[Federal Register Volume 80, Number 149 (Tuesday, August 4, 2015)]
[Proposed Rules]
[Pages 46215-46218]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-19079]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 409, 424, and 484

[CMS-1625-CN]
RIN 0938-AS46


Medicare and Medicaid Programs; CY 2016 Home Health Prospective 
Payment System Rate Update; Home Health Value-Based Purchasing Model; 
and Home Health Quality Reporting Requirements; 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 July 10, 2015 Federal Register entitled ``Medicare 
and Medicaid Programs; CY 2016 Home Health Prospective Payment System 
Rate Update; Home Health Value-Based Purchasing Model; and Home Health 
Quality Reporting Requirements.''

DATES: Comments on the proposed rule published on July 10, 2015 (80 FR 
39839), continue to be accepted until September 4, 2015.

FOR FURTHER INFORMATION CONTACT:  Hillary Loeffler, (410) 786-0456.

SUPPLEMENTARY INFORMATION: 

I. Background

    In FR Doc. 2015-16790, published in the Federal Register of July 
10, 2015 (80

[[Page 46216]]

FR 39839), there were technical errors that are identified and 
corrected in the Correction of Errors section of this correcting 
document.

II. Summary of Errors

    On page 39854, in our discussion of case-mix weights, there was a 
sorting error in Table 9: CY 2016 Case-Mix Payment Weights.
    On page 39906, in our discussion of the overall impact of the home 
health prospective payment system in CY 2016, we inadvertently provided 
the incorrect percent decrease in expenditures when comparing CY 2015 
payments to estimated CY 2016 payments.

III. Correction of Errors

    In FR Doc. 2015-16790 of July 10, 2015 (80 FR 39839), make the 
following corrections:
    On page 39854, Table 9--CY 2016 Case-Mix Payment Weights is 
corrected to read as follows:

                                    Table 9--CY 2016 Case-Mix Payment Weights
----------------------------------------------------------------------------------------------------------------
                                                                       Clinical and functional
            Payment group             Step (episode and/or therapy  levels (1 = low; 2 = medium;   CY 2016 Case-
                                              visit ranges)                   3= high)              mix weights
----------------------------------------------------------------------------------------------------------------
10111...............................  1st and 2nd Episodes, 0 to 5  C1F1S1                                0.5969
                                       Therapy Visits.
10112...............................  1st and 2nd Episodes, 6       C1F1S2                                0.7216
                                       Therapy Visits.
10113...............................  1st and 2nd Episodes, 7 to 9  C1F1S3                                0.8462
                                       Therapy Visits.
10114...............................  1st and 2nd Episodes, 10      C1F1S4                                0.9708
                                       Therapy Visits.
10115...............................  1st and 2nd Episodes, 11 to   C1F1S5                                1.0954
                                       13 Therapy Visits.
10121...............................  1st and 2nd Episodes, 0 to 5  C1F2S1                                0.7123
                                       Therapy Visits.
10122...............................  1st and 2nd Episodes, 6       C1F2S2                                0.8240
                                       Therapy Visits.
10123...............................  1st and 2nd Episodes, 7 to 9  C1F2S3                                0.9357
                                       Therapy Visits.
10124...............................  1st and 2nd Episodes, 10      C1F2S4                                1.0474
                                       Therapy Visits.
10125...............................  1st and 2nd Episodes, 11 to   C1F2S5                                1.1591
                                       13 Therapy Visits.
10131...............................  1st and 2nd Episodes, 0 to 5  C1F3S1                                0.7709
                                       Therapy Visits.
10132...............................  1st and 2nd Episodes, 6       C1F3S2                                0.8868
                                       Therapy Visits.
10133...............................  1st and 2nd Episodes, 7 to 9  C1F3S3                                1.0027
                                       Therapy Visits.
10134...............................  1st and 2nd Episodes, 10      C1F3S4                                1.1186
                                       Therapy Visits.
10135...............................  1st and 2nd Episodes, 11 to   C1F3S5                                1.2345
                                       13 Therapy Visits.
10211...............................  1st and 2nd Episodes, 0 to 5  C2F1S1                                0.6339
                                       Therapy Visits.
10212...............................  1st and 2nd Episodes, 6       C2F1S2                                0.7637
                                       Therapy Visits.
10213...............................  1st and 2nd Episodes, 7 to 9  C2F1S3                                0.8935
                                       Therapy Visits.
10214...............................  1st and 2nd Episodes, 10      C2F1S4                                1.0234
                                       Therapy Visits.
10215...............................  1st and 2nd Episodes, 11 to   C2F1S5                                1.1532
                                       13 Therapy Visits.
10221...............................  1st and 2nd Episodes, 0 to 5  C2F2S1                                0.7492
                                       Therapy Visits.
10222...............................  1st and 2nd Episodes, 6       C2F2S2                                0.8661
                                       Therapy Visits.
10223...............................  1st and 2nd Episodes, 7 to 9  C2F2S3                                0.9830
                                       Therapy Visits.
10224...............................  1st and 2nd Episodes, 10      C2F2S4                                1.0999
                                       Therapy Visits.
10225...............................  1st and 2nd Episodes, 11 to   C2F2S5                                1.2169
                                       13 Therapy Visits.
10231...............................  1st and 2nd Episodes, 0 to 5  C2F3S1                                0.8079
                                       Therapy Visits.
10232...............................  1st and 2nd Episodes, 6       C2F3S2                                0.9290
                                       Therapy Visits.
10233...............................  1st and 2nd Episodes, 7 to 9  C2F3S3                                1.0501
                                       Therapy Visits.
10234...............................  1st and 2nd Episodes, 10      C2F3S4                                1.1712
                                       Therapy Visits.
10235...............................  1st and 2nd Episodes, 11 to   C2F3S5                                1.2923
                                       13 Therapy Visits.
10311...............................  1st and 2nd Episodes, 0 to 5  C3F1S1                                0.6876
                                       Therapy Visits.
10312...............................  1st and 2nd Episodes, 6       C3F1S2                                0.8424
                                       Therapy Visits.
10313...............................  1st and 2nd Episodes, 7 to 9  C3F1S3                                0.9973
                                       Therapy Visits.
10314...............................  1st and 2nd Episodes, 10      C3F1S4                                1.1522
                                       Therapy Visits.
10315...............................  1st and 2nd Episodes, 11 to   C3F1S5                                1.3071
                                       13 Therapy Visits.
10321...............................  1st and 2nd Episodes, 0 to 5  C3F2S1                                0.8029
                                       Therapy Visits.
10322...............................  1st and 2nd Episodes, 6       C3F2S2                                0.9449
                                       Therapy Visits.
10323...............................  1st and 2nd Episodes, 7 to 9  C3F2S3                                1.0868
                                       Therapy Visits.
10324...............................  1st and 2nd Episodes, 10      C3F2S4                                1.2288
                                       Therapy Visits.
10325...............................  1st and 2nd Episodes, 11 to   C3F2S5                                1.3707
                                       13 Therapy Visits.
10331...............................  1st and 2nd Episodes, 0 to 5  C3F3S1                                0.8616
                                       Therapy Visits.
10332...............................  1st and 2nd Episodes, 6       C3F3S2                                1.0077
                                       Therapy Visits.
10333...............................  1st and 2nd Episodes, 7 to 9  C3F3S3                                1.1539
                                       Therapy Visits.
10334...............................  1st and 2nd Episodes, 10      C3F3S4                                1.3000
                                       Therapy Visits.
10335...............................  1st and 2nd Episodes, 11 to   C3F3S5                                1.4462
                                       13 Therapy Visits.
21111...............................  1st and 2nd Episodes, 14 to   C1F1S1                                1.2201
                                       15 Therapy Visits.
21112...............................  1st and 2nd Episodes, 16 to   C1F1S2                                1.4237
                                       17 Therapy Visits.
21113...............................  1st and 2nd Episodes, 18 to   C1F1S3                                1.6273
                                       19 Therapy Visits.
21121...............................  1st and 2nd Episodes, 14 to   C1F2S1                                1.2708
                                       15 Therapy Visits.
21122...............................  1st and 2nd Episodes, 16 to   C1F2S2                                1.4643
                                       17 Therapy Visits.
21123...............................  1st and 2nd Episodes, 18 to   C1F2S3                                1.6578
                                       19 Therapy Visits.
21131...............................  1st and 2nd Episodes, 14 to   C1F3S1                                1.3504
                                       15 Therapy Visits.
21132...............................  1st and 2nd Episodes, 16 to   C1F3S2                                1.5410
                                       17 Therapy Visits.
21133...............................  1st and 2nd Episodes, 18 to   C1F3S3                                1.7316
                                       19 Therapy Visits.
21211...............................  1st and 2nd Episodes, 14 to   C2F1S1                                1.2830
                                       15 Therapy Visits.
21212...............................  1st and 2nd Episodes, 16 to   C2F1S2                                1.4994
                                       17 Therapy Visits.

[[Page 46217]]

 
21213...............................  1st and 2nd Episodes, 18 to   C2F1S3                                1.7157
                                       19 Therapy Visits.
21221...............................  1st and 2nd Episodes, 14 to   C2F2S1                                1.3338
                                       15 Therapy Visits.
21222...............................  1st and 2nd Episodes, 16 to   C2F2S2                                1.5400
                                       17 Therapy Visits.
21223...............................  1st and 2nd Episodes, 18 to   C2F2S3                                1.7461
                                       19 Therapy Visits.
21231...............................  1st and 2nd Episodes, 14 to   C2F3S1                                1.4134
                                       15 Therapy Visits.
21232...............................  1st and 2nd Episodes, 16 to   C2F3S2                                1.6167
                                       17 Therapy Visits.
21233...............................  1st and 2nd Episodes, 18 to   C2F3S3                                1.8200
                                       19 Therapy Visits.
21311...............................  1st and 2nd Episodes, 14 to   C3F1S1                                1.4619
                                       15 Therapy Visits.
21312...............................  1st and 2nd Episodes, 16 to   C3F1S2                                1.6962
                                       17 Therapy Visits.
21313...............................  1st and 2nd Episodes, 18 to   C3F1S3                                1.9304
                                       19 Therapy Visits.
21321...............................  1st and 2nd Episodes, 14 to   C3F2S1                                1.5127
                                       15 Therapy Visits.
21322...............................  1st and 2nd Episodes, 16 to   C3F2S2                                1.7368
                                       17 Therapy Visits.
21323...............................  1st and 2nd Episodes, 18 to   C3F2S3                                1.9609
                                       19 Therapy Visits.
21331...............................  1st and 2nd Episodes, 14 to   C3F3S1                                1.5923
                                       15 Therapy Visits.
21332...............................  1st and 2nd Episodes, 16 to   C3F3S2                                1.8135
                                       17 Therapy Visits.
21333...............................  1st and 2nd Episodes, 18 to   C3F3S3                                2.0347
                                       19 Therapy Visits.
22111...............................  3rd+ Episodes, 14 to 15       C1F1S1                                1.2795
                                       Therapy Visits.
22112...............................  3rd+ Episodes, 16 to 17       C1F1S2                                1.4633
                                       Therapy Visits.
22113...............................  3rd+ Episodes, 18 to 19       C1F1S3                                1.6471
                                       Therapy Visits.
22121...............................  3rd+ Episodes, 14 to 15       C1F2S1                                1.2952
                                       Therapy Visits.
22122...............................  3rd+ Episodes, 16 to 17       C1F2S2                                1.4806
                                       Therapy Visits.
22123...............................  3rd+ Episodes, 18 to 19       C1F2S3                                1.6659
                                       Therapy Visits.
22131...............................  3rd+ Episodes, 14 to 15       C1F3S1                                1.3761
                                       Therapy Visits.
22132...............................  3rd+ Episodes, 16 to 17       C1F3S2                                1.5581
                                       Therapy Visits.
22133...............................  3rd+ Episodes, 18 to 19       C1F3S3                                1.7401
                                       Therapy Visits.
22211...............................  3rd+ Episodes, 14 to 15       C2F1S1                                1.3660
                                       Therapy Visits.
22212...............................  3rd+ Episodes, 16 to 17       C2F1S2                                1.5546
                                       Therapy Visits.
22213...............................  3rd+ Episodes, 18 to 19       C2F1S3                                1.7433
                                       Therapy Visits.
22221...............................  3rd+ Episodes, 14 to 15       C2F2S1                                1.3817
                                       Therapy Visits.
22222...............................  3rd+ Episodes, 16 to 17       C2F2S2                                1.5719
                                       Therapy Visits.
22223...............................  3rd+ Episodes, 18 to 19       C2F2S3                                1.7621
                                       Therapy Visits.
22231...............................  3rd+ Episodes, 14 to 15       C2F3S1                                1.4626
                                       Therapy Visits.
22232...............................  3rd+ Episodes, 16 to 17       C2F3S2                                1.6495
                                       Therapy Visits.
22233...............................  3rd+ Episodes, 18 to 19       C2F3S3                                1.8364
                                       Therapy Visits.
22311...............................  3rd+ Episodes, 14 to 15       C3F1S1                                1.5916
                                       Therapy Visits.
22312...............................  3rd+ Episodes, 16 to 17       C3F1S2                                1.7826
                                       Therapy Visits.
22313...............................  3rd+ Episodes, 18 to 19       C3F1S3                                1.9736
                                       Therapy Visits.
22321...............................  3rd+ Episodes, 14 to 15       C3F2S1                                1.6073
                                       Therapy Visits.
22322...............................  3rd+ Episodes, 16 to 17       C3F2S2                                1.7999
                                       Therapy Visits.
22323...............................  3rd+ Episodes, 18 to 19       C3F2S3                                1.9924
                                       Therapy Visits.
22331...............................  3rd+ Episodes, 14 to 15       C3F3S1                                1.6882
                                       Therapy Visits.
22332...............................  3rd+ Episodes, 16 to 17       C3F3S2                                1.8774
                                       Therapy Visits.
22333...............................  3rd+ Episodes, 18 to 19       C3F3S3                                2.0667
                                       Therapy Visits.
30111...............................  3rd+ Episodes, 0 to 5         C1F1S1                                0.4805
                                       Therapy Visits.
30112...............................  3rd+ Episodes, 6 Therapy      C1F1S2                                0.6403
                                       Visits.
30113...............................  3rd+ Episodes, 7 to 9         C1F1S3                                0.8001
                                       Therapy Visits.
30114...............................  3rd+ Episodes, 10 Therapy     C1F1S4                                0.9599
                                       Visits.
30115...............................  3rd+ Episodes, 11 to 13       C1F1S5                                1.1197
                                       Therapy Visits.
30121...............................  3rd+ Episodes, 0 to 5         C1F2S1                                0.5648
                                       Therapy Visits.
30122...............................  3rd+ Episodes, 6 Therapy      C1F2S2                                0.7109
                                       Visits.
30123...............................  3rd+ Episodes, 7 to 9         C1F2S3                                0.8570
                                       Therapy Visits.
30124...............................  3rd+ Episodes, 10 Therapy     C1F2S4                                1.0031
                                       Visits.
30125...............................  3rd+ Episodes, 11 to 13       C1F2S5                                1.1492
                                       Therapy Visits.
30131...............................  3rd+ Episodes, 0 to 5         C1F3S1                                0.6114
                                       Therapy Visits.
30132...............................  3rd+ Episodes, 6 Therapy      C1F3S2                                0.7644
                                       Visits.
30133...............................  3rd+ Episodes, 7 to 9         C1F3S3                                0.9173
                                       Therapy Visits.
30134...............................  3rd+ Episodes, 10 Therapy     C1F3S4                                1.0703
                                       Visits.
30135...............................  3rd+ Episodes, 11 to 13       C1F3S5                                1.2232
                                       Therapy Visits.
30211...............................  3rd+ Episodes, 0 to 5         C2F1S1                                0.4961
                                       Therapy Visits.
30212...............................  3rd+ Episodes, 6 Therapy      C2F1S2                                0.6700
                                       Visits.
30213...............................  3rd+ Episodes, 7 to 9         C2F1S3                                0.8440
                                       Therapy Visits.
30214...............................  3rd+ Episodes, 10 Therapy     C2F1S4                                1.0180
                                       Visits.
30215...............................  3rd+ Episodes, 11 to 13       C2F1S5                                1.1920
                                       Therapy Visits.
30221...............................  3rd+ Episodes, 0 to 5         C2F2S1                                0.5803
                                       Therapy Visits.
30222...............................  3rd+ Episodes, 6 Therapy      C2F2S2                                0.7406
                                       Visits.
30223...............................  3rd+ Episodes, 7 to 9         C2F2S3                                0.9009
                                       Therapy Visits.
30224...............................  3rd+ Episodes, 10 Therapy     C2F2S4                                1.0612
                                       Visits.
30225...............................  3rd+ Episodes, 11 to 13       C2F2S5                                1.2214
                                       Therapy Visits.

[[Page 46218]]

 
30231...............................  3rd+ Episodes, 0 to 5         C2F3S1                                0.6270
                                       Therapy Visits.
30232...............................  3rd+ Episodes, 6 Therapy      C2F3S2                                0.7941
                                       Visits.
30233...............................  3rd+ Episodes, 7 to 9         C2F3S3                                0.9612
                                       Therapy Visits.
30234...............................  3rd+ Episodes, 10 Therapy     C2F3S4                                1.1284
                                       Visits.
30235...............................  3rd+ Episodes, 11 to 13       C2F3S5                                1.2955
                                       Therapy Visits.
30311...............................  3rd+ Episodes, 0 to 5         C3F1S1                                0.6211
                                       Therapy Visits.
30312...............................  3rd+ Episodes, 6 Therapy      C3F1S2                                0.8152
                                       Visits.
30313...............................  3rd+ Episodes, 7 to 9         C3F1S3                                1.0093
                                       Therapy Visits.
30314...............................  3rd+ Episodes, 10 Therapy     C3F1S4                                1.2034
                                       Visits.
30315...............................  3rd+ Episodes, 11 to 13       C3F1S5                                1.3975
                                       Therapy Visits.
30321...............................  3rd+ Episodes, 0 to 5         C3F2S1                                0.7054
                                       Therapy Visits.
30322...............................  3rd+ Episodes, 6 Therapy      C3F2S2                                0.8858
                                       Visits.
30323...............................  3rd+ Episodes, 7 to 9         C3F2S3                                1.0662
                                       Therapy Visits.
30324...............................  3rd+ Episodes, 10 Therapy     C3F2S4                                1.2466
                                       Visits.
30325...............................  3rd+ Episodes, 11 to 13       C3F2S5                                1.4269
                                       Therapy Visits.
30331...............................  3rd+ Episodes, 0 to 5         C3F3S1                                0.7521
                                       Therapy Visits.
30332...............................  3rd+ Episodes, 6 Therapy      C3F3S2                                0.9393
                                       Visits.
30333...............................  3rd+ Episodes, 7 to 9         C3F3S3                                1.1265
                                       Therapy Visits.
30334...............................  3rd+ Episodes, 10 Therapy     C3F3S4                                1.3138
                                       Visits.
30335...............................  3rd+ Episodes, 11 to 13       C3F3S5                                1.5010
                                       Therapy Visits.
40111...............................  All Episodes, 20+ Therapy     C1F1S1                                1.8309
                                       Visits.
40121...............................  All Episodes, 20+ Therapy     C1F2S1                                1.8512
                                       Visits.
40131...............................  All Episodes, 20+ Therapy     C1F3S1                                1.9222
                                       Visits.
40211...............................  All Episodes, 20+ Therapy     C2F1S1                                1.9320
                                       Visits.
40221...............................  All Episodes, 20+ Therapy     C2F2S1                                1.9523
                                       Visits.
40231...............................  All Episodes, 20+ Therapy     C2F3S1                                2.0233
                                       Visits.
40311...............................  All Episodes, 20+ Therapy     C3F1S1                                2.1647
                                       Visits.
40321...............................  All Episodes, 20+ Therapy     C3F2S1                                2.1850
                                       Visits.
40331...............................  All Episodes, 20+ Therapy     C3F3S1                                2.2559
                                       Visits.
----------------------------------------------------------------------------------------------------------------

    On page 39906, second column, line 31 the number ``0.1'' is 
corrected to read ``1.8''.

    Dated: July 29, 2015.
Madhura Valverde,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2015-19079 Filed 8-3-15; 8:45 am]
 BILLING CODE 4120-01-P