[Federal Register Volume 75, Number 116 (Thursday, June 17, 2010)]
[Notices]
[Pages 34614-34616]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-14810]
Federal Register / Vol. 75, No. 116 / Thursday, June 17, 2010 /
Notices
[[Page 34614]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-1406-CN2]
RIN 0938-AQ03
Medicare Program; Hospital Inpatient Prospective Payment Systems
for Acute Care Hospitals and Fiscal Year 2010 Rates and to the Long-
Term Care Hospital Prospective Payment System and Rate Year 2010 Rates:
Final Fiscal Year 2010 Wage Indices and Payment Rates Implementing the
Affordable Care Act; Corrections
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Correction of notice.
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SUMMARY: This document corrects technical errors in the notice entitled
``Medicare Program; Hospital Inpatient Prospective Payment Systems for
Acute Care Hospitals and Fiscal Year 2010 Rates and to the Long-Term
Care Hospital Prospective Payment System and Rate Year 2010 Rates:
Final Fiscal Year 2010 Wage Indices and Payment Rates Implementing the
Affordable Care Act'' which appeared in the June 2, 2010 Federal
Register.
DATES: Effective Date: This document corrects technical errors that
appeared in a notice that described revised standard Federal rates
effective for payment years beginning October 1, 2009. Hospitals are
paid based on the rates published in that notice, as corrected by this
document, for discharges on or after April 1, 2010.
FOR FURTHER INFORMATION CONTACT: Tzvi Hefter, (410) 786-4487.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2010-12563 of June 2, 2010 (that is, the fiscal year
2010 hospital inpatient prospective payment systems/rate year 2010
long-term care hospital prospective payment system (FY 2010 IPPS/RY
2010 LTCH PPS) notice), there were several technical and typographic
errors that are identified and corrected in the Correction of Errors
section below. This document corrects technical errors that appeared in
the FY 2010 IPPS/RY 2010 LTCH PPS notice that described revised
standard Federal rates effective for payment years beginning October 1,
2009. Hospitals are paid based on the rates published in that notice,
as corrected by this document, for discharges on or after April 1,
2010.
II. Summary of Errors
In the Addendum to the notice, we made technical and typographical
errors in the titles of the Tables 1A through 1E and 4J. In Tables 1A
through 1E, we inadvertently indicated that the values listed in the
tables were applicable to payments made for discharges on or after
October 1, 2009 through discharges on or before September 30, 2010
instead of the second half of the fiscal year which is April 1, 2010
through September 30, 2010. Although these rates are effective for all
of FY 2010 and RY 2010 as applicable, hospitals were not paid on the
basis of the rates until April 1, 2010. Therefore, in section III. 1.
and 2. of this notice, we correct this error in the listing of tables
on page 31147 as well as the table headings on page 31148. In Table 4J,
we made errors in the table heading in this list of tables and the
table heading and table description that immediately precede the table.
We are correcting these errors in section III.5. of this correction
notice.
In addition, we inadvertently included two section 508 hospitals in
the FY 2010 wage index as reclassified under the Medicare Geographic
Classification Review Board (MGCRB) rather than assigning them their
section 508 reclassification. Therefore, in section III.3., 4. and 6.b.
of this notice, we are correcting, Tables 2, 4C, and 9B. In Table 9B,
we also inadvertently titled the third column ``Geographic CBSA''
instead of ``Section 508 Reclassification CBSA.'' We are correcting
this error in section III.6.a. of this correction notice.
III. Correction of Errors
In FR Doc. 2010-12563 of June 2, 2010, make the following
corrections:
1. On page 31147,
a. First column, in the title for Table 1A, the date ``October 1,
2009'' is corrected to read ``April 1, 2010.''
b. Second column--
(1) In the title for Table 1B, the date ``October 1, 2009'' is
corrected to read ``April 1, 2010.''
(2) In the title for Table 1C, the date ``October 1, 2009'' is
corrected to read ``April 1, 2010.''
(3) In the title for Table 1D, the date ``October 1, 2009'' is
corrected to read ``April 1, 2010.''
(4) In the title for Table 1E, the date ``October 1, 2009'' is
corrected to read ``April 1, 2010.''
(5) In the title for Table 2, the parenthetical phrase, ``(April 1,
2010 through September 30, 2010)'' is corrected to read ``(April 1,
2010 through September 30, 2010 unless otherwise footnoted).''
c. Third column, the title, ``Table 4J.--Out-Migration Adjustment--
FY 2010 (April 1, 2010 through September 30, 2010)'' is corrected to
read ``Table 4J.--(Abbreviated) Out-Migration Adjustment for Acute Care
Hospitals--FY 2010 (April 1, 2010 through September 30, 2010)''
2. On page 31148--
a. First column--
(1) In the title for Table 1A, in the bracketed statement, the date
``October 1, 2009'' is corrected to read ``April 1, 2010.''
(2) In the title for Table 1B, in the bracketed statement, the date
``October 1, 2009'' is corrected to read ``April 1, 2010.''
(3) In the title for Table 1C, in the bracketed statement, the date
``October 1, 2009'' is corrected to read ``April 1, 2010.''
b. Second column
(1) In the title for Table 1D, in the bracketed statement, the date
``October 1, 2009'' is corrected to read ``April 1, 2010.''
(2) In the title for Table 1E, in the bracketed statement, the date
``October 1, 2009'' is corrected to read ``April 1, 2010.''
3. On pages 31148 through 31211, in Table 2,
a. In the title for Table 2, the parenthetical phrase ``(April 1,
2010 through September 30, 2010)'' is corrected to read ``(April 1,
2010 through September 30, 2010 unless otherwise footnoted).''
b. The listed entries are corrected to read as follows:
[[Page 34615]]
Table 2--Hospital Case-Mix Indexes for Discharges Occurring in Federal Fiscal Year 2008; Hospital Wage Indexes
for Federal Fiscal Year 2010 (April 1, 2010 Through September 30, 2010 Unless Otherwise Footnoted); Hospital
Average Hourly Wages for Federal Fiscal Years 2008 (2004 Wage Data), 2009 (2005 Wage Data), and 2010 (2006 Wage
Data); and 3-Year Average of Hospital Average Hourly Wages
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Average hourly Average hourly
Provider No. Case-mix index FY 2010 wage Average hourly Average hourly wage FY 2010 wage \**\ (3
\2\ index wage FY 2008 wage FY 2009 \1\ years)
----------------------------------------------------------------------------------------------------------------
070006 \6\ 1.5739 1.2695 39.3935 41.2165 41.9550 40.8714
070010 \6\ 1.6536 1.2695 36.7227 38.6114 38.7345 38.0240
070015 1.5383 1.2695 37.3454 39.9249 42.4738 39.9522
070018 \6\ 1.4603 1.2695 41.8460 42.4771 44.1370 42.8524
070028 \6\ 1.5644 1.2695 38.0855 40.9645 41.2950 40.1488
070033 1.4800 1.2695 41.7955 44.6717 46.5982 44.4108
070034 \6\ 1.4667 1.2695 40.1685 42.4111 45.7694 42.8155
070036 \6\ 1.6717 1.2886 42.3391 43.6374 44.0756 43.3656
310002 1.8480 1.2769 37.8652 37.9484 39.7599 38.5483
310009 1.4222 1.2769 33.6165 35.4624 37.9098 35.6657
310015 1.9526 1.2769 39.2928 40.8229 39.5076 39.8655
310017 1.3448 1.2769 35.7308 35.9806 34.8881 35.5276
310018 1.1786 1.2769 32.9704 32.6956 33.5069 33.0673
310021 \6\ 1.6643 1.2769 31.6562 32.2064 33.2554 32.3743
310028 \6\ 1.1675 1.2769 33.9911 34.8332 37.2987 35.4152
310038 1.9228 1.2769 36.3344 39.8707 40.7395 39.0018
310039 1.3348 1.2769 33.2100 32.6425 33.4253 33.0853
310050 \6\ 1.3393 1.2769 32.3686 37.9214 32.5213 34.0930
310051 \6\ 1.5305 1.2769 38.1174 39.7671 37.9104 38.5967
310054 1.4187 1.2769 36.9095 38.2432 37.2851 37.4826
310060 \6\ 1.2940 1.2769 27.8242 27.9134 30.4626 28.7274
310070 1.4413 1.2769 36.3279 36.9999 36.8951 36.7447
310076 1.7144 1.2769 37.5163 38.1671 39.0325 38.2365
310083 1.3697 1.2769 31.9151 28.3406 28.2875 29.3819
310093 1.2441 1.2769 30.2860 32.3860 33.4460 32.0464
310096 1.8766 1.2769 35.0707 34.2014 36.3201 35.2111
310108 1.4508 1.2769 34.5866 36.2848 38.3403 36.4174
310115 \6\ 1.3215 1.2769 31.9208 32.1197 33.7061 32.6067
310119 1.8872 1.2769 41.5702 41.2997 46.1339 42.9802
310120 \6\ 1.1045 1.2769 33.3861 35.1661 36.3365 34.9295
330023 \6\ 1.5109 1.2930 36.4736 37.5135 40.9595 38.3939
330027 1.3567 1.2930 45.1920 45.9571 49.0573 46.6599
330049 \6\ 1.5474 1.2930 34.8585 34.9740 38.0110 36.0057
330067 \6\ 1.4022 1.2930 29.2571 30.7537 31.5572 30.4995
330126 \6\ 1.3626 1.2930 36.5689 37.7807 40.0542 38.1472
330135 \6\ 1.2423 1.2930 32.0525 33.2314 35.3624 33.5938
330167 1.6734 1.2930 39.1251 39.2421 40.8753 39.7618
330181 1.3412 1.2930 43.0977 46.2181 47.2523 45.4811
330182 2.2325 1.2930 41.3033 42.7962 46.6346 43.5697
330198 1.4522 1.2930 34.8985 35.8715 37.9641 36.3109
330205 \6\ 1.2381 1.2930 33.9418 35.3792 37.0171 35.4769
330225 1.2075 1.2930 35.7651 32.9036 33.7052 34.1540
330259 1.5187 1.2930 36.4788 39.0213 38.5914 37.9800
330331 1.3291 1.2930 41.2694 44.1734 44.3947 43.3044
330332 1.3587 1.2930 37.0111 38.6932 40.8557 38.8521
330372 1.2862 1.2930 35.1297 37.0323 40.3348 37.4455
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\6\ The wage index for these section 508 and special exception providers are effective October 1, 2009 due to
section 3137, as amended by section 10317 of the Affordable Care Act.
4. On pages 31206 through 31209, in Table 4C, the wage index and
geographic adjustment factors for the listed entries are corrected to
read as follows:
Table 4C--Wage Index and Capital Geographic Adjustment Factor (GAF) for Acute Care Hospitals That Are
Reclassified by CBSA and by State--FY 2010 (April 1, 2010 Through September 30, 2010)
[Wage Index includes rural floor budget neutrality adjustment]
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Wage
CBSA Code Area State index GAF
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35644............................... New York-White Plains-Wayne, CT.................... 1.2695 1.1775
NY-NJ.
35644............................... New York-White Plains-Wayne, NJ.................... 1.2769 1.1822
NY-NJ.
35644............................... New York-White Plains-Wayne, NY.................... 1.2930 1.1924
NY-NJ.
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[[Page 34616]]
5. On page 31211, in Table 4J, the table title and description are
corrected to read as follows:
Table 4J--(Abbreviated) Out-Migration Adjustment for Acute Care
Hospitals--FY 2010 (April 1, 2010 Through September 30, 2010)
The following abbreviated version of Table 4J lists one hospital
that is added to the list of hospitals eligible to have their area wage
index increased by the out-migration adjustment as a result of the
implementation of the provisions of the Affordable Care Act. Hospitals
cannot receive the out-migration adjustment if they are reclassified
under section 1886(d)(10) of the Act or redesignated under section
1886(d)(8)(B) of the Act or if they are receiving a section 508
reclassification or special exception wage index. Hospitals that have
already been reclassified under section 1886(d)(10) of the Act or
redesignated under section 1886(d)(8)(B) of the Act, or that will now
receive a section 508 reclassification or special exception wage index
are designated with an asterisk.
6. On pages 31212 through 31213, in Table 9B--
a. Third column, the column heading ``Geographic CBSA'' is
corrected to read ``Section 508 Reclassification CBSA.''
b. The table is corrected by adding the following providers:
Table 9B--Hospital Reclassifications and Redesignations by Individual Hospital Under Section 508 of Public Law
108-173
[Revised as of April 1, 2010 and effective October 1, 2009 through September 30, 2010]
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Section 508 Wage index CBSA
Provider No. Note reclassification section 508 Own wage
CBSA reclassification index
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070010............................. ...................... 35644 1.2695 ...........
070028............................. ...................... 35644 1.2695 ...........
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IV. Waiver of Proposed Rulemaking
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)). We also
ordinarily provide a 30-day delay in the effective date of the
provisions of a rule in accordance with section 553(d) of the APA.
However, we can waive this notice and comment procedure and the 30-day
delay in the effective date 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 therefore in the notice.
The changes made by this notice do not constitute agency
rulemaking. This correction notice merely corrects typographical and
technical errors in the addendum of the FY 2010 IPPS/RY 2010 LTCH PPS
notice and does not make substantive changes to either that notice or
the policies or methodologies set forth in the FY 2010 IPPS/RY 2010
LTCH PPS final rule. Instead, this correction notice is intended to
ensure that the FY 2010 IPPS/RY 2010 LTCH PPS notice accurately
describes the changes to the FY 2010 IPPS and RY 2010 LTCH PPS payment
amounts required by the Affordable Care Act. We further note that this
document makes corrections to a notice that itself did not constitute
agency rulemaking; we refer readers to section III.B. of the FY 2010
IPPS/RY 2010 LTCH PPS notice for additional discussion on that point.
However, to the extent that notice and comment rulemaking or a
delay in effective date or both would otherwise apply, we find that
notice and comment rulemaking and a delay in effective date would be
unnecessary and impracticable for the reasons set forth above, as well
as for the reasons articulated in section III.B. of the FY 2010 IPPS/RY
2010 LTCH PPS notice.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: June 15, 2010.
Dawn L. Smalls,
Executive Secretary to the Department.
[FR Doc. 2010-14810 Filed 6-15-10; 4:15 pm]
BILLING CODE 4120-01-P