### 34614 Federal Register / Vol. 75, No. 116 / Thursday, June 17, 2010 / Notices

**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.

**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:


### 34615 Federal Register / Vol. 75, No. 116 / Thursday, June 17, 2010 / Notices

TABLE 

### 2—H OSPITAL 

### C ASE 

### -M IX 

### I NDEXES FOR 

### D ISCHARGES 

### O CCURRING IN 

### F EDERAL 

### F ISCAL 

### Y EAR 

### 2008; H OSPITAL 

### W AGE 

### I NDEXES FOR 

### F EDERAL 

### F ISCAL 

### Y EAR 

### 2010 (A PRIL 

### 1, 2010 T HROUGH 

### S EPTEMBER 

### 30, 2010 U NLESS 

### O THERWISE 

### F OOTNOTED 

### ); H OSPITAL 

### A VERAGE 

### H OURLY 

### W AGES FOR 

### F EDERAL 

### F ISCAL 

### Y EARS 

### 2008 (2004 WAGE 

### D ATA 

### ), 2009 (2005 W AGE 

### D ATA 

### ), AND 

### 2010 (2006 W AGE 

### D ATA 

### ); AND 

### 3-Y EAR 

### A VERAGE OF 

### H OSPITAL 

### A VERAGE 

### H OURLY 

### W AGES

Provider No. Case-mix index 2 FY 2010 wage index Average hourly wage FY 2008 Average hourly wage FY 2009 Average hourly wage FY 2010 1 Average hourly wage ** (3 years)

070006 61.5739 1.2695 39.3935 41.2165 41.9550 40.8714 070010 61.6536 1.2695 36.7227 38.6114 38.7345 38.0240 070015 1.5383 1.2695 37.3454 39.9249 42.4738 39.9522 070018 61.4603 1.2695 41.8460 42.4771 44.1370 42.8524 070028 61.5644 1.2695 38.0855 40.9645 41.2950 40.1488 070033 1.4800 1.2695 41.7955 44.6717 46.5982 44.4108 070034 61.4667 1.2695 40.1685 42.4111 45.7694 42.8155 070036 61.6717 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 61.6643 1.2769 31.6562 32.2064 33.2554 32.3743 310028 61.1675 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 61.3393 1.2769 32.3686 37.9214 32.5213 34.0930 310051 61.5305 1.2769 38.1174 39.7671 37.9104 38.5967 310054 1.4187 1.2769 36.9095 38.2432 37.2851 37.4826 310060 61.2940 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 61.3215 1.2769 31.9208 32.1197 33.7061 32.6067 310119 1.8872 1.2769 41.5702 41.2997 46.1339 42.9802 310120 61.1045 1.2769 33.3861 35.1661 36.3365 34.9295 330023 61.5109 1.2930 36.4736 37.5135 40.9595 38.3939 330027 1.3567 1.2930 45.1920 45.9571 49.0573 46.6599 330049 61.5474 1.2930 34.8585 34.9740 38.0110 36.0057 330067 61.4022 1.2930 29.2571 30.7537 31.5572 30.4995 330126 61.3626 1.2930 36.5689 37.7807 40.0542 38.1472 330135 61.2423 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 61.2381 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—W AGE 

### I NDEX AND 

### C APITAL 

### G EOGRAPHIC 

### A DJUSTMENT 

### F ACTOR 

### (GAF) FOR 

### A CUTE 

### C ARE 

### H OSPITALS 

### T HAT 

### A RE 

### R ECLASSIFIED BY 

### CBSA AND BY 

### S TATE 

### —FY 2010 (A PRIL 

### 1, 2010 T HROUGH 

### S EPTEMBER 

### 30, 2010) [Wage Index includes rural floor budget neutrality adjustment]

CBSA Code Area State Wage index GAF

35644 .................... New York–White Plains–Wayne, NY–NJ .......................................................... CT ........ ................. 1.2695 1.1775 35644 .................... New York–White Plains–Wayne, NY–NJ .......................................................... NJ ........ ................. 1.2769 1.1822 35644 .................... New York–White Plains–Wayne, NY–NJ .......................................................... NY ........ ................. 1.2930 1.1924


### 34616 Federal Register / Vol. 75, No. 116 / Thursday, June 17, 2010 / Notices

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—H OSPITAL 

### R ECLASSIFICATIONS AND 

### R EDESIGNATIONS BY 

### I NDIVIDUAL 

### H OSPITAL 

### U NDER 

### S ECTION 

### 508 OF 

### P UBLIC 

### L AW 

### 108–173 [Revised as of April 1, 2010 and effective October 1, 2009 through September 30, 2010]

Provider No. Note Section 508 reclassification CBSA Wage index CBSA section 508 reclassification Own wage 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**