Federal Register, Volume 78 Issue 192 (Thursday, October 3, 2013)

[Federal Register Volume 78, Number 192 (Thursday, October 3, 2013)]
[Rules and Regulations]
[Pages 61197-61202]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-24211]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 412, 482, 485, and 489

[CMS-1599 & 1455-CN2]
RINs 0938-AR53 and 0938-AR73

Medicare Program; Hospital Inpatient Prospective Payment Systems
for Acute Care Hospitals and the Long-Term Care Hospital Prospective
Payment System and Fiscal Year 2014 Rates; Quality Reporting
Requirements for Specific Providers; Hospital Conditions of
Participation; Payment Policies Related to Patient Status; Corrections

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

ACTION: Final rule; correction.

-----------------------------------------------------------------------

SUMMARY: This document corrects technical and typographical errors in
the final rules that appeared in the August 19, 2013 Federal Register
titled ``Medicare Program; Hospital Inpatient Prospective Payment
Systems for Acute Care Hospitals and the Long-Term Care Hospital
Prospective Payment System and Fiscal Year 2014 Rates; Quality
Reporting Requirements for Specific Providers; Hospital Conditions of
Participation; Payment Policies Related to Patient Status.''

DATES: This correcting document is effective October 1, 2013.

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

SUPPLEMENTARY INFORMATION:

I. Background

In FR Doc. 2013-18956, which appeared in the August 19, 2013
Federal Register (78 FR 50496), there were a number of technical errors
that are identified and corrected in the Correction of Errors section.
The provisions in this correction document are effective as if they had
been included in the document that appeared in the August 19, 2013
Federal Register.

[[Page 61198]]

Accordingly, the corrections are effective October 1, 2013.

II. Summary of Errors

A. Errors in the Preamble

On page 50546, in our discussion of the four new procedure codes,
we inadvertently made a typographical error in the effective date.
On page 50591, we made a typographical error in the number of
hospitals approved for reclassification in FY 2013.
On pages 50630, 50631, 50634, 50641, and 50642, in our discussion
of disproportionate share hospitals (DSHs), we made inadvertent errors
in the: (1) Actuarial estimate of the aggregate amount of Medicare DSH
payments for FY 2014 without regard to section 1886(r)(1) of the Social
Security Act (the Act); (2) actuarial estimate of the aggregate amount
of empirically justified Medicare DSH payments for FY 2014 with the
application of section 1886(r)(1) of the Act; (3) calculation of Factor
1; (4) determination of the amount available for uncompensated care
payments for 2014; and (5) number of hospitals that we projected to be
eligible to receive a Medicare DSH payment in FY 2014.
On page 50678, in our discussion of Hospital Value-Based Purchasing
(HVBP) Program FY 2014 payment details, we made an inadvertent error in
the slope of the linear exchange function that was used to calculate
the updated proxy value-based incentive payment adjustment factors in
Table 16A.
On page 50772, in our discussion of the LTCH PPS 25-percent
threshold payment adjustment, we inadvertently misstated the time
period for the application of the policy.
On page 50859, in our discussion of LTCH CARE Data, we
inadvertently misstated commenter's statement.
On page 50867, in our discussion of the LTCH Quality Reporting
(LTCHQR) Program, we made a technical error in describing a type of
claim-based measure.
On pages 50854, 50855, 50856, 50862, 50864, 50866, and 50876 in our
discussion of the LTCHQR Program, we made grammatical errors.
On pages 50855, 50858, 50859, 50860, 50861, 50871, 50876, 50879,
50880, 50881, and 50882 in our discussion regarding the LTCHQR Program
measures, we made typographical and technical errors in referencing an
NQF-endorsed measure name.

B. Summary of Errors in and Corrections to Files and Tables Posted on
the CMS Web Site

1. Errors and Corrections to the Medicare DSH Files
Supplemental Medicare DSH File.--FY 2014 Uncompensated Care Payment
Factors. For the FY 2014 IPPS/LTCH PPS Final Rule, we published a list
of hospitals that we identified to be subsection (d) hospitals and
subsection (d) Puerto Rico hospitals eligible to receive empirically
justified Medicare DSH payment adjustments and uncompensated care
payments for FY 2014. As stated in the FY 2014 IPPS/LTCH PPS final rule
(78 FR 50642), we allowed the public an additional period after the
issuance of the final rule to contact us with comments on whether any
of the hospitals should be removed from the list or if any hospitals
should be added to the list, based on their subsection (d) status.
Based on the comments received during this additional period, we are
making several corrections to the Supplemental Medicare DSH File.
First, in calculating Factor 3 of the uncompensated care payment
methodology, we inadvertently excluded the FY 2011 SSI days and the
Medicaid days from the most recently available 2011 or 2010 cost report
for certain providers that were projected to receive Medicare DSH in FY
2014.
These providers had submitted their 2010 and/or 2011 Medicare
hospital cost reports to their Medicare contractor prior to the March
2013 update of HCRIS but the Medicare contactor had been unable to
upload either the 2010 or 2011 Medicare hospital cost reports in a
timely manner to be included in the March 2013 update of HCRIS. As a
result, the Medicaid days for these providers were inadvertently
excluded from the calculation of Factor 3. In addition, due to a
programming error, these providers had SSI days reported for their FY
2011 SSI ratios that were inadvertently excluded in the calculation of
their Factor 3. The Medicaid days and SSI days for these providers were
excluded from the numerator of Factor 3 for the affected providers and
from the denominator of Factor 3 for all providers. Second, as a result
of the exclusion of these Medicare hospital cost reports from the March
2013 update of HCRIS, the Medicare DSH payments for these providers
were not included in the Office of the Actuary's Medicare DSH estimates
for the calculation of Factor 1. Third, seven providers listed as
eligible to receive Medicare DSH payments are no longer subsection(d)
hospitals and have been removed from the list of hospitals eligible to
receive empirically justified Medicare DSH payment adjustments and
uncompensated care payments for FY 2014. We are changing the number of
hospitals that are eligible to receive empirically justified Medicare
DSH payment adjustments and uncompensated care payments for FY 2014. In
order to correct these errors, we have revised Factor 3 for all
hospitals to incorporate the changes to the data. Specifically, to
account for the removal of hospitals that are not subsection (d)
hospitals and the addition of data for the two hospitals whose data was
inadvertently excluded from the calculation of Factor 3, we have
recalculated the denominator of Factor 3 for all hospitals. In
addition, we have also recalculated the numerator of Factor 3 for the
hospitals that had data inadvertently excluded. We have also revised
Factor 1 to include in our estimates the Medicare DSH payments for the
providers whose Medicare hospital cost report data was not included in
the March 2013 update of HCRIS.
2. Errors in and Corrections to the IPPS Tables
We are correcting the errors in the following IPPS tables that are
listed on page 51002 of FY 2014 IPPS/LTCH PPS final rule and are
available on the Internet on the CMS Web site at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY-2014-IPPS-Proposed-Rule-Home-Page.html:
In Table 2.--Acute Care Hospitals Case-Mix Indexes for Discharges
Occurring in Federal Fiscal Year 2012; Hospital Wage Indexes for
Federal Fiscal Year 2014; Hospital Average Hourly Wages for Federal
Fiscal Years 2012 (2008 Wage Data), 2013 (2009 Wage Data), and 2014
(2010 Wage Data); and 3-Year Average of Hospital Average Hourly Wages.
We determined that we used incorrect wages and hours for provider
040029 located in core-based statistical area (CBSA) 30780. Therefore,
we are correcting the FY 2014 wage indexes for the following providers
in, or reclassified into, CBSA 30780: 040007, 040014, 040016, 040029,
040036, 040041, 040071, 040074, 040084, 040114, 040119, 040134, 040137,
and 040147. In addition, for provider 040029, we are correcting the
average hourly wage FY 2014, and the average hourly wage (3 Years). We
also are making a correction to the FY 2014 wage index of provider
330386 because we inadvertently did not treat provider 330386 as being
redesignated under section 1886(d)(8)(B) of the Act to CBSA 39100. By
treating provider 330386 as

[[Page 61199]]

being redesignated under section 1886(d)(8)(B) of the Act to CBSA
39100, the reclassified wage index of CBSA 39100 is changing as well.
Since provider 330224 is reclassifying into CBSA 39100, provider
330224's FY 2014 wage index is being corrected accordingly.
In Table 3A.--FY 2014 and 3-Year Average Hourly Wage for Acute Care
Hospitals in Urban Areas by CBSA. We determined that we used incorrect
wages and hours for provider 040029 located in CBSA 30780. Therefore,
we are correcting the FY 2014 average hourly wage and the 3-year
average hourly wage for CBSA 30780, Little Rock-North Little Rock-
Conway, AR.
In Table 4A.--Wage Index and Capital Geographic Adjustment Factor
(GAF) for Urban Areas by CBSA and by State--FY 2014. We determined that
we used incorrect wages and hours for provider 040029 located in CBSA
30780. Therefore, for CBSA 30780, Little Rock-North Little Rock-Conway,
AR, we are correcting the data in the columns titled ``Wage Index'' and
``GAF.''
In Table 4C.--Wage Index and Capital Geographic Adjustment Factor
(GAF) For Hospitals That Are Reclassified by CBSA and by State--FY
2014. We determined that we used incorrect wages and hours for provider
040029 located in CBSA 30780. Therefore, for CBSA 30780, Little Rock-
North Little Rock-Conway, AR, we are correcting the data in the columns
titled ``Wage Index'' and ``GAF.'' We are also correcting the data in
the columns titled ``Wage Index'' and ``GAF'' for CBSA 39100,
Poughkeepsie-Newburgh-Middletown, NY, because we inadvertently did not
treat provider 330386 as being redesignated under section 1886(d)(8)(B)
of the Act to CBSA 39100, and therefore, we inadvertently excluded the
data of provider 330386 from the calculation of the wage index and GAF
for CBSA 39100.
In Table 4J.--Out-Migration Adjustment for Acute Care Hospitals--FY
2014. First, the column titled ``Reclassified for FY 2013'' is being
corrected to read ``Reclassified for FY 2014''. Second, we determined
that we used incorrect wages and hours for provider 040029 located in
CBSA 30780. As a result, we are adjusting the wage index for CBSA
30780, which, in turn, changes the out-migration adjustment of certain
providers located in counties that are receiving an out-migration
adjustment based on commuting into a county located within CBSA 30780.
Specifically, we are correcting the value in the column titled ``Out-
Migration Adjustment'' of providers 040014, 040071, and 040076.
Third, we inadvertently did not treat provider 330386 as being
redesignated under section 1886(d)(8)(B) of the Act to CBSA 39100.
Because we had not treated provider 330386 as being redesignated under
section 1886(d)(8)(B) of the Act, we had listed provider 330386 in
Table 4J as receiving the out-migration adjustment. However, since a
hospital that is redesignated under section 1886(d)(8)(B) of the Act
cannot simultaneously receive the out-migration adjustment, we are
correcting Table 4J for provider 330386 by placing an asterisk in the
column titled ``Reclassified for FY 2014'' (previously incorrectly
titled ``Reclassified for FY 2013''), indicating that this provider is
not receiving the out-migration adjustment.
In Table 9A.--Hospital Reclassifications and Redesignations--FY
2014. We inadvertently did not treat provider 330386 as being
redesignated from rural to urban under section 1886(d)(8)(B) of the
Act. We are correcting Table 9A to include provider 330386 as being
redesignated from the geographic CBSA of 33 to the reclassified CBSA of
39100, and indicating LUGAR in the column titled ``LUGAR''.
In Table 15.--FY 2014 Readmissions Adjustment Factors, we are
correcting a technical error in the calculation of the readmissions
adjustment factors. For some hospitals, we inadvertently included high
cost outlier payments in determining the base operating DRG payment
amounts in the calculation of aggregate payments for excess
readmissions and aggregate payments for all discharges that were used
to calculate the readmissions adjustment factors published for the FY
2014 IPPS/LTCH final rule. As specified in the definitions in Sec.
412.152, the base operating DRG payment amount does not include any
additional payments for high cost outliers under subpart F of 42 CFR
part 412. The technical correction to the determination of the base
operating DRG payment amounts changes the readmissions payment
adjustment factor for some hospitals in Table 15 by a small amount.
In Table 16A.--Updated Proxy Hospital Inpatient Value-Based
Purchasing (VBP) Program Adjustment Factors for FY 2014. Due to a
technical error in including high cost outlier payments for some
hospitals in the proxy Hospital VBP Program adjustment factors
calculations, we are correcting the proxy Hospital VBP Program
adjustment factors for all hospitals listed in the table.
3. Errors in and Corrections to a LTCH PPS Table
We are also correcting the errors in the following LTCH PPS table
that is listed on page 51002 of the FY 2014 IPPS/LTCH PPS final rule
and that available on the Internet on the CMS Web site at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/LongTermCare
HospitalPPS/index.html.
Table 12A.--LTCH PPS Wage Index for Urban Areas for Discharges
Occurring from October 1, 2013 through September 30, 2014. Due to a
technical error found in the data of a provider in CBSA 30780, we are
correcting the LTCH PPS wage index value for that CBSA.

III. Waiver of Proposed Rulemaking

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.
In our view, this correcting document does not constitute a rule
that would be subject to the APA notice and comment or delayed
effective date requirements. This correcting document corrects
technical and typographical errors in the preamble and tables posted on
the CMS Web site but does not make substantive changes to the policies
or payment methodologies that were adopted in the final rule. As a
result, this correcting document is intended to ensure that the
preamble and tables posted on the CMS Web site accurately reflect the
policies adopted in that final rule.
In addition, even if this were a rule to which the notice and
comment and delayed effective date requirements applied, we find that
there is good cause to waive such requirements.

[[Page 61200]]

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 for providers to receive appropriate payments
in as timely a manner as possible. Furthermore, such procedures would
be unnecessary, as we are not altering the policies that were already
subject to comment and finalized in our final rule. Therefore, we
believe we have good cause to waive the notice and comment and
effective date requirements.

Correction of Errors

In FR Doc. 2013-18956 of August 19, 2013 (78 FR 50496), make the
following corrections:

A. Corrections of Errors in the Preamble

1. On page 50546, first column, second full paragraph, lines 17 and
18, the date, ``October 1, 2014'' is corrected to read ``October 1,
2013.''
2. On page 50591, third column, last full paragraph, line 15, the
figure ``196'' is corrected to read ``169''.
3. On page 50630, third column, last paragraph,
a. Line 12, the figure ``$12.772'' is corrected to read
``$12.775''.
b. Line 26, the figure ``$3.193'' is corrected to read ``$3.194''.
4. On page 50631, first column, first paragraph, line 3, the figure
``$9.579'' is corrected to read ``$9.581''.
5. On page 50634, first column, second full paragraph,
a. Line 9, the figure ``$9.033'' is corrected to read ``$9.035''.
b. Line 10, the figure ``9.579'' is corrected to read ``$9.581''.
6. On page 50641, third column, second full paragraph,
a. Line 12, the figure ``2,695'' is corrected to read ``2687''.
b. Line 17, the figure ``2,437'' is corrected to read ``2430''.
7. On page 50642, first column, first paragraph,
a. Line 2,
(1) The figure ``2,437'' is corrected to read ``2,430''.
(2) The figure ``72'' is corrected to read ``71''.
b. Line 7, the figure ``2,437'' is corrected to read ``2430''.
8. On page 50678, top two-thirds of the page, second column,
partial paragraph, line 30, the figure ``1.8363321306'' is corrected to
read ``1.8363054116.''
9. On page 50772, bottom third of the page, second column, third
paragraph, lines 9 through 11, the phrase ``applied to discharges
occurring on or after October 1, 2013.'' is corrected to read ``applied
for cost reporting periods beginning on or after October 1, 2013.''
10. On page 50854, first column,
a. First full paragraph, last two lines, the phrase ``testing and
development'' is corrected to read ``measure testing and development''.
b. Second full paragraph,
(1) Line 8, the phrase ``that are fully'' is corrected to read
``that are either fully''.
(2) Last line through the second column first partial paragraph
line 1, the phrase ``why a particular measure is high priority'' is
corrected to read ``why particular measures are high priority''.
11. On page 50855,
a. First column, second full paragraph, lines 31 through 33, the
phrase ``when LTCHs are required to submit data on the new measures we
included in the proposed rule.'' is corrected to read ``LTCHs are
required to submit data on the new measures.''
b. Second column, first partial paragraph, line 9, the phrase ``we
refer readers to that final rule'' is corrected to read ``we refer
readers to the FY 2013 IPPS/LTCH PPS final rule''.
c. Third column,
(1) First partial paragraph, lines 7 and 8, the phrase ``More
specifically, this commenter'' is corrected to read ``More
specifically, these commenters''.
(2) Last paragraph, line 6, the phrase ``compliance for October 1,
2012'' is corrected to read ``compliance for the October 1, 2012''.
12. On page 50856,
a. Upper third of the page, first column, second partial paragraph,
line 4, the phrase ``that it will use'' is corrected to read ``that we
will use''.
b. Lower two-thirds of the page, third column, last paragraph,
lines 13 and 14, the phrase ``an healthcare-associated infection
(HAI)'' is corrected to read ``a healthcare-associated infection
(HAI)''.
13. On page 50858, lower two-thirds of the page, second column,
last paragraph, line 3, the phrase ``NQF 0680, Percentage'' is
corrected to read ``NQF 0680, Percent''.
14. On pages 50859,
a. Upper third of the page, in the table, PROPOSED TIMELINE FOR
SUBMISSION OF LTCHQR PROGRAM QUALITY DATA FOR THE FY 2016 AND FY 2017
PAYMENT DETERMINATIONS: NQF 0680 PERCENTAGE OF RESIDENTS OR
PATIENTS WHO WERE ASSESSED AND APPROPRIATELY GIVEN THE SEASONAL
INFLUENZA VACCINE [Short Stay], in the table heading, line 2, the
phrase ``PERCENTAGE OF RESIDENTS'' is corrected to read ``PERCENT OF
RESIDENTS''.
b. Lower two-thirds of the page, second column,
(1) Third full paragraph, line 18, the phrase ``calculation of the
measure'' is corrected to read ``calculation and public reporting of
the measure''.
(2) Last paragraph, line 2, the phrase ``CMS align the data'' is
corrected to read ``CMS update the data''.
15. On page 50860,
a. First column, first partial paragraph, line 18, the phrase
``LTCHs to show if'' is corrected to read ``LTCHs to report whether''.
b. Second column, second paragraph, line 19, the parenthetical
phrase ``(short-stay)'' is corrected to read ``(Short-Stay)''.
c. Third column,
(1) Third full paragraph,
(a) Lines 13 and 14, the parenthetical phrase ``(short-stay)'' is
corrected to read ``(Short-Stay)''.
(b) Line 17, the parenthetical phrase ``(short-stay)'' is corrected
to read ``(Short-Stay)''.
(c) Line 26, the phrase ``measure and endorsement by'' is corrected
to read ``measure and endorsed by''.
(2) Last paragraph, lines 5 and 6, the parenthetical phrase
``(short-stay)'' is corrected to read ``(Short-Stay)''.
16. On page 50861, upper half of the page,
a. Third column, partial paragraph, line 5, the parenthetical
phrase ``(short-stay)'' is corrected to read ``(Short-Stay)''.
b. In the table, FINAL TIMELINE FOR SUBMISSION OF LTCHQR PROGRAM
QUALITY DATA FOR THE FY 2016 AND FY 2017 PAYMENT DETERMINATIONS: NQF
0680 PERCENTAGE OF RESIDENTS OR PATIENTS WHO WERE ASSESSED AND
APPROPRIATELY GIVEN THE SEASONAL INFLUENZA VACCINE [Short Stay], in the
table heading, line 2, the phrase ``PERCENTAGE OF RESIDENTS'' is
corrected to read ``PERCENT OF RESIDENTS''.
17. On page 50862,
a. First column, third full paragraph, lines 5 and 6, the phrase,
``setting and NQF endorsement for LTCH setting'' is corrected to read
``setting and to obtain NQF endorsement for the LTCH setting''.
b. Second column,
(1) First full paragraph, lines 23 and 24, the phrase ``SNF/nursing
home patient population'' is corrected to read ``SNF/nursing home
short-stay resident population''.
(2) Second full paragraph, line 4, the phrase ``ulcers and is
committed'' is corrected to read ``ulcers, and we are committed''.
18. On page 50864, second column,

[[Page 61201]]

a. First full paragraph, line 5, the phrase ``commenters urge'' is
corrected to read ``commenters urged''.
b. Third full paragraph, line 1, the phrase ``noted it is'' is
corrected to read ``noted that is it''.
19. On page 50866, second column, first partial paragraph, line 19,
the phrase ``and measuring infection rates is'' is corrected to read
``and measuring infection rates are''.
20. On page 50867,
a. First column, second full paragraph, line 11, the phrase
``LTCHQR measure scores'' is corrected to read ``LTCHQR Program
measures scores''.
b. Third column, first partial paragraph, line 9, the phrase
``claims-based MRSA'' is corrected to read ``claims-based CDI''.
21. On page 50869, third column, first full paragraph, lines 22 and
23, the phrase ``discharge, or the date of patient death'' is corrected
to read ``discharge or until the date of the patient's death''.
22. On page 50870, first full paragraph, lines 5 and 6, the phrase
``discharge date, or date of death'' is corrected to read ``discharge
or until the date of the patient's death''.
23. On page 50871,
a. Second column, last paragraph, line 6, the phrase ``but note
that but note that'' is corrected to read ``but note that''.
b. Third column, third full paragraph, line 11, the phrase ``are
typically not'' is corrected to read ``is typically not''.
24. On page 50872,
a. First column, last paragraph, lines 10 and 11, the phrase ``LTCH
harmonizes'' is corrected to read ``LTCH readmission measure
harmonizes''.
b. Second column, third full paragraph,
(1) Line 1, the phrase ``Some comments'' is corrected to read
``Some commenters''.
(2) Line 5, the phrase ``They suggest'' is corrected to read ``They
suggested''.
25. On page 50873,
a. Second column,
(1) First full paragraph, line 25, the phrase ``readmissions are
considered'' is corrected to read ``readmissions were considered''.
(2) Last paragraph, lines 1 and 2, the phrase ``The two years of
data for each report period'' is corrected to read ``The 2 years of
data for each reporting period''.
b. Third column, first full paragraph, line 1, the phrase ``Some
commenters are'' is corrected to read ``Some commenters were''.
26. On page 50875, second column, first full paragraph,
a. Line 1, the phrase ``We note that,'' is corrected to read ``We
noted that,''.
b. Line 14, the phrase ``LTCH setting'' is corrected to read ``the
LTCH setting''.
27. On page 50876, second column,
a. First partial paragraph, line 1, the phrase ``but it concluded''
is corrected to read ``it concluded''.
b. Last paragraph, line 14 through the third column first partial
paragraph, the sentences ``In this instance, for example, an
application of the Percent of Residents Experiencing One or More Falls
with Major Injury (Long Stay) measure (NQF 0674) is NQF-
endorsed for the LTCH setting, an indication that it is appropriate for
LTCH patients. In addition, this measure is appropriate in light of the
fact that fall-related injury is an important patient safety concern
for LTCH patients. For the reasons listed above, this measure is
appropriate for LTCH patients.'' are corrected to read ``In light of
the TEP feedback and the fact that fall-related injury is an important
patient safety concern for patients in health care settings, including
LTCHs, this measure is appropriate for the LTCHQR Program.''
28. On page 50879,
a. First column, fourth full paragraph (section heading), line 5,
the parenthetical phrase ``(Short Stay)'' is corrected to read
``(Short-Stay)''.
b. Second column,
(1) First partial paragraph, line 1, the parenthetical phrase
``(Short Stay)'' is corrected to read ``(Short-Stay)''.
(2) First full paragraph,
(a) Line 8, the page reference ``277322'' is corrected to read
``27732''.
(b) Lines 16 and 17, the phrase ``Data collection and submission of
this measure will continue'' is corrected to read ``We proposed in the
FY 2014 IPPS/LTCH PPS proposed rule (78 FR 27722 and 27723) that data
collection and submission for this measure would continue''.
29. On page 50880, upper half of the page, the table, TIMELINE FOR
SUBMISSION OF LTCHQR PROGRAM QUALITY DATA FOR THE FY 2016 PAYMENT
DETERMINATION: NQF 0680 PERCENTAGE OF RESIDENTS OR PATIENTS
WHO WERE ASSESSED AND APPROPRIATELY GIVEN THE SEASONAL INFLUENZA
VACCINE (SHORT STAY), in the table heading,
a. Line 2, the phrase ``PERCENTAGE OF RESIDENTS'' is corrected to
read ``PERCENT OF RESIDENTS''.
b. Line 3, the parenthetical phrase ``(SHORT STAY)'' is corrected
to read ``(SHORT-STAY)''.
30. On page 50881, lower two-thirds of the page, the table,
TIMELINE FOR SUBMISSION OF LTCHQR PROGRAM QUALITY DATA FOR THE FY 2017
PAYMENT DETERMINATION: NQF 0680 PERCENTAGE OF RESIDENTS OR
PATIENTS WHO WERE ASSESSED AND APPROPRIATELY GIVEN THE SEASONAL
INFLUENZA VACCINE (SHORT STAY), in the table heading,
a. Line 2, the phrase ``PERCENTAGE OF RESIDENTS'' is corrected to
read ``PERCENT OF RESIDENTS''.
b. Line 3, the parenthetical phrase ``(SHORT STAY)'' is corrected
to read ``(SHORT-STAY)''.
31. On page 50882, lower two-thirds of the page,
a. In the table, TIMELINE FOR SUBMISSION OF LTCHQR PROGRAM QUALITY
DATA FOR THE FY 2018 PAYMENT DETERMINATION FOR ALL MEASURES EXCEPT
0431 INFLUENZA VACCINATION COVERAGE AMONG HEALTH CARE
PERSONNEL AND 0680 PERCENTAGE OF RESIDENTS OR PATIENTS WHO
WERE ASSESSED AND APPROPRIATELY GIVEN THE SEASONAL INFLUENZA VACCINE
(SHORT STAY), in the table heading,
(1) Line 2, the phrase ``EXCEPT 0431'' is corrected to
read ``EXCEPT NQF 0431''.
(2) Lines 1 and 2, the phrase `` 0680 PERCENTAGE OF
RESIDENTS'' is corrected to read ``NQF 0680 PERCENT OF
RESIDENTS''.
(3) Line 3, the parenthetical phrase ``(SHORT STAY)'' is corrected
to read ``(SHORT-STAY)''.
b. In the table TIMELINE FOR SUBMISSION OF LTCHQR PROGRAM QUALITY
DATA FOR THE FY 2018 PAYMENT DETERMINATION: 0680 PERCENTAGE OF
RESIDENTS OR PATIENTS WHO WERE ASSESSED AND APPROPRIATELY GIVEN THE
SEASONAL INFLUENZA VACCINE (SHORT STAY), in the table heading,
(1) Lines 2 and 3, the phrase `` 0680 PERCENTAGE OF
RESIDENTS'' is corrected to read ``NQF 0680 PERCENT OF
RESIDENTS''.
(2) Line 4, the parenthetical phrase ``(SHORT STAY)'' is corrected
to read ``(SHORT-STAY)''.
32. On page 50887, second column, first full paragraph, line 2, the
phrase ``two-percentage point reduction'' is corrected to read ``2.0
percentage point reduction''.

(Catalog of Federal Domestic Assistance Program No. 93.778, Medical
Assistance Program)

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

[[Page 61202]]

Dated: September 30, 2013.
Oliver Potts,
Deputy Executive Secretary to the Department, Department of Health and
Human Services.
[FR Doc. 2013-24211 Filed 9-30-13; 4:15 pm]
BILLING CODE 4120-01-P