Medicare Program; Contract Year 2021 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program; Correction
| Published date | 13 October 2020 |
| Citation | 85 FR 64401 |
| Record Number | 2020-22481 |
| Section | Rules and Regulations |
| Court | Centers For Medicare & Medicaid Services |
Federal Register, Volume 85 Issue 198 (Tuesday, October 13, 2020)
[Federal Register Volume 85, Number 198 (Tuesday, October 13, 2020)]
[Rules and Regulations]
[Pages 64401-64404]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-22481]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 417, 422, and 423
[CMS-4190-CN]
RIN 0938-AT97
Medicare Program; Contract Year 2021 Policy and Technical Changes
to the Medicare Advantage Program, Medicare Prescription Drug Benefit
Program, and Medicare Cost Plan Program; Correction
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Final rule; correction.
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SUMMARY: This document corrects technical errors that appeared in the
final rule published in the Federal Register on June 2, 2020 entitled
``Medicare Program; Contract Year 2021 Policy and Technical Changes to
the Medicare Advantage Program, Medicare Prescription Drug Benefit
Program, and Medicare Cost Plan Program.''
DATES: Effective date: This correcting document is effective on October
13, 2020.
FOR FURTHER INFORMATION CONTACT:
Cali Diehl, (410) 786-4053 or Christopher McClintick, (410) 786-
4682--General Questions.
Kimberlee Levin, (410) 786-2549--Part C Issues.
Stacy Davis, (410) 786-7813--Part C and D Payment Issues.
Melissa Seeley, (212) 616-2329--D-SNP Issues.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2020-11342 of June 2, 2020 (85 FR 33796), there were a
number of technical errors that are identified and corrected in this
correcting document. The provisions in this correction document are
effective as if they had been included in the document published June
2, 2020. Accordingly, the corrections are effective August 3, 2020.
II. Summary of Errors
On page 33820, in our discussion of dual eligible special needs
plans, we inadvertently included a disclaimer that was not applicable
to the published final rule.
On pages 33876 and 33877, in our discussion of the information
collection requirements regarding Special Supplemental Benefits for the
Chronically Ill (SSBCI), we inadvertently identified the wrong
Paperwork Reduction Act package in our narrative and omitted several
Office of Management and Budget (OMB) control numbers from Table 3.
On page 33881, in our discussion of the information collection
requirements regarding medical savings account (MSA) medical loss ratio
(MLR), we made inadvertent errors the amount of time it would take
beneficiaries to complete an enrollment form.
On page 33883, in the table that provides a summary of the annual
information collection burden (Table 6), we made the following
typographical errors:
In the table title, we included the term ``requirements''
instead of ``burden''.
[[Page 64402]]
In the SSBCI entries there were errors in the
identification numbers in the ``OMB Control No.'' column.
In the MSA MLR entries, there were errors in the values
and numbers for the ``Regulatory citation'', ``OMB Control No.'',
``Total number of respondents'', and the ``Total number of responses''.
On pages 33889 and 33890, in the table that displays the per-year
calculations regarding kidney acquisition costs (Table 11), we made
inadvertent errors in the table title (we omitted ``s'' in the term
``costs''). Additionally, on page 33890, the column headings are listed
for the years 2013 to 2020 instead of 2021 to 2030.
III. Waiver of Proposed Rulemaking
Under 5 U.S.C. 553(b) of the Administrative Procedure Act (APA),
the agency is required to publish a notice of the proposed rule 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 rule 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.
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 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.
IV. Correction of Errors
In FR Doc. 2020-11342 of June 2, 2020 (85 FR 33796), make the
following corrections:
1. On page 33820, lower third of the page, the text box that
includes the phrase ``DISCLAIMER: Based on the tight time constraints
and the need to expedite'' is corrected by removing the text box.
2. On page 33876, lower three-fourths of the page (after the
table), second column, sixth full paragraph, lines 6 and 7, the
reference to ``control number 0938-0763 (CMS-R-262)'' is corrected to
read ``control number 0938-0753 (CMS-R-267)''.
3. On page 33877, lower third of the page, the table titled ``TABLE
3--SUMMARY OF BURDEN FOR SSBCI AT Sec. 422.102'' is corrected by
correcting the third column (OMB Control No.) for the listed entries
(SSBCI provisions) to read as follows:
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Total Time per
Provision Regulatory citation OMB Control Subject Number of number of response Total time Labor cost Annual cost
No. respondents responses (hr) (hr) ($/hr) ($)
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SSBCI............ Sec. 0938-0753 SSBCI: Criteria 234 1 12 2808 103.33 96,717
422.102(f)(3)(i). (Initial
Software).
SSBCI............ Sec. 0938-0753 SSBCI: Criteria 234 1 36 8424 193.7 1,631,729
422.102(f)(3)(i). (Physician
review).
SSBCI............ Sec. 0938-0753 SSBCI: Criteria 234 1 5 1170 85.26 99,754
422.102(f)(3)(i). (Software
updates).
SSBCI............ Sec. 0938-0753 Written criteria.. 234 1 2 468 56.34 26,367
422.102(f)(3)(ii).
SSBCI............ Sec. 0938-0753 Enrollee 234 1 9 2106 86.95 179,465
422.102(f)(3)(iii). eligibility.
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4. On page 33881, first column, fourth full paragraph, line 8, the
phrase ``0.5 hours at $25.72/hr'' is corrected to read ``0.3333 hours
at $25.72/hr''
5. On page 33883, in the table titled ``TABLE 6--ANNUAL INFORMATION
COLLECTION REQUIREMENTS'' the table is corrected by--
a. Correcting the table title ``TABLE 6--ANNUAL INFORMATION
COLLECTION REQUIREMENTS'' to read ``TABLE 6--ANNUAL INFORMATION
COLLECTION BURDEN''.
b. Correcting the second (Regulatory citation), third (OMB Control
No.), sixth (Total number of respondents), and seventh columns (Total
number of responses) for the listed entry (third row the first MSA MLR
provision) to read as follows:
[[Page 64403]]
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Total Time per Total
Provision Regulatory citation OMB Control No. Respondent type Response summary Total number number of response Total annual Labor cost annual cost
of respondents responses (hr) time (hr) ($/hr) ($)
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MSA MLR............ Sec. 422.2440...... 0938-NEW............ Enrollees........... MSA MLR: Filling out 2,765 2,765 0.3333 922 25.72 23,705
enrollment forms..
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c. Correcting the identification numbers in third column (OMB
Control No.) for the listed entries (SSBCI provisions) to read as
follows:
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Total Time per Total
Provision Regulatory citation OMB Control No. Respondent type Response summary Total number number of response Total annual Labor cost annual cost
of respondents responses (hr) time (hr) ($/hr) ($)
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SSCBI.............. Sec. 0938-0753........... MA Plans............ SSBCI: Criteria 234 1 12 2808 103.33 96,717
422.102(f)(3)(i). (initial software
update).
SSCBI.............. Sec. 0938-0753........... MA Plans............ SSBCI: Criteria 234 1 36 8424 193.7 1,631,729
422.102(f)(3)(i). (Annual physician
review).
SSCBI.............. Sec. 0938-0753........... MA Plans............ SSBCI: Criteria 234 1 5 1170 85.26 99,754
422.102(f)(3)(i). (Software updates).
SSCBI.............. Sec. 0938-0753........... MA Plans............ SSBCI: Documentation 234 1 2 468 56.34 26,367
422.102(f)(3)(ii).
SSCBI.............. Sec. 0938-0753........... MA Plans............ SSBCI: Enrollee 234 1 9 702 86.95 61,039
422.102(f)(3)(iii). records.
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d. Correcting the second (Regulatory citation) and seventh columns
(Total number of responses) for the listed entries (the specified MSA
MLR provisions) to read as follows:
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Total Time per Total
Provision Regulatory citation OMB Control No. Respondent type Response summary Total number number of response Total annual Labor cost annual cost
of respondents responses (hr) time (hr) ($/hr) ($)
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MSA MLR............ Sec. 422.2440...... 0938-0753........... MA Plans............ MSA MLR: Notify 8 2,765 0.0167 46 77.14 3,548
enrollees.
MSA MLR............ Sec. 422.2440...... 0938-0753........... MA Plans............ MSA MLR: Submit to 8 2,765 0.0167 46 77.14 3,548
CMS.
MSA MLR............ Sec. 422.2440...... 0938-0753........... MA Plans............ MSA MLR: Archive.... 8 2,765 0.0833 230 36.82 8,481
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e. Correcting column 2 (Regulatory citation) for the listed entry
(the specified MSA MLR provision) to read as follows:
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Total Time per Total
Provision Regulatory citation OMB Control No. Respondent type Response summary Total number number of response Total annual Labor cost annual cost
of respondents responses (hr) time (hr) ($/hr) ($)
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
MSA MLR............ Sec. 422.2440...... 0938-1252........... MA Plans............ MSA MLR: Calculation 8 8 0.0833 0.6664 116.32 78
of the deductible
factor.
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6. On pages 33889 and 33890, in the table titled ``Table 11, Per-
Year Calculations, Representing the Pre-Statute Baseline Based on
Medicare FFS Coverage of Kidney Acquisition Cost'', the table title and
table are corrected to read as follows:
Table 11--Per-Year Calculations, Representing the Pre-Statute Baseline Based on Medicare FFS Coverage of Kidney Acquisition Costs
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2013 2014 2015 2016 2017 2018 2019 2020
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Kidney Acquisition Costs 1.72 1.82 1.95 2.08 2.20 2.34 2.49 2.65
(PMPM):.......................
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2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2021-2030
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Kidney Acquisition Costs 2.82 3.00 3.20 3.40 3.62 3.85 4.10 4.36 4.64 4.94 .........
(PMPM):.......................
Medicare Advantage Enrollment 24,690 25,624 26,508 27,380 28,237 29,070 29,861 30,607 31,313 32,035 .........
Projection (000's):...........
Gross Savings ($Millions):..... 836.2 923.5 1,016.6 1,117.4 1,226.3 1,343.4 1,468.4 1,601.7 1,743.7 1,898.4 13,175.6
Average government share of 83.0% 83.0% 83.0% 83.1% 83.2% 83.2% 83.2% 83.4% 83.4% 83.4% .........
Gross Savings:................
Net of Part B Premium:......... 85.6% 85.6% 85.5% 85.4% 85.3% 85.2% 85.0% 84.9% 84.9% 84.9% .........
Net Savings ($Millions):....... 594.1 655.7 721.5 792.3 869.5 951.7 1,038.9 1,134.1 1,235.9 1,345.6 9,339.3
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[[Page 64404]]
Dated: October 1, 2020.
Wilma M. Robinson,
Deputy Executive Secretary to the Department, Department of Health and
Human Services.
[FR Doc. 2020-22481 Filed 10-8-20; 8:45 am]
BILLING CODE 4120-01-P
