```

[Federal Register Volume 90, Number 7 (Monday, January 13, 2025)]
[Rules and Regulations]
[Pages 2631-2636]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-00081]

=======================================================================
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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 406, 407, 410, 411, 416, 419, 435, 440, 457, 482, and 
485

[CMS-1809-F2]
RIN 0938-AV35

Medicare and Medicaid Programs: Hospital Outpatient Prospective 
Payment and Ambulatory Surgical Center Payment Systems; Quality 
Reporting Programs, Including the Hospital Inpatient Quality Reporting 
Program; Health and Safety Standards for Obstetrical Services in 
Hospitals and Critical Access Hospitals; Prior Authorization; Requests 
for Information; Medicaid and CHIP Continuous Eligibility; Medicaid 
Clinic Services Four Walls Exceptions; Individuals Currently or 
Formerly in Custody of Penal Authorities; Revision to Medicare Special 
Enrollment Period for Formerly Incarcerated Individuals; and All-
Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian 
Health Service and Tribal Facilities; Correcting Amendment

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Final rule with comment period; correcting amendment.

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SUMMARY: This document corrects technical and typographical errors in 
the final rule with comment period that appeared in the November 27, 
2024 Federal Register titled ``Medicare and Medicaid Programs: Hospital 
Outpatient Prospective Payment and Ambulatory Surgical Center Payment 
Systems; Quality Reporting Programs, including the Hospital Inpatient 
Quality Reporting Program; Health and Safety Standards for Obstetrical 
Services in Hospitals and Critical Access Hospitals; Prior 
Authorization; Requests for Information; Medicaid and CHIP Continuous 
Eligibility; Medicaid Clinic Services Four Walls Exceptions; 
Individuals Currently or Formerly in Custody of Penal Authorities; 
Revision to Medicare Special Enrollment Period for Formerly 
Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for 
High-Cost Drugs Provided by Indian Health Service and Tribal 
Facilities''.

DATES: This correcting amendment is effective January 8, 2025, and is 
applicable beginning January 1, 2025.

FOR FURTHER INFORMATION CONTACT: 
    For OPPS/ASC related questions, contact Elise Barringer via email 
at [email protected] or at (410) 786-9222.
    For OPPS Addenda questions, contact Marina Kushnirova via email at 
[email protected].
    For ASC Addenda questions, contact Scott Talaga via email at 
[email protected].
    For Health and Safety Standards for Obstetrical Services in 
Hospitals and Critical Access Hospitals questions, contact the Clinical 
Standards Group via email at [email protected].
    For Hospital Outpatient Quality Reporting Program policies, contact 
Kimberly Go via email at [email protected] or Janis Grady via 
email at [email protected].
    For Medicaid Clinic Services Four Walls Exceptions related 
questions, contact Sheri Gaskins via email at [email protected] 
or Ryan Tisdale via email at [email protected].
    For Medicaid and CHIP Continuous Eligibility questions, contact 
Cassie Lagorio via email at [email protected].
    For New Technology APC questions, contact Nicole Marcos via email 
at [email protected].
    For Outpatient Department Prior Authorization Process, contact 
Kelly Wojciechowski via email at [email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    In the FR Doc. 2024-25521 of November 27, 2024 (89 FR 93912), there 
were a number of technical and typographical errors that are identified 
and corrected in this correcting document. The corrections in this 
correcting document are effective as if they had been included in the 
document that appeared in the November 27, 2024 Federal Register. 
Accordingly, the corrections are effective January 1, 2025.

II. Summary of Errors

A. Summary of Errors in For Further Information Contact

    In the FOR FURTHER INFORMATION CONTACT section, the email address 
for Kelly Wojciechowski is incorrect.

B. Summary of Errors in the Preamble

1. Hospital Outpatient Prospective Payment System (OPPS) Corrections
    On pages 94054 and 94055, we are correcting typographical errors. 
Specifically, we are correcting CPT code ``0899T'' to ``0889T''.
    On pages 94111 and 94114, we referred to an incorrect APC 
assignment for CPT code 15013. We inadvertently failed to account for 
the impact on the amount of payment for the skin cell suspension 
autograft procedure described by CPT code 15013 (Preparation of skin 
cell suspension autograft, requiring enzymatic processing, manual 
mechanical disaggregation of skin cells, and filtration; first 25 sq cm 
or less of harvested skin) of the assignment of this code to status 
indicator ``T'' (Procedure or Service, Multiple Procedure Reduction 
Applies; Paid under OPPS, separate APC payment) when we assigned CPT 
code 15013 to APC 1567 New Technology--Level 30 ($6,001-$6,500), which 
has a payment rate of $6,250.50 and status indicator ``T''.
    In the final rule with comment period, we stated that when the full 
service (skin cell suspension autograft described by CPT codes 15011 
through 15018) is performed, meaning that the harvesting (described by 
CPT code 15011), preparation (described by CPT code 15013), and 
application (described by CPT codes 15015 or 15017) steps are 
performed, the total cost for the service for CY 2025 would be 
approximately $10,000. However, because of the effect of the multiple 
procedure reduction, the total payment for the skin cell suspension 
autograft furnished using the RECELL System would have been 
approximately $8,000, contrary to the intended target of $10,000 as 
stated in the CY 2025 OPPS/ASC final rule with comment period. To 
correct this error, we are assigning CPT code 15013 to APC 1532 New 
Technology--Level 32 ($7,001-$7,500), which has a payment rate of 
$7,250.50 and status indicator ``S'' (Procedure or Service, Not 
Discounted When Multiple, Paid under OPPS; separate APC payment.).
    On page 94120, we stated ``We note that we will replace HCPCS code 
C9734 with CPT code 5X008 (55882) effective January 1, 2025, as well as 
assign the underlying claims associated with HCPCS code C9734 to CPT 
code 5X008 (55882).'' While we intended to crosswalk the claims data 
for HCPCS code C9734 to CPT code 5X008 (55882) to determine the APC 
assignment for CPT code 5X008 (55882) for CY 2025, we did not intend to 
retire HCPCS code C9734 because, based on its descriptor,

[[Page 2632]]

C9734 can be used for services other than those described by CPT code 
5X008 (55882). We are correcting this reference to indicate that we are 
using C9734 claims data to set the payment rate for CPT code 5X008 
(55882) and removing the reference to replacing HCPCS code C9734. HCPCS 
code C9734 will remain assigned to APC 5115 (Level 5 Musculoskeletal 
Procedures).''
2. The Hospital Outpatient Quality Reporting (OQR), Rural Emergency 
Hospital Quality Reporting (REHQR), and Ambulatory Surgical Center 
Quality Reporting (ASCQR) Programs Corrections
    On pages 94368 and 94380, we are correcting URL links in footnotes 
270 and 316 (respectively) for accuracy.
    On page 94407, we are making a technical edit and removing language 
for accuracy.
    On pages 94411 and 94412, we are correcting URL links in footnotes 
446 and 461 (respectively) for accuracy.
    On pages 94416 and 94417, we are correcting section references for 
accuracy.
    On page 94417, we are correcting final rule references for 
accuracy.
    On page 94522, we are correcting the number of web-based measures 
that are being finalized in the rule for the Hospital OQR program.
    On pages 94561 through 94563, we are correcting section references 
for accuracy.
3. Medicaid Clinic Services Four Walls Exceptions Corrections
    On pages 94442, 94446, 94448, 94452, and 94561, we made 
typographical errors. Specifically, on page 94442 we inadvertently 
included a dollar symbol ($), on page 94446 we inadvertently repeated 
the word ``that,'' on page 94448 we inadvertently repeated the phrase 
``rely upon,'' on page 94452 we inadvertently omitted the word 
``system'' from the phrase ``mistrusted the health care system at 
higher rates,'' and on page 94561 we inadvertently included the phrase 
``Four Walls:'' at the beginning of the title for Table 207.
    On page 94455, we incorrectly stated in footnote 586 that as of 
November 27, 2024, the Health Resources and Services Administration 
(HRSA) had not finalized their proposed changes to the Federal Office 
of Rural Health Policy's (FORHP) definition of rural. However, HRSA 
finalized changes to FORHP's definition of rural in a final notice 
published in the Federal Register on November 21, 2024 (89 FR 92131), 
which post-dated CMS's development of the final rule. We are making 
corrections to state that, as of the development of the OPPS final 
rule, HRSA had not finalized changes to FORHP's definition of rural.
4. Health and Safety Standards for Obstetrical Services in Hospitals 
and Critical Access Hospitals
    On pages 94481, 94483, 94542, 94569, 94571, 94572, and 94573 we are 
replacing the word ``biannual'' and/or ``biannually'' with the word 
``biennial'' and/or ``biennially'', to clarify that staff training is 
required every other year, not twice a year.

C. Summary of Errors in the Regulations Text

    On page 94586, in the regulations text for Sec.  406.27(d)(1), we 
are adding in a missing word.
    On page 94591, we made technical errors in the regulations text 
amendatory instructions for Sec.  457.342, by excluding the numbering 
of paragraph (a) and the reservation of paragraph (b).
    On pages 94592 and 94594 we are replacing the word ``biannual'' 
with the word ``biennial'', to clarify that staff training is required 
every other year, not twice a year.

D. Summary of Errors and Corrections to the OPPS and ASC Addenda Posted 
on the CMS Website

1. OPPS Addenda Summary of Errors
    To view any corrections or updates to the final CY 2025 OPPS status 
indicators, APC assignments, relative weights, copayment rates, device-
intensive status, and short descriptors in the OPPS addenda, we refer 
readers to the Addenda and supporting files that are posted on the CMS 
website at https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/regulations-notices. Select ``CMS-1809-F2'' 
from the list of regulations. All corrected Addenda for this correcting 
document are contained in the zipped folder titled ``2025 F2 OPPS 
Addenda'' at the bottom of the CMS web page for CMS-1809-F2.
a. Errors in Addendum B
    We are making a number of updates to Addendum B (OPPS Payment by 
HCPCS Code for CY 2025) to correct typographical errors. We are also 
correcting the following technical errors:
    We incorrectly deleted HCPCS code C9734 (U/s trtmt, not 
leiomyomata) from Addendum B by inadvertently assigning it to status 
indicator ``D''. We are correcting this error by replacing status 
indicator ``D'' with ``J1'' for HCPCS code C9734 and assigning it to 
APC 5115 (Level 5 Musculoskeletal Procedures) in Column E, as well as 
adding corresponding data to Columns F-K to reflect the updated APC 
5115 assignment.
    In addition, due to an inadvertent miscalculation of the payment 
rate for CPT code 15013 as explained in more detail in section II.B. 
Summary of Errors in the Preamble of this notice, we incorrectly 
assigned CPT code 15013 (Prepj skn cll ssp agrft 1st) status indicator 
``T'' and are correcting it to ``S''. We also incorrectly assigned CPT 
code 15013 to APC 1567 (New Technology--Level 30 ($6001-$6500)) and are 
correcting it to APC 1532 (New Technology--Level 32 ($7001-$7500)).
    Due to an inadvertent miscalculation of the payment rate for HCPCS 
code C8002 for the same reason as the error for CPT code 15013, we 
incorrectly assigned HCPCS code C8002 status indicator ``T'' and we are 
correcting it to ``S''. We also incorrectly assigned HCPCS code C8002 
to APC 1567 (New Technology--Level 30 ($6001-$6500)) and are correcting 
it to APC 1532 (New Technology--Level 32 ($7001-$7500)).
b. Errors in Addendum C
    In Addendum C (Final HCPCS Codes Payable Under the 2025 OPPS by 
APC), we are making a number of updates to correct the following 
technical errors:
    Due to the errors described in more detail in section II.B Summary 
of Errors in the Preamble of this notice related to CPT code 15013 and 
HCPCS code C8002, we are deleting CPT code 15013 and HCPCS code C8002 
from the list of HCPCS and CPT codes assigned to APC 1567 (New 
Technology--Level 30 ($6001-$6500)). We are adding CPT code 15013 and 
HCPCS code C8002 to the list of HCPCS and CPT codes assigned to APC 
1532 (New Technology--Level 32 ($7001-$7500)) in Addendum C.
    Due to the incorrect deletion of HCPCS code C9734 described in more 
detail in section II.B Summary of Errors in the Preamble of this 
notice, we are adding HCPCS code C9734 back to the list of HCPCS and 
CPT codes assigned to APC 5115 (Level 5 Musculoskeletal Procedures) in 
Addendum C.
c. Errors in Addendum P
    In the tab titled ``2025 FR Device Intensive List'', we 
inadvertently included two rows for each of CPT codes 0795T, 0801T, 
27279, and 93656. The additional rows for each of the codes contain 
values that were incorrectly calculated. For CPT codes 0795T and 0801T, 
the additional rows included values calculated using CY 2023 data, when 
the codes were assigned a status indicator of ``E1.''

[[Page 2633]]

Status indicator ``E1'' is assigned to items, codes, and services that 
are not covered by any Medicare outpatient benefit category; are 
statutorily excluded; or are not reasonable and necessarily. Because 
procedures assigned status indicator ``E1'' are not payable under the 
OPPS, claims data for codes assigned this status indicator should not 
be used to assign device offset percentages. Accordingly, we are 
deleting the additional rows that contained incorrect values for these 
codes. For CPT codes 27279 and 93656, the additional rows included a 
Device Offset Percentage and Device Offset Amount for each of the codes 
that was calculated using the APC Device Offset Percentage. But because 
CPT codes 27279 and 93656 were separately payable in CY 2023, the 
Device Offset Percentage and Device Offset Amount for each code should 
have been calculated using CY 2023 claims data. Therefore, we are 
deleting the additional rows for these codes as well.
    In the tabs titled ``FR 2025 Device Intensive List'' and ``2025 FR 
HCPCS Offsets'', we inadvertently included the incorrect APC Device 
Offset Percentage for procedures assigned to APC 5463--Level 3 
Neurostimulator and Related Procedures. We have revised the APC Device 
Offset Percentage from 26.11 percent to 26.17 percent.
    In the tab titled ``2025 FR HCPCS Offsets'', which is described as 
a ``list of the device offset percentages and device offset amounts for 
all HCPCS codes with CY 2023 claims data,'' we inadvertently included 
device offset percentages based on claims data from procedures that 
were assigned status indicator ``E1'' for CY 2023. Because status 
indicator ``E1'' is assigned to items, codes, and services that are not 
covered by any Medicare outpatient benefit category; are statutorily 
excluded; or are not reasonable and necessary, claims data for 
procedures assigned this status indicator should not be used to assign 
device offset percentages as these procedures were not payable under 
the OPPS in CY 2023 and do not have OPPS claims data. The procedures 
that were assigned status indicator ``E1'' for CY 2023 but were 
included in the ``2025 FR HCPCS Offsets'' tab in Addendum P were CPT 
codes 0621T, 0737T, 0764T, 0795T, 0796T, 0801T, and 74263. We corrected 
the 2025 FR HCPCS Offsets file by deleting the entries for these 
procedures.
2. ASC Payment System Addenda Summary of Errors
    To view the corrected final CY 2025 ASC payment indicators, payment 
weights, payment rates, multiple procedure discounting indicators, and 
device offset amounts/device portions in Addendum AA, BB, and FF that 
resulted from these technical corrections, we refer readers to the 
Addenda and supporting files on the CMS website at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ASCPayment/ASC-Regulations-and-Notices.html. Select ``CMS-1809-F2'' from the list of 
regulations. All corrected ASC addenda for this correcting document are 
contained in the zipped folder entitled ``Addendum AA, BB, DD1, DD2, 
and EE'' at the bottom of the CMS web page for CMS-1809-F2.
a. Errors in Addendum AA
    We inadvertently assigned ``N'' (No) in column D (Subject to 
Multiple Procedure Discounting) to HCPCS Codes C7500 through C7565 in 
the list of ASC complexity adjustment codes. We are correcting this 
error in Addendum AA by revising the procedure discounting status from 
``N'' (No) to ``Y'' (Yes) for these codes, indicating that the 
procedures to which these codes correspond are subject to multiple 
procedure discounting.
    As a result of the correction to the OPPS APC and status indicator 
assignment for the skin cell suspension autograft procedures described 
by CPT code 15013 and HCPCS code C8002 described in this correction 
notice, we are revising the multiple procedure discounting status in 
Column D for CPT code 15013 and HCPCS code C8002 from ``Y'' (Yes) to 
``N'' (No) indicating that the procedure is not subject to multiple 
procedure discounting. We are also correcting the OPPS APC assignment 
from APC 1567 to APC 1532 for CPT code 15013 and HCPCS code C8002. 
Therefore, in Addendum AA, as a result of the correction to the APC 
assignment for CPT code 15013 and HCPCS code C8002, we are correcting 
the Final CY 2025 Payment Weight (Column G) and Final CY 2025 Payment 
Rate (Column H) for CPT code 15013 and HCPCS code C8002 to reflect the 
correct APC assignment of APC 1532--New Technology--Level 32 ($7001-
$7500).
    We inadvertently assigned a payment rate to CPT code 53865 using 
APC 5374--Level 4 Urology and Related Services--rather than APC 5376--
Level 6 Urology and Related Services. In Addendum AA, we are revising 
the Final CY 2025 Payment Weight and Final CY 2025 Payment Rate column 
(Column H) to reflect the corrected APC for CPT code 53865.
b. Errors in Addendum BB
    We inadvertently assigned a final CY 2025 ASC payment rate to 
brachytherapy APCs that were not designated as Low Volume APCs that was 
based on the mean unit cost. This affected HCPCS codes:
     C1717 (Brachytx, non-str, hdr ir-192);
     C2616 (Brachytx, non-str, yttrium-90);
     C2634 (Brachytx, non-str, ha, i-125);
     C2638 (Brachytx, stranded, i-125);
     C2639 (Brachytx, non-stranded, i-125);
     C2640 (Brachytx, stranded, p-103);
     C2641 (Brachytx, non-stranded, p-103);
     C2643 (Brachytx, non-stranded, c-131);
     C2698 (Brachytx, stranded, nos), and;
     C2699 (Brachytx, non-stranded, nos).
    We are correcting the Final CY 2025 Payment Rate column (Column H) 
to reflect the geometric mean unit cost for these brachytherapy APCs.
    We inadvertently made an error in the Short Descriptor column 
(Column C) for HCPCS Code J1552 and are correcting it from ``Inj, 
alyglo, 100 mg'' to read ``Inj, alyglo, 500 mg''.
    We inadvertently displayed the incorrect payment rate for nine 
diagnostic radiopharmaceuticals in the HCPCS A9500 through A9600 range. 
We are correcting the Final CY 2025 Payment Rates column (Column H) for 
these radiopharmaceuticals.
c. Errors in Addendum FF
    We inadvertently assigned CPT code 53865 to APC 5374--Level 4 
Urology and Related Services--rather than APC 5376--Level 6 Urology and 
Related Services. We are revising the Final CY 2025 APC (Column E), 
Final CY 2025 APC Device Offset Percentage (Column F). Final CY 2025 
OPPS Payment Rate (Column G), and Final CY 2025 Device Offset Amount/
Device Portion (Column I) to reflect the corrected APC for CPT code 
53865.
    We made an error in the OPPS APC assignment for CPT code 15013 and 
HCPCS Code C8002 as described previously. As a result of the correction 
to the OPPS assignment to APC 1532--New Technology--Level 32 ($7001-
$7500)--for CPT code 15013 and HCPCS Code C8002, we are correcting the 
Final CY 2025 APC (Column E) and Final CY 2025 OPPS Payment Rate 
(Column G) for these codes to reflect this APC correction.

[[Page 2634]]

III. Waiver of Proposed Rulemaking and Delay in Effective Date

    Under 5 U.S.C. 553(b) of the Administrative Procedure Act (APA), 
the agency is required to publish a notice of proposed rulemaking in 
the Federal Register before the provisions of a rule take effect. 
Similarly, section 1871(b)(1) of the Act requires the Secretary to 
provide for notice of the proposed rulemaking in the Federal Register 
and provide a period of not less than 60 days for public comment. In 
addition, section 553(d) of the APA, and section 1871(e)(1)(B)(i) of 
the Act mandate a 30-day delay in effective date after issuance or 
publication of a rule. Sections 553(b)(B) and 553(d)(3) of the APA 
provide for exceptions from the notice and comment and delay in 
effective date APA requirements; in cases in which these exceptions 
apply, sections 1871(b)(2)(C) and 1871(e)(1)(B)(ii) of the Act provide 
exceptions from the notice and 60-day comment period and delay in 
effective date requirements of the Act as well. Section 553(b)(B) of 
the APA and section 1871(b)(2)(C) of the Act authorize an agency to 
dispense with normal rulemaking requirements for good cause if the 
agency makes a finding that the notice and comment process are 
impracticable, unnecessary, or contrary to the public interest. In 
addition, both section 553(d)(3) of the APA and section 
1871(e)(1)(B)(ii) of the Act allow the agency to avoid the 30-day delay 
in effective date where such delay is contrary to the public interest 
and an agency includes a statement of support.
    We believe that this correction does not constitute a rule that 
would be subject to the notice and comment or delayed effective date 
requirements. This document corrects technical and typographical errors 
in the preamble, regulations text, addenda, and tables included or 
referenced in the CY 2025 OPPS/ASC final rule with comment period but 
does not make substantive changes to the policies or payment 
methodologies that were adopted in the CY 2025 OPPS/ASC final rule with 
comment period. As a result, this correction is intended to ensure that 
the information in the CY 2025 OPPS/ASC final rule with comment period 
accurately reflects the policies adopted in that document.
    In addition, even if this were a rule to which the notice and 
comment procedures and delayed effective date requirements applied, we 
find that there is good cause to waive such requirements. Undertaking 
further notice and comment procedures to incorporate the corrections in 
this document into the final rule with comment period or delaying the 
effective date would be contrary to the public interest because it is 
in the public's interest for providers to receive appropriate payments 
in as timely a manner as possible, and to ensure that the CY 2025 OPPS/
ASC final rule with comment period reflects our policies. Furthermore, 
such procedures would be unnecessary, as we are not altering our 
payment methodologies or policies, but rather, we are simply correctly 
implementing the policies that we previously proposed, requested 
comment on, and subsequently finalized. This correcting document is 
intended solely to ensure that the CY 2025 OPPS/ASC final rule with 
comment period accurately reflects these payment methodologies and 
policies. For these reasons, we believe we have good cause to waive the 
notice and comment and delayed effective date requirements.
    Moreover, even if these corrections were considered to be 
retroactive rulemaking, they would be authorized under section 
1871(e)(1)(A)(ii) of the Act, which permits the Secretary to issue a 
rule for the Medicare program with retroactive effect if the failure to 
do so would be contrary to the public interest. As we have explained 
previously, we believe it would be contrary to the public interest not 
to implement the corrections in this final rule correction because it 
is in the public's interest for providers to receive appropriate 
payments in as timely a manner as possible, and to ensure that the CY 
2025 OPPS/ASC final rule with comment period accurately reflects our 
policies.

IV. Correction of Errors

    In FR Doc. 2024-25521 of November 27, 2024 (89 FR 93912), we are 
making the following corrections:

A. Correction of Errors in For Further Contact Information

    1. On page 93913, column 2, fourth paragraph, line 4, the email 
address for Kelly Wojciechowski is corrected to read 
``[email protected]''.

B. Correction of Errors in the Preamble

    1. On page 94054, third column, last partial paragraph, lines 3 and 
4, ``CPT code 0899T'' is corrected to read ``CPT code 0889T''.
    2. On page 94055, third column, first partial paragraph, first 
line, ``code 0899T'' is corrected to read ``code 0889T''.
    3. On page 94111, in the heading titled ``54. Skin Cell Suspension 
Autograft (SCSA) Procedures, CPT Codes 15011 Through 15018 (APCs 5051, 
5054, and 1567)'', line 4, the figure ``1567'' is corrected to read 
``1532''.
    4. On page 94114, second column,
    a. First partial paragraph,
    (1) Lines 1 through 3, ``APC 1567 (New Technology--Level 30 ($6001-
6500)) with a $6,250.50 payment rate'' is corrected to read ``APC 1532 
(New Technology--Level 32 ($7001-7500)) with a $7,250.50 payment 
rate''.
    (2) Lines 12 through 13, ``APC 1567 with a payment rate of 
$6,250.50'' are corrected to read ``APC 1532 with a payment rate of 
$7,250.50''.
    b. First full paragraph, lines 12 through 13 ``APC 1567 ((New 
Technology--Level 30 ($6001-$6500))'' is corrected to read ``APC 1532 
(New Technology--Level 32 ($7001-7500))''.
    5. On page 94120, second column, second full paragraph, lines 4 
through 9 that read ``We note that we will replace HCPCS code C9734 
with CPT code 5X008 (55882) effective January 1, 2025, as well as 
assign the underlying claims associated with C9734 to CPT code 5X008 
(55882)'' are corrected in their entirety to read, ``We note that we 
will crosswalk claims for HCPCS code C9734 to CPT code 5X008 (55882) to 
determine the APC assignment for CPT code 5X008 (55882) for CY 2025. 
HCPCS C9734 will continue to be assigned to APC 5115 (Level 5 
Musculoskeletal Procedures) in CY 2025.''
    6. On page 94368, first column, second footnoted paragraph 
(footnote 270), lines 4 through 6, the link ``https://www.cms.gov/About-CMS/Agency-Information/OMH/OMH_Dwnld-CMSEquityPlanforMedicare_090615.pdf'' is corrected to read ``https://
www.cms.gov/About-CMS/Agency-Information/OMH/OMH_Dwnld-
CMS_EquityPlanforMedicare_090615.pdf#:~:text=The%20Centers%20for%20Medic
are%20%26%20Medicaid%20Services%20%28CMS%29,evidence%20base%2C%20identif
ying%20opportunities%2C%20and%20gathering%20stakeholder%20input''.
    7. On page 94380, first column, fourth footnoted paragraph 
(footnote 316), lines 3 through 5, the link ``https://www.beckersasc.com/asc-coding-billing-and-collections/hopds-vs-ascs-10-considerations-for-2024.html.'' is corrected to read ``https://www.beckersasc.com/asc-coding-billing-and-collections/hopds-vs-ascs-10-considerations-for-2024.html''.
    8. On page 94407, third column, first partial paragraph,

[[Page 2635]]

    a. Line 19, the punctuation mark ``,'' is replaced with ``.''
    b. Lines 19 through 22, the language ``which is administered on the 
first day post-procedure and then followed up at 14 days.'' is removed.
    9. On page 94411, first column, second footnoted paragraph 
(footnote 446), lines 4 through 8, the link ``https://p4qm.org/sites/default/files/2023-09/Guidebook-of-Policies-and-Procedures-for-Pre-Rulemaking-Measure-Review-%28PRMR%29-and-Measure-SetReview-%28MSR%29-Final_0.pdf'' is corrected to read ``https://p4qm.org/sites/default/files/2023-09/Guidebook-of-Policies-and-Procedures-for-Pre-Rulemaking-Measure-Review-%28PRMR%29-and-Measure-Set-Review-%28MSR%29-Final_0.pdf''.
    10. On page 94412, third column, first footnoted paragraph 
(footnote 461), lines 4 through 6, the link: ``https://p4qm.org/sites/default/files/2024-02/PRMR-Hospital-Recommendation-Group-MeetingSummary-Final.pdf'' is corrected to read ``https://p4qm.org/sites/default/files/2024-02/PRMR-Hospital-Recommendation-Group-Meeting-Summary-Final.pdf''.
    11. On page 94416, within table note **** corresponding to Table 
163 titled ``NEWLY FINALIZED HOSPITAL OQR PROGRAM MEASURE SET BEGINNING 
WITH THE CY 2027 PAYMENT DETERMINATION'', line 3, section reference 
``XV.B.3.B'' is corrected to read ``XV.C.1.b''.
    12. On page 94417,
    a. Within table note *** corresponding to Table 164 titled ``NEWLY 
FINALIZED HOSPITAL OQR PROGRAM MEASURE SET BEGINNING WITH THE CY 2031 
PAYMENT DETERMINATION'', line 3, section reference ``XV.B.3.B'' is 
corrected to read section ``XV.C.1.b''.
    b. Third column, last full paragraph, lines 3 through 10, ``(77 FR 
68484; 80 FR 70521, 87 FR 72110 through 72112; 78 FR 75097 through 
75100; and 88 FR 82004 through 82006, respectively) for information 
regarding our claims-based, web-based, eCQM, chart-abstracted, PRO-PM, 
and survey-based data submission and reporting requirements.'' is 
corrected to read ``(78 FR 75111 and 75112; 80 FR 70521 through 70522; 
86 FR 63863 through 63866; 87 FR 72110 through 72112; 88 FR 82004 
through 82009, respectively) for information regarding our claims-
based, web-based, survey-based, chart-abstracted, eCQM, and PRO-PM data 
submission and reporting requirements.''.
    13. On page 94442, first column, last paragraph, line 6, the figure 
``$2.8 million'' is corrected to read ``2.8 million''.
    14. On page 94446, third column, fourth full paragraph, line 2, 
``that that'' is corrected to read ``that''.
    15. On page 94448, third column, second full paragraph, line 22, 
``communities that rely upon rely upon'' is corrected to read 
``communities that rely upon''.
    16. On page 94452, third column, last paragraph, line 31 
``mistrusted the health care at higher'' is corrected to read as 
``mistrusted the health care system at higher''.
    17. On page 94455, second column, first fully footnoted paragraph 
(footnote 586), ``As of November 27, 2024, HRSA has not finalized these 
proposed changes to FORHP's definition of rural.'' is corrected to read 
``As of the development of this final rule, HRSA had not finalized 
these proposed changes to FORHP's definition of rural.''
    18. On page 94481, third column, first partial paragraph, line 12 
the word ``biannual'' is corrected to read ``biennial''.
    19. On page 94483, first column,
    a. Eighth bullet, line 5, the word ``biannual'' is corrected to 
read ``biennial''.
    b. Last bullet, line 5 the word ``biannual'' is corrected to read 
``biennial''.
    20. On page 94522,
    a. Second column, last partial paragraph, line 2, the figure 
``four'' is corrected to read ``three''.
    b. Third column, first partial paragraph,
    (1) Line 1, the word ``and'' is inserted before ``(3)''.
    (2) Line 7, the phrase ``; and (4)'' is corrected to read ``. We 
are also adopting''.
    21. On page 94542, third column,
    a. First partial paragraph, line 17, the word ``biannually'' is 
corrected to read ``biennially''.
    b. First full paragraph, line 13 the word ``biannual'' is corrected 
to read ``biennial''.
    22. On page 94561,
    a. The table title, ``Table 207: Four Walls: Accounting Statement: 
Medicaid Clinic Services Four Walls Exceptions'' is corrected to read 
as ``TABLE 207: ACCOUNTING STATEMENT: MEDICAID CLINIC SERVICES FOUR 
WALLS EXCEPTIONS''
    b. Third column, first full paragraph, line 1, section reference 
``XXVI.B'' is corrected to ``XXVI.A''.
    23. On page 94562,
    a. First column,
    (1) First full paragraph, line 8, section reference ``XXVI.B'' is 
corrected to ``XXVI.A''.
    (2) Last paragraph, line 8, section reference ``XXVI.B'' is 
corrected to ``XXVI.A''.
    b. Third column, first full paragraph, line 1, section reference 
``XXVI.C'' is corrected to ``XXVI.B''.
    24. On page 94563,
    a. First column, first full paragraph, line 8, section reference 
``XXVI.C'' is corrected to ``XXVI.B''.
    b. Second column, second full paragraph, line 1, section reference 
``XXVI.D'' is corrected to ``XXVI.C''.
    c. Third column, first full paragraph, line 8, section reference 
``XXVI.D'' is corrected to ``XXVI.C''.
    25. On page 94569, first column, first partial paragraph, line 6 
the word ``biannually'' is corrected to read ``biennially.''
    26. On page 94571, bottom of the page, first column; first partial 
paragraph, line 12, the word ``biannual'' is corrected to read 
``biennial.''
    27. On page 94572,
    a. Second column, first partial paragraph, line 1, the word 
``biannual'' is corrected to read ``biennial''.
    b. Third column, first partial paragraph, line 44, the word 
``biannual'' is corrected to read ``biennial''.
    28. On page 94573, third column; first partial paragraph, line 1, 
the word ``biannual'' is corrected to read ``biennial''.

List of Subjects

42 CFR Part 406

    Diseases, Health facilities, Medicare.

42 CFR Part 457

    Administrative practice and procedure, Grant programs--health, 
Health insurance, Reporting and recordkeeping requirements.

42 CFR Part 482

    Grant programs--health, Hospitals, Medicaid, Medicare, Reporting 
and recordkeeping requirements.

42 CFR Part 485

    Grant programs--health, Health facilities, Medicaid, Privacy, 
Reporting and recordkeeping requirements.

    Accordingly, 42 CFR chapter IV is corrected by making the following 
correcting amendments:

PART 406--HOSPTIAL INSURANCE ELIGIBILITY AND ENTITLEMENT

0
1. The authority citation for part 406 continues to read as follows:

    Authority:  42 U.S.C. 1302, 1395i-2, 1395i-2a, 1395p, 1395q and 
1395hh.

Sec.  406.27  [Amended]

0
2. Amend Sec.  406.27 in the second sentence of paragraph (d)(1)(i) by 
adding

[[Page 2636]]

the word ``the'' before the phrase ``custody of penal authorities and . 
. .''

PART 457--ALLOTMENTS AND GRANTS TO STATES

0
3. The authority citation for part 457 continues to read as follows:

    Authority: 42 U.S.C. 1302.

0
4. Revise Sec.  457.342 to read as follows:

Sec.  457.342  Continuous eligibility for children.

    (a) A State must provide continuous eligibility for children under 
a separate CHIP in accordance with the terms of Sec.  435.926 of this 
chapter, and subject to a child remaining ineligible for Medicaid, as 
required by section 2110(b)(1) of the Act and Sec.  457.310 (related to 
the definition and standards for being a targeted low-income child) and 
the requirements of section 2102(b)(3) of the Act and Sec.  457.350 
(related to eligibility screening and enrollment).
    (b) [Reserved]

PART 482--CONDITIONS OF PARTICIPATION FOR HOSPITALS

0
5. The authority citation for part 482 continues to read as follows:

    Authority:  42 U.S.C. 1302, 1395hh, and 1395rr, unless otherwise 
noted.

Sec.  482.59  [Amended]

0
6. Amend Sec.  482.59 in paragraph (c)(3) by correcting the word 
``biannual'' to read ``biennial''.

PART 485--CONDITIONS OF PARTICIPATION FOR CRITICAL ACCESS HOSPITALS

0
7. The authority citation for part 485 continues to read as follows:

    Authority: 42 U.S.C. 1302 and 1395(hh).

Sec.  485.649  [Amended]

0
8. Amend Sec.  485.649 in paragraph (c)(3) by correcting the word 
``biannual'' to read ``biennial''.

Elizabeth J. Gramling,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2025-00081 Filed 1-8-25; 8:45 am]
BILLING CODE 4120-01-P
```