[Federal Register Volume 63, Number 92 (Wednesday, May 13, 1998)]
[Proposed Rules]
[Pages 26565-26566]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-12805]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

42 CFR Parts 405, 412, and 413

[HCFA-1003-CN]
RIN 0938-AI22


Medicare Program; Changes to the Hospital Inpatient Prospective 
Payment Systems and Fiscal Year 1999 Rates; Corrections

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Proposed rule; correction.

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SUMMARY: In the May 8, 1998 issue of the Federal Register (63 FR 
25575), we published a proposed rule to revise the Medicare hospital 
inpatient prospective payment systems for operating costs and capital-
related costs to implement necessary changes arising from our 
continuing experience with the system. This document corrects technical 
errors made in that document.

FOR FURTHER INFORMATION CONTACT:
Nancy Edwards, (410) 786-4531, Operating Prospective Payment, DRG, and 
Wage Index Issues.
Tzvi Hefter, (410) 786-4487, Capital Prospective Payment, Excluded 
Hospitals, and Graduate Medical Education Issues.

SUPPLEMENTARY INFORMATION: In the May 8, 1998 proposed rule, we 
addressed caps on the target amounts for cost reporting periods 
beginning in FY 1999 for hospitals excluded from the hospital inpatient 
prospective payment systems. The caps that we published inadvertently 
reflect updates to the amounts published in the August 29, 1997 final 
rule with comment period (62 FR 46019), rather than updates to the 
corrected amounts published in the March 6, 1998 correction notice for 
the final rule with comment period (63 FR 11148). This document 
corrects that error. Also incorrect amounts were listed in Tables 1A, 
1C, 1D, 1E, and 1F. We inadvertently published the amounts from the 
August 29, 1997 final rule with comment period. Therefore, we are 
making the following corrections to the proposed rule:
    1. On page 25601, end of the third column, the table is replaced 
with the following:
    (1) Psychiatric hospitals and units: $10,797
    (2) Rehabilitation hospitals and units: $19,582
    (3) Long-term care hospitals: $38,630
    2. On pages 25620 through 26521, Tables 1A, 1C, 1D, 1E, and 1F are 
corrected to read as follows:

[[Page 26566]]



                   Table 1A.--National Adjusted Operating Standardized Amounts, Labor/Nonlabor                  
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                    Large urban areas                                           Other areas                     
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       Labor-related               Nonlabor-related              Labor-related             Nonlabor-related     
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2,791.45...................                   1,134.64                    2,747.26                    1,116.68  
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               Table 1C.--Adjusted Operating Standardized Amounts for Puerto Rico, Labor/Nonlabor               
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                                                                  Large urban areas            Other areas      
                                                             ---------------------------------------------------
                                                                 Labor       Nonlabor      Labor       Nonlabor 
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National....................................................     2,767.78     1,125.02     2,767.78     1,125.02
Puerto Rico.................................................     1,331.29       535.88     1,310.21       527.40
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            Table 1D.--Capital Standard Federal Payment Rate            
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                                                                 Rate   
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National...................................................       377.25
Puerto Rico................................................       180.73
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 Table 1E.--National Adjusted Operating Standardized Amounts For ``Temporary Relief'' Hospitals, Labor/Nonlabor 
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                    Large urban areas                                           Other areas                     
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       Labor-related               Nonlabor-related              Labor-related             Nonlabor-related     
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2,799.77...................                   1,138.02                    2,755.44                    1,120.01  
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  Table 1F.--Adjusted Operating Standardized Amounts For ``Temporary Relief'' Hospitals in Puerto Rico, Labor/  
                                                    Nonlabor                                                    
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                                                                  Large urban areas            Other areas      
                                                             ---------------------------------------------------
                                                                 Labor       Nonlabor      Labor       Nonlabor 
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National....................................................     2,776.03     1,128.37     2,776.03     1,128.37
Puerto Rico.................................................     1,335.26       537.48     1,314.11       528.97
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(Catalog of Federal Domestic Assistance Program No. 93.778, Medical 
Assistance Program; No. 93.773 Medicare--Hospital Insurance; and No. 
93.774, Medicare--Supplementary Medical Insurance)

    Dated: May 8, 1998.
Neil J. Stillman,
Deputy Assistant Secretary for Information Resource Management.
[FR Doc. 98-12805 Filed 5-8-98; 4:26 pm]
BILLING CODE 4120-01-P