82_FR_14693 82 FR 14639 - Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Bid Pricing Data Release; Medicare Advantage and Part D Medical Loss Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Medicare Shared Savings Program Requirements; Corrections

82 FR 14639 - Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Bid Pricing Data Release; Medicare Advantage and Part D Medical Loss Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Medicare Shared Savings Program Requirements; Corrections

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

Federal Register Volume 82, Issue 54 (March 22, 2017)

Page Range14639-14639
FR Document2017-05675

This document corrects technical errors in the addenda to the final rule published in the November 15, 2016, Federal Register entitled, ``Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Bid Pricing Data Release; Medicare Advantage and Part D Medical Loss Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Medicare Shared Savings Program Requirements.''

Federal Register, Volume 82 Issue 54 (Wednesday, March 22, 2017)
[Federal Register Volume 82, Number 54 (Wednesday, March 22, 2017)]
[Rules and Regulations]
[Page 14639]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-05675]



[[Page 14639]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 405, 410, 411, 414, 417, 422, 423, 424, 425, and 460

[CMS-1654-CN4]
RIN 0938-AS81


Medicare Program; Revisions to Payment Policies Under the 
Physician Fee Schedule and Other Revisions to Part B for CY 2017; 
Medicare Advantage Bid Pricing Data Release; Medicare Advantage and 
Part D Medical Loss Ratio Data Release; Medicare Advantage Provider 
Network Requirements; Expansion of Medicare Diabetes Prevention Program 
Model; Medicare Shared Savings Program Requirements; Corrections

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

ACTION: Final rule; correction.

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

SUMMARY: This document corrects technical errors in the addenda to the 
final rule published in the November 15, 2016, Federal Register 
entitled, ``Medicare Program; Revisions to Payment Policies under the 
Physician Fee Schedule and Other Revisions to Part B for CY 2017; 
Medicare Advantage Bid Pricing Data Release; Medicare Advantage and 
Part D Medical Loss Ratio Data Release; Medicare Advantage Provider 
Network Requirements; Expansion of Medicare Diabetes Prevention Program 
Model; Medicare Shared Savings Program Requirements.''

DATES: This correcting document is effective March 21, 2017 and is 
applicable beginning January 1, 2017.

FOR FURTHER INFORMATION CONTACT: Jessica Bruton (410) 786-5991.

SUPPLEMENTARY INFORMATION:

I. Background

    In the addenda to FR Doc 2016-26668 (81 FR 80170 through 80562), 
the final rule entitled, ``Medicare Program; Revisions to Payment 
Policies under the Physician Fee Schedule and Other Revisions to Part B 
for CY 2017; Medicare Advantage Bid Pricing Data Release; Medicare 
Advantage and Part D Medical Loss Ratio Data Release; Medicare 
Advantage Provider Network Requirements; Expansion of Medicare Diabetes 
Prevention Program Model; Medicare Shared Savings Program 
Requirements'' there was a technical error in an element of the payment 
calculation for several services that is identified and corrected in 
this correcting document. These corrections are effective as if they 
had been included with the document published November 15, 2016. 
Accordingly, the corrections are applicable beginning January 1, 2017.

II. Summary and Correction of Errors in the Addenda on the CMS Web Site

    Due to a technical error in the allocation of indirect practice 
expense (PE) for CPT codes 97161 through 97168, the incorrect CY 2017 
PE relative value units (RVUs) were included in Addendum B. The 
corrected CY 2017 PE RVUs for these codes are reflected in the 
corrected Addendum B available on the CMS Web site at www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/index.html.

III. Waiver of Proposed Rulemaking

    Under 5 U.S.C. 553(b) of the Administrative Procedure Act (the 
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. 
Similarly, section 1871(b)(1) of the Social Security Act (the Act) 
requires the Secretary to provide for notice of the proposed rule in 
the Federal Register and provide a period of not less than 60 days for 
public comment. In addition, section 553(d) of the APA and section 
1871(e)(1)(B)(i) of the Act mandate a 30-day delay in effective date 
after issuance or publication of a rule. Sections 553(b)(B) and 
553(d)(3) of the APA provide for exceptions from the APA notice and 
comment, and delay in effective date requirements; in cases in which 
these exceptions apply, sections 1871(b)(2)(C) and 1871(e)(1)(B)(ii) of 
the Act provide exceptions from the notice and 60-day comment period 
and delay in effective date requirements of the Act as well. Section 
553(b)(B) of the APA and section 1871(b)(2)(C) of the Act authorize 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 rule. In addition, section 553(d)(3) of the APA 
and section 1871(e)(1)(B)(ii) allow the agency to avoid the 30-day 
delay in effective date where such delay is contrary to the public 
interest and the agency includes in the rule a statement of the finding 
and the reasons for it.
    In our view, this correcting document does not constitute a 
rulemaking that would be subject to these requirements. This document 
merely corrects technical errors in the CY 2017 PFS final rule. The 
corrections contained in this document are consistent with, and do not 
make substantive changes to, the policies and payment methodologies 
that were proposed subject to notice and comment procedures and adopted 
in the CY 2017 PFS final rule. As a result, the corrections made 
through this correcting document are intended to resolve inadvertent 
errors so that the rule accurately reflects the policies adopted in the 
final 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 CY 2017 PFS final rule or delaying the effective date of the 
corrections would be contrary to the public interest because it is in 
the public interest to ensure that the rule accurately reflects our 
policies as of the date they take effect. Further, such procedures 
would be unnecessary because we are not making any substantive 
revisions to the final rule, but rather, we are simply correcting the 
Federal Register document to reflect the policies that we previously 
proposed, received public comment on, and subsequently finalized in the 
final rule. For these reasons, we believe there is good cause to waive 
the requirements for notice and comment and delay in effective date.

    Dated: March 16, 2017.
Ann C. Agnew,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2017-05675 Filed 3-21-17; 8:45 am]
 BILLING CODE 4120-01-P



                                                                 Federal Register / Vol. 82, No. 54 / Wednesday, March 22, 2017 / Rules and Regulations                                               14639

                                                DEPARTMENT OF HEALTH AND                                correcting document. These corrections                technical errors in the CY 2017 PFS
                                                HUMAN SERVICES                                          are effective as if they had been                     final rule. The corrections contained in
                                                                                                        included with the document published                  this document are consistent with, and
                                                Centers for Medicare & Medicaid                         November 15, 2016. Accordingly, the                   do not make substantive changes to, the
                                                Services                                                corrections are applicable beginning                  policies and payment methodologies
                                                                                                        January 1, 2017.                                      that were proposed subject to notice and
                                                42 CFR Parts 405, 410, 411, 414, 417,                                                                         comment procedures and adopted in the
                                                                                                        II. Summary and Correction of Errors
                                                422, 423, 424, 425, and 460                                                                                   CY 2017 PFS final rule. As a result, the
                                                                                                        in the Addenda on the CMS Web Site
                                                [CMS–1654–CN4]                                                                                                corrections made through this correcting
                                                                                                           Due to a technical error in the                    document are intended to resolve
                                                RIN 0938–AS81                                           allocation of indirect practice expense               inadvertent errors so that the rule
                                                                                                        (PE) for CPT codes 97161 through                      accurately reflects the policies adopted
                                                Medicare Program; Revisions to                          97168, the incorrect CY 2017 PE relative              in the final rule.
                                                Payment Policies Under the Physician                    value units (RVUs) were included in
                                                Fee Schedule and Other Revisions to                     Addendum B. The corrected CY 2017                        Even if this were a rulemaking to
                                                Part B for CY 2017; Medicare                            PE RVUs for these codes are reflected in              which the notice and comment and
                                                Advantage Bid Pricing Data Release;                     the corrected Addendum B available on                 delayed effective date requirements
                                                Medicare Advantage and Part D                           the CMS Web site at www.cms.gov/                      applied, we find that there is good cause
                                                Medical Loss Ratio Data Release;                        Medicare/Medicare-Fee-for-Service-                    to waive such requirements.
                                                Medicare Advantage Provider Network                     Payment/PhysicianFeeSched/                            Undertaking further notice and
                                                Requirements; Expansion of Medicare                     index.html.                                           comment procedures to incorporate the
                                                Diabetes Prevention Program Model;                                                                            corrections in this document into the
                                                                                                        III. Waiver of Proposed Rulemaking                    CY 2017 PFS final rule or delaying the
                                                Medicare Shared Savings Program
                                                Requirements; Corrections                                  Under 5 U.S.C. 553(b) of the                       effective date of the corrections would
                                                                                                        Administrative Procedure Act (the                     be contrary to the public interest
                                                AGENCY:  Centers for Medicare &                         APA), the agency is required to publish               because it is in the public interest to
                                                Medicaid Services (CMS), HHS.                           a notice of the proposed rule in the                  ensure that the rule accurately reflects
                                                ACTION: Final rule; correction.                         Federal Register before the provisions                our policies as of the date they take
                                                                                                        of a rule take effect. Similarly, section             effect. Further, such procedures would
                                                SUMMARY:   This document corrects                       1871(b)(1) of the Social Security Act
                                                technical errors in the addenda to the                                                                        be unnecessary because we are not
                                                                                                        (the Act) requires the Secretary to                   making any substantive revisions to the
                                                final rule published in the November                    provide for notice of the proposed rule
                                                15, 2016, Federal Register entitled,                                                                          final rule, but rather, we are simply
                                                                                                        in the Federal Register and provide a                 correcting the Federal Register
                                                ‘‘Medicare Program; Revisions to                        period of not less than 60 days for
                                                Payment Policies under the Physician                                                                          document to reflect the policies that we
                                                                                                        public comment. In addition, section                  previously proposed, received public
                                                Fee Schedule and Other Revisions to                     553(d) of the APA and section
                                                Part B for CY 2017; Medicare Advantage                                                                        comment on, and subsequently finalized
                                                                                                        1871(e)(1)(B)(i) of the Act mandate a 30-             in the final rule. For these reasons, we
                                                Bid Pricing Data Release; Medicare                      day delay in effective date after issuance
                                                Advantage and Part D Medical Loss                                                                             believe there is good cause to waive the
                                                                                                        or publication of a rule. Sections                    requirements for notice and comment
                                                Ratio Data Release; Medicare Advantage                  553(b)(B) and 553(d)(3) of the APA
                                                Provider Network Requirements;                                                                                and delay in effective date.
                                                                                                        provide for exceptions from the APA
                                                Expansion of Medicare Diabetes                          notice and comment, and delay in                        Dated: March 16, 2017.
                                                Prevention Program Model; Medicare                      effective date requirements; in cases in              Ann C. Agnew,
                                                Shared Savings Program Requirements.’’                  which these exceptions apply, sections                Executive Secretary to the Department,
                                                DATES: This correcting document is                      1871(b)(2)(C) and 1871(e)(1)(B)(ii) of the            Department of Health and Human Services.
                                                effective March 21, 2017 and is                         Act provide exceptions from the notice                [FR Doc. 2017–05675 Filed 3–21–17; 8:45 am]
                                                applicable beginning January 1, 2017.                   and 60-day comment period and delay                   BILLING CODE 4120–01–P
                                                FOR FURTHER INFORMATION CONTACT:                        in effective date requirements of the Act
                                                Jessica Bruton (410) 786–5991.                          as well. Section 553(b)(B) of the APA
                                                SUPPLEMENTARY INFORMATION:                              and section 1871(b)(2)(C) of the Act
                                                                                                        authorize an agency to dispense with                  FEDERAL COMMUNICATIONS
                                                I. Background                                           normal notice and comment rulemaking                  COMMISSION
                                                   In the addenda to FR Doc 2016–26668                  procedures for good cause if the agency
                                                (81 FR 80170 through 80562), the final                  makes a finding that the notice and                   47 CFR Part 54
                                                rule entitled, ‘‘Medicare Program;                      comment process is impracticable,
                                                Revisions to Payment Policies under the                 unnecessary, or contrary to the public
                                                                                                                                                              [WC Docket No. 10–90; FCC 16–33, 16–64,
                                                Physician Fee Schedule and Other                        interest, and includes a statement of the             and 16–143]
                                                Revisions to Part B for CY 2017;                        finding and the reasons for it in the rule.
                                                Medicare Advantage Bid Pricing Data                     In addition, section 553(d)(3) of the                 Connect America Fund
                                                Release; Medicare Advantage and Part D                  APA and section 1871(e)(1)(B)(ii) allow
                                                Medical Loss Ratio Data Release;                        the agency to avoid the 30-day delay in               AGENCY:Federal Communications
                                                Medicare Advantage Provider Network                     effective date where such delay is                    Commission.
jstallworth on DSK7TPTVN1PROD with RULES




                                                Requirements; Expansion of Medicare                     contrary to the public interest and the
                                                Diabetes Prevention Program Model;                      agency includes in the rule a statement               ACTION:  Final rule; announcement of
                                                Medicare Shared Savings Program                         of the finding and the reasons for it.                effective date.
                                                Requirements’’ there was a technical                       In our view, this correcting document
                                                error in an element of the payment                      does not constitute a rulemaking that                 SUMMARY: In this document, the Federal
                                                calculation for several services that is                would be subject to these requirements.               Communications Commission
                                                identified and corrected in this                        This document merely corrects                         (Commission) announces that the Office


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Document Created: 2017-03-22 03:58:58
Document Modified: 2017-03-22 03:58:58
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionFinal rule; correction.
DatesThis correcting document is effective March 21, 2017 and is applicable beginning January 1, 2017.
ContactJessica Bruton (410) 786-5991.
FR Citation82 FR 14639 
RIN Number0938-AS81
CFR Citation42 CFR 405
42 CFR 410
42 CFR 411
42 CFR 414
42 CFR 417
42 CFR 422
42 CFR 423
42 CFR 424
42 CFR 425
42 CFR 460

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