55480 Federal Register / Vol. 71, No. 184 / Friday, September 22, 2006 / Notices 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Provider-based 

Status Regulations in 42 CFR 413.24 and 

413.65; Use: Section 1833(t) of the 

Social Security Act (of the Act), as 

amended by section 4523 of the 

Balanced Budget Act of 1997 (the BBA) 

requires the Secretary to establish a 

prospective payment system (PPS) for 

hospital outpatient services. Successful 

implementation of an outpatient PPS 

requires that CMS distinguish facilities 

or organizations that function as 

departments of hospitals from those that 

are freestanding, so that CMS can 

determine which services should be 

paid under the PPS. Regulations found 

at 42 CFR 413.65(b)( 3) and (c) require 

the submission of the information CMS 

needs to make the determination of 

whether an organization functions as a 

department of a hospital or functions as 

a freestanding facility. In addition, 

section 1866(b)(2) of the Act authorizes 

hospitals and other providers to impose 

deductible and coinsurance charges for 

facility services, but does not allow such 

charges by facilities or organizations 

which are not provider-based. 

Implementation of this provision 

requires that CMS have information 

from the required reports, so it can 

determine which facilities are providerbased. Form Number: CMS–R–240 

(OMB#: 0938–0798); Frequency: 

Recordkeeping—On occasion; Affected 

Public: Business or other for-profit, Notfor-profit institutions; Number of 

Respondents: 750; Total Annual 

Responses: 872; Total Annual Hours: 

26,063. 

3. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Evaluation of 

the Medical Adult Day-Care Services 

Demonstration, Phase I; Use: This 

request seeks Office of Management and 

Budget’s (OMB) approval of (1) 

collection of enrollment data by 

demonstration sites and (2) face-to-face 

interviews with Medicare beneficiaries 

(not to exceed 45 minutes in length). 

These data collection and interviews are 

to be completed during Phase I of the 

Evaluation of the Medical Adult DayCare Services Demonstration (Contract 

Number 500–00–0038/5). 

Section 703 of the Medicare 

Prescription Drug, Improvement and 

Modernization Act of 2003 (MMA) (Pub. 

L. 108–173) authorizes a three-year 

demonstration to assess the clinical and 

cost-effectiveness of providing medical 

adult day-care services as a substitute 

for a portion of home health services 

that would otherwise be provided in the 

beneficiary’s home. Under this 

authority, the Centers for Medicare & 

Medicaid Services (CMS), through its 

Office of Research, Development and 

Information (ORDI), is conducting the 

Medical Adult Day-Care Services 

Demonstration. Five Medicare certified 

home health agencies were selected by 

CMS through a competitive process to 

participate in the demonstration. These 

five demonstration sites are Aurora 

Visiting Nurse Association (Milwaukee, 

Wisconsin), Doctor’s Care Home Health 

(McAllen, Texas), Landmark Home 

Health Care Services (Allison Park, 

Pennsylvania), Metropolitan Jewish 

Health System (Brooklyn, New York) 

and Neighborly Care Network (St. 

Petersburg, Florida). Form Number: 

CMS–10204 (OMB#: 0938–NEW); 

Frequency: Reporting—One-time; 

Affected Public: Individuals and 

Households, Business or other for-profit 

and Not-for-profit institutions; Number 

of Respondents: 55; Total Annual 

Responses: 110; Total Annual Hours: 

297.5. 

4. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Chronic Care 

Improvement Program (CCIP) and 

Medicare Advantage Quality 

Improvement Project (QIP); Use: 42 CFR 

422.152 requires each Medicare 

Advantage Organization (MAOs) (other 

than Medicare Advantage (MA) private 

fee for service and MSA plans) that 

offers one or more MA plan to have an 

ongoing quality assessment and 

performance improvement program. 

Information collected in the QIP and 

CCIP Reporting Templates will be an 

integral resource for oversight, 

monitoring compliance and auditing 

activities necessary to ensure high 

quality provision of general health 

services and chronic care services to 

Medicare beneficiaries. Form Number: 

CMS–10209 (OMB#: 0938–New); 

Frequency: Recordkeeping, and 

Reporting—Annually; Affected Public: 

Business or other for-profits and Notfor-profit institutions; Number of 

Respondents: 426; Total Annual 

Responses: 852; Total Annual Hours: 

38,050. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786–

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received at the address below, no 

later than 5 p.m. on November 21, 2006. 

CMS, Office of Strategic Operations and 

Regulatory Affairs, Division of 

Regulations Development—C, Attention: 

Bonnie L Harkless, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: September 15, 2006. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 06–8073 Filed 9–21–06; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–8030–CN] 

RIN 0938–AO23 

Medicare Program; Medicare Part B 

Monthly Actuarial Rates, Premium 

Rates, and Annual Deductible for 

Calendar Year 2007; Correction 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Correction of notice. 

SUMMARY: This document corrects a 

technical error in the notice that 

appeared in the Federal Register on 

September 18, 2006 entitled ‘‘Medicare 

Part B Monthly Actuarial Rates, 

Premium Rates, and Annual Deductible 

for Calendar Year 2007.’’

Effective Date: January 1, 2007. 

FOR FURTHER INFORMATION CONTACT: M. 

Kent Clemens, (410) 786–6391. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In FR Doc. 06–7709 of September 18, 

2006 (71 FR 54665), there was a 

technical error in the calculation of the 

income-related monthly adjustment 

amounts. This error is identified and 

corrected in the Correction of Errors 

section below. The provisions of this 

correction notice are effective as if they 

had been included in the document that 

appeared in the Federal Register on 

September 18, 2006. Accordingly, the 

corrections are effective January 1, 2007. 

Under section 5111 of the Deficit 

Reduction Act of 2005 (Pub. L. 109–171) 

(DRA), in 2007 beneficiaries will be 

responsible for 33 percent of any 

applicable income-related monthly 

adjustment to the Part B premium. In 

the earlier notice, we inadvertently 

stated that beneficiaries would only be 


sroberts on PROD1PC70 with NOTICES
Federal Register / Vol. 71, No. 184 / Friday, September 22, 2006 / Notices 55481 

responsible for ‘‘one-third of any 

applicable income-related monthly 

adjustment amount,’’ and we used a 

value of 331⁄3 percent to calculate the 

income-related monthly adjustment 

amounts. In this notice, we are 

correcting the income-related 

adjustment amounts to reflect a value of 

‘‘33 percent’’ as the basis for the 

calculation of these rates. 

II. Correction of Errors 

In FR Doc. 06–7709 of September 18, 

2006 (71 FR 54665), make the following 

corrections: 

1. On page 54665, in the third 

column, in the second paragraph, line 

sixteen, the term ‘‘one third’’ is 

corrected to read ‘‘33 percent.’’

2. On page 54665, in the third 

column, in the third paragraph, line 

eight, following the parenthetical and 

comma ‘‘(standard premium),’’ the 

premium rates are corrected to read 

$105.80, $124.40, $142.90, and $161.40. 

3. On pages 54667 and 54668, in the 

third column, following the fifth 

paragraph, in the first table following 

the section titled ‘‘II.A., Notice of 

Medicare Part B Monthly Actuarial 

Rates, Monthly Premium Rates, and 

Annual Deductible,’’ the amounts listed 

in the second row of the table are 

corrected to read $12.30, $105.80; third 

row are corrected to read $30.90, 

$124.40; fourth row are corrected to 

read $49.40, $142.90, and fifth row are 

corrected to read $67.90, $161.40. 

4. On page 54668, in the third 

column, following the first paragraph, in 

the second table following the section 

titled ‘‘II.A., Notice of Medicare Part B 

Monthly Actuarial Rates, Monthly 

Premium Rates, and Annual 

Deductible,’’ the amounts listed in the 

second row are corrected to read $49.40, 

$142.90, and third row are corrected to 

read $67.90, $161.40. 

5. On page 54669, in the third 

column, following the third paragraph, 

in the first table following the section 

titled ‘‘5. Premium Rates and 

Deductible,’’ the amounts listed in the 

second row are corrected to read $12.30, 

$105.80; the third row are corrected to 

read $30.90, $124.40; the fourth row are 

corrected to read $49.40, $142.90; and 

the fifth row are corrected to read 

$67.90, $161.40. 

6. On pages 54669 and 54670, in the 

third column, in the fourth paragraph, 

in the second table following the section 

titled ‘‘5. Premium Rates and 

Deductible,’’ the amounts listed in the 

second row are corrected to read $49.40, 

$142.90; and the third row are corrected 

to read $67.90, $161.40. 

7. On page 54672, in the third 

column, following the first full 

paragraph, in the first table following 

the section titled ‘‘III. Regulatory Impact 

Analysis,’’ the amounts listed in the 

second row are corrected to read $12.30, 

$105.80; the third row are corrected to 

read $30.90, $124.40; the fourth row are 

corrected to read $49.90, $142.90; and 

the fifth row are corrected to read 

$67.90, $161.40. 

8. On page 54672, in the third 

column, following the second 

paragraph, in the second table, the 

amounts listed in the second row are 

corrected to read $49.40, $142.90; and 

the third row are corrected to read 

$67.90, $161.40. 

9. On page 54672, in the first column, 

in the fourth paragraph, after the clause 

‘‘The monthly impact on the 

beneficiaries who are required to pay a 

higher premium for 2007 because their 

income exceeds specified thresholds is 

* * * the amounts and text are 

corrected to read as follows ‘‘$12.30, 

$30.90, $49.40, or $67.90 which is in 

addition to the standard monthly 

premium.’’

III. 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)). However, 

we can waive this notice and comment 

procedure 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 Medicare statute requires the 

publication of the monthly actuarial 

rates and the Part B premium amounts 

in September. We ordinarily use general 

notices, rather than notice and comment 

rulemaking procedures, to make such 

announcements. In doing so, we note 

that, under the Administrative 

Procedure Act, interpretive rules, 

general statements of policy, and rules 

of agency organization, procedure, or 

practice are excepted from the 

requirements of notice and comment 

rulemaking. 

This notice corrects an inadvertent 

error in the notice that appeared in the 

Federal Register on September 18, 2006, 

entitled ‘‘Medicare Part B Monthly 

Actuarial Rates, Premium Rates, and 

Annual Deductible for Calendar Year 

2007.’’ In that notice, we also 

determined that notice and comment 

was unnecessary because the formulas 

used to calculate the Part B premium 

and the income-related monthly 

adjustment amounts are statutorily 

directed and we can exercise no 

discretion in applying those formulas. 

Moreover, the statute establishes the 

time period for which the premium 

rates will apply, and delaying 

publication of the Part B premium rate 

such that it would not be published 

before that time would be contrary to 

the public interest. 

For the same reasons, we find good 

cause to waive notice and comment 

procedures with respect to this 

correction notice. In addition, this 

correction notice includes the changes 

necessary to correct a technical error in 

the computation of the income-related 

monthly adjustment amount under the 

statutory formula. Because these 

changes affect the amount of the Part B 

income-related monthly adjustment that 

will be paid by certain beneficiaries, it 

is in the public interest to ensure that 

these changes are made as soon after the 

publication of the original notice as 

possible. 

(Catalog of Federal Domestic Assistance 

Program No. 93.773, Medicare—Hospital 

Insurance; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: September 18, 2006. 

Ann C. Agnew, 

Executive Secretary to the Department. 

[FR Doc. 06–8008 Filed 9–19–06; 8:51 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–7001–N] 

Medicare Program; Meeting of the 

Advisory Panel on Medicare 

Education, October 17, 2006 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice of meeting. 

SUMMARY: In accordance with the 

Federal Advisory Committee Act, 5 

U.S.C. Appendix 2, section 10(a) (Pub. 

L. 92–463), this notice announces a 

meeting of the Advisory Panel on 

Medicare Education (the Panel) on 

October 17, 2006. The Panel advises and 

makes recommendations to the 

Secretary of Health and Human Services 

(the Secretary) and the Administrator of 

the Centers for Medicare & Medicaid 

Services on opportunities to enhance 

the effectiveness of consumer education 

strategies concerning the Medicare 

program. This meeting is open to the 

public. 


sroberts on PROD1PC70 with NOTICES