Source: https://www.federalregister.gov/documents/2019/06/07/2019-11923/medicare-and-medicaid-programs-policy-and-technical-changes-to-the-medicare-advantage-medicare
Timestamp: 2019-06-24 13:37:51
Document Index: 36803540

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Federal Register :: Medicare and Medicaid Programs; Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Programs of All-Inclusive Care for the Elderly (PACE), Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021; Correction
A Rule by the Centers for Medicare & Medicaid Services on 06/07/2019
Effective Date: The corrections to the preamble of the final rule published on April 16, 2019 (84 FR 15680), are effective June 7, 2019. The correction in instruction 8 (Sec. 423.120) is effective June 17, 2019. The corrections in instructions 5 (Sec. 422.561), 6 (Sec. 422.562), 7 (Sec. 422.633), and 9 (Sec. 423.120) are effective on January 1, 2020. The correction in instruction 4 (Sec. 422.107(d)) is effective January 1, 2021.
84 FR 26578
CMS-4185-CN
https://www.federalregister.gov/d/2019-11923 https://www.federalregister.gov/d/2019-11923
This document corrects technical and typographical errors that appeared in the final rule published in the April 16, 2019 Federal Register titled “Medicare and Medicaid Programs; Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Programs of All-Inclusive Care for the Elderly (PACE), Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021”.
Effective Date: The corrections to the preamble of the final rule published on April 16, 2019 (84 FR 15680), are effective June 7, 2019. The correction in instruction 8 (§ 423.120) is effective June 17, 2019. The corrections in instructions 5 (§ 422.561), 6 (§ 422.562), 7 (§ 422.633), and 9 (§ 423.120) are effective on January 1, 2020. The correction in instruction 4 (§ 422.107(d)) is effective January 1, 2021.
Theresa Wachter, (410) 786-1157. Cali Diehl, (410) 786-4053.
In FR Doc. 2019-06822 of April 16, 2019 (84 FR 15680), there were a number of technical and typographical errors that are identified and corrected in the Correction of Errors section of this correcting document. The provisions in this correction document are effective as if they had been included in the document published April 16, 2019.
On page 15680, in our listing of the effective dates, we made an error in a regulatory citation.
On page 15713, in our discussion of dual eligible special needs plans and contracts with states, we made a typographical error.
On page 15736, in our discussion of integrated grievances, we made an error in regulatory citation.
On page 15828, in the regulation text for § 422.107(d), we made a typographical error.
On page 15834, in the regulation text for § 422.561, we inadvertently misspelled the term “complaint” and in § 422.562, we made errors in two cross-references.
On page 15838, in the regulation text § 422.633, we made inadvertent technical errors in language of two regulatory provisions regarding integrated reconsideration.
On page 15840, we made errors in the placement of the regulatory text revisions for § 423.120(c)(6)(iv) and (v). We inadvertently included the revisions for § 423.120(c)(6)(iv) with the amendments effective June 17, 2019 (instead of January 1, 2020) and the revisions for § 423.120(c)(6)(v) with the amendments effective January 1, 2020 (instead of June 17, 2019).
We believe that this correcting document does not constitute a rule that would be subject to the notice and comment or delayed effective date requirements of the APA or section 1871 of the Act. This correcting document corrects technical errors in the preamble and regulation text of the final rule but does not make substantive changes to the policies that were adopted in the final rule. As a result, this correcting document is intended to ensure that the information in the 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 to ensure that final rule accurately reflects our policies. Furthermore, such procedures would be unnecessary, as we are not altering payment eligibility or benefit methodologies or policies, but rather, simply implementing correctly the policies that we previously proposed, received comment on, and subsequently finalized. This correcting document is intended solely to ensure that the final rule accurately reflects these policies. Therefore, we believe we have good cause to waive the notice and comment and effective date requirements.Start Printed Page 26579
In FR Doc. 2019-06822 of April 16, 2019 (84 FR 15680), make the following corrections:
1. On page 15680, first column, fourth full paragraph (Dates section), line 9, the reference “423.120(c)(6)(iv)” is corrected to read “423.120(c)(6)(v)”.
2. On page 15713, third column, second full paragraph, line 29, the phrase “arrange for” is corrected to read “arranges for”.
3. On page 15736, first column, first partial paragraph, line 6, the reference “§ 422.630(e)(2)(ii)” is corrected to read: “§ 422.630(e)(2)”.
4. Effective January 1, 2021, on page 15828, third column, in § 422.107(d), the phrase “or arrange for” is corrected to read “or arranges for”.
5. Effective on January 1, 2020, on page 15834, first column, in § 422.561, in the definition of “Integrated grievance,” the term “compliant” is corrected to read “complaint”.
6. Effective on January 1, 2020, on page 15834, in § 422.562—
a. In paragraph (b)(2), the reference, “§ 422.631” is corrected to read, “§ 422.631(c)”.
b. In paragraph (b)(4)(ii), the reference “§ 422.633(f)” is corrected to read “§ 422.633(e)”.
§ 422.633
7. Effective on January 1, 2020, on page 15838, in § 422.633—
a. In paragraph (f)(1), the phrase, “no longer than” is corrected to read “no later than”.
b. In paragraph (f)(2), the phrase “of receipt for” is corrected to read “of receipt of”.
8. Effective June 17, 2019, on page 15840, in second column, amendatory instruction 28 for § 423.120 and its corresponding text is corrected in its entirety to read as follows:
28. Effective June 17, 2019, § 423.120 is amended by revising paragraph (c)(6)(v) to read as follows:
(B) If the prescriber's inclusion on the preclusion list is based on a contemporaneous Medicare revocation under § 424.535 of this chapter:
(i) If the prescriber does not file a reconsideration request under § 498.5(n)(1) of this chapter, the prescriber will be added to the preclusion list upon the expiration of the 60-day period in which the prescriber may request a reconsideration.
(ii) If the prescriber files a reconsideration request under § 498.5(n)(1) of this chapter, the prescriber will be added to the preclusion list effective on the date on which CMS, if applicable, denies the prescriber's reconsideration.
9. Effective on January 1, 2020, on page 15840, beginning in the second column, amendatory instruction 29 for § 423.120 and its corresponding text is corrected in its entirety to read as follows:
29. Section 423.120 is further amended by—
a. Revising paragraph (c)(6)(iv); and
b. Adding paragraphs (c)(6)(vii) and (viii).
(vii)(A) Except as provided in paragraphs (c)(6)(vii)(C) and (D) of this section, a prescriber who is revoked under § 424.535 of this chapter will be included on the preclusion list for the same length of time as the prescriber's reenrollment bar.
(C) Except as provided in paragraph (c)(6)(vii)(D) of this section, an individual, regardless of whether the individual is or was enrolled in Start Printed Page 26580Medicare, that is included on the preclusion list because of a felony conviction will remain on the preclusion list for a 10-year period, beginning on the date of the felony conviction, unless CMS determines that a shorter length of time is warranted. Factors that CMS considers in making such a determination are—
[FR Doc. 2019-11923 Filed 6-5-19; 8:45 am]