Federal Register / Vol. 72, No. 214 / Tuesday, November 6, 2007 / Rules and Regulations 62585 

of Beauregard, Grant, and St. Mary 

parishes on November 6, 2007. 

* * * * * 

[FR Doc. E7–21687 Filed 11–5–07; 8:45 am] 

BILLING CODE 6560–50–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Parts 411, 412, 413, and 489 

[CMS–1533–CN3] 

RIN 0938–A070 

Medicare Program; Changes to the 

Hospital Inpatient Prospective 

Payment Systems and Fiscal Year 2008 

Rates; Correction 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Correction of final rule with 

comment period. 

SUMMARY: This document corrects wage 

index, case-mix index, and geographic 

adjustment factor errors in the final rule 

with comment period that appeared in 

the August 22, 2007 Federal Register 

entitled ‘‘Medicare Program; Changes to 

the Hospital Inpatient Prospective 

Payment Systems and Fiscal Year 2008 

Rates Final Rule’’; and the correction 

notice that appeared in the October 10, 

2007 Federal Register entitled 

‘‘Medicare Program; Changes to the 

Hospital Inpatient Prospective Payment 

Systems and Fiscal Year 2008 Rates; 

Correction’’. 

DATES: Effective Date: October 1, 2007. 

FOR FURTHER INFORMATION CONTACT: 

Miechal Lefkowitz, (410) 786–5316. 

Valerie Miller, (410) 786–4535. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In FR Doc 07–3820 of August 22, 2007 

(72 FR 47130) and in FR Doc. 07–4875 

of October 10, 2007 (72 FR 57634), there 

were a number of technical and 

typographical errors that are identified 

and corrected in the Correction of Errors 

section of this notice. 

We issued the fiscal year (FY) 2008 

hospital inpatient prospective payment 

systems (IPPS) final rule with comment 

period on August 1, 2007. The FY 2008 

IPPS final rule with comment period 

appeared in the August 22, 2007 

Federal Register, hereinafter referred to 

as the FY 2008 IPPS final rule with 

comment period. 

We issued a correction notice for the 

FY 2008 IPPS final rule with comment 

period on September 28, 2007. The 

correction notice appeared in the 

October 10, 2007 Federal Register 

hereinafter referred to as the second FY 

2008 IPPS correction notice. 

The provisions in this correction 

notice are effective as if they had been 

included in the FY 2008 IPPS final rule 

with comment period. Accordingly, the 

corrections are effective October 1, 

2007. 

II. Summary of Errors 

We recently discovered a small 

number of inadvertent technical or 

typographical errors. Therefore, this 

notice corrects the errors that appeared 

in the FY 2008 IPPS final rule with 

comment period and the second FY 

2008 IPPS correction notice. 

In the second FY 2008 IPPS correction 

notice (72 FR 57637), there were 

typographical errors in some of the case 

mix indices listed in Table 2. The case 

mix index (CMI) values for some of the 

providers listed in Table 2 of that 

correction notice were intended to be 

the same as the CMI values in Table 2 

of the FY 2008 IPPS final rule with 

comment period. However, there was an 

inadvertent typographical error that 

resulted in the CMI values for certain 

providers being displayed on the wrong 

line. Therefore, in this notice, we are 

correcting some of the entries in Table 

2 to reflect the proper CMI values for 

these providers. 

Table 2 also contained errors in wage 

indices for providers 140B10 and 

220074. Each hospital is a part of a 

multicampus hospital, and each 

hospital is reclassified to the labor 

market area where other hospitals 

associated with its provider number are 

located. We note that these hospitals 

were properly assigned the reclassified 

wage index in the FY 2008 IPPS final 

rule with comment period. However, in 

the second FY 2008 IPPS correction 

notice, Table 2 inadvertently listed each 

hospital’s geographic area wage index 

rather than the hospital’s reclassified 

wage index. Provider 140B10 was 

mistakenly assigned 1.0583, the area 

wage index for Lake County-Kenosha 

County, IL–WA (CBSA 29404). 

Therefore, in section III. item 1 of this 

notice (correction of Table 2), the wage 

index for provider 140B10 is corrected 

to 1.0472, the reclassified wage index 

for Chicago-Naperville-Joliet, IL (CBSA 

16974). In addition, provider 220074 

was mistakenly assigned 1.0533, the 

area wage index value for ProvidenceNew Bedford-Fall River, RI–MA (CBSA 

39300). Therefore, in section III. item 1 

of this notice (correction of Table 2), the 

wage index for provider 220074 is 

corrected to 1.1304, the reclassified 

wage index for Boston-Quincy, MA 

(CBSA 14484). 

In Tables 2, 4A, and 4C of the FY 

2008 IPPS final rule with comment 

period and the second FY 2008 IPPS 

correction notice, there was also an 

inadvertent error in the wage index 

calculation for two core-based statistical 

areas (CBSAs). In calculating the wage 

indices in the FY 2008 IPPS final rule 

with comment period, a provider was 

inadvertently included in CBSA 16180 

Carson City, NV, when it is actually 

geographically located in CBSA 39900 

Reno-Sparks, NV. The effect of this 

change is that the wage indices for the 

eight providers in these two CBSAs will 

change. Therefore, in section III. of this 

notice, we are correcting the wage 

indices for these providers in these two 

CBSAs in Tables 2, 4A, and 4C. We note 

that wage index corrections may be 

retroactive to the beginning of the 

Federal fiscal year if the requirements 

specified in § 412.64(k)(2)(ii) are met. 

The requirements in § 412.64(k)(2)(ii) 

are as follows: (1) The fiscal 

intermediary or Medicare 

Administrative Contractor (FI/MAC) or 

CMS made an error in tabulating data 

used for the wage index calculation; (2) 

the hospital knew about the error in its 

wage data and requested the FI/MAC 

and CMS to correct the error both 

within the established schedule for 

making corrections to the wage data 

(which is at least before the beginning 

of the fiscal year for the applicable 

update to the hospital inpatient 

prospective payment system) and using 

the established process; and (3) CMS 

agreed before October 1 that the FI/MAC 

or CMS made an error in tabulating the 

hospital’s wage data and the wage index 

should be corrected. Since the wage 

indices errors that are corrected in this 

notice meet the requirements specified 

in § 412.64 of our regulations, these 

corrections are effective October 1, 

2007. 

Table 4C of the second FY 2008 IPPS 

correction notice also contained 

typographical errors in the geographic 

adjustment factor (GAF) for two CBSAs, 

CBSA 13820 (Birmingham-Hoover, AL) 

and CBSA 26620 (Huntsville, AL). 

Therefore, in this notice, we are 

correcting the GAFs for these CBSAs. 

We note that the wage indices for these 

CBSAs were correct in the second FY 

2008 IPPS correction notice and are 

included in this notice to provide the 

reader with the wage indices and along 

with the corrected GAFs. 

III. Correction of Errors 

In FR Doc. 07–4875 of October 10, 

2007 (72 FR 57634), make the following 

corrections: 

mstockstill on PROD1PC66 with RULES

62586 Federal Register / Vol. 72, No. 214 / Tuesday, November 6, 2007 / Rules and Regulations 

1. On pages 57637 through 57698, in 

Table 2— Hospital Case-Mix Indexes for 

Discharges Occurring in Federal Fiscal 

Year 2006; Hospital Wage Indexes for 

Federal Fiscal Year 2008; Hospital 

Average Hourly Wages for Federal 

Fiscal Years 2006 (2002 Wage Data), 

2007 (2003 Wage Data), and 2008 (2004 

Wage Data); and 3-Year Average of 

Hospital Average Hourly Wages, the 

listed entries are corrected to read as 

follows: 

TABLE 2.—HOSPITAL CASE-MIX INDEXES FOR DISCHARGES OCCURING IN FEDERAL FISCAL YEAR 2006; HOSPITAL WAGE

INDEXES FOR FEDERAL FISCAL YEAR 2008; HOSPITAL AVERAGE HOURLY WAGES FOR FEDERAL FISCAL YEARS 2006 

(2002 WAGE DATA), 2007 (2003 WAGE DATA), AND 2008 (2004 WAGE DATA); AND 3-YEAR AVERAGE OF HOSPITAL

AVERAGE HOURLY WAGES

Provider No. Case-mix index FY 2008 wage 

index 

Average hourly 

wage FY 2006 

Average hourly 

wage FY 2007 

Average hourly 

wage FY 2008 

Average hourly 

wage (3 years) 

140001 ............................. 1.1034 0.8715 22.3170 22.3001 22.2003 22.2726 

140002 ............................. 1.3394 0.8983 24.6954 27.0165 27.4779 26.4101 

140007 ............................. 1.3523 1.0588 28.3482 30.7378 31.4024 30.1866 

140008 ............................. 1.4485 1.0588 28.5297 29.1767 31.8008 29.7872 

140B10 3 ........................... ............................ 1.0472 35.1024 31.8806 40.1360 35.1264 

220001 ............................. 1.1993 1.1355 29.0014 30.6070 31.2316 30.2898 

220002 ............................. 1.3836 1.1488 30.3598 32.4356 33.6649 32.2137 

220003 ............................. 1.1827 ............................ 22.0549 ............................ ............................ 22.0549 

220006 ............................. ............................ ............................ 30.8599 30.7673 33.6438 31.7232 

220008 ............................. 1.2814 1.1304 30.1043 31.3385 34.7924 32.1143 

220010 ............................. 1.2471 1.1304 29.7998 30.7804 32.0925 30.8934 

220011 ............................. 1.1289 1.1488 34.4064 34.7655 36.5640 35.2410 

220012 ............................. 1.5403 1.2612 35.7872 37.8763 39.7564 37.8806 

220015 ............................. 1.1909 1.0451 28.3397 29.6315 32.4903 30.2089 

220016 ............................. 1.1221 1.0451 28.0608 30.4813 32.5863 30.3587 

220017 ............................. 1.2751 1.1844 29.7108 31.6170 33.3020 31.5466 

220019 ............................. 1.0840 1.1355 23.2544 24.4009 25.7855 24.4947 

220020 ............................. 1.2035 1.1304 26.5305 28.5288 30.8458 28.6772 

220024 ............................. 1.2983 1.0451 27.3488 28.7342 31.9491 29.2912 

220025 ............................. 1.0403 1.1355 23.0637 25.6478 30.4369 26.1069 

220028 ............................. ............................ ............................ 32.0980 31.7122 39.3089 34.1922 

220029 ............................. 1.1319 1.1304 28.6970 30.6935 31.6363 30.3492 

220030 ............................. 1.1315 1.0451 24.4289 26.8849 28.1347 26.5400 

220031 ............................. 1.6670 1.1844 34.8183 36.8477 38.9433 36.9174 

220033 ............................. 1.2129 1.1304 28.2539 31.8249 32.3495 30.8022 

220035 ............................. 1.4179 1.1304 28.6238 31.4470 34.8739 32.8577 

220036 ............................. 1.5119 1.1844 31.5184 33.1436 35.9124 33.5798 

220046 ............................. 1.4766 1.0053 28.1396 30.4460 31.4510 30.0573 

220049 ............................. 1.2148 1.1488 27.7518 30.4740 32.4652 30.2584 

220050 ............................. 1.0817 1.0451 26.3768 28.3434 29.5194 28.1065 

220051 ............................. 1.3058 0.9706 29.8380 30.2552 30.1022 30.0683 

220052 ............................. 1.1342 1.1844 29.8577 32.4130 32.3532 31.5202 

220058 ............................. 0.9584 1.1355 24.9642 25.7247 27.8893 26.1881 

220060 ............................. 1.1735 1.1844 32.3362 32.5477 34.7336 33.2260 

220062 ............................. 0.5718 1.1355 24.2779 25.0766 25.4224 24.9426 

220063 ............................. 1.2551 1.1488 27.3968 30.2866 32.9283 30.2274 

220065 ............................. 1.2422 1.0451 26.5513 27.6009 30.1103 28.0583 

220066 ............................. 1.3440 1.0451 27.1317 27.8073 29.9736 28.3106 

220067 ............................. 1.1846 1.1844 29.8911 30.2222 32.4019 30.8648 

220070 ............................. 1.1331 1.1488 31.9283 33.1299 34.2598 33.1439 

220071 ............................. 1.8639 1.1844 32.2936 36.5065 37.4087 35.4748 

220073 ............................. 1.1778 1.1304 31.3566 34.2989 36.0289 33.8953 

220074 ............................. ............................ 1.1304 28.4930 30.5607 31.4730 30.1564 

290001 ............................. 1.8514 1.0836 31.1981 36.3129 35.5113 34.2992 

290002 ............................. 0.9058 0.9704 18.3469 17.3876 23.9348 19.4284 

290006 ............................. 1.1835 1.0680 27.9501 31.7301 31.9838 30.5940 

290009 ............................. 1.7155 1.0836 29.8019 36.2724 32.3348 32.7010 

290019 ............................. 1.4106 1.0680 28.6158 29.3650 30.5964 29.5670 

290032 ............................. 1.4261 1.0836 31.7105 31.6711 34.6589 32.6749 

290049 ............................. 1.3649 1.0836 ............................ ............................ 26.0725 26.0725 

290051 ............................. 1.6073 0.9865 ............................ ............................ ............................ ............................

3This provider, 140B10, is part of a multi-campus provider, 140010, that is comprised of campuses that are located in two different CBSAs. 

For the FY 2008 wage index, a new provider record was created, designated with a ‘‘B’’ in the 4th position of the provider number, to distinguish 

between the portion of the wages and hours of the multi-campus facility that is being allocated between the two different CBSAs. Please refer to 

the FY 2008 final rule, section III.H.I.7 ‘‘Geographic Reclassification for Multi-campus Hospitals,’’ for more details on this provision. 

2. On pages 57698 through 57721, in 

Table 4A—Wage Index and Capital 

Geographic Adjustment Factor (GAF) for 

Urban Areas by CBSA—FY 2008, the 

listed entries are corrected to read as 

follows: 

mstockstill on PROD1PC66 with RULES

Federal Register / Vol. 72, No. 214 / Tuesday, November 6, 2007 / Rules and Regulations 62587 

TABLE 4A.—WAGE INDEX AND CAPITAL GEOGRAPHIC ADJUSTMENT FACTOR (GAF) 

FOR URBAN AREAS BY CBSA—FY 2008 

CBSA code Urban area (constituent counties) Wage 

index GAF 

16180 ........................................... Carson City, NV2 ...........................................................................................................

Carson City, NV. 

0.9865 0.9907 

39900 ........................................... Reno-Sparks, NV ..........................................................................................................

Storey County, NV. 

Washoe County, NV. 

1.0836 1.0565 

2 Hospitals geographically located in the area are assigned the statewide rural wage index for FY 2008. New Jersey floor is imputed as discussed in the FY 2005 IPPS final rule (69 FR 49109) and in section III.G.2 of the preamble in this final rule. 

3. On pages 57722 through 57726, in 

Table 4C—Wage Index and Capital 

Geographic Adjustment (GAF) for 

Hospitals that are Reclassified by CBSA, 

the listed entries are corrected to read as 

follows: 

TABLE 4C.—WAGE INDEX AND CAPITAL GEOGRAPHIC ADJUSTMENT FACTOR (GAF) FOR HOSPITALS THAT ARE

RECLASSIFIED BY CBSA—FY 2008 

CBSA code Area Wage 

index GAF 

13820 ........................................... Birmingham-Hoover, AL ................................................................................................ 0.8690 0.9083 

16180 ........................................... Carson City, NV ............................................................................................................ 0.9704 0.9796 

26620 ........................................... Huntsville, AL ................................................................................................................ 0.8725 0.9108 

39900 ........................................... Reno-Sparks, NV .......................................................................................................... 1.0680 1.0461 

IV. Waiver of Proposed Rulemaking 

and the 30-Day Delay in the Effective 

Date 

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. 

Section 553(d) of the APA ordinarily 

requires a 30-day delay in effective date 

of final rules after the date of their 

publication in the Federal Register. 

This 30-day delay in effective date can 

be waived, however, if an agency finds 

for good cause that the delay is 

impracticable, unnecessary, or contrary 

to the public interest, and the agency 

incorporates a statement of the findings 

and its reasons in the rule issued. 

For reasons noted below, we find 

good cause to waive proposed 

rulemaking and the 30-day delayed 

effective date for the technical 

corrections in this notice. This notice 

merely corrects typographical and 

technical errors in the addendum of the 

FY 2008 IPPS final rule with comment 

period and the second FY 2008 IPPS 

correction notice and does not make 

substantive changes to the policies or 

payment methodologies that were 

adopted in the final rule with comment 

period. As a result, this notice is 

intended to ensure that the FY 2008 

IPPS final rule with comment period 

accurately reflects the policies adopted 

in the FY 2008 IPPS final rule with 

comment period. Therefore, we find that 

undertaking further notice and comment 

procedures to incorporate these 

corrections into the final rule or 

delaying the effective date of these 

changes is unnecessary and contrary to 

the public interest. 

(Catalog of Federal Domestic Assistance 

Program No. 93.773, Medicare—Hospital 

Insurance; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: October 31, 2007. 

Ann C. Agnew, 

Executive Secretary to the Department. 

[FR Doc. 07–5513 Filed 11–1–07; 10:12 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF COMMERCE 

National Oceanic and Atmospheric 

Administration 

50 CFR Part 229 

[Docket No. 071030629–7630–01] 

RIN 0648–XD72 

Taking of Marine Mammals Incidental 

to Commercial Fishing Operations; 

Atlantic Large Whale Take Reduction 

Plan 

AGENCY: National Marine Fisheries 

Service (NMFS), National Oceanic and 

Atmospheric Administration (NOAA), 

Commerce. 

ACTION: Temporary rule. 

SUMMARY: The Assistant Administrator 

for Fisheries (AA), NOAA, announces 

temporary restrictions consistent with 

the requirements of the Atlantic Large 

Whale Take Reduction Plan’s 

(ALWTRP) implementing regulations. 

These regulations apply to lobster trap/ 

pot and anchored gillnet fishermen in 

an area totaling approximately 2,031 

nm2 (6,966 km2), southeast of Portland, 

Maine, for 15 days. The purpose of this 

action is to provide protection to an 

aggregation of northern right whales 

(right whales). 

DATES: Effective beginning at 0001 hours 

November 8, 2007, through 2400 hours 

November 22, 2007. 

ADDRESSES: Copies of the proposed and 

final Dynamic Area Management (DAM) 

mstockstill on PROD1PC66 with RULES