13292 Federal Register / Vol. 76, No. 48 / Friday, March 11, 2011 / Rules and Regulations 

MARYLAND—OZONE

[8-Hour standard] 

Designated area Designation a Category/classification 

Date 1 Type Date 1 Type 

Baltimore, MD: 

Anne Arundel County ................................ .................................... Nonattainment ........... .................................... Subpart 2/Moderate. 4

City of Baltimore ........................................ .................................... Nonattainment ........... .................................... Subpart 2/Moderate. 4

Baltimore County ....................................... .................................... Nonattainment ........... .................................... Subpart 2/Moderate. 4

Carroll County ........................................... .................................... Nonattainment ........... .................................... Subpart 2/Moderate. 4

Harford County .......................................... .................................... Nonattainment ........... .................................... Subpart 2/Moderate. 4

Howard County .......................................... .................................... Nonattainment ........... .................................... Subpart 2/Moderate. 4

* * * * * * * 

a Includes Indian Country located in each county or area, except as otherwise specified. 

1This date is June 15, 2004, unless otherwise noted. 

* * * * 

4Attainment date extended to June 15, 2011. 

* * * * * 

[FR Doc. 2011–5631 Filed 3–10–11; 8:45 am] 

BILLING CODE 6560–50–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Parts 410, 416, and 419 

[CMS–1504–CN] 

RIN 0938–AP41 

Medicare Program: Changes to the 

Hospital Outpatient Prospective 

Payment System and CY 2011 Payment 

Rates; Changes to the Ambulatory 

Surgical Center Payment System and 

CY 2011 Payment Rates; Changes to 

Payments to Hospitals for Graduate 

Medical Education Costs; Corrections 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Final rule; correction. 

SUMMARY: This document corrects 

technical errors that appeared in the 

final rule published on November 24, 

2010, entitled ‘‘Medicare Program: 

Hospital Outpatient Prospective 

Payment System and CY 2011 Payment 

Rates; Ambulatory Surgical Center 

Payment System and CY 2011 Payment 

Rates; Payments to Hospitals for 

Graduate Medical Education Costs; 

Physician Self-Referral Rules and 

Related Changes to Provider Agreement 

Regulations; Payment for Certified 

Registered Nurse Anesthetist Services 

Furnished in Rural Hospitals and 

Critical Access Hospitals.’’ 

DATES: Effective Date: This document is 

effective on January 1, 2011. 

FOR FURTHER INFORMATION CONTACT: 

Division of Outpatient Care, (410) 786– 

0378. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In FR Doc. 2010–27926 of November 

24, 2010 (75 FR 71800) (hereinafter 

referred to as the CY 2011 OPPS/ASC 

final rule), there were several technical 

and typographic errors that we describe 

in the ‘‘Summary of Errors’’ section and 

correct in the ‘‘Correction of Errors’’ 

section below. In addition to correcting 

errors in the preamble and Addendum 

B, this correction notice corrects errors 

in Addenda AA and BB to the CY 2011 

OPPS/ASC final rule. Most of the 

changes to these Addenda are based on 

changes to the practice expense (PE) 

relative value units (RVUs) and the 

conversion factor (CF) for the Medicare 

Physician Fee Schedule (MPFS) for CY 

2011. In the January 11, 2011 CY 2011 

MPFS correction notice (76 FR 1670), 

we corrected errors in the November 29, 

2010 Medicare Program; Payment 

Policies Under the Physician Fee 

Schedule and Other Revisions to Part B 

for CY 2011 final rule with comment 

period (hereinafter referred to as the CY 

2011 MPFS final rule) to the PE RVUs 

and the CF for the CY 2011 MPFS (75 

FR 73170). The revised ASC payment 

system uses the PE RVUs and the CF for 

the MPFS as part of the office-based and 

ancillary radiology payment 

methodology. This correction notice 

updates the CY 2011 OPPS/ASC final 

rule to include these corrections. 

The provisions in this correction 

document are effective as if they had 

been included in the CY 2011 OPPS/ 

ASC final rule appearing in the CY 2011 

OPPS/ASC final rule. Accordingly, the 

corrections are effective January 1, 2011. 

II. Summary of Errors 

A. Errors in the November 24, 2010 

Final Rule 

In the CY 2011 OPPS/ASC final rule, 

we have identified a number of 

technical and typographic errors. 

Specifically, on page 71913, we are 

correcting the inadvertent inclusion of 

the word ‘‘stated’’ and deleting this word 

from the description of the public 

comment in the preamble section 

entitled ‘‘Revision/Removal of 

Neurostimulator Electrodes (APC 

0687).’’ On pages 71915 and 71916, we 

incorrectly stated the number of single 

and total claims used in the ratesetting 

process for APCs 0664 and 0667, in the 

‘‘Proton Beam Therapy (APCs 0664 and 

0667)’’ section of the preamble. 

Specifically, on page 71915 we 

incorrectly stated that 11,963 single 

claims out of 12,995 total claims were 

used in the ratesetting process for APC 

0664. On page 71916, we also 

incorrectly stated that 2,799 single 

claims out of 3,081 total claims were 

used in the ratesetting process for APC 

0667. We are changing this section to 

correctly state that we used 10,943 

single claims out of 11,895 total claims 

in the ratesetting process for APC 0664 

and that we used 2,569 single claims out 

of 2,831 total claims in the ratesetting 


wwoods2 on DSK1DXX6B1PROD with RULES_PART 1
Federal Register / Vol. 76, No. 48 / Friday, March 11, 2011 / Rules and Regulations 13293 

process for APC 0667. Also, on page 

71916 in the ‘‘Proton Beam Therapy 

(APCs 0664 and 0667)’’ section of the 

preamble, we incorrectly stated that 

there were modest declines in the final 

CY 2011 payment rates for proton 

therapy compared to the CY 2010 rates. 

The statement should have indicated 

that there were modest increases in the 

final CY 2011 payment rates for proton 

therapy compared to the CY 2010 rates. 

Therefore, we are correcting the 

statement. Furthermore, we are 

correcting a typographical error on page 

71949 that mistakenly listed A0542 

instead of A9542 in our response to 

public comment in the ‘‘Packaging of 

Payment for Diagnostic 

Radiopharmaceuticals, Contrast Agents, 

and Implantable Biologicals (Policy— 

Packaged Drugs and Devices)’’ section of 

preamble. On page 72019, we are 

correcting our inadvertent omission of 

HCPCS code G0010 and the information 

associated with it from Table 48B, 

which is located in the ‘‘Payment for 

Preventive Services’’ section of 

preamble. Specifically, with respect to 

service Hepatitis B vaccine, we are 

adding HCPCS code G0010 in Table 

48B, column two, which is titled ‘‘CY 

2011 CPT/HCPCS code.’’ We are also 

adding in Table 48B, column three, 

titled ‘‘Long descriptor,’’ the long 

descriptor for HCPCS code G0010 which 

is ‘‘Administration of hepatitis B 

vaccine.’’ We are also adding in Table 

48B, column four, titled ‘‘USPSTF,’’ a 

series of periods which are used to 

indicate that HCPCS code G0010 has a 

USPSTF rating of A. In addition, in 

Table 48B, column five, entitled ‘‘CY 

2010 coinsurance deductible,’’ we are 

adding language for HCPCS code G0010 

which is used to indicate that the 

coinsurance and deductible are not 

waived for CY 2010. Finally, in Table 

48B, column six, entitled ‘‘CY 2011 

coinsurance deductible,’’ we are adding 

language for HCPCS code G0010 which 

is used to indicate that the coinsurance 

and deductible are waived for CY 2011. 

On page 72060, we are correcting the 

typographical error that mistakenly 

listed CY 2008 instead of CY 2009 in the 

‘‘Calculation of the ASC Conversion 

Factor and ASC Payment Rates’’ section 

of preamble. On pages 72125 and 72126, 

we are correcting the inadvertent 

numbering error of 3 title headings in 

the ‘‘Effects of OPPS Changes in This 

Final Rule With Comment Period’’ 

section of the rule. Specifically, we are 

revising the numbering of the following 

title headings: ‘‘Estimated Effect of This 

Final Rule With Comment Period on 

Beneficiaries; Conclusion; and 

Accounting Statement’’. 

On page 72481, we are also correcting 

the status indicator assignment for 

HCPCS code G0010 in Addendum B and 

the information associated with this 

code. Specifically, on page 72481, we 

are changing the status indicator of 

HCPCS code G0010 from ‘‘B’’ to ‘‘S’’ and 

are indicating that it is assigned to APC 

0436 with a relative weight of 0.3826, 

that is has a payment rate of $26.35, and 

that it has a minimum unadjusted 

copayment of $5.27. 

In addition, in the CY 2011 OPPS/ 

ASC final rule, we published 

Addendum AA on pages 72279 through 

72331 and Addendum BB on pages 

72518 through 72541. As required under 

§ 416.171(d), the revised ASC payment 

system limits payment for office-based 

procedures and covered ancillary 

radiology services to the lesser of the 

ASC rate calculated under the ASC 

standard ratesetting methodology or the 

amount calculated by multiplying the 

nonfacility PE RVUs for the service by 

the CF under the MPFS. However, the 

MPFS CF and PE RVUs listed for some 

CPT/HCPCS codes in Addendum B to 

the CY 2011 MPFS final rule (75 FR 

73630) were incorrect due to certain 

technical errors and, consequently, have 

been corrected in a January 11, 2011 

correction notice to the CY 2011 MPFS 

final rule (76 FR 1670). Since the ASC 

payment amounts for office-based 

procedures and covered ancillary 

radiology services are determined using 

the amounts in the MPFS final rule, we 

must correct the CY 2011 payment 

amounts for ASC procedures and 

services using the corrected MPFS 

amounts. Additionally, we are 

correcting an inadvertent error that 

mistakenly listed a Payment Indicator 

(PI) of ‘‘A2’’ instead of ‘‘G2’’ for certain 

surgical codes in Addenda AA. 

Specifically, we are revising CPT codes 

20005 (Incision and drainage of soft 

tissue abscess, subfascial (that is, 

involves the soft tissue below the deep 

fascia)) on page 72286, 49421 (Insertion 

of tunneled intraperitoneal catheter for 

dialysis, open) on page 72315; 64708 

(Neuroplasty, major peripheral nerve, 

arm or leg, open; other than specified) 

on page 72325; 64712 (Neuroplasty, 

major peripheral nerve, arm or leg, 

open; sciatic nerve) on page 72325; 

64713 (Neuroplasty, major peripheral 

nerve, arm or leg, open; brachial plexus) 

on page 72325; 64714 (Neuroplasty, 

major peripheral nerve, arm or leg, 

open; lumbar plexus) on page 72325; 

and 69801 (Labyrinthotomy, with 

perfusion of vestibuloactive drug(s); 

transcanal) on page 72330 to reflect a PI 

of ‘‘G2’’. The correct PIs are reflected in 

revised Addendum AA to this 

correction notice and are posted on the 

CMS Web site at: http://www.cms.gov/ 

ASCPayment. 

We are making several corrections to 

the graduate medical education (GME) 

payments. Specifically, on page 72165 

and page 72223, respectively, we are 

making insertions for words that were 

inadvertently omitted and deletions for 

words that were inadvertently included. 

On page 72230, we are making 5 

corrections to the table titled ‘‘LIST OF 

TEACHING HOSPITALS THAT HAVE 

CLOSED ON OR AFTER MARCH 23, 

2008 AND BEFORE AUGUST 3, 2010’’. 

These changes include changing 

Muhlenberg Regional Medical Center’s 

CBSA from 35620 to 35084, adding 

Cherry Hospital and attending 

information to the table, as depicted 

below, changing the IME cap for Touro 

Rehabilitation Center from ‘‘2.99’’ to 

‘‘0.00’’, and changing the IME cap for 

Mid-Missouri Mental Health Center 

from ‘‘1.25’’ to ‘‘0.00’’. 

In addition, on page 72331, 

Addendum AA should have included 

footnotes containing two notes and an 

explanation of the single and double 

asterisks at the end of a HCPCS code. 

Specifically, the footnotes should have 

indicated that—(1) the amount of 

beneficiary coinsurance associated with 

the ASC payment system is 20 percent 

of the total payment amount and the 

coinsurance and deductible are waived 

for most preventive services; (2) the 

assignment of a PI for an office-based 

procedure (‘‘P2’’ or ‘‘P3’’) is based on a 

comparison of the final rates according 

to the ASC standard ratesetting 

methodology and the MPFS for the same 

service and a statement that, at the time 

the information was compiled, the 

current law required a negative update 

to the CY 2011 MPFS payment rates; (3) 

the single asterisk at the end of a HCPCS 

code means that the office-based 

designation is temporary because there 

is insufficient claims data but that this 

designation will be reconsidered when 

new claims data become available; and 

(4) the double asterisks at the end of a 

HCPCS code indicate that the 

coinsurance and deductible are waived 

for this preventive service. 

On page 72541, Addendum BB should 

have included footnotes containing two 

notes and an explanation of the double 

asterisk at the end of a HCPCS code. 

Specifically, the footnotes should have 

indicated that—(1) the amount of 

beneficiary coinsurance associated with 

the ASC payment system is 20 percent 

of the total payment amount and the 

coinsurance and deductible are waived 

for most preventive services; (2) the 

assignment of a PI for a radiology 

service (‘‘Z2’’ or ‘‘Z3’’) is based on a 


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13294 Federal Register / Vol. 76, No. 48 / Friday, March 11, 2011 / Rules and Regulations 

comparison of the final rates according 

to the ASC standard ratesetting 

methodology and for the same service 

the MPFS and a statement that, at the 

time the information was compiled, the 

current law required a negative update 

to the CY 2011 MPFS payment rates; 

and (3) the double asterisks at the end 

of a HCPCS code indicate that the 

coinsurance and deductible are waived 

for this preventive service. These 

changes are reflected in the revised 

Addenda. 

The payment rates presented in this 

correction notice in Addenda AA and 

BB will not be used for payment 

because these payment rates do not 

reflect the statutory change which 

occurred after publication of the CY 

2011 OPPS/ASC and MPFS final rules, 

namely section 101 of the Medicare and 

Medicaid Extenders Act of 2010, signed 

into law December 15, 2010 (Pub. L. 

111–309), provided for a zero percent 

update to the Physician Fee Schedule. 

III. Correction of Errors in the 

November 24, 2010 Final Rule 

In FR Doc. 2010–27926 we are making 

the following corrections: 

1. On page 71913, in the second 

column, in line 24, the word ‘‘stated’’ is 

removed. 

2. On page 71915, in the third 

column, fourth full paragraph in— 

a. Line 16, the number ‘‘11,963’’ is 

corrected to read ‘‘10,943’’. 

b. Line 17, the number ‘‘12,995’’ is 

corrected to read ‘‘11,895’’. 

3. On page 71916, in the first column, 

first partial paragraph in— 

a. Line 1, the number ‘‘2,799’’ is 

corrected to read ‘‘2,569’’. 

b. Line 2, the number ‘‘3,081’’ is 

corrected to read ‘‘2,831’’. 

4. On page 71916, in the first column, 

first full paragraph, in line 6, the word 

‘‘declines’’ is corrected to read 

‘‘increases’’. 

5. On page 71949, in the second 

column, in line 18 from the bottom of 

the page, the code ‘‘A0542’’ is corrected 

to read ‘‘A9542’’. 

6. On page 72019 in Table 48B, under 

service ‘‘Hepatitis B Vaccine’’ is 

corrected to include the following table 

insertion after CY 2011 CPT/HCPCS 

code ‘‘90747.’’: 

G0010 ......... Administration of hepatitis B vaccine ................................................... ..................... Not Waived ............ Waived 

7. On page 72060, in the first column, 

first partial paragraph in line 14, the 

year ‘‘CY 2008’’ is corrected to read ‘‘CY 

2009’’. 

8. On page 72125, in the first column, 

the title of the heading, ‘‘Estimated 

Effect of This Final Rule With Comment 

Period on Beneficiaries’’ is renumbered 

from ‘‘6’’ to ‘‘5’’. 

9. On page 72125, in the third 

column, title of the heading, 

‘‘Conclusion’’ is renumbered from ‘‘7’’ to 

‘‘6’’. 

10. On page 72126, in the first 

column, title of the heading, 

‘‘Accounting Statement’’ is renumbered 

from ‘‘8’’ to ‘‘7’’. 

11. On page 72165, in the first 

column, in the first full paragraph, in 

lines 1 through 17, the first sentence is 

corrected to read as follows: 

‘‘In response to the commenter who 

asked for clarification as to whether, if 

a hospital received FTE cap slots 

through participation in a Medicare 

GME affiliated group but was training 

below its cap adjusted under the 

Medicare GME affiliation agreement 

during its reference cost reporting 

period would it face a cap reduction, we 

are clarifying that the hospital that 

received the cap slots, not the hospital 

that loaned the cap slots, would receive 

a cap reduction, that is, the hospital that 

received the slots but is training below 

its adjusted cap would receive a cap 

reduction’’. 

12. On page 72223, in the first 

column, in the first full paragraph, in 

lines 14 through 23 the sentence starting 

with the word ‘‘Therefore,’’ is corrected 

as follows: 

‘‘Therefore, because applications 

under section 5506 are programspecific, we believe that a hospital that 

is applying for slots for use in a 

geriatrics program should not be 

precluded from also applying for slots 

for other programs (although the 

requests for those other programs, even 

other primary care or surgery programs, 

would fall under other Ranking 

Criteria).’’ 

13. On page 72230, the table titled 

‘‘LIST OF TEACHING HOSPITALS 

THAT HAVE CLOSED ON OR AFTER 

MARCH 23, 2008 AND BEFORE 

AUGUST 3, 2010’’ is being republished 

to read as follows: 

LIST OF TEACHING HOSPITALS THAT HAVE CLOSED ON OR AFTER MARCH 23, 2008 AND BEFORE AUGUST 3, 2010 

Provider No. Provider name Terminating 

date 

DGME 

cap 

IME 

cap 

Sec. 422 

Increase/ 

decrease 

DGME 

Sec. 422 

Increase/ 

decrease 

IME 

CBSA 

01–0064 ...... Physicians Carraway Medical Ctr ................ 11/01/2008 65.08 65.08 ¥4.5 ¥4.5 13820 

03–0017 ...... Mesa General Hospital ................................. 05/31/2008 20.52 13.33 0.00 0.00 38060 

14–0075 ...... Michael Reese Hospital ............................... 06/11/2009 199.52 200.82 0.00 0.00 16974 

15–0029 ...... St. Joseph Hospital Mishawaka ................... 07/01/2008 13.43 7.68 ¥3.79 ¥1.23 43780 

19–3034 ...... Touro Rehabilitation Center ......................... 12/31/2009 3.20 0.00 0.00 0.00 35380 

26–4011 ...... Mid-Missouri Mental Health Center .............. 06/30/2009 5.33 0.00 0.00 0.00 17860 

31–0063 ...... Muhlenberg Regional Medical Center .......... 08/13/2008 30.17 30.17 0.00 0.00 35084 

31–0088 ...... William B Kessler Memorial Hospital ........... 03/12/2009 2.00 2.00 0.00 0.00 12100 

33–0133 ...... Cabrini Medical Center ................................. 06/16/2008 134.01 124.1 ¥21.36 ¥23.83 35644 

33–0357 ...... Caritas Health Care, Inc. .............................. 03/06/2009 190.23 190.23 ¥9.40 ¥9.40 35644 

33–0390 ...... North General Hospital ................................. 07/10/2010 57.17 54.29 ¥6.23 ¥4.08 35644 

34–4003 ...... Cherry Hospital ............................................. 09/01/2008 1.00 0.00 0.00 0.00 24140 

39–0023 ...... Temple East Hospital ................................... 06/28/2009 2.36 2.36 0.00 0.00 37964 

39–0169 ...... Geisinger South Wilkes-Barre ...................... 07/10/2009 4.00 3.33 0.98 1.67 42540 

42–0006 ...... Charleston Memorial Hospital ...................... 11/25/2008 40.88 40.83 0.00 0.00 16700 


wwoods2 on DSK1DXX6B1PROD with RULES_PART 1
Federal Register / Vol. 76, No. 48 / Friday, March 11, 2011 / Rules and Regulations 13295 

14. On page 72481, in Addendum B 

for HCPCS code G0010, in— 

a. Column 4, the SI code ‘‘B’’ is 

corrected to read ‘‘S’’. 

b. Column 5, the APC code ‘‘0436’’ is 

added. 

c. Column 6, the relative weight 

‘‘0.3826’’ is added. 

d. Column 7, the payment rate 

‘‘$26.35’’ is added. 

e. Column 9, the minimum 

unadjusted copayment $5.27’’ is added. 

Corrections to the Addenda in AA and 

BB 

Addendum AA—Final ASC Covered 

Surgical Procedures for CY 2011 

(Including Surgical Procedures for 

Which Payment is Packaged) and 

Addendum BB—Final ASC Covered 

Ancillary Services Integral to Covered 

Surgical Procedures for CY 2011 

(Including Ancillary Services for Which 

Payment is Packaged) 

Changes to the MPFS impacted 

multiple CPT/HCPCS codes on 

Addenda AA and BB. Therefore, we are 

republishing Addenda AA and BB in 

their entirety to take into account the 

updated CY 2011 MPFS information 

and the corrected PIs for the seven 

HCPCS codes. We note that the revised 

rates continue to reflect the negative 

update to the MPFS for CY 2011 based 

on current law at the time of publication 

of the CY 2011 MPFS final rule and the 

corrections to the PE RVUs and CFs. See 

attached charts. 

We also are adding the following 

footnotes to the conclusion of 

Addendum AA: 

Note 1: The Medicare program payment is 

80 percent of the total payment amount and 

beneficiary coinsurance is 20 percent of the 

total payment amount. Section 4104, as 

amended by section 10406, of the Affordable 

Care Act waives coinsurance and deductible 

for most preventive services, identified with 

a double asterisk (**). 

Note 2: Payment indicators for ‘‘officebased’’ procedures (P2, P3) are based on a 

comparison of the final rates according to the 

ASC standard ratesetting methodology and 

the MPFS. At the time we compiled this 

Addendum, current law requires a negative 

update to the MPFS payment rates for CY 

2011. For a discussion of those rates, we refer 

readers to the CY 2011 MPFS final rule. 

*: Asterisked codes(*) indicate that the 

procedure’s ‘‘office-based’’ designation is 

temporary because we have insufficient 

claims data. We will reconsider this 

designation when new claims data become 

available. 

**: Double-asterisked codes(*) indicate 

that the coinsurance and deductible are 

waived under section 4104, as amended by 

section 10406, of the Affordable Care Act, 

which waives coinsurance and deductible for 

most preventive services. 

We are adding the following footnotes 

to the conclusion of Addendum BB: 

Note 1: The Medicare program payment is 

80 percent of the total payment amount and 

beneficiary coinsurance is 20 percent of the 

total payment amount. Section 4104, as 

amended by section 10406, of the Affordable 

Care Act waives the coinsurance and 

deductible for most preventive services, 

identified with a double asterisk (**). 

Note 2: Payment indicators for radiology 

services (Z2, Z3) are based on a comparison 

of the final rates according to the ASC 

standard ratesetting methodology and the 

MPFS. At the time we compiled this 

Addendum, current law required a negative 

update to the MPFS payment rates for CY 

2011. For a discussion of those rates, we refer 

readers to the CY 2011 MPFS final rule. 

**: Defined as a preventive service with no 

coinsurance or deductible. Section 4104, as 

amended by section 10406, of the Affordable 

Care Act waives the coinsurance and 

deductible for most preventive services 

IV. Waiver of Proposed Rulemaking 

and Delay in 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 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 the APA (5 U.S.C. 553(d)). 

However, we can waive both the notice 

and comment procedures and the 30- 

day delay in the effective date if the 

Secretary finds, for good cause, that it is 

impracticable, unnecessary or contrary 

to the public interest to follow the 

notice and comment procedures or to 

comply with the 30-day delay in the 

effective date, and incorporates a 

statement of the findings and the 

reasons therefore in the notice. 

Therefore, for reasons noted below, 

we find good cause to waive proposed 

rulemaking and the 30-day delayed 

effective date for the technical 

corrections in this notice. This notice 

merely provides technical corrections to 

the CY 2011 OPPS/ASC final rule that 

was effective on January 1, 2011 and 

does not make substantive changes to 

the policies or payment methodologies 

that were adopted in that final rule. As 

a result, this notice is intended to 

ensure that the CY 2011 OPPS/ASC 

final rule with comment period 

accurately reflects the policies adopted 

in the final rule. Since the provisions of 

the CY 2011 OPPS/ASC final rule were 

promulgated previously through notice 

and comment rulemaking and this 

notice merely conforms the document to 

the final policies of the CY 2011 OPPS/ 

ASC final rule with comment period, we 

believe it is unnecessary to undergo 

further notice and comment procedures. 

In addition, we believe it is in the 

public interest to have the correct 

information and to have it as soon as 

possible and not delay its 

dissemination. For the reasons stated 

above, we find that both notice and 

comment procedures and the 30-day 

delay in effective date for this correction 

document are unnecessary and contrary 

to the public interest. Therefore, we find 

there is good cause to waive notice and 

comment procedures and the 30-day 

delay in effective date for this correction 

document. 

(Catalog of Federal Domestic Assistance 

Program No. 93.774, Medicare— 

Supplementary Medical Insurance Program) 

Dated: March 4, 2011. 

Dawn L. Smalls, 

Executive Secretary to the Department. 

[FR Doc. 2011–5674 Filed 3–10–11; 8:45 am] 

BILLING CODE 4120–01–P 

FEDERAL COMMUNICATIONS 

COMMISSION 

47 CFR Parts 1 and 63 

[IB Docket No. 04–47; FCC 07–118] 

Modifications of the Rules and 

Procedures Governing the Provisions 

of International Telecommunications 

Service 

AGENCY: Federal Communications 

Commission. 

ACTION: Final rule; announcement of 

effective date. 

SUMMARY: In this document, the 

Commission announces that the Office 

of Management and Budget (OMB) has 

approved, for a period of three years, the 

information collection requirements 

international telecommunications 

service regulations. The information 

collection requirements were approved 

on February 18, 2011 by OMB. 

DATES: The amendments to 47 CFR 

63.19(a)(1) and (a)(2) and 47 CFR 

63.24(c), published at 72 FR 54363, 

September 25, 2007, are effective on 

March 11, 2011. 

FOR FURTHER INFORMATION CONTACT: For 

additional information, please contact 

Cathy Williams, cathy.williams@fcc.gov 

or on (202) 418–2918. 

SUPPLEMENTARY INFORMATION: This 

document announces that, on February 

18, 2011, OMB approved, for a period of 

three years, the information collection 

requirements contained in 47 CFR 

63.19(a)(1) and (a)(2) and 47 CFR 


wwoods2 on DSK1DXX6B1PROD with RULES_PART 1