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 Department of Health and Human Services Centers for Medicare & Medicaid Services 42 CFR Parts 409, 411, 413, 424, and 488
[CMS-1679-CN]
RIN 0938-AS96
 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
 ACTION: Final rule; correction.
 SUMMARY: This document corrects technical errors in the final rule that appeared in the August 4, 2017 
                        **Federal Register**
                        , which will update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2018.
 DATES: This correction is effective October 1, 2017.
 FOR FURTHER INFORMATION CONTACT: John Kane, (410) 786-0557.


SUPPLEMENTARY INFORMATION:  I. Background In FR Doc. 2017-16256 (82 FR 36530), the final rule entitled “Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, and Correction of the Performance Period for the NHSN HCP Influenza Vaccination Immunization Reporting Measure in the ESRD QIP for PY 2020”, there were a number of technical errors that are identified and corrected in section IV., Correction of Errors. The provisions in this correcting document are effective as if they had been included in the document that appeared in the August 4, 2017, 
                    **Federal Register**
                     (hereinafter referred to as the FY 2018 SNF PPS final rule). Accordingly, the corrections are effective October 1, 2017. II. Summary of Errors A. Summary of Errors in the Preamble As discussed in the FY 2018 SNF PPS final rule (82 FR 36539), in developing the wage index to be applied to skilled nursing facilities (SNFs) under the SNF prospective payment system (PPS), we use the updated, pre-reclassified hospital inpatient prospective payment system (IPPS) wage data, exclusive of the occupational mix adjustment. For FY 2018, the updated, unadjusted, pre-reclassified IPPS wage data used under the SNF PPS are for hospital cost reporting periods beginning on or after October 1, 2013, and before October 1, 2014 (FY 2014 cost report data), as discussed in the FY 2018 IPPS final rule (82 FR 38130). In calculating the wage index under the FY 2018 IPPS final rule, we made inadvertent errors related to the wage data collected from the Medicare cost reports of six hospitals which are located in CBSAs 24860 and 40340. Specifically, we used incorrect wage data for these six hospitals to calculate the final FY 2018 IPPS wage indexes, the geographic adjustment factor (GAF) (which is computed from the wage index), as well as certain other IPPS factors and adjustments. These errors are identified, discussed and corrected in the Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2018 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Electronic Health Record (EHR) Incentive Program Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Provider-Based Status of Indian Health Services and Tribal Facilities and Organizations; Cost Reporting and Provider Requirements; Agreement Termination Notices; Correction (CMS-1677-CN) that appears elsewhere in this issue of the 
                    **Federal Register**
                    . As discussed above, we use the updated, pre-reclassified, unadjusted IPPS wage data in developing the wage index used under the SNF PPS. Due to the technical errors described above, the published FY 2018 SNF PPS wage indexes were incorrect. Thus, the use of the corrected wage data for the six hospitals required the recalculation of the final FY 2018 SNF PPS wage indexes. Additionally, as discussed on page 36543 of the FY 2018 SNF PPS final rule, section 1888(e)(4)(G)(ii) of the Act requires that we apply the wage index in a manner that does not result in aggregate payments under the SNF PPS that are greater or less than would otherwise be made if the wage index adjustment had not been made. To achieve this, we apply a budget neutrality factor to the unadjusted SNF PPS federal per diem base rates. Due to the recalculation and subsequent revision of the final FY 2018 SNF PPS wage indexes, it was necessary to recalculate the FY 2018 SNF PPS wage index budget neutrality factor as well. Revising the wage index budget neutrality factor causes a change in the unadjusted SNF PPS federal per diem rates (provided in Tables 2 and 3 of the FY 2018 SNF PPS final rule (82 FR 36535)), which then causes changes in the case-mix adjusted SNF PPS rates (provided in Tables 4 and 5 in the FY 2018 SNF PPS final rule (82 FR 36537 through 36538), as well as the labor adjusted SNF PPS rates (provided in Tables 6 and 7 of the FY 2018 SNF PPS final rule (82 FR 36541 through 36543). Finally, due to the recalculated wage indexes, we recalculated the impact analysis provided in Table 26 of the FY 2018 SNF PPS final rule (82 FR 36629). The corrections to these errors are found in section IV. of this document. B. Summary of Errors in and Corrections to Tables Posted on the CMS Web Site We are correcting the wage indexes in Tables A and B setting forth the wage indexes for urban (Table A) and non-urban (Table B) areas based on CBSA labor market areas, which are available exclusively on the CMS Web site at 
                    *http://www.cms.gov/​Medicare/​Medicare-Fee-for-Service-Payment/​SNFPPS/​WageIndex.html.*
                     These tables have been updated to reflect the revisions discussed in this correcting document. We are republishing the wage indexes in Tables A and B accordingly on the CMS Web site at 
                    *http://www.cms.gov/​Medicare/​Medicare-Fee-for-Service-Payment/​SNFPPS/​WageIndex.html.* III. Waiver of Proposed Rulemaking and Delayed 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, 
                    ( print page 46164)
                    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 therefor 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. We believe that this correcting document does not constitute a rule that would be subject to the APA notice and comment or delayed effective date requirements. The document corrects technical errors in the FY 2018 SNF PPS final rule and in the tables referenced in the final rule, but does not make substantive changes to the policies or payment methodologies that were adopted in the final rule. As a result, this correcting document is intended to ensure that the information in the FY 2018 SNF PPS final rule accurately reflects the policies adopted in that final rule. 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 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 FY 2018 SNF PPS final rule and the tables referenced in the final rule accurately reflect our methodologies, payment rates, and policies. Furthermore, such procedures would be unnecessary, as we are not making substantive changes to our payment methodologies or policies, but rather, we are simply implementing correctly the methodologies and policies that we previously proposed, requested comment on, and subsequently finalized. This correcting document is intended solely to ensure that the FY 2018 SNF PPS final rule and the tables referenced in the final rule accurately reflect these methodologies and policies. Therefore, we believe we have good cause to waive the notice and comment and effective date requirements. Correction of Errors In FR Doc. 2017-16256 of August 4, 2017 (82 FR 36530), make the following corrections: 1. On page 36535, TABLE 2—FY 2018 UNADJUSTED FEDERAL RATE PER DIEM URBAN is corrected to read as follows: Table 2—FY 2018 Unadjusted Federal Rate Per Diem Urban
Rate component
Nursing—case-mix
Therapy—case-mix
Therapy—non-case-mix
Non-case-mixPer Diem Amount
$177.21
$133.48
$17.58
$90.44
 2. On page 36535, TABLE 3—FY 2018 UNADJUSTED FEDERAL RATE PER DIEM RURAL is corrected to read as follows: Table 3—FY 2018 Unadjusted Federal Rate Per Diem Rural
Rate component
Nursing—case-mix
Therapy—case-mix
Therapy—non-case-mix
Non-case-mixPer Diem Amount
$169.29
$153.92
$18.78
$92.11
 3. On page 36536, third column, first full paragraph, a. Line 21, the figure “$443.08” is corrected to read “$442.95”. b. Line 26, the figure “$1,010.22.” is corrected to read “$1,009.93.”. 4. On page 36537, TABLE 4—RUG-IV CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES—URBAN is corrected to read as follows: Table 4—RUG-IV Case-Mix Adjusted Federal Rates and Associated Indexes—Urban
RUG-IV category
Nursing index
Therapy index
Nursing
                             component
Therapy
                             component
Non-case mix therapy comp
Non-case mix component
Total rateRUX
2.67
1.87
$473.15
$249.61

$90.44
$813.20RUL
2.57
1.87
455.43
249.61

90.44
795.48RVX
2.61
1.28
462.52
170.85

90.44
723.81RVL
2.19
1.28
388.09
170.85

90.44
649.38RHX
2.55
0.85
451.89
113.46

90.44
655.79RHL
2.15
0.85
381.00
113.46

90.44
584.90RMX
2.47
0.55
437.71
73.41

90.44
601.56RML
2.19
0.55
388.09
73.41

90.44
551.94RLX
2.26
0.28
400.49
37.37

90.44
528.30RUC
1.56
1.87
276.45
249.61

90.44
616.50RUB
1.56
1.87
276.45
249.61

90.44
616.50RUA
0.99
1.87
175.44
249.61

90.44
515.49RVC
1.51
1.28
267.59
170.85

90.44
528.88RVB
1.11
1.28
196.70
170.85

90.44
457.99RVA
1.10
1.28
194.93
170.85

90.44
456.22( print page 46165)RHC
1.45
0.85
256.95
113.46

90.44
460.85RHB
1.19
0.85
210.88
113.46

90.44
414.78RHA
0.91
0.85
161.26
113.46

90.44
365.16RMC
1.36
0.55
241.01
73.41

90.44
404.86RMB
1.22
0.55
216.20
73.41

90.44
380.05RMA
0.84
0.55
148.86
73.41

90.44
312.71RLB
1.50
0.28
265.82
37.37

90.44
393.63RLA
0.71
0.28
125.82
37.37

90.44
253.63ES3
3.58

634.41

17.58
90.44
742.43ES2
2.67

473.15

17.58
90.44
581.17ES1
2.32

411.13

17.58
90.44
519.15HE2
2.22

393.41

17.58
90.44
501.43HE1
1.74

308.35

17.58
90.44
416.37HD2
2.04

361.51

17.58
90.44
469.53HD1
1.60

283.54

17.58
90.44
391.56HC2
1.89

334.93

17.58
90.44
442.95HC1
1.48

262.27

17.58
90.44
370.29HB2
1.86

329.61

17.58
90.44
437.63HB1
1.46

258.73

17.58
90.44
366.75LE2
1.96

347.33

17.58
90.44
455.35LE1
1.54

272.90

17.58
90.44
380.92LD2
1.86

329.61

17.58
90.44
437.63LD1
1.46

258.73

17.58
90.44
366.75LC2
1.56

276.45

17.58
90.44
384.47LC1
1.22

216.20

17.58
90.44
324.22LB2
1.45

256.95

17.58
90.44
364.97LB1
1.14

202.02

17.58
90.44
310.04CE2
1.68

297.71

17.58
90.44
405.73CE1
1.50

265.82

17.58
90.44
373.84CD2
1.56

276.45

17.58
90.44
384.47CD1
1.38

244.55

17.58
90.44
352.57CC2
1.29

228.60

17.58
90.44
336.62CC1
1.15

203.79

17.58
90.44
311.81CB2
1.15

203.79

17.58
90.44
311.81CB1
1.02

180.75

17.58
90.44
288.77CA2
0.88

155.94

17.58
90.44
263.96CA1
0.78

138.22

17.58
90.44
246.24BB2
0.97

171.89

17.58
90.44
279.91BB1
0.90

159.49

17.58
90.44
267.51BA2
0.70

124.05

17.58
90.44
232.07BA1
0.64

113.41

17.58
90.44
221.43PE2
1.50

265.82

17.58
90.44
373.84PE1
1.40

248.09

17.58
90.44
356.11PD2
1.38

244.55

17.58
90.44
352.57PD1
1.28

226.83

17.58
90.44
334.85PC2
1.10

194.93

17.58
90.44
302.95PC1
1.02

180.75

17.58
90.44
288.77PB2
0.84

148.86

17.58
90.44
256.88PB1
0.78

138.22

17.58
90.44
246.24PA2
0.59

104.55

17.58
90.44
212.57PA1
0.54

95.69

17.58
90.44
203.71
 5. On page 36538, TABLE 5—RUG-IV CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES—RURAL is corrected to read as follows: Table 5—RUG-IV Case-Mix Adjusted Federal Rates and Associated Indexes—Rural
RUG-IV
                             Category
Nursing
                             index
Therapy
                             index
Nursing
                             component
Therapy
                             component
Non-case mix therapy comp
Non-case mix
                             component
Total
                             rateRUX
2.67
1.87
$452.00
$287.83

$92.11
$831.94RUL
2.57
1.87
435.08
287.83

92.11
815.02RVX
2.61
1.28
441.85
197.02

92.11
730.98RVL
2.19
1.28
370.75
197.02

92.11
659.88RHX
2.55
0.85
431.69
130.83

92.11
654.63RHL
2.15
0.85
363.97
130.83

92.11
586.91RMX
2.47
0.55
418.15
84.66

92.11
594.92RML
2.19
0.55
370.75
84.66

92.11
547.52RLX
2.26
0.28
382.60
43.10

92.11
517.81( print page 46166)RUC
1.56
1.87
264.09
287.83

92.11
644.03RUB
1.56
1.87
264.09
287.83

92.11
644.03RUA
0.99
1.87
167.60
287.83

92.11
547.54RVC
1.51
1.28
255.63
197.02

92.11
544.76RVB
1.11
1.28
187.91
197.02

92.11
477.04RVA
1.10
1.28
186.22
197.02

92.11
475.35RHC
1.45
0.85
245.47
130.83

92.11
468.41RHB
1.19
0.85
201.46
130.83

92.11
424.40RHA
0.91
0.85
154.05
130.83

92.11
376.99RMC
1.36
0.55
230.23
84.66

92.11
407.00RMB
1.22
0.55
206.53
84.66

92.11
383.30RMA
0.84
0.55
142.20
84.66

92.11
318.97RLB
1.50
0.28
253.94
43.10

92.11
389.15RLA
0.71
0.28
120.20
43.10

92.11
255.41ES3
3.58

606.06

18.78
92.11
716.95ES2
2.67

452.00

18.78
92.11
562.89ES1
2.32

392.75

18.78
92.11
503.64HE2
2.22

375.82

18.78
92.11
486.71HE1
1.74

294.56

18.78
92.11
405.45HD2
2.04

345.35

18.78
92.11
456.24HD1
1.60

270.86

18.78
92.11
381.75HC2
1.89

319.96

18.78
92.11
430.85HC1
1.48

250.55

18.78
92.11
361.44HB2
1.86

314.88

18.78
92.11
425.77HB1
1.46

247.16

18.78
92.11
358.05LE2
1.96

331.81

18.78
92.11
442.70LE1
1.54

260.71

18.78
92.11
371.60LD2
1.86

314.88

18.78
92.11
425.77LD1
1.46

247.16

18.78
92.11
358.05LC2
1.56

264.09

18.78
92.11
374.98LC1
1.22

206.53

18.78
92.11
317.42LB2
1.45

245.47

18.78
92.11
356.36LB1
1.14

192.99

18.78
92.11
303.88CE2
1.68

284.41

18.78
92.11
395.30CE1
1.50

253.94

18.78
92.11
364.83CD2
1.56

264.09

18.78
92.11
374.98CD1
1.38

233.62

18.78
92.11
344.51CC2
1.29

218.38

18.78
92.11
329.27CC1
1.15

194.68

18.78
92.11
305.57CB2
1.15

194.68

18.78
92.11
305.57CB1
1.02

172.68

18.78
92.11
283.57CA2
0.88

148.98

18.78
92.11
259.87CA1
0.78

132.05

18.78
92.11
242.94BB2
0.97

164.21

18.78
92.11
275.10BB1
0.90

152.36

18.78
92.11
263.25BA2
0.70

118.50

18.78
92.11
229.39BA1
0.64

108.35

18.78
92.11
219.24PE2
1.50

253.94

18.78
92.11
364.83PE1
1.40

237.01

18.78
92.11
347.90PD2
1.38

233.62

18.78
92.11
344.51PD1
1.28

216.69

18.78
92.11
327.58PC2
1.10

186.22

18.78
92.11
297.11PC1
1.02

172.68

18.78
92.11
283.57PB2
0.84

142.20

18.78
92.11
253.09PB1
0.78

132.05

18.78
92.11
242.94PA2
0.59

99.88

18.78
92.11
210.77PA1
0.54

91.42

18.78
92.11
202.31
 6. On pages 36541 through 36542, TABLE 6—RUG-IV CASE-MIX ADJUSTED FEDERAL RATES FOR URBAN SNFS BY LABOR AND NON-LABOR COMPONENT is corrected to read as follows: Table 6—RUG-IV Case-Mix Adjusted Federal Rates for Urban SNFS by Labor and Non-Labor Component
RUG-IV category
Total rate
Labor portion
Non-labor
                             portionRUX
$813.20
$575.75
$237.45RUL
795.48
563.20
232.28RVX
723.81
512.46
211.35( print page 46167)RVL
649.38
459.76
189.62RHX
655.79
464.30
191.49RHL
584.90
414.11
170.79RMX
601.56
425.90
175.66RML
551.94
390.77
161.17RLX
528.30
374.04
154.26RUC
616.50
436.48
180.02RUB
616.50
436.48
180.02RUA
515.49
364.97
150.52RVC
528.88
374.45
154.43RVB
457.99
324.26
133.73RVA
456.22
323.00
133.22RHC
460.85
326.28
134.57RHB
414.78
293.66
121.12RHA
365.16
258.53
106.63RMC
404.86
286.64
118.22RMB
380.05
269.08
110.97RMA
312.71
221.40
91.31RLB
393.63
278.69
114.94RLA
253.63
179.57
74.06ES3
742.43
525.64
216.79ES2
581.17
411.47
169.70ES1
519.15
367.56
151.59HE2
501.43
355.01
146.42HE1
416.37
294.79
121.58HD2
469.53
332.43
137.10HD1
391.56
277.22
114.34HC2
442.95
313.61
129.34HC1
370.29
262.17
108.12HB2
437.63
309.84
127.79HB1
366.75
259.66
107.09LE2
455.35
322.39
132.96LE1
380.92
269.69
111.23LD2
437.63
309.84
127.79LD1
366.75
259.66
107.09LC2
384.47
272.20
112.27LC1
324.22
229.55
94.67LB2
364.97
258.40
106.57LB1
310.04
219.51
90.53CE2
405.73
287.26
118.47CE1
373.84
264.68
109.16CD2
384.47
272.20
112.27CD1
352.57
249.62
102.95CC2
336.62
238.33
98.29CC1
311.81
220.76
91.05CB2
311.81
220.76
91.05CB1
288.77
204.45
84.32CA2
263.96
186.88
77.08CA1
246.24
174.34
71.90BB2
279.91
198.18
81.73BB1
267.51
189.40
78.11BA2
232.07
164.31
67.76BA1
221.43
156.77
64.66PE2
373.84
264.68
109.16PE1
356.11
252.13
103.98PD2
352.57
249.62
102.95PD1
334.85
237.07
97.78PC2
302.95
214.49
88.46PC1
288.77
204.45
84.32PB2
256.88
181.87
75.01PB1
246.24
174.34
71.90PA2
212.57
150.50
62.07PA1
203.71
144.23
59.48
 7. On pages 36542 through 36543, TABLE 7-RUG-IV CASE-MIX ADJUSTED FEDERAL RATES FOR RURAL SNFS BY LABOR AND NON-LABOR COMPONENT is corrected to read as follows:
                    ( print page 46168) Table 7—RUG-IV Case-Mix Adjusted Federal Rates for Rural SNFS by Labor and Non-Labor Component
RUG-IV category
Total rate
Labor portion
Non-labor 
                             portionRUX
$831.94
$589.01
$242.93RUL
815.02
577.03
237.99RVX
730.98
517.53
213.45RVL
659.88
467.20
192.68RHX
654.63
463.48
191.15RHL
586.91
415.53
171.38RMX
594.92
421.20
173.72RML
547.52
387.64
159.88RLX
517.81
366.61
151.20RUC
644.03
455.97
188.06RUB
644.03
455.97
188.06RUA
547.54
387.66
159.88RVC
544.76
385.69
159.07RVB
477.04
337.74
139.30RVA
475.35
336.55
138.80RHC
468.41
331.63
136.78RHB
424.40
300.48
123.92RHA
376.99
266.91
110.08RMC
407.00
288.16
118.84RMB
383.30
271.38
111.92RMA
318.97
225.83
93.14RLB
389.15
275.52
113.63RLA
255.41
180.83
74.58ES3
716.95
507.60
209.35ES2
562.89
398.53
164.36ES1
503.64
356.58
147.06HE2
486.71
344.59
142.12HE1
405.45
287.06
118.39HD2
456.24
323.02
133.22HD1
381.75
270.28
111.47HC2
430.85
305.04
125.81HC1
361.44
255.90
105.54HB2
425.77
301.45
124.32HB1
358.05
253.50
104.55LE2
442.70
313.43
129.27LE1
371.60
263.09
108.51LD2
425.77
301.45
124.32LD1
358.05
253.50
104.55LC2
374.98
265.49
109.49LC1
317.42
224.73
92.69LB2
356.36
252.30
104.06LB1
303.88
215.15
88.73CE2
395.30
279.87
115.43CE1
364.83
258.30
106.53CD2
374.98
265.49
109.49CD1
344.51
243.91
100.60CC2
329.27
233.12
96.15CC1
305.57
216.34
89.23CB2
305.57
216.34
89.23CB1
283.57
200.77
82.80CA2
259.87
183.99
75.88CA1
242.94
172.00
70.94BB2
275.10
194.77
80.33BB1
263.25
186.38
76.87BA2
229.39
162.41
66.98BA1
219.24
155.22
64.02PE2
364.83
258.30
106.53PE1
347.90
246.31
101.59PD2
344.51
243.91
100.60PD1
327.58
231.93
95.65PC2
297.11
210.35
86.76PC1
283.57
200.77
82.80PB2
253.09
179.19
73.90PB1
242.94
172.00
70.94PA2
210.77
149.23
61.54PA1
202.31
143.24
59.07
 
 
 8. On page 36543, under Table 7, a. Second column, first partial paragraph, line 15, the figure “1.0013” is corrected to read “1.0010”. b. Third column, first full paragraph, line 16, the figure “$47,596.42” is corrected to read “$47,602.52”. 9. On page 36543, TABLE 8—ADJUSTED RATE COMPUTATION EXAMPLE SNF XYZ: LOCATED IN FREDERICK, MD (URBAN CBSA 43524) WAGE INDEX: 0.9863 [See Wage Index in Table A] 1
                     is corrected to read as follows: Table 8—Adjusted Rate Computation Example SNF XYZ: Located in Frederick, MD (Urban CBSA 43524)
[WAGE INDEX: 0.9869 (See Wage Index in Table A)] 1
RUG-IV group
Labor
Wage index
Adjusted labor
Non-labor
Adjusted rate
Percent adjustment
Medicare days
PaymentRVX
$512.46
0.9869
$505.75
$211.35
$717.10
$717.10
14
$10,039.40ES2
411.47
0.9869
406.08
169.70
575.78
575.78
30
17,273.40RHA
258.53
0.9869
255.14
106.63
361.77
361.77
16
5,788.32CC2 *
238.33
0.9869
235.21
98.29
333.50
760.38
10
7,603.80BA2
164.31
0.9869
162.16
67.76
229.92
229.92
30
6,897.60100
47,602.52* Reflects a 128 percent adjustment from section 511 of the MMA.1
                         Available on the CMS Web site at 
                        *http://www.cms.gov/​Medicare/​Medicare-Fee-for-Service-Payment/​SNFPPS/​WageIndex.html.*
 10. On pages 36629, TABLE 26—PROJECTED IMPACT TO THE SNF PPS FOR FY 2018 is corrected to read as follows: Table 26—Projected impact to the SNF PPS for FY 2018
Number of 
                             facilities  
                             FY 2018
Update wage data
Total changeGroupTotal
15,468
0.0%
1.0%Urban
11,008
0.1%
1.1%Rural
4,460
−0.6%
0.4%Hospital-based urban
518
0.2%
1.2%Freestanding urban
10,490
0.1%
1.1%Hospital-based rural
577
−0.7%
0.3%Freestanding rural
3,883
−0.6%
0.4%Urban by regionNew England
791
0.2%
1.2%Middle Atlantic
1,487
0.4%
1.4%South Atlantic
1,867
−0.2%
0.8%East North Central
2,121
0.0%
1.0%East South Central
551
−0.6%
0.4%West North Central
919
0.4%
1.4%West South Central
1,339
0.1%
1.1%Mountain
511
−0.2%
0.8%Pacific
1,417
0.5%
1.5%Outlying
5
−2.0%
−1.0%Rural by regionNew England
137
1.5%
2.5%Middle Atlantic
215
−0.5%
0.5%South Atlantic
502
−0.7%
0.3%East North Central
937
−1.1%
−0.1%East South Central
528
−0.9%
0.1%West North Central
1,076
−0.4%
0.6%West South Central
738
−0.6%
0.4%Mountain
228
−0.3%
0.7%Pacific
99
0.1%
1.1%OwnershipProfit
1,045
−0.3%
0.7%Non-profit
10,822
0.0%
1.0%Government
3,601
0.0%
1.0%**Note:**
                         The Total column includes the 1.0 percent market basket increase required by section 1888(e)(5)(B)(iii) of the Act. Additionally, we found no SNFs in rural outlying areas.
 Dated: September 29, 2017. Ann C. Agnew, Executive Secretary to the Department, Department of Health and Human Services.


[FR Doc. 2017-21327 Filed 9-29-17; 4:15 pm] BILLING CODE 4120-01-P