82 FR 46163 - Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, and Correction of the Performance Period for the NHSN HCP Influenza Vaccination Immunization Reporting Measure in the ESRD QIP for PY 2020; Correction
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 82, Issue 191 (October 4, 2017)
Centers for Medicare & Medicaid Services
Federal Register Volume 82, Issue 191 (October 4, 2017)
| Page Range | 46163-46170 | |
| FR Document | 2017-21327 |
[Federal Register Volume 82, Number 191 (Wednesday, October 4, 2017)] [Rules and Regulations] [Pages 46163-46170] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-21327] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 409, 411, 413, 424, and 488 [CMS-1679-CN] RIN 0938-AS96 Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, and Correction of the Performance Period for the NHSN HCP Influenza Vaccination Immunization Reporting Measure in the ESRD QIP for PY 2020; Correction AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule; correction. ----------------------------------------------------------------------- SUMMARY: This document corrects technical errors in the final rule that appeared in the August 4, 2017 Federal Register, which will update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2018. DATES: This correction is effective October 1, 2017. FOR FURTHER INFORMATION CONTACT: John Kane, (410) 786-0557. SUPPLEMENTARY INFORMATION: I. Background In FR Doc. 2017-16256 (82 FR 36530), the final rule entitled ``Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, and Correction of the Performance Period for the NHSN HCP Influenza Vaccination Immunization Reporting Measure in the ESRD QIP for PY 2020'', there were a number of technical errors that are identified and corrected in section IV., Correction of Errors. The provisions in this correcting document are effective as if they had been included in the document that appeared in the August 4, 2017, Federal Register (hereinafter referred to as the FY 2018 SNF PPS final rule). Accordingly, the corrections are effective October 1, 2017. II. Summary of Errors A. Summary of Errors in the Preamble As discussed in the FY 2018 SNF PPS final rule (82 FR 36539), in developing the wage index to be applied to skilled nursing facilities (SNFs) under the SNF prospective payment system (PPS), we use the updated, pre-reclassified hospital inpatient prospective payment system (IPPS) wage data, exclusive of the occupational mix adjustment. For FY 2018, the updated, unadjusted, pre-reclassified IPPS wage data used under the SNF PPS are for hospital cost reporting periods beginning on or after October 1, 2013, and before October 1, 2014 (FY 2014 cost report data), as discussed in the FY 2018 IPPS final rule (82 FR 38130). In calculating the wage index under the FY 2018 IPPS final rule, we made inadvertent errors related to the wage data collected from the Medicare cost reports of six hospitals which are located in CBSAs 24860 and 40340. Specifically, we used incorrect wage data for these six hospitals to calculate the final FY 2018 IPPS wage indexes, the geographic adjustment factor (GAF) (which is computed from the wage index), as well as certain other IPPS factors and adjustments. These errors are identified, discussed and corrected in the 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 2018 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Electronic Health Record (EHR) Incentive Program Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Provider-Based Status of Indian Health Services and Tribal Facilities and Organizations; Cost Reporting and Provider Requirements; Agreement Termination Notices; Correction (CMS-1677-CN) that appears elsewhere in this issue of the Federal Register. As discussed above, we use the updated, pre-reclassified, unadjusted IPPS wage data in developing the wage index used under the SNF PPS. Due to the technical errors described above, the published FY 2018 SNF PPS wage indexes were incorrect. Thus, the use of the corrected wage data for the six hospitals required the recalculation of the final FY 2018 SNF PPS wage indexes. Additionally, as discussed on page 36543 of the FY 2018 SNF PPS final rule, section 1888(e)(4)(G)(ii) of the Act requires that we apply the wage index in a manner that does not result in aggregate payments under the SNF PPS that are greater or less than would otherwise be made if the wage index adjustment had not been made. To achieve this, we apply a budget neutrality factor to the unadjusted SNF PPS federal per diem base rates. Due to the recalculation and subsequent revision of the final FY 2018 SNF PPS wage indexes, it was necessary to recalculate the FY 2018 SNF PPS wage index budget neutrality factor as well. Revising the wage index budget neutrality factor causes a change in the unadjusted SNF PPS federal per diem rates (provided in Tables 2 and 3 of the FY 2018 SNF PPS final rule (82 FR 36535)), which then causes changes in the case-mix adjusted SNF PPS rates (provided in Tables 4 and 5 in the FY 2018 SNF PPS final rule (82 FR 36537 through 36538), as well as the labor adjusted SNF PPS rates (provided in Tables 6 and 7 of the FY 2018 SNF PPS final rule (82 FR 36541 through 36543). Finally, due to the recalculated wage indexes, we recalculated the impact analysis provided in Table 26 of the FY 2018 SNF PPS final rule (82 FR 36629). The corrections to these errors are found in section IV. of this document. B. Summary of Errors in and Corrections to Tables Posted on the CMS Web Site We are correcting the wage indexes in Tables A and B setting forth the wage indexes for urban (Table A) and non-urban (Table B) areas based on CBSA labor market areas, which are available exclusively on the CMS Web site at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/WageIndex.html. These tables have been updated to reflect the revisions discussed in this correcting document. We are republishing the wage indexes in Tables A and B accordingly on the CMS Web site at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/WageIndex.html. III. Waiver of Proposed Rulemaking and Delayed 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, [[Page 46164]] 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 therefor in the notice. Section 553(d) of the APA ordinarily requires a 30-day delay in effective date of final rules after the date of their publication in the Federal Register. This 30-day delay in effective date can be waived, however, if an agency finds for good cause that the delay is impracticable, unnecessary, or contrary to the public interest, and the agency incorporates a statement of the findings and its reasons in the rule issued. We believe that this correcting document does not constitute a rule that would be subject to the APA notice and comment or delayed effective date requirements. The document corrects technical errors in the FY 2018 SNF PPS final rule and in the tables referenced in the final rule, 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 2018 SNF 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 2018 SNF PPS final rule and the tables referenced in the final rule accurately reflect our methodologies, payment rates, and policies. Furthermore, such procedures would be unnecessary, as we are not making substantive changes to our payment methodologies or policies, but rather, we are simply implementing correctly the methodologies and policies that we previously proposed, requested comment on, and subsequently finalized. This correcting document is intended solely to ensure that the FY 2018 SNF PPS final rule and the tables referenced in the final rule accurately reflect these methodologies and policies. Therefore, we believe we have good cause to waive the notice and comment and effective date requirements. Correction of Errors In FR Doc. 2017-16256 of August 4, 2017 (82 FR 36530), make the following corrections: 1. On page 36535, TABLE 2--FY 2018 UNADJUSTED FEDERAL RATE PER DIEM URBAN is corrected to read as follows: Table 2--FY 2018 Unadjusted Federal Rate Per Diem Urban ---------------------------------------------------------------------------------------------------------------- Nursing--case- Therapy--case- Therapy--non- Rate component mix mix case-mix Non-case-mix ---------------------------------------------------------------------------------------------------------------- Per Diem Amount............................. $177.21 $133.48 $17.58 $90.44 ---------------------------------------------------------------------------------------------------------------- 2. On page 36535, TABLE 3--FY 2018 UNADJUSTED FEDERAL RATE PER DIEM RURAL is corrected to read as follows: Table 3--FY 2018 Unadjusted Federal Rate Per Diem Rural ---------------------------------------------------------------------------------------------------------------- Nursing--case- Therapy--case- Therapy--non- Rate component mix mix case-mix Non-case-mix ---------------------------------------------------------------------------------------------------------------- Per Diem Amount............................. $169.29 $153.92 $18.78 $92.11 ---------------------------------------------------------------------------------------------------------------- 3. On page 36536, third column, first full paragraph, a. Line 21, the figure ``$443.08'' is corrected to read ``$442.95''. b. Line 26, the figure ``$1,010.22.'' is corrected to read ``$1,009.93.''. 4. On page 36537, TABLE 4--RUG-IV CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES--URBAN is corrected to read as follows: Table 4--RUG-IV Case-Mix Adjusted Federal Rates and Associated Indexes--Urban -------------------------------------------------------------------------------------------------------------------------------------------------------- Nursing Therapy Non-case mix Non-case mix RUG-IV category Nursing index Therapy index component component therapy comp component Total rate -------------------------------------------------------------------------------------------------------------------------------------------------------- RUX..................................... 2.67 1.87 $473.15 $249.61 .............. $90.44 $813.20 RUL..................................... 2.57 1.87 455.43 249.61 .............. 90.44 795.48 RVX..................................... 2.61 1.28 462.52 170.85 .............. 90.44 723.81 RVL..................................... 2.19 1.28 388.09 170.85 .............. 90.44 649.38 RHX..................................... 2.55 0.85 451.89 113.46 .............. 90.44 655.79 RHL..................................... 2.15 0.85 381.00 113.46 .............. 90.44 584.90 RMX..................................... 2.47 0.55 437.71 73.41 .............. 90.44 601.56 RML..................................... 2.19 0.55 388.09 73.41 .............. 90.44 551.94 RLX..................................... 2.26 0.28 400.49 37.37 .............. 90.44 528.30 RUC..................................... 1.56 1.87 276.45 249.61 .............. 90.44 616.50 RUB..................................... 1.56 1.87 276.45 249.61 .............. 90.44 616.50 RUA..................................... 0.99 1.87 175.44 249.61 .............. 90.44 515.49 RVC..................................... 1.51 1.28 267.59 170.85 .............. 90.44 528.88 RVB..................................... 1.11 1.28 196.70 170.85 .............. 90.44 457.99 RVA..................................... 1.10 1.28 194.93 170.85 .............. 90.44 456.22 [[Page 46165]] RHC..................................... 1.45 0.85 256.95 113.46 .............. 90.44 460.85 RHB..................................... 1.19 0.85 210.88 113.46 .............. 90.44 414.78 RHA..................................... 0.91 0.85 161.26 113.46 .............. 90.44 365.16 RMC..................................... 1.36 0.55 241.01 73.41 .............. 90.44 404.86 RMB..................................... 1.22 0.55 216.20 73.41 .............. 90.44 380.05 RMA..................................... 0.84 0.55 148.86 73.41 .............. 90.44 312.71 RLB..................................... 1.50 0.28 265.82 37.37 .............. 90.44 393.63 RLA..................................... 0.71 0.28 125.82 37.37 .............. 90.44 253.63 ES3..................................... 3.58 .............. 634.41 .............. 17.58 90.44 742.43 ES2..................................... 2.67 .............. 473.15 .............. 17.58 90.44 581.17 ES1..................................... 2.32 .............. 411.13 .............. 17.58 90.44 519.15 HE2..................................... 2.22 .............. 393.41 .............. 17.58 90.44 501.43 HE1..................................... 1.74 .............. 308.35 .............. 17.58 90.44 416.37 HD2..................................... 2.04 .............. 361.51 .............. 17.58 90.44 469.53 HD1..................................... 1.60 .............. 283.54 .............. 17.58 90.44 391.56 HC2..................................... 1.89 .............. 334.93 .............. 17.58 90.44 442.95 HC1..................................... 1.48 .............. 262.27 .............. 17.58 90.44 370.29 HB2..................................... 1.86 .............. 329.61 .............. 17.58 90.44 437.63 HB1..................................... 1.46 .............. 258.73 .............. 17.58 90.44 366.75 LE2..................................... 1.96 .............. 347.33 .............. 17.58 90.44 455.35 LE1..................................... 1.54 .............. 272.90 .............. 17.58 90.44 380.92 LD2..................................... 1.86 .............. 329.61 .............. 17.58 90.44 437.63 LD1..................................... 1.46 .............. 258.73 .............. 17.58 90.44 366.75 LC2..................................... 1.56 .............. 276.45 .............. 17.58 90.44 384.47 LC1..................................... 1.22 .............. 216.20 .............. 17.58 90.44 324.22 LB2..................................... 1.45 .............. 256.95 .............. 17.58 90.44 364.97 LB1..................................... 1.14 .............. 202.02 .............. 17.58 90.44 310.04 CE2..................................... 1.68 .............. 297.71 .............. 17.58 90.44 405.73 CE1..................................... 1.50 .............. 265.82 .............. 17.58 90.44 373.84 CD2..................................... 1.56 .............. 276.45 .............. 17.58 90.44 384.47 CD1..................................... 1.38 .............. 244.55 .............. 17.58 90.44 352.57 CC2..................................... 1.29 .............. 228.60 .............. 17.58 90.44 336.62 CC1..................................... 1.15 .............. 203.79 .............. 17.58 90.44 311.81 CB2..................................... 1.15 .............. 203.79 .............. 17.58 90.44 311.81 CB1..................................... 1.02 .............. 180.75 .............. 17.58 90.44 288.77 CA2..................................... 0.88 .............. 155.94 .............. 17.58 90.44 263.96 CA1..................................... 0.78 .............. 138.22 .............. 17.58 90.44 246.24 BB2..................................... 0.97 .............. 171.89 .............. 17.58 90.44 279.91 BB1..................................... 0.90 .............. 159.49 .............. 17.58 90.44 267.51 BA2..................................... 0.70 .............. 124.05 .............. 17.58 90.44 232.07 BA1..................................... 0.64 .............. 113.41 .............. 17.58 90.44 221.43 PE2..................................... 1.50 .............. 265.82 .............. 17.58 90.44 373.84 PE1..................................... 1.40 .............. 248.09 .............. 17.58 90.44 356.11 PD2..................................... 1.38 .............. 244.55 .............. 17.58 90.44 352.57 PD1..................................... 1.28 .............. 226.83 .............. 17.58 90.44 334.85 PC2..................................... 1.10 .............. 194.93 .............. 17.58 90.44 302.95 PC1..................................... 1.02 .............. 180.75 .............. 17.58 90.44 288.77 PB2..................................... 0.84 .............. 148.86 .............. 17.58 90.44 256.88 PB1..................................... 0.78 .............. 138.22 .............. 17.58 90.44 246.24 PA2..................................... 0.59 .............. 104.55 .............. 17.58 90.44 212.57 PA1..................................... 0.54 .............. 95.69 .............. 17.58 90.44 203.71 -------------------------------------------------------------------------------------------------------------------------------------------------------- 5. On page 36538, TABLE 5--RUG-IV CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES--RURAL is corrected to read as follows: Table 5--RUG-IV Case-Mix Adjusted Federal Rates and Associated Indexes--Rural -------------------------------------------------------------------------------------------------------------------------------------------------------- Nursing Therapy Non-case mix Non-case mix RUG-IV Category Nursing index Therapy index component component therapy comp component Total rate -------------------------------------------------------------------------------------------------------------------------------------------------------- RUX..................................... 2.67 1.87 $452.00 $287.83 .............. $92.11 $831.94 RUL..................................... 2.57 1.87 435.08 287.83 .............. 92.11 815.02 RVX..................................... 2.61 1.28 441.85 197.02 .............. 92.11 730.98 RVL..................................... 2.19 1.28 370.75 197.02 .............. 92.11 659.88 RHX..................................... 2.55 0.85 431.69 130.83 .............. 92.11 654.63 RHL..................................... 2.15 0.85 363.97 130.83 .............. 92.11 586.91 RMX..................................... 2.47 0.55 418.15 84.66 .............. 92.11 594.92 RML..................................... 2.19 0.55 370.75 84.66 .............. 92.11 547.52 RLX..................................... 2.26 0.28 382.60 43.10 .............. 92.11 517.81 [[Page 46166]] RUC..................................... 1.56 1.87 264.09 287.83 .............. 92.11 644.03 RUB..................................... 1.56 1.87 264.09 287.83 .............. 92.11 644.03 RUA..................................... 0.99 1.87 167.60 287.83 .............. 92.11 547.54 RVC..................................... 1.51 1.28 255.63 197.02 .............. 92.11 544.76 RVB..................................... 1.11 1.28 187.91 197.02 .............. 92.11 477.04 RVA..................................... 1.10 1.28 186.22 197.02 .............. 92.11 475.35 RHC..................................... 1.45 0.85 245.47 130.83 .............. 92.11 468.41 RHB..................................... 1.19 0.85 201.46 130.83 .............. 92.11 424.40 RHA..................................... 0.91 0.85 154.05 130.83 .............. 92.11 376.99 RMC..................................... 1.36 0.55 230.23 84.66 .............. 92.11 407.00 RMB..................................... 1.22 0.55 206.53 84.66 .............. 92.11 383.30 RMA..................................... 0.84 0.55 142.20 84.66 .............. 92.11 318.97 RLB..................................... 1.50 0.28 253.94 43.10 .............. 92.11 389.15 RLA..................................... 0.71 0.28 120.20 43.10 .............. 92.11 255.41 ES3..................................... 3.58 .............. 606.06 .............. 18.78 92.11 716.95 ES2..................................... 2.67 .............. 452.00 .............. 18.78 92.11 562.89 ES1..................................... 2.32 .............. 392.75 .............. 18.78 92.11 503.64 HE2..................................... 2.22 .............. 375.82 .............. 18.78 92.11 486.71 HE1..................................... 1.74 .............. 294.56 .............. 18.78 92.11 405.45 HD2..................................... 2.04 .............. 345.35 .............. 18.78 92.11 456.24 HD1..................................... 1.60 .............. 270.86 .............. 18.78 92.11 381.75 HC2..................................... 1.89 .............. 319.96 .............. 18.78 92.11 430.85 HC1..................................... 1.48 .............. 250.55 .............. 18.78 92.11 361.44 HB2..................................... 1.86 .............. 314.88 .............. 18.78 92.11 425.77 HB1..................................... 1.46 .............. 247.16 .............. 18.78 92.11 358.05 LE2..................................... 1.96 .............. 331.81 .............. 18.78 92.11 442.70 LE1..................................... 1.54 .............. 260.71 .............. 18.78 92.11 371.60 LD2..................................... 1.86 .............. 314.88 .............. 18.78 92.11 425.77 LD1..................................... 1.46 .............. 247.16 .............. 18.78 92.11 358.05 LC2..................................... 1.56 .............. 264.09 .............. 18.78 92.11 374.98 LC1..................................... 1.22 .............. 206.53 .............. 18.78 92.11 317.42 LB2..................................... 1.45 .............. 245.47 .............. 18.78 92.11 356.36 LB1..................................... 1.14 .............. 192.99 .............. 18.78 92.11 303.88 CE2..................................... 1.68 .............. 284.41 .............. 18.78 92.11 395.30 CE1..................................... 1.50 .............. 253.94 .............. 18.78 92.11 364.83 CD2..................................... 1.56 .............. 264.09 .............. 18.78 92.11 374.98 CD1..................................... 1.38 .............. 233.62 .............. 18.78 92.11 344.51 CC2..................................... 1.29 .............. 218.38 .............. 18.78 92.11 329.27 CC1..................................... 1.15 .............. 194.68 .............. 18.78 92.11 305.57 CB2..................................... 1.15 .............. 194.68 .............. 18.78 92.11 305.57 CB1..................................... 1.02 .............. 172.68 .............. 18.78 92.11 283.57 CA2..................................... 0.88 .............. 148.98 .............. 18.78 92.11 259.87 CA1..................................... 0.78 .............. 132.05 .............. 18.78 92.11 242.94 BB2..................................... 0.97 .............. 164.21 .............. 18.78 92.11 275.10 BB1..................................... 0.90 .............. 152.36 .............. 18.78 92.11 263.25 BA2..................................... 0.70 .............. 118.50 .............. 18.78 92.11 229.39 BA1..................................... 0.64 .............. 108.35 .............. 18.78 92.11 219.24 PE2..................................... 1.50 .............. 253.94 .............. 18.78 92.11 364.83 PE1..................................... 1.40 .............. 237.01 .............. 18.78 92.11 347.90 PD2..................................... 1.38 .............. 233.62 .............. 18.78 92.11 344.51 PD1..................................... 1.28 .............. 216.69 .............. 18.78 92.11 327.58 PC2..................................... 1.10 .............. 186.22 .............. 18.78 92.11 297.11 PC1..................................... 1.02 .............. 172.68 .............. 18.78 92.11 283.57 PB2..................................... 0.84 .............. 142.20 .............. 18.78 92.11 253.09 PB1..................................... 0.78 .............. 132.05 .............. 18.78 92.11 242.94 PA2..................................... 0.59 .............. 99.88 .............. 18.78 92.11 210.77 PA1..................................... 0.54 .............. 91.42 .............. 18.78 92.11 202.31 -------------------------------------------------------------------------------------------------------------------------------------------------------- 6. On pages 36541 through 36542, TABLE 6--RUG-IV CASE-MIX ADJUSTED FEDERAL RATES FOR URBAN SNFS BY LABOR AND NON-LABOR COMPONENT is corrected to read as follows: Table 6--RUG-IV Case-Mix Adjusted Federal Rates for Urban SNFS by Labor and Non-Labor Component ---------------------------------------------------------------------------------------------------------------- Non-labor RUG-IV category Total rate Labor portion portion ---------------------------------------------------------------------------------------------------------------- RUX............................................................. $813.20 $575.75 $237.45 RUL............................................................. 795.48 563.20 232.28 RVX............................................................. 723.81 512.46 211.35 [[Page 46167]] RVL............................................................. 649.38 459.76 189.62 RHX............................................................. 655.79 464.30 191.49 RHL............................................................. 584.90 414.11 170.79 RMX............................................................. 601.56 425.90 175.66 RML............................................................. 551.94 390.77 161.17 RLX............................................................. 528.30 374.04 154.26 RUC............................................................. 616.50 436.48 180.02 RUB............................................................. 616.50 436.48 180.02 RUA............................................................. 515.49 364.97 150.52 RVC............................................................. 528.88 374.45 154.43 RVB............................................................. 457.99 324.26 133.73 RVA............................................................. 456.22 323.00 133.22 RHC............................................................. 460.85 326.28 134.57 RHB............................................................. 414.78 293.66 121.12 RHA............................................................. 365.16 258.53 106.63 RMC............................................................. 404.86 286.64 118.22 RMB............................................................. 380.05 269.08 110.97 RMA............................................................. 312.71 221.40 91.31 RLB............................................................. 393.63 278.69 114.94 RLA............................................................. 253.63 179.57 74.06 ES3............................................................. 742.43 525.64 216.79 ES2............................................................. 581.17 411.47 169.70 ES1............................................................. 519.15 367.56 151.59 HE2............................................................. 501.43 355.01 146.42 HE1............................................................. 416.37 294.79 121.58 HD2............................................................. 469.53 332.43 137.10 HD1............................................................. 391.56 277.22 114.34 HC2............................................................. 442.95 313.61 129.34 HC1............................................................. 370.29 262.17 108.12 HB2............................................................. 437.63 309.84 127.79 HB1............................................................. 366.75 259.66 107.09 LE2............................................................. 455.35 322.39 132.96 LE1............................................................. 380.92 269.69 111.23 LD2............................................................. 437.63 309.84 127.79 LD1............................................................. 366.75 259.66 107.09 LC2............................................................. 384.47 272.20 112.27 LC1............................................................. 324.22 229.55 94.67 LB2............................................................. 364.97 258.40 106.57 LB1............................................................. 310.04 219.51 90.53 CE2............................................................. 405.73 287.26 118.47 CE1............................................................. 373.84 264.68 109.16 CD2............................................................. 384.47 272.20 112.27 CD1............................................................. 352.57 249.62 102.95 CC2............................................................. 336.62 238.33 98.29 CC1............................................................. 311.81 220.76 91.05 CB2............................................................. 311.81 220.76 91.05 CB1............................................................. 288.77 204.45 84.32 CA2............................................................. 263.96 186.88 77.08 CA1............................................................. 246.24 174.34 71.90 BB2............................................................. 279.91 198.18 81.73 BB1............................................................. 267.51 189.40 78.11 BA2............................................................. 232.07 164.31 67.76 BA1............................................................. 221.43 156.77 64.66 PE2............................................................. 373.84 264.68 109.16 PE1............................................................. 356.11 252.13 103.98 PD2............................................................. 352.57 249.62 102.95 PD1............................................................. 334.85 237.07 97.78 PC2............................................................. 302.95 214.49 88.46 PC1............................................................. 288.77 204.45 84.32 PB2............................................................. 256.88 181.87 75.01 PB1............................................................. 246.24 174.34 71.90 PA2............................................................. 212.57 150.50 62.07 PA1............................................................. 203.71 144.23 59.48 ---------------------------------------------------------------------------------------------------------------- 7. On pages 36542 through 36543, TABLE 7-RUG-IV CASE-MIX ADJUSTED FEDERAL RATES FOR RURAL SNFS BY LABOR AND NON-LABOR COMPONENT is corrected to read as follows: [[Page 46168]] Table 7--RUG-IV Case-Mix Adjusted Federal Rates for Rural SNFS by Labor and Non-Labor Component ---------------------------------------------------------------------------------------------------------------- Non-labor RUG-IV category Total rate Labor portion portion ---------------------------------------------------------------------------------------------------------------- RUX............................................................. $831.94 $589.01 $242.93 RUL............................................................. 815.02 577.03 237.99 RVX............................................................. 730.98 517.53 213.45 RVL............................................................. 659.88 467.20 192.68 RHX............................................................. 654.63 463.48 191.15 RHL............................................................. 586.91 415.53 171.38 RMX............................................................. 594.92 421.20 173.72 RML............................................................. 547.52 387.64 159.88 RLX............................................................. 517.81 366.61 151.20 RUC............................................................. 644.03 455.97 188.06 RUB............................................................. 644.03 455.97 188.06 RUA............................................................. 547.54 387.66 159.88 RVC............................................................. 544.76 385.69 159.07 RVB............................................................. 477.04 337.74 139.30 RVA............................................................. 475.35 336.55 138.80 RHC............................................................. 468.41 331.63 136.78 RHB............................................................. 424.40 300.48 123.92 RHA............................................................. 376.99 266.91 110.08 RMC............................................................. 407.00 288.16 118.84 RMB............................................................. 383.30 271.38 111.92 RMA............................................................. 318.97 225.83 93.14 RLB............................................................. 389.15 275.52 113.63 RLA............................................................. 255.41 180.83 74.58 ES3............................................................. 716.95 507.60 209.35 ES2............................................................. 562.89 398.53 164.36 ES1............................................................. 503.64 356.58 147.06 HE2............................................................. 486.71 344.59 142.12 HE1............................................................. 405.45 287.06 118.39 HD2............................................................. 456.24 323.02 133.22 HD1............................................................. 381.75 270.28 111.47 HC2............................................................. 430.85 305.04 125.81 HC1............................................................. 361.44 255.90 105.54 HB2............................................................. 425.77 301.45 124.32 HB1............................................................. 358.05 253.50 104.55 LE2............................................................. 442.70 313.43 129.27 LE1............................................................. 371.60 263.09 108.51 LD2............................................................. 425.77 301.45 124.32 LD1............................................................. 358.05 253.50 104.55 LC2............................................................. 374.98 265.49 109.49 LC1............................................................. 317.42 224.73 92.69 LB2............................................................. 356.36 252.30 104.06 LB1............................................................. 303.88 215.15 88.73 CE2............................................................. 395.30 279.87 115.43 CE1............................................................. 364.83 258.30 106.53 CD2............................................................. 374.98 265.49 109.49 CD1............................................................. 344.51 243.91 100.60 CC2............................................................. 329.27 233.12 96.15 CC1............................................................. 305.57 216.34 89.23 CB2............................................................. 305.57 216.34 89.23 CB1............................................................. 283.57 200.77 82.80 CA2............................................................. 259.87 183.99 75.88 CA1............................................................. 242.94 172.00 70.94 BB2............................................................. 275.10 194.77 80.33 BB1............................................................. 263.25 186.38 76.87 BA2............................................................. 229.39 162.41 66.98 BA1............................................................. 219.24 155.22 64.02 PE2............................................................. 364.83 258.30 106.53 PE1............................................................. 347.90 246.31 101.59 PD2............................................................. 344.51 243.91 100.60 PD1............................................................. 327.58 231.93 95.65 PC2............................................................. 297.11 210.35 86.76 PC1............................................................. 283.57 200.77 82.80 PB2............................................................. 253.09 179.19 73.90 PB1............................................................. 242.94 172.00 70.94 PA2............................................................. 210.77 149.23 61.54 PA1............................................................. 202.31 143.24 59.07 ---------------------------------------------------------------------------------------------------------------- [[Page 46169]] 8. On page 36543, under Table 7, a. Second column, first partial paragraph, line 15, the figure ``1.0013'' is corrected to read ``1.0010''. b. Third column, first full paragraph, line 16, the figure ``$47,596.42'' is corrected to read ``$47,602.52''. 9. On page 36543, TABLE 8--ADJUSTED RATE COMPUTATION EXAMPLE SNF XYZ: LOCATED IN FREDERICK, MD (URBAN CBSA 43524) WAGE INDEX: 0.9863 [See Wage Index in Table A] \1\ is corrected to read as follows: Table 8--Adjusted Rate Computation Example SNF XYZ: Located in Frederick, MD (Urban CBSA 43524) [WAGE INDEX: 0.9869 (See Wage Index in Table A)] \1\ -------------------------------------------------------------------------------------------------------------------------------------------------------- Adjusted Adjusted Percent Medicare RUG-IV group Labor Wage index labor Non-labor rate adjustment days Payment -------------------------------------------------------------------------------------------------------------------------------------------------------- RVX............................................. $512.46 0.9869 $505.75 $211.35 $717.10 $717.10 14 $10,039.40 ES2............................................. 411.47 0.9869 406.08 169.70 575.78 575.78 30 17,273.40 RHA............................................. 258.53 0.9869 255.14 106.63 361.77 361.77 16 5,788.32 CC2 *........................................... 238.33 0.9869 235.21 98.29 333.50 760.38 10 7,603.80 BA2............................................. 164.31 0.9869 162.16 67.76 229.92 229.92 30 6,897.60 ------------------------------------------------------------------------------------------------------- ........... ........... ........... ........... ........... ........... 100 47,602.52 -------------------------------------------------------------------------------------------------------------------------------------------------------- * Reflects a 128 percent adjustment from section 511 of the MMA. \1\ Available on the CMS Web site at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/WageIndex.html. 10. On pages 36629, TABLE 26--PROJECTED IMPACT TO THE SNF PPS FOR FY 2018 is corrected to read as follows: Table 26--Projected impact to the SNF PPS for FY 2018 ---------------------------------------------------------------------------------------------------------------- Number of facilities FY Update wage Total change 2018 data ---------------------------------------------------------------------------------------------------------------- Group Total........................................................... 15,468 0.0% 1.0% Urban........................................................... 11,008 0.1% 1.1% Rural........................................................... 4,460 -0.6% 0.4% Hospital-based urban............................................ 518 0.2% 1.2% Freestanding urban.............................................. 10,490 0.1% 1.1% Hospital-based rural............................................ 577 -0.7% 0.3% Freestanding rural.............................................. 3,883 -0.6% 0.4% Urban by region New England..................................................... 791 0.2% 1.2% Middle Atlantic................................................. 1,487 0.4% 1.4% South Atlantic.................................................. 1,867 -0.2% 0.8% East North Central.............................................. 2,121 0.0% 1.0% East South Central.............................................. 551 -0.6% 0.4% West North Central.............................................. 919 0.4% 1.4% West South Central.............................................. 1,339 0.1% 1.1% Mountain........................................................ 511 -0.2% 0.8% Pacific......................................................... 1,417 0.5% 1.5% Outlying........................................................ 5 -2.0% -1.0% Rural by region New England..................................................... 137 1.5% 2.5% Middle Atlantic................................................. 215 -0.5% 0.5% South Atlantic.................................................. 502 -0.7% 0.3% East North Central.............................................. 937 -1.1% -0.1% East South Central.............................................. 528 -0.9% 0.1% West North Central.............................................. 1,076 -0.4% 0.6% West South Central.............................................. 738 -0.6% 0.4% Mountain........................................................ 228 -0.3% 0.7% Pacific......................................................... 99 0.1% 1.1% Ownership Profit.......................................................... 1,045 -0.3% 0.7% Non-profit...................................................... 10,822 0.0% 1.0% Government...................................................... 3,601 0.0% 1.0% ---------------------------------------------------------------------------------------------------------------- Note: The Total column includes the 1.0 percent market basket increase required by section 1888(e)(5)(B)(iii) of the Act. Additionally, we found no SNFs in rural outlying areas. [[Page 46170]] Dated: September 29, 2017. Ann C. Agnew, Executive Secretary to the Department, Department of Health and Human Services. [FR Doc. 2017-21327 Filed 9-29-17; 4:15 pm] BILLING CODE 4120-01-P
![Federal Register / Vol. 82, No. 191 / Wednesday, October 4, 2017 / Rules and Regulations 46163
a. Lines 34, the figure ‘‘2.7’’ is identified and corrected in section IV., the corrected wage data for the six
corrected to read ‘‘2.5’’. Correction of Errors. The provisions in hospitals required the recalculation of
b. Line 38, the figure ‘‘$226’’ is this correcting document are effective as the final FY 2018 SNF PPS wage
corrected to read ‘‘$227’’. if they had been included in the indexes. Additionally, as discussed on
Dated: September 29, 2017. document that appeared in the August page 36543 of the FY 2018 SNF PPS
4, 2017, Federal Register (hereinafter final rule, section 1888(e)(4)(G)(ii) of the
Ann C. Agnew,
referred to as the FY 2018 SNF PPS final Act requires that we apply the wage
Executive Secretary to the Department,
rule). Accordingly, the corrections are index in a manner that does not result
Department of Health and Human Services.
effective October 1, 2017. in aggregate payments under the SNF
[FR Doc. 2017–21325 Filed 9–29–17; 4:15 pm]
PPS that are greater or less than would
BILLING CODE 4120–01–C II. Summary of Errors otherwise be made if the wage index
A. Summary of Errors in the Preamble adjustment had not been made. To
achieve this, we apply a budget
DEPARTMENT OF HEALTH AND As discussed in the FY 2018 SNF PPS
neutrality factor to the unadjusted SNF
HUMAN SERVICES final rule (82 FR 36539), in developing
PPS federal per diem base rates. Due to
the wage index to be applied to skilled
Centers for Medicare & Medicaid the recalculation and subsequent
nursing facilities (SNFs) under the SNF
Services revision of the final FY 2018 SNF PPS
prospective payment system (PPS), we
wage indexes, it was necessary to
use the updated, pre-reclassified
42 CFR Parts 409, 411, 413, 424, and recalculate the FY 2018 SNF PPS wage
hospital inpatient prospective payment
488 index budget neutrality factor as well.
system (IPPS) wage data, exclusive of
Revising the wage index budget
the occupational mix adjustment. For
[CMS–1679–CN] neutrality factor causes a change in the
FY 2018, the updated, unadjusted, pre- unadjusted SNF PPS federal per diem
RIN 0938–AS96 reclassified IPPS wage data used under rates (provided in Tables 2 and 3 of the
the SNF PPS are for hospital cost FY 2018 SNF PPS final rule (82 FR
Medicare Program; Prospective reporting periods beginning on or after
Payment System and Consolidated 36535)), which then causes changes in
October 1, 2013, and before October 1, the case-mix adjusted SNF PPS rates
Billing for Skilled Nursing Facilities for 2014 (FY 2014 cost report data), as
FY 2018, SNF Value-Based Purchasing (provided in Tables 4 and 5 in the FY
discussed in the FY 2018 IPPS final rule 2018 SNF PPS final rule (82 FR 36537
Program, SNF Quality Reporting (82 FR 38130). In calculating the wage through 36538), as well as the labor
Program, Survey Team Composition, index under the FY 2018 IPPS final rule, adjusted SNF PPS rates (provided in
and Correction of the Performance we made inadvertent errors related to Tables 6 and 7 of the FY 2018 SNF PPS
Period for the NHSN HCP Influenza the wage data collected from the final rule (82 FR 36541 through 36543).
Vaccination Immunization Reporting Medicare cost reports of six hospitals Finally, due to the recalculated wage
Measure in the ESRD QIP for PY 2020; which are located in CBSAs 24860 and indexes, we recalculated the impact
Correction 40340. Specifically, we used incorrect analysis provided in Table 26 of the FY
AGENCY: Centers for Medicare & wage data for these six hospitals to 2018 SNF PPS final rule (82 FR 36629).
Medicaid Services (CMS), HHS. calculate the final FY 2018 IPPS wage The corrections to these errors are found
indexes, the geographic adjustment in section IV. of this document.
ACTION: Final rule; correction. factor (GAF) (which is computed from
the wage index), as well as certain other B. Summary of Errors in and Corrections
SUMMARY: This document corrects
IPPS factors and adjustments. to Tables Posted on the CMS Web Site
technical errors in the final rule that
appeared in the August 4, 2017 Federal These errors are identified, discussed We are correcting the wage indexes in
Register, which will update the and corrected in the Medicare Program; Tables A and B setting forth the wage
payment rates used under the Hospital Inpatient Prospective Payment indexes for urban (Table A) and non-
prospective payment system (PPS) for Systems for Acute Care Hospitals and urban (Table B) areas based on CBSA
skilled nursing facilities (SNFs) for the Long Term Care Hospital labor market areas, which are available
fiscal year (FY) 2018. Prospective Payment System and Policy exclusively on the CMS Web site at
Changes and Fiscal Year 2018 Rates; http://www.cms.gov/Medicare/
DATES: This correction is effective Quality Reporting Requirements for
October 1, 2017. Medicare-Fee-for-Service-Payment/
Specific Providers; Medicare and SNFPPS/WageIndex.html. These tables
FOR FURTHER INFORMATION CONTACT: John Medicaid Electronic Health Record have been updated to reflect the
Kane, (410) 786–0557. (EHR) Incentive Program Requirements revisions discussed in this correcting
SUPPLEMENTARY INFORMATION: for Eligible Hospitals, Critical Access document.
Hospitals, and Eligible Professionals; We are republishing the wage indexes
I. Background
Provider-Based Status of Indian Health in Tables A and B accordingly on the
In FR Doc. 2017–16256 (82 FR 36530), Services and Tribal Facilities and CMS Web site at http://www.cms.gov/
the final rule entitled ‘‘Medicare Organizations; Cost Reporting and Medicare/Medicare-Fee-for-Service-
Program; Prospective Payment System Provider Requirements; Agreement Payment/SNFPPS/WageIndex.html.
and Consolidated Billing for Skilled Termination Notices; Correction (CMS–
Nursing Facilities for FY 2018, SNF 1677–CN) that appears elsewhere in this III. Waiver of Proposed Rulemaking
Value-Based Purchasing Program, SNF issue of the Federal Register. and Delayed Effective Date
sradovich on DSK3GMQ082PROD with RULES
Quality Reporting Program, Survey As discussed above, we use the We ordinarily publish a notice of
Team Composition, and Correction of updated, pre-reclassified, unadjusted proposed rulemaking in the Federal
the Performance Period for the NHSN IPPS wage data in developing the wage Register to provide a period for public
HCP Influenza Vaccination index used under the SNF PPS. Due to comment before the provisions of a rule
Immunization Reporting Measure in the the technical errors described above, the take effect in accordance with section
ESRD QIP for PY 2020’’, there were a published FY 2018 SNF PPS wage 553(b) of the Administrative Procedure
number of technical errors that are indexes were incorrect. Thus, the use of Act (APA) (5 U.S.C. 553(b)). However,
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![Federal Register / Vol. 82, No. 191 / Wednesday, October 4, 2017 / Rules and Regulations 46169
8. On page 36543, under Table 7, b. Third column, first full paragraph, EXAMPLE SNF XYZ: LOCATED IN
a. Second column, first partial line 16, the figure ‘‘$47,596.42’’ is FREDERICK, MD (URBAN CBSA 43524)
paragraph, line 15, the figure ‘‘1.0013’’ corrected to read ‘‘$47,602.52’’. WAGE INDEX: 0.9863 [See Wage Index
is corrected to read ‘‘1.0010’’. 9. On page 36543, TABLE 8— in Table A] 1 is corrected to read as
ADJUSTED RATE COMPUTATION follows:
TABLE 8—ADJUSTED RATE COMPUTATION EXAMPLE SNF XYZ: LOCATED IN FREDERICK, MD (URBAN CBSA 43524)
[WAGE INDEX: 0.9869 (See Wage Index in Table A)] 1
Adjusted Adjusted Percent ad- Medicare
RUG-IV group Labor Wage index Non-labor Payment
labor rate justment days
RVX .................................. $512.46 0.9869 $505.75 $211.35 $717.10 $717.10 14 $10,039.40
ES2 .................................. 411.47 0.9869 406.08 169.70 575.78 575.78 30 17,273.40
RHA .................................. 258.53 0.9869 255.14 106.63 361.77 361.77 16 5,788.32
CC2 * ................................ 238.33 0.9869 235.21 98.29 333.50 760.38 10 7,603.80
BA2 .................................. 164.31 0.9869 162.16 67.76 229.92 229.92 30 6,897.60
.................... .................... .................... .................... .................... .................... 100 47,602.52
* Reflects a 128 percent adjustment from section 511 of the MMA.
1 Available on the CMS Web site at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/WageIndex.html.
10. On pages 36629, TABLE 26— FOR FY 2018 is corrected to read as
PROJECTED IMPACT TO THE SNF PPS follows:
TABLE 26—PROJECTED IMPACT TO THE SNF PPS FOR FY 2018
Number of Update wage
facilities Total change
data
FY 2018
Group
Total ............................................................................................................................................. 15,468 0.0% 1.0%
Urban ........................................................................................................................................... 11,008 0.1% 1.1%
Rural ............................................................................................................................................ 4,460 ¥0.6% 0.4%
Hospital-based urban ................................................................................................................... 518 0.2% 1.2%
Freestanding urban ...................................................................................................................... 10,490 0.1% 1.1%
Hospital-based rural ..................................................................................................................... 577 ¥0.7% 0.3%
Freestanding rural ........................................................................................................................ 3,883 ¥0.6% 0.4%
Urban by region
New England ............................................................................................................................... 791 0.2% 1.2%
Middle Atlantic ............................................................................................................................. 1,487 0.4% 1.4%
South Atlantic ............................................................................................................................... 1,867 ¥0.2% 0.8%
East North Central ....................................................................................................................... 2,121 0.0% 1.0%
East South Central ...................................................................................................................... 551 ¥0.6% 0.4%
West North Central ...................................................................................................................... 919 0.4% 1.4%
West South Central ..................................................................................................................... 1,339 0.1% 1.1%
Mountain ...................................................................................................................................... 511 ¥0.2% 0.8%
Pacific .......................................................................................................................................... 1,417 0.5% 1.5%
Outlying ........................................................................................................................................ 5 ¥2.0% ¥1.0%
Rural by region
New England ............................................................................................................................... 137 1.5% 2.5%
Middle Atlantic ............................................................................................................................. 215 ¥0.5% 0.5%
South Atlantic ............................................................................................................................... 502 ¥0.7% 0.3%
East North Central ....................................................................................................................... 937 ¥1.1% ¥0.1%
East South Central ...................................................................................................................... 528 ¥0.9% 0.1%
West North Central ...................................................................................................................... 1,076 ¥0.4% 0.6%
West South Central ..................................................................................................................... 738 ¥0.6% 0.4%
Mountain ...................................................................................................................................... 228 ¥0.3% 0.7%
Pacific .......................................................................................................................................... 99 0.1% 1.1%
Ownership
Profit ............................................................................................................................................. 1,045 ¥0.3% 0.7%
Non-profit ..................................................................................................................................... 10,822 0.0% 1.0%
Government ................................................................................................................................. 3,601 0.0% 1.0%
Note: The Total column includes the 1.0 percent market basket increase required by section 1888(e)(5)(B)(iii) of the Act. Additionally, we
sradovich on DSK3GMQ082PROD with RULES
found no SNFs in rural outlying areas.
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![46170 Federal Register / Vol. 82, No. 191 / Wednesday, October 4, 2017 / Rules and Regulations
Dated: September 29, 2017. facilitate continuation of IFQ and dealer to a computer and Internet and that they
Ann C. Agnew, reporting operations during the period conduct administrative functions
Executive Secretary to the Department, of catastrophic conditions. NMFS will associated with dealer reporting and the
Department of Health and Human Services. continue to monitor and evaluate IFQ program, e.g., landing transactions,
[FR Doc. 2017–21327 Filed 9–29–17; 4:15 pm] conditions. A subsequent Federal online. However, these regulations also
BILLING CODE 4120–01–P Register notice will be published, if specify that during catastrophic
needed. conditions, as determined by the RA,
DATES: The RA is authorizing applicable the RA may waive or modify the
DEPARTMENT OF COMMERCE Federal dealers and IFQ participants reporting time requirements for dealers
reporting within this affected area to use and authorize IFQ participants to use
National Oceanic and Atmospheric revised reporting methods from paper-based forms to complete
Administration September 29, 2017, through October administrative functions for the
31, 2017. duration of the catastrophic conditions.
50 CFR Part 622 The RA must determine that
FOR FURTHER INFORMATION CONTACT: IFQ
catastrophic conditions exist, specify
[Docket Nos. 090206140–91081–03 and Customer Service, telephone: 866–425–
the duration of the catastrophic
120405260–4258–02] 7627, fax: 727–824–5308, email: SER-
conditions, and specify which
IFQ.Support@noaa.gov. For federal
RIN 0648–XF723 participants or geographic areas are
dealer reporting, Fisheries Monitoring
deemed affected.
Authorization of Revised Reporting Branch, telephone: 305–361–4581.
Hurricane Irma made landfall in the
Requirements Due to Catastrophic SUPPLEMENTARY INFORMATION: The reef U.S. near Cudjoe Key, Florida, as a
Conditions for Federal Seafood fish fishery of the Gulf is managed Category 4 hurricane then made a
Dealers and Individual Fishing Quota under the Fishery Management Plan subsequent landfall near Marco Island,
Dealers in Portions of Florida (FMP) for Reef Fish Resources of the Florida, as a Category 3 hurricane on
Gulf of Mexico, prepared by the Gulf of September 10, 2017. Strong winds and
AGENCY: National Marine Fisheries Mexico Fishery Management Council. flooding from this hurricane impacted
Service (NMFS), National Oceanic and The snapper-grouper fishery of the communities throughout Florida,
Atmospheric Administration (NOAA), South Atlantic is managed under the resulting in power outages and damage
Commerce. Snapper-Grouper FMP of the South to homes, businesses, and
ACTION: Temporary delay in reporting Atlantic, prepared by the South Atlantic infrastructure. As a result, the RA has
requirements; determination of Fishery Management Council. The determined that catastrophic conditions
catastrophic conditions. dolphin-wahoo fishery of the South exist in the following Florida counties:
Atlantic is managed under the Dolphin- Manatee, Sarasota, DeSoto, Charlotte,
SUMMARY: In accordance with the Wahoo FMP of the South Atlantic, Lee, Collier, Monroe, Miami-Dade, and
regulations implementing the individual prepared by the South Atlantic Fishery Broward. Through this temporary rule,
fishing quota (IFQ) and Federal dealer Management Council. The fishery for the RA is authorizing Federal dealers to
reporting programs specific to the CMP fish (king mackerel, Spanish delay reporting of trip tickets to NOAA
commercial reef fish fishery in the Gulf mackerel, and cobia) is managed under Fisheries and IFQ participants within
of Mexico (Gulf), the coastal migratory the FMP for the CMP Resources of the this affected area to use paper-based
pelagic (CMP) fisheries in the Gulf and Gulf of Mexico and South Atlantic, forms, from September 29, 2017,
the Atlantic, the spiny lobster fishery of prepared by both Councils. The fishery through October 31, 2017. NMFS will
the Gulf and Atlantic, and the snapper- for spiny lobster is managed under the provide additional notification to
grouper and dolphin-wahoo fisheries in FMP for Spiny Lobster of the Gulf of affected participants via NOAA Weather
the South Atlantic, the Regional Mexico and South Atlantic, prepared by Radio, Fishery Bulletins, and other
Administrator, Southeast Region, NMFS both Councils. All FMPs are appropriate means. NOAA Fisheries
(RA) has determined that Hurricane implemented through regulations at 50 will continue to monitor and re-evaluate
Irma has caused catastrophic conditions CFR part 622 under the authority of the the areas and duration of the
in the following Florida counties: Magnuson-Stevens Fishery catastrophic conditions.
Manatee, Sarasota, DeSoto, Charlotte, Conservation and Management Act Dealers may delay electronic
Lee, Collier, Monroe, Miami-Dade, and (Magnuson-Stevens Act). reporting of trip tickets to NMFS during
Broward. Consistent with those The Generic Dealer Amendment catastrophic conditions. Dealers are to
regulations, the RA has authorized any established Federal dealer reporting report all landings to NMFS as soon as
dealer in the affected area who does not requirements for federally permitted possible. Assistance for Federal dealers
have access to electronic reporting to dealers in the Gulf and South Atlantic in effected areas is available from the
delay reporting of trip tickets to NOAA (79 FR 19490, April 9, 2014). Fisheries Monitoring Branch at 1–305–
Fisheries from September 29, 2017, Amendment 26 to the FMP established 361–4581. NMFS previously provided
through October 31, 2017. The RA has an IFQ program for the commercial red IFQ dealers with the necessary paper
also authorized IFQ participants within snapper component of the Gulf reef fish forms (sequentially coded) and
this affected area to use paper-based fishery (71 FR 67447, November 22, instructions for submission in the event
forms, if necessary, for basic required 2006). Amendment 29 to the FMP of catastrophic conditions. Paper forms
administrative functions, e.g., landing established an IFQ program for the are also available from the RA upon
transactions, from September 29, 2017, commercial grouper and tilefish request. The electronic systems for
sradovich on DSK3GMQ082PROD with RULES
through October 31, 2017. This components of the Gulf reef fish fishery submitting information to NMFS will
temporary rule announcing the (74 FR 44732, August 31, 2009). continue to be available to all
determination of catastrophic Regulations implementing these IFQ participants, and participants in the
conditions and allowance of alternative programs (50 CFR 622.21 and 622.22) affected area are encouraged to continue
methods for completing required IFQ and the dealer reporting requirements using these systems, if accessible.
and other dealer reporting (50 CFR 622.5(c)) require that Federal The administrative program functions
administrative functions is intended to dealers and IFQ participants have access available to IFQ participants in the area
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Document Created: 2018-10-25 09:54:49
Document Modified: 2018-10-25 09:54:49
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Rules and Regulations | |
| Action | Final rule; correction. | |
| Dates | This correction is effective October 1, 2017. | |
| Contact | John Kane, (410) 786-0557. | |
| FR Citation | 82 FR 46163 | |
| RIN Number | 0938-AS96 | |
| CFR Citation | 42
CFR
409 42 CFR 411 42 CFR 413 42 CFR 424 42 CFR 488 |
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