Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2020 Rates; Proposed Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Promoting Interoperability Programs Proposed Requirements for Eligible Hospitals and Critical Access Hospitals; Correction

Published date18 June 2019
Citation84 FR 28263
Record Number2019-12906
SectionProposed rules
CourtCenters For Medicare & Medicaid Services
Federal Register, Volume 84 Issue 117 (Tuesday, June 18, 2019)
[Federal Register Volume 84, Number 117 (Tuesday, June 18, 2019)]
                [Proposed Rules]
                [Pages 28263-28264]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2019-12906]
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                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Centers for Medicare & Medicaid Services
                42 CFR Parts 412, 413, and 495
                [CMS-1716-CN]
                RIN 0938-AT73
                Medicare Program; Hospital Inpatient Prospective Payment Systems
                for Acute Care Hospitals and the Long-Term Care Hospital Prospective
                Payment System and Proposed Policy Changes and Fiscal Year 2020 Rates;
                Proposed Quality Reporting Requirements for Specific Providers;
                Medicare and Medicaid Promoting Interoperability Programs Proposed
                Requirements for Eligible Hospitals and Critical Access Hospitals;
                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 May 3, 2019, issue of the Federal Register
                entitled ``Medicare Program; Hospital Inpatient Prospective Payment
                Systems for Acute Care Hospitals and the Long-Term Care Hospital
                Prospective Payment System and Proposed Policy Changes and Fiscal Year
                2020 Rates; Proposed Quality Reporting Requirements for Specific
                Providers; Medicare and Medicaid Promoting Interoperability Programs
                Proposed Requirements for Eligible Hospitals and Critical Access
                Hospitals.''
                DATES: June 18, 2019.
                FOR FURTHER INFORMATION CONTACT:
                Erin Patton, (410) 786-2437.
                Dylan Podson, (410)-786-5031.
                SUPPLEMENTARY INFORMATION:
                I. Background
                 In FR Doc. 2019-08330 of May 3, 2019 (84 FR 19158), there were a
                number of technical errors that are identified and corrected in the
                Correction of Errors section of this correcting document.
                [[Page 28264]]
                II. Summary of Errors
                A. Summary of Errors in the Preamble
                 On page 19428, in our discussion of the proposed revisions to the
                definition of the base operating DRG payment amount for purposes of the
                Hospital Readmissions Reduction Program, we made an error in describing
                our policy for the treatment of the difference between the hospital-
                specific payment rate and the Federal payment rate for purposes of
                calculating the base operating DRG payment amount with respect to a
                Medicare-dependent, small rural hospital that receives payments under
                Sec. 412.108(c) or a sole community hospital that receives payments
                under Sec. 412.92(d). We are correcting this language to reflect our
                current policy that the base operating DRG payment amount includes the
                difference between the hospital-specific payment rate and the Federal
                payment rate for a Medicare-dependent, small rural hospital and does
                not include the difference between the hospital-specific payment rate
                and the Federal payment rate for a sole community hospital. We also
                made an error in our citation to the applicable statutory provision. We
                erroneously cited to section 1886(q)(2)(b)(i) instead of section
                1886(q)(2)(B)(i) of the Act.
                 On pages 19568, in our discussion of the Medicare and Medicaid
                Promoting Interoperability Programs, we made an error in a web link.
                B. Summary of Errors in the Regulations Text
                 On page 19581, in our proposed amendments to the definition of the
                base operating DRG payment amount for purposes of the Hospital
                Readmissions Reduction Program, we made an error in describing our
                current policy for determining the base operating DRG payment amount by
                stating that with respect to a sole community hospital that receives
                payments under Sec. 412.92(d) or a Medicare-dependent, small rural
                hospital that receives payments under Sec. 412.108(c), this amount
                includes the difference between the hospital-specific payment rate and
                the Federal payment rate determined under subpart D of this part. We
                are correcting this language to reflect our current policy, which is
                that the base operating DRG payment amount for a sole community
                hospital that receives payments under Sec. 412.92(d) does not include
                the difference between the hospital-specific payment rate and the
                Federal payment rate determined under subpart D of this part while the
                base operating DRG payment amount for a Medicare-dependent, small rural
                hospital that receives payments under Sec. 412.108(c) does include the
                difference between the hospital-specific payment rate and the Federal
                payment rate determined under subpart D of this part.
                IV. Correction of Errors
                 In FR Doc. 2019-08330 of May 3, 2019 (84 FR 19158), we make the
                following corrections:
                A. Errors in the Preamble
                 1. On page 19428, first column, last partial paragraph, lines 10
                through 13, the phrase ``amount also includes the difference between
                the hospital-specific payment rate and the Federal payment rate
                determined under the subpart.'' is corrected to read ``amount also
                includes the difference between the hospital-specific payment rate and
                the Federal payment rate determined under the subpart for a Medicare-
                dependent, small rural hospital that receives payments under Sec.
                412.108(c) and does not include the difference between the hospital-
                specific payment rate and the Federal payment rate determined under the
                subpart for a sole community hospital that receives payment under Sec.
                412.92(d).''
                 2. On page 19428, second column, first partial paragraph, lines 1
                through 4, the phrase ``1886(q)(2)(b)(i) of the Act, because the
                regulatory text was not updated following the expiration of the FY 2013
                changes.'' is corrected to read ``1886(q)(2)(B)(i) of the Act by
                specifying the differential treatment following the expiration of the
                special treatment for Medicare-dependent, small rural hospitals for FY
                2013 in the statute.''
                 3. On page 19568, third column, last paragraph (footnote 830),
                lines 1 and 2, the hyperlink ``https://www.healthit.gov/sites/default/
                files/onc_pghd_final_white_paper.pdf.%95'' is corrected to read
                ``https://www.healthit.gov/sites/default/files/
                onc_pghd_final_white_paper.pdf''.
                B. Errors in the Regulations Text
                Sec. 412.152 [Corrected]
                 4. On page 19581, third column, first paragraph (definition of Base
                operating DRG payment amount), lines 17 through 26, ``With respect to a
                sole community hospital that receives payments under Sec. 412.92(d) or
                a Medicare-dependent, small rural hospital that receives payments under
                Sec. 412.108(c), this amount also includes the difference between the
                hospital-specific payment rate and the Federal payment rate determined
                under subpart D of this part. '' is corrected to read ``With respect to
                a sole community hospital that receives payments under Sec. 412.92(d)
                this amount also does not include the difference between the hospital-
                specific payment rate and the Federal payment rate determined under
                subpart D of this part. With respect to a Medicare-dependent, small
                rural hospital that receives payments under Sec. 412.108(c), this
                amount includes the difference between the hospital-specific payment
                rate and the Federal payment rate determined under subpart D of this
                part.''
                 Dated: June 12, 2019.
                Ann C. Agnew,
                Executive Secretary to the Department, Department of Health and Human
                Services.
                [FR Doc. 2019-12906 Filed 6-17-19; 8:45 am]
                 BILLING CODE 4120-01-P
                

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