we made technical errors               corrections in this document into the
                                                  Services Administration.                                in the amendatory instructions                        Medicaid and Children’s Health
                                                    Approved: March 1, 2017.                              amending the regulation text of                       Insurance Program (CHIP) Programs;
                                                  Thomas E. Price,                                        § 438.358(c)(3) and (4). Therefore, the               Medicaid Managed Care, CHIP
                                                  Secretary, Department of Health and Human               Office of the Federal Register was not                Delivered in Managed Care, and
                                                  Services.                                               able to properly correct the regulations              Revisions Related to Third Party
                                                  [FR Doc. 2017–04337 Filed 3–2–17; 11:15 am]             text as intended.                                     Liability final rule or delaying the
                                                  BILLING CODE 4160–15–P
                                                                                                          III. Waiver of Proposed Rulemaking                    effective date of the corrections would
                                                                                                          and Delay in Effective Date                           be contrary to the public interest
                                                                                                                                                                because it could result in a period of
                                                  DEPARTMENT OF HEALTH AND                                   Under 5 U.S.C. 553(b) of the
                                                                                                                                                                confusion about the applicability of the
                                                  HUMAN SERVICES                                          Administrative Procedure Act (APA),
                                                                                                                                                                rules while those procedures are
                                                                                                          the agency is required to publish a
                                                                                                                                                                pending. Further, such procedures
                                                  Centers for Medicare & Medicaid                         notice of the proposed rule in the
                                                                                                                                                                would be unnecessary, because the
                                                  Services                                                Federal Register before the provisions
                                                                                                                                                                corrections in this document do not
                                                                                                          of a rule take effect. In addition, section
                                                                                                                                                                make substantive changes in the
                                                  42 CFR Part 438                                         553(d) of the APA mandates a 30-day
                                                                                                                                                                underlying policies but are limited to
                                                                                                          delay in effective date after issuance or
                                                  [CMS–2390–F4]                                                                                                 technical errors. This correcting
                                                                                                          publication of a rule. Sections 553(b)(B)
                                                  RIN–0938–AS25                                                                                                 document is intended solely to ensure
                                                                                                          and 553(d)(3) of the APA provide for
                                                                                                                                                                that the Medicaid and Children’s Health
                                                                                                          exceptions from the APA requirement
                                                  Medicaid and Children’s Health                                                                                Insurance Program (CHIP) Programs;
                                                                                                          for notice and comment, and delay in
                                                  Insurance Program (CHIP) Programs;                                                                            Medicaid Managed Care, CHIP
                                                                                                          effective date requirements. Section
                                                  Medicaid Managed Care, CHIP                                                                                   Delivered in Managed Care, and
                                                                                                          553(b)(B) of the APA authorizes an
                                                  Delivered in Managed Care, and                                                                                Revisions Related to Third Party
                                                                                                          agency to dispense with normal notice
                                                  Revisions Related to Third Party                                                                              Liability final rule accurately reflects
                                                                                                          and comment rulemaking procedures
                                                  Liability; Corrections                                                                                        the final policy determinations that
                                                                                                          for good cause if the agency makes a
                                                                                                                                                                were set forth in the overall rulemaking
                                                  AGENCY:  Centers for Medicare &                         finding that the notice and comment
                                                                                                                                                                record. For these reasons, we believe
                                                  Medicaid Services (CMS), HHS.                           process is impracticable, unnecessary,
                                                                                                                                                                there is good cause to waive the
                                                  ACTION: Final rule; correcting                          or contrary to the public interest; and
                                                                                                                                                                requirements for notice and comment
                                                  amendment.                                              includes a statement of the finding and
                                                                                                                                                                and delay in effective date.
                                                                                                          the reasons for it in the notice.
                                                  SUMMARY:   This document corrects                          In our view, this correcting document              List of Subjects in 42 CFR Part 438
                                                  technical errors that appeared in the                   does not constitute a rulemaking that                   Grant programs—health, Medicaid,
                                                  correcting amendment published in the                   would be subject to these requirements.               Reporting and recordkeeping
                                                  January 3, 2017 Federal Register (82 FR                 This document merely corrects                         requirements.
                                                  37 through 40) entitled, ‘‘Medicaid and                 technical errors in the Medicaid and
                                                  Children’s Health Insurance Program                     Children’s Health Insurance Program                   Correction
                                                  (CHIP) Programs; Medicaid Managed                       (CHIP) Programs; Medicaid Managed                       In FR Doc. 2016–31650, published on
asabaliauskas on DSK3SPTVN1PROD with RULES




                                                  Care, CHIP Delivered in Managed Care,                   Care, CHIP Delivered in Managed Care,                 January 3, 2017 (82 FR 37), make the
                                                  and Revisions Related to Third Party                    and Revisions Related to Third Party                  following correction:
                                                  Liability; Corrections.’’                               Liability; Corrections correcting                       On page 39, in the third column,
                                                  DATES: Effective Date: This correcting                  amendment. The corrections contained                  remove amendatory instructions 8 and 9
                                                  document is effective March 3, 2017.                    in this document are consistent with,                 and their amendments to § 438.358.
                                                    Applicability Date: The corrections                   and do not make substantive changes to,                 Accordingly, 42 CFR chapter IV is
                                                  indicated in this document are                          the policies and payment methodologies                corrected by making the following
                                                  applicable beginning immediately.                       that were adopted subject to notice and               correcting amendments to part 438:


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                                                  12510               Federal Register / Vol. 82, No. 42 / Monday, March 6, 2017 / Rules and Regulations

                                                  PART 438—MANAGED CARE                                   DATES:  The date of issuance of the Flood             seq.) and has determined that this action
                                                                                                          Insurance Rate Map (FIRM) showing                     will not have a significant effect on the
                                                  ■ 1. The authority citation for part 438                BFEs and modified BFEs for each                       human environment. This action is
                                                  continues to read as follows:                           community. This date may be obtained                  covered by categorical exclusions A4
                                                   Authority: Sec. 1102 of the Social Security            by contacting the office where the maps               and A7 identified in FEMA Instruction
                                                  Act (42 U.S.C. 1302).                                   are available for inspection as indicated             108–1–1 and Department of Homeland
                                                                                                          in the table below.                                   Security (DHS) Instruction 023–01–001
                                                  § 438.358   [Amended]                                                                                         –01, Appendix A.
                                                                                                          ADDRESSES: The final BFEs for each
                                                  ■ 2. In § 438.358—                                      community are available for inspection                   Regulatory Flexibility Act. As flood
                                                  ■ a. Amend paragraph (c)(3) by                          at the office of the Chief Executive                  elevation determinations are not within
                                                  removing the reference ‘‘(b)(2) of this                 Officer of each community. The                        the scope of the Regulatory Flexibility
                                                  section.’’ and adding in its place the                  respective addresses are listed in the                Act, 5 U.S.C. 601–612, a regulatory
                                                  reference ‘‘paragraph (b)(1)(ii) of this                table below.                                          flexibility analysis is not required.
                                                  section.’’; and                                         FOR FURTHER INFORMATION CONTACT: Rick                    Regulatory Classification. This final
                                                  ■ b. Amend paragraph (c)(4) by                          Sacbibit, Chief, Engineering Services                 rule is not a significant regulatory action
                                                  removing the reference ‘‘(b)(1) of this                 Branch, Federal Insurance and                         under the criteria of section 3(f) of
                                                  section.’’ and adding in its place the                  Mitigation Administration, FEMA, 400                  Executive Order 12866 of September 30,
                                                  reference ‘‘paragraph (b)(1)(i) of this                 C Street SW., Washington, DC 20472,                   1993, Regulatory Planning and Review,
                                                  section.’’.                                             (202) 646–7659, or (email)                            58 FR 51735.
                                                    Dated: February 28, 2017.                             patrick.sacbibit@fema.dhs.gov; or visit                  Executive Order 13132, Federalism.
                                                  Wilma M. Robinson,                                      the FEMA Map Information eXchange                     This final rule involves no policies that
                                                  Deputy Executive Secretary to the
                                                                                                          (FMIX) online at www.floodmaps.                       have federalism implications under
                                                  Department, Department of Health and                    fema.gov/fhm/fmx_main.html.                           Executive Order 13132.
                                                  Human Services.                                         SUPPLEMENTARY INFORMATION: The                           Executive Order 12988, Civil Justice
                                                  [FR Doc. 2017–04307 Filed 3–3–17; 8:45 am]              Federal Emergency Management Agency                   Reform. This final rule meets the
                                                  BILLING CODE 4120–01–P                                  (FEMA) makes the final determinations                 applicable standards of Executive Order
                                                                                                          listed below for the modified BFEs for                12988.
                                                                                                          each community listed. These modified
                                                                                                          elevations have been published in                     List of Subjects in 44 CFR Part 67
                                                  DEPARTMENT OF HOMELAND
                                                  SECURITY                                                newspapers of local circulation and                     Administrative practice and
                                                                                                          ninety (90) days have elapsed since that              procedure, Flood insurance, Reporting
                                                  Federal Emergency Management                            publication. The Deputy Associate                     and recordkeeping requirements.
                                                  Agency                                                  Administrator for Insurance and
                                                                                                                                                                  Dated: February 16, 2017.
                                                                                                          Mitigation has resolved any appeals
                                                                                                          resulting from this notification.                     Roy E. Wright,
                                                  44 CFR Part 67
                                                                                                             This final rule is issued in accordance            Deputy Associate Administrator for Insurance
                                                  [Docket ID FEMA–2017–0002]                              with section 110 of the Flood Disaster                and Mitigation, Federal Emergency
                                                                                                          Protection Act of 1973, 42 U.S.C. 4104,               Management Agency, Department of
                                                  Final Flood Elevation Determinations                                                                          Homeland Security.
                                                                                                          and 44 CFR part 67. FEMA has
                                                  AGENCY:  Federal Emergency                              developed criteria for floodplain                       Accordingly, 44 CFR part 67 is
                                                  Management Agency, DHS.                                 management in floodprone areas in                     amended as follows:
                                                  ACTION: Final rule.                                     accordance with 44 CFR part 60.
                                                                                                             Interested lessees and owners of real              PART 67—[AMENDED]
                                                  SUMMARY:   Base (1% annual-chance)                      property are encouraged to review the
                                                  Flood Elevations (BFEs) and modified                    proof Flood Insurance Study and FIRM                  ■ 1. The authority citation for part 67
                                                  BFEs are made final for the                             available at the address cited below for              continues to read as follows:
                                                  communities listed below. The BFEs                      each community. The BFEs and                            Authority: 42 U.S.C. 4001 et seq.;
                                                  and modified BFEs are the basis for the                 modified BFEs are made final in the                   Reorganization Plan No. 3 of 1978, 3 CFR,
                                                  floodplain management measures that                     communities listed below. Elevations at               1978 Comp., p. 329; E.O. 12127, 44 FR 19367,
                                                  each community is required either to                    selected locations in each community                  3 CFR, 1979 Comp., p. 376.
                                                  adopt or to show evidence of being                      are shown.                                            § 67.11    [Amended]
                                                  already in effect in order to qualify or                   National Environmental Policy Act.
                                                  remain qualified for participation in the               FEMA has reviewed this final rule for                 ■ 2. The tables published under the
                                                  National Flood Insurance Program                        purposes of the National Environmental                authority of § 67.11 are amended as
                                                  (NFIP).                                                 Policy Act of 1969 (42 U.S.C. 4321 et                 follows:
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Document Created: 2017-03-04 00:06:33
Document Modified: 2017-03-04 00:06:33
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 March 3, 2017.
ContactElmer Barksdale, 410-786-1943, Gaysha Brooks, 410-409-3837, or Annette Brewer, 410-786-6580.
FR Citation82 FR 12509 
CFR AssociatedGrant Programs-Health; Medicaid and Reporting and Recordkeeping Requirements

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