[Federal Register Volume 74, Number 212 (Wednesday, November 4, 2009)]
[Proposed Rules]
[Pages 57127-57128]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-26529]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Part 410, 413 and 414
[CMS-1418-N]
RIN 0938-AP57
Medicare Programs; End-Stage Renal Disease Prospective Payment
System; Extension of Comment Period
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice of extension of comment period for proposed rule.
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SUMMARY: This notice extends the comment period for a proposed rule
published in the Federal Register on September 29, 2009, (74 FR 49922).
The proposed rule would implement a case-mix adjusted bundled
prospective payment system (PPS) for Medicare outpatient end-stage
renal disease (ESRD) dialysis facilities. The proposed ESRD PPS would
also replace the current basic case-mix adjusted composite payment
system and the methodologies for the reimbursement of separately
billable outpatient ESRD services. The comment period for the proposed
rule, which would have ended on November 16, 2009, is extended for 30
days.
DATES: Effective Date: The comment period is extended to 5 p.m. on
December 16, 2009.
ADDRESSES: In commenting, please refer to file code CMS-1418-P. Because
of staff and resource limitations, we cannot accept comments by
facsimile (FAX) transmission.
You may submit comments in one of four ways (please choose only one
of the ways listed):
1. Electronically. You may submit electronic comments on this
regulation to http://www.regulations.gov.
Follow the instructions under the ``More Search Options'' tab.
2. By regular mail. You may mail written comments to the following
address only:
Centers for Medicare & Medicaid Services, Department of Health and
Human Services, Attention: CMS-1418-P, P.O. Box 8010, Baltimore, MD
21244-8010.
Please allow sufficient time for mailed comments to be received
before the close of the comment period.
3. By express or overnight mail. You may send written comments to
the following address ONLY:
Centers for Medicare & Medicaid Services, Department of Health and
Human Services, Attention: CMS-1418-P, Mail Stop C4-26-05, 7500
Security Boulevard, Baltimore, MD 21244-1850.
4. By hand or courier. If you prefer, you may deliver (by hand or
courier) your written comments before the close of the comment period
to either of the following addresses:
a. For delivery in Washington, DC--Centers for Medicare & Medicaid
Services, Department of Health and Human Services, Room 445-G, Hubert
H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC
20201.
(Because access to the interior of the Hubert H. Humphrey Building
is not readily available to persons without Federal government
identification, commenters are encouraged to leave their comments in
the CMS drop slots located in the main lobby of the building. A stamp-
in clock is available for persons wishing to retain a proof of filing
by stamping in and retaining an extra copy of the comments being
filed.)
b. For delivery in Baltimore, MD--Centers for Medicare & Medicaid
Services, Department of Health and Human Services, 7500 Security
Boulevard, Baltimore, MD 21244-1850.
If you intend to deliver your comments to the Baltimore address,
please call telephone number (410) 786-9994 in advance to schedule your
arrival with one of our staff members.
Comments mailed to the addresses indicated as appropriate for hand
or courier delivery may be delayed and received after the comment
period.
FOR FURTHER INFORMATION CONTACT:
William Cymer, (410) 786-4533.
Lynn Riley, (410) 786-1286, (ESRD Quality Incentive Program).
SUPPLEMENTARY INFORMATION: On September 29, 2009, we published a
proposed rule in the Federal Register (74 FR 49922 through 50102) that
would implement a case-mix adjusted bundled PPS for Medicare outpatient
ESRD dialysis facilities beginning January 1, 2011, in compliance with
the statutory requirement of the Medicare Improvements for Patients and
Providers Act (MIPPA), enacted July 15, 2008. The proposed ESRD PPS
would replace the current basic case-mix adjusted composite payment
system and the methodologies for the reimbursement of separately
billable outpatient ESRD services.
The proposed rule, ``Medicare Program; End-Stage Renal Disease
Prospective Payment System,'' is significant in that it proposes a
completely new payment system for outpatient ESRD services. Due to the
complexity and scope of the September 29, 2009 proposed rule, we
believe additional time is necessary for the public to examine the
proposed rule and to provide meaningful comments on its provisions.
Therefore, we have decided to extend the comment period for an
additional 30 days. This document announces the extension of the public
comment period to December 16, 2009.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital
[[Page 57128]]
Insurance; and Program No. 93.774, Medicare--Supplementary Medical
Insurance Program)
Dated: October 26, 2009.
Charlene Frizzera,
Acting Administrator, Centers for Medicare & Medicaid Services.
Approved: October 30, 2009.
Kathleen Sebelius,
Secretary.
[FR Doc. E9-26529 Filed 11-3-09; 8:45 am]
BILLING CODE 4120-01-P