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[Federal Register: June 17, 2010 (Volume 75, Number 116)]
[Notices]               
[Page 34614-34616]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr17jn10-159]                         

[[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
----------------------------------------------------------------------------------------------------------------
                                                                                  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
----------------------------------------------------------------------------------------------------------------
\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]
----------------------------------------------------------------------------------------------------------------
                                                                                               Wage
              CBSA Code                           Area                       State            index       GAF
----------------------------------------------------------------------------------------------------------------
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.
----------------------------------------------------------------------------------------------------------------

[[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]
----------------------------------------------------------------------------------------------------------------
                                                                 Section 508       Wage index CBSA
            Provider No.                      Note            reclassification       section 508       Own wage
                                                                    CBSA          reclassification      index
----------------------------------------------------------------------------------------------------------------
070010.............................  ......................               35644              1.2695  ...........
070028.............................  ......................               35644              1.2695  ...........
----------------------------------------------------------------------------------------------------------------

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
```