[Federal Register Volume 77, Number 201 (Wednesday, October 17, 2012)]
[Rules and Regulations]
[Pages 63751-63753]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-25464]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 412

[CMS-1588-F2]
RIN 0938-AR12


Medicare Program; Hospital Inpatient Prospective Payment Systems 
for Acute Care Hospitals and the Long-Term Care Hospital Prospective 
Payment System and Fiscal Year 2013 Rates; Hospitals' Resident Caps for 
Graduate Medical Education Payment Purposes; Quality Reporting 
Requirements for Specific Providers and for Ambulatory Surgical 
Centers; Correcting Amendment

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

ACTION: Final rule; correcting amendment.

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[[Page 63752]]

SUMMARY: This document corrects technical errors in the regulations 
text of the final rule that appeared in the August 31, 2012 Federal 
Register entitled ``Medicare Program; Hospital Inpatient Prospective 
Payment Systems for Acute Care Hospitals and the Long-Term Care 
Hospital Prospective Payment System and Fiscal Year 2013 Rates; 
Hospitals' Resident Caps for Graduate Medical Education Payment 
Purposes; Quality Reporting Requirements for Specific Providers and for 
Ambulatory Surgical Centers'' (hereinafter referred to as the FY 2013 
IPPS/LTCH PPS final rule).

DATES: Effective Date: This correcting amendment is effective October 
12, 2012.
    Applicability Date: The provisions of this correcting amendment are 
applicable October 1, 2012.

FOR FURTHER INFORMATION CONTACT: Tzvi Hefter, (410) 786-4487.

SUPPLEMENTARY INFORMATION: 

I. Background and Summary of Errors

    In the FY 2013 Hospital Inpatient Prospective Payment Systems for 
Acute Care Hospitals and the Long-Term Care Hospital Prospective 
Payment System final rule (hereinafter referred to as the FY 2013 IPPS/
LTCH PPS final rule) (FR Doc. 2012-19079 of August 31, 2012 (77 FR 
53258)), there were several typographical and technical errors in the 
regulations text that are identified and corrected in this correcting 
amendment. The provisions in this correcting amendment apply to long-
term care hospital (LTCH) prospective payment system (PPS) payments.
    In finalizing the regulations text changes for the FY 2013 LTCH PPS 
provisions (77 FR 53680), we made the following errors:
     In Sec.  412.534(h)(6), we inadvertently omitted 
regulations text that specified our methodology for determining the 
percentage of discharges during a LTCH's or satellite facility's cost 
reporting period beginning on or after July 1, 2012 and before October 
1, 2012 that will not be counted towards the 25-percent threshold 
during such cost reporting period.
     In Sec.  412.536(a)(3)(i)--
    ++ We inadvertently omitted regulations text that specified the 
discharges to which the 25-percent payment adjustment threshold policy 
applies for LTCHs with cost reporting periods beginning on or after 
July 1, 2012 and before October 1, 2012; and
    ++ We made an error in the timeframe during which the 25-percent 
payment adjustment threshold policy will not apply for certain LTCHs 
(that is, those LTCHs with a cost reporting period beginning on or 
after July 1, 2012 and before October 1, 2012).
     In Sec.  412.536(a)(3)(ii), we made an error in citing the 
timeframe during which the 25-percent payment adjustment threshold 
policy is in effect for certain LTCHs (that is, those LTCHs with a cost 
reporting period beginning on or after July 1, 2012 and before October 
1, 2012), as well as an error in the timeframe during which discharges 
occurring during such LTCHs' cost reporting periods will not be counted 
towards the 25-percent threshold.

We are correcting these regulations text errors to ensure that the 
regulations text reflects the finalized 25-percent payment adjustment 
threshold policy set forth in the preamble of the final rule (77 FR 
53483 through 53486).

II. Waiver of Proposed Rulemaking and Delay in the Effective Date

    We ordinarily publish a notice of proposed rulemaking in the 
Federal Register to provide a period for public comment before the 
provisions of a rule take effect in accordance with section 553(b) of 
the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we 
can waive this notice and comment procedure if the Secretary finds, for 
good cause, that the notice and comment process is impracticable, 
unnecessary, or contrary to the public interest, and incorporates a 
statement of the finding and the reasons therefore in the notice.
    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 find that there is good cause to waive both the notice and 
comment and delayed effective date 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. We believe it is in the public 
interest for our regulation text to accurately reflect the policy on 
the 25-percent payment adjustment threshold which was adopted in the FY 
2013 IPPS/LTCH PPS final rule. Therefore delaying the effective date of 
these corrections would be contrary to the public interest. 
Furthermore, such procedures would be unnecessary, as we are not 
altering the policies that were already subject to comment and 
finalized in the FY 2013 IPPS/LTCH PPS final rule. As indicated 
previously, this correcting amendment corrects technical and 
typographical errors in the regulations text of the FY 2013 IPPS/LTCH 
PPS final rule and does not make substantive changes to the policies or 
payment methodologies that were adopted in the final rule. As a result, 
this correcting amendment is intended to ensure that the regulations 
text accurately reflects the policies adopted in the FY 2013 IPPS/LTCH 
PPS final rule. Therefore, for the reasons set forth previously, we 
believe we have good cause to waive the notice and comment and 
effective date requirements.

List of Subjects for 42 CFR Part 412

    Administrative practice and procedure, Health facilities, Medicare, 
Puerto Rico, Reporting and recordkeeping requirements.

    As noted in section I. of this correcting amendment, the Centers 
for Medicare & Medicaid Services is making the following correcting 
amendments to 42 CFR part 412:

PART 412--PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL 
SERVICES

0
1. The authority citation for Part 412 continues to read as follows:

    Authority:  Secs. 1102 and 1871 of the Social Security Act (42 
U.S.C. 1302 and 1395hh), and sec. 124 of Pub. L. 106-113 (113 Stat. 
1501A-332).


0
2. Amend Sec.  412.534 as follows:
0
A. Redesignating paragraph (h)(6)(ii) as paragraph (h)(6)(iii).
0
B. Adding a new paragraph (h)(6)(ii).
    The addition reads as follows:


Sec.  412.534  Special payment provisions for long-term care hospitals 
within hospitals and satellites of long-term care hospitals.

* * * * *
    (h) * * *
    (6) * * *
    (ii) In determining whether the percentage of discharges during a 
long-term care hospital's or satellite facility's cost reporting period 
beginning on or after July 1, 2012 and before October 1, 2012 exceeds 
the 25-percent threshold, those discharges occurring on or after 
October 1, 2012 and before the beginning of the hospital's or satellite 
facility's next cost reporting period will not be counted towards that 
threshold.
* * * * *


Sec.  412.536  [Amend]

0
3. Amend Sec.  412.536 as follows:
0
A. Revising paragraph (a)(3)(i).
0
B. In paragraph (a)(3)(ii)--

[[Page 63753]]

    (i) The phrase ``before July 1, 2013'' is removed and the phrase 
``before October 1, 2012'' is added in its place.
    (ii) The phrase ``before October 1, 2013,'' is removed and the 
phrase ``before the beginning of the hospital's next cost reporting 
period,'' is added in is place.
    The revision reads as follows:


Sec.  412.536  Special payment provisions for long-term care hospitals 
and satellites of long-term care hospitals that discharged Medicare 
patients admitted from a hospital not located in the same building or 
on the same campus as the long-term care hospital or satellite of the 
long-term care hospital.

    (a) * * *
    (3) * * *
    (i) Payments to long-term care hospitals described in paragraph 
(a)(1)(iv) of this section are determined using the methodology 
specified in either paragraph (b)(1) or paragraph (b)(2) of this 
section, for discharges occurring prior to October 1, 2012 during the 
hospital's cost reporting period beginning on or after July 1, 2012 and 
before October 1, 2012. Such policies will not be applied to the 
discharges occurring on or after October 1, 2012 and before the 
beginning of the hospital's next cost reporting period.
* * * * *
(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)

    Dated: October 10, 2012.
Oliver Potts,
Deputy Executive Secretary to the Department, Department of Health and 
Human Services.
[FR Doc. 2012-25464 Filed 10-12-12; 4:15 pm]
BILLING CODE 4120-01-P