78748 Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 

provisions of § 721.185 apply to this 

section. 

(3) Determining whether a specific use 

is subject to this section. The provisions 

of § 721.1725(b)(1) apply to paragraph 

(a)(2)(i) of this section. 

§ 721.11455 Rare earth oxide (generic). 

(a) Chemical substance and 

significant new uses subject to reporting. 

(1) The chemical substance identified 

generically as rare earth oxide (PMN P– 

18–199) is subject to reporting under 

this section for the significant new uses 

described in paragraph (a)(2) of this 

section. 

(2) The significant new uses are: 

(i) Industrial, commercial, and 

consumer activities. Requirements as 

specified in § 721.82(j). 

(ii) [Reserved] 

(b) Specific requirements. The 

provisions of subpart A of this part 

apply to this section except as modified 

by this paragraph (b). 

(1) Recordkeeping. Recordkeeping 

requirements as specified in 

§ 721.125(a) through (c) and (i) are 

applicable to manufacturers and 

processors of this substance. 

(2) Limitations or revocation of 

certain notification requirements. The 

provisions of § 721.185 apply to this 

section. 

(3) Determining whether a specific use 

is subject to this section. The provisions 

of § 721.1725(b)(1) apply to paragraph 

(a)(2)(i) of this section. 

§ 721.11456 Acid-modified polyether 

(generic). 

Chemical substance and significant 

new uses subject to reporting. (1) The 

chemical substance identified 

generically as acid-modified polyether 

(PMN P–18–367) is subject to reporting 

under this section for the significant 

new uses described in paragraph (a)(2) 

of this section. 

(2) The significant new uses are: 

(i) Industrial, commercial, and 

consumer activities. Requirements as 

specified in § 721.80(f) and (o). It is a 

significant new use to process the 

substance to a final product formulation 

of greater than 2% by weight. 

(ii) Release to water. Requirements as 

specified in § 721.90(a)(4), (b)(4), and 

(c)(4) where N=9. 

(b) Specific requirements. The 

provisions of subpart A of this part 

apply to this section except as modified 

by this paragraph (b). 

(1) Recordkeeping. Recordkeeping 

requirements as specified in 

§ 721.125(a) through (c), (i), and (k) are 

applicable to manufacturers and 

processors of this substance. 

(2) Limitations or revocation of 

certain notification requirements. The 

provisions of § 721.185 apply to this 

section. 

§ 721.11457 Alkenoic acid polymer with 2- 

ethyl-2-(hydroxymethyl)-1,3-alkyldiol, 1,1’- 

methylenebis(4-isocyantocarbomonocycle) 

and 3-methyl-1,5-alkyldiol (generic). 

(a) Chemical substance and 

significant new uses subject to reporting. 

(1) The chemical substance identified 

generically as alkenoic acid polymer 

with 2-ethyl-2-(hydroxymethyl)-1,3- 

alkyldiol, 1,1’-methylenebis(4- 

isocyantocarbomonocycle) and 3- 

methyl-1,5-alkyldiol (PMN P–19–158) is 

subject to reporting under this section 

for the significant new uses described in 

paragraph (a)(2) of this section. 

(2) The significant new uses are: 

(i) Industrial, commercial, and 

consumer activities. Requirements as 

specified in § 721.80(o). It is a 

significant new use to manufacture, 

process, or use the substance in a 

manner that results in inhalation 

exposure. 

(ii) Release to water. Requirements as 

specified in § 721.90(a)(1), (b)(1), and 

(c)(1). 

(b) Specific requirements. The 

provisions of subpart A of this part 

apply to this section except as modified 

by this paragraph (b). 

(1) Recordkeeping. Recordkeeping 

requirements as specified in 

§ 721.125(a) through (c), (i), and (k) are 

applicable to manufacturers and 

processors of this substance. 

(2) Limitations or revocation of 

certain notification requirements. The 

provisions of § 721.185 apply to this 

section. 

§ 721.11458 Bis-alkoxy substituted alkane, 

polymer with aminoalkanol (generic). 

(a) Chemical substance and 

significant new uses subject to reporting. 

(1) The chemical substance identified 

generically as bis-alkoxy substituted 

alkane, polymer with aminoalkanol 

(PMN P–19–164) is subject to reporting 

under this section for the significant 

new uses described in paragraph (a)(2) 

of this section. 

(2) The significant new uses are: 

(i) Industrial, commercial, and 

consumer activities. It is a significant 

new use to manufacture, process, or use 

the substance in a manner that results 

in inhalation exposure. 

(ii) Release to water. Requirements as 

specified in § 721.90(a)(4), (b)(4), and 

(c)(4) where N=1. 

(b) Specific requirements. The 

provisions of subpart A of this part 

apply to this section except as modified 

by this paragraph (b). 

(1) Recordkeeping. Recordkeeping 

requirements as specified in 

§ 721.125(a) through (c), (i), and (k) are 

applicable to manufacturers and 

processors of this substance. 

(2) Limitations or revocation of 

certain notification requirements. The 

provisions of § 721.185 apply to this 

section. 

[FR Doc. 2020–26003 Filed 12–4–20; 8:45 am] 

BILLING CODE 6560–50–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Parts 405, 412, 413, 417, 476, 

480, 484, and 495 

[CMS–1735–CN] 

RIN 0938–AU11 

Medicare Program; Hospital Inpatient 

Prospective Payment Systems for 

Acute Care Hospitals and the LongTerm Care Hospital Prospective 

Payment System and Final Policy 

Changes and Fiscal Year 2021 Rates; 

Quality Reporting and Medicare and 

Medicaid Promoting Interoperability 

Programs Requirements for Eligible 

Hospitals and Critical Access 

Hospitals; Correction 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), Health and 

Human Services (HHS). 

ACTION: Final rule; correction. 

SUMMARY: This document corrects 

technical and typographical errors in 

the final rule that appeared in the 

September 18, 2020 issue of the Federal 

Register titled ‘‘Medicare Program; 

Hospital Inpatient Prospective Payment 

Systems for Acute Care Hospitals and 

the Long-Term Care Hospital 

Prospective Payment System and Final 

Policy Changes and Fiscal Year 2021 

Rates; Quality Reporting and Medicare 

and Medicaid Promoting 

Interoperability Programs Requirements 

for Eligible Hospitals and Critical 

Access Hospitals’’. 

DATES: 

Effective Date: This correcting 

document is effective on December 1, 

2020. 

Applicability Date: The corrections in 

this correcting document are applicable 

to discharges occurring on or after 

October 1, 2020. 

FOR FURTHER INFORMATION CONTACT: 

Donald Thompson and Michele 

Hudson, (410) 786–4487. 

SUPPLEMENTARY INFORMATION: 


khammond on DSKJM1Z7X2PROD with RULES
Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 78749 

I. Background 

In FR Doc. 2020–19637 of September 

18, 2020 (85 FR 58432) there were a 

number of technical and typographical 

errors that are identified and corrected 

in the Correction of Errors section of 

this correcting document. The 

corrections in this correcting document 

are applicable to discharges occurring 

on or after October 1, 2020, as if they 

had been included in the document that 

appeared in the September 18, 2020 

Federal Register. 

II. Summary of Errors 

A. Summary of Errors in the Preamble 

On the following pages: 58435 

through 58436, 58448, 58451, 58453, 

58459, 58464, 58471, 58479, 58487, 

58495, 58506, 58509, 58520, 58529, 

58531 through 58532, 58537, 58540 

through 58541, 58553 through 58556, 

58559 through 58560, 58580 through 

58583, 58585 through 58588, 58596, 

58599, 58603 through 58604, 58606 

through 58607, 58610, 58719, 58734, 

58736 through 58737, 58739, 58741, 

58842, 58876, 58893, and 58898 through 

58900, we are correcting inadvertent 

typographical errors in the internal 

section references. 

On page 58596, we are correcting an 

inadvertent typographical error in the 

date of the MedPAR data used for 

developing the Medicare Severity 

Diagnosis-Related Group (MS–DRG) 

relative weights. 

On pages 58716 and 58717, we are 

correcting inadvertent errors in the ICD– 

10–PCS procedure codes describing the 

BAROSTIM NEO® System technology. 

On pages 58721 and 58723, we are 

correcting inadvertent errors in the ICD– 

10–PCS procedure codes describing the 

Cefiderocol technology. 

On page 58768, due to a conforming 

change to the Rural Floor Budget 

Neutrality adjustment (listed in the table 

titled ‘‘Summary of FY 2021 Budget 

Neutrality Factors’’ on page 59034) as 

discussed in section II.B. of this 

correcting document and the 

conforming changes to the OutMigration Adjustment discussed in 

section II. D of this correcting document 

(with regard to Table 4A), we are 

correcting the 25th percentile wage 

index value across all hospitals. 

On page 59006, in the discussion of 

Medicare bad debt policy, we are 

correcting inadvertent errors in the 

regulatory citations and descriptions. 

B. Summary of Errors in the Addendum 

On pages 59031 and 59037, we are 

correcting inadvertent typographical 

errors in the internal section references. 

We are correcting an error in the 

version 38 ICD–10 MS–DRG assignment 

for some cases in the historical claims 

data in the FY 2019 MedPAR files used 

in the ratesetting for the FY 2021 IPPS/ 

LTCH PPS final rule, which resulted in 

inadvertent errors in the MS–DRG 

relative weights (and associated average 

length-of-stay (LOS)). Additionally, the 

version 38 MS–DRG assignment and 

relative weights are used when 

determining total payments for purposes 

of all of the budget neutrality factors 

and the final outlier threshold. As a 

result, the corrections to the MS–DRG 

assignment under the ICD–10 MS–DRG 

GROUPER version 38 for some cases in 

the historical claims data in the FY 2019 

MedPAR files and the recalculation of 

the relative weights directly affected the 

calculation of total payments and 

required the recalculation of all the 

budget neutrality factors and the final 

outlier threshold. 

In addition, as discussed in section 

II.D. of this correcting document, we 

made updates to the calculation of 

Factor 3 of the uncompensated care 

payment methodology to reflect updated 

information on hospital mergers 

received in response to the final rule. 

Factor 3 determines the total amount of 

the uncompensated care payment a 

hospital is eligible to receive for a fiscal 

year. This hospital-specific payment 

amount is then used to calculate the 

amount of the interim uncompensated 

care payments a hospital receives per 

discharge. Per discharge uncompensated 

care payments are included when 

determining total payments for purposes 

of all of the budget neutrality factors 

and the final outlier threshold. As a 

result, the revisions made to the 

calculation of Factor 3 to address 

additional merger information directly 

affected the calculation of total 

payments and required the recalculation 

of all the budget neutrality factors and 

the final outlier threshold. 

We made an inadvertent error in the 

Medicare Geographic Classification 

Review Board (MGCRB) reclassification 

status of one hospital in the FY 2021 

IPPS/LTCH PPS final rule. Specifically, 

CCN 050481 is incorrectly listed in 

Table 2 as reclassified to its geographic 

‘‘home’’ of CBSA 31084. The correct 

reclassification area is to CBSA 37100. 

This correction necessitated the 

recalculation of the FY 2021 wage index 

for CBSA 37100 and affected the final 

FY 2021 wage index with 

reclassification. The final FY 2021 IPPS 

wage index with reclassification is used 

when determining total payments for 

purposes of all budget neutrality factors 

(except for the MS–DRG reclassification 

and recalibration budget neutrality 

factor and the wage index budget 

neutrality adjustment factor) and the 

final outlier threshold. 

Due to the correction of the 

combination of errors listed previously 

(corrections to the MS–DRG assignment 

for some cases in the historical claims 

data and the resulting recalculation of 

the relative weights and average length 

of stay, revisions to Factor 3 of the 

uncompensated care payment 

methodology, and the correction to the 

MGCRB reclassification status of one 

hospital), we recalculated all IPPS 

budget neutrality adjustment factors, the 

fixed-loss cost threshold, the final wage 

indexes (and geographic adjustment 

factors (GAFs)), the national operating 

standardized amounts and capital 

Federal rate. Therefore, we made 

conforming changes to the following: 

• On page 59034, the table titled 

‘‘Summary of FY 2021 Budget 

Neutrality Factors’’. 

• On page 59037, the estimated total 

Federal capital payments and the 

estimated capital outlier payments. 

• On page 59040, the calculation of 

the outlier fixed-loss cost threshold, 

total operating Federal payments, total 

operating outlier payments, the outlier 

adjustment to the capital Federal rate 

and the related discussion of the 

percentage estimates of operating and 

capital outlier payments. 

• On page 59042, the table titled 

‘‘Changes from FY 2020 Standardized 

Amounts to the FY 2021 Standardized 

Amounts’’. 

On page 59039, we are correcting a 

typographical error in the total cases 

from October 1, 2018 through 

September 31, 2019 used to calculate 

the average covered charge per case, 

which is then used to calculate the 

charge inflation factor. 

On pages 59047 through 59048, in our 

discussion of the determination of the 

Federal hospital inpatient capitalrelated prospective payment rate 

update, due to the recalculation of the 

GAFs as well as corrections to the MS– 

DRG assignment for some cases in the 

historical claims data and the resulting 

recalculation of the relative weights and 

average length of stay, we have made 

conforming corrections to the capital 

Federal rate, the incremental budget 

neutrality adjustment factor for changes 

in the GAFs, and the outlier threshold 

(as discussed previously). As a result of 

these changes, we also made conforming 

corrections in the table showing the 

comparison of factors and adjustments 

for the FY 2020 capital Federal rate and 

FY 2021 capital Federal rate. As we 

noted in the final rule, the capital 

Federal rate is calculated using 

unrounded budget neutrality and outlier 


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78750 Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 

adjustment factors. The unrounded 

GAF/DRG budget neutrality factors and 

the unrounded outlier adjustment to the 

capital Federal rate were revised 

because of these errors. However, after 

rounding these factors to 4 decimal 

places as displayed in the final rule, the 

rounded factors were unchanged from 

the final rule. 

On page 59057, we are making 

conforming changes to the fixed-loss 

amount for FY 2021 site neutral 

payment rate discharges, and the high 

cost outlier (HCO) threshold (based on 

the corrections to the IPPS fixed-loss 

amount discussed previously). 

On pages 59060 and 59061, we are 

making conforming corrections to the 

national adjusted operating 

standardized amounts and capital 

standard Federal payment rate (which 

also include the rates payable to 

hospitals located in Puerto Rico) in 

Tables 1A, 1B, 1C, and 1D as a result of 

the conforming corrections to certain 

budget neutrality factors and the outlier 

threshold previously described. 

C. Summary of Errors in the Appendices 

On pages 59062, 59070, 59074 

through 59076, and 59085 we are 

correcting inadvertent typographical 

errors in the internal section references. 

On pages 59064 through 59071, 59073 

and 59074, and 59092 and 59093, in our 

regulatory impact analyses, we have 

made conforming corrections to the 

factors, values, and tables and 

accompanying discussion of the changes 

in operating and capital IPPS payments 

for FY 2021 and the effects of certain 

IPPS budget neutrality factors as a result 

of the technical errors that lead to 

changes in our calculation of the 

operating and capital IPPS budget 

neutrality factors, outlier threshold, 

final wage indexes, operating 

standardized amounts, and capital 

Federal rate (as described in section II.B. 

of this correcting document). These 

conforming corrections include changes 

to the following tables: 

• On pages 59065 through 59069, the 

table titled ‘‘Table I—Impact Analysis of 

Changes to the IPPS for Operating Costs 

for FY 2021’’. 

• On pages 59073 and 59074, the 

table titled ‘‘Table II—Impact Analysis 

of Changes for FY 2021 Acute Care 

Hospital Operating Prospective Payment 

System (Payments per discharge)’’. 

• On pages 59092 and 59093, the 

table titled ‘‘Table III—Comparison of 

Total Payments per Case [FY 2020 

Payments Compared to Final FY 2021 

payments]’’. 

On pages 59076 through 59079, we 

are correcting the discussion of the 

‘‘Effects of the Changes to 

Uncompensated Care Payments for FY 

2021’’ for purposes of the Regulatory 

Impact Analysis in Appendix A of the 

FY 2021 IPPS/LTCH PPS final rule, 

including the table titled ‘‘Modeled 

Uncompensated Care Payments for 

Estimated FY 2021 DSHs by Hospital 

Type: Uncompensated Care Payments ($ 

in Millions)*—from FY 2020 to FY 

2021’’ on pages 59077 and 59078, in 

light of the corrections discussed in 

section II.D. of this correcting 

document. 

D. Summary of Errors in and 

Corrections to Files and Tables Posted 

on the CMS Website 

We are correcting the errors in the 

following IPPS tables that are listed on 

pages 59059 and 59060 of the FY 2021 

IPPS/LTCH PPS final rule and are 

available on the internet on the CMS 

website at https://www.cms.gov/ 

Medicare/Medicare-Fee-for-ServicePayment/AcuteInpatientPPS/ 

index.html. 

The tables that are available on the 

internet have been updated to reflect the 

revisions discussed in this correcting 

document. 

Table 2—Case-Mix Index and Wage 

Index Table by CCN–FY 2021 Final 

Rule. As discussed in section II.B. of 

this correcting document, CCN 050481 

is incorrectly listed as reclassified to its 

home geographic area of CBSA 31084. 

In this table, we are correcting the 

columns titled ‘‘Wage Index Payment 

CBSA’’ and ‘‘MGCRB Reclass’’ to 

accurately reflect its reclassification to 

CBSA 37100. This correction 

necessitated the recalculation of the FY 

2021 wage index for CBSA 37100. Also, 

the corrections to the version 38 MS– 

DRG assignment for some cases in the 

historical claims data and the resulting 

recalculation of the relative weights and 

ALOS, corrections to Factor 3 of the 

uncompensated care payment 

methodology, and recalculation of all of 

the budget neutrality adjustments (as 

discussed in section II.B. of this 

correcting document) necessitated the 

recalculation of the rural floor budget 

neutrality factor which is the only 

budget neutrality factor applied to the 

FY 2021 wage indexes. Because the 

rural floor budget neutrality factor is 

applied to the FY 2021 wage indexes, 

we are making corresponding changes to 

the wage indexes listed in Table 2. In 

addition, as also discussed later in this 

section, because the wage indexes are 

one of the inputs used to determine the 

out-migration adjustment, some of the 

out migration adjustments changed. 

Therefore, we are making corresponding 

changes to some of the out-migration 

adjustments listed in Table 2. Also, as 

discussed in section II.A of this 

correcting document, we made a 

conforming change to the 25th 

percentile wage index value across all 

hospitals. Accordingly, we are making 

corresponding changes to the values for 

hospitals in the columns titled ‘‘FY 

2021 Wage Index Prior to Quartile and 

Transition’’, ‘‘FY 2021 Wage Index With 

Quartile’’, ‘‘FY 2021 Wage Index With 

Quartile and Cap’’ and ‘‘Out-Migration 

Adjustment’’. We also updated footnote 

number 6 to reflect the conforming 

change to the 25th percentile wage 

index value across all hospitals. 

Table 3.—Wage Index Table by 

CBSA—FY 2021 Final Rule. As 

discussed in section II.B. of this 

correcting document, CCN 050481 is 

incorrectly listed in Table 2 as 

reclassified to its home geographic area 

of CBSA 31084 instead of reclassified to 

CBSA 37100. This correction 

necessitated the recalculation of the FY 

2021 wage index for CBSA 37100. Also, 

corrections to the version 38 MS–DRG 

assignment for some cases in the 

historical claims data and the resulting 

recalculation of the relative weights and 

ALOS, corrections to Factor 3 of the 

uncompensated care payment 

methodology, and the recalculation of 

all of the budget neutrality adjustments 

(as discussed in section II.B. of this 

correcting document) necessitated the 

recalculation of the rural floor budget 

neutrality factor which is the only 

budget neutrality factor applied to the 

FY 2021 wage indexes. Because the 

rural floor budget neutrality factor is 

applied to the FY 2021 wage indexes, 

we are making corresponding changes to 

the wage indexes and GAFs of all 

CBSAs listed in Table 3. Specifically, 

we are correcting the values and flags in 

the columns titled ‘‘Wage Index’’, 

‘‘GAF’’, ‘‘Reclassified Wage Index’’, 

‘‘Reclassified GAF’’, ‘‘State Rural 

Floor’’, ‘‘Eligible for Rural Floor Wage 

Index’’, ‘‘Pre-Frontier and/or Pre-Rural 

Floor Wage Index’’, ‘‘Reclassified Wage 

Index Eligible for Frontier Wage Index’’, 

‘‘Reclassified Wage Index Eligible for 

Rural Floor Wage Index’’, and 

‘‘Reclassified Wage Index Pre-Frontier 

and/or Pre-Rural Floor’’. 

Table 4A.— List of Counties Eligible 

for the Out-Migration Adjustment under 

Section 1886(d)(13) of the Act—FY 2021 

Final Rule. As discussed in section II.B. 

of this correcting document, CCN 

050481 is incorrectly listed in Table 2 

as reclassified to its home geographic 

area of CBSA 31084 instead of 

reclassified to CBSA 37100. This 

correction necessitated the recalculation 

of the FY 2021 wage index for CBSA 

37100. Also, corrections to the version 

38 MS–DRG assignment for some cases 


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Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 78751 

in the historical claims data and the 

resulting recalculation of the relative 

weights and ALOS, corrections to Factor 

3 of the uncompensated care payment 

methodology, and the recalculation of 

all of the budget neutrality adjustments 

(as discussed in section II.B. of this 

correcting document) necessitated the 

recalculation of the rural floor budget 

neutrality factor which is the only 

budget neutrality factor applied to the 

FY 2021 wage indexes. As a result, as 

discussed previously, we are making 

corresponding changes to the FY 2021 

wage indexes. Because the wage indexes 

are one of the inputs used to determine 

the out-migration adjustment, some of 

the out migration adjustments changed. 

Therefore, we are making corresponding 

changes to some of the out-migration 

adjustments listed in Table 4A. 

Specifically, we are correcting the 

values in the column titled ‘‘FY 2021 

Out Migration Adjustment’’. 

Table 5.—List of Medicare Severity 

Diagnosis-Related Groups (MS–DRGs), 

Relative Weighting Factors, and 

Geometric and Arithmetic Mean Length 

of Stay—FY 2021. We are correcting this 

table to reflect the recalculation of the 

relative weights, geometric average 

length-of-stay (LOS), and arithmetic 

mean LOS as a result of the corrections 

to the version 38 MS–DRG assignment 

for some cases in the historical claims 

data used in the calculations (as 

discussed in section II.B. of this 

correcting document). 

Table 7B.—Medicare Prospective 

Payment System Selected Percentile 

Lengths of Stay: FY 2019 MedPAR 

Update—March 2020 GROUPER 

Version 38 MS–DRGs. We are correcting 

this table to reflect the recalculation of 

the relative weights, geometric average 

LOS, and arithmetic mean LOS as a 

result of the corrections to the version 

38 MS–DRG assignment for some cases 

in the historical claims data used in the 

calculations (as discussed in section 

II.B. of this correcting document). 

Table 18.—FY 2021 Medicare DSH 

Uncompensated Care Payment Factor 3. 

For the FY 2021 IPPS/LTCH PPS final 

rule, we published a list of hospitals 

that we identified to be subsection (d) 

hospitals and subsection (d) Puerto Rico 

hospitals projected to be eligible to 

receive uncompensated care interim 

payments for FY 2021. As stated in the 

FY 2021 IPPS/LTCH PPS final rule (85 

FR 58834 and 58835), we allowed the 

public an additional period after the 

issuance of the final rule to review and 

submit comments on the accuracy of the 

list of mergers that we identified in the 

final rule. Based on the comments 

received during this additional period, 

we are updating this table to reflect the 

merger information received in response 

to the final rule and to revise the Factor 

3 calculations for purposes of 

determining uncompensated care 

payments for the FY 2021 IPPS/LTCH 

PPS final rule. 

We are revising Factor 3 for all 

hospitals to reflect the updated merger 

information received in response to the 

final rule. We are also revising the 

amount of the total uncompensated care 

payment calculated for each DSHeligible hospital. The total 

uncompensated care payment that a 

hospital receives is used to calculate the 

amount of the interim uncompensated 

care payments the hospital receives per 

discharge; accordingly, we have also 

revised these amounts for all DSHeligible hospitals. These corrections will 

be reflected in Table 18 and the 

Medicare DSH Supplemental Data File. 

Per discharge uncompensated care 

payments are included when 

determining total payments for purposes 

of all of the budget neutrality factors 

and the final outlier threshold. As a 

result, these corrections to 

uncompensated care payments 

impacted the calculation of all the 

budget neutrality factors as well as the 

outlier fixed-loss cost threshold. In 

section IV.C. of this correcting 

document, we have made corresponding 

revisions to the discussion of the 

‘‘Effects of the Changes to Medicare 

DSH and Uncompensated Care 

Payments for FY 2021’’ for purposes of 

the Regulatory Impact Analysis in 

Appendix A of the FY 2021 IPPS/LTCH 

PPS final rule to reflect the corrections 

discussed previously and to correct 

minor typographical errors. 

The files that are available on the 

internet have been updated to reflect the 

corrections discussed in this correcting 

document. 

III. Waiver of Proposed Rulemaking, 

60-Day Comment Period, and Delay in 

Effective Date 

Under 5 U.S.C. 553(b) of the 

Administrative Procedure Act (APA), 

the agency is required to publish a 

notice of the proposed rulemaking in 

the Federal Register before the 

provisions of a rule take effect. 

Similarly, section 1871(b)(1) of the Act 

requires the Secretary to provide for 

notice of the proposed rulemaking in 

the Federal Register and provide a 

period of not less than 60 days for 

public comment. In addition, section 

553(d) of the APA, and section 

1871(e)(1)(B)(i) of the Act mandate a 30- 

day delay in effective date after issuance 

or publication of a rule. Sections 

553(b)(B) and 553(d)(3) of the APA 

provide for exceptions from the notice 

and comment and delay in effective date 

APA requirements; in cases in which 

these exceptions apply, sections 

1871(b)(2)(C) and 1871(e)(1)(B)(ii) of the 

Act provide exceptions from the notice 

and 60-day comment period and delay 

in effective date requirements of the Act 

as well. Section 553(b)(B) of the APA 

and section 1871(b)(2)(C) of the Act 

authorize an agency to dispense with 

normal rulemaking requirements for 

good cause if the agency makes a 

finding that the notice and comment 

process are impracticable, unnecessary, 

or contrary to the public interest. In 

addition, both section 553(d)(3) of the 

APA and section 1871(e)(1)(B)(ii) of the 

Act allow the agency to avoid the 30- 

day delay in effective date where such 

delay is contrary to the public interest 

and an agency includes a statement of 

support. 

We believe that this correcting 

document does not constitute a rule that 

would be subject to the notice and 

comment or delayed effective date 

requirements. This document corrects 

technical and typographical errors in 

the preamble, addendum, payment 

rates, tables, and appendices included 

or referenced in the FY 2021 IPPS/LTCH 

PPS 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 

2021 IPPS/LTCH PPS final rule 

accurately reflects the policies adopted 

in that document. 

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 2021 IPPS/LTCH PPS final rule 

accurately reflects our policies. 

Furthermore, such procedures would be 

unnecessary, as we are not altering 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 

2021 IPPS/LTCH PPS final rule 

accurately reflects these payment 

methodologies and policies. Therefore, 

we believe we have good cause to waive 


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the notice and comment and effective 

date requirements. Moreover, even if 

these corrections were considered to be 

retroactive rulemaking, they would be 

authorized under section 

1871(e)(1)(A)(ii) of the Act, which 

permits the Secretary to issue a rule for 

the Medicare program with retroactive 

effect if the failure to do so would be 

contrary to the public interest. As we 

have explained previously, we believe it 

would be contrary to the public interest 

not to implement the corrections in this 

correcting document 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 2021 IPPS/LTCH PPS final rule 

accurately reflects our policies. 

IV. Correction of Errors 

In FR Doc. 2020–19637 of September 

18, 2020 (85 FR 58432), we are making 

the following corrections: 

A. Corrections of Errors in the Preamble 

1. On page 58435, third column, third 

full paragraph, line 1, the reference, 

‘‘section II.G.9.b.’’ is corrected to read 

‘‘section II.F.9.b.’’. 

2. On page 58436, first column, first 

full paragraph, line 10, the reference, 

‘‘section II.G.9.c.’’ is corrected to read 

‘‘section II.F.9.c.’’. 

3. On page 58448, lower half of the 

page, second column, first partial 

paragraph, lines 19 and 20, the 

reference, ‘‘section II.E.2.b.’’ is corrected 

to read ‘‘section II.D.2.b.’’. 

4. On page 58451, first column, first 

full paragraph, line 12, the reference, 

‘‘section II.E.16.’’ is corrected to read 

‘‘section II.D.16.’’. 

5. On page 58453, third column, third 

full paragraph, line 13, the reference, 

‘‘section II.E.2.b.’’ is corrected to read 

‘‘section II.D.2.b.’’. 

6. On page 58459, first column, fourth 

paragraph, line 3, the reference, ‘‘section 

II.E.1.b.’’ is corrected to read ‘‘section 

II.D.1.b.’’. 

7. On page 58464, bottom quarter of 

the page, second column, partial 

paragraph, lines 4 and 5, the phrase 

‘‘and section II.E.15. of this final rule,’’ 

is corrected to read ‘‘and this final 

rule,’’. 

8. On page 58471, first column, first 

partial paragraph, lines 12 and 13, the 

reference, ‘‘section II.E.15.’’ is corrected 

to read ‘‘section II.D.15.’’. 

9. On page 58479, first column, first 

partial paragraph: 

a. Line 6, the reference, ‘‘section 

II.E.16.’’ is corrected to read ‘‘section 

II.D.16.’’. 

b. Line 15, the reference, ‘‘section 

II.E.1.b.’’ is corrected to read ‘‘section 

II.D.1.b.’’. 

10. On page 58487, first column, first 

full paragraph, lines 20 through 21, the 

reference, ‘‘section II.E.12.b.’’ is 

corrected to read ‘‘section II.D.12.b.’’. 

11. On page 58495, middle of the 

page, third column, first full paragraph, 

line 5, the reference, ‘‘section II.E.1.b.’’ 

is corrected to read ‘‘section II.D.1.b.’’. 

12. On page 58506: 

a. Top half of the page, second 

column, first full paragraph, line 8, the 

reference, ‘‘section II.E.1.b.’’ is corrected 

to read ‘‘section II.D.1.b.’’. 

b. Bottom half of the page: 

(1) First column, first paragraph, line 

5, the reference, ‘‘section II.E.1.b.’’ is 

corrected to read ‘‘section II.D.1.b.’’. 

(2) Second column, third full 

paragraph, line 5, the reference, ‘‘section 

II.E.1.b.’’ is corrected to read ‘‘section 

II.D.1.b.’’. 

13. On page 58509: 

a. First column, last paragraph, last 

line, the reference, ‘‘section II.E.2.’’ is 

corrected to read ‘‘section II.D.2.’’. 

b. Third column, last paragraph, line 

5, the reference, ‘‘section II.E.1.b.’’ is 

corrected to read ‘‘section II.D.1.b.’’. 

14. On page 58520, second column, 

second full paragraph, line 22, the 

reference, ‘‘section II.E.11.’’ is corrected 

to read ‘‘section II.D.11.’’. 

15. On page 58529, bottom half of the 

page, first column, last paragraph, lines 

11 and 12, the reference, ‘‘section 

II.E.12.a.’’ is corrected to read ‘‘section 

II.D.12.a.’’. 

16. On page 58531: 

a. Top of the page, second column, 

last paragraph, line 3, the reference, 

‘‘section II.E.4.’’ is corrected to read 

‘‘section II.D.4.’’. 

b. Bottom of the page, first column, 

last paragraph, line 3, the reference, 

‘‘section II.E.16.’’ is corrected to read 

‘‘section II.D.16.’’. 

17. On page 58532, top of the page, 

second column, first partial paragraph, 

line 5, the reference, ‘‘section II.E.4.’’ is 

corrected to read ‘‘section II.D.4.’’. 

18. On page 58537: 

a. Second column, last paragraph, line 

6, the reference, ‘‘section II.E.11.c.5.’’ is 

corrected to read ‘‘section II.D.11.c.(5).’’. 

b. Third column, fifth paragraph: 

(1) Lines 8 and 9, the reference, 

‘‘section II.E.11.c.1.’’ is corrected to read 

‘‘section II.D.11.c.(1).’’. 

(2) Line 29, the reference, ‘‘section 

II.E.11.c.1.’’ is corrected to read ‘‘section 

II.D.11.c.(1).’’. 

19. On page 58540, first column, first 

partial paragraph, line 19, the reference, 

‘‘section II.E.13.’’ is corrected to read 

‘‘section II.D.13.’’. 

20. On page 58541, second column, 

first partial paragraph, lines 9 and 10, 

the reference, ‘‘section II.E.1.b.’’ is 

corrected to read ‘‘section II.D.1.b.’’. 

21. On page 58553, second column, 

third full paragraph, line 20, the 

reference, ‘‘section II.E.16.’’ is corrected 

to read ‘‘section II.D.16.’’. 

22. On page 58554, first column, fifth 

full paragraph, line 1, the reference, 

‘‘section II.E.13.’’ is corrected to read 

‘‘section II.D.13.’’. 

23. On page 58555, second column, 

fifth full paragraph, lines 8 and 9, the 

reference, ‘‘section II.E.13.’’ is corrected 

to read ‘‘section II.D.13.’’. 

24. On page 58556: 

a. First column, first partial 

paragraph, line 5, the reference, ‘‘section 

II.E.16.’’ is corrected to read ‘‘section 

II.D.16.’’. 

b. Second column, first full 

paragraph: 

(1) Line 6, the reference, ‘‘section 

II.E.16.’’ is corrected to read ‘‘section 

II.D.16.’’. 

(2) Line 38, the reference, ‘‘section 

II.E.16.’’ is corrected to read ‘‘section 

II.D.16.’’. 

25. On page 58559, bottom half of the 

page, third column, first full paragraph, 

line 21, the reference, ‘‘section 

II.E.12.c.’’ is corrected to read ‘‘section 

II.D.12.c.’’. 

26. On page 58560, first column, first 

full paragraph, line 14, the reference, 

‘‘section II.E.16.’’ is corrected to read 

‘‘section II.D.16.’’. 

27. On page 58580, third column, last 

paragraph, line 3, the reference, ‘‘section 

II.E.13. of this final rule,’’ is corrected to 

read ‘‘this final rule,’’. 

28. On page 58581: 

a. Middle of the page: 

(1) First column, first paragraph, line 

3, the reference, ‘‘section II.E.13. of this 

final rule,’’ is corrected to read ‘‘this 

final rule,’’. 

(2) Third column, last paragraph, line 

3, the reference, ‘‘section II.E.13. of this 

final rule,’’ is corrected to read ‘‘this 

final rule,’’. 

b. Bottom of the page, third column, 

last paragraph, line 3, the reference, 

‘‘section II.E.13. of this final rule,’’ is 

corrected to read ‘‘this final rule,’’. 

29. On page 58582: 

a. Middle of the page: 

(1) First column, first paragraph, line 

3, the reference, ‘‘section II.E.13. of this 

final rule,’’ is corrected to read ‘‘this 

final rule,’’. 

(2) Third column, first full paragraph, 

line 3, the reference, ‘‘section II.E.13. of 

this final rule,’’ is corrected to read ‘‘this 

final rule,’’. 

b. Bottom of the page, second column, 

first full paragraph, lines 2 and 3, the 

reference, ‘‘in section II.E.13. of this 

final rule,’’ is corrected to read ‘‘this 

final rule,’’. 

30. On page 58583: 

a. Top of the page, second column, 

last paragraph, line 3, the reference, 


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‘‘section II.E.13. of this final rule,’’ is 

corrected to read ‘‘this final rule,’’. 

b. Bottom of the page: 

(1) First column, last paragraph, line 

3, the reference, ‘‘in section II.E.13. of 

this final rule,’’ is corrected to read ‘‘this 

final rule,’’. 

(2) Third column, last paragraph, line 

3, the reference, ‘‘section II.E.13. of this 

final rule,’’ is corrected to read ‘‘this 

final rule,’’. 

31. On page 58585, top of the page, 

third column, last paragraph, lines 3 

and 4, the reference, ‘‘in section II.E.13. 

of this final rule,’’ is corrected to read 

‘‘this final rule,’’. 

32. On page 58586: 

a. Second column, last partial 

paragraph, line 4, the reference, ‘‘section 

II.E.2.b.’’ is corrected to read ‘‘section 

II.D.2.b.’’. 

b. Third column: 

(1) First partial paragraph: 

(a) Lines 12 and 13, the reference, ‘‘in 

section II.E.2.b. of this final rule,’’ is 

corrected to read ‘‘this final rule,’’. 

(b) Lines 20 and 21, the reference, ‘‘in 

section II.E.8.a. of this final rule,’’ is 

corrected to read ‘‘this final rule,’’. 

(2) Last partial paragraph: 

(a) Line 3, the reference, ‘‘section 

II.E.4. of this final rule,’’ is corrected to 

read ‘‘this final rule,’’. 

(b) Line 38, the reference, ‘‘section 

II.E.7.b. of this final rule,’’ is corrected 

to read ‘‘this final rule,’’. 

33. On page 58587: 

a. Top of the page, second column, 

partial paragraph, line 7, the reference, 

‘‘section II.E.8.a. of this final rule,’’ is 

corrected to read ‘‘this final rule,’’. 

b. Bottom of the page: 

(1) Second column, last partial 

paragraph, line 3, the reference, ‘‘section 

II.E.2.b.’’ is corrected to read ‘‘section 

II.D.2.b.’’. 

(2) Third column, first partial 

paragraph, line 1, the reference, ‘‘section 

II.E.8.a.’’ is corrected to read ‘‘section 

II.D.8.a.’’. 

34. On page 58588, first column: 

a. First full paragraph, line 3, the 

reference, ‘‘section II.E.4.’’ is corrected 

to read ‘‘section II.D.4.’’. 

b. Third full paragraph, line 3, the 

reference, ‘‘section II.E.7.b.’’ is corrected 

to read ‘‘section II.D.7.b.’’. 

c. Fifth full paragraph, line 3, the 

reference, ‘‘section II.E.8.a.’’ is corrected 

to read ‘‘section II.D.8.a.’’. 

35. On page 58596: 

a. First column: 

(1) First full paragraph, line 1, the 

reference, ‘‘section II.E.5.a.’’ is corrected 

to read ‘‘section II.D.5.a.’’. 

(2) Last paragraph, line 5, the 

reference, ‘‘section II.E.1.b.’’ is corrected 

to read ‘‘section II.D.1.b.’’. 

c. Second column, first full paragraph, 

line 14, the date ‘‘March 31, 2019’’ is 

corrected to read ‘‘March 31, 2020’’. 

36. On page 58599, first column, 

second full paragraph, line 1, the 

reference, ‘‘section II.E.2.b.’’ is corrected 

to read ‘‘section II.D.2.b.’’. 

37. On page 58603, first column: 

a. First partial paragraph, line 13, the 

reference, ‘‘section II.G.1.a.(2).b.’’ is 

corrected to read ‘‘section 

II.F.1.a.(2).b.’’. 

b. Last partial paragraph, line 21, the 

reference, ‘‘section II.G.1.a.(2).b.’’ is 

corrected to read ‘‘section 

II.F.1.a.(2).b.’’. 

38. On page 58604, third column, first 

partial paragraph, line 38, the reference, 

‘‘section II.E.2.b.’’ is corrected to read 

‘‘section II.D.2.b.’’. 

39. On page 58606: 

a. First column, second partial 

paragraph, line 13, the reference, 

‘‘section II.G.9.b.’’ is corrected to read 

‘‘section II.F.9.b.’’. 

b. Second column: 

(1) First partial paragraph, line 3, the 

reference, ‘‘section II.G.9.b.’’ is corrected 

to read ‘‘section II.F.9.b.’’. 

(2) First full paragraph: 

(a) Line 29, the reference, ‘‘section 

II.G.8.’’ is corrected to read ‘‘section 

II.F.8.’’. 

(b) Line 36, ‘‘section II.G.8.’’ is 

corrected to read ‘‘section II.F.8.’’. 

e. Third column, first full paragraph: 

(1) Lines 4 and 5, the reference, 

‘‘section II.G.9.b.’’ is corrected to read 

section ‘‘II.F.9.b.’’. 

(2) Line 13, the reference ‘‘section 

II.G.9.b.’’ is corrected to read ‘‘section 

II.F.9.b.’’. 

40. On page 58607: 

a. First column, first full paragraph: 

(1) Line 7, the reference, ‘‘section 

II.G.9.b.’’ is corrected to read ‘‘section 

II.F.9.b.’’. 

(2) Line 13, the reference, ‘‘section 

II.G.9.b.’’ is corrected to read ‘‘section 

II.F.9.b.’’. 

c. Second column, first partial 

paragraph: 

(1) Line 20, the reference, ‘‘section 

II.G.9.c.’’ is corrected to read ‘‘section 

II.F.9.c.’’. 

(2) Line 33, the reference, ‘‘section 

II.G.9.c.’’ is corrected to read ‘‘section 

II.F.9.c.’’. 

41. On page 58610: 

a. Second column, last partial 

paragraph, lines 1 and 16, the reference, 

‘‘section II.E.2.b.’’ is corrected to read 

‘‘section II.D.2.b.’’. 

b. Third column, first partial 

paragraph: 

(1) Line 6, the reference, ‘‘section 

II.G.1.a.(2).b.’’ is corrected to read 

‘‘section II.F.1.a.(2)b.’’ 

(2) Lines 20 and 21, the reference, 

‘‘section II.G.1.a.(2)b.’’ is corrected to 

read ‘‘section II.F.1.a.(2)b.’’. 

42. On page 58716, first column, 

second full paragraph, lines 14 through 

19, the phrase, ‘‘with 03HK0MZ 

(Insertion of stimulator lead into right 

internal carotid artery, open approach) 

or 03HL0MZ (Insertion of stimulator 

lead into left internal carotid artery, 

open approach)’’ is corrected to read 

‘‘with 03HK3MZ (Insertion of stimulator 

lead into right internal carotid artery, 

percutaneous approach) or 03HL3MZ 

(Insertion of stimulator lead into left 

internal carotid artery, percutaneous 

approach).’’. 

43. On page 58717, first column, first 

partial paragraph, line 5, the phrase, 

‘‘with 03HK0MZ or 03HL0MZ’’ is 

corrected to read ‘‘with 03HK3MZ or 

03HL3MZ.’’ 

44. On page 58719: 

a. First column, last partial paragraph, 

line 12, the reference, ‘‘section II.G.8.’’ 

is corrected to read ‘‘section II.F.8.’’. 

b. Third column, first partial 

paragraph, line 15, the reference, 

‘‘section II.G.8.’’ is corrected to read 

‘‘section II.F.8.’’. 

45. On page 58721, third column, 

second full paragraph, line 17, the 

phrase, ‘‘XW03366 or XW04366’’ is 

corrected to read ‘‘XW033A6 

(Introduction of cefiderocol antiinfective into peripheral vein, 

percutaneous approach, new technology 

group 6) or XW043A6 (Introduction of 

cefiderocol anti-infective into central 

vein, percutaneous approach, new 

technology group 6).’’. 

46. On page 58723, second column, 

first partial paragraph, line 14, the 

phrase, ‘‘procedure codes XW03366 or 

XW04366’’ is corrected to read 

‘‘procedure codes XW033A6 or 

XW043A6.’’ 

47. On page 58734, third column, 

second full paragraph, line 26, the 

reference, ‘‘section II.G.9.b.’’ is corrected 

to read ‘‘section II.F.9.b.’’. 

48. On page 58736, second column, 

first full paragraph, line 27, the 

reference, ‘‘II.G.9.b.’’ is corrected to read 

‘‘II.F.9.b.’’. 

49. On page 58737, third column, first 

partial paragraph, line 5, the reference, 

‘‘section II.G.1.d.’’ is corrected to read 

‘‘section II.F.1.d.’’. 

50. On page 58739, third column, first 

full paragraph, line 21, the reference, 

‘‘section II.G.8.’’ is corrected to read 

‘‘section II.F.8.’’. 

51. On page 58741, third column, 

second partial paragraph, line 17, the 

reference, ‘‘section II.G.9.a.’’ is corrected 

to read ‘‘section II.F.9.a.’’. 


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52. On page 58768, third column, first 

partial paragraph, line 3, the figure 

‘‘0.8465’’ is corrected to read ‘‘0.8469’’. 

53. On page 58842, second column, 

first full paragraph, lines 19 and 35, the 

reference, ‘‘section II.E.2.b.’’ is corrected 

to read ‘‘section II.D.2.b.’’. 

54. On page 58876, first column, first 

full paragraph, line 18, the reference, 

‘‘section II.E.’’ is corrected to read 

‘‘section II.D.’’. 

55. On page 58893, first column, 

second full paragraph, line 5, the 

reference, ‘‘section II.E.2.b.’’ is corrected 

to read ‘‘section II.D.2.b.’’. 

56. On page 58898, third column, first 

full paragraph, line 9, the reference, 

‘‘section II.E.’’ is corrected to read 

‘‘section II.D.’’. 

57. On page 58899, third column, first 

full paragraph, line 24, the reference, 

‘‘section II.E.1.’’ is corrected to read 

‘‘section II.D.1.’’. 

58. On page 58900, first column, third 

paragraph, line 26, the reference, 

‘‘section II.E.’’ is corrected to read 

‘‘section II.D.’’. 

59. On page 59006, second column, 

second full paragraph: 

a. Line 4, the regulation citation, 

‘‘(c)(3)(i)’’ is corrected to read 

‘‘(c)(1)(ii)’’. 

b. Line 12, the regulation citation, 

‘‘(c)(3)(ii)’’ is corrected to read 

‘‘(c)(2)(ii)’’. 

c. Lines 17 and 18, the phrase 

‘‘charged to an uncollectible receivables 

account’’ is corrected to read, ‘‘recorded 

as an implicit price concession’’. 

B. Correction of Errors in the Addendum 

1. On page 59031: 

a. First column: 

(1) First full paragraph, line 7, the 

reference, ‘‘section ‘‘II.G.’’ is corrected 

to read ‘‘section II.E.’’. 

(2) Second partial paragraph, lines 26 

and 27, the reference, ‘‘section II.G.’’ is 

corrected to read ‘‘section II.E.’’. 

b. Second column, first partial 

paragraph: 

(1) Line 5, the reference, ‘‘section 

II.E.2.b.’’ is corrected to read ‘‘section 

II.D.2.b.’’. 

(2) Line 22, the reference, ‘‘section 

II.E.2.b.’’ is corrected to read ‘‘section 

II.D.2.b.’’. 

2. On page 59034, at the top of the 

page, the table titled ‘‘Summary of FY 

2021 Budget Neutrality Factors’’ is 

corrected to read: 

3. On page 59037, second column: 

a. First full paragraph, line 4, the 

phrase ‘‘(estimated capital outlier 

payments of $429,431,834 divided by 

(estimated capital outlier payments of 

$429,431,834 plus the estimated total 

capital Federal payment of 

$7,577,697,269))’’ is corrected to read: 

‘‘(estimated capital outlier payments of 

$429,147,874 divided by (estimated 

capital outlier payments of 

$429,147,874 plus the estimated total 

capital Federal payment of 

$7,577,975,637))’’ 

b. Last partial paragraph, line 8, the 

reference, ‘‘section II.E.2.b.’’ is corrected 

to read ‘‘section II.D.2.b.’’. 

4. On page 59039, third column, last 

paragraph, lines 18 and 19, the phrase 

‘‘9,519,120 cases’’ is corrected to 

‘‘9,221,466 cases’’. 

5. On page 59040: 

a. Top of the page, third column: 

(1) First partial paragraph: 

(a) Line 9, the figure ‘‘$29,051’’ is 

corrected to read ‘‘$29,064’’. 

(b) Line 11, the figure 

‘‘$4,955,813,978’’ is corrected to read 

‘‘$4,951,017,650’’ 

(c) Line 12, the figure 

‘‘$92,027,177,037’’ is corrected to read 

‘‘$91,937,666,182’’. 

(d) Line 26, the figure ‘‘$29,108’’ is 

corrected to read ‘‘$29,121’’. 


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(e) Line 33, the figure ‘‘$29,051’’ is 

corrected to read ‘‘$29,064’’. 

(2) First full paragraph, line 11, the 

phrase ‘‘threshold for FY 2021 (which 

reflects our’’ is corrected to read 

‘‘threshold for FY 2021 of $29,064 

(which reflects our’’. 

b. Bottom of the page, the untitled 

table is corrected to read as follows: 

6. On pages 59042, the table titled 

‘‘CHANGES FROM FY 2020 

STANDARDIZED AMOUNTS TO THE 

FY 2021 STANDARDIZED AMOUNTS’’ 

is corrected to read as follows: 


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7. On page 59047: 

a. Second column: 

(1) Second full paragraph, line 43, the 

figure ‘‘0.9984’’ is corrected to read 

‘‘0.9983’’. 

(2) Last paragraph: 

(a) Line 17, the figure ‘‘0.9984’’ is 

corrected to read ‘‘0.9983’’. 

(b) Line 18, the figure ‘‘0.9984’’ is 

corrected to read ‘‘0.9983’’. 

b. Third column: 

(1) Third paragraph, line 4, the figure 

‘‘0.9984’’ is corrected to read ‘‘0.9983’’. 

(2) Last paragraph, line 9, the figure 

‘‘$466.22’’ is corrected to read 

‘‘$466.21’’. 

8. On page 59048: 

a. The chart titled ‘‘COMPARISON OF 

FACTORS AND ADJUSTMENTS: FY 

2020 CAPITAL FEDERAL RATE AND 

THE FY 2021 CAPITAL FEDERAL 

RATE’’ is corrected to read as follows: 

b. Lower half of the page, first 

column, second full paragraph, last line, 

the figure ‘‘$29,051’’ is corrected to read 

‘‘$29,064’’. 

9. On page 59057, second column, 

second full paragraph: 

a. Line 11, the figure ‘‘$29,051’’ is 

corrected to read ‘‘$29,064’’. 

b. Last line, the figure ‘‘$29,051’’ is 

corrected to read ‘‘$29,064’’. 

10. On page 59060, the table titled 

‘‘TABLE 1A—NATIONAL ADJUSTED 

OPERATING STANDARDIZED 

AMOUNTS, LABOR/NONLABOR (68.3 

PERCENT LABOR SHARE/31.7 

PERCENT NONLABOR SHARE IF 

WAGE INDEX IS GREATER THAN 1) 

—FY 2021’’ is corrected to read as 

follows: 

11. On page 59061, top of the page: 

a. The table titled ‘‘TABLE 1B— 

NATIONAL ADJUSTED OPERATING 

STANDARDIZED AMOUNTS, LABOR/ 

NONLABOR (62 PERCENT LABOR 

SHARE/38 PERCENT NONLABOR 

SHARE IF WAGE INDEX IS LESS 

THAN OR EQUAL TO 1)—FY 2021’’ is 

corrected to read as follows: 


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b. The table titled ‘‘Table 1C— 

ADJUSTED OPERATING 

STANDARDIZED AMOUNTS FOR 

HOSPITALS IN PUERTO RICO, 

LABOR/NONLABOR (NATIONAL: 62 

PERCENT LABOR SHARE/38 PERCENT 

NONLABOR SHARE BECAUSE WAGE 

INDEX IS LESS THAN OR EQUAL TO 

1)—FY 2021’’ is corrected to read as 

follows: 

c. The table titled ‘‘TABLE 1D— 

CAPITAL STANDARD FEDERAL 

PAYMENT RATE—FY 2021’’ is 

corrected to read as follows: 

C. Corrections of Errors in the 

Appendices 

1. On page 59062, first column, 

second full paragraph: 

a. Line 9, the reference ‘‘sections 

II.G.5. and 6.’’ is corrected to read 

‘‘sections II.F.5. and 6.’’ 

b. Line 11, the reference ‘‘section 

II.G.6.’’ is corrected to read ‘‘section 

II.F.6.’’ 

3. On page 59064, third column, 

second full paragraph, last line, the 

figures ‘‘2,049, and 1,152’’ are corrected 

to read ‘‘2,050 and 1,151’’. 

4. On page 59065 through 59069, the 

table and table notes for the table titled 

‘‘TABLE I.—IMPACT ANALYSIS OF 

CHANGES TO THE IPPS FOR 

OPERATING COSTS FOR FY 2021’’ are 

corrected to read as follows: 

BILLING CODE 4120–01–P 


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Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 78759 


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78760 Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 


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Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 78761 

BILLING CODE 4120–01–C 


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78762 Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 

5. On page 59070: 

a. First column: 

(1) Third full paragraph: 

(a) Line 1, the reference, ‘‘section 

II.E.’’ is corrected to read ‘‘section II.D.’’. 

(b) Line 11, the section reference 

‘‘II.G.’’ is corrected to read ‘‘II.E.’’. 

(2) Fourth full paragraph, line 6, the 

figure ‘‘0.99798’’ is corrected to read 

‘‘0.997975’’. 

b. Third column, first full paragraph, 

line 26, the figure ‘‘1.000426’’ is 

corrected to read ‘‘1.000447’’. 

6. On page 59071, lower half of the 

page: 

a. First column, third full paragraph, 

line 6, the figure ‘‘0.986583’’ is 

corrected to read ‘‘0.986616’’. 

b. Second column, second full 

paragraph, line 5, the figure ‘‘0.993433’’ 

is corrected to read ‘‘0.993446’’. 

c. Third column, first partial 

paragraph, line 2, the figure ‘‘0.993433’’ 

is corrected to read ‘‘0.993446’’. 

7. On page 59073 and 59074, the table 

titled ‘‘TABLE II.—IMPACT ANALYSIS 

OF CHANGES FOR FY 2021 ACUTE 

CARE HOSPITAL OPERATING 

PROSPECTIVE PAYMENT SYSTEM 

(PAYMENTS PER DISCHARGE)’’ is 

corrected to read as follows: 

BILLING CODE 4120–01–P 


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Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 78763 


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78764 Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 

BILLING CODE 4120–01–C 


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Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 78765 

8. On page 59074, bottom of the page, 

second column, last partial paragraph, 

line 1, the reference ‘‘section II.G.9.b.’’ 

is corrected to read ‘‘section II.F.9.b.’’. 

9. On page 59075: 

a. First column: 

(1) First full paragraph, line 1, the 

reference ‘‘section II.G.9.c.’’ is corrected 

to read ‘‘section II.F.9.c.’’. 

(2) Last partial paragraph: 

(i) Line 1, the reference ‘‘section 

II.G.4.’’ is corrected to read ‘‘section 

II.F.4.’’. 

(ii) Line 11, the reference ‘‘section 

II.G.4.’’ is corrected to read ‘‘section 

II.F.4.’’. 

b. Third column: 

(1) First full paragraph: 

(i) Line 1, the reference ‘‘sections 

II.G.5. and 6.’’ is corrected to read 

‘‘sections II.F.5. and 6.’’. 

(ii) Line 12, the reference ‘‘section 

II.H.6.’’ is corrected to read ‘‘section 

II.F.6.’’. 

(2) Last paragraph, line 1, the 

reference ‘‘section II.G.6.’’ is corrected 

to read ‘‘section II.F.6.’’. 

10. On page 59076, first column, first 

partial paragraph, lines 2 and 3, the 

reference ‘‘section II.G.9.c.’’ is corrected 

to read ‘‘section II.F.9.c.’’. 

11. On pages 59077 and 59078 the 

table titled ‘‘Modeled Uncompensated 

Care Payments for Estimated FY 2021 

DSHs by Hospital Type: 

Uncompensated Care Payments ($ in 

Millions)—from FY 2020 to FY 2021’’ is 

corrected to read as follows: 

BILLING CODE 4120–01–P 


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78766 Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 


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Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 78767 

BILLING CODE 4120–01–C 

12. On pages 59078 and 59079 in the 

section titled ‘‘Effects of the Changes to 

Uncompensated Care Payments for FY 

2021’’, the section’s language (beginning 

with the phrase ‘‘Rural hospitals, in 

general, are projected to experience’’ 

and ending with the sentence 

‘‘Hospitals with greater than 65 percent 

Medicare utilization are projected to 

receive an increase of 0.62 percent.’’) is 

corrected to read as follows: ‘‘Rural 

hospitals, in general, are projected to 

experience larger decreases in 

uncompensated care payments than 

their urban counterparts. Overall, rural 

hospitals are projected to receive a 7.19 

percent decrease in uncompensated care 

payments, while urban hospitals are 

projected to receive a 0.29 percent 

decrease in uncompensated care 

payments. However, hospitals in large 

urban areas are projected to receive a 

0.75 percent increase in uncompensated 

care payments and hospitals in other 

urban areas a 1.94 percent decrease. 

By bed size, smaller rural hospitals 

are projected to receive the largest 

decreases in uncompensated care 

payments. Rural hospitals with 0–99 

beds are projected to receive a 9.46 

percent payment decrease, and rural 

hospitals with 100–249 beds are 

projected to receive a 7.44 percent 

decrease. These decreases for smaller 

rural hospitals are greater than the 

overall hospital average. However, 

larger rural hospitals with 250+ beds are 

projected to receive a 7.64 percent 

payment increase. In contrast, the 

smallest urban hospitals (0–99 beds) are 

projected to receive an increase in 

uncompensated care payments of 2.61 

percent, while urban hospitals with 

100–249 beds are projected to receive a 

decrease of 1.05 percent, and larger 

urban hospitals with 250+ beds are 

projected to receive a 0.18 percent 

decrease in uncompensated care 

payments, which is less than the overall 

hospital average. 

By region, rural hospitals are expected 

to receive larger than average decreases 

in uncompensated care payments in all 

Regions, except for rural hospitals in the 

Pacific Region, which are projected to 

receive an increase in uncompensated 

care payments of 9.14 percent. Urban 

hospitals are projected to receive a more 

varied range of payment changes. Urban 

hospitals in the New England, the 

Middle Atlantic, West South Central, 

and Mountain Regions, as well as urban 

hospitals in Puerto Rico, are projected to 

receive larger than average decreases in 

uncompensated care payments, while 

urban hospitals in the South Atlantic, 

East North Central, East South Central, 

West North Central, and Pacific Regions 

are projected to receive increases in 

uncompensated care payments. 

By payment classification, hospitals 

in urban areas overall are expected to 

receive a 0.18 percent increase in 

uncompensated care payments, with 

hospitals in large urban areas expected 

to see an increase in uncompensated 

care payments of 1.15 percent, while 

hospitals in other urban areas are 

expected to receive a decrease of 1.60 

percent. In contrast, hospitals in rural 

areas are projected to receive a decrease 

in uncompensated care payments of 

3.18 percent. 

Nonteaching hospitals are projected to 

receive a payment decrease of 0.99 

percent, teaching hospitals with fewer 

than 100 residents are projected to 

receive a payment decrease of 0.83 

percent, and teaching hospitals with 

100+ residents have a projected 

payment decrease of 0.41 percent. All of 

these decreases are consistent with the 

overall hospital average. Proprietary and 

government hospitals are projected to 

receive larger than average decreases of 

2.42 and 1.14 percent respectively, 

while voluntary hospitals are expected 

to receive a payment decrease of 0.03 

percent. Hospitals with less than 50 

percent Medicare utilization are 

projected to receive decreases in 

uncompensated care payments 

consistent with the overall hospital 

average percent change, while hospitals 

with 50 to 65 percent Medicare 

utilization are projected to receive a 

larger than average decrease of 4.12 

percent. Hospitals with greater than 65 

percent Medicare utilization are 

projected to receive an increase of 0.80 

percent.’’ 

13. On page 59085, lower half of the 

page, second column, last partial 

paragraph, line 20, the section reference 

‘‘II.H.’’ is corrected to read ‘‘IV.H.’’. 

14. On pages 59092 and 59093, the 

table titled ‘‘TABLE III.—COMPARISON 

OF TOTAL PAYMENTS PER CASE [FY 

2020 PAYMENTS COMPARED TO 

FINAL FY 2021 PAYMENTS] is 

corrected to read as: 

BILLING CODE 4120–01–P 


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78768 Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 


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Federal Register / Vol. 85, No. 235 / Monday, December 7, 2020 / Rules and Regulations 78769 

Wilma M. Robinson, 

Deputy Executive Secretary to the 

Department, Department of Health and 

Human Services. 

[FR Doc. 2020–26698 Filed 12–1–20; 4:15 pm] 

BILLING CODE 4120–01–C 


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