Medicare and Medicaid Programs; CY 2016 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements; Correction
Federal Register, Volume 80 Issue 149 (Tuesday, August 4, 2015)
Federal Register Volume 80, Number 149 (Tuesday, August 4, 2015)
Proposed Rules
Pages 46215-46218
From the Federal Register Online via the Government Publishing Office www.gpo.gov
FR Doc No: 2015-19079
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 409, 424, and 484
CMS-1625-CN
RIN 0938-AS46
Medicare and Medicaid Programs; CY 2016 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements; Correction
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Proposed rule; correction.
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SUMMARY: This document corrects technical errors in the proposed rule that appeared in the July 10, 2015 Federal Register entitled ``Medicare and Medicaid Programs; CY 2016 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements.''
DATES: Comments on the proposed rule published on July 10, 2015 (80 FR 39839), continue to be accepted until September 4, 2015.
FOR FURTHER INFORMATION CONTACT: Hillary Loeffler, (410) 786-0456.
SUPPLEMENTARY INFORMATION:
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Background
In FR Doc. 2015-16790, published in the Federal Register of July 10, 2015 (80
Page 46216
FR 39839), there were technical errors that are identified and corrected in the Correction of Errors section of this correcting document.
-
Summary of Errors
On page 39854, in our discussion of case-mix weights, there was a sorting error in Table 9: CY 2016 Case-Mix Payment Weights.
On page 39906, in our discussion of the overall impact of the home health prospective payment system in CY 2016, we inadvertently provided the incorrect percent decrease in expenditures when comparing CY 2015 payments to estimated CY 2016 payments.
-
Correction of Errors
In FR Doc. 2015-16790 of July 10, 2015 (80 FR 39839), make the following corrections:
On page 39854, Table 9--CY 2016 Case-Mix Payment Weights is corrected to read as follows:
Table 9--CY 2016 Case-Mix Payment Weights
----------------------------------------------------------------------------------------------------------------
Clinical and functional
Payment group Step (episode and/or therapy levels (1 = low; 2 = medium; CY 2016 Case-
visit ranges) 3= high) mix weights
----------------------------------------------------------------------------------------------------------------
10111............................... 1st and 2nd Episodes, 0 to 5 C1F1S1 0.5969
Therapy Visits.
10112............................... 1st and 2nd Episodes, 6 C1F1S2 0.7216
Therapy Visits.
10113............................... 1st and 2nd Episodes, 7 to 9 C1F1S3 0.8462
Therapy Visits.
10114............................... 1st and 2nd Episodes, 10 C1F1S4 0.9708
Therapy Visits.
10115............................... 1st and 2nd Episodes, 11 to C1F1S5 1.0954
13 Therapy Visits.
10121............................... 1st and 2nd Episodes, 0 to 5 C1F2S1 0.7123
Therapy Visits.
10122............................... 1st and 2nd Episodes, 6 C1F2S2 0.8240
Therapy Visits.
10123............................... 1st and 2nd Episodes, 7 to 9 C1F2S3 0.9357
Therapy Visits.
10124............................... 1st and 2nd Episodes, 10 C1F2S4 1.0474
Therapy Visits.
10125............................... 1st and 2nd Episodes, 11 to C1F2S5 1.1591
13 Therapy Visits.
10131............................... 1st and 2nd Episodes, 0 to 5 C1F3S1 0.7709
Therapy Visits.
10132............................... 1st and 2nd Episodes, 6 C1F3S2 0.8868
Therapy Visits.
10133............................... 1st and 2nd Episodes, 7 to 9 C1F3S3 1.0027
Therapy Visits.
10134............................... 1st and 2nd Episodes, 10 C1F3S4 1.1186
Therapy Visits.
10135............................... 1st and 2nd Episodes, 11 to C1F3S5 1.2345
13 Therapy Visits.
10211............................... 1st and 2nd Episodes, 0 to 5 C2F1S1 0.6339
Therapy Visits.
10212............................... 1st and 2nd Episodes, 6 C2F1S2 0.7637
Therapy Visits.
10213............................... 1st and 2nd Episodes, 7 to 9 C2F1S3 0.8935
Therapy Visits.
10214............................... 1st and 2nd Episodes, 10 C2F1S4 1.0234
Therapy Visits.
10215............................... 1st and 2nd Episodes, 11 to C2F1S5 1.1532
13 Therapy Visits.
10221............................... 1st and 2nd Episodes, 0 to 5 C2F2S1 0.7492
Therapy Visits.
10222............................... 1st and 2nd Episodes, 6 C2F2S2 0.8661
Therapy Visits.
10223............................... 1st and 2nd Episodes, 7 to 9 C2F2S3 0.9830
Therapy Visits.
10224............................... 1st and 2nd Episodes, 10 C2F2S4 1.0999
Therapy Visits.
10225............................... 1st and 2nd Episodes, 11 to C2F2S5 1.2169
13 Therapy Visits.
10231............................... 1st and 2nd Episodes, 0 to 5 C2F3S1 0.8079
Therapy Visits.
10232............................... 1st and 2nd Episodes, 6 C2F3S2 0.9290
Therapy Visits.
10233............................... 1st and 2nd Episodes, 7 to 9 C2F3S3 1.0501
Therapy Visits.
10234............................... 1st and 2nd Episodes, 10 C2F3S4 1.1712
Therapy Visits.
10235............................... 1st and 2nd Episodes, 11 to C2F3S5 1.2923
13 Therapy Visits.
10311............................... 1st and 2nd Episodes, 0 to 5 C3F1S1 0.6876
Therapy Visits.
10312............................... 1st and 2nd Episodes, 6 C3F1S2 0.8424
Therapy Visits.
10313............................... 1st and 2nd Episodes, 7 to 9 C3F1S3 0.9973
Therapy Visits.
10314............................... 1st and 2nd Episodes, 10 C3F1S4 1.1522
Therapy Visits.
10315............................... 1st and 2nd Episodes, 11 to C3F1S5 1.3071
13 Therapy Visits.
10321............................... 1st and 2nd Episodes, 0 to 5 C3F2S1 0.8029
Therapy Visits.
10322............................... 1st and 2nd Episodes, 6 C3F2S2 0.9449
Therapy Visits.
10323............................... 1st and 2nd Episodes, 7 to 9 C3F2S3 1.0868
Therapy Visits.
10324............................... 1st and 2nd Episodes, 10 C3F2S4 1.2288
Therapy Visits.
10325............................... 1st and 2nd Episodes, 11 to C3F2S5 1.3707
13 Therapy Visits.
10331............................... 1st and 2nd Episodes, 0 to 5 C3F3S1 0.8616
Therapy Visits.
10332............................... 1st and 2nd Episodes, 6 C3F3S2 1.0077
Therapy Visits.
10333............................... 1st and 2nd Episodes, 7 to 9 C3F3S3 1.1539
Therapy Visits.
10334............................... 1st and 2nd Episodes, 10 C3F3S4 1.3000
Therapy Visits.
10335............................... 1st and 2nd Episodes, 11 to C3F3S5 1.4462
13 Therapy Visits.
21111............................... 1st and 2nd Episodes, 14 to C1F1S1 1.2201
15 Therapy Visits.
21112............................... 1st and 2nd Episodes, 16 to C1F1S2 1.4237
17 Therapy Visits.
21113............................... 1st and 2nd Episodes, 18 to C1F1S3 1.6273
19 Therapy Visits.
21121............................... 1st and 2nd Episodes, 14 to C1F2S1 1.2708
15 Therapy Visits.
21122............................... 1st and 2nd Episodes, 16 to C1F2S2 1.4643
17 Therapy Visits.
21123............................... 1st and 2nd Episodes, 18 to C1F2S3 1.6578
19 Therapy Visits.
21131............................... 1st and 2nd Episodes, 14 to C1F3S1 1.3504
15 Therapy Visits.
21132............................... 1st and 2nd Episodes, 16 to C1F3S2 1.5410
17 Therapy Visits.
21133............................... 1st and 2nd Episodes, 18 to C1F3S3 1.7316
19 Therapy Visits.
21211............................... 1st and 2nd Episodes, 14 to C2F1S1 1.2830
15 Therapy Visits.
21212............................... 1st and 2nd Episodes, 16 to C2F1S2 1.4994
17 Therapy Visits.
Page 46217
21213............................... 1st and 2nd Episodes, 18 to C2F1S3 1.7157
19 Therapy Visits.
21221............................... 1st and 2nd Episodes, 14 to C2F2S1 1.3338
15 Therapy Visits.
21222............................... 1st and 2nd Episodes, 16 to C2F2S2 1.5400
17 Therapy Visits.
21223............................... 1st and 2nd Episodes, 18 to C2F2S3 1.7461
19 Therapy Visits.
21231............................... 1st and 2nd Episodes, 14 to C2F3S1 1.4134
15 Therapy Visits.
21232............................... 1st and 2nd Episodes, 16 to C2F3S2 1.6167
17 Therapy Visits.
21233............................... 1st and 2nd Episodes, 18 to C2F3S3 1.8200
19 Therapy Visits.
21311............................... 1st and 2nd Episodes, 14 to C3F1S1 1.4619
15 Therapy Visits.
21312............................... 1st and 2nd Episodes, 16 to C3F1S2 1.6962
17 Therapy Visits.
21313............................... 1st and 2nd Episodes, 18 to C3F1S3 1.9304
19 Therapy Visits.
21321............................... 1st and 2nd Episodes, 14 to C3F2S1 1.5127
15 Therapy Visits.
21322............................... 1st and 2nd Episodes, 16 to C3F2S2 1.7368
17 Therapy Visits.
21323............................... 1st and 2nd Episodes, 18 to C3F2S3 1.9609
19 Therapy Visits.
21331............................... 1st and 2nd Episodes, 14 to C3F3S1 1.5923
15 Therapy Visits.
21332............................... 1st and 2nd Episodes, 16 to C3F3S2 1.8135
17 Therapy Visits.
21333............................... 1st and 2nd Episodes, 18 to C3F3S3 2.0347
19 Therapy Visits.
22111............................... 3rd+ Episodes, 14 to 15 C1F1S1 1.2795
Therapy Visits.
22112............................... 3rd+ Episodes, 16 to 17 C1F1S2 1.4633
Therapy Visits.
22113............................... 3rd+ Episodes, 18 to 19 C1F1S3 1.6471
Therapy Visits.
22121............................... 3rd+ Episodes, 14 to 15 C1F2S1 1.2952
Therapy Visits.
22122............................... 3rd+ Episodes, 16 to 17 C1F2S2 1.4806
Therapy Visits.
22123............................... 3rd+ Episodes, 18 to 19 C1F2S3 1.6659
Therapy Visits.
22131............................... 3rd+ Episodes, 14 to 15 C1F3S1 1.3761
Therapy Visits.
22132............................... 3rd+ Episodes, 16 to 17 C1F3S2 1.5581
Therapy Visits.
22133............................... 3rd+ Episodes, 18 to 19 C1F3S3 1.7401
Therapy Visits.
22211............................... 3rd+ Episodes, 14 to 15 C2F1S1 1.3660
Therapy Visits.
22212............................... 3rd+ Episodes, 16 to 17 C2F1S2 1.5546
Therapy Visits.
22213............................... 3rd+ Episodes, 18 to 19 C2F1S3 1.7433
Therapy Visits.
22221............................... 3rd+ Episodes, 14 to 15 C2F2S1 1.3817
Therapy Visits.
22222............................... 3rd+ Episodes, 16 to 17 C2F2S2 1.5719
Therapy Visits.
22223............................... 3rd+ Episodes, 18 to 19 C2F2S3 1.7621
Therapy Visits.
22231............................... 3rd+ Episodes, 14 to 15 C2F3S1 1.4626
Therapy Visits.
22232............................... 3rd+ Episodes, 16 to 17 C2F3S2 1.6495
Therapy Visits.
22233............................... 3rd+ Episodes, 18 to 19 C2F3S3 1.8364
Therapy Visits.
22311............................... 3rd+ Episodes, 14 to 15 C3F1S1 1.5916
Therapy Visits.
22312............................... 3rd+ Episodes, 16 to 17 C3F1S2 1.7826
Therapy Visits.
22313............................... 3rd+ Episodes, 18 to 19 C3F1S3 1.9736
Therapy Visits.
22321............................... 3rd+ Episodes, 14 to 15 C3F2S1 1.6073
Therapy Visits.
22322............................... 3rd+ Episodes, 16 to 17 C3F2S2 1.7999
Therapy Visits.
22323............................... 3rd+ Episodes, 18 to 19 C3F2S3 1.9924
Therapy Visits.
22331............................... 3rd+ Episodes, 14 to 15 C3F3S1 1.6882
Therapy Visits.
22332............................... 3rd+ Episodes, 16 to 17 C3F3S2 1.8774
Therapy Visits.
22333............................... 3rd+ Episodes, 18 to 19 C3F3S3 2.0667
Therapy Visits.
30111............................... 3rd+ Episodes, 0 to 5 C1F1S1 0.4805
Therapy Visits.
30112............................... 3rd+ Episodes, 6 Therapy C1F1S2 0.6403
Visits.
30113............................... 3rd+ Episodes, 7 to 9 C1F1S3 0.8001
Therapy Visits.
30114............................... 3rd+ Episodes, 10 Therapy C1F1S4 0.9599
Visits.
30115............................... 3rd+ Episodes, 11 to 13 C1F1S5 1.1197
Therapy Visits.
30121............................... 3rd+ Episodes, 0 to 5 C1F2S1 0.5648
Therapy Visits.
30122............................... 3rd+ Episodes, 6 Therapy C1F2S2 0.7109
Visits.
30123............................... 3rd+ Episodes, 7 to 9 C1F2S3 0.8570
Therapy Visits.
30124............................... 3rd+ Episodes, 10 Therapy C1F2S4 1.0031
Visits.
30125............................... 3rd+ Episodes, 11 to 13 C1F2S5 1.1492
Therapy Visits.
30131............................... 3rd+ Episodes, 0 to 5 C1F3S1 0.6114
Therapy Visits.
30132............................... 3rd+ Episodes, 6 Therapy C1F3S2 0.7644
Visits.
30133............................... 3rd+ Episodes, 7 to 9 C1F3S3 0.9173
Therapy Visits.
30134............................... 3rd+ Episodes, 10 Therapy C1F3S4 1.0703
Visits.
30135............................... 3rd+ Episodes, 11 to 13 C1F3S5 1.2232
Therapy Visits.
30211............................... 3rd+ Episodes, 0 to 5 C2F1S1 0.4961
Therapy Visits.
30212............................... 3rd+ Episodes, 6 Therapy C2F1S2 0.6700
Visits.
30213............................... 3rd+ Episodes, 7 to 9 C2F1S3 0.8440
Therapy Visits.
30214............................... 3rd+ Episodes, 10 Therapy C2F1S4 1.0180
Visits.
30215............................... 3rd+ Episodes, 11 to 13 C2F1S5 1.1920
Therapy Visits.
30221............................... 3rd+ Episodes, 0 to 5 C2F2S1 0.5803
Therapy Visits.
30222............................... 3rd+ Episodes, 6 Therapy C2F2S2 0.7406
Visits.
30223............................... 3rd+ Episodes, 7 to 9 C2F2S3 0.9009
Therapy Visits.
30224............................... 3rd+ Episodes, 10 Therapy C2F2S4 1.0612
Visits.
30225............................... 3rd+ Episodes, 11 to 13 C2F2S5 1.2214
Therapy Visits.
Page 46218
30231............................... 3rd+ Episodes, 0 to 5 C2F3S1 0.6270
Therapy Visits.
30232............................... 3rd+ Episodes, 6 Therapy C2F3S2 0.7941
Visits.
30233............................... 3rd+ Episodes, 7 to 9 C2F3S3 0.9612
Therapy Visits.
30234............................... 3rd+ Episodes, 10 Therapy C2F3S4 1.1284
Visits.
30235............................... 3rd+ Episodes, 11 to 13 C2F3S5 1.2955
Therapy Visits.
30311............................... 3rd+ Episodes, 0 to 5 C3F1S1 0.6211
Therapy Visits.
30312............................... 3rd+ Episodes, 6 Therapy C3F1S2 0.8152
Visits.
30313............................... 3rd+ Episodes, 7 to 9 C3F1S3 1.0093
Therapy Visits.
30314............................... 3rd+ Episodes, 10 Therapy C3F1S4 1.2034
Visits.
30315............................... 3rd+ Episodes, 11 to 13 C3F1S5 1.3975
Therapy Visits.
30321............................... 3rd+ Episodes, 0 to 5 C3F2S1 0.7054
Therapy Visits.
30322............................... 3rd+ Episodes, 6 Therapy C3F2S2 0.8858
Visits.
30323............................... 3rd+ Episodes, 7 to 9 C3F2S3 1.0662
Therapy Visits.
30324............................... 3rd+ Episodes, 10 Therapy C3F2S4 1.2466
Visits.
30325............................... 3rd+ Episodes, 11 to 13 C3F2S5 1.4269
Therapy Visits.
30331............................... 3rd+ Episodes, 0 to 5 C3F3S1 0.7521
Therapy Visits.
30332............................... 3rd+ Episodes, 6 Therapy C3F3S2 0.9393
Visits.
30333............................... 3rd+ Episodes, 7 to 9 C3F3S3 1.1265
Therapy Visits.
30334............................... 3rd+ Episodes, 10 Therapy C3F3S4 1.3138
Visits.
30335............................... 3rd+ Episodes, 11 to 13 C3F3S5 1.5010
Therapy Visits.
40111............................... All Episodes, 20+ Therapy C1F1S1 1.8309
Visits.
40121............................... All Episodes, 20+ Therapy C1F2S1 1.8512
Visits.
40131............................... All Episodes, 20+ Therapy C1F3S1 1.9222
Visits.
40211............................... All Episodes, 20+ Therapy C2F1S1 1.9320
Visits.
40221............................... All Episodes, 20+ Therapy C2F2S1 1.9523
Visits.
40231............................... All Episodes, 20+ Therapy C2F3S1 2.0233
Visits.
40311............................... All Episodes, 20+ Therapy C3F1S1 2.1647
Visits.
40321............................... All Episodes, 20+ Therapy C3F2S1 2.1850
Visits.
40331............................... All Episodes, 20+ Therapy C3F3S1 2.2559
Visits.
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On page 39906, second column, line 31 the number ``0.1'' is corrected to read ``1.8''.
Dated: July 29, 2015.
Madhura Valverde,
Executive Secretary to the Department, Department of Health and Human Services.
FR Doc. 2015-19079 Filed 8-3-15; 8:45 am
BILLING CODE 4120-01-P
