[Federal Register Volume 84, Number 117 (Tuesday, June 18, 2019)]
[Proposed Rules]
[Pages 28263-28264]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-12906]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 412, 413, and 495
[CMS-1716-CN]
RIN 0938-AT73
Medicare Program; Hospital Inpatient Prospective Payment Systems
for Acute Care Hospitals and the Long-Term Care Hospital Prospective
Payment System and Proposed Policy Changes and Fiscal Year 2020 Rates;
Proposed Quality Reporting Requirements for Specific Providers;
Medicare and Medicaid Promoting Interoperability Programs Proposed
Requirements for Eligible Hospitals and Critical Access Hospitals;
Correction
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Proposed rule; correction.
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SUMMARY: This document corrects technical errors in the proposed rule
that appeared in the May 3, 2019, issue of the Federal Register
entitled ``Medicare Program; Hospital Inpatient Prospective Payment
Systems for Acute Care Hospitals and the Long-Term Care Hospital
Prospective Payment System and Proposed Policy Changes and Fiscal Year
2020 Rates; Proposed Quality Reporting Requirements for Specific
Providers; Medicare and Medicaid Promoting Interoperability Programs
Proposed Requirements for Eligible Hospitals and Critical Access
Hospitals.''
DATES: June 18, 2019.
FOR FURTHER INFORMATION CONTACT:
Erin Patton, (410) 786-2437.
Dylan Podson, (410)-786-5031.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2019-08330 of May 3, 2019 (84 FR 19158), there were a
number of technical errors that are identified and corrected in the
Correction of Errors section of this correcting document.
[[Page 28264]]
II. Summary of Errors
A. Summary of Errors in the Preamble
On page 19428, in our discussion of the proposed revisions to the
definition of the base operating DRG payment amount for purposes of the
Hospital Readmissions Reduction Program, we made an error in describing
our policy for the treatment of the difference between the hospital-
specific payment rate and the Federal payment rate for purposes of
calculating the base operating DRG payment amount with respect to a
Medicare-dependent, small rural hospital that receives payments under
Sec. 412.108(c) or a sole community hospital that receives payments
under Sec. 412.92(d). We are correcting this language to reflect our
current policy that the base operating DRG payment amount includes the
difference between the hospital-specific payment rate and the Federal
payment rate for a Medicare-dependent, small rural hospital and does
not include the difference between the hospital-specific payment rate
and the Federal payment rate for a sole community hospital. We also
made an error in our citation to the applicable statutory provision. We
erroneously cited to section 1886(q)(2)(b)(i) instead of section
1886(q)(2)(B)(i) of the Act.
On pages 19568, in our discussion of the Medicare and Medicaid
Promoting Interoperability Programs, we made an error in a web link.
B. Summary of Errors in the Regulations Text
On page 19581, in our proposed amendments to the definition of the
base operating DRG payment amount for purposes of the Hospital
Readmissions Reduction Program, we made an error in describing our
current policy for determining the base operating DRG payment amount by
stating that with respect to a sole community hospital that receives
payments under Sec. 412.92(d) or a Medicare-dependent, small rural
hospital that receives payments under Sec. 412.108(c), this amount
includes the difference between the hospital-specific payment rate and
the Federal payment rate determined under subpart D of this part. We
are correcting this language to reflect our current policy, which is
that the base operating DRG payment amount for a sole community
hospital that receives payments under Sec. 412.92(d) does not include
the difference between the hospital-specific payment rate and the
Federal payment rate determined under subpart D of this part while the
base operating DRG payment amount for a Medicare-dependent, small rural
hospital that receives payments under Sec. 412.108(c) does include the
difference between the hospital-specific payment rate and the Federal
payment rate determined under subpart D of this part.
IV. Correction of Errors
In FR Doc. 2019-08330 of May 3, 2019 (84 FR 19158), we make the
following corrections:
A. Errors in the Preamble
1. On page 19428, first column, last partial paragraph, lines 10
through 13, the phrase ``amount also includes the difference between
the hospital-specific payment rate and the Federal payment rate
determined under the subpart.'' is corrected to read ``amount also
includes the difference between the hospital-specific payment rate and
the Federal payment rate determined under the subpart for a Medicare-
dependent, small rural hospital that receives payments under Sec.
412.108(c) and does not include the difference between the hospital-
specific payment rate and the Federal payment rate determined under the
subpart for a sole community hospital that receives payment under Sec.
412.92(d).''
2. On page 19428, second column, first partial paragraph, lines 1
through 4, the phrase ``1886(q)(2)(b)(i) of the Act, because the
regulatory text was not updated following the expiration of the FY 2013
changes.'' is corrected to read ``1886(q)(2)(B)(i) of the Act by
specifying the differential treatment following the expiration of the
special treatment for Medicare-dependent, small rural hospitals for FY
2013 in the statute.''
3. On page 19568, third column, last paragraph (footnote 830),
lines 1 and 2, the hyperlink ``https://www.healthit.gov/sites/default/
files/onc_pghd_final_white_paper.pdf.%95'' is corrected to read
``https://www.healthit.gov/sites/default/files/
onc_pghd_final_white_paper.pdf''.
B. Errors in the Regulations Text
Sec. 412.152 [Corrected]
4. On page 19581, third column, first paragraph (definition of Base
operating DRG payment amount), lines 17 through 26, ``With respect to a
sole community hospital that receives payments under Sec. 412.92(d) or
a Medicare-dependent, small rural hospital that receives payments under
Sec. 412.108(c), this amount also includes the difference between the
hospital-specific payment rate and the Federal payment rate determined
under subpart D of this part. '' is corrected to read ``With respect to
a sole community hospital that receives payments under Sec. 412.92(d)
this amount also does not include the difference between the hospital-
specific payment rate and the Federal payment rate determined under
subpart D of this part. With respect to a Medicare-dependent, small
rural hospital that receives payments under Sec. 412.108(c), this
amount includes the difference between the hospital-specific payment
rate and the Federal payment rate determined under subpart D of this
part.''
Dated: June 12, 2019.
Ann C. Agnew,
Executive Secretary to the Department, Department of Health and Human
Services.
[FR Doc. 2019-12906 Filed 6-17-19; 8:45 am]
BILLING CODE 4120-01-P