Federal Register / Vol. 76, No. 186 / Monday, September 26, 2011 / Rules and Regulations 59265 

incorporate the corrections in this 

document into the final rule or delaying 

the effective date would delay these 

corrections beyond the October 1 start of 

the fiscal year, and would be contrary to 

the public interest. Furthermore, such 

procedures would be unnecessary, as 

we are not altering the policies that 

were already subject to comment and 

finalized in our final rule. 

Therefore, we believe we have good 

cause to waive the notice and comment 

and effective date requirements. 

IV. Correction of Errors 

In FR Doc. 2011–19719 of August 18, 

2011 (76 FR 51476), make the following 

corrections: 

1. On page 51745, third column— 

a. Fourth full paragraph, lines 13 and 

14, the footnote reference number ‘‘2’’ is 

corrected to read ‘‘59a’’. 

b. Footnote text at bottom of the 

column, after line 4, the footnotes are 

corrected by adding a footnote to read 

as follows: 

‘‘59a Klevens RM, Edwards JR, Richards CL, 

Horan TC, Gaynes RP, Pollock DA, Cardo 

DM. Estimating healthcare-associated 

infection and deaths in U.S. hospitals, 2002. 

Public Health Reports 2007: 122:160–166. 

Available at http://www.cdc.gov/ncidod/ 

dhqp/pdf/hicpac/infections_deaths.pdf.’’ 

2. On page 51746, 

a. First column, first full paragraph, 

lines 19 through 21, the phrase ‘‘The 

TEP convened by the our’’ is corrected 

to read ‘‘The TEP convened by our’’. 

b. Third column, footnote text at 

bottom of column is corrected to read as 

follows: 

‘‘60 Klevens RM, Edwards JR, Richards CL, 

Horan TC, Gaynes RP, Pollock DA, Cardo 

DM. Estimating healthcare-associated 

infection and deaths in U.S. hospitals, 2002. 

Public Health Reports 2007: 122:160–166. 

Available at http://www.cdc.gov/ncidod/ 

dhqp/pdf/hicpac/infections_deaths.pdf.’’ 

3. On page 51747, third column, 

second full paragraph, line 3, the 

acronym ‘‘CLASBIs’’ is corrected to read 

as ‘‘CLABSI’’. 

4. On page 51748, second column, last 

paragraph, lines 20 through 21, the Web 

site link ‘‘http://www.cdc.gov/nhsn/ 

PDFs/pscManual/ 

7pscCAUTIcurrent.pdf’’ is corrected to 

read ‘‘http://www.cdc.gov/nhsn/pdfs/ 

pscmanual/4psc_clabscurrent.pdf’’. 

5. On page 51752, third column, last 

paragraph, last line, the figure ‘‘11’’ is 

corrected to read ‘‘over 20’’. 

6. On page 51754, third column— 

a. First partial paragraph, line 4, the 

phrase ‘‘nursing home’’ is corrected to 

read as ‘‘skilled nursing facility’’. 

b. Second full paragraph, line 3 and 

4, the phrase ‘‘using a CARE subset of 

standardized data elements to collect’’ is 

corrected to read as ‘‘using a subset of 

standardized CARE data elements to 

collect’’. 

7. On page 51755, second column, 

first full paragraph, lines 9 and 10, the 

phrase ‘‘during the PAC–PRD’’ is 

corrected to read ‘‘during the Post Acute 

Care Payment Reform Demonstration 

(PAC–PRD). 

8. On page 51780, second column, 

fifth paragraph, line 9, the figure ‘‘80’’ 

is corrected to read ‘‘over 200’’. 

9. On page 51813, third column, sixth 

paragraph, line 6, the reference ‘‘CMS– 

1518–P’’ is corrected to read ‘‘CMS– 

1518–F’’. 

(Catalog of Federal Domestic Assistance 

Program No. 93.773, Medicare—Hospital 

Insurance; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: September 21, 2011. 

Barbara J. Holland, 

Deputy Executive Secretary to the 

Department, Department of Health Human 

Services. 

[FR Doc. 2011–24669 Filed 9–23–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Part 413 

[CMS–1351–CN] 

RIN 0938–AQ29 

Medicare Program; Prospective 

Payment System and Consolidated 

Billing for Skilled Nursing Facilities for 

FY 2012; Correction 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Final rule; correction. 

SUMMARY: This document corrects 

technical errors in the final rule entitled 

‘‘Medicare Program; Prospective 

Payment System and Consolidated 

Billing for Skilled Nursing Facilities for 

FY 2012’’ that appeared in the August 

8, 2011 Federal Register. 

DATES: Effective Date: This correction is 

effective October 1, 2011. 

FOR FURTHER INFORMATION CONTACT: John 

Kane, (410) 786–0557. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In FR Doc. 2011–19544 of August 8, 

2011 (76 FR 48486), there were three 

technical errors that are identified and 

corrected in the Correction of Errors 

section of this document. The 

corrections in this correction document 

are effective as if they had been 

included in the August 8, 2011 Federal 

Register document. Accordingly, the 

corrections are effective October 1, 

2011. 

II. Summary of Errors 

The Addendum to the Skilled Nursing 

Facility (SNF) Prospective Payment 

System (PPS) final rule (76 FR 48486, 

48540) inadvertently included several 

technical errors in wage index values in 

Table A (‘‘FY 2012 Wage Index for 

Urban Areas Based on CBSA Labor 

Market Areas’’) and Table B (‘‘FY 2012 

Wage Index Based on CBSA Labor 

Market Areas for Rural Areas’’). Tables 

A and B provide the urban and rural 

wage index values, respectively, that are 

used to calculate the labor-related 

portion of the FY 2012 payment rate for 

SNFs. We inadvertently omitted 

corrected wage and geographic 

classification data for two providers 

from the final FY 2012 wage index 

database that should have been 

included in the wage index calculation 

of the FY 2012 payment rates for SNFs. 

This resulted in incorrect wage index 

values being displayed in Table A for 

two CBSAs. Therefore, we are correcting 

the wage index values for those two 

CBSAs in Table A of the Addendum, in 

order to reflect the hospital wage 

index’s most current wage data. The 

first correction in Table A of the 

Addendum (76 FR 48546) involves the 

wage index for CBSA 20020 (Dothan, 

AL–Geneva County, AL–Henry County, 

AL–Houston County, AL), and reflects 

the receipt of revised wage data from an 

Alabama provider. The second 

correction in Table A of the Addendum 

(76 FR 48552) involves the wage index 

for CBSA 33740 (Monroe, LA–Ouachita 

Parish, LA–Union Parish, LA), and 

reflects a change in geographic 

classification for a Louisiana provider. 

Finally, in Table B of the Addendum 

(76 FR 48561), we are correcting the 

wage index value for State Code 19 

(Louisiana), in order to reflect the 

previously-cited change in geographic 

classification for a Louisiana provider. 

As these revisions involve only a 

limited number of individual entries in 

Tables A and B, we are not republishing 

these tables in their entirety in this 

document; however, we note that the 

corrected versions of both tables are 

available on the SNF PPS Web site, 

which can be accessed online at http:// 

www.cms.gov/SNFPPS/. 

III. Waiver of Proposed Rulemaking 

and Delayed Effective Date 

We ordinarily publish a notice of 

proposed rulemaking in the Federal 


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59266 Federal Register / Vol. 76, No. 186 / Monday, September 26, 2011 / Rules and Regulations 

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)). However, 

we can waive this notice and comment 

procedure if we find, for good cause, 

that the notice and comment process is 

impracticable, unnecessary, or contrary 

to the public interest, and incorporate a 

statement of the finding and the reasons 

therefore in the document. 

We also ordinarily provide a 30-day 

delay in the effective date of the 

provisions of a notice in accordance 

with section 553(d) of the APA (5 U.S.C. 

553(d)). However, we can waive this 

delay if we find good cause and publish 

in the notice an explanation of our good 

cause. 

We find for good cause that it is 

unnecessary to undertake notice and 

comment rulemaking because this 

document merely provides technical 

corrections to the FY 2012 SNF PPS 

final rule. We are not making 

substantive changes to our payment 

methodologies or policies, but rather, 

are simply implementing correctly the 

payment methodologies and policies 

that we previously proposed, received 

comment on, and subsequently 

finalized. This correction document is 

intended solely to ensure that the FY 

2012 SNF PPS final rule accurately 

reflects these payment methodologies 

and policies. Therefore, we believe that 

undertaking further notice and comment 

rulemaking activity in connection with 

it would be unnecessary and contrary to 

the public interest. 

Further, we believe a delayed 

effective date is unnecessary because 

this correction document merely 

corrects inadvertent technical errors. 

The changes noted above do not make 

any substantive changes to the SNF PPS 

payment methodologies or policies. 

Moreover, we regard imposing a delay 

in the effective date as being contrary to 

the public interest. We believe that it is 

in the public interest for providers to 

receive appropriate SNF PPS payments 

in as timely a manner as possible and 

to ensure that the FY 2012 SNF PPS 

final rule accurately reflects our 

payment methodologies, payment rates, 

and policies. Therefore, we find good 

cause to waive notice and comment 

procedures, as well as the 30-day delay 

in effective date. 

IV. Correction of Errors 

In FR Doc. 2011–19544 of August 8, 

2011 (76 FR 48486), make the following 

corrections: 

1. On page 48546, in Table A (‘‘FY 

2012 Wage Index for Urban Areas Based 

on CBSA Labor Market Areas’’), in the 

first set of columns, in the eighth row 

(CBSA 20020), third column, the wage 

index ‘‘0.7130’’ is corrected to read 

‘‘0.7390’’. 

2. On page 48552, in Table A, in the 

second set of columns, in the fifth row 

(CBSA 33740), third column, the wage 

index ‘‘0.7915’’ is corrected to read 

‘‘0.7964’’. 

3. On page 48561, in Table B (‘‘FY 

2012 Wage Index Based on CBSA Labor 

Market Areas for Rural Areas’’), in the 

second set of columns, in the 19th row 

(State Code 19 (Louisiana)), third 

column, the wage index ‘‘0.7769’’ is 

corrected to read ‘‘0.7749’’. 

(Catalog of Federal Domestic Assistance 

Program No. 93.773, Medicare—Hospital 

Insurance; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: September 16, 2011. 

Barbara J. Holland, 

Deputy Executive Secretary to the 

Department. 

[FR Doc. 2011–24670 Filed 9–23–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Federal Emergency Management 

Agency 

44 CFR Part 64 

[Docket ID FEMA–2011–0002; Internal 

Agency Docket No. FEMA–8199] 

Suspension of Community Eligibility 

AGENCY: Federal Emergency 

Management Agency, DHS. 

ACTION: Final rule. 

SUMMARY: This rule identifies 

communities, where the sale of flood 

insurance has been authorized under 

the National Flood Insurance Program 

(NFIP), that are scheduled for 

suspension on the effective dates listed 

within this rule because of 

noncompliance with the floodplain 

management requirements of the 

program. If the Federal Emergency 

Management Agency (FEMA) receives 

documentation that the community has 

adopted the required floodplain 

management measures prior to the 

effective suspension date given in this 

rule, the suspension will not occur and 

a notice of this will be provided by 

publication in the Federal Register on a 

subsequent date. 

DATES: Effective Dates: The effective 

date of each community’s scheduled 

suspension is the third date (‘‘Susp.’’) 

listed in the third column of the 

following tables. 

FOR FURTHER INFORMATION CONTACT: If 

you want to determine whether a 

particular community was suspended 

on the suspension date or FOR FURTHER

INFORMATION, CONTACT David Stearrett, 

Mitigation Directorate, Federal 

Emergency Management Agency, 500 C 

Street SW., Washington, DC 20472, 

(202) 646–2953. 

SUPPLEMENTARY INFORMATION: The NFIP 

enables property owners to purchase 

flood insurance which is generally not 

otherwise available. In return, 

communities agree to adopt and 

administer local floodplain management 

aimed at protecting lives and new 

construction from future flooding. 

Section 1315 of the National Flood 

Insurance Act of 1968, as amended, 42 

U.S.C. 4022, prohibits flood insurance 

coverage as authorized under the NFIP, 

42 U.S.C. 4001 et seq.; unless an 

appropriate public body adopts 

adequate floodplain management 

measures with effective enforcement 

measures. The communities listed in 

this document no longer meet that 

statutory requirement for compliance 

with program regulations, 44 CFR part 

59. Accordingly, the communities will 

be suspended on the effective date in 

the third column. As of that date, flood 

insurance will no longer be available in 

the community. However, some of these 

communities may adopt and submit the 

required documentation of legally 

enforceable floodplain management 

measures after this rule is published but 

prior to the actual suspension date. 

These communities will not be 

suspended and will continue their 

eligibility for the sale of insurance. A 

notice withdrawing the suspension of 

the communities will be published in 

the Federal Register. 

In addition, FEMA has identified the 

Special Flood Hazard Areas (SFHAs) in 

these communities by publishing a 

Flood Insurance Rate Map (FIRM). The 

date of the FIRM, if one has been 

published, is indicated in the fourth 

column of the table. No direct Federal 

financial assistance (except assistance 

pursuant to the Robert T. Stafford 

Disaster Relief and Emergency 

Assistance Act not in connection with a 

flood) may legally be provided for 

construction or acquisition of buildings 

in identified SFHAs for communities 

not participating in the NFIP and 

identified for more than a year, on 

FEMA’s initial flood insurance map of 

the community as having flood-prone 

areas (section 202(a) of the Flood 

Disaster Protection Act of 1973, 42 

U.S.C. 4106(a), as amended). This 

prohibition against certain types of 

Federal assistance becomes effective for 


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