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: 


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

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 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 

6The 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] 

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 


emcdonald on DSK2BSOYB1PROD with NOTICES2
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—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] 

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 


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