[Federal Register Volume 76, Number 104 (Tuesday, May 31, 2011)]
[Notices]
[Page 31340]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-13478]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-1587-N]


Medicare Program; Notification of Closure of St. Vincent's 
Medical Center

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice.

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SUMMARY: This notice announces the closure of St. Vincent's Medical 
Center and the initiation of an application process for hospitals to 
apply to the Centers for Medicare & Medicaid Services (CMS) to receive 
St. Vincent's Medical Center's full time equivalent (FTE) resident cap 
slots.

DATES: We will consider applications received no later than 5 p.m. 
(e.s.t) September 28, 2011 Applications must be received, not 
postmarked, by this date.

FOR FURTHER INFORMATION CONTACT: Renate Dombrowski, (410) 786-4645.

SUPPLEMENTARY INFORMATION:

I. Background

    Section 5506 of the Patient Protection and Affordable Care Act 
(Pub. L. 111-148), as amended by the Health Care and Education 
Reconciliation Act of 2010 (Pub. L. 111-152) (collectively, the 
``Affordable Care Act''), ``Preservation of Resident Cap Positions from 
Closed Hospitals,'' authorizes the Secretary to redistribute residency 
slots after a hospital that trained residents in an approved medical 
residency program(s) closes. Specifically, section 5506 of the 
Affordable Care Act, amended the Social Security Act (the Act), by 
adding subsection (vi) to section 1886(h)(4)(H) of the Act and 
modifying language at section 1886(d)(5)(B)(v) of the Act, to instruct 
the Secretary to establish a process to increase the full time 
equivalent (FTE) resident caps for other hospitals based upon the FTE 
resident caps in teaching hospitals that closed ``on or after a date 
that is 2 years before the date of enactment'' (that is, March 23, 
2008). In the November 24, 2010 CY 2011 Outpatient Prospective Payment 
System (OPPS) final rule (75 FR 72212), we established regulations and 
an application process for qualifying hospitals to apply to CMS to 
receive direct graduate medical education (GME) and indirect medical 
education (IME) FTE resident cap slots from the hospital that closed. 
The procedures we established apply both to teaching hospitals that 
closed on or after March 23, 2008 and on or before August 3, 2010 and 
to teaching hospitals that closed after August 3, 2010. For teaching 
hospitals that closed on or after March 23, 2008 and on or before 
August 3, 2010, we established an application deadline of April 1, 
2011, for a hospital to request cap slots from the closed hospital(s). 
We also stated in the November 24, 2010 FY 2011 OPPS final rule that 
hospitals that close at any point after August 3, 2010 will fall into 
the second category of applications, for which we will provide a 
separate notice with a future application deadline (75 FR 72215).

II. Provisions of the Notice

    CMS has learned of the closure of another teaching hospital that 
occurred after August 3, 2010. The purpose of this notice is to notify 
the public of the closure of St. Vincent's Medical Center, provider 
number 33-0290, in New York City. The hospital's direct GME FTE 
resident cap is 321.11 and the IME FTE resident cap is 295.86. St. 
Vincent's Medical Center was located in core-based statistical area 
(CBSA) 35644. The official date of the termination of the Medicare 
provider agreement, and therefore, the date of the closure, is October 
31, 2010.
    In the November 24, 2010 CY 2011 OPPS final rule, we stated that 
the application deadline for future hospital closures would be 4 months 
following the issuance of that notice to the public (75 FR 72215). 
Therefore, hospitals wishing to apply for and receive slots from St. 
Vincent's Medical Center's FTE resident caps must submit applications 
to the CMS New York Regional Office and to the CMS Central Office no 
later than September 28, 2011. Applications must be received, not 
postmarked, by this date.
    We refer readers to http://www.cms.gov/AcuteInpatientPPS/06_dgme.asp#TopOfPage to download a copy of the CMS Evaluation Form 5506, 
which is the application form that hospitals are to use to apply for 
slots under section 5506 of the Affordable Care Act. We also refer 
readers to this Web site to access a copy of the CY 2011 OPPS November 
24, 2010 final rule, for an explanation of the policy and procedures 
for applying for slots and the redistribution of the slots under 
sections 1886(h)(4)(H)(vi) and 1886(d)(5)(B)(v) of the Act, as provided 
by section 5506 of the Affordable Care Act. The mailing addresses for 
the CMS New York Regional Office and to the CMS Central Office are 
included in this application form.
    In the November 24, 2010 CY 2011 OPPS final rule, we did not 
establish a deadline by when CMS would issue the final determinations 
to hospitals that receive slots under section 5506 of the Affordable 
Care Act. However, we will review all applications received by the 
September 28, 2011 deadline and notify applicants of our determinations 
as soon as possible.

III. Collection of Information Requirements

    This document does not impose information collection and 
recordkeeping requirements. Consequently, it need not be reviewed by 
the Office of Management and Budget under the authority of the 
Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35).

(Catalog of Federal Domestic Assistance Program No. 93.773 
Medicare--Hospital Insurance Program; and No. 93.774, Medicare--
Supplementary Medical Insurance Program)

    Dated: May 19, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2011-13478 Filed 5-27-11; 8:45 am]
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